Polyendocrine Metabolic Ovarian Syndrome (PMOS)
Formally Polycystic ovarian syndrome (PCOS)
Have you been told by your doctor that you need to lose weight in order to manage your PMOS or insulin resistance, but know diets don’t work? Have you been told to eat a low carb diet to manage your symptoms? Did your mother or grandmother push diets on you?
Our Approach
We are Weight-Inclusive & HAES®-Aligned. We believe in body respect at every size. Our approach dismantles diet culture and focuses on your wellbeing, not weight or numbers. For managing PMOS, we use intuitive eating strategies that support your health.
Our goal is to help you manage the insulin resistance that often comes with PMOS without restricting your diet. We are careful to avoid triggering the binge-restriction cycle that so many of our patients have suffered through before. We understand the heavy emotional work that is needed to reject diet culture, especially family histories. Despite all of that, it is possible for you to be at-ease with your body.
Treatment
We work with our clients with PMOS to:
Unpack complicated family histories.
Develop confidence that you know how to take care of your body in the face of criticism.
Examine the impacts of diet culture on your relationship with your body.
Learn strategies to advocate for yourself with other health professionals.
Ensure that you are meeting your nutrition needs if you are taking a GLP 1.
Manage insulin resistance with flexible, balanced eating strategies.
Reduce symptoms like cravings, irregular cycles and low energy without food deprivation.
Support fertility and hormonal balance with nutrition that works for you.
Support around the lower energy levels and higher cortisol levels
FAQs
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In the short term, losing weight might help improve some health measures. However, as you probably know, losing weight through restricting your diet never leads to stable long term weight. Most people regain any weight they lost over time. Weight cycling, or the repeated loss and regain of weight, is associated with enhanced inflammatory response and cardiovascular stress. Weight stability at any weight is the most consistently protective finding in the research.
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Intuitive eating is a non-diet approach to nutrition that rebuilds trust with your body by honoring internal hunger and fullness cues rather than following external food rules. Developed by dietitians Evelyn Tribole and Elyse Resch, it focuses on, for example, eating when hungry, stopping when satisfied, and rejecting the diet mentality.
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Support often includes education about PMOS (or PCOS), individualized nutrition guidance, meal structure, blood sugar support, body image work, emotional eating support, and realistic habit changes tailored to your life.
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Yes. PMOS (or PCOS) affects people of all body sizes, and support should focus on improving health and quality of life — not shame or weight stigma.
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Yes. PMOS and restrictive dieting often overlap with emotional eating, binge eating, or feeling out of control around food. Support can address both hormone-related factors and the relationship with food.
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No. Most people do not need to eliminate carbohydrates. The focus is usually on balance, consistency, and choosing foods that help support steady energy and satisfaction.
Work with your body, not against it! Book today.
