Home · The Dr. Axe Show · Episode
The Dr. Josh Axe Show

How to Heal PCOS & Boost Fertility Naturally (Diet, Herbs, & Exercise Plan)

Listen

Transcript

Click a timestamp to seek the player.

Josh

If you've been doing everything right, eating clean, exercising, but somehow you're still not feeling your best, your energy's dragging, your memory is slipping, and it's frustrating because you know there's more to your potential. Well, what if the issue isn't just in your routine, but it's deep down inside your cells?

Josh

You know, you're investing in the best supplements, working out regularly, and sticking to a clean diet. But if your cells are stuck in what's called cell danger response, all the hard work might not be paying off as it should. Think of your cells like a house under renovation.

Josh

You can bring in the highest quality materials like the best supplements and clean foods, but if the workers inside the house are on lockdown because of a storm, nothing gets done. The materials just pile up unused. That's what happens when your cells are in CDR. They can't fully use the good stuff you're giving them.

Josh

Getting out of CDR, the cell danger response, is the key to unlocking your body's full potential. When your cells are no longer in protective mode, they can finally use the nutrients, hormones, and energy you're working so hard to provide. That's when everything starts to click. Your energy improves, your workouts become more efficient, and you start to feel better. Feel like yourself again.

Josh

Go to beyondbloodwork.com to learn how to break free from cell danger response and make the effort pay off. Welcome to Dr. Josh Axe Show, where each and every week we explore the science and principles behind how to heal and grow in body, mind, spirit, and take your health and your life to the next level. This week we're talking about PCOS, that's polycystic ovary syndrome.

Josh

It's a common hormonal disorder that millions of women are suffering from today. And PCOS isn't just a reproductive issue. It's a whole body metabolic syndrome that affects far more than just your fertility.

Josh

And today I'll be going through the top vitamins, minerals, herbs to help heal PCOS, how to reverse it naturally, and actually get to the root of what is causing it today, because most doctors today are getting it completely wrong. And treating the symptom, not the actual root cause.

Josh

And this is important for all women, especially that are premenopausal, to understand and for men to learn about so you can support your women nutritionally as well. Before I dive into the content though, make sure to subscribe to the channel and hit the link in my show notes so you can subscribe to my weekly wellness newsletter.

Josh

It's free and you're going to get the top tips for natural healing delivered to your inbox. Delivered straight into your inbox. You know, one of the reasons I like this is that there are so many— one of the things I've noticed is the people that tend to see the greatest level of healing and health are the people that are the most educated.

Josh

They're the people that are spending time listening to podcasts like this, the people that are subscribing and reading those newsletters, even if it's just once a week.

Josh

And then it also— one other thing that's so powerful, it also allows you to become an expert yourself so you can then support and serve your family, your friends, your community, posting this stuff on social media, being able to be your own doctor in a way. Act as a lay doctor to help other people heal.

Josh

Now, polycystic ovary syndrome is the most common endocrine disorder among all women according to the World Health Organization. It affects 5 to 10% of reproductive age women globally, or about 1 in 10 women in the U.S., and it usually develops around the age of 11 or 12, but many do not know they have PCOS until they get pregnant.

Josh

An estimated 70% of cases are undiagnosed until women struggle to conceive. And PCOS happens when the ovaries produce excess male hormones, androgens specifically, or even testosterone, in relation to female hormones like estrogen, leading to irregular periods, difficulty with ovulation, and other symptoms.

Josh

It often causes cysts— these are small sacs of fluid to develop on the ovaries, and if those ever burst, they can be incredibly painful and cause hospitalization. I've had many people I've known in the past who came in as patients who were dealing with PCOS and dealt with the pain and struggle around these cysts.

Josh

Now, not only does PCOS cause fertility issues, but it also increases the risk for health problems including type 2 diabetes, heart disease, High blood pressure, high LDL cholesterol. In fact, studies have shown that people with PCOS have much higher levels of bad cholesterol and much too low levels of good cholesterol known as HDL. They tend to struggle with sleep apnea.

Josh

In fact, there's about a tenfold increased risk of developing sleep apnea if you have PCOS. Also increases the risk of stroke, uterine cancer. Depression, anxiety, and gestational diabetes, which is diabetes when you're pregnant, as well. So there are so many medical conditions that are linked to PCOS.

Josh

And PCOS is caused by several factors, everything from genetic predisposition, chronic inflammation, high cortisol, insulin resistance, hormone imbalances such as high, high androgens, and also often overweight and obesity are causative factors. Now, the first one here is genetic predisposition. PCOS often runs in families.

