Polycystic ovary syndrome dietary taboos

There are no foods that must not be touched in polycystic ovary syndrome (PCOS). Currently, the core dietary taboos recognized by the global medical community are the long-term "high sugar, high refined carbohydrate, and high inflammatory load dietary patterns." All dietary restrictions for a single category must be adjusted based on the individual's insulin level, physical characteristics, and tolerance. There is no universal one-size-fits-all fasting list.

Don't believe the nonsense on the Internet that "if you have polycystic cysts, you can't have milk tea in your life". If you really suppress it and overeat, it will make it worse. I treated a 98-year-old girl last year. After being diagnosed with polycystic cysts, she didn't dare to touch a bite of sweets for half a year. She even dared to eat less than half a bowl of rice. As a result, her best friend couldn't help but show off three pieces of mousse cake for her birthday last month. My aunt postponed it for 40 days. She also broke out in acne. On the contrary, she was in worse condition than when she had no dietary restrictions.

Let’s talk about the most uncontroversial ones first, those “blood sugar assassins” whose blood sugar rises instantly after eating them. For example, milk tea, cola, bottled juice with fructose syrup, as well as snacks filled with refined sugar such as cream cakes, cookies, and shortbread, as well as refined carbohydrates such as white rice, white steamed buns, and white porridge that you eat every day - don’t underestimate that bowl of light white porridge. The glycemic index can reach over 70, which is stronger than many sweet drinks. Eating too much of this type of food will directly aggravate insulin resistance, and insulin resistance is the root cause of high androgens, irregular aunts, acne and hirsuteness in 80% of polycystic patients. This is a consensus reached by Chinese and foreign gynecologists and endocrinologists. Whether you are fat or thin with polycystic polycystic disease, you should try to control the amount of this type of food. It does not mean that you cannot eat it completely. For example, drinking milk tea with 30% sugar once a week is okay, but drinking full sugar all the time is definitely not okay. Oh, by the way, there are also high-oil fried foods, margarine and shortening filled with trans fatty acids, which are also foods with a high inflammatory load and can aggravate insulin resistance. It is also recommended to eat as little as possible, but it does not say that you should not eat them at all. It is perfectly fine to eat fried chicken once a week to satisfy your cravings.

As for the types of "forbidden foods" that are very popular on the Internet, they actually differ from person to person, and different medical systems have different opinions. You can choose according to your own situation. For example, dairy products. The conclusion of current research in Western medicine is that "there is no clear evidence that all polycystic patients need to abstain from dairy products." However, it is true that about 20% of patients are sensitive to whey protein. After drinking whole milk, androgens will increase, which makes the aunt even more confused. ； Some patients experience greater insulin fluctuations after drinking skim milk. You can try this yourself. Stop milk for a month to see if your body improves. If there is no change, drink as much as you need. There is no need to quit. There are also raw and cold foods. Most schools of traditional Chinese medicine recommend that polycystic patients avoid iced milk tea, iced coffee, and iced watermelon. This is because many polycystic patients have problems with yang deficiency and cold uterus. Being greedy for cold food will aggravate qi and blood stasis. However, some girls have a damp-heat constitution and are usually afraid of heat but not cold. Drinking iced drinks in summer is not uncomfortable, so there is no need to deliberately avoid them. There is also gluten, which is the protein in wheat, barley, and rye. Functional medicine doctors will recommend polycystic patients with severe insulin resistance and long-term constipation, diarrhea, and rashes to try a gluten-free diet. There are indeed patients around me who stopped eating pasta, and their aunt who had not been here for 3 months came to eat on their own. However, there are also girls who can eat noodles all the time without any problems. This also depends on individual reactions.

In the past two years, I have followed up on the dietary adjustments of more than 70 polycystic patients. In summary, the most useful thing is not to remember what can and cannot be eaten, but to try to eat vegetables first, then meat, and finally the staple food every time you eat. When eating polished rice and white noodles, Mix one-third of the grains with rice, such as rice mixed with brown rice and oats, and replace white steamed buns with corn and sweet potatoes. Even if you are craving for cake or milk tea occasionally, you don’t have to feel guilty. As long as you don’t eat it all the time, the impact on your body is really not as big as you think. On the contrary, the daily anxiety of "did I eat the wrong thing?" has a much greater impact on hormones than a cup of milk tea.

In fact, polycystic disease itself is a very heterogeneous disease. Ten patients may have ten different symptoms. Is there any universal contraindication list? Instead of being harsh on yourself based on the fasting list on the Internet, it is better to pay more attention to your body's reaction after eating, which is more reliable than any expert advice.