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To Mel (whose daughter has PCOS)From: Sally (anonymous@obgyn.net)Wed, 6 Nov 2002 03:09:47 -0600 (CST)
Hi Mel, I have been thinking about your daughter gaining weight on the insulin resistance diet and having such trouble with her doctor. I was doing some reading recently and came accross an idea that you might like to consider. It would be hard work at first, but seeing you and your daughter are so highly motivated maybe it is an idea to think on and perhaps try - though I am sure that it is not new. The fact that your daughter is still gaining weight on the insulin resistance diet could mean that it is not strict enough in terms of carbs. I hate to say that the calories are too many, but perhaps the source of the calories are not as suitable as we would hope (I also read that not all calories are equal in terms of promoting weight gain). I was reading up on low carb diets and there is one approach that treats low carbing a bit different - I think it is from something that was used early in this century. Can't remember the site, but here is the general idea. Approach the carbs from a food allergy view. They find food allergies by basically starting with a very very simple diet (that eliminates all/most known allergens) and then work up from there slowly adding foods. Perhaps your daughter has an 'allergy' to carbs. Using this approach would mean start by cutting out 'all' carbs for the first phase of the diet (though I assume that green leafy veges would be ok anyway because they are so low carb). I would guess that you would need to follow this very strict approach of just protein, healthy fats and green veges for a couple of weeks or so and see what happens - then start by adding carbs food by food starting with lower carb and high fibre foods (perhaps a few days to a week for each) and seeing the response (ie. weight loss, energy levels, etc). Another thought - some people also gain weight due to wheat intolerance. An alternative approach would be to completely cut out all wheat products and see what happens. Or perhaps in your daughter's case the Atkins approach may be a good starting point. Although Atkins is very strict in the beginning, it can be quite lenient in the maintenance phase and is also based on seeing what type and how many carbs you can tolerate. Of course, I would not recommend going high fat and all out on sausage, bacon etc.... keep your fat intake moderate and of the healthy type. Did I make sense. At least heres another idea. Best wishes
-- Sally
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