Naturopathic Holistic Health Clinic

Clear Health Centers

Dr. Haskell, Naturopath, Specializing in the
Investigation & Treatment of Underlying Causes

Naturopathic Holistic Health Clinic

Dr. Haskell, Naturopath, Specializing in the
Investigation & Treatment of Underlying Causes

PCOS Symptoms

PCOS & Chronic Health Issues

PCOS is a complex chronic condition with a variety of symptoms which you have likely researched to understand various complications such as infertility, tendency towards obesity, irregular menstrual cycles, cardiovascular complications, diabetes, etc.

The medical standard of care most physicians abide by may relieve some symptoms but the typical prescriptions come with a variety of side-effects, so why not try a more natural, holistic approach to begin with.

No harm done.

PCOS Causes

PCOS the 4 Types

Two women may receive the diagnosis of PCOS yet their symptoms may differ because the underlying causes of PCOS vary.

1st Cause

Insulin resistance is the most common issue with PCOS. When cells become insensitive to the hormone insulin secreted by pancreatic cells and glucose remains high in the blood stream, more and more insulin is secreted.

This elevated insulin results in several issues.

One is that a fat called triglycerides will easily be shunted into fat cells, especiallly those around the abdomen.

Higher insulin levels stimulate ovaries to secrete androgens such as testosterone, some of which converts to DHT or dihydrotestosterone, thus hair loss and acne.

High insulin decreases Sex Hormone Binding Globulin.  SHBG is a protein in the blood which transports all sex hormones.  All sex hormones are either bound to this protein or they are detached and referred to as free, such as free testosterone. When sex hormones are free they easily slip from the blood into tissues to interact with cells.

So when SHBG is low more sex hormones are available and this is an issue with PCOS.

2nd Cause

This type of PCOS is caused by oral contraceptives which contain the synthetic progesterone called progestin.  After stopping this medication there is a rebound surge of androgens often 2-4 months after.  This surge may be temporary.  If this is the cause, definitely avoid prescriptions for PCOS and birth control.  This type of PCOS does not have elevated insulin or insulin resistance.

3rd Cause

This relates to the adrenal glands and their over production of DHEA-S in response to stress.  DHEA is a steroid hormone which is metabolized into Androstenedione and then into Testosterone. More on the adrenal hormone cortisol below.

4th Cause

This relates to inflammation which triggers ovaries to secrete excess testosterone.  In addition to the typical PCOS symptoms this type results in headaches, joint pains, fatigue, and skin and bowel issues.

The causes of this inflammation is most often due to underlying low-grade systemic infections such as bacteria, mold and viruses (EBV & CMV).  Other causes of inflammation include food allergies, parasites and the overgrowth of both pathogenic gut bacteria and Candida.

Chronic infections such as bacterial vaginosis, urinary tract infections and pelvic inflammatory disease have also been linked to PCOS.

Insulin Resistance PCOS

Addressing These 4 Causes of PCOS

For the first cause of insulin resistance, there are several categories of treatment.

  • Avoid high glycemic foods.  Almost every food has been given a glycemic index.  This index tells us how quickly a food is converted to glucose and with insulin resistance we want to eat foods which slowly convert to glucose, so low glycemic foods should be selected.
  • Purchase a glucometer to monitor your blood glucose.  You can use this several times a day for a few days and then use it occasionally.  To begin, measure your fasting glucose in the morning upon waking.  Another reading should be taken about a half hour to one hour after eating a meal.  Also, get another reading before eating when you feel hungry.  If you wake up at night, do another reading.  This will provide some valuable information.  Your readings will vary.  Morning readings should be less than 100, between 85-90 being ideal.  Before eating readings should be about the same.  Ideally, after eating readings would be less than 130.
  • To increase insulin sensitivity, intermittent fasting is very helpful.  Typically this means skipping breakfast.  Use your glucometer on these days, again upon waking and before lunch.  If you feel fatigued during the morning check your blood sugar.  Hopefully it will be 85-90.  Don’t be alarmed if it is greater than 100.  This simply means that glucose is not getting into your cells, thus the cause of fatigue, and is typical of insulin resistance.

