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Speaker 1: (00:03)

Welcome to the Health Babes Podcast with doctors Becky Campbell and Krystal Hohn, where we talk everything health.

Dr. Becky Campbell: (00:14)

Hey guys, I want to let you know that our new book, The Health Babes Guide to Balancing Your Hormones, is out in bookstores and on Amazon now. We try to break down the hormones for you in a really easy-to-understand format and make all the information very digestible. We have some really good recipes to support your hormone levels and some other great tips and tricks you can do at home. So go get your copy now!

Dr. Krystal: (00:40)

Hello everybody! I am so excited for today’s topic. I’ve been wanting to do an episode on PCOS for a while now because it is one of the biggest things that I see in women, especially if they’re struggling with infertility, having issues with their menstrual cycle, problems with ovulation, weight gain—all the things. And we’re going to get into the symptoms and things associated with PCOS. But let’s first start with: What is PCOS, and what does it stand for? PCOS is polycystic ovarian syndrome. If you break it down, “poly” meaning many, “cystic” meaning cysts on the ovaries, and then a syndrome is included, which is typically symptoms or patterns that we see in functional medicine when we’re breaking this down. So, polycystic ovarian syndrome is probably one of the most common endocrine disorders, [both] in women that I see and worldwide.

Dr. Krystal: (01:49)

Ten to fifteen percent of premenopausal women struggle with that. If you think of that number, that’s a really big number when it comes to endocrine disorders and what women are dealing with with hormones. So it’s one of the biggest drivers, and it’s one of the biggest causes of anovulatory cycles, which can lead to fertility problems when trying to get pregnant. So a lot of the time, what I’ll see is women coming to us struggling with fertility or having period problems. With a lot of these strange symptoms associated, it can be hard to unpack. So let’s talk a little bit about how it’s diagnosed in conventional medicine. In functional medicine, we definitely take all of this into consideration with diagnoses. But when it comes to patterns with PCOS, that’s really what we’re looking at because you want to figure out what is driving this in me?—because these patterns and symptoms can be different for everybody. So it’s really important to know that. 

Dr. Krystal: (03:02)

Diagnosis criteria in the conventional world is with the Rotterdam method. When it comes to the Rotterdam method, they’re looking at a couple of factors when they’re trying to diagnose PCOS. What that [means] is that they’re looking for high androgens or androgen-type symptoms. What do I mean by that? High androgens could be anything from things like high testosterone and high DHEA to androgen metabolites like etiocholanolone and androstenedione. Even things like estrogen can be higher in PCOS. So they’re looking at hormones that are higher or androgen-type symptoms—which we’re going to be getting into—like increased hair growth on the face, acne, and things like that. So they’re looking at one or two of those.

Dr. Krystal: (03:59)

Do you have high androgens on your blood work, or are you really struggling with just the symptoms of high androgens? And you can definitely see both, or one or the other. The other thing they’re looking at is dysregulated cycles, in which you could have a period one month, no period the next month, or two or three periods a year. Your periods are all over the place, meaning your bleeds. So they’re looking at that or anovulatory cycles because you can still bleed but not ovulate. This is where a lot of women will come to the practice, or I have seen where they’re cycling regularly, but they’re not ovulating. Or they don’t have strong progesterone levels, or their progesterone levels are just really low, meaning they’re not ovulating. So you can have dysregulated cycles where your periods are all over the place, or you can have anovulatory cycles.

Dr. Krystal: (04:59)

Then the next thing that they look at are cysts on the ovaries. These are those pearl-like, fluid-filled cysts on the ovaries. And they’re looking at many, not just one cyst; they want to see [something] like above nine. So you’re looking at many cysts, and what they want is two out of the three criteria. You don’t have to have cysts on the ovaries to have PCOS if you’re struggling with dysregulated cycles, anovulatory cycles, high androgens, or even high androgen-type symptoms. You can have two out of the three. That’s what they’re looking for when it comes to diagnosing this. So just keep all that in mind. Now, in functional medicine, we’re looking at patterns. And when I’m diving into hormones and things with patients, so many symptoms and things overlap with different hormonal dysregulations. So I’m really trying to figure out, “Okay, what is driving this in patients?”—because there are many different drivers of PCOS, and you can have a combination of drivers too.

