How to Improve Fertility with PCOS w/ Dr. Nadia Pateguana!

Why do some women with PCOS struggle with fertility? Dr. Nadia Pateguana, Naturopathic Doctor & Co-Author of The PCOS Plan, joins us to talk about fertility & PCOS!

You’ll learn how to promote fertility naturally and why it’s important to make fertility a priority whether or not you want to have a baby.

We discuss tips for women with PCOS who want to get pregnant now. We also talk about the science behind why some women PCOS struggle with fertility and the impact insulin resistance has on the ovaries.

You can find Dr. Nadia Pateguana at (TheFastingMethod.com/Coaching) for one on one coaching as well as on Instagram (@Nadia_Pateguana)! Check out her book The PCOS Plan, co-authored by Jason Fung, Prevent and Reverse Polycystic Ovary Syndrome Through Diet and Fasting!

Join us in The Cysterhood, a community of women learning how to manage PCOS & lose weight, Gluten and Dairy Free! (bit.ly/The-Cysterhood-Membership)

Pique Tea: 5% off code TheCysterhood (bit.ly/PiqueTeaPCOS)

PCOS Friendly CBD: 10% OFF code TheCysterhood (bit.ly/CBDpcos)

Ovasitol Packets: 15% OFF prc code 292660 (bit.ly/Ovasitol)

Full Episode transcript:

What’s Spearmint tea. Did you know this is great for sisters with elevated testosterone here’s statistic or trouble ovulating. Oh, awesome. But I don’t see a teabag in it. That’s right. I’ve learned that teabags have plastic particles in them. And so when you put them in hot water, you’re actually ingesting the plastic and you know how that’s an endocrine disruptor.

So I found this company called peak tea and they use a cold brew crystallization process. So all of their tea comes in little packets and you just dissolve the tea in cold or hot water. It’s super clean. PT has no pesticides, toxic molds or heavy metals that you might find in other teas or from teabags. Wow, that’s amazing. Can I try some Sure.

Head over to pique.com spelled P I Q U E. And use our code, THECYSTERHOOD one word to get 5% off your order. Let’s take a moment to correct our posture. Take a deep breath and have some pure spectrum CBD. Sure. Hey sisters CBD can help with acne inflammation, anxiety asleep, and so many other PCs symptoms. I personally take it throughout the day to help keep my stress hormones nice and low.

Not to mention I sleep like a baby every night and I don’t wake up fatigued at all. Now open your mouth, please. So I can give you a serving. Now, hold it for 60 seconds. Head over to pure spectrum cbd.com and use the code, the sisterhood one word for 10% off. Can I stop now? Nope. You got 30 more seconds.

Welcome to a sister and her mr. A podcast where we show you the real behind the scenes of how we bounced the PCRs lifestyle in our marriage, gluten and dairy free. I’m telling your fellow sister and registered dietician And I’m silica husband, engineer, and MPCs personal trainer. We’re going to make PSUs a little less overwhelming and a lot more fun. Welcome everyone to another episode of a sister and her Mister today,

we’re going to talk about fertility with dr. Nadia Pedegana. She is the coauthor of the PCLs plan in the first line of her book. It States that she has a reputation for getting people pregnant. In fact, people often seek her out specifically because they’ve heard from friends or coworkers. Be careful. Don’t go to dr. Nadia petted Guana, unless you want to get pregnant.

Thank you, dr. Nadia for joining us today, our, the episode that we did together, I believe it was episode number 30 was like a lot about instant resistance and it was really one of our most popular episodes. It was super informative and a lot of the sisters out there really enjoyed it. So we’re very thankful for it to be back here today.

I love being here with you guys. Thank you. Yes. So on today’s episode, we’re really gonna go into the topic of Pecos and fertility. It’s a very, obviously a very common topic in the community with, with the sisters. So we really want to just get Into it and we’ll just start off with, I guess the first question on telling us yes.

So, so oftentimes, you know, we have a lot of people listening. Maybe they don’t want to get pregnant right now. And so fertility, isn’t really the first thing that they’re thinking of, but of course it’s in the back of your head because you know, if you want to get pregnant one day, but why do you feel like it’s important for women in general or women with PCs to make fertility a priority even before wanting to have babies?

