PCOS + Gut Health: What You Need To Know
Dana O'Keefe • Apr 25, 2023

Up to five million women in the U.S. have Polycystic Ovary Syndrome (PCOS), but this condition remains frustratingly difficult to diagnose and treat. One study found that 70% of women with PCOS haven’t been diagnosed, so they continue to experience debilitating symptoms.


With a wide range of symptoms, PCOS can have a profound influence on a woman’s life. In fact, studies have found a high incidence of anxiety and depression among women with PCOS.


The health of our gut microbiome– the trillions of living organisms found in the intestine– plays a large role in overall health. This is especially true for women dealing with Polycystic Ovary Syndrome. Conventional treatments often fall short in treating PCOS and any treatment plan for PCOS must take into consideration gut health among many other hormone-balancing solutions.


Let’s take a look at the connection between PCOS and gut health and ways to manage and treat this condition naturally to get back to feeling your best.



What Is PCOS?


PCOS is a complicated hormonal condition that affects women’s ovaries, causing them to produce an excess of androgens, or male hormones. This can lead to a variety of symptoms such as:


●      Cysts in the ovaries

●      Irregular menstrual cycles

●      Infertility

●      Acne

●      Insulin resistance

●      Thinning hair on the scalp

●      Excess face & body hair

●      Chronic inflammation

●      Obesity & weight gain


PCOS is the leading cause of infertility in women. It can also lead to numerous serious health problems like diabetes, heart disease, and high blood pressure.


Traditional treatment usually involves starting hormonal birth control to “balance” hormonal levels. However, this tends only to mask the condition and overlooks the crucial importance of gut health. As soon as women stop taking the pill, symptoms can reappear worse than before.


Studies have found that women with PCOS have a different gut microbiome composition than those without the condition. Making changes to improve your gut health can therefore have a huge impact on PCOS symptoms and your physical and mental well-being.



What Causes PCOS?


There is no clear cut answer as to why some women develop PCOS. Many factors can contribute – including your genetics and your environment. One of the leading theories is that PCOS can be caused by an imbalance in the gut microbiome.

 


What is the gut microbiome?

 

There are many types of bacteria living in our gut. Most are beneficial strains of bacteria that help produce essential vitamins, regulate our immune system, impact metabolism, alter hormone levels, muscle strength and even regulate our mood.


A diverse gut microbiome with the proper balance of good and bad bacteria is optimal for health. However, when there is an imbalance of good and bad bacteria, this is referred to as dysbiosis.



How is gut dysbiosis linked to PCOS?


Women with PCOS are shown to have higher rates of dysbiosis and less diversity in the gut microbiome than those without the condition. They present higher levels of harmful bacteria which contribute to inflammation and metabolic dysfunction.


An excess of bad bacteria leads to inflammation in the body, which can then increase insulin levels in the blood. Excess insulin then triggers an increase in androgen production from the cells of the ovaries.



Restoring The Gut Microbiome To Treat Symptoms Of PCOS

 

Now that we have explored the link between gut imbalance and PCOS, it is time to focus on some of the ways you can promote gut health. The good news is that small tweaks to your diet and lifestyle can improve the functioning of your gut in as little as 24 hours. Some simple steps include:


1 - Eat more fiber.


A diet rich in fiber is highly beneficial for supporting the good bacteria in the gut. The recommended amount of fiber for women is 25 grams per day, which can be found in plant foods like beans, lentils, vegetables, and whole grains.


2 - Increase prebiotics + probiotics in the diet.


Prebiotics are non-digestible, fermentable components of foods that help kick start digestion and promote beneficial gut bacteria. They have also been shown to help reduce insulin resistance and lower androgens. They are found in foods like garlic, onion, bananas, and apples.


Probiotics are found in fermented foods. They contain live bacterias that help your gut microbiome flourish. They can be found in foods like tempeh, kimchi, sauerkraut, and yogurt, and are also available in supplement form. There are many different kinds of probiotic supplements, with varying degrees of effectiveness, so it’s important to work with a practitioner to determine the best one for you.


3 - Avoid artificial sweeteners.

 

Artificial sweeteners are known to have a harmful effect on the gut microbiome and can worsen insulin resistance. Opt for natural forms of sweeteners such as raw honey, maple, or date syrup.