One benefit of intermittent fasting and not providing glucose to your cells is that the body will used stored energy in the form of glycogen primarily from the liver and free fatty acids from fat cells as a backup source. This equates to some degree of weight loss.

  • Unless otherwise indicated, follow a low fat, low cholesterol diet.  All the glands that make sex hormones including testosterone absorb cholesterol as the template for making these hormones. Since part of the issue with PCOS is excess androgens, best to reduce but not necessarily to avoid cholesterol foods.
  • Best labs for this first cause are fasting insulin and hemoglobin A1c.  There are others and these will be covered below.

For the second cause, the adverse effects of birth control or oral contraceptives, the focus is on balancing sex hormones.

Testing is the first step and the most accurate way is saliva hormone testing.  Most often progesterone will be sub optimal leading to a variety of troubling symptoms such as headaches, mood swings, irregular menses, hair loss and sleep issues.

The bring this hormone back into balance the most common way is a prescription of bioidentical progesterone, usually in capsule form taken before bed.  More details below.

Oral contraceptives also cause various nutrient deficiencies and these must be optimized.  The most common deficiencies are the B vitamins B2, B6, B12 and folic acid and magnesium, selenium, zinc, vitamin C and E.

Oral contraceptives cause changes in the pH of the intestines and abnormal gut flora, leaning towards an overgrowth of fungus or Candida.  Modifications of diet and supplements will help this fungus to decline. Restoring the gut with beneficial bacteria is also a must.

PCOS Adrenal Fatigue

For the third cause relating to the adrenals, again, there is an association between PCOS and disorders of the adrenal-cortical function.

Depending upon the size of an individual, over a 24 hour period the adrenals normally secrete between 40-60 mgs of cortisol.

According the Dr. William Jefferies, MD, the dosing of cortisol beyond this 60 mgs (medications such as prednisone and dexamethasone) are considered a pharmacological dose while prescriptions below 40 mgs (medication such as hydrocortisone) are considered a physiological dose.

Pharmacological dosing has many unwanted side-effects while physiological dosing is extremely safe.

In one study, encouraging results were obtained at 2.5-5.0 mgs of hydrocortisone delivered orally every 8 hours or less to women with hirsutism, absent menses and infertility. Of the 52 women, 46 experienced resumption or increased regularity of ovulation.

In another study of 38 women with infertility using physiological dosing of hydrocortisone, 21 had one or more pregnancies while receiving this treatment.

No side-effects with either group were noted.

In some cases both facial acne and chronic cystic mastitis also improved.

Dark Field Microscope

With the fourth cause of PCOS relating to inflammation, the primary triggers are various infections such as bacteria, mold, viruses and parasites.

In general, blood labs often fail to uncover these issues.  Besides parasites, the best method of diagnosis is viewing a tiny finer prick of blood under a dark field microscope.  Bacteria and mold can be seen and provides a glimpse of the extent or population of these organisms.  Bacteria secrete biotoxins and mold secrete mycotoxins, and these are the cause of inflammation as well as mast cells’ excretion of histamine (Mast Cell Activation Syndrome).

Mold is extremely important to investigate since it has estrogenic effects, meaning their excretory products, mycotoxins, act as if they are estrogens (xenoestrogens).  This can be the underlying cause of infertility, endometriosis, PCOS and the disruption of thyroid function.

Viruses are too small to see under the microscope but white blood cells have a certain appearance, the extension of their lipid membrane, looking as if they are pregnant.

Intestinal parasites are difficult to diagnose with stool testing.  Electrodermal screening is one viable means of assessing.  In this case, an abnormal electrical reading on the small intestine meridian may indicate a parasitic infection.

There are several methods of reducing bacteria, mold and viruses through supplementation but the best means is by treating the blood with ozone, an IV therapy.  See the page on ozone therapy for more information.

For viruses, the IV ozone therapy in conjunction with ultraviolet blood therapy is very effective.

There are several herbal supplements for intestinal parasites as well as pharmaceuticals such as Ivermectin, Mebendazole and others.

