It’s Not You, It’s PCOS

 
GLP-1 Medications, PMOS & Fertility: What You Need to Know
Could GLP-1 medications influence your PMOS symptoms, menstrual cycle and fertility?
In this episode, fertility and pregnancy dietitian Nick Nation explores the growing conversation around GLP-1 medications, including Ozempic and Mounjaro, and their potential role in managing insulin resistance and supporting reproductive health in people with PMOS (formerly PCOS).
We explore how these medications work, what emerging research tells us about ovulation and fertility, and what you need to consider if you're planning a pregnancy or thinking about coming off medication.
We also discuss the nutritional considerations that can easily be overlooked, including adequate protein, fibre, hydration and preserving muscle mass while taking GLP-1 medications.
In this episode, we discuss:
Why PCOS is increasingly being referred to as PMOS and what this change means.
How GLP-1 medications influence appetite, digestion, insulin and food noise.
The relationship between insulin resistance, testosterone, ovulation and menstrual cycles.
What emerging research tells us about GLP-1 medications and fertility outcomes.
What we know (and don't yet know) about their use in people with lean PMOS.
Pregnancy planning, contraception and medication-specific washout periods.
How to maintain adequate nutrition when appetite is reduced.
The importance of protein, fibre, hydration and strength training to preserve muscle.
What happens when you stop GLP-1 medications and why planning ahead matters.
Practical takeaways
If you're taking a GLP-1 medication and thinking about pregnancy, or simply looking to support your reproductive health, here are some important considerations:
Discuss your fertility plans and medication-specific stopping timelines with your prescriber or fertility specialist.
Plan medication changes well in advance of trying to conceive. Never stop or taper medication without professional guidance.
Prioritise protein, fibre, varied nutrient-dense foods, hydration and regular eating.
Incorporate strength training two to three times per week, where appropriate, to help preserve muscle.
Consider working with a dietitian experienced in women's health, fertility and pregnancy nutrition, particularly when transitioning off medication.
Memorable moments
"The research is really thin."
"Pregnancy is not the time to diet."
"GLP-1s as a tool, not a cure."
Episode chapters
00:00 Why GLP-1s are trending for PMOS
01:01 Why PCOS was renamed PMOS
02:16 How GLP-1 medications work
03:06 Insulin resistance, hormones and ovulation
05:26 What the fertility evidence says
06:48 Pregnancy, contraception and medication timing
10:25 Eating well when appetite drops
12:37 Small meals, side effects and strength training
13:55 What to expect when stopping GLP-1s
15:19 The take-home: plan ahead with your care team
Stay connected
Follow us, Lora Attia and Nick Nation on Instagram @itsnotyouitspmos for evidence-based conversations, practical nutrition advice and support around PMOS, fertility, hormones and reproductive health.
Instagram: https://www.instagram.com/itsnotyouitspmos/
It's Not You, It's PMOS – helping you understand your hormones and feel empowered in your reproductive health journey.
I'd keep the three sound bites in the description. They're strong, memorable statements that communicate the episode's message without overselling what the current fertility research can tell us.
 

Does PMOS Disappear at Menopause? | PMOS, PCOS & Menopause
Does PMOS (formerly known as PCOS) disappear when you reach menopause? The short answer is no — but PMOS can change significantly throughout perimenopause and menopause.
In this episode of It’s Not You, It’s PMOS, Lora and Nick explore what happens to PCOS/PMOS after menopause, including which symptoms may improve, which can persist, and why metabolic health becomes an increasingly important focus beyond the reproductive years.
As oestrogen levels change during perimenopause and menopause, women with PMOS may experience changes in insulin resistance, weight management, body composition, cardiovascular health, androgen levels, mental health and metabolic risk.
Lora and Nick discuss practical, evidence-informed strategies to support your health during this transition, including the role of nutrition, protein, resistance training, cardiovascular exercise, muscle mass, bone health and the Mediterranean diet.
In this episode, we cover:
• Why PMOS is a lifelong condition that can evolve over time• What happens to PCOS/PMOS symptoms during menopause• How hormonal changes during perimenopause can affect PMOS• Insulin resistance, cardiovascular health and metabolic risk• Why weight management can become more challenging during menopause• Maintaining muscle mass and managing changes in body composition• How protein and a Mediterranean-style diet can support health• The importance of resistance training, cardiovascular exercise and bone health• Mental health and wellbeing during perimenopause and menopause• When symptoms should prompt a medical review• Why early intervention can help reduce long-term metabolic complications• How to build a healthcare team to support you through menopause
Whether you have been diagnosed with PCOS/PMOS, are approaching perimenopause, or are already in menopause, this episode explores how to shift the focus from fertility alone towards long-term metabolic, cardiovascular, physical and mental health.
Key takeaway: PMOS doesn't simply disappear at menopause — its presentation changes, and so should the way we support your health.
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Keywords: PMOS, PCOS, polycystic ovary syndrome, menopause, perimenopause, PCOS and menopause, PMOS and menopause, insulin resistance, metabolic health, women's health, menopause nutrition, PCOS weight management, Mediterranean diet, resistance training, cardiovascular health, protein, mental health, hormonal changes, body composition, bone health.

