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Wednesday, June 22, 2016

The Holistic prevention, management and treatment of Polycystic Ovarian Syndrome:The Life Style Modification(Part I)

Kyle J. Norton(Scholar, Master of Nutrients), all right reserved.
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

                Polycystic Ovarian Syndrome

Polycystic Ovarian Syndrome is defined as endocrinologic diseases among reproductive-age women caused by undeveloped follicles clumping on the ovaries that interferes with the function of the normal ovaries associated with a high risk for metabolic disorder(1) as resulting of enlarged ovaries(2), leading to hormone imbalance(excessive androgen and anti-müllerian hormone (AMH) )(1)(3)(4)(5), induced Hirsutism(6)(7), reproductive disorder(10(12)), risks of type 2 diabetes(9)(10)(11), metabolic syndrome(10)(12) and early cardiovascular disease(8)(13), acne(10)(14), endometrial cancer(18)(19),weight gain and obesity(15)(16)(17). The syndrome effects over 5% of women population or 1 in 20 women.
Unfortunately, according to studies, women with PCOs after the reproductive age, are associated to continuously increase risk of type II diabetes, with no increasingaltered glucose tolerance(20), CVD and hypertension(21).


          In Traditional Chinese Medicine Perspective


While conventional medicine focus of using synthetic medication to induce ovulation and assisted artificial insemination for infertility couple, if the medicine fail, traditional Chinese medicine views polycystic ovarian syndrome in different approaches.
Polycystic ovary syndrome, according to traditional Chinese medicine is a medical condition characterized by accumulative of fluid over a prolonged period of time causes of dampness and phlegms(1247a)(1247b) build up on the ovaries due to the effects of vary differentiations, affecting not only the women’s menstrual cycle, but also ovulation and fertility(1247a)(1247b).


The Dietary Suggestion, Life Style Modification and Nutritional Supplements according to TCM
According to Angela Warburton(1249), a doctor of Traditional Chinese Medicine practicing in Toronto, Canada, incorporating the proper dietary and lifestyle modifications, may make a BIG difference in the long-term for treatment of PCOs(1249).


                    Life style Modification 


1. Say goodby to Western lifestyle
Western lifestyle characterized by low levels of physical activity, and by an energy-dense diet rich in total and saturated fat and refined carbohydrates(1289) may consist a positive association between risk of breast cancer and subclinical forms of the polycystic ovary syndrome (PCOS)(1289) such as more severe phenotype with regard to insulin insensitivity, increased numbers of antral follicles at midcycle, and decreased circulating luteal phase progesterone levels(1290).

2. Avoid all refined sugars (white and brown sugars, fructose, sucrose, corn syrup) and simple sugars (maple syrup, honey)
Increased consumption of refined dietary sugars not only showed to contribute to a central factor in the rapidly rising rates of obesity(1293) and type 2 diabetes(1291)(1294) but also promoted risk of metabolic syndrome(1291)(1295) such as glucose intolerance(1292) and its complication(1295).
According to study by Dr. Kozlovsky AS and research team, diets high in simple sugars not only stimulates Cr losses and may lead to marginal Cr deficiency associated with impaired glucose and lipid metabolism(1296).

3. Say no refined carbohydrate (white bread, pasta, potatoes, white rice, most breakfast cereals, rice cakes, popcorn, or any starchy, low fiber food) (See dietary supplement 2 for more information)
[2. Women with PCOS should completely avoid refined carbohydrates as it showed to elevate the risk of type 2 diabetes(1254) induced collection of metabolic defects including peripheral insulin resistance(1255), elevated hepatic glucose output, and impaired pancreatic insulin secretion(1254), immune-mediated diseases(1256), such as reduced control of infection, increased rates of cancer, and increased risk for allergic and auto-inflammatory disease(1256) and inflammation(1255)].

4. Avoid artificial sweeteners
Artificial sweeteners has shown to induce glucose intolerance by altering the gut microbiome(1297)(1298) associated susceptibility to metabolic disease(1297)(1298).

5. Avoid large size in regular meals. Opt for smaller and more regular meals to moderate glucose load and minimize insulin resistance(see Dietary supplement 3. Keep blood sugar stable by eating regularly with small meal for more information)
[3. Keep blood sugar stable by eating regularly with small meal(1258), including good fat, such as monounsaturated and polyunsaturated fatty acids(1259) and protein(1261). According to Diabetes Center, Eulji Hospital, in the differentiation of a meal plan using rice bowls of varying sizes, showed that small rice bowl-based meal plan was effective at reducing dietary energy intake (EI), body weight (BW), and blood glucose levels in comparison to regular rice bowl-based meal plan(1257).
Indeed, high monounsaturated fat hypocaloric diet) or high polyunsaturated fat hypocaloric diet has shown to mprove total cholesterol, LDL cholesterol, triglyceride, glucose, insulin and homeostasis model assessment for insulin resistance(HOMA-R) levels(1260)].


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References
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