Lab Testing for PCOS

Lab Testing for PCOS

Here is a list of the most important lab tests for determining the type of PCOS.

  • Leuteinizing Hormone (LH) controls the menstrual cycle and triggers the release of an egg from the ovaries.
  • Follicle Stimulating Hormone stimulates follicles on the ovary to grow and prepare the eggs for ovulation.
  • One note here is the ratio of LH to FSH. Normally these should be the same but with PCOS, LH will be 2-3 times higher than FSH.
  • Testosterone, high levels in women can cause a range of symptoms, from excessive facial and body hair to impaired fertility. Both the total and free testosterone should be checked.
  • Dihydrotestosterone is made from testosterone and the issues with high testosterone are likely due to elevated DHT.
  • Sex Hormone Binding Globulin is a protein that carries sex hormones in the blood.
  • DHEA-S test measures levels of this steroid hormone which your body converts into estrogen and androgens (testosterone). A high result may indicate polycystic ovarian syndrome (PCOS).
  • C Reactive Protein is a general marker for inflammation and if elevated can be checked in the future to see if various therapies are working to reduce inflammation.
  • Hemoglobin A1c indicates an average blood glucose over the past 3 months.  Elevated HA1c is associated with insulin resistance, metabolic syndrome and diabetes.  High HA1c is common with the type 1 PCOS.
  • Fasting insulin is another marker for the type 1.  High insulin is obviously a marker for insulin resistance.
  • Progesterone has many benefits for PCOS.  There is section below for more information.
  • There are also some general labs to run to provide a bigger picture; Thyroid Hormones (TSH, T4, Free T4 and Free T3), Lipid Panel, Complete Blood Count, Comprehensive Metabolic Panel, Ferritin and other female hormones.

Bioidentical Progesterone PCOS

Progesterone and PCOS

In a normal, healthy menstrual cycle, the hypothalamus releases GnRH (gonadotrophin-releasing hormone) which stimulates the production of pituitary hormones (FSH and LH) which coordinates ovulation and promote the healthy production of estrogen and progesterone.

A key feature of a healthy neuroendocrine system is progesterone’s beneficial slowing effect on GnRH pulsatility. In other words, progesterone (made during ovulation) exerts beneficial negative feedback on the hypothalamus, lowering androgens while promoting future ovulation.

With PCOS, rapid GnRH pulses result in chronically elevated LH, androgen excess, insulin resistance, and, ultimately, progesterone deficiency due to anovulation.

According to Professor Jerilynn Prior, “cyclic progesterone therapy is treatment with the natural progesterone hormone compounded in oil in a way that mimics the normal pattern of the 14 days in the later half of the menstrual cycle, taken at bedtime with dosage between 150-300 mgs.”

Professor Prior explores three main mechanisms by which cyclic progesterone therapy can improve androgenic PCOS:

  • By regulating the hypothalamus, cyclic progesterone therapy can lower LH and restore normal ovulation.
  • By lowering DHT which is the active form of testosterone.
  • By increasing metabolic rate and lowering androgens. That’s why progesterone can promote weight loss and improve insulin resistance.

Ovasitol for PCOS

Supplements for PCOS

Considering all the types of PCOS, each must be addressed separately and there are various supplements to choose from.

