sample presentation--pcos training

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Polycystic Ovary Polycystic Ovary Syndrome: Syndrome: A Neuroendocrine A Neuroendocrine Perspective Perspective Monika M. Woolsey, MS, RD Monika M. Woolsey, MS, RD inCYST Programs for Women inCYST Programs for Women With PCOS With PCOS www.incyst.blogspot.com www.incyst.blogspot.com ©2009, inCYST Programs ©2009, inCYST Programs

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Sample slides from my professional PCOS training

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Page 1: Sample presentation--PCOS Training

Polycystic Ovary Polycystic Ovary Syndrome:Syndrome:

A Neuroendocrine A Neuroendocrine PerspectivePerspective

Monika M. Woolsey, MS, RDMonika M. Woolsey, MS, RDinCYST Programs for Women With inCYST Programs for Women With

PCOSPCOSwww.incyst.blogspot.comwww.incyst.blogspot.com

©2009, inCYST Programs©2009, inCYST Programs

Page 2: Sample presentation--PCOS Training

Symptoms of Androgen Symptoms of Androgen ExcessExcess

Facial hair, body hairFacial hair, body hair

AcneAcne

Male pattern baldnessMale pattern baldness

Weight gain in an “apple shaped” patternWeight gain in an “apple shaped” pattern

Mood volatilityMood volatility

Weight gain with exerciseWeight gain with exercise

©2009 inCYST Programs©2009 inCYST Programs

Page 3: Sample presentation--PCOS Training

Eating Disorders and PCOSEating Disorders and PCOS

6 out of 7 sonograms performed on women with 6 out of 7 sonograms performed on women with bulimia showed evidence of ovarian cysts in a bulimia showed evidence of ovarian cysts in a PCOS-like presentationPCOS-like presentation

??? Is an eating disorder an alternative ??? Is an eating disorder an alternative presentation of PCOS???presentation of PCOS???

©2009 inCYST Programs©2009 inCYST Programs

Page 4: Sample presentation--PCOS Training

The inCYST Approach to PCOS The inCYST Approach to PCOS Treatment Begins With the Treatment Begins With the

BrainBrain

©2009 inCYST Programs©2009 inCYST Programs

Page 5: Sample presentation--PCOS Training

Anyone at risk for PCOS is also at risk Anyone at risk for PCOS is also at risk for developing Alzheimer’s disease.for developing Alzheimer’s disease.

©2009 inCYST Programs©2009 inCYST Programs

Page 6: Sample presentation--PCOS Training

Postpartum DepressionPostpartum Depression

©2009 inCYST Programs©2009 inCYST Programs

Increasing plasma DHA by Increasing plasma DHA by 1%1% decreases decreases symptoms by symptoms by 59%59%

Makrides M, Crowther CA, Gibson RA, Gibson RS, Skeaff CM.Makrides M, Crowther CA, Gibson RA, Gibson RS, Skeaff CM. Docosahexaenoic acid and post-parrtum depression—is there a link? Docosahexaenoic acid and post-parrtum depression—is there a link? Asia Pac Asia Pac

J Clin Nutr 2003; 12 Suppl: S37.J Clin Nutr 2003; 12 Suppl: S37.

Page 7: Sample presentation--PCOS Training

EPA and algae technologyEPA and algae technology

©2009 inCYST Programs©2009 inCYST Programs

Unless an animal is fed an omega-3 friendly diet, the resulting products (meat, milk, eggs) will not be

omega-friendly.

Page 8: Sample presentation--PCOS Training

Know Your SeafoodKnow Your Seafood

©2009 inCYST Programs©2009 inCYST Programs

Basa ~ Vasa ~ CatfishBasa ~ Vasa ~ Catfish

Page 9: Sample presentation--PCOS Training

Vegetarians have lower tissue Vegetarians have lower tissue DHA levels than non-DHA levels than non-

vegetarians.vegetarians.

©2009 inCYST Programs©2009 inCYST Programs

Davis BC, Kris-Etherton PM. Achieving optimal essential fatty acid status in vegetarians: current knowledge and practical implications. Am

J Clin Nutr 2003 Sep; 78(3 Suppl): 640S – 646S.

Page 10: Sample presentation--PCOS Training

Statin medications disrupt Statin medications disrupt omega-6 to omega-3 ratio.omega-6 to omega-3 ratio.

©2009 inCYST Programs©2009 inCYST Programs

Harris JI, Hibbeln JR, Mackey RH, Muldoon MF. Statin treatment alters serum n-3 and n-6 fatty acids in hypercholesterolemic patients.

Prostaglandins Leukot Essent Fatty Acids 2004 Oct; 71(4):263-9.