Josh

However, I do want to say this: I believe that this is rarely due to genetics. It's actually more due to family habits. You tend to find that if your parents ate a certain way, you eat a certain way, or if your parents are active, you're active or not active. And also with the level of stress that a parent carries versus a child.

Josh

Also genetically, we found that there are multiple gene variations that have been identified that increase the risk of PCOS. Such as by increasing androgen production. So again, there is a genetic component, but remember, genes have to be turned on via lifestyle in almost every case.

Josh

So typically it's typically a lifestyle issue, even though you might be more genetically susceptible than other people. Number 2 is chronic inflammation. Elevated inflammatory markers are seen in PCOS consistently, especially C-reactive protein levels are much higher in people with PCOS. And inflammation impacts insulin sensitivity, which then affects all of your other hormones.

Josh

And the third thing here is insulin resistance. Insulin resistance affects around 70 to 80% of PCOS patients, especially those who are overweight. So again, we're seeing here close to 80% of people with PCOS have an insulin issue. And in fact, if I were going to pinpoint the single greatest causative factor of PCOS, It's insulin resistance.

Josh

And so whenever I've worked with patients with PCOS, my number one goal is to start balancing out their insulin. And I found when we do that, in almost every case, they start— it reverses. We reverse PCOS. You know, here's the reality. Here's an example of this. About 50% of those people with PCOS develop type 2 diabetes by age 40, according to the CDC. Think about that.

Josh

50% Of people with PCOS will have type 2 diabetes by the age of 40. And this is why scientists have actually labeled this type 4 diabetes. So you've heard of type 1, you've heard of type 2. Type 3 diabetes is often Alzheimer's disease or linked to that. This is called type 4 diabetes, which we'll get to more in a minute. Number 4, hormonal imbalances.

Josh

Chronic stress, high cortisol, and environmental factors can contribute to PCOS. Cortisol can become elevated due to sympathetic nervous system overactivation, and this can disrupt something called your HPA axis, known as your hypothalamic-pituitary-adrenal axis, which affects many hormones in your body and affects fertility.

Josh

And also, I want to mention endocrine-disrupting chemicals like xenoestrogens can impact hormone balance by disrupting estrogen production and metabolism. We see this when you're drinking BPA in plastic bottles, when you're using Teflon pans and getting those PFAS. These endocrine-disrupting chemicals greatly impact your hormonal health.

Josh

But I would say the biggest factor here is chronic stress and when high cortisol gets elevated. So, so you absolutely want to focus on, if you have PCOS, doing everything in your power to lower stress.

Josh

And you do that by scheduling things you love to do, by having spiritual growth practices like prayer, being grateful, reading your Bible, doing everything you can to lower the stress and the anxiety on a daily basis. But you got to get the cortisol down because here's what happens, by the way. When cortisol goes up, you know what else goes up? Insulin. So then insulin's impacted.

Josh

So the secondary hormone I focus on when I'm helping reverse PCOS in somebody is I'm focusing on helping them, number one, balance insulin, number two, balance cortisol. Okay, those are the top 2 hormones that cause PCOS. And so when you see herbal prescriptions When you see vitamins and minerals, those are the— those are the 2 hormones we're looking at impacting if you want to reverse it.

Josh

And again, I want to say, I want to say, in well over 90% of cases when I've had someone with PCOS, we've been able to reverse that completely by following the dietary guidelines, the lifestyle, and the supplementation in treating PCOS naturally. Number 5 is being obese or overweight. Obesity is common among those with PCOS and contributes to inflammation and, of course, insulin resistance.

Josh

And as many as 88% of PCOS patients are overweight and 50% are obese. Okay, so 80— close to 90% of people with PCOS are overweight. And fat is an active endocrine organ as adipose tissue produces hormones. Did you know that your body fat acts as an organ like your liver, like your pancreas, like your kidneys? So your body fat actually produces hormones.

Josh

And so your body will produce androgens if you're a woman, and that is going to then affect your estrogen levels, causing those and progesterone to decline. So now you have infertility, and now your insulin is off. High levels of body fat impact testosterone production as well. They lower insulin sensitivity. Also, of course, they increase inflammatory markers.

Josh

And losing just 5 to 10% of body weight can help improve insulin sensitivity, reduce T levels, and restore ovulation. I want to say, you know, a lot of the women I've cared for with PCOS. Listen, it might only be being 10 pounds overweight, or maybe it's 20, but overall losing just— losing 10 pounds can be that factor that completely helps you reverse PCOS.

