What to do about stubborn stomach fat?

What can you do about hypoglycemic events on a keto diet? Can you get pregnant if you have PCOS? And what to do if you have stubborn fat around your stomach?

Get the answer to these questions in this week’s Q&A with the fertility specialist Dr. Fox:

Non-diabetic reactive hypoglycemia

Since starting LCHF three years ago, I occasionally have episodes of what I think is reactive hypoglycemia. I have had all neurological investigations and they are all normal.

Thanks for a great educational website.
Mandy

 
Dr. Fox:

This is a great question. If you fall out of ketosis, you may be pushed out of keto adaptation as well. Until keto adaptation is achieved (1-2 months time) your system is unable to harness your fat for energy yet, so when nutritional calories are exhausted, your blood sugar may drop and you become symptomatic.

For those who are most effected, you may need to eat first thing when you wake up or your blood sugar will fall and the low point might occur just after you eat out of coincidence. We see this a great deal in pregnancy. I would still encourage you to pursue LCHF.

Best of luck.
 

Can you get pregnant with the problem of having PCOS symdrome?

Hello, my name is Rosie I have a doctor suffering from PCOS she has had several miscarriages. She doesn’t believe she can get pregnant if she gets on a keto diet. Can you please send me information to my email address. rosiedavis195953@yahoo.com. She really has been trying to get pregnant for a long time.

 
Dr. Fox:

As I have related in many answers here on Diet Doctor, PCOS is best treated with a low-carb diet. In my opinion, 80+% of what can be done for PCOS is nutritional. This includes fertility.

Our experience with PCOS related infertility is a 2-3X increase in pregnancy rate with good nutrition. A person may still need fertility medicine but it works fantastically. The pregnancy should be ketogenic as well.
 

Central obesity persists

Hi Dr. Fox!

Tiffanee

Dr. Fox:

In my experience the biggest inhibitor of improvement is sleep apnea or sleep disturbance. Other stressors include aerobic exercise, and hypoglycemia, as well as type A personality. I try to get a sleep study on everyone with PCOS because of the high prevalence in these patients. Cortisol may be the reason for your findings. In addition coffee or drugs like Adderall double the cortisol level.

Things like meditation would be much more helpful than aerobic exercise. Walking is good – slowly and very low key muscle strengthening exercise. The only other issue would or could be low estrogen. We find many young women are suffering from low estrogen.

Be patient, you have lost a great deal and it may take some time to lose the rest!! Congratulations on your success so far.

More questions and answers

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