I think this is a great question. And remember, we talked a little bit about this in your, in on episode 30, if that’s the, if that’s the right number, I’m going to repeat it because I remember saying to you guys that, and I realized from watching your other episode, that you remember all the episodes, right? So Iraq,

then you watch the last episode too. I did a, so I said to you guys last time that the I’m so excited to talk to you guys and your audience of young women, because one thing I wish I had learned, and this is why it’s so important, the work that I’m doing and that you guys are doing is to really get to young women.

Early prevention is the best medicine, of course, as you know, and when I, and many women decide to get pregnant and they fail, that’s when they take things a lot more seriously, right? For fertility and fertility I’ve often said, you know, it was quote unquote a blessing in my life because it made me take my health more seriously.

I was a very thin young woman. So you never think that you have health concerns. If you’re thin, I was a thin PCLs kind, even though I had the Frank type of PCOS, I was thin. And so, and I had a lot of other health concerns like IDs. I, I think I mentioned that to you guys, a lot of mood concerns and in many other things,

but I never did anything about it. My doctors never did much about it or recommend because I was in, I was disregarded a lot of young women that I work with and you guys work with are not then unfortunately, so they have that added concern, but maybe they start looking into their health a little bit deeper if they have a weight concern and they take it a little bit more seriously.

So in, in a, in a way, quote unquote, it’s another blessing, even though we know what that, but it’s something that has to be addressed. Okay. So why do you need to address this early? Well, one, because you don’t want to go through 10 years of infertility or possibly never get pregnant, which I have a few,

quite a few ladies that I thought to now in post-menopausal years, that now that they’ve read our book and have worked with us, realize that they had TCOs and that their infertility was actually caused by this concern that could have been addressed years ago, fertility medications didn’t work for them for a number of reasons, but probably because their insulin resistance was so was,

was, was a huge concern and really mess with your hormones. So it’s really important earlier on that we deal with this, the better results we’re going to have. And I think also the prevention of all the other concerns. So it’s not just infertility, it’s all the other associated conditions that come with PCLs. So by the time I got diagnosed with DCOS and started working on my fertility concerns,

I already had prediabetes, eventually diabetes and hypertension. So I, and eventually I did have a type of cancer that’s related to this. So this school, you know, hopefully we can prevent these young women from ever having any of this, if you, if they know right from the get go. But the problem is, as we often say, and as you guys often say,

if the problem is insulin, then let’s lower insulin not to take a fertility medication, you know, not take a diabetic medication or hypertension medication or an anxiety and all of these other meds. I was on like 10 medications at one point. And so are many of my clients, right? Yeah. So, yeah, I think when a lot of people,

they want to like target a fertility medication, like I sh I always see like common questions about specific brands of pills, like for fertility. And like, I agree, it’s usually starting with, it’s not just about getting, being fertile, but it’s also about going to the root causes. Like you’re saying insulin resistance and things like that, looking into the,

those conditions instead of just identifying the fertility pills. Yeah. Not just that, but also being able to articulate is important in general. Like not because you want to get pregnant, but in general, because you want to produce enough progesterone, that effect affects your mood. You know, of course it affects your symptoms and getting your period on time and your,

you know, everything that you listed preventing cancer and so on. But just like in general, you want to oblate, you want to be fertile and functioning. You know, oftentimes you feel like broken when your doctor diagnosis you with PCOS. And then you’re like, I can’t, I’m broken. What’s going on. I need, you know, medication this,

that, but you can actually reverse it through lifestyle changes. And another reason maybe doctor, you can point this out is like the snowball effect, right? Like if you don’t start now in 10 years, isn’t, isn’t it going to be like a lot harder than it is if you start it now, Unfortunately it is right. And this is why diabetes,

obesity, and any other expression of metabolic syndrome is thought to be a chronic, progressive disease that you can’t do anything about because it gets worse and worse, but it’s not chronic and progressive. It’s definitely reversible. But the further up on the spectrum, you are, the more expressions you have, the more challenging it is, the more insulin resistant you are.

So it’s going to take you a little bit longer to become insulin sensitive. Again, one thing that we didn’t mention, but we should, and it’s, I think we write about this in the book is one of the reasons why I am happy to talk to young women and happy that young women are reading the book and working with you guys and us.