Dr. Krystal: (06:13)

So before we get into the types of PCOS, let’s dive into the symptoms. It’s really hard on women—the symptoms of PCOS. One of the big ones that I do see is hirsutism. Hirsutism is an increase in hair growth in unwanted areas. When I’m talking about hair growth in unwanted areas, it’s very normal for different ethnicities, depending on where you come from, to have darker hair above the lip and maybe more hair throughout the body. That can be normal for you. 

Dr. Krystal: (06:55)

With polycystic ovarian syndrome, what we’re looking for are those rogue hairs similar to underarm hair or pubic hair. It’s those rogue hairs on the chin, the nipple area, and the naval. They’re typically hard, they’re rogue-like, and they’re very coarse. So when women are struggling with PCOS and hirsutism is a symptom, it’s very hard for those hairs, once they become rogue, to go back to their original state of softness and not even knowing that they’re there. Like, peach-like fuzz, right? It’s very hard for that to do that. So you can definitely stop the problem and the hair growth from getting worse. But I suggest that if it’s something that you struggle with, and you know you struggle with PCOS, do laser. Laser, plucking, and waxing—that is your best bet when it comes to dealing with those rogue hairs. Yes, we can stop it from getting worse. You can really help those new hairs from becoming rogue, but definitely use laser.

Dr. Krystal: (08:13)

It can help. Hirsutism is awful for confidence and makes you feel so insecure, and it’s heartbreaking for women who really struggle with this. They really want to get to the bottom of it because some of these symptoms of PCOS are not something that you can necessarily cover up easily. It’s for everyone to see, and it can really take a toll on your self-esteem. In my experience, laser plucking and things for those stubborn rogue hairs are what you want to do while you work on trying to prevent new hair growth from happening, which is what you definitely can do. Hair growth with PCOS too—those rogue hairs, hirsutism—is very stubborn, and it takes time. So be patient. If you’re starting to work on different things, like doing different things with herbs, working on blood sugar, or decreasing inflammation in the body, give your body time because it really does take time for those areas to really calm down and for hormones to regulate.

Dr. Krystal: (09:30)

Weight loss resistance is a big one with PCOS. This is another very hard topic for any woman going through PCOS because there are so many hormones involved. When hormones are really high and low—and we know all hormones are connected to one another—when one thing is often imbalanced, it’s going to impact something else. And when you’re dealing with blood sugar dysregulation, high androgens, and inflammation, the body is in such a stressed state that it’s going to have a really hard time letting go of any weight. So definitely stay the course. We’re going to be talking about some action steps here. If PCOS is something that you know that you struggle with, or you may be thinking, “Hmm, do I deal with this?” we’re going to get into all of that. But weight loss resistance is one of the biggest symptoms that I do see with PCOS. And it’s tough. It really is tough, you guys. So the good news is that when you stay the course and really learn how to make your body feel as safe as possible, weight loss can happen with PCOS. It really can. We just need to figure out, “Okay, what is driving this in your body?” so you know how to best support it.

Dr. Krystal: (10:28)

Weight loss resistance, cystic acne—this is another one that takes a huge toll on confidence for women. The reason why—cystic—is because of those high androgens. High testosterone, high DHEA, blood sugar dysregulation, and even nutrient deficiencies, along with hormonal dysregulation, can really impact the severity of acne and inflammation in the gut. There are so many things involved that can make acne worse. Diet—we’ve got to really watch our diet with PCOS, and we’ll get into that. But cystic acne is very, very hard. It’s one of the common symptoms that I see with polycystic ovarian syndrome. 

Dr. Krystal: (11:33)

Dysregulated cycles and fatigue. Fatigue is another thing. When you’re dealing with a lot of endocrine imbalances when it comes to sex and adrenal hormones, it’s tiring on the body. You will feel that. This is where we see this really big loop with patients who are in this cycle of: “I want to lose weight. I’m trying to work out even harder to lose weight,” which makes you more tired. You don’t have any energy to want to expend anywhere else to try to help your body. It’s a vicious cycle when it comes to that stubborn weight gain and things. With PCOS and fatigue, when you’re dealing with a lot of these hormonal dysregulations; it’s a big, big symptom. So give yourself grace as you go through this and really try to work on figuring out the root drivers of what is driving your PCOS patterns.

