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My endocrinologist recommended I start Metformin for weight loss, but I’m torn between taking the medication or trying to lose weight naturally. I feel guilty at the thought of relying on medicine, yet I’m not sure I have the dedication or know where to start with the natural approach. My doctor explained that even eating 1,400 calories a day and working out 3–5 times a week may not be enough. I’m currently on birth control and want to stop, and she emphasized that the only way to manage PCOS… read more
How can you decide between Metformin and natural weight loss for managing PCOS symptoms?
First, let go of the guilt. PCOS makes weight loss significantly harder because of insulin resistance, which affects how your body processes food. This isn't about lack of willpower—it's about biology working against you.
I'm kind of struggling with the same thing. I did not have a huge issue with weight since I have type 2 PCOS, but I was recently diagnosed with pretty bad insulin resistance in August, and I was put on Metformin to manage that after gaining some weight and inflammation. I will say, I haven't noticed much of a difference with weight on it, but my doctor said that it can take up to 6 months for people to start to feel better on it, and I take 2000mg. I decided to take medications because trying to manage my condition naturally felt so overwhelming and the medicines kind of felt like a stepping stool to me, not reliance. It sounds like you are putting in a lot of effort to lose weight, and depending on if you have insulin resistance or not, weight loss can be a lot harder because your body is in fat-storing mode, so Metformin would help increase insulin sensitivity to help you lose weight. Metformin on its own definitely doesn't erase all of your efforts when used by itself, but when it is combined with natural methods I have heard it helps a lot.
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