High insulin is without a doubt the number 1 cause of why you aren’t losing weight with PCOS. There are other possibilities including low thyroid function, but high insulin and blood sugar dysregulation is the most common. 

Let’s unpack what’s happening in the body when you have high insulin:

Insulin and Blood Sugar Regulation:

Role of Insulin in Fat Storage:

What this all means is that it’s not enough to simply move more or and eat less to lose weight with PCOS. Instead, you need to eat in a way that prioritises blood sugar control. Rather than eating less calories, you need to eat macro-nutrients that stabilise your sugars and allow your insulin to reduce. 

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