PCOS and Weight Gain (clue: it’s complicated)

I’ve lost count of how many women finally get their PCOS diagnosis from the GP, only to be told to go away and come back once they’ve lost weight, as if they are not entitled to support unless they are in a smaller body.

And the generic advice? Eat less and move more.

Honestly, it makes my blood boil. Weight gain is a symptom of PCOS, not a cause. Losing weight with PCOS is tough, but not impossible. And restriction or over exercising can actually have the opposite effect.

Why weight gain is common in PCOS

• Insulin resistance → makes fat storage easier, especially around the belly

• Hormones → testosterone & cortisol can affect fat distribution

• Energy dips → more cravings and less motivation

Why crash diets don’t work

PCOS isn’t about eating less, it’s about eating smarter and often more! Diets that slash calories usually backfire, leading to more cravings, fatigue, and slower metabolism.

What actually works will vary person to person

But here are some common tips:

• Protein, fats & fibre with every meal → balance blood sugar

• Swap quick carbs for slow carbs → oats, quinoa, lentils

• Nourish your body → restriction can sorsen blood sugar

FAQs

Q: Is weight gain inevitable with PCOS?
No. It’s common, but manageable if you do it right and generic common advice.

Q: Do I have to cut carbs?
Hell no! We need carbs for thyroid, energy, metabolism and cycle support!

Q: Is exercise essential?
Helpful, yes. But if your energy is on the floor, start with the right nutrition.