  • Inositol is likely the most important of all supplements.  Both Myoinositol and D-chiro-inositol are the best forms for treating PCOS.  Myoinositol has been shown to improve insulin resistance and various fertility-related physiological processes, such as egg maturation and early embryo development. As myoinositol improves insulin resistance, it also lowers testosterone levels. D-chiro-inositol also supports insulin resistance and egg quality. The recommended dosage is a 40:1 ratio of Myo-inositol to D-chiro-inositol, typically 2000:50 mgs or 4000:100 mgs.  One company, Theralogics, makes Ovasitol in the correct ratio.
  • Omega 3 Fatty Acids are for decreasing inflammation, are beneficial for the gastrointestinal system and supports our innate immunity. Supplements from fish contain toxins including heavy metals so it’s important to purchase from a reputable company.  One of the best is from Nordic Naturals called Arctic Omega.
  • Vitamin D deficiency is quite common especially in women with PCOS.  D supports insulin resistance, fat metabolism and reduces inflammation. Always include vitamin K with D.  The easiest is in liquid form and taken with food.  One of the best is from Thorne Research.
  • Chaste Tree is an herb which regulates estrogen and progesterone ratios. Vitanica provides Chaste Tree in capsule form, a reputable company.
  • Cinnamon helps to reduce insulin resistance.  An organic cinnamon comes from Organic India.
  • Panax Ginseng reduces luteinizing hormone and helps with fatigue and hormonal changes due to stress. The best quality and strength comes from Euromedica under the name of Red Ginseng Energy.
  • Licorice Root lowers blood sugar and supports adrenal function. It also converts androgens into estrogen. An organic licorice comes from Himalaya Wellness.
  • Rhodiola Rosea is an adaptogen which helps with issues due to chronic stress. Gaia Pro provides the Siberian Rhodiola Root Extract.
  • Maca Root, another adaptogen, supports mental health and hormonal balance. Gaia Pro has the best Peruvian source in an easy to use powder.
  • Chromium, a trace mineral, reduces fasting blood sugar and insulin.  Research confirms the benefits are very similar to the drug used for insulin resistance, metformin.  Best form is the GTF or Glucose Tollerance Factor which comes from Karuna.
  • Curcumin (Tumeric) has demonstrated a significant reduction in the symptoms of PCOS.  This herb reduces blood glucose levels, improve insulin resistance and reduces androgens.  Best is from Pure Encapsulations.
  • Quercetin is an organic flavonoid and reduces oxidative stress, a primary component that leads to PCOS. It reduces androgens (testosterone) and improves insulin resistance.  Quercetin is excellent for addressing mast cell activation syndrome which is common with PCOS.  Best is from Vital Nutrients.
  • Tribulus terrestris increases the frequency of ovulation and decreases the size of ovarian cysts.  In one research paper, at 1,000 mgs ovarian cysts were eliminated and the normal function of the ovaries was restored.  One of the best comes from Source Naturals with 1 tablet containing 750 mgs of Tribulus.

You can likely find all the above online or you can click this link to purchase….https://us.fullscript.com/welcome/ahaskell

PCOS Symptoms

PCOS & Chronic Health Issues

PCOS is a complex chronic condition with a variety of symptoms which you have likely researched to understand various complications such as infertility, tendency towards obesity, irregular menstrual cycles, cardiovascular complications, diabetes, etc.

The medical standard of care most physicians abide by may relieve some symptoms but the typical prescriptions come with a variety of side-effects, so why not try a more natural, holistic approach to begin with.

No harm done.

PCOS Causes

PCOS the 4 Types

Two women may receive the diagnosis of PCOS yet their symptoms may differ because the underlying causes of PCOS vary.

1st Cause

Insulin resistance is the most common issue with PCOS. When cells become insensitive to the hormone insulin secreted by pancreatic cells and glucose remains high in the blood stream, more and more insulin is secreted.

This elevated insulin results in several issues.

One is that a fat called triglycerides will easily be shunted into fat cells, especially those around the abdomen.

Higher insulin levels stimulate ovaries to secrete androgens such as testosterone, some of which converts to DHT or dihydrotestosterone, thus hair loss and acne.

High insulin decreases Sex Hormone Binding Globulin.  SHBG is a protein in the blood which transports all sex hormones.  All sex hormones are either bound to this protein or they are detached and referred to as free, such as free testosterone. When sex hormones are free they easily slip from the blood into tissues to interact with cells.

So when SHBG is low more sex hormones are available and this is an issue with PCOS.

2nd Cause

This type of PCOS is caused by oral contraceptives which contain the synthetic progesterone called progestin.  After stopping this medication there is a rebound surge of androgens often 2-4 months after.  This surge may be temporary.  If this is the cause, definitely avoid prescriptions for PCOS and birth control.  This type of PCOS does not have elevated insulin or insulin resistance.

3rd Cause

This relates to the adrenal glands and their over production of DHEA-S in response to stress.  DHEA is a steroid hormone which is metabolized into Androstenedione and then into Testosterone. More on the adrenal hormone cortisol below.

