Why I Ask Some Patients to Quit Desserts

fructose insulin resistanceDesserts and high-dose fructose can be a problem for health, especially if you have insulin resistance.

With my patients, I don’t worry too much about sugar as long as insulin is normal on a blood test. If insulin is high on a blood test (insulin resistance), I ask them to avoid all desserts and dessert-type foods including dried fruit like dates. They can still have whole fruit.

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Your Hormones Need Dinner

woman eating dinnerSometimes a patient tells me she had only a salad for dinner. Or, even more puzzling: A green smoothie.

I could never do that. I’m tired at the end of the day. I’m hungry. I need a substantial dinner such as roast chicken with potatoes, vegetables, and butter.  I honestly cannot imagine sitting down with just a cold green salad.

I don’t think I’m different from other women. Women get hungry. Women need food.

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Treatment for 4 Types of PCOS. Treat the Cause.

4 types of PCOS**See the updated 2019 version of this blog post: 4 Types of PCOS (a Flowchart) **

I invite you to think differently about polycystic ovary syndrome.

PCOS is not one thing. It is not one disease. PCOS is a set of symptoms. The key primary symptom is a failure to ovulate regularly. Failure to ovulate is why you are deficient in estradiol and progesterone. It’s why you have high testosterone, and why you develop secondary PCOS symptoms such as hair loss, acne, and infertility.

You cannot treat PCOS until you first ask: “Why, in your particular case, do you not ovulate?”

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Sugar Is the Worst Carb. Reclaiming the No-Dessert Diet

Sugar is a carb.  It is the worst carb.  This should be stating the obvious, I know, so apologies if you already understand this. But I really feel it needs to be said because I’ve had some distressing conversations with patients. They’re very careful to avoid a potato with dinner, but think it’s fine to have a little something for dessert. “Potatoes are a bad carb,” they tell me.

How did we get to the point where starch with the evening meal is believed to cause more weight gain than dessert? Why do people fear rice, but are happy to eat natural sweeteners like dates or agave which are almost pure fructose?

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