Vitamin D is one of the most common nutrient deficiencies in women with PMOS (Polycystic Metabolic Ovarian Syndrome), but its role extends far beyond bone health.
In this episode of It's Not You, It's PMOS, fertility dietitian Lora Attia and co-host Nick Nation explore the growing evidence linking Vitamin D to insulin resistance, hormone regulation, ovulation, fertility, inflammation, mood, and overall metabolic health.
You'll learn:
Why Vitamin D functions more like a hormone than a vitamin.
Why Vitamin D deficiency is more common in women with PMOS.
How low Vitamin D levels are associated with insulin resistance, elevated androgens, irregular periods, and fertility challenges.
The role of Vitamin D receptors in the ovaries, uterus, and other reproductive tissues.
Common mistakes people make when taking Vitamin D supplements.
When testing and supplementation may be appropriate.
Whether you're trying to improve your fertility, manage PMOS symptoms, or better understand your metabolic health, this episode provides practical, evidence-based information to help you make informed decisions.
Subscribe to It's Not You, It's PMOS for expert conversations that separate fact from fiction and empower you to take control of your health—because it's not your fault. It's not you. It's PMOS.
 
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In this episode of It's Not You, It's PMOS, Lora and Nick unpack one of the biggest changes in women's health in decades: the transition from Polycystic Ovary Syndrome (PCOS) to Polyendocrine Metabolic Ovarian Syndrome (PMOS).
For years, the name PCOS has caused confusion, anxiety, and misunderstanding. Many women were told they had "cysts on their ovaries" when, in reality, the condition is far more complex and affects much more than reproductive health.
Join us as we explore:
• Why international experts agreed the name PCOS no longer reflected the condition accurately• The science behind the new term PMOS and what each word means• Why many women with the condition never actually had ovarian cysts• The role of insulin resistance, hormones, and metabolic health in PMOS• How the condition affects women throughout their entire lifespan—not just during their reproductive years• The increased risks for heart disease, diabetes, and other long-term health concerns• How changing the name may help reduce stigma and improve understanding of women's health
We also discuss the global collaboration that led to the name change, involving thousands of women with lived experience, researchers, clinicians, and advocacy groups worldwide.
Whether you've recently been diagnosed, have lived with PCOS for years, or support someone with the condition, this episode will help you understand why this change matters and what it means for the future of diagnosis, treatment, and awareness.
Key Takeaway:You probably never had ovarian cysts—and that's exactly why the name needed to change.
Subscribe, share, and join us as we continue to challenge outdated narratives and empower women with evidence-based information about PMOS.
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Links: https://www.nih.gov/news-events/nih-research-matters/polcystic-ovary-syndrome

Cravings, Cramps & Cortisol - Maybe it's time to look at Magnesium! 
Magnesium is one of the most underrated nutrients when it comes to managing PCOS—but it plays a powerful role behind the scenes.
In this episode, we unpack how magnesium influences key aspects of PCOS, from insulin resistance and hormonal balance to mood, inflammation, and long-term cardiovascular health. You’ll learn why women with PCOS are more likely to have lower magnesium levels, how this impacts symptoms like acne, hirsutism, and anxiety, and what you can do about it.
We also break down the best food sources of magnesium, practical ways to increase your intake, and when supplementation may be helpful—including which forms to consider depending on your symptoms.
Whether you’re trying to improve your metabolic health, support your mental wellbeing, or optimise your fertility, this episode will give you a clear, evidence-based understanding of how magnesium fits into your PCOS management plan.
What we cover:
The role of magnesium in over 300 biochemical processes, including glucose metabolism and insulin signalling
Why magnesium deficiency is more common in women with PCOS
How magnesium supports insulin sensitivity and reduces inflammation
The link between magnesium, hormone balance, and symptoms like acne and excess hair growth
Magnesium’s impact on mood, anxiety, and the nervous system
Benefits for cardiovascular health and blood pressure
Magnesium-rich foods and how to include them in your diet
When to consider supplementation and which forms may be most appropriate
We walk you through the different types of Magnesium and why they are used for different outcomes:
Magnesium glycinate 
Magnesium citrate 
Magnesium oxide 
Want to boost your magnesium intake through food? Try Nick’s famous bean recipe—a simple, nourishing way to support your intake while keeping meals PCOS-friendly.
Link: https://drive.google.com/file/d/1_sDexgE2dUPqdS9pXMCleICO4lqOWOLW/view?usp=sharing 
 
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Happy Listening - Lora & Nick
PCOS & Fertility Dietitians 
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Disclaimer:This podcast is for educational purposes only and is not a substitute for personalised medical advice. Always speak with your healthcare provider before starting any new supplements.

