PCOS is a disorder of insulin resistance. What you did in your youth is exactly how you treat insulin resistance.

As to my friend who is over 250. You know when the conversation started? I mean I like my friend, after she ended up in the ER with what looked like a TIA, and a hypertensive crisis.

She is doing mostly keto these days. She has lost some weight. It will be good for her, and you, and most people who are obese, to lose just ten percent of your body weight. This does not mean skinny. It means a better metabolic status.

And if your doctors are still badgering you about your weight, and have yet to mention IR, my advise is to find a functional doctor, or a regular doctor, that threat metabolic syndrome and is aware that PCOS is a metabolic dysfunction

Likely some of the treatment will involve keto, any version, and time restrictive eating, known as intermittent fasting. In your case they might stick to just diet, with no snacks.

My diabetes got worlds better after I did that, by the way.

I realize that losing weight is likely a sore issue for you. But as a society we need to start taxing the low hanging fruit, sugary drinks, and change our dietary advise. The last two generations war on fat led to the current epidemic of obesity and metabolic syndrome, with non communicable diseases.

I am sorry you had that experience with your friend.

Incidebtally, I might have lost and maintain a sixty pound loss, but you know what? I am addicted to sugar. I know this. So avoid the shit. And it is addictive.

As to orthotexia, I have the feeling the food industry is behind this one. Right now they have a healthy five percent yearly profit, higher during the pandemic. If we all ditched the crap, full disclosure, we have in this household…and due to real allergies I read every damn food label, the definition of it, but I’d rather not end in the ER with Gastroenteritis, it can get that bad, the industry’s earnings will go back down to a respectable one percent.

This is why the industry convinced Harvard scientists in the 1960s to tell us fat was behind heart disease, not added sugars. So, since they did similar shit for tobacco, and in some cases they are the exact same actors…