Josh

Studies show approximately 50% improvement in fertility markers with weight loss. So 50%, that's massive. 50% Improvement when you just improve weight loss overall in terms of your fertility markers. As I mentioned before, PCOS is sometimes called type 4 diabetes due to its relation to insulin resistance, and close to 80% of PCOS patients are insulin resistant.

Josh

Insulin levels can be 2 to 3 times higher than normal, and insulin resistance is when the body cells do not respond normally to insulin. And what insulin does is insulin helps bring sugar inside of your cells, helps also pull more nutrients inside of your cells, and supports cellular energy of your mitochondria and ATP production.

Josh

As a result, your insulin blood levels, as I mentioned, become higher than normal, which then leads to various problems. So if you have extra insulin and extra sugar in your bloodstream, well, that's going to cause inflammation because they're not supposed to be there in that high of amounts for that long a time. That's going to cause issues.

Josh

And of course, when insulin's off, that's going to throw every other hormone off in your body. Because remember, every— if, again, if cortisol's It's like a domino effect. You hit cortisol, that hits insulin, then insulin hits estrogen and hits testosterone. And then this is how you end up with PCOS and infertility due to those estrogen progesterone markers being low.

Josh

And even can be linked to hypothyroidism as another condition there. High insulin and androgen production— when insulin levels are consistently elevated, it also stimulates your ovaries and adrenal glands to produce more androgens and increase testosterone production.

Josh

So again, When you have these insulin levels that are elevated, now your ovaries, now your adrenals, they're pumping out these hormones they shouldn't be, which is causing infertility, it's causing cyst growth, it's causing inflammation, it's causing you to age more quickly and not feel and look yourself. Also, it has an impact on something called sex hormone binding globulin.

Josh

This is, high insulin levels also cause a reduction in sex hormone binding, a protein that binds to sex hormones like testosterone and helps regulate their availability in the body. So another problem there.

Josh

And, and if you want to know if you have PCOS, there really are diagnostic criteria that requires 2 of 3 key markers to be diagnosed with PCOS: irregular ovulation, high androgen levels, and polycystic ovaries on ultrasound. Those— that's typically the criteria for diagnosing PCOS.

Josh

However, if you have high insulin levels, or are overweight, those are— or have high C-reactive protein, those are pretty big indicators as well. Now, the Western medical approach today, if you would go into a mainstream medical physician, here's how they would tend to treat PCOS. They would prescribe a drug like metformin.

Josh

This is used to increase insulin sensitivity, but of course it's not getting to the root of the issue, right? The issue, the key issue there is that you're consuming too much sugar or too many carbohydrates, or your stress levels are too high, and that's increasing cortisol, which then is increasing insulin resistance. It could be a nutrient deficiency. But, but those are the bigger factors.

Josh

And so when we look at metformin, it's not getting the root. Here's the other thing. The side effects of metformin are this: it decreases your vitamin B12. So it causes a vitamin B12 deficiency, which is then going to cause nerve degeneration long term. It's going to damage your nerve system. It's going to harm your energy levels.

Josh

It's going to increase your risk of hypothyroidism by causing this deficiency. It's also linked to damaging your digestive system. It's been linked to loose stool, diarrhea, IBS long term. And so it's going to weaken your digestive system and weaken your nervous system if you're on metformin long term. And so obviously not the best thing to do.

Josh

Another thing that's typically prescribed for PCOS are birth control pills. Now, they use this to regulate the cycles, and they like it because it can help lower testosterone and it can raise estrogen. However, it won't help with fertility and doesn't address the root cause of PCOS.

Josh

And as I've mentioned before, and if you haven't watched this episode, and if you want to learn more about birth control pills or hypothyroidism, go and search a podcast episode I've done on YouTube or Apple or Spotify. Search Dr. Axe birth control. Or Dr. Axe Hypothyroid, and you'll see where I cover birth control and how it increases your risk of hypothyroidism by over 280%.

Josh

What it does is it depletes your body of almost every B vitamin, of magnesium, of iron, of good bacteria like probiotics. And so when you take birth control, it actually causes more hormone imbalances in the future. But this is mainstream medicine today. They're treating with metformin, a diabetes drug, They're trying to treat PCOS with birth control pills, which doesn't fix fertility at all.

Josh

And number 3, they try and treat it with medications that aid in ovulation, like letrozole and clomiphene. And these do not fix it as well. Now let's get to the ancient health approaches like you'd see in traditional Chinese medicine, Ayurveda, or Western nutrition today.

