September 17th, 2024 | 13 min. read
Experience Working with PCOS Patients
In addition to paying attention to their credentials, try to find a nutritionist who has experience working in women’s health (ideally, with PCOS patients in particular). This puts you in the care of a professional with a greater understanding of the unique challenges of the condition, such as insulin resistance, weight gain, hair loss, and acne.
Because of the complexity of this metabolic disorder, finding a provider with additional knowledge of endocrine issues, heart disease, diabetes, and weight management can also be incredibly beneficial.
Why this is so important:
Abnormal glucose and insulin levels, low vitamin D, thyroid abnormalities, and high cholesterol are some of the metabolic changes often seen with PCOS. Having a clear understanding of these levels (and the steps you can take to normalize them) is key to helping you improve your symptoms.
The bottom line: Your nutritionist should have a comprehensive understanding of PCOS and be able to confidently discuss the disorder, review related lab values, and communicate results in a meaningful way that you can understand.
Evidence-Based Approach
Nutrition is an ever-changing and evolving subject. You'll want to work with a professional who has a vested interest in staying on top of current nutrition research, plus a true understanding of how to apply that information to help you in a practical way.
A good registered dietitian nutritionist:
- Stays in tune with the latest research
- Helps you decipher nutrition myths vs. facts
- Guides you away from fad diets and towards evidence-based research findings
- Points you in the right direction in terms of choosing the right vitamins and supplements that can benefit your specific needs
Balanced, Not Restrictive
There is no magic cure or one-size-fits-all diet for PCOS.
Does the nutritionist promote restriction or offer a more balanced approach?
Eliminating entire food groups or adopting an extreme diet can leave out important nutrients that are beneficial for your overall health - and will never be sustainable. If a nutritionist promotes these types of drastic changes or mentions other strict rules they ask patients to adhere to, that's usually a red flag.
This guidance will of course change if you have any severe food allergies.
Exploring Health at Every Size®
If you have a history of disordered eating and/or live in a larger body, you may benefit from working with a nutritionist who embraces the Health at Every Size® (HAES) framework. This model emphasizes that healthcare is a human right for people of all sizes, including those at the highest end of the size spectrum.
From the Association for Size Diversity and Health: "HAES®-aligned providers are equipped with tools that support patient health goals without the pursuit of weight loss. This includes relearning tools co-opted by the weight loss industry, like nutrition and physical activity."
Note: You can search for HAES® practitioners via their provider listing tool.
What to Expect: Your PCOS Nutrition Consult
At your first appointment, a registered dietitian nutritionist (RDN) should spend a comfortable amount of time with you and aim to get a good understanding of your history - both through medical records and by being an active listener as you share your experiences.
This sets the tone for your visit and allows the nutritionist to get a sense of where you are coming from, identify challenging or sensitive areas for you, and assess your readiness for change.
An RDN should discuss the following with you:
- Your current day-to-day eating habits
- Overall lifestyle factors (i.e. sleep, exercise)
- All relevant lab results
- Any medications, vitamins, or supplements you are taking
They will then work with you to make evidence-based recommendations that are tailored to your specific nutrition needs and health goals, providing practical applications and real-life examples (i.e. meal/snack ideas) that are feasible within your food preferences and lifestyle.
What does a registered dietitian nutritionist do?
You may be wondering what specific types of support an RDN offers (beyond the basics). Here are just a few ways a nutritionist can assist you on your path to achieving your goals:
- Provide tools that help you make long-term, sustainable lifestyle changes
- Brainstorm PCOS-friendly snack and meal ideas
- Encourage your efforts and celebrate your progress
- Act as your cheerleader when things are challenging
- Assess what has (or hasn't) worked for you in the past, what is working now, and adjust your plan of care whenever it's needed
- Offer guidance for achieving more short-term goals, such as improving your A1C or losing weight to meet a BMI cutoff for fertility treatment
- Help you practice skills until they become innate and natural for you
How to Evaluate a PCOS Nutritionist
Even if you find a nutritionist who checks all the boxes mentioned above, they may still not be the right fit for you, and that's okay! If you're feeling uncertain about moving forward with a provider after your first meeting, here are a few helpful questions to ask yourself:
Did I feel heard and supported?
You should be comfortable with the provider's communication style and confident that they accept you as the individual you are. They should also be considerate of the issues that are most important to you.
Did I feel comfortable?
Just as you want to find someone with experience treating the range of symptoms you are experiencing, you also want someone who is open to caring for you as you are. Nutrition and health are such personal, sensitive topics, and the provider should be considerate of that.
You should always feel comfortable and safe in their space (regardless of body size), and their focus should remain on your health goals. This can help improve self acceptance, boost self esteem, and facilitate healthier outlooks on life.
Were they conscious of my personal history?
Many patients come to a nutritionist with a history of disordered eating (i.e. binge eating disorder, anorexia, bulimia), excessive exercising, or obsession with the scale. Is the provider cognizant of any potential triggers for you? Do they encourage you to practice intuitive eating?
If they force you to discuss your weight or track calories, they likely aren't the right fit.
Did they challenge me in positive ways?
You want a nutritionist who encourages you to try new things and expand your comfort zone. Maybe this looks like trying a new recipe, a different form of exercise, or way of thinking about your body.
Did they help me set realistic goals?
Your nutritionist should work with you to develop reasonable goals, such as finding ways to include exercise in your day or sharing ideas for how to adopt new eating habits.
Was I able to comfortably provide feedback?
Did you feel you could communicate openly with the nutritionist without judgement? There should always be space to ask questions and express concerns, since food, weight, and mental health are typically sensitive topics for anyone.
Watch Out for Red Flags
As you look for the right PCOS nutritionist, you may notice some of the following issues. If you do come across these red flags, keep searching for a better fit.
- Unrealistic promises, such as "Lose 50 pounds in a month!"
- Quick fixes that sound too good to be true
- Unscientific advice that isn't based in research
- Promoting products they claim you 'need' to be successful
PCOS Nutrition at Illume Fertility
When I first joined the team at Illume, I found one of the most amazing aspects of the practice was that they actually had a nutritionist on staff. To me, this demonstrated that Illume is a medical practice that both values the importance of nutrition and recognizes the profound impact that nutritional counseling can have on their patients.
I also learned that nutritionists were only one part of Illume's larger Integrated Fertility & Wellness team, which provides holistic support in complementary ways to patients looking for additional resources.
As a practitioner, it is so helpful to be a part of a diverse group of healthcare professionals. We are able to bounce ideas off of each other, discuss new research, work together on difficult cases, and collaboratively develop comprehensive care plans to help solve challenging issues for the greater good of our patients.
Who's in your corner?
No matter where you are in your PCOS journey, having access to a multidisciplinary team of experts who both understand the complexity of the condition and treat you as a whole person is key to your success. Here at Illume Fertility, we are proud to offer this type of 360-degree care to all of our patients.
If you've been feeling hesitant about beginning your search for a PCOS nutritionist, we hope this guide serves as a helpful resource, giving you the confidence to take that first big step.
We're here for you - reach out to our team today to schedule a consult!