4 - Sleep more.


Lack of sleep causes a great deal of stress to the body, which can in turn promote inflammation and gut dysregulation. Sleep also factors in how our body is able to handle blood sugars by altering insulin levels. You should aim to get at least 7-9 hours of sleep per night. This might mean adjusting your sleep hygiene, by avoiding caffeine and limiting screen time before bed.

 

5 - Manage stress.


Researchers have found a link between psychological stress and dysbiosis. While reducing stress in your life can feel sometimes like an impossible task, develop ways to manage it. For example, you could take a close look at the stressors surrounding you, and work to create boundaries to protect your peace of mind. Relaxing activities like yoga, meditation, and walks in nature also help.


6 - Exercise regularly.

 

Exercise helps with sleep and stress, and studies show it can actually improve the state of your microbiome. Moderate exercise can reduce inflammation and improve biodiversity in your gut. However, it’s important not to overtax your body, which can lead to harmful cortisol production. Steady state cardio, strength training, and mobility training can be the foundations to a good routine, but don’t hesitate to get some guidance if you’re not sure where to start.

 

Many areas of health, including your hormonal health, begin in the gut. For women with PCOS, maintaining gut health is especially important and can help alleviate unwanted symptoms and prevent serious health issues.



Eating a variety of whole foods, avoiding artificial sweeteners, and prioritizing sleep are a few simple steps women with PCOS can take to optimize the diversity of their gut microbiome and overall health. If you have any questions on the best treatments for PCOS, please give us a call!




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Centers for Disease Control and Prevention, “PCOS and Diabetes” https://www.cdc.gov/diabetes/basics/pcos.html

 