4th Cause

This relates to inflammation which triggers ovaries to secrete excess testosterone.  In addition to the typical PCOS symptoms this type results in headaches, joint pains, fatigue, and skin and bowel issues.

The causes of this inflammation is most often due to underlying low-grade systemic infections such as bacteria, mold and viruses (EBV & CMV).  Other causes of inflammation include food allergies, parasites and the overgrowth of both pathogenic gut bacteria and Candida.

Chronic infections such as bacterial vaginosis, urinary tract infections and pelvic inflammatory disease have also been linked to PCOS.

Insulin Resistance PCOS

Addressing These 4 Causes of PCOS

For the first cause of insulin resistance, there are several categories of treatment.

  • Avoid high glycemic foods.  Almost every food has been given a glycemic index.  This index tells us how quickly a food is converted to glucose and with insulin resistance we want to eat foods which slowly convert to glucose, so low glycemic foods should be selected.
  • Purchase a glucometer to monitor your blood glucose.  You can use this several times a day for a few days and then use it occasionaly.  To begin, measure your fasting glucose in the morning upon waking.  Another reading should be taken about a half hour to one hour after eating a meal.  Also, get another reading before eating when you feel hungry.  If you wake up at night, do another reading.  This will provide some valuable information.  Your readings will vary.  Morning readings should be less than 100, between 85-90 being ideal.  Before eating readings should be about the same.  Ideally, after eating readings would be less than 130.
  • To increase insulin sensitivity, intermittent fasting is very helpful.  Typically this means skipping breakfast.  Use your glucometer on these days, again upon waking and before lunch.  If you feel fatigued during the morning check your blood sugar.  Hopefully it will be 85-90.  Don’t be alarmed if it is greater than 100.  This simply means that glucose is not getting into your cells, thus the cause of fatigue, and is typical of insulin resistance.

One benefit of intermittent fasting and not providing glucose to your cells is that the body will used stored energy in the form of glycogen primarily from the liver and free fatty acids from fat cells as a backup source. This equates to some degree of weight loss.

  • Unless otherwise indicated, follow a low fat, low cholesterol diet.  All the glands that make sex hormones including testosterone absorb cholesterol as the template for making these hormones. Since part of the issue with PCOS is excess androgens, best to reduce but not necessarily to avoid cholesterol foods.
  • Best labs for this first cause are fasting insulin and hemoglobin A1c.  There are others and these will be covered below.

For the second cause, the adverse effects of birth control or oral contraceptives, the focus is on balancing sex hormones.

Testing is the first step and the most accurate way is saliva hormone testing.  Most often progesterone will be sub-optimal leading to a variety of troubling symptoms such as headaches, mood swings, irregular menses, hair loss and sleep issues.

The bring this hormone back into balance the most common way is a prescription of bioidentical progesterone, usually in capsule form taken before bed.  More details below.

Oral contraceptives also cause various nutrient deficiencies and these must be optimized.  The most common deficiencies are the B vitamins B2, B6, B12 and folic acid and magnesium, selenium, zinc, vitamin C and E.

Oral contraceptives cause changes in the pH of the intestines and abnormal gut flora, leaning towards an overgrowth of fungus or Candida.  Modifications of diet and supplements will help this fungus to decline. Restoring the gut with beneficial bacteria is also a must.

PCOS Adrenal

For the third cause relating to the adrenals, again, there is an association between PCOS and disorders of the adrenal-cortical function.

Depending upon the size of an individual, over a 24 hour period the adrenals normally secrete between 40-60 mgs of cortisol.

According the Dr. William Jefferies, MD, the dosing of cortisol beyond this 60 mgs (medications such as prednisone and dexamethasone) are considered a pharmacological dose while prescriptions below 40 mgs (medication such as hydrocortisone) are considered a physiological dose.

Pharmacological dosing has many unwanted side-effects while physiological dosing is extremely safe.

