PCOS (Polycystic Ovary Syndrome)

PCOS: Why Nutrition Matters More Than You’ve Been Told

If you’re living with PCOS and feel frustrated, exhausted, puffy, or stuck in a body that is not responding to your effort, you are not imagining it.
And you are absolutely not alone.

So many women come to us saying things like:

  • “My labs look fine, but I feel awful.”

  • “My doctor told me to just lose weight and come back.”

  • “Nothing is working, and I don’t know what else to try.”

  • “No one has actually explained what’s happening in my body.”

You deserve answers & support. And you deserve a plan that honors your biology, not one that blames you for it.

Let’s unpack what’s actually going on in PCOS, why it’s so misunderstood, and how targeted nutrition and lifestyle support can finally help your body feel safe, regulated, and ready to shift.


What Is PCOS, Really?

PCOS (polycystic ovary syndrome) is not just a “hormone issue.”
It is a full-body metabolic condition that affects:

  • ovulation

  • insulin sensitivity

  • inflammation

  • androgen production

  • adrenal function

  • digestive health

  • energy and mood regulation

Meaning:
PCOS is not just about the ovaries.
It is about how your entire system is communicating, compensating, and trying to keep you afloat.

Most women with PCOS experience some combination of:

  • irregular or missing periods

  • weight changes or weight loss resistance

  • acne or oily skin

  • hair growth or thinning

  • blood sugar swings

  • intense cravings

  • bloat

  • low energy

  • mood fluctuations or anxiety

  • fatigue that hits like a brick by mid-afternoon


    And you might think your body is “working against you.” But truthfully? It is responding to stressors, undernourishment, and metabolic imbalances the only way it knows how.

Why Nutritional Biochemistry Matters So Much with PCOS

Here’s the honest truth:
PCOS shifts your body’s nutritional needs, metabolic responses, and hormone messaging.
So the “just eat healthy and exercise” advice simply does not cut it.

PCOS affects:

1. Blood Sugar + Insulin Signaling

Most women with PCOS have some degree of insulin resistance.
That means your cells are not using glucose efficiently, so your pancreas pumps out more insulin.
High insulin tells your ovaries to produce more androgens, which can worsen acne, hair growth, weight gain, and irregular periods.

Food rhythms, protein timing, carb pairing, and mineral intake create stability your hormones are craving.

2. Inflammation Pathways

PCOS increases inflammatory cytokines, which amplify symptoms.
Anti inflammatory meal patterns, enough omega-3 fats, and nutrients like magnesium and antioxidants help calm this storm.

3. Hormone Detox + Liver Load

Your liver is responsible for processing hormones and metabolic byproducts.
When it is overloaded, estrogen, androgens, and cortisol can get stuck in circulation.
Balanced meals and adequate micronutrients help your liver do its job.

4. Ovulation + Adrenal Function

Your adrenal glands play a huge role in PCOS.
If you are stressed, under eating, or skipping meals, your adrenals will shift hormone production toward survival mode instead of ovulation.

We support the entire stress response system so your body finally feels safe enough to regulate again.

This is where functional nutrition becomes powerful.
Because once your body gets what it needs, symptoms actually start to move.


Why Some Women with PCOS Also Notice Thyroid Symptoms (Without a Full Thyroid Diagnosis)

We work with plenty of women who do not have diagnosed hypothyroidism, but still struggle with:

  • fatigue

  • cold hands and feet

  • constipation

  • brain fog

  • slow metabolism

Why?
PCOS can influence thyroid hormone utilization and conversion even when your labs say things are “normal.”
It’s not always thyroid disease.
It is often the PCOS-driven metabolic stress that blunts thyroid performance.

So no, you’re not imagining your symptoms.
Your body is just asking for deeper support than a basic panel or generic diet can give.


You Deserve a Plan That Works With Your Biology, Not Against It

We see women every day who have been dismissed, misunderstood, or handed surface level advice like:

  • “Just lose weight.”

  • “Cut carbs.”

  • “Take the pill.”

  • “Exercise more.”

None of that addresses the metabolic, inflammatory, or hormonal layers that actually drive PCOS symptoms.

You deserve better.


How Our Functional Dietitians Support Women with PCOS

We blend nutritional biochemistry with practical daily habits so you learn how your body works and how to support it.

Our BRAIN Method approach helps you:

  • stabilize blood sugar without extreme dieting

  • reduce inflammation through sustainable nourishment

  • support ovulation and hormone balance

  • improve energy and mood

  • understand what your labs actually mean

  • build meals that keep you full, steady, and satisfied

  • create food rhythms that lower cravings and stress

  • improve digestion so you feel lighter and less inflamed

  • regulate cycles naturally

  • stop guessing about supplements

You are not handed a rigid plan.
You are taught how to nourish yourself in a way that makes sense for your biology and your real life.


What It’s Like to Work With Us

Our work together is a mix of science, support, and real life implementation.

What you can expect:

1. A deep Initial Assessment

We look at your symptoms, history, patterns, stress load, digestion, cycles, and past labs.
We want the whole picture.

2. Functional Testing When Appropriate

This may include:

  • blood sugar markers

  • fasting insulin

  • full metabolic panels

  • inflammation markers

  • sex hormone analysis

  • micronutrient testing

  • gut testing

  • thyroid panels

    This is not required for everyone, but it is available when deeper clarity is helpful.

3. Bi-weekly visits at the start

We teach you how to eat for your chemistry, not someone else’s diet rules.

4. Private chat support

You get guidance, reassurance, and answers in real time.

5. Written protocols

Clear steps. No more overwhelm.

6. Food logging feedback when wanted

No judgment. Just helping you understand patterns so you feel more confident.