Josh

There is a meta-analysis that shows that combining TCM, even if you do that with medications, is superior to regulating ovulation tests than to just doing medications. It's been shown to improve pregnancy rates, balance more hormones, and help reverse PCOS in women when you do traditional Chinese medicine.

Josh

And TCM takes a holistic approach focusing on balancing the environment within your body, really supporting your adrenal glands and your insulin levels. Of your pancreas. Uh, some of the most prescribed herbs in everything from Chinese medicine to Ayurveda to Western medicine today are the following. Number 1, berberine.

Josh

Now, berberine comes from the bayberry leaf, and this has been used for thousands of years for treating insulin issues and helping reverse chronic illness. And it directly improves insulin sensitivity by mimicking Metformin's glucose-lowering effects, but often with fewer side effects.

Josh

It helps regulate blood sugar, reduces inflammation, and supports metabolic health by activating something called AMP, activated protein kinase. It's known as AMPK, which is also a good longevity marker. If you want to slow the aging process, that's exactly what that's responsible for, and berberine helps you do that.

Josh

So that's a great supplement to take if you have insulin resistance, PCOS, diabetes. It's one of the number one things I would prescribe and recommend. Number 2 is cinnamon.

Josh

A study in the Journal of Ovarian Research found that cinnamon can help reduce insulin resistance by improving insulin signaling and glucose uptake in cells while simultaneously lowering blood sugar levels and providing anti-inflammatory benefits. Consume a supplement or add to diet through tea, supplements, or culinary uses.

Josh

So, so what I typically recommend my patients do is I will have them buy Ceylon cinnamon, that's spelled C-E-Y-L-O-N, it's just a high-quality cinnamon, or pumpkin pie spice. There's a brand I like, it's called Frontiers, and they have an organic pumpkin pie spice, and that's a blend of cinnamon, ginger, clove, and nutmeg. All of those have insulin-balancing benefits.

Josh

So I really like doing cinnamon, and so I'll have them, when they're doing, I have them do a smoothie in the morning, and I'll have patients do a full teaspoon of pumpkin pie spice or cinnamon. And use that as a form of medicine for balancing out those insulin levels. And there's other benefits for strengthening and supporting the blood for people with PCOS.

Josh

So cinnamon is an amazing herb, or pumpkin pie spice. And this is good for everybody. If you have insulin issues or you want to promote overall health, doing pumpkin pie spice, a teaspoon a day— and, and here's a, here's a recipe, per example. I don't want my patients with PCOS doing high carb. But I have them still do low to moderate carbs. So I don't have them do no carb or even keto.

Josh

We don't need to go there. But I will have them do a half a sweet potato with a teaspoon of pumpkin pie spice with some coconut milk and then 40 grams of protein. I'll do about 20 grams of a, of a, of a protein powder that's more bone broth or collagen based and about at least 20 or 30 grams of a protein powder that's typically like a sprouted rice or a pea or some sort of plant protein.

Josh

And that's what I have them do in the morning. And if you don't want to do— if somebody doesn't want to do sweet potato, they could do half an avocado if they want to just go very low carb. You could do just coconut milk. You could also do half a cup of berries like blueberries, okay? Or even applesauce and do it with a vanilla protein powder or chocolate protein powder.

Josh

But that sort of recipe with that full teaspoon of pumpkin pie spice or cinnamon. Incredible for PCOS. I had a patient who came in with PCOS and she was about 30 pounds overweight. She followed the program I laid out for her and in 90 days she lost about 30 pounds, completely reversed her PCOS. And she said, I mean, I mean, she, she looked like a different person.

Josh

She said she felt like a different person. And this was one of the things she did every single morning was do this blood sugar, this PCOS smoothie. That I just shared with you. Number 3 is fenugreek. Fenugreek has been used for many, many years, especially in Ayurvedic medicine, for balancing blood sugar levels. So fenugreek is something else you could do, 500 milligrams a day.

Josh

You can add fenugreek to recipes as well. It's used in Ayurvedic cooking and Indian recipes. And so that's another herb you can add to— you know, when my wife Chelsea was making lactation cookies, uh, we would add in a lot of fennel, and sometimes we would add some fenugreek as well because is very good for supporting milk production. But fenugreek has a lot of benefits there as well.

Josh

And so these 3 herbs and compounds we just covered— the berberine, the cinnamon, and the fenugreek— these target insulin. They're my top 3 herbs for targeting insulin levels. If I had a 4th in there, you know, holy basil can be good, turmeric can be good, but those are my top 3.

