In addition to infertility and other chronic symptoms, women with PCOS are at increased

risk for a number of diseases and health conditions, including:

 Type 2 diabetes
 Coronary artery disease (CAD)
 Non-alcoholic fatty liver disease (NAFLD)
 Hypertension
 Obstructive sleep apnea

Ketogenic Diet and PCOS

Supplements
INOSITOL

COENZYME Q10

CINAMMON 1 TABLE SPOON (POWDER) IN THE COFFEE

MUSHROOM

TOMATOES

Berberine

Found in herbs like goldenseal, barberry and Oregon grape root, the compound known as

berberine has been used in Chinese medicine for centuries to treat a variety of health
conditions. In one study of women with PCOS, berberine was found to reduce insulin
resistance as effectively as metformin, an insulin-sensitizing medication frequently

prescribed for PCOS. What's more, berberine led to slightly more weight and belly fat loss,
greater increase in SHBG, and lower levels of free testosterone than an equivalent dosage
of metformin (21).

Recommended dosage: 500 mg taken 2-3 times per day.

Cinnamon

Some studies suggest that this spice may improve insulin resistance and help restore
ovarian function in women with PCOS (22, 23).
Recommended dosage: ½ to 1 teaspoon per day.

Apple cider vinegar

Apple cider vinegar has been shown to increase insulin sensitivity in several studies,
including a small but impressive trial in women with PCOS. When 7 women with PCOS
took 15 grams (1 Tablespoon) of apple cider vinegar, 4 resumed ovulating within 40 days,
6 experienced a measurable reduction in insulin resistance, and 5 had a decrease in their

LH/FSH ratio (24).

Recommended dosage: 1-2 Tablespoons (15-30 ml) per day. It's best to start with 1
teaspoon and work up to the recommended dosage gradually in order to avoid nausea and
other digestive symptoms.

Inositol

This compound occurs naturally in many plants and can also be produced commercially. It
comes in two forms: myo-inositol and d-chiral inositol, both of which have been shown to
significantly reduce insulin levels and improve hormonal balance in PCOS (25, 26, 27).
Recommended dosage: 1200 mg of d-chiral inositol or 2000 mg of myo-inositol once per
day.
Acupuncture

Acupuncture is a traditional Chinese medicine practice that involves inserting very thin
needles into the skin to relieve pain and correct imbalances in the body. It's been credited
with beneficial effects for all kinds of health disorders, including PCOS.

Indeed, several randomized controlled trials have found that acupuncture can help
restore insulin sensitivity and improve hormone levels (28, 29, 30).

In one study, 86 overweight and obese women with PCOS received either metformin or

acupuncture treatment for 6 months. By the end of the study, fasting insulin, insulin
resistance, LH: FSH ratio, and cardiovascular disease markers were significantly reduced
in both groups. However, the acupuncture group experienced greater weight loss,
reduction in waist circumference and improvement in menstrual function than the
metformin group (30).