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By Dana O'Keefe 22 Mar, 2024
A well-functioning digestive system is essential for overall well-being, as it breaks down food into vital nutrients that fuel energy, growth, cellular repair, and more! When your digestion is functioning optimally, you may not even think twice about it. However, when issues arise, they can have widespread effects on your overall well-being. Poor digestion can manifest through signs such as persistent digestive discomfort, irregular bowel movements, nutrient deficiencies, food sensitivities, and unexplained weight fluctuations. Recognizing these indicators is crucial for addressing underlying concerns. In this blog post, we'll explore the top five signs of compromised digestion and provide actionable insights to improve and optimize your digestive health. 5 Reasons Why You’re Not Digesting Properly 1- Stress and Digestive Function You’ve likely felt “butterflies in your stomach” at some point – that queasy feeling accompanied by intense nervousness or excitement. These sensations occur because our gut and brain are intimately connected. If you feel stressed often, it can significantly alter your digestion. The digestive tract has a nervous system of its own called the enteric nervous system or ENS. The ENS contains thousands of complex neurons that control digestive functions. The ENS works in tandem with the central nervous system (CNS) to communicate messages between the gut and the brain. When the brain senses external factors like stress, it releases chemicals that stimulate the ENS to divert blood flow away from the gastrointestinal tract and toward other organs that support survival. When digestion is disturbed, the ENS communicates distress to the brain. Over time, chronically elevated stress hormones will lead to impaired digestive function. Identifying your stressors with non-judgemental awareness can be a powerful first step to improving digestion. Science confirms the value of keeping a mindful eating journal in which you record the trigger of the stress, its symptoms, and any eating activities surrounding it. Recording this information can help you to acknowledge any problematic stress and take action. Other relaxation practices like yoga can powerfully improve digestion. Not only can yoga help reduce stress by allowing us to tune into our thoughts, but certain poses and movements can help increase blood flow to the digestive organs, improving their function. 2 - Imbalanced Gut Microbiome Your gut is filled with trillions of beneficial bacteria, known as the microbiome, which are important for supporting the immune system and metabolism. A diversity of gut bacteria has been linked to human health and longevity, while lower levels of diversity are associated with several acute and chronic diseases. A pillar of good gut health and digestion is maintaining a balance between these good and bad strains of bacteria. If you are experiencing new or uncomfortable digestive symptoms, it could be a sign that the balance of bacteria in your gut is off. Several factors can lead to imbalanced gut bacteria, but these are some of the most common: ● A high-sugar diet. Studies show that consuming large amounts of sugar and processed foods can lessen the amounts of “good” bacteria present in the gut and increase inflammation. ● Antibiotic use. By targeting harmful bacterial infections, antibiotics inadvertently kill off other good bacteria that our bodies need. Increasingly, studies have found that even a short dose of antibiotics can have a profound negative effect on gut diversity. ● Alcohol consumption. In large amounts, alcohol has been shown to increase inflammation and the presence of “bad” bacteria in the gut (also termed dysbiosis). One study looked at the gut bacteria of 41 alcoholics and compared them to 10 healthy individuals who consumed little to no alcohol. Researchers found that imbalance was present in 27% of the alcoholic population, but it was not present in any of the healthy individuals. ● Lack of sleep. Sleep is a crucial ingredient of our overall health, and recent studies have found associations between irregular sleep patterns and harmful bacteria in the gut. Avoiding these red flags and consuming gut-friendly foods can help improve the diversity of your gut bacteria. We recommend: ● Probiotic rich foods such as yogurt, kefir, kimchi, miso, and sauerkraut. ● Prebiotic foods, which feed the good gut bacteria, like bananas, garlic, and asparagus. ● Plenty of fiber found in beans, whole grains, vegetables and fruits 3 - Enzyme Insufficiency Digestive enzymes are naturally occurring proteins responsible for breaking down food and liquids into smaller molecules that the body can absorb. This allows the body to access critical nutrients from food, which it uses to grow and perform vital functions. There are three main types of digestive enzymes: 1. Amylase, which breaks down carbohydrates, starches, and sugars. 2. Lactase, which helps you digest lactose, the natural sugar occurring in dairy products. 3. Lipase, which works with the liver allowing you to digest fats. When your body lacks digestive enzymes or doesn’t release enzymes as it should, several uncomfortable symptoms can occur, such as: ● Stomach cramping ● Malnutrition/Nutrient deficiencies ● Bloating ● Diarrhea ● Gas ● Unexplained weight loss When the pancreas doesn’t appropriately secrete these digestive enzymes, it affects your body’s ability to break down the foods you eat and absorb nutrients. Thankfully, there are steps you can take to support and increase enzyme production for better digestion: ● Digestive enzyme supplements: Many people find that over-the-counter digestive enzyme supplements help with problems such as acid reflux, gas, bloating, and diarrhea. Furthermore, combining these supplements with a probiotic has been shown to be effective. ● Enzyme-rich foods: Certain foods naturally have high digestive enzyme content. Incorporating more of the following can have a positive impact on digestion: Papayas, pineapple, pure honey, avocados, miso, and ginger. 