Josh

So remember, we want to target insulin, and the secondary hormone we want to target to reverse PCOS are adaptogenic herbs, okay? And there are a lot of adaptogens. I wanna talk about the ones I think are probably the most effective for PCOS. The first one being ashwagandha. This helps balance cortisol levels by reducing stress-induced insulin resistance and supports thyroid function.

Josh

So I'm a big fan of ashwagandha, especially if you have PCOS and hypothyroidism together. It's probably the single best thing you can take for cortisol. Another one I really love that's used in Chinese medicine is astragalus. This supports immune function and helps modulate your stress response, improving overall metabolic resilience and reducing inflammation associated with PCOS.

Josh

So astragalus, if you have PCOS and you've noticed you've had a weak immune system or weak digestion or you're low energy, astragalus is a really good one. And then for overall hormone balance, for cortisol, I love holy basil. And I like drinking this as an herbal tea. So holy basil, it's also called tulsi. And you can drink about 3 cups a day of holy basil or tulsi tea.

Josh

It's been shown in clinical studies to regulate blood sugar but also reduce stress, and it acts as an adaptogen for your endocrine system. So astragalus, ashwagandha, holy basil are 3 of my favorites for PCOS. Now I want to mention a few others I like as well that are adaptogens. I like rhodiola rosea. I also like shatavari. Is another one that I think is a good hormone balancer for women.

Josh

Dong quai is another one. We'll touch on that more in a minute. But those are some others. But I would say if you're wondering, hey, what do I take? Really the ashwagandha and the holy basil are the top 2, and probably number 3 is astragalus there. But take ashwagandha as a supplement, typically about 1,000+ milligrams a day. Take holy basil, and you can do that twice a day.

Josh

And then holy basil or tulsi, take that as a tea, drink that throughout the day. So remember, the top components that are causing PCOS Number 1 is insulin resistance. We gotta balance the hormone insulin. Number 2, we've gotta bring those cortisol levels down.

Josh

And if there is a 3rd thing that we find with PCOS, it's that they have stagnation in their body where their blood is not healthy and moving enough. That is the actual 3rd component when you look at ancient forms of medicine that is the root cause of PCOS.

Josh

And so one of the things that's done with acupuncture If you go in and you have PCOS, which if you read online how much acupuncture treatments have helped PCOS, it really is tremendous. And acupuncture is used to balance your autonomic nervous system and regulate neurotransmitters and really address these hormonal imbalances.

Josh

And they will use specific techniques, and studies have proven this, to reduce luteinizing hormone levels, improve menstrual cycles, and support follicle development. So so really acupuncture is able to go and address many of these, you know, reducing the testosterone in twelve weeks. There's a 12-week study on this showing acupuncture being an effective treatment.

Josh

One of the other— one of the things that they found with Chinese medicine is that, uh, one of the— the third main causative factor of PCOS is, is something called blood stasis, where your blood isn't moving enough or it's not— it's really not healthy enough. And so what they do is tend to prescribe an herb called dong quai for this. This is known as female ginseng.

Josh

If you also know during your menstrual cycle you've got a lot of bleeding or you just have major cramping, you just feel really bad, dong quai is one that you definitely want to do. So doing dong quai on a regular basis and combining dong quai with an herb called bupleurum. This is a liver supplement that supports the movement of blood and liver cleansing in the body.

Josh

So you want to combine dong quai and bupleurum together with this, and it is incredibly helpful. So dong quai and bupleurum together to help balance these hormones if you also notice that you've got weak blood or you have anemia or you're tired all the time, doing the Dong Quai and Blue Plum is the next thing you can focus on. And I do want to mention now diet.

Josh

You know, when it comes to diet, we really want to focus on balancing those insulin levels. And so your primary food should be this. Number one is meat. That's right. And by the way, not meat— organic wild meat, wild-caught fish like salmon. Pasture-raised chickens and turkeys, grass-fed organic beef.

Josh

Okay, getting quality protein in your diet, 30 to 40 grams per meal, women, is what you want to do. Quality protein powders and bone broth, that, that's really the basis of your diet. After that, it's going to be things like steamed or cooked— you typically want to cook them— steamed vegetables or baked vegetables or sautéed, but you want cooked vegetables.

Josh

After that, it's going to be some healthy fats. Omega-3 fatty acids found in walnuts and chia and flax, and of course, as we mentioned again, wild-caught fish. Some healthy fat from coconut oil is very good for this, and a little bit of avocado. And, and, and then also healthy carbohydrates. Your best source of carbohydrates for PCOS are sweet potatoes and low glycemic fruit.