Page 11: Sample presentation--PCOS Training

Functions of DHAFunctions of DHA

©2009 inCYST Programs©2009 inCYST Programs

VisionHormone FunctionSeizure ThresholdsAntioxidantMood Regulation

Page 12: Sample presentation--PCOS Training

inCYST FindinginCYST Finding

>65% of women have at least one of >65% of women have at least one of the following sleep issues:the following sleep issues:

InsomniaInsomnia Restless legsRestless legs Obstructive sleep apneaObstructive sleep apnea Night eatingNight eating SleepwalkingSleepwalking

©2009, inCYST Programs©2009, inCYST Programs

Page 13: Sample presentation--PCOS Training

Melatonin is the brain’s scrubbing Melatonin is the brain’s scrubbing bubblebubble

©2009 inCYST Programs©2009 inCYST Programs

Page 14: Sample presentation--PCOS Training

How inCYST defines PCOSHow inCYST defines PCOS

The consequence of diet, lifestyle, and The consequence of diet, lifestyle, and stress management choices that promote stress management choices that promote a rate of oxidation exceeding the body’s a rate of oxidation exceeding the body’s ability to counter it with antioxidant ability to counter it with antioxidant defenses.defenses.

©2009 inCYST Programs©2009 inCYST Programs

Page 15: Sample presentation--PCOS Training

How inCYST defines PCOSHow inCYST defines PCOSMental stress results in excessive brain and nervous Mental stress results in excessive brain and nervous

system activity, which is all metabolic and system activity, which is all metabolic and oxidative…meaning it is oxidative…meaning it is NEURODEGENERATIVENEURODEGENERATIVE!!

©2009 inCYST Programs©2009 inCYST Programs

Page 16: Sample presentation--PCOS Training

How inCYST defines PCOSHow inCYST defines PCOS

Melatonin imbalance has been reported Melatonin imbalance has been reported to interfere with embryo implantation.to interfere with embryo implantation.

©2009 inCYST Programs©2009 inCYST Programs

Page 17: Sample presentation--PCOS Training

Western medicine tends to treat Western medicine tends to treat each sympton of PCOS as a each sympton of PCOS as a

separate entity with separate separate entity with separate medications for each. Some of medications for each. Some of

these medications can worsen the these medications can worsen the problem.problem.

©2009 inCYST Programs©2009 inCYST Programs

Psychiatric medications can cause weight Psychiatric medications can cause weight gain, insulin resistance, diabetes, and PCOSgain, insulin resistance, diabetes, and PCOS

Statins can disrupt omega-3 balanceStatins can disrupt omega-3 balance

Page 18: Sample presentation--PCOS Training

Did you know?Did you know?

It is virtually impossible for anyone, It is virtually impossible for anyone, let alone a pregnant woman, to let alone a pregnant woman, to adhere to the California Proposition adhere to the California Proposition 65-mandated warning and meet daily 65-mandated warning and meet daily omega-3 fatty acid needs.omega-3 fatty acid needs.

©2009, inCYST Programs©2009, inCYST Programs

Page 19: Sample presentation--PCOS Training

Since inflammation is oxidation, Since inflammation is oxidation, and the inCYST approach is an and the inCYST approach is an

antiinflammatory approach, it is antiinflammatory approach, it is not much different than rust repair not much different than rust repair

and rustproofing…and rustproofing…

©2009 inCYST Programs©2009 inCYST Programs

Page 20: Sample presentation--PCOS Training

If your patient is presenting If your patient is presenting with either of these with either of these problems, screen for problems, screen for

historical indicators of historical indicators of potential DHA deficiency:potential DHA deficiency:

Premature as a babyPremature as a babyBottle fedBottle fed

Lots of processed foods in dietLots of processed foods in dietHistory of dieting/eating disorderHistory of dieting/eating disorder

Multiple pregnanciesMultiple pregnanciesClosely timed pregnanciesClosely timed pregnancies

Assisted reproductionAssisted reproductionUse of psychotropic medicationsUse of psychotropic medications

©2009, inCYST Programs©2009, inCYST Programs

Page 21: Sample presentation--PCOS Training

If your patient is presenting If your patient is presenting with either of these with either of these

problems, screen for current problems, screen for current indicators of potential DHA indicators of potential DHA

deficiency:deficiency:Rapid perinatal weight gainRapid perinatal weight gainRapid perinatal weight lossRapid perinatal weight loss

Gestational diabetesGestational diabetesIntense carbohydrate cravingsIntense carbohydrate cravings

Irregular sleep architectureIrregular sleep architectureHigh stress environmentHigh stress environment

Memory problemsMemory problemsMood swingsMood swings

©2009, inCYST Programs©2009, inCYST Programs

Page 22: Sample presentation--PCOS Training

Where to find a PCOS specialistWhere to find a PCOS specialist

©2009 inCYST Programs©2009 inCYST Programs

www.afterthediet.com/pcoshelp.htmwww.afterthediet.com/pcoshelp.htm