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low carb, PCOS, and athletesFrom: Liz (anonymous@obgyn.net)Tue, 26 Aug 2003 13:25:09 -0500 (CDT)
Hey all, I just wanted to see if there were some competitive athletes out there who can relate and maybe help me with my questions. I am a very competitive runner and cyclist. For years, I did not get my period and had been told by countless doctors and nutritionists that I was probably anorexic. I was so frustrated because I knew I wasn't. Instead, my body fat was fairly high, especially considering my training. My coach was always on my case to try and "get more lean". At 5'4, 127 lbs, I wasn't exactly tiny in the running world. I tried to cut calories many times, but the weight always stayed. At one point, I was running 70-80 miles a week and started birth control pills. I promptly gained 15 pounds, especially around my stomach area and could not keep weight off. I happened to see a great doctor on another visit for acne and she suspected PCOS. I did all the tests and started taking metformin and spironolactone. I started getting my periods again within a few months. First, the low carb bit...I have really been dragging my heels about switching to low carb because without the carbs, I'm not sure what foods to eat! Before I go out to run or ride, I have pasta or a peanut butter and honey sandwhich. While on the bike, I have a "Gu" pack or some sort of quick sugar bar. I need foods that are easy and quick to digest and don't sit in my stomache. But, is this ruining my chances of really ever controlling my PCOS symptoms? When I get back from training, I crave really crave a high carb meal. Also, though I am very pleased with acne improvement while on spironolactone, but I have trouble taking it while I'm training because it dehydrates me so badly. I tried going off it and switching to a topical cream instead but because I am outside in the sun and wind everyday, that is not an option. Sometimes, I try to take the spironolactone between my training, but then it is sporadic at best and less effective. Again, I would love to talk with any athletes out there. My doctor that I'm seeing is very good but she doesn't know a lot about my needs. She is used to trying to start people on an exercise plan or help them lose a significant amount of weight and I don't really fit into either category. Liz
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