Josh

Like apples and berries and pomegranate, those sort of foods. But you do wanna keep your carb count down. What I would recommend specifically is in the morning, have some carbs, a little bit of sweet potato, a little bit of berries, something like that, or an apple. For lunch, have a small amount of carbs. For dinner, do protein and some healthy fat, okay?

Josh

So protein, protein, protein, all 3 meals. In the morning, Protein and moderate to low carb. You can add a little bit of fat there in coconut. For lunch, protein and just kind of moderate to moderate carb. And for dinner, protein and fat.

Josh

And if you do that, eating these real foods— mostly meat, vegetables, some fruit, sweet potatoes, and some healthy fats— and that's it, it is going to— you will reverse PCOS very quickly if you do that in combination with the supplements. And you reduce the stress.

Josh

In order for you to reduce the stress, I want to encourage you to get out a sheet of paper, get up a Word doc on your computer, and write down the things that are causing you stress. Is it that you're too busy? Is that you've overcommitted? Is that— also write down emotionally.

Josh

Is there— do you have emotions that you're consistently experiencing, like feeling like you're disappointing others or you have a lack of self-worth? You need to look at all those things. Write down those 3 emotions that are negative that you're experiencing the most in ranking order. Write down your biggest stressors.

Josh

And I want you to look at those 2 lists and I want you to say, okay, how can I go and deal with my low self-worth? How can I go and proactively build my self-confidence? And then on the other end, I want you to do some things that help you reduce stress. And number one is write down the things you love to do. Okay? Maybe it's lunch with best friends.

Josh

Maybe it's, you know, and by the way, if you don't have a close friend group, go and pursue a group at church. Go and pursue a group of women that are positive and encouraging. Write that down, be proactive with those things. And then here's another big one, exercise and walk. You want to walk on a regular basis constantly, just in the morning and at night, but 10,000 steps a day.

Josh

You want to walk a lot and it's very, very beneficial for all the things we've talked about. So let's take a moment and walk through 5 of the most powerful strategies that you need to follow in order to reverse PCOS. Number one, again, it's important to focus on— remember what we talked about— weight loss and having a metabolic reset.

Josh

Weight loss can lead to better hormone regulation in 95% of cases where being overweight or obesity is a contributing factor. And so it really is important to look at your body weight and do your best to naturally lose the weight. Now, here's the thing. I don't think you necessarily need to focus on the weight itself.

Josh

If you follow the diet I shared with you and took the supplements, your body will naturally lose weight. I mean, I've found this with so many patients I've taken care of with everything from cancer to PCOS to diabetes. When we focus on just following the right diet, reducing the stress, taking a few of the right supplements, you just lose the weight. It becomes less of an effort.

Josh

And the diet we talked about was low glycemic, so it's not going to affect your blood sugar, and it's anti-inflammatory. And also it's nutrient dense. And so that's the sort of diet we're talking about. It's meat, it's vegetables, it's fruit, it's a little bit of sweet potato, it's a lot of herbs and spices, healthy fats sprinkled in, and that's it. That will help you reverse diabetes.

Josh

And one other approach that can help your metabolism, metabolism is doing a level of time-restricted eating. Now, I'm not necessarily promoting complete intermittent fasting here, but still narrowing your eating window. What I would suggest is eating breakfast, around maybe it's 8:00 AM, and then eating lunch around noon, and eating an early dinner at around 5:00, okay?

Josh

So where maybe you're eating about 10 hours a day, but it's not— and then you have a 14-hour fast. So it's not an 8 or 6 or 4-hour eating window. It maybe is 10 or even 11 hours. But if you think about this, if you eat your first meal at 8:00, okay, you have your first bite, and then you eat at noon, and then you eat at 5:00, so you're done eating by 6:00.

Josh

Between 8:00 AM, that's 4 hours to noon, And then noon to 6, that's 10 hours. So you're eating in a 10-hour eating window, and then 14 hours you're fasting and not eating snacks, not having anything else. That can help. So I would encourage you to follow a 10-hour eating window. It's a little bit of a time restriction there when it comes to reversing PCOS. Number 2 is movement as medicine.

Josh

Resistance training and high-intensity interval cardio Improves insulin sensitivity according to studies, and helps you lose weight and reduce inflammation. A study published in the medical journal Frontiers in Physiology found at least 120 minutes of moderate exercise per week reduced PCOS.

Josh

And so what we find is when you do more interval training—so again, that's when you get on a Peloton bike and you're going hard for a minute, then easy, then hard, then easy—that is better than just doing steady-state cardio in every single instance. And according to the study, they found a 36% reduction. Reduction in insulin resistance and a 4.2% reduction in waist circumference in this study.