4 - Food Intolerances & Allergies An increasingly common source of unwanted digestive symptoms is food intolerances and allergies. While both can produce similar symptoms, food intolerance does not involve the immune system and is not typically life-threatening like allergies can be. Food intolerance occurs when your body has difficulty chemically processing or digesting certain foods. If left untreated, they can cause several disagreeable symptoms, such as: ● Gas ● Bloating ● Fatigue ● Diarrhea ● Constipation ● Stomach pain or cramping If you are experiencing one or more of these symptoms often, you may have a food intolerance. It can be difficult to pinpoint exactly which food is causing the intolerance, though. We recommend trying an elimination diet if you have suspicions about a particular food–stop eating it for at least a couple of weeks and see how your body reacts! Allergy and food sensitivity testing performed by a practitioner can also be a useful step to take. These are some of the most common food intolerances: ● Dairy. As mentioned above, many people lack the enzymes to digest the natural sugars found in dairy products. Some people also experience a negative reaction to the whey protein within dairy. To identify whether dairy may be at the root cause of your symptoms, it’s important to completely avoid all dairy ingredients for a minimum of 2-3 weeks. ● Gluten. Gluten is a protein that is found in grains like wheat, rye, barley, kamut, oats, and spelt. People with celiac disease experience an immune response when they consume the protein, which over time can inflame the small intestine and lead to serious digestive problems. People who test negative for celiac disease but still experience discomfort when they consume gluten may have a milder form, called non-celiac gluten sensitivity. ● Caffeine. For many adults, a cup or two of coffee is an integral part of their morning routine. However, some people are more sensitive to caffeine and unpleasant experience reactions from consuming just a small amount. Researchers have found that this hyper-sensitivity to caffeine is largely genetic. If small amounts of caffeine cause you to feel anxious, jittery, or have difficulty sleeping, we recommend minimizing your intake and instead opting for decaf herbal teas and coffee. 5 - Dehydration Water is essential for human health. Proper hydration helps lubricate our joints, promotes brain function, and supports healthy skin. Hydration is also a critical factor for improving digestion and gut health. Your body uses fluid to lubricate the digestive system, which helps to move food along as it travels through your stomach, intestines, and colon. If there isn’t enough fluid to keep the food moving, it can get stuck or slow down. This can cause uncomfortable symptoms like constipation or bloating. Fluid is also used to transport the enzymes we discussed that are responsible for breaking food down. When you are dehydrated, it can actually cause inflammation in the intestines due to the constant rubbing of food against them without lubrication. OK, so hydration is important for digestive health, but how much water do we actually need? While water requirements are individual and highly variable based on metabolic needs, environmental conditions, and physical activity, it’s suggested that 2.2 liters (nine cups) per day for women and three liters (12 cups) for men is the ideal minimum amount. Here are a few tips for increasing your water intake: ● Keep a non-plastic water bottle in your car and try to take it everywhere you go! ● Limit caffeine and alcohol consumption, as these dehydrate you. ● Eat thirst-quenching foods with a high water content, such as watermelon, celery, cantaloupe, and spinach. Let’s not forget chewing habits! If you feel like you’ve been eating all the right things, yet are still experiencing unpleasant digestive symptoms, the problem may not be what you’re eating, but how! Yes, chewing plays a larger role in digestion than you may think. We tend to have busy lifestyles here in North America that allow us little time to slow down and enjoy our meals. However, eating too quickly can cause a range of digestive issues, no matter how healthy your diet is. When you don’t adequately chew your food, you’re actually creating more work for your digestive system. In turn, this can lead to stomach issues like bloating, cramps, and even acid reflux. Chewing is an important part of the digestive process, as saliva produces digestive enzymes that help move our food along. Here are a few tips to encourage proper chewing habits & digestion: ● Breathe deeply. Before sitting down to eat, take a few deep belly breaths to promote blood flow and relaxation. Take a minute to pause mindfully before a meal can help with overeating or eating too quickly. ● Pay attention. Rather than hurriedly eating in the car or mindlessly snacking during work, pay attention to what you’re eating and avoid distractions whenever possible. ● Chew 20-30 times. According to recent studies and traditional Ayurvedic practice, the magic number of chews for optimal digestion is approximately 20-30. Chewing your food 20-30 times per bite helps ensure proper nutrient absorption and can help in weight management. Everybody experiences digestive issues at some point. They can be uncomfortable, and embarrassing to talk about, and the root cause is often difficult to pinpoint alone. We have covered some of the most common causes of poor digestion and the lifestyle changes you can make to see improvements. If you have digestive issues that are not corrected with lifestyle changes or are getting worse, seeing a healthcare practitioner for a comprehensive diagnosis and treatment plan may be required. Don’t let poor digestion take control of your life – schedule a consultation with us today! Sources:. Cherpak CE. Mindful Eating: A Review Of How The Stress-Digestion-Mindfulness Triad May Modulate And Improve Gastrointestinal And Digestive Function. Integr Med (Encinitas). 