And it’s not just because getting it to this earlier means that they’re going to have less issues, but it’s the notion. And I know this from firsthand experience that if you get pregnant with CCOs and you, you will very likely you can any will with fertility medication. Fertility medication is very successful in women with PCOS, but if you get pregnant with PCLs,

you are at a very high and likely risk of having serious pregnancy complications. The first one being miscarriages, we see this all the time and then gestational diabetes preeclampsia in pregnancy related, hypertension, postpartum depression, and then very serious risks in the babies. So babies born to mothers with PCOS, have a law, and this is written in the book and there’s resources and studies that show this,

if this is not unknown in the medical community. So fertility medication can definitely get you pregnant, but you’re going to have a lot of pregnancy complications, postpartum complications. And your baby might be might is, is an understatement will be at a much higher risk for metabolic syndrome, which means childhood obesity, diabetes, et cetera. And is this because maybe the person wasn’t focusing on the underlying conditions and instead of went with the fertility pill option,

could that, is that the reason why? For sure. So you’re, you’re getting women to, like Celine said, you’re getting women to ovulate. And so if you ovulate, you obviously and become pregnant or you’re doing artificial insemination or IUI or whatever else you’re doing. So you’re, you’re taking the egg and putting in this sperm and putting that back into a woman that has hyperinsulinemia and insulin resistance.

And so she’s going to be at a very high rate because pregnancy in and of itself is an insulin resistant condition. So I know from firsthand my children both born because I didn’t, I use low carb diet to get pregnant and Metformin to get pregnant, but I didn’t, I didn’t follow any of this during the pregnancy I had. I was, as I said,

I was a Frank type of DCOS. I got pregnant very quickly. So women, even the ones with a Frank type can get pregnant very quickly with stimulation and whatnot. But I definitely had TCOs and my children were exposed to this hyperinsulinemic state hyper high levels of insulin. And it’s obvious we were actually, we’ve worked with endocrinologists and diagnose them. And of course it’s interesting.

It’s not easy to deal with children. Well, not easy it’s it’s not, you don’t, you don’t wish that in won’t want that upon your children ever. Yeah. Yeah. So just backtracking to what you said, all of these things that could happen while pregnant could possibly be avoided. If you address your fertility sooner and really get ahold of your ovulation and your insulin resistance and all of the underlying issues of PCOS before you start trying get pregnant,

right? You don’t have to address your fertility sooner. You don’t, you don’t have to, but, but it’s exactly it, it ends up being that you want optimal fertility, which means it doesn’t mean you’re going to get pregnant right away. So it’s not, it’s not that you’re, you only do this when you’re trying to get price. Exactly what you guys are saying.

It’s not that you won’t start to deal with your insulin resistance. When, when you realize your inference out, it’s knowing ahead of time, it’s understanding what is happening in your body. And as you’ve said, you know, you might be young and not want to conceive right now, but you will likely want to conceive in the future. And so you will conceive in the future,

especially if you take matters into your own hands ahead of time. And the earlier you do with the butter. Yeah, totally. Okay. So going into that, why do women with PCO S like what, you know, can you explain what is happening that makes us struggle with fertility and some women don’t struggle with fertility? That’s a great question. So,

as I said, CCOs, women are not in for a tile, okay? This is why they get pregnant, because they have most often they have two ovaries and they have lots of follicles. In fact, they have a good chance with fertility treatments because they have so many follicles are the immature, right? For proper regulation. You need one mature every month.

What happens with PCLs? The underlying concern of PCLs is high insulin, which is a hormone. This high insulin, you would think it would only be involved in metabolism and weight in diabetes. But in fact, CCOs is known as diabetes of the ovaries because the ovaries have many receptors for insulin. And if you understand the nutrition behind this and evolutionary history of why this is important,

right? It’s important that inside the body, the ovaries know if there’s enough nutrients out there to have a child. So there’s lots of insulin receptors in the ovaries. Unfortunately, when insulin is off, a couple of things happen. Number one, it causes your ovaries to produce an excess amount of testosterone. So the insulin for surgery, so hormones are messengers.

It tells your body what to do. Your ovaries are glands, meaning that they produce hormones, glands produce hormones, even though insulin is produced in another gland, the ovary produces certain hormones, as you know, but it also produces testosterone. When you have high insulin, you cause all women have levels of testosterone, male hormone, right? When you have high insulin,

you produce too much testosterone. It’s a signal. The main problem is not that you have actually, your testosterone is too high. Cause someone has just lost her level is actually normal. Even if they have PCOS, it’s that insulin causes another organ, the liver to under produce. So too much insulin causes the liver to under produce something called sex hormone,

binding globulin, which is a globulin. It’s a molecule that binds to testosterone and prevents overexpression of testosterone. So it’s okay to have a lot of testosterone. If you have enough sex, hormone, binding globulin, to bind to that, make sure that testosterone is going where it’s supposed to go and not going to other places like your skin and creating acne and your scalp and creating baldness and halting your ovaries from maturing that one X.