Josh

So dramatic improvements around PCOS and those markers if you do interval training combined with weight training. That's the ideal. So what this might look like for you is you go to the gym and you do 40 minutes of weights and 20 minutes of cardio as an ideal if you had a full hour. And maybe you do that 3 days a week.

Josh

Or if you're at home, maybe you have some weights at home and you do 30 minutes at home 3 days a week and you do, you know, maybe 2 days where you jump on the Peloton for 20 minutes or a spin bike or some— or a treadmill. And then you do a lot of walking with this. But in an ideal world, you have 3 things scheduled during the week.

Josh

You do a little weight training, you do some interval cardio, and you walk a lot. Okay, that's sort of what— that's what you want to focus on in reversing PCOS. And put it in your schedule. Just schedule it in there. And do everything you can to do it. Number 3, stress transformation.

Josh

As I talked about, do your best to lower the cortisol levels via spending time in prayer, reading the Bible, meditation, doing breathing exercises, taking those adaptogenic herbs, optimizing your sleep. This is big as well. You need to make sure you're getting 8 hours of quality sleep a night, going to bed early enough.

Josh

Before you go to bed, wearing blue blocker sunglasses, using a weighted blanket, getting your room dark and cold. Listening to an audiobook rather than binge-watching Netflix all help. Number 4, again, remember targeted supplementation. Now we covered the herbs already. Remember, for insulin, it's cinnamon, it's fenugreek, it's, uh, bayberry or berberine.

Josh

And then the adaptogens we talked about were holy basil and ashwagandha. And then I would probably throw dong quai in there, remember, as that blood builder. And then also, if you know your estrogen and progesterone are pretty far off, Vitex, known as chasteberry, is a great herb.

Josh

And then in terms of Western supplementation, which is going to be more vitamin and mineral based, vitamin D, omega-3 fatty acids, and zinc. Now, inositol is another one, or you're taking B vitamins or methylated B complex, and probiotics also can have great benefits. And I might recommend those as well depending upon the person.

Josh

But remember, adaptogenic herbs, insulin-based herbs, vitamin D, omega-3s, and possibly doing probiotics and B vitamins are the most effective according to clinical studies. And the number 5 strategy is seeking out a practitioner, somebody that might help you navigate some of this.

Josh

Now, I think a lot of what I shared with you is going to help you get pretty far, but some of you, if you're a more complex case, you want a functional medicine provider, you want a practitioner that can help. And this is where I would say, one, I actually have a clinic that you're welcome to see. It's called The Health Institute.

Josh

If you go to The Health Institute, I do webinars and trainings on this, and then you can actually schedule time to see, uh, one of my practitioners and coaches that can help guide you through an entire program of how to heal. So if you want to come visit my virtual practice, you can go to thehealthinstitute.com. Also, there are so many other great functional medicine doctors. Out there though.

Josh

You could find one in your city if you need to see someone in person. Search functional medicine doctor in the city you're in. Find somebody that deals with this specifically. Find an acupuncturist that might help you.

Josh

So, so I would encourage you to find a practitioner, whether it's myself and my team at the Health Institute or a local functional medicine provider or a local acupuncturist that can help guide you through exactly what to do, creating an eating plan and a program, the exact dosages of exactly what you need to do. I want to touch on diet again.

Josh

There's a great study on this, and this is published in the Journal of Food and Biochemistry. They said a balanced diet that was— that consists of about 40% carbs, 30% fat, and 30% protein with optimum physical activity could reduce severe PCOS symptoms and improve metabolic activity. Here's what this would look like diet-wise. It's like the diet I shared earlier, by the way, very similar.

Josh

But here are some of the best foods that are— I mentioned low glycemic earlier. Here are some of the ideal foods. And just remember this rule again: you want to be getting about 30 to maybe even 50 grams of protein per meal. Okay, now your healthy fat sources, your best are going to be extra virgin olive oil, nuts, seeds, avocado, and coconut.

Josh

Those are the best for hormone regulation, of course, and wild-caught fish like salmon. Foods for gut health are also very good that have probiotic and prebiotic-rich foods: sauerkraut, kimchi, coconut yogurt are great options. Remember also some of the best foods here are going to be high in protein. We mentioned wild-caught fish, lean proteins, protein powders are good.