Dr. Krystal: (12:36)

Anger, a short fuse, and anxiety—guys, this is a big one, especially with high androgens. As women, yes, we need healthy testosterone levels. But when these levels are at a very large dose within the body, you’re going to feel like you’re crawling out of your skin. You’re going to have a short fuse. You’re going to anger easily. I will tell you that back in my health journey, when my testosterone was higher, I thought I was going to crawl out of my skin, and it was very different from who I am. Like: “What is going on with my body? I’m having an out-of-body experience. I feel like I’m short fused with my kids. I have no sex drive,” even though the testosterone is high. Going back to all of the fatigue and confidence issues with all the other symptoms associated, it’s like you’re a hamster on a wheel. So just know that a short fuse, anger, and anxiety—all of these are very big symptoms when it comes to PCOS and the hormones that are involved. 

Dr. Krystal: (13:55)

So let’s talk about the different types of PCOS—common drivers. Insulin type PCOS is the most researched type of PCOS out there. Sixty to seventy five percent of women with PCOS have high insulin [levels], and seventy to eighty percent of these women struggle with weight loss or find that they are more overweight. They really struggle in that area. Now, 20% to 30% are not overweight, though. It’s called “thin PCOS.” It definitely can happen, and we see that often. So keep that in mind. But insulin type PCOS is one of the biggest drivers and one of the most common findings. High insulin levels are one of the common types of PCOS. One thing to understand about the ovarian cell anatomy is that we have these important cells in the ovary called the theca and granulosa cells. Our theca cells are on the outside, and they make androgens. And our granulosa cells are on the inside, and they make estrogen. Both the theca and granulosa cells on the ovary have insulin receptors. 

Dr. Krystal: (15:18)

As you can imagine, if you have a lot of insulin, it’s going to cause an increase in testosterone and possibly an increase in estrogen because we have all of this insulin going in. They’re attaching to those insulin receptors on that ovary. So we can have a lot of extra testosterone and estrogen going into circulation, also from our fat tissues and our adrenal glands, which could be making the issue worse, not just coming from the ovaries. So you can imagine that with high insulin, it’s going to make those high androgen-type symptoms way worse. That’s why, no matter what type of PCOS I may find a patient going through, I’m going to want to really regulate blood sugar and work on insulin because it’s going to automatically drive down those androgen symptoms. Prolonged insulin, too, having high insulin for longer periods of time, really inhibits the maturation of that egg, so that those follicles that are fighting for that dominant follicle—like when patients are dealing with high, high insulin—can really affect how mature that follicle gets. It can really impede that whole process.

Dr. Krystal: (16:43)

So I’ll even see low estrogen or anovulatory cycles with low progesterone in PCOS. So it’s not always high estrogen or high testosterone. I’ll also see low estrogen sometimes with low progesterone having anovulatory cycles because that dominant follicle just never matured fully. So we’re not ovulating. It’s a very common thing that you can see when it comes to insulin type PCOS. You definitely want to get all of that under control. Blood sugar is a big thing, and insulin-type PCOS is definitely the number one researched type of PCOS out there. It has the most research. So no matter what hormone I’m working on, PCOS or not, blood sugar regulation is really, really important when it comes to regulating hormones.

Dr. Krystal: (17:48)

So when you’re dealing with insulin-type PCOS, some of the common things that you’ll see are hyperandrogenism, high testosterone, high DHEA with DHEA metabolites or other androgen metabolites, and sometimes high estrogen. High insulin will cause an increase in that testosterone and estrogen due to insulin resistance in the theca cells and the granulosa cells that we just talked about a little bit earlier. Then, of course, prolonged insulin can really cause anovulatory cycles and really impact that dominant follicle from maturing. So it’s really, really important to get your blood sugar in check. 

Dr. Krystal: (18:39)

The next type of PCOS is the second [most] common type of PCOS that is researched out there, and it’s inflammatory PCOS.