So these abnormal hormone levels cause your ovaries. So that’s where all the expressions come from from the, this is why you see when a young woman has PCs. You can see it. It’s the overexpression of these male hormones that are not bound to this globulin, that there isn’t enough. The body doesn’t produce enough. Globulins in the liver. Both of these situations are caused from too much insulin.

But now in the ovaries specifically that testosterone receptors, again, too much free testosterone, too much expression of strong in the ovaries causes the follicles. So these immature eggs did not mature. So you have lots of follicles that get to a certain size, but they never grow past that size. And like regular, obviously we talked about progesterone and the other hormones,

LH is the hormone that would trigger the follicle to mature and for you to ovulate. So now you have lots of follicles, which on, on ultrasound, they look like lots of cysts, but they’re immature follicles. You shouldn’t have all of these immature follicles. You should have a small group that you don’t see on ultrasound, but you should have one big,

large mature one that comes out every month. That’s oblation. So that’s how insulin and insulin resistance, overproduction of insulin hyperinsulinemia is behind all of this abnormal mechanism. That is such a beautiful, Yeah, such a complicated thing. I’m going to listen to that like four times and take notes. Like I remember like It’s super easy to understand and explain this because you know,

as, as you said, I’m the co author of the PCFS plan, dr. Jason Fung. Who’s really good at explaining these obligated scientific things in a very simple way. He wrote all these chapters and I work with another gynecologist and we had a call yesterday. We did an interview and he explained this even better. So the thing is, and both of these guys,

these doctors say the exact same thing. This is basic science. This is basic grade nine science. And we just forget how important insulin is. Yeah. She agreed. One thing you said that I just like, it was cool to me or not cool, but I’ve never heard before it was PSUs as a diabetes of the ovaries. I got something I’d never heard before,

but it makes sense. Cause the insulin is having all that impact Yeah. On your ovarian function. Yeah. So now the listeners and me and everyone, now we can wrap our heads around what’s happening. Yeah. And it’s motivating to do something about it. Yeah. Once you know, the science behind it And like knowing that what’s triggering it and knowing like what you can do differently to make the science work for you,

then you can kind of like, feel like you have control over your body. And like, you can almost like make your body do anything. It’s just about learning and then applying what you learned. It’s thank you. I agree. It’s actually a message of hope. Yeah. Yeah, absolutely. I always get these messages. I have this and I have that like people,

first of all, PCLs women always think that one of a kind, Oh yeah. It’s so strange. They always, what is the most common endocrine condition in young women? Right. And women always think they’re one of a kind, because I don’t know. I don’t know what it is. We don’t talk about it enough. We don’t give it enough importance,

whatever it is. I mean, you know, the PMs premenstrual syndrome, you know, that’s a hyperinsulinemic state. So the more insulin I hope to work with a gynecologist that we do research with and do a lot more work into this. But things like BMS, which is super common, we either pretend it doesn’t exist. We make fun of it.

We blame the woman or we think it’s all in the head, but really it’s the more hyperinsulinemic you are, the more expressions of DMS you have. And if you understand all of the expressions of PMs or basically hyperinsulinemia right, right. Ability, the bloating, the cravings, everything. Yeah. We were just watching everybody loves Raymond and they were making fun of Deborah for having PMs.

And it was just like, we were like, man, how could they joke about this? Or like, we were just like, this is so nineties television, you know? Yeah, of course. Yeah. So what are some of the things that you recommend that women can do to promote fertility naturally even before they want to have babies? The first thing is knowledge is power.