Struggling with PCOS facial hair or hirsutism and wondering if supplements actually help?
In this episode of It’s Not You, It’s PCOS, fertility dietitian Lora Attia and co-host Nick unpack the science behind hirsutism in PCOS, including:
• Why facial hair growth happens in PCOS• How insulin resistance increases testosterone• The most evidence-based supplements for PCOS and hirsutism• Which supplements are overhyped or a waste of money• What actually makes the biggest difference long-term
We cover inositol, omega-3, zinc, vitamin D, spearmint tea, DIM, and saw palmetto — and explain how nutrition, hormones, and medical care all play a role.
If you’re tired of quick fixes and want honest, evidence-based guidance for PCOS facial hair and hirsutism, this episode is for you.
 
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Cheers, Nick and Lora!
 

Feeling overwhelmed by conflicting PCOS advice like “cut carbs,” “exercise more,” or “just take supplements”? In this episode of It’s Not You, It’s PCOS, we break it down into five practical, evidence-based PCOS hacks that actually make a difference — without turning your life upside down.
We cover simple strategies that support hormone balance, insulin resistance, energy, weight management, and overall wellbeing, and most importantly, how to make them realistic and sustainable.
In this episode, we talk about:• Why moving for 10–15 minutes after meals can improve blood sugar control• How sleep impacts insulin, cravings, cortisol, and PCOS symptoms• Simple stress-management tools that support ovulation and hormone balance• How to build balanced PCOS-friendly meals with protein, fibre, and carbs• Why strength training is one of the most underrated tools for PCOS
If you’re trying to manage PCOS, improve insulin sensitivity, support fertility, or just feel more like yourself again — this episode is for you.
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Cheers, Nick Nation & Lora Attia 
PCOS Accredited Practicing Dietitians 

In this episode of 'It's Not You, It's PCOS', hosts Laura and Nick discuss the critical role of fats in managing PCOS. They explore the different types of fats, emphasizing the importance of healthy fats like omega-3s while cautioning against trans fats. The conversation highlights practical dietary tips for incorporating beneficial fats into meals and the impact of these choices on inflammation, hormone balance, and overall fertility outcomes.
 
Takeaways
 
Fat plays a powerful role in hormones, inflammation, and fertility.
Not all fats are created equal; some are beneficial while others are harmful.
The tastiest foods are often unhealthy and can lead to addiction.
It's possible to reduce cravings for unhealthy foods over time.
Trans fats are particularly harmful and should be avoided.
Incorporating omega-3s from food is preferable to supplements.
Healthy fats can improve hormone balance and fertility outcomes.
Dietitians also face challenges with food cravings and balance.
Making simple swaps in your diet can lead to better health.
Fat should be viewed as an ally in managing PCOS, not an enemy.
 
Chapters
 
00:00 Understanding the Role of Fats in PCOS
05:11 The Power of Omega-3 Fatty Acids
12:12 Navigating Omega-6 and Other Fats
17:54 Practical Strategies for Healthy Fat Consumption
 
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A New Approach to PCOS, how eating More for PCOS can be a game changer for weight loss and improving your relationship with food!  It's nourishment over restriction here's why...
Join Nick Nation, Accredited Practising Dietitian, and Lora Attia, PCOS and Women’s Health Dietitian, in this episode of It’s Not You, It’s PCOS as they break down the link between PCOS, nutrition, weight loss, and insulin resistance.
Discover why eating more nutrient-dense foods—not less—can support healthy weight management, weight loss, better blood sugar control, and improved hormonal balance.
Nick and Lora tackle common misconceptions about calorie restriction, share practical dietary tips for balanced meals with protein, healthy fats and fibre, and explain how to shift your mindset from restriction to nourishment. Whether you’re struggling with PCOS symptoms, insulin resistance or want to feel confident about your food choices, this episode offers real-life strategies to make food your ally.
 
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Dietitians Nick & Lora share nutrition tips to beat PCOS bloating...
Feeling bloated with PCOS? You’re not alone. As dietitians specialising in PCOS nutrition, Nick and Lora unpack why bloating happens and share practical tips to help you feel lighter, more comfortable, and in control.
Bloating with PCOS is more than just discomfort—it’s often tied to insulin resistance, hormones, gut health, and inflammation. In this episode of It’s Not You, It’s PCOS, dietitians Nick and Lora share their expertise in PCOS nutrition to help you understand why bloating happens and what you can do to ease it.
We break down:
How insulin resistance and inflammation impact digestion and bloating
The link between hormones, gut health, and PCOS bloating
Practical nutrition strategies: getting the right type and amount of fiber, staying hydrated, and including anti-inflammatory foods
Simple lifestyle tips like gentle movement after meals
The role of probiotics and fermented foods in reducing bloating
If you’ve been asking yourself, “Why am I always bloated with PCOS?” this episode will give you the nutrition and lifestyle tools to beat the bloat and feel more comfortable day to day.
 
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Keywords: PCOS bloating, PCOS dietitian, PCOS nutrition, PCOS gut health, PCOS digestion, PCOS inflammation, insulin resistance, probiotics for PCOS, anti-inflammatory diet PCOS, women’s health nutrition