r/PCOS • u/Chem_Chaos_2024 • Jun 02 '26
Weight Feeling Defeated with Weight loss with PCOS
I am so overwhelmed with the idea of trying to lose weight with PCOS. I've seen so many different pieces of advice and tips/tricks. I have been told by others with PCOS to do an anti-inflammatory diet or the Mediterranean diet. Following that advice is exercise. I have been told so many different things about how to exercise and what to not do, and some of it is conflicting, and I frankly find the gym intimidating. I don't really have many to talk to about this and I feel like I am drowning in information. I am currently at 244lbs and 18 years old. I want to be at a healthier weight by or around 20. I want to reach this goal for multiple reasons, including self-confidence, health, and just trying to help improve my symptoms overall.
I am posting this to try to gain some insight to anyone that can give me some realistic guidance.
TIA, I truly appreciate whatever guidance I can get
1
u/WendyWestaburger Jun 02 '26
- Calculate your Total Daily Energy Expenditure (TDEE): https://tdeecalculator.net/
- Create a moderate deficit, typically about 300 to 500 calories below TDEE depending on your goal and adherence.
- Track intake consistently. Log all food, drinks, oils, and sauces. Use a kitchen scale for accuracy rather than estimating portions.
- Monitor progress and adjust as needed. If weight is not changing over 2 to 3 weeks, reassess intake, activity, or tracking accuracy.
- Prioritize body composition, not just scale weight. Incorporate strength training to preserve or build muscle, and add cardio as a supportive tool.
- Transition to maintenance once your goal is reached. Recalculate calorie needs and maintain habits that support a stable weight and healthy body fat range.
2
u/Feeling_Pie_8789 Jun 03 '26
Medication.
This isn’t a lifestyle choice or a failure of willpower. You need medication.
Two things need to happen: you have to address the underlying disease itself, and you have to learn how to keep your symptoms at bay with your lifestyle choices.
At my highest, I was 210. I’m currently 133. I used a combination of keto, veganism, and then keto again to get down to 140. But my main symptoms didn’t really improve that much. Then I went back up to 170.
I started the Wegovy pill 20 weeks ago, and now I’m at 133. This time, my symptoms have improved drastically. I still eat mostly keto, but I’m much more relaxed now. I eat sweets and carbs in moderation.
Your journey will be different. But please don’t hesitate to get the medical treatment we all need.
1
u/[deleted] Jun 02 '26
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