I have to understand this because if you’re changing something, I always joke because I don’t have a coach. Right. I’m a, as I, as, as I was saying to you guys before, I’m a fasting and dietary coach. So I was joking with my clients. You know, I’m your coach, keep your eye on the ball. So don’t be out,

you know, often women with DCOS and like other clients that I have, they’re focusing on a million things at once. Right. And they’re not doing anything really because they’re trying everything that they hear, you got to focus. You got to know what the problem is. The problem is insulin. We’ve just talked about how insulin is really the hormone that plays one of the biggest rules in this abnormal ovulation and,

and not just the abnormal ovulation, but all the other expressions, the physical expressions of hyperandrogenism. So high testosterone, right? So young women that reach out to you guys, I’m sure much the same. As far as my young women, they’re worried about facial hair. They’re worried about acne. They’re worried about the baldness. They’re worried about the belly,

right? If you understand that you need to lower insulin, that’s why, you know, you guys recommend, I don’t ever know how to say this property though. The supplement in also tall, all right, because it impacts your insulin resistance, right? So if you understand this, you understand that through diet and proper intermittent eating or intermittent fasting, you’re going to impact your insulin production because girls don’t want to hear insulin.

They’re like, okay, I don’t care about insulin. I care about my acne. I care about my hair. So if they understand that that’s caused from too much testosterone, now they want to lower the testosterone. So when you start talking to them about the insulin, they’re like, I don’t want to hear about insulin. I want to lower testosterone.

We have to understand. You have to explain to them that it’s the connection. High insulin causes too much testosterone, but most importantly, it causes your liver to under produce. So low levels of this very important globulin, that’s going to bind testosterone. So then the testosterone can’t have these ugly expressions on them. So they have to understand that that’s the problem.

If you know the problem, then the solution is simple. How do I lower my insulin? Now they’re not focusing on a million things. You know, now maybe they’re looking at the right diets, the right possibly supplements, or even medication like Metformin. Metformin can help. I took Metformin. But if you, if you just look at that, it’s too superficial.

You need to go deeper. How to actually lower the insulin you need to. I have these five pillars that I follow and I teach all the people that I work with. You need to eat less often, not eat less important. It’s not a little calorie diet. It’s eat less often. You need to learn to eat earlier in the day. You must understand the circadian rhythm,

the day, night cycle of insulin. You need to find out which foods cause your body to produce too much insulin. Okay. So choose a real food diet. You guys recommend a gluten free dairy free diet. I completely agree with that because these are probably the two biggest of the food groups, the two biggest insulin producing foods. Okay. There are others.

And it’s important to know, okay, now what to eat. So getting off of that and then four and five stress and sleep management. You guys talk, I think quite a bit about this, the different forms of TCOs, how the adrenals impact your insulin production. It’s important to understand this, but again, it all comes down to insulin. I think you guys were telling me last time,

it’s the adrenal inflammatory Inflammation. Oh, we said that hyper thyroid. Yeah. Yeah. So all of hypothyroid is just, it’s a different hormone. And so hormones communicate with each other, the thyroid, I mean, but the idea that inflammation, obviously insulin resistance, adrenal. So your stress hormones impact your insulin production. So this is all related.

If you’re inflammation is high, your insulin is high. If you’re going to sell this high, your inflammation is high directly correlating. Right. And I was speaking on the first pillar, you said, eat less often. As you mentioned, it doesn’t mean eat less calories, but it’s talking about like, you know, that, that, that thing that says,

Oh, eat every two hours, eat every hour to keep your metabolism high. You know, it’s not that doesn’t really apply when it comes to like instant resistance, right? So you kind of, you’re recommending to kind of eat just like breakfast, lunch, dinner, and like not snack too often between, is that what you mean? Well, my recommendation is fully based on that full meals.

No snacks. So not snacking too often is, is, is a gentle way of starting. But if you want actual healing and also depending on how far along in the spectrum, people are, we can look at some healing, therapeutic fasting as it’s called, how much do you have to fast? But the most important thing that I co I joke that it’s the Beyonce of the show.

It’s the main event. That means is four meals, no snacks. That has to be your, if you’re looking to lower insulin, you need to eat and then drop that insulin completely before you have another meal. And that takes four hours at least. Yeah. I definitely feel like when I eat a lunch or when I eat dinner and I’m in a certain state where I’m like not full,

like I didn’t have a snack. I’m ready to eat. I’m not starving. Like, I feel like my metabolism is where it needs to be to burn off that meal. Like I know exactly what you’re trying to explain right now because it all depends on insulin, insulin determines what the store or burn, right? Yeah. Can you elaborate on calories?

