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Gaining Weight
By Sam Thatcher, MD, Ph.D.

Sam Thatcher, MD, Ph.D.Q. What can I do to stop gaining weight; my testosterone is really high but I am on clomid so can't take any medications that will harm a possible pregnancy. I have tried carbohydrates diet but because I am a fussy eater don't eat many items on that list. I also have a treadmill and a few free weights that I use regularly.

A. I know I will offend some with this comment, but weight is gained when the calories consumed are greater than the calories used. Weight is lost by either decreasing calorie intake or increasing physical activity. I believe this is an absolute truth. HOWEVER, I am convinced those with PCOS utilize calories different. Many with PCOS have high insulin levels. With increased insulin the body is programmed to hold on to every calorie and store them as fat. As weight increases, insulin increases, and then weight increases more. It can be a hopeless spiral down. It would be great if you could find a nutritionist who could help you analyze and possibly improve your eating habits. Some may find help with metformin and I believe an evaluation for insulin resistance can provide an important insight into PCOS and its therapy.

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