Weight loss and lifestyle management is the mainstay and a focus on lowering insulin resistance will see an improvement of most symptoms.

The day after we have posted your mail, it usually takes three more days to reach Western Europe, five days to Eastern Europe and seven days to the rest of the world. This is an accessible, compassionate and inclusive resource, and one I would recommend to anyone living with PCOS; no stone has been left unturned.Even as a doctor, I have learnt a lot and, as well as recommending to patients, will be advising colleagues to pick up a copy for their clinics too. Encourage women to reduce high AGE foods to combat insulin resistance, inflammation and oxidative stress. In addition, there are plenty of tips about self care and nutrition written from the author's personal experience. Registered office address: Unit 34 Vulcan House Business Centre, Vulcan Road, Leicester, Leicestershire, LE5 3EF.

Most women tend to put weight back on within a few years, a sustainable diet that does not resort to calorie restriction would be helpful in managing PCOS long term.

Some with PCOS will carry weight around the middle, have a BMI >27kg/sqm although 2 out of 10 with PCOS will have a normal body weight.

The writing is clear, and the authors do a fantastic job of debunking myths around PCOS and summarising main points. The authors include up to date evidence and guidance about how to manage and improve symptoms of PCOS including medication, nutrition and lifestyle. This practical guide will show you how to successfully identify, understand and manage your condition using proven lifestyle approaches alongside western medicine. So, ovaries may be particularly sensitive to their effects, with AGEs contributing to the cause of PCOS.These tests help to confirm the diagnosis of PCOS and rule out other rarer conditions that may cause similar symptoms. A nutritionally adequate weight loss diet based on healthy food choices was of clinical benefit in people with PCOS carrying excess weight, regardless of the diet composition. AGEs crosslink proteins together, causing tissue stiffness, oxidative stress, insulin resistance, cellular damage and inflammation. The most likely explanation is that the ovary makes an excess of testosterone, either spontaneously with no external drive (ovarian dysfunction) or as a result of the action of insulin (reduced insulin sensitivity in peripheral tissues, leading to increased levels of insulin. Dietary AGE intake can be decreased by changing the method of cooking from the high temperature dry cooking methods to low heat, higher humidity (stewing, steaming, and boiling).