Whenever I’m working with PCOS in general, I want to lower as much inflammation as possible. When I talk about inflammation-type PCOS, it’s really about diving into the microbiome. There’s a lot of new research now, guys, about how important the microbiome is to our metabolic health and also how we are metabolizing our hormones. Diet is a crucial part of the microbiome. We know we need really good, prebiotic-rich foods to help feed the good bacteria. We really need lots of healthy fiber for healthy bowel movements. Then, of course, you really want to make sure you’re diving in and not dealing with any infections in the gut. Things like H. pylori, SIBO, candida, parasites—a lot of these infections—can really impact how we’re metabolizing and getting rid of hormones through the bile and through the stool. So if we’re struggling with infections in the gut, we’re just not clearing out as efficiently as we can, and we’re getting a lot of excess hormone in circulation. So you really want to make sure that you are supporting the microbiome.

Dr. Krystal: (20:16)

In inflammatory PCOS, there’s a lot of research on how important the microbiome is to taking care of that. So definitely dive in and do some stool testing. There’s so much information out there. I know if you’re listening here, you probably have many podcasts that you listen to, and there can be a lot of information in excess that can get overwhelming for you guys. I know there’s a lot on stool testing. Personally, and Dr. Campbell too, we run stool testing on almost every patient because it’s so important to see: How is your intestinal health? What does your good bacteria look like? Are you dealing with any infections in the gut?—because it impacts really everything. It really does. So I really encourage you to dive into your gut health, and we’re going to talk about how you can do that here in a little bit. 

Dr. Krystal: (21:18)

Some of the less researched [PCOS], I see it in practice, is adrenal type PCOS, post-birth control PCOS. I will say this—and I can’t tell you how many times Dr. Campbell and I stress this—when it comes to all hormones or anything in the body, you really have to support trauma and stress in your life. It’s not that you can always take care of and get rid of every little stress in your life. That’s not what we’re saying. But you definitely need to put the proper tools in place in order to help your body process that stress better. Even though the adrenals may not be the most commonly researched type of PCOS out there, when your hormones are impacted, oftentimes the adrenals are involved. So no matter what type of PCOS I may feel that you may be struggling with or what is driving it more than the other, I am going to focus on the adrenal glands, just like I’m going to be focusing on and looking at all the hormones. I’m going to be diving into gut health. Functional medicine is about putting a lot of those pieces together because everything is involved. So it’s not just like, “Okay, I have insulin-type PCOS; I’m only going to focus on blood sugar.” It really is about putting all the pieces together. And I’ll tie it all together for you guys at the end here with actionable steps with what to look at and where to start because it does get overwhelming.

Dr. Krystal: (23:01)

So adrenal PCOS is definitely a big, associated type of pattern that I do see with PCOS. But the other two, inflammatory and insulin-type, are definitely more researched. Post-birth control, too. I don’t see this that commonly—in practice—throughout the years. Usually, when patients are coming off of birth control, it can really take time for that brain-ovary connection to happen again. You can start to see a lot of dysregulations and weird things with hormones as the body is trying to regulate again. You can see a lot of those PCOS-type symptoms or patterns with post-birth control PCOS, but it’s not something that I typically see. Even with anovulatory cycles or when patients just aren’t cycling, you can see patients coming off of birth control where they don’t have a cycle for a very long period of time. Usually I’m seeing more anorexia, eating disorders, or tons of trauma and stress causing that more often when it comes to not having a cycle at all. So I just thought I would mention that because it is something that I do see. 

Dr. Krystal: (24:28)

So those are the main types: Insulin type, where we’ve got to really manage insulin and blood sugar. It’s a big, big driver of PCOS because it impacts everything. Inflammatory PCOS, where you really want to dive into gut health, the adrenal component, and sometimes that post-birth control PCOS—those are the most common [ones].

Dr. Krystal: (24:51)

Some disorders that mimic PCOS, though, that you definitely want to look into are [during] pregnancy. If you’re not having a cycle or not ovulating—and some women don’t know that they’re pregnant for quite a few months, but their body feels the same—you want to just check for pregnancy and make sure you’re not pregnant. Certain medications can really impact the adrenals and how we ovulate, and our cycles can really increase androgens in the body. So make sure you talk to your doctors about the medications. Prolactinomas are very common too and really increase those androgen symptoms. I do see a lot of prolactinomas. You want to definitely make sure you’re talking to your doctor, checking prolactin levels, looking at the pituitary gland, and things like that, because that is common. 

