0

votes

Hack my Labs - 24 year old, female, PCOS

Answered on August 19, 2014
Created April 15, 2013 at 2:16 PM

Just got all my lab work back from the endo. She says everything is normal, but she also didn't know what paleo was. Have at it!

Fasted glucose: 68 mg/dL Testosterone: serum 35/ng/dL Free testosterone (direct): 1.3 pg/dL T4 (Insulin, free, direct): 1.06 ng/dl Cortisol: 20.1 ug/dL DHEA, serum: 304 ng/dL TSH: .862 uIU/mL ACTH, plasma: 9.1pg/mL Prolactin: 9.5 ng/mL Vitamin D: 62.1 ng/mL 17-OH Progesterone LCMS: 96 ng/dL Triiodothyronine, free, serum: 2.9 pg/mL Estradiol: 38.4 pg/mL

I am 24, female, 145 lbs, 5'5. I was diagnosed with PCOS by my gyno back in November because I have had hirutism, abnormal periods, and problems losing weight my whole life (I am NOT obese, just can never lose those last 10 lbs). He diagnosed me with an ultrasound - no labs. Immediately put me on a Mirena which I HATED and decided that those artificial hormones were not for me (gained 10 lbs QUICKLY) - I got it out 2 months ago, had it in for 3 months.

I started paleo with the Whole30 in December and have been 90/10 since. I guess I just want some answers. I actually have gained about 10 lbs in the past year and its really frustrating because my diet is totally dialed in. I workout 5-6 days a week. 3 days of heavy lifting (with one of these days also having a metcon or short sprints as well), 1 day of just sprints, 2 days of yoga. Lots of walking, bike low intensity to the gym/yoga/work everyday.

Help :)

E3ec047a21280b71f7e41e4a63e17231

(5)

on April 16, 2013
at 01:25 PM

I sleep 7-8 hours a night - no fail. Great sleep - fall asleep right away. I recently started the Bulletproof Coffee and IF in the morning and loving it because I am really never hungry in the morning and was forcing myself to eat! This also means I workout at night - not in the morning like I used to. I recover very well - eating my sweet potato right after a big lifting session. If I am sore, its usually 2 days later and it's not like I can't move!

3491e51730101b18724dc57c86601173

(8395)

on April 15, 2013
at 09:52 PM

Is this doctor a reproductive endocrinologist? I don't think standard endos do all that great a job on PCOS and similar syndromes, in many cases (but the very best endo I had was NOT a reproductive endo). It might help to find a functional medicine doctor or MD naturopath who regularly treats PCOS if you can't find a good endo.

E3ec047a21280b71f7e41e4a63e17231

(5)

on April 15, 2013
at 05:37 PM

Thanks! I know I should be happy that my labs look fine. But it definitely isn't muscle. My clothes are definitely tighter, especially in my legs. Super frustrating - I feel like I am doing everything right but something is working against me. Thought I could find it in my hormones...

  • E3ec047a21280b71f7e41e4a63e17231

    asked by

    (5)
  • Views
    2.3K
  • Last Activity
    1429D AGO
Frontpage book

Get FREE instant access to our Paleo For Beginners Guide & 15 FREE Recipes!

3 Answers

1
D1ef888baa4ffcb96a0a5e6e1f769187

on April 15, 2013
at 07:39 PM

Sleep? How's the quality of yours? Are you sore ever? Sometimes? Never? Recovery time?

E3ec047a21280b71f7e41e4a63e17231

(5)

on April 16, 2013
at 01:25 PM

I sleep 7-8 hours a night - no fail. Great sleep - fall asleep right away. I recently started the Bulletproof Coffee and IF in the morning and loving it because I am really never hungry in the morning and was forcing myself to eat! This also means I workout at night - not in the morning like I used to. I recover very well - eating my sweet potato right after a big lifting session. If I am sore, its usually 2 days later and it's not like I can't move!

0
3491e51730101b18724dc57c86601173

(8395)

on April 15, 2013
at 03:31 PM

Different labs have different values, but overall your labs look pretty good--fasting blood glucose actually a bit too low!

I'd be wary of a doctor that diagnoses PCOS based on ultrasound alone--many women have cystic appearing ovaries but no PCOS, while women with clinical symptoms of PCOS DON'T have cystic appearing ovaries about 50% of the time. Missing from your labs are FSH/LH ratio and a C-peptide (which tells us what your insulin is doing).

Clinically it does sound as if you may have PCOS, though adrenal hypoplasia should also be considered.

In general, though, it looks as if paleo is doing you a world of good and you don't need more labs to tell you that. Consider that the weight gain could be muscle.

E3ec047a21280b71f7e41e4a63e17231

(5)

on April 15, 2013
at 05:37 PM

Thanks! I know I should be happy that my labs look fine. But it definitely isn't muscle. My clothes are definitely tighter, especially in my legs. Super frustrating - I feel like I am doing everything right but something is working against me. Thought I could find it in my hormones...

3491e51730101b18724dc57c86601173

(8395)

on April 15, 2013
at 09:52 PM

Is this doctor a reproductive endocrinologist? I don't think standard endos do all that great a job on PCOS and similar syndromes, in many cases (but the very best endo I had was NOT a reproductive endo). It might help to find a functional medicine doctor or MD naturopath who regularly treats PCOS if you can't find a good endo.

0
75d65450b6ff0be7b969fb321f1200ac

(2506)

on April 15, 2013
at 03:28 PM

Have you considered iodine supplementation for PCOS?

http://www.optimox.com/pics/Iodine/IOD-10/IOD_10.htm

There is a lot on the internet wrt iodine supplementation. Do your research first before taking any action, if any. There is a good users forum on iodine supplementation found on curezone.com. There is more discussion on iodine for treating cystic breast disease. But I don't think it is at all a stretch to consider it for PCOS.

_Lazza

Answer Question


Get FREE instant access to our
Paleo For Beginners Guide & 15 FREE Recipes!