In one study, encouraging results were obtained at 2.5-5.0 mgs of hydrocortisone delivered orally every 8 hours or less to women with hirsutism, absent menses and infertility. Of the 52 women, 46 experienced resumption or increased regularity of ovulation.

In another study of 38 women with infertility using physiological dosing of hydrocortisone, 21 had one or more pregnancies while receiving this treatment.

No side-effects with either group were noted.

In some cases both facial acne and chronic cystic mastitis also improved.

Dark Field Microscope PCOS

With the fourth cause of PCOS relating to inflammation, the primary triggers are various infections such as bacteria, mold, viruses and parasites.

In general, blood labs often fail to uncover these issues.  Besides parasites, the best method of diagnosis is viewing a tiny finer prick of blood under a dark field microscope.  Bacteria and mold can be seen and provides a glimpse of the extent or population of these organisms.  Bacteria secrete biotoxins and mold secrete mycotoxins, and these are the cause of inflammation as well as mast cells’ excretion of histamine (Mast Cell Activation Syndrome).

Mold is extremely important to investigate since it has estrogenic effects, meaning their excretory products, mycotoxins, act as if they are estrogens (xenoestrogens).  This can be the underlying cause of infertility, endometriosis, PCOS and the disruption of thyroid function.

Viruses are too small to see under the microscope but white blood cells have a certain appearance, the extension of their lipid membrane, looking as if they are pregnant.

Intestinal parasites are difficult to diagnose with stool testing.  Electrodermal screening is one viable means of assessing.  In this case, an abnormal electrical reading on the small intestine meridian may indicate a parasitic infection.

There are several methods of reducing bacteria, mold and viruses through supplementation but the best means is by treating the blood with ozone, an IV therapy.  See the page on ozone therapy for more information.

For viruses, the IV ozone therapy in conjunction with ultraviolet blood therapy is very effective.

There are several herbal supplements for intestinal parasites as well as pharmaceuticals such as Ivermectin, Mebendazole and others.

Lab Testing PCOS

Lab Testing for PCOS

Here is a list of the most important lab tests for determining the type of PCOS.

  • Leuteinizing Hormone (LH) controls the menstrual cycle and triggers the release of an egg from the ovaries.
  • Follicle Stimulating Hormone stimulates follicles on the ovary to grow and prepare the eggs for ovulation.
  • One note here is the ratio of LH to FSH. Normally these should be the same but with PCOS, LH will be 2-3 times higher than FSH.
  • Testosterone, high levels in women can cause a range of symptoms, from excessive facial and body hair to impaired fertility. Both the total and free testosterone should be checked.
  • Dihydrotestosterone is made from testosterone and the issues with high testosterone are likely due to elevated DHT.
  • Sex Hormone Binding Globulin is a protein that carries sex hormones in the blood.
  • DHEA-S test measures levels of this steroid hormone which your body converts into estrogen and androgens (testosterone). A high result may indicate polycystic ovarian syndrome (PCOS).
  • C Reactive Protein is a general marker for inflammation and if elevated can be checked in the future to see if various therapies are working to reduce inflammation.
  • Hemoglobin A1c indicates an average blood glucose over the past 3 months.  Elevated HA1c is associated with insulin resistance, metabolic syndrome and diabetes.  High HA1c is common with the type 1 PCOS.
  • Fasting insulin is another marker for the type 1.  High insulin is obviously a marker for insulin resistance.
  • Progesterone has many benefits for PCOS.  There is section below for more information.
  • There are also some general labs to run to provide a bigger picture; Thyroid Hormones (TSH, T4, Free T4 and Free T3), Lipid Panel, Complete Blood Count, Comprehensive Metabolic Panel, Ferritin and other female hormones.

Bioidentical Progesterone PCOS

Progesterone and PCOS

In a normal, healthy menstrual cycle, the hypothalamus releases GnRH (gonadotrophin-releasing hormone) which stimulates the production of pituitary hormones (FSH and LH) which coordinates ovulation and promote the healthy production of estrogen and progesterone.

A key feature of a healthy neuroendocrine system is progesterone’s beneficial slowing effect on GnRH pulsatility. In other words, progesterone (made during ovulation) exerts beneficial negative feedback on the hypothalamus, lowering androgens while promoting future ovulation.

