Let’s just call it what it is: PCOS is a beast when it comes to weight. If you’ve been diagnosed, chances are you’ve heard all the basic advice—cut carbs, eat less, move more—and yet, the scale doesn’t budge. Why? Because with PCOS, weight gain isn’t just about diet. It’s about hormones gone haywire.
Polycystic Ovary Syndrome (PCOS) affects millions of women, and yet, it’s wildly misunderstood. What’s going on beneath the surface isn’t just an ovarian issue—it’s a full-body hormone and metabolism disruption.
Insulin Resistance: The Hidden Saboteur
Up to 70% of women with PCOS have insulin resistance (Dunaif, 2016). What does that mean? It means your body doesn’t respond well to insulin, so it produces more and more of it. This excess insulin signals your body to store fat, particularly in your belly, and it blocks fat-burning at the cellular level.
Even worse? High insulin triggers your ovaries to produce more testosterone, which worsens PCOS symptoms like acne, hair loss, and—you guessed it—weight gain. It’s a vicious cycle.
Androgens & That Pesky Belly Fat
PCOS comes with elevated androgens (male hormones like testosterone). These don’t just impact your skin and hair—they influence your fat distribution, especially around the midsection. Visceral fat—the fat around your organs—isn’t just stubborn; it’s inflammatory and can worsen insulin resistance and hormonal imbalances.
And here’s another kicker: high androgens can mess with your hunger hormones. You might feel constantly hungry, crave carbs like crazy, and struggle to feel full after meals. It’s not in your head—it’s in your hormones.
The Emotional Toll Is Real
Let’s not ignore the emotional side of PCOS. Between the weight struggles, irregular cycles, acne, and fertility issues, it’s easy to feel like your body is betraying you. Anxiety and depression are higher in women with PCOS, and the constant pressure to “just lose weight” only adds to the stress.
You deserve compassion, not blame. And you deserve a plan that works.
What Do You Need? A Root-Cause Approach
Managing PCOS and weight starts with understanding your unique root causes. This means real testing, not just a basic blood panel. Think insulin sensitivity testing, comprehensive hormone panels, cortisol mapping, gut health assessments, and inflammation markers.
EVEXIAS doesn’t do band-aid medicine. We dig deep to find the real source of imbalance—and fix it at the root. Using cutting-edge labs and a strategy tailored to your unique biology, we design powerful, lasting solutions that work.
Once we get the full picture, we can build a tailored plan that supports hormonal healing, not just calorie-burning. With the right approach, your body will shift from resistant to responsive. Weight loss becomes possible because healing always comes first.
You are not broken. Your body just needs the right kind of support. And that’s what we do best.
