PCOS is making my skin break out and is making me gain weight. I am taking glucophage but it’s not helping. Please help.

The first line of action for any lifestyle disorder, including polycystic ovary syndrome (PCOS) should be diet and exercise. Glucophage should be taken only if symptoms do not improve after you have exhausted other natural options. PCOS could be due to one or a combination of the following: You have high fasting insulin levels, your hormone levels are disrupted or you have gut inflammation.

The first two can be confirmed by a blood test and the third is generally the one that affects the skin the most.

All of these can be present in varying degrees, causing more (poly) cysts in your ovaries. There are chances that your scans will be completely clear but you still have symptoms such as hirsutism (hair on your chest, face or stomach) have stubborn fat or irregular periods, all signs of PCOS.

There are many ways you can solve this with food but one of the biggest solutions is a high-fat diet that helps your body respond better to insulin, heals your gut and helps in resetting your sex hormones.

Your sex hormones are steroid hormones, which means they are made from fat. So a high-fat diet will dramatically help with any kind of PCOS.

Start your day with fat, load up on avocados, nuts and coconut meat and cook your green vegetables in ghee. These food habits can help reverse PCOS and achieve hormonal well-being.

Rashi Chowdhary is a nutritionist, diabetes educator and creator of The Protein Bake Shop