With PCOS, rapid GnRH pulses result in chronically elevated LH, androgen excess, insulin resistance, and, ultimately, progesterone deficiency due to anovulation.

According to Professor Jerilynn Prior, “cyclic progesterone therapy is treatment with the natural progesterone hormone compounded in oil in a way that mimics the normal pattern of the 14 days in the later half of the menstrual cycle, taken at bedtime with dosage between 150-300 mgs.”

Professor Prior explores three main mechanisms by which cyclic progesterone therapy can improve androgenic PCOS:

  • By regulating the hypothalamus, cyclic progesterone therapy can lower LH and restore normal ovulation.
  • By lowering DHT which is the active form of testosterone.
  • By increasing metabolic rate and lowering androgens. That’s why progesterone can promote weight loss and improve insulin resistance.

Ovasitol for PCOS

Supplements for PCOS

Considering all the types of PCOS, each must be addressed separately and there are various supplements to choose from.

  • Inositol is likely the most important of all supplements.  Both Myoinositol and D-chiro-inositol are the best forms for treating PCOS.  Myoinositol has been shown to improve insulin resistance and various fertility-related physiological processes, such as egg maturation and early embryo development. As myoinositol improves insulin resistance, it also lowers testosterone levels. D-chiro-inositol also supports insulin resistance and egg quality. The recommended dosage is a 40:1 ratio of Myo-inositol to D-chiro-inositol, typically 2000:50 mgs or 4000:100 mgs.  One company, Theralogics, makes Ovasitol in the correct ratio.
  • Omega 3 Fatty Acids are for decreasing inflammation, are beneficial for the gastrointestinal system and supports our innate immunity. Supplements from fish contain toxins including heavy metals so it’s important to purchase from a reputable company.  One of the best is from Nordic Naturals called Arctic Omega.
  • Vitamin D deficiency is quite common especially in women with PCOS.  D supports insulin resistance, fat metabolism and reduces inflammation. Always include vitamin K with D.  The easiest is in liquid form and taken with food.  One of the best is from Thorne Research.
  • Chaste Tree is an herb which regulates estrogen and progesterone ratios. Vitanica provides Chaste Tree in capsule form, a reputable company.
  • Cinnamon helps to reduce insulin resistance.  An organic cinnamon comes from Organic India.
  • Panax Ginseng reduces luteinizing hormone and helps with fatigue and hormonal changes due to stress. The best quality and strength comes from Euromedica under the name of Red Ginseng Energy.
  • Licorice Root lowers blood sugar and supports adrenal function. It also converts androgens into estrogen. An organic licorice comes from Himalaya Wellness.
  • Rhodiola Rosea is an adaptogen which helps with issues due to chronic stress. Gaia Pro provides the Siberian Rhodiola Root Extract.
  • Maca Root, another adaptogen, supports mental health and hormonal balance. Gaia Pro has the best Peruvian source in an easy to use powder.
  • Chromium, a trace mineral, reduces fasting blood sugar and insulin.  Research confirms the benefits are very similar to the drug used for insulin resistance, metformin.  Best form is the GTF or Glucose Tollerance Factor which comes from Karuna.
  • Curcumin (Tumeric) has demonstrated a significant reduction in the symptoms of PCOS.  This herb reduces blood glucose levels, improve insulin resistance and reduces androgens.  Best is from Pure Encapsulations.
  • Quercetin is an organic flavonoid and reduces oxidative stress, a primary component that leads to PCOS. It reduces androgens (testosterone) and improves insulin resistance.  Quercetin is excellent for addressing mast cell activation syndrome which is common with PCOS.  Best is from Vital Nutrients.
  • Tribulus terrestris increases the frequency of ovulation and decreases the size of ovarian cysts.  In one research paper, at 1,000 mgs ovarian cysts were eliminated and the normal function of the ovaries was restored.  One of the best comes from Source Naturals with 1 tablet containing 750 mgs of Tribulus.

You can likely find all the above online or you can click this link to purchase….https://us.fullscript.com/welcome/ahaskell