Josh

And then also remember we want to build and move your blood. Steamed and baked vegetables are perfect for this, especially steamed like spinach. That, um, and, and if you steam a bunch of spinach And you could dip it in something like a hummus. You make hummus at home with chickpeas and extra virgin olive oil and garlic and tahini. That's a great thing to dip your vegetables in.

Josh

That's a great option. And then remember, you do want to do some carbs, but again, small amounts of sweet potatoes and berries and root vegetables like beets. Beets are also fantastic for this. Here's a reality: about 70% of women with PCOS struggle to become pregnant. And PCOS accounts for 40% of infertility cases in the United States.

Josh

And fertility rates among those with PCOS can improve 300% with a combination of interventions, which include improving your diet, starting to move regularly, even it's just 30 minutes, 3 days a week, consistent sleep schedule, Regular hormone testing, cycle tracking, avoid endocrine disrupting personal care products, limiting alcohol, and the targeted supplements we talked about.

Josh

So there's a study that went through if you made some of these changes again, it can improve your PCOS, your fertility rates by 300%. This is massive. They mentioned inositol doing about 3 to 4 grams daily. This is also good for sleep. That's a that's a supplement that often women find benefit from with PCOS. We mentioned berberine. There are studies on that.

Josh

We mentioned vitamin D in terms of a vitamin, omega-3 fatty acids, and then magnesium and zinc. These are all nutrients that are beneficial. Now, I do know I want to mention— I've mentioned a lot of different supplements. Think about yourself though, what you probably feel like you need the most, and maybe that will help. Do you feel like you have— stress is your big issue?

Josh

Do you feel like diet is your big issue? Do you feel like You know, maybe you're not absorbing nutrients well because you have digestive issues. Well, then you want to focus more on nutrients and allow that to sort of pinpoint part of your treatment plan. Or again, as I mentioned, work with a practitioner.

Josh

Also, you know, I would just say that I truly believe if you would put together a plan or find a practitioner that follows this advice, whether it be seeing me at the Health Institute and my coaches, or you seeing somebody local that's that is very high level, that top 1% of a functional medicine practitioner, they'll be able to lay out for you a plan and program to follow.

Josh

But if not, I want to encourage you, even if you just adopt a few of the things I shared with you, you will see improvement with those PCOS symptoms. But most people and patients I've worked with are able to reverse this in just 90 days. Okay, 3 months, reverse it if you put together a plan and program and you just follow the things I shared with you.

Josh

And listen, there are so many women, as I shared, millions of women struggling with PCOS, struggling with infertility, struggling with hormone balance, and they don't know there's a natural way and another way. And so I want to encourage you, if you have benefited from this episode, I want to encourage you to share it with someone you know.

Josh

Share it on social media, send a text message to a friend if you know that this is something they've struggled with, with fertility or PCOS. This might be the thing that they've been looking for with one of those solutions that's going to help them finally get pregnant.

Josh

I mean, I'll tell you, as a practitioner in my clinic, one of the greatest joys I've ever had is helping women with their fertility. I've had so many patients, I'm thinking literally hundreds of women in person, in practice that I helped, and, you know, and them coming in and being able to share with me, them and their spouse saying, hey, we're pregnant.

Josh

And then I would take care of their kids as well in my family practice, and it just gave me so much joy. And I get to do that today as well with some of the women we see in my virtual clinic as well. And it's something that I, it just, again, fills me with so much joy being able to help families like that.

Josh

Because again, I know and I've had family members, I mean, I, you know, for instance, like my, my own mother-in-law had, had 4 miscarriages. I mean, this is something that I know in my family, like we've experienced. And so I, I just, I have a real heart for people that are in this state of struggle, in this place in life. And, um, And, uh, and so I want to encourage you, take action.

Josh

If you're a person with insulin resistance or PCOS, take action. Or if you know somebody, again, please share this episode with them. Uh, I truly believe it's going to be that thing that they were looking for that's going to help them break free in their health. And also, thank you all. Thanks to all of you that are subscribed, that are on mission with me.

Josh

I love being on mission with you and being able to change healthcare together. And we've got a lot more coming out here on how to heal your body and your hormones naturally. So thanks for subscribing. Thanks for commenting on social media and on YouTube. Thanks for the likes. Thanks for the shares. And I can't wait to see you on the next episode.

The Dr. Axe Show is educational and not a substitute for care from your clinician. Disclaimer

Reviewed by specialists in endocrinology, functional medicine, cardiology, nutrition and longevity.Our protocols and source library are reviewed against current clinical evidence by our medical advisory board. Dr. Axe AI grounds its answers in that reviewed library and shows the sources behind every response.
Meet the Medical Advisory Board