Because I know that a lot of women out there think that cutting calories can help. So I know you mentioned, obviously it’s not about calories. It’s about how often you’re eating. Can you elaborate on that? I can. I love to give you a resource, a really good resource for that. So my coach, dr. Jason, Paul, who I worked with at the facts,

it’s very fun. All the obesity code and the code actually explaining this very well. And he also wrote other books like the diabetes is now coming out one called the cancer code, but the code explains the insulin of connection to diabetes, obesity PCLs et cetera, because first of all, your body doesn’t have calorie receptors. So it means nothing. Your body doesn’t know calories.

Okay. It knows it, it works in a totally different way. And you have to understand. And just as we were, we’re talking how this whole insulin connection, it’s your different organs in your body produce hormones in response to things. It doesn’t produce hormones in response to calories. Okay? So a calorie from salmon is going to have a totally different give a totally different message to your body than a calorie from a cookie.

So if you’re following a low calorie diet, especially for weight loss, this doesn’t, I know this has been the recommendation for years and years, but we all know it doesn’t work, but we keep doing it. So the whole eat less move more. It doesn’t work and it hasn’t worked. And it definitely won’t work for PCOS women because PCOS women and there’s studies on this,

they do not eat more. So they don’t need to eat less often and they eat more sugar and they eat more all thing carbs. And that’s why you guys talk about this all the time, because all Pecos women want, they don’t want you to tell them that they can eat lots. They just want you to tell them that they can eat all the fruit that they want and all the carbs that they want.

And they want people to call it healthy, right? Because their insulin is so high. So they’re constantly looking for, but that’s not what they need to do. What they need to do is they need to feel that insulin, beast, they need to lower insulin so that they’re not constantly craving and snacking and grazing. And this is so important, such an important message because women are told to just lose weight if they want to get pregnant.

And they often turn to cutting calories. And like you said, you know, turning to losing weight ends up helping women, too many, the weight loss methods again, because, because most often they lower insulin by lowering your calories is just lowering. Calories is not going to do that unless you’re changing your diet to a lower insulin diet. So changing a diet to a healthier ending on what you call healthy.

But the fact that they’re snacking less, they’re going to lower insulin. Okay? If they’re switching certain foods for foods that create less of an insulin response, they’re going to lower. And so, so all of these things are going to help, but just lowering calories and eating a million times a day is going to raise your insulin. And it’s going to increase your insulin resistance,

which again is going to lead you further down this path. Yeah. And we even learned in a recent interview that cutting calories increases the likelihood of gallstones. And for that reason, like women with PCOS are at higher risk of gallstones because many of them are told to cut calories, cut fat and things like that. That is very true. A lot of the people that have gallbladder issue,

well, most of that’s the that’s the issue is because your gallbladder is this little Oregon, that all it does is collect bile and bile is this it’s your body produces bile to digest fat. So if you’re not digesting, you just keep collecting this bull putrid bile. And it, if your all butter becomes inflamed, because instead of cleaning out new bile,

it holds bile out to do what it’s supposed to do. It. Just sit in there. So low fat diets will lead to inflammation and eventually stones for sure. Oh yeah. Yep. All right. So what are some tips for a woman with PCs who wants to get pregnant now Right now? So very, very quickly. Yeah. So I guess,

I mean, it would just be like focusing on like everything we talked about insulin, but are there any other like Specific action steps for the woman listening right now who wants to get pregnant and lose weight? Well, I work with those women. So I’ve got women that are 44 years old. That called me and say, I want to get pregnant yesterday or 10 years ago.

Right. And I haven’t and eight years of infertility, 10 years of infertility, 11 years and 13 years. And if they’re really serious, then we embark on a therapeutic fasting protocol. Because again, if the problem is insulin, you want to lower insulin, nothing lowers insulin quicker than fasting. Because every time you eat healthy, unhealthy, low carb,

high carb, low calorie, high calorie, every time you leave, you raise insulin, right? So we do with proper supervision and guidance. We do help women with some intermittent fasting protocols for fertility. I do this, I’ve done this for a long time. I do this often. And I love it because women that want to get pregnant are very motivated.

I speak from my own personal experience. I myself, when I wanted to get pregnant with my first child, when on this very strict, low carb diet. And I knew very, I didn’t, this was the almost 11 years ago. I knew very little in comparison to what you guys know and what people know now. But I knew enough to know that I needed to go as low as possible because I wanted to get pregnant.