2019 Aug;18(4):48-53. PMID: 32549835; PMCID: PMC7219460. Shree Ganesh HR, Subramanya P, Rao M R, Udupa V. Role of yoga therapy in improving digestive health and quality of sleep in an elderly population: A randomized controlled trial. J Bodyw Mov Ther. 2021 Jul;27:692-697. doi: 10.1016/j.jbmt.2021.04.012. Epub 2021 Apr 22. PMID: 34391308. Hasan N, Yang H. Factors affecting the composition of the gut microbiota, and its modulation. PeerJ. 2019 Aug 16;7:e7502. doi: 10.7717/peerj.7502. PMID: 31440436; PMCID: PMC6699480. Manor, O., Dai, C.L., Kornilov, S.A. et al. Health and disease markers correlate with gut microbiome composition across thousands of people. Nat Commun 11, 5206 (2020). https://doi.org/10.1038/s41467-020-18871-1 Satokari R. High Intake of Sugar and the Balance between Pro- and Anti-Inflammatory Gut Bacteria. Nutrients. 2020 May 8;12(5):1348. doi: 10.3390/nu12051348. PMID: 32397233; PMCID: PMC7284805. The Scientist, What Happens to Your Gut After Taking Antiobiotics, https://www.the-scientist.com/news-opinion/what-happens-to-the-gut-microbiome-after-taking-antibiotics-69970 Bishehsari F, Magno E, Swanson G, Desai V, Voigt RM, Forsyth CB, Keshavarzian A. Alcohol and Gut-Derived Inflammation. 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By Dana O'Keefe 22 Mar, 2024
Your hormones play a crucial role in maintaining the delicate balance that keeps your body functioning at its best. From regulating metabolism and mood to influencing reproductive health and immune function, these chemical messengers orchestrate various aspects of your well-being. However, achieving hormonal harmony can be a delicate dance, and numerous factors in our daily lives can tip the scales in unfavorable directions. In the pursuit of optimum health, it's essential to recognize that your efforts might be sabotaged by common culprits known as hormone disruptors. These disruptors, often encountered in your everyday routines, have the potential to throw off the intricate balance of hormones, creating a ripple effect throughout your body. In this blog, we will dive into the world of common hormone disruptors, shedding light on the major players that could be working against your health goals. 8 Common Hormone Disruptors You Need To Know These disruptors affect the hormonal balance when they mimic, block, or disrupt the normal functioning of your hormones. They can bind to your hormone receptors, disrupting the information chain regulating hormone production. It’s hard to avoid some of these, but knowledge is an important first step in avoiding or minimizing your exposure! ● Pesticides and herbicides. Harmful pesticides are found in up to 75% of non-organic produce grown in the U.S. ● Bisphenol A. Commonly known as BPA, this synthetic compound lines food and drink containers. ● Parabens. Also synthetic compounds, parabens are used as preservatives in many cosmetic and body care products. ● Phthalates. These man-made chemicals are all around us! They’re found in things like soaps, shampoo, nail polish, body lotion, toys, and food and beverage packaging. ● Perfluoroalkyl substances (PFAS). These are added to products to increase their resistance to water and grease. ● Stress. Your stress response raises your level of the hormone cortisol, which has a domino effect on your other hormones. ● Poor sleep. Not getting enough high-quality sleep affects your body’s ability to regulate stress hormones like cortisol and the hormones that control your appetite, ghrelin and leptin. ● Lack of exercise. A sedentary lifestyle also impacts hormone regulation. Not getting enough movement in your day can lead to reduced insulin sensitivity, altered levels of growth hormone and cortisol, and disruptions in the balance of estrogen and progesterone. The Impact Of Hormone Disruptors The effects of hormone imbalances are far-reaching. Here are some of the major impacts: ● Endocrine system disruption. Your endocrine system is a complex network of glands that secrete hormones, including insulin, stress hormones like cortisol, adrenaline, thyroid hormones, estrogen, progesterone, and testosterone. ● Thyroid dysfunction. Hormone disruptors can compete with thyroid hormone at receptor sites, interfering with thyroid hormone synthesis. The result is thyroid dysfunction, which leads to conditions like hyperthyroidism or hypothyroidism. ● Reproductive system issues. Estrogen, progesterone, and testosterone are also vulnerable to dysfunction. BPA, for example, has a similar structure to estradiol, a type of estrogen, so BPA binds to estrogen receptors. Phytoestrogens, found in many soy products, can also disrupt estrogen in some people. When hormone disruptors attach to sex hormone receptors, the normal functioning of estrogen or testosterone in the body is disrupted. This