Beyond diet and exercise: another option for patients with obesity and polycystic ovary syndrome?

Reflections
Beyond diet and exercise: another option for patients with obesity and polycystic ovary syndrome?
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VOLUME 118, ISSUE 2, P382-383

Authors:

Ali Bazzi, M.D., Samantha Schon, M.D., M.T.R.

Abstract:

Reflections on "Liraglutide 3 mg on weight, body composition, hormonal and metabolic parameters in women with obesity and polycystic ovary syndrome: a randomized placebo-controlled phase 3 study" by Elkind-Hirsch et al.

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Go to the profile of Pandiyan  Natarajan
7 months ago

is there really another option beyond diet and exercise for patients with Obesity and PCOS?

Most patients with PCOS are either Overweight or Obese.The few who are ?Normal weight or Lean are likely to have a significant history of weight gain, even-though they are still considered to be in the normal range of weight or even lean. This has been our observation in the last several decades over 100s of patients. We are now convinced PCOS is an Epiphenomenon.(1).

Almost all Overweight and Obesity are due to Calories Excess. The only curative treatment of Obesity and PCOS is Weight Loss. This can only achieved by primarily reducing the  Calorie intake by Appropriate Diet and secondarily by increasing activity by Exercise. All other options are Quick fixes with considerable short term and long term side effects.

The first principle of medical treatment is- Treat the cause. This principle also applies for patients with PCOS. The cause in these patients is Overweight and Obesity due to Calorie Excess. The treatment is simple, safe  and straightforward; but not easy. Losing weight by Cutting the excess calories by Life style modification for Life by appropriate diet and exercise. Life style modification is for Life & should not be used as short term fix. Educating patients & families  is vital to achieve this.

There is really NO other better option beyond diet and exercise for patients with Obesity and PCOS?

1. Polycystic Ovary Syndrome is an Epiphenomenon - An Opinion https://www.chcmj.ac.in/pdf/vol5_no3/polycystic_ovary.pdf

Professor Dr Pandiyan Natarajan,

Chief Consultant in Andrology and Reproductive Sciences,

Apollo 24/7, NOVA IVF FERTILITY,

Chettinad Super Speciality Hospital (Retired)

Professor Emeritus, The Tamil Nadu Dr MGR Medical University.