And I did that in a month and a half. I was pregnant. And most of the people that I work with within three, four months for pregnant, I just have I posted something last week in the same week or the same day two women one had her son 11 years ago. She started with me. I don’t know when it was, because there was two similar cases within three months.

She calls me. It’s always the same story. It’s always, it’s always a miracle. It’s always a, you know, coincidence, whatever you, you may think that it is, but it’s always the same story, insulin, insulin, and how quickly they lower instance. So these are always women that do a followup protocol. Cause you can’t fast,

your entire cycle of it. Follow the strict carb diets. They’re consistent. They’re motivated. They’re there. These are the women that have done all the IVF. If that at all, I know this is, this is it. This is the last chance they’ll do it. Yeah. Yeah. Awesome. And then one of the last questions we had was something we kind of covered during the podcast.

But the question was, what are some risks for women with PSUs who are pregnant and how can they prevent it? And we talked about earlier that you’re at a higher chance of miscarriages and, and, you know, issues, your pregnancy as well as you know, possible like metabolic issues with, with the, with the child. But is there, is there a ways maybe they can prevent it or somethings they can do to help with those issues Where they want to get pregnant,

some positive light. We want to sprinkle on our audience. Well, here’s the, this is the bonus of doing it early, right? If you’re doing this, when you’re at like the Dolce, I talked to you yesterday, he’s like you get this young woman at 18 comes to a doctor, says I have all of these symptoms, all of these,

you know, regular ovulation, cysts, ovaries, the doctor says here, take the pill. Sure. Symptomatically, you feel, look and feel better. So she takes the pill for 10 years now at 28, she wants to get pregnant. But yet in those 10 years you’ve been zero to help her journey. So she’s got 10 years to slowly lower her insulin to learn how to eat.

So maybe she doesn’t have to do the extended fasting protocols and the ketogenic diets right. At 18, maybe you can do these more liberal, real food diets with eating instead of prolonged fasting. So there’s so much that you can do. It just depends on where you’re at on your spectrum. Right. And maybe now she doesn’t weight 300 pounds. Yeah,

yeah. Right. When I was 18 and diagnosed, I wish I had known that there were things that I could have done before hopping on birth control to help with all of these symptoms and cystic acne and high testosterone and everything. Yeah. And like you said, there was no guidance, no support, nothing out there that gave any type of direction or simple explanation of like,

what the heck is going on. I don’t remember any type of information back then. It’s a lot less. Yeah, No. I mean like forget social media, like free at us and other accounts. But even now, like there is like studies showing that the research has declined in the last four or five years. So there’s NPCs. Yeah. So the research is even less.

Yeah. So we’re out here on the Instagram rooftops. Yeah. And having great doctors like you, you know, with your practice and doing this podcast, that’s like the only way to make it more and more visible out there. Yeah. If I could go back in time, I would have just told myself to go gluten and dairy free, sooner,

meditate, more distress. Cause that was really pumping my sugar levels and eat less fruits. Cause I was eating so much fruit. And also you were to, Oh yeah. I, I, I never had a piece of meat and vegetables until I was in my thirties. Yeah. Because my insulin was so high. All I ever craved was sugar and carbs.

And again, I didn’t eat a lot. I was very skinny. I didn’t eat a lot. It wasn’t about my weight. To be honest, that’s more genetic than anything else. It was how I ate. It was just ridiculous. Yeah. Yeah. I thought I was eating pretty well when I was 18. Like I was eating like, you know,

a sandwich, like a salad, whatever. I thought I was eating pretty healthy, but cause I was young and I didn’t really know that I was intolerant to gluten and dairy. That was spiking my insulin levels and like affecting me the way it was and all this inflammation that was being caused by that. And like a multiple other lifestyle factors. And I mean,

it’s just crazy. I also thought I was eating pretty well and everybody else thought I was eating pretty well because everyone else, all we hear is fat is bad for you. So I didn’t eat any, I hated fat. All that line was fruit. Great. Even as a child, I remember my grandmother complaining to the doctor that I wouldn’t eat food.

I only liked fruit. And the doctor was like, great. Let her eat as much as she wants. So the more I eat, the more we wanted. The other thing that I’ve always liked a lot was bread. So at some point it was whole grain bread was healthier. So I bread all day long and whole grain cereals. And I was really happy with that cereal milk and loved milk,

cereal, milk and fruit all day long. I mean, that’s all I needed. So how healthy? Yeah. Well, no fruit loops. I knew that was all that great. It was true. It was through the healthy foods that I was just getting nailed with the insulin. Well, I had tons of chocolate and everything else in candies and I was just sugar addict.