can lead to infertility and other reproductive issues. ● Metabolic dysfunction. One notable effect of hormone disruption is the impact on metabolism. Many hormones impact your metabolism, and disturbances can lead to serious health issues like obesity, nonalcoholic fatty liver disease, and diabetes. Recent studies have found that exposure to hormone disruptors may be a strong risk factor for obesity. Although more research needs to be done, findings suggest that these disruptors impact energy balance, basal metabolic rate, gut microbiota, and hormonal control, all leading our body to store calories, and disrupting appetite regulation. Avoiding The Impact Of Hormone Disruptors After reading the above sections, it may seem like hormone disruptors are all around us. But knowledge is power. Now that you know what to avoid, you can take some simple steps to reduce your exposure. As a bonus, these steps will all lead to a healthier you! 1 - Hormone-friendly dietary changes Careful food choices are one of the most important things you can do to reduce the impact of hormone disruptors such as pesticides and BPA. ● Choose organic food whenever possible. More and more organic food is available! About 4% of U.S. total grocery sales is organic food. Even when buying organic, be sure to wash all produce. ● Eat less processed foods. Try to focus on the outer edges of the grocery store, and avoid the packaged and processed foods in the middle. Studies have found that ingredients found in overly processed foods interfere with hormone regulation. ● Don’t store food in plastic containers. Plastic containers can expose your food to hormone disruptors like BPA, so look for glass or metal containers. As well, if you buy canned soups or beans, look for BPA-free containers. 2 - Better personal care products There’s a growing market for natural personal care products, so you have many opportunities to find products without phthalates, parabens, or BPA. One report found that people who use natural body care and beauty products have better overall health than people who don’t. Not sure where to start? You can find ratings for hundreds of products on the Environmental Working Group site. 3 - Optimize your environment From the air you breathe to the water you drink, look to minimize contaminants and pollution wherever possible. ● Invest in an air purifier. With more of North America experiencing smoky summers from wildfires, this is more important than ever. Air purifiers with HEPA filters are often the most effective. ● Filter drinking water. Bottled water often contains harmful microplastics, so your best bet is to use a high-quality filter for the water you drink. If you used a filtered water jug, follow directions on how often to change the filter. ● Take a look at your cleaning supplies. The things you use to clean your home may not be so “clean” after all - up to 75% of cleaning products contain at least one harmful substance. Look for products labeled “green” and investigate do-it-yourself alternatives. You’d be surprised by how many things baking soda, lemon juice, or soap can get clean. 4 - Healthy stress management and proper sleep routine Chronic stress heightens vulnerability to hormone disruption, emphasizing the importance of integrating stress reduction techniques into daily life. Practices like yoga and meditation play a pivotal role in regulating the body's stress response, effectively managing stress hormone levels. Simultaneously, ensuring good sleep is paramount for hormonal balance, as disrupted sleep patterns can impact hunger-regulating hormones and disturb the delicate equilibrium between cortisol and melatonin. By incorporating mindfulness activities and prioritizing quality sleep, you can fortify your body against the adverse effects of chronic stress, fostering an environment conducive to optimal hormone production and balance. 5 - Move, move, move! Regular exercise plays a pivotal role in supporting proper hormone production and balance. Physical activity stimulates the endocrine system, prompting the release of hormones such as cortisol, insulin, and growth hormone. Engaging in aerobic exercise, strength training, or a combination of both has been shown to enhance insulin sensitivity, helping to regulate blood sugar levels and prevent insulin resistance. Moreover, exercise promotes the release of endorphins, the body's natural mood enhancers, which can contribute to reduced stress and anxiety. Additionally, consistent physical activity is linked to improved sleep quality, indirectly influencing hormonal balance by supporting the body's circadian rhythm. Overall, a well-rounded and moderate exercise routine is a powerful tool for maintaining proper hormone production and fostering overall health. By understanding where common hormone disruptors are found, how to avoid them, and how to minimize their impact by optimizing your hormone function, you can empower yourself to make informed choices that support hormonal balance and overall well-being. If you’d like some help with finding your ideal balance or more information on hormone health, make an appointment with us today! Sources: Environmental Working Group, “Shopper’s Guide to Pesticides in Produce,” https://www.ewg.org/foodnews/summary.php Heindel JJ, Blumberg B, Cave M, Machtinger R, Mantovani A, Mendez MA, Nadal A, Palanza P, Panzica G, Sargis R, Vandenberg LN, Vom Saal F. Metabolism disrupting chemicals and metabolic disorders. Reprod Toxicol. 2017 Mar;68:3-33. doi: 10.1016/j.reprotox.2016.10.001. Epub 2016 Oct 17. PMID: 27760374; PMCID: PMC5365353. 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