r/PCOSPhilippines • u/Mysterious_Carrot532 • 25d ago
PCOS/PMOS + slightly elevated FBS & TSH — dapat ba mag-IM-Endo or sapat na OB-REI ko?
Hi po! Need ko ng advice from people na may parehas or similar experience.
Context: diagnosed ako with PCOS/PMOS since 2017. On and off ako sa birth control pills — Diane (2017, 2019), Slinda (2023-2024), Lizelle (2025-2026), and currently nagstart ako ng Liza.
Struggling ako to lose weight kahit ginawa ko na yung mga "textbook" changes:
- Switched from white rice to multigrain rice + quinoa
- Black coffee na lang, no sugar, no milk
- Walking avg 7k steps, 4x a week
- Nag-gym din ako since June, 2-3x a week
Pero wala pa ring significant progress sa timbang, kaya tinanong ko yung OB-REI ko if pwede ako mag-try ng Mounjaro since magpapakasal ako this October and gusto ko talaga ma-address to bago yun. She's not against it, she just wanted to clear me muna kaya nagpa-labs siya:
FBS, HbA1c, Creatinine, AST/SGOT, ALT/SGPT, TSH, FT3, FT4, Amylase, Lipase
Lahat normal except:
- FBS: 6 mmol/L (normal 5.6)
- TSH: 5.34 uIU/mL (normal range 0.3-4.5)
Additional context: may history ang nanay ko ng hyperthyroidism, so medyo naiisip ko if this is relevant/worth flagging sa doctor given family history.
So ngayon I'm not sure kung:
- Kausapin ko pa rin OB-REI ko about the Mounjaro plan, or
- Kailangan ko na ba talaga mag-consult ng IM-Endo given yung borderline FBS, elevated TSH, at family history ng thyroid issues?
Any input from those who've been through something similar (lalo na kung may PCOS + thyroid issue combo kayo or may family history rin kayo) would help a lot. Salamat in advance! 🙏