7. Meal frameworks

We build simple, sustainable meal structures that fit your life.

8. Maintenance phase

Fewer visits once you feel better, with continued support as needed.

Our goal is not to micromanage your health.
Our goal is to teach you how to care for yourself with confidence long after our work ends.


You Don’t Have to Do This Alone

If you’ve been dealing with PCOS symptoms that make you feel discouraged, disconnected, or “not like yourself,” it does not have to stay this way.

Your body is not broken.
You are not failing.
You just need the right support, in the right order, for your unique chemistry.

We are here to walk with you every step of the way.

👉 Ready to finally feel like yourself again?
Apply to work with our team and take your first step toward real, sustainable change.

PCOS & Nutrition FAQ

If you are living with PCOS and feel tired, puffy, moody, or stuck in a body that is not responding to your effort, you are not alone. These questions come straight from women just like you who are ready for real answers, not more guessing.

Can nutrition really help with PCOS symptoms?

Yes. With PCOS, your body is more sensitive to blood sugar swings, inflammation, and stress. Food is one of the most powerful ways you speak to your hormones all day long. When we stabilize your meals, support insulin sensitivity, and calm inflammation, your body often responds with more stable energy, fewer cravings, clearer skin, and more regulated cycles.

Nutrition is not the only piece, but it is a major part of the foundation your hormones stand on.

Is PCOS my fault or just about willpower?

No. PCOS is not your fault and it is not a willpower problem. It is a metabolic and hormonal condition that changes how your body uses insulin, responds to stress, and processes hormones. That means your body often needs more support, not more pressure.

Our work together focuses on helping your body feel safe and supported, not shaming you into another extreme plan.

Do I have to cut carbs or go keto for PCOS?

Not necessarily. Very low carb or keto plans can sometimes make symptoms worse, especially for women who already feel burnt out, anxious, or have thyroid or adrenal stress on board. Your brain and hormones do better with steady, balanced fuel.

We focus on pairing carbs with protein, fat, and fiber, setting up a meal rhythm that keeps blood sugar stable and cravings lower. You get to eat real food, not live in fear of every gram of carbohydrate.

How is your approach different from generic PCOS diets I see online?

Generic PCOS advice usually says some version of “lose weight, cut carbs, work out more”. That ignores your nervous system, gut health, nutrient status, stress load, and real life.

As functional dietitians, we look at how your food patterns, sleep, stress, labs, and symptoms are all connected. Then we build a plan that teaches you what to do and why, so you can keep supporting your body long term. No one size fits all meal plans, no all or nothing rules.

What kinds of labs do you use for PCOS support?

Lab needs are different for each person, but we commonly look at:

  • Blood sugar and insulin markers to understand how your body is handling carbs
  • Lipid panels and metabolic markers
  • Sex hormone patterns, including androgens when appropriate
  • Full thyroid panels if symptoms suggest thyroid stress
  • Micronutrient levels that affect energy, mood, and hormone balance
  • Stool or gut testing if digestion and bloating are major issues

Labs are never used to scare you. They are used to help us target your nutrition and lifestyle plan more precisely.

Can I work with you if I am on metformin or birth control?

Yes. Many of our clients are on metformin, birth control, or other medications when they start. Nutrition therapy is about supporting your body and filling in the gaps, not forcing you off medications.

We teach you how to nourish your body so that, over time and with your prescribing provider, you can make informed decisions about what is or is not serving you.

How long does it take to feel better with PCOS nutrition support?

It depends on how long you have been struggling and what your body is carrying. Many women notice early wins like fewer crashes, less bloating, and more consistent energy within a few weeks of stabilizing meals and supporting blood sugar.

Deeper shifts in cycles, skin, hair, and metabolism can take several months. Our goal is not a quick fix. We are rebuilding your foundation so your progress actually lasts.

Do I need an official PCOS diagnosis to work with you?

No. If you suspect PCOS, have “PCOS like” symptoms, or feel dismissed even though your body is clearly sending you signals, you can still get support.

We respect medical diagnoses, and we also respect your lived experience. Our work focuses on what we can do with food, lifestyle, and supportive labs to help your body function better, whether your chart has a label yet or not.

What does working with your team actually look like?

You are not handed a strict plan and wished good luck. We start with a deep assessment, then meet regularly in the beginning to teach you realistic, sustainable habits that fit your life. You have access to private chat support, written protocols, meal frameworks, and feedback when you want it.

Over time, as your body feels more supported and your routines feel easier, we space visits out and move into a maintenance rhythm. The goal is that you feel confident caring for yourself instead of feeling dependent on someone else to tell you what to eat forever.

Meet Nicole Fennel Functional Dietitian

Hey There, I'm Nicole!

Nicole Fennell is a functional nutrition Dietitian—and a fellow Hashimoto’s patient—who understands firsthand the challenges of living with thyroid hormone imbalances and immune system dysfunction. Her approach to managing chronic disease and stubborn symptoms focuses on building the body up with enjoyable and realistic nourishment rather than breaking it down with restrictive, unrealistic, short-term diets.

With a real-food philosophy, Nicole emphasizes the power of nutrition, movement, and peace of mind in both disease prevention and long-term health. Outside of her work, she loves staying active with her husband and three kids, lifting weights, practicing yoga, walking, cooking, enjoying good food, and spending time outdoors.
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Whether you’re dealing with exhaustion that never ends, a Hashimoto's diagnosis, thyroid issues, hormone imbalances, painful PMS, or stubborn acne that just won’t quit—please know you’re not alone. At Chews Food Wisely, we’re all about connecting the dots between your never ending list of symptoms and personalized nutrition solutions that last.

Ready to Start feeling your best?

Reach out today to book a call and let’s map out your health journey together.

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