Is It PCOS or Hypothalamic Amenorrhea (Undereating)?

PCOS versus hypothalamic amenorrhea.

What is the difference between polycystic ovary syndrome (PCOS) and hypothalamic amenorrhea?

PCOS is the condition of androgen excess when all other causes of androgen excess have been ruled out. It’s often associated with irregular periods or no periods.

Hypothalamic amenorrhea (HA) is irregular periods (or no periods) due to undereating or other stressors. It can also present with mild acne, facial hair, and polycystic ovaries.

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The Power of Eating Enough

Foods for satiety.

“Eat to feel good” is my advice to patients. Why? Because eating should be relaxing and create satiety, which is the feeling of being sated or full.

Achieving satiety with solid meals such as meat and potatoes is 1) a good way to achieve optimal nutrition and 2) the single best way to avoid overeating and just live your life without having to fight cravings or constantly exert willpower to avoid snacks and desserts.

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Medications That Cause Weight Gain

Why do antihistamines cause weight gain? And how does hormonal birth control affect metabolism?

In episode eleven of my podcast and Youtube video, I look at how common medications affect metabolism; why birth control that is androgenic is more likely to cause weight gain; and whether natural progesterone causes weight gain or weight loss.

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The Most Common Cause of Weight Gain

insulin resistance

There can be a strong hormonal component to abdominal weight gain. And in most people, that hormone is insulin.

In episode six of my podcast/YouTube video (released in May 2022), I discuss insulin resistance, including why you could have insulin resistance even if your blood sugar is normal, the role of mitochondria, and all the ways to lower insulin and improve metabolism.

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