Yeah. And then it sounds like when you were trying to get pregnant, you went like very low carb. Is that like, like a keto diet, which would you call it a keto diet? What you were doing? Yes. It wasn’t called the keto diet then, but it was, I called it was a detox. I used to give people.

So I described this pretty well in the book because it’s such an interesting journey, how much I learned from working with people. I started to realize that people, when they went on these really low carb diets and detoxes, as I called them at the time or elimination diets to lose weight, they ended up getting pregnant in their forties. Like this was the,

this is why I got this reputation. So then when it was my turn, I was, I was younger. I was a 31 or whatever, 32 at the time, to me, it was super old. Right. I like, I felt like I should have had kids in my twenties now spends on my clients are in their forties trying to get pregnant.

But anyway, and so I made that link and to me it was like, I want to get pregnant yesterday. Not, not, you know, in whatever year. So I went as low. Nobody told me to, it was just something that I inferred from my experience. And I did it and I are related and I didn’t obviate for like a year,

almost a year. Oh wow. It must’ve been really hard to cut carbs like that or to cut out sugar in gender. Everything’s hard. Right. It’s all about perspective. It’s all about motivation for sure. We also like you get used to it too. It’s just like, it’s just like you, it’s a very hard period in the first week or so.

And then like there’s a moment you start realizing, Oh, like I’m okay now. Like I don’t really, I’m not craving things anymore. And that it gets so much easier. Well, it’s hormonal, right? I mean the more carbs you eat, the more sugar or anything, sweet sweeteners or anything else that you eat, the more your insulin goes up in.

The more you crave, the minute you go low carb and you have, you know, we all have, and I, I wasn’t a chronic cider because I was thin, I had never been through a million diets. So it was easy enough to do it the first time to be honest. And it was like, this is what I got to do.

This is what I’m going to do. And because it’s so strict within a few days, my insulin dropped in, my cravings went away. So you’re no longer craving. You’re just eating what’s in front of you. That’s the that’s I call that killing the insulin beast. Or you can kill the insulin beast if you, if you were to just like cut it out completely or fast,

which is what some people do like extended fasting, you would kill the insulin, beast, your cravings go away within a couple of days, you contain the beast by choosing to eat things that are a little, little bit lower in producing insulin and things get easier and easier over time. Yeah. I love that. Killing the insulin beast, because you’d be the name of this podcast.

There’s somebody, one of my clients, I don’t think she’s a client, but she’s a follower. She created an Instagram account called taming, the insulin beast from reading my article. I was very honored and you know, and that’s something that she, she really, Yeah, it’s very creative. So speaking of your approach, can you explain how a fellow sisters can find you and possibly maybe I contact you for a consultation if that’s possible?

Sure. Yes, absolutely. I, as I said, was saying to you guys, I’ve worked for the fasting method.com. It’s an online program for a long time, over four years. It’s co-founded by Jason Fung and Meghan Ramos. And so it’s easy enough to find me there, the fasting method.com. If you slash coaching, you can figure out how to have some consultations with myself and like other colleagues based in,

and I wrote a book, as you’ve mentioned, many times the PCLs plan it’s presented reverse polycystic ovary syndrome through diet and fasting. It’s a great explanation of all of this. All we’ve talked about today, including the science, which Jason wrote. And then it has a great practical section that talks about fasting in a lower carb diet. Amazing. And we will be planning a future episode about fasting with you.

So listeners just be aware in a, in a month or so, or whenever when we can schedule, we’ll do a complete episode on PCs and fasting. Awesome. Thank you guys. Thank you. Thank you so much for joining us today. Talk to you soon. Bye bye. Alrighty, sisters. Thank you so much for listening to today’s episode.

We’ll be back with another one next week. Talk to you later. Bye. If you enjoyed listening to this podcast, you have to come check out the sisterhood. It’s my monthly membership site, where sisters just like you are learning how to move through the stages of PCOS from stage one, cold and alone at the doctor’s office to stage five, nailing the PCs lifestyle,

gluten and dairy free. Get ready to finally feel in control of your body. Again,

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