Dr. Krystal: (25:39)

Thyroid dysregulations too. We see a lot of low thyroid with PCOS. Low thyroid will impact ovulation—impact everything—impact your blood sugar regulation. So any thyroid dysregulation can really make you feel a lot of the symptoms similar to PCOS. Non-classic adrenal hyperplasia too, androgen secreting tumors, things like that, you want to rule out and make sure that’s not what you’re struggling with. If you think you have PCOS, you just want to rule those things out too when you’re talking with your doctors and things like that. So what do we do about all this? You may be feeling like: “Oh, okay, my doctors thought maybe [I have] PCOS. What do I do? How should I manage this?” yada, yada, yada. First and foremost, when someone comes to me, I’m going to want to dive in and check their hormones. So I recommend a Dutch Complete test, and I will walk you through how you can do this too.

Dr. Krystal: (26:52)

But this is looking at your sex and adrenal hormones like estrogen, progesterone, testosterone, DHEA, and your metabolites, cortisol, and how you are metabolizing your hormones. This is not just looking at your levels; it’s looking at how you are metabolizing and breaking your hormones down, which is a huge piece of the puzzle when it comes to looking at hormones. When one hormone is dysregulated, typically another is involved. Our hormones are like a web. So you want to make sure that you are tackling that. You want to look at all the hormones, not just one hormone. So I like the Dutch test; it’s very comprehensive, and it gives you a lot of information that you simply can’t get from blood work when checking these. 

Dr. Krystal: (27:47)

Doing stool testing. We really love the GI-MAP test through Diagnostic Solutions. We find it very specific, and we’ve worked with many throughout the years. But you want to make sure that you’re not dealing with any infections in the gut. You really want to work on lowering inflammation. You want to make sure you’re digesting your foods optimally and not dealing with any leaky gut. So that is definitely another test that I would dive into. 

Dr. Krystal: (28:14)

Blood work—looking at your thyroid function, looking at thyroid antibodies, not just looking at TSH and T4. You want to look at T3, you want to look at your free and total hormones, and you want to look at thyroid antibodies to get the full picture. You can look at FSH, LH, prolactin, A1C, insulin, and very important nutrients for hormones like iron, B vitamins, and vitamin D, which is important for the immune system but also important for ovulation. Then, of course, look at inflammation and other metabolic markers like triglycerides to-HDL ratio.

Dr. Krystal: (28:53)

These are some things that I start looking at when someone comes to me and I’m thinking PCOS, or really, I want to get a good understanding of what we need to be diving into and focusing on. This gives me a bigger picture of what I need to be focusing on so I can put those pieces together. This is what is beautiful about functional medicine because everything is connected, so getting all of those answers is really important. I do want to say that, first and foremost, with testing, you have to make sure you are diving into a healthy, low inflammatory diet. 

Dr. Krystal: (29:38)

So [it’s about] staying away from a lot of the inflammatory foods, like industrial seed oils, and making sure you are limiting gluten. There’s a lot of information and opinions about gluten. I use my experience in practice to guide me—my patients teach me—and I will tell you it is very inflammatory for most. So, I definitely eliminate it with patients a lot. Inflammatory dairy—not everybody needs to stay away from dairy for long periods of time. It’s very dependent on the person and how their body responds. But with PCOS, you definitely want to limit it and make sure it’s not driving that inflammation or making your symptoms worse, especially with androgens and acne. And blood sugar—you’ve got to be careful with that one. 

Dr. Krystal: (30:34)

Getting in lots of color, plants, fiber, low-glycemic fruits, organ meats, and nutrient-dense meats [is important]. Your diet should consist of lots of color and complete protein sources to really support it with that nutrient density. Eating balanced meals, sitting down while you’re eating in a non-stress state, chewing your food optimally—this is very important when you’re struggling with any endocrine disorder. But with PCOS, you really want to eat balanced meals. You definitely can have carbs, but don’t go too high carb. Choose the healthier carbs. I’ll walk you through some of the ways in which we help patients and [other] people with this all the time. But you definitely want to listen to your body, and if you are more insulin type PCOS, going lower carb can be very beneficial. 

Dr. Krystal: (31:37)

Stress—stress and trauma are another thing that impacts our hormones; I will say more than most things, you guys. I know you’re probably rolling your eyes because we talk about it so much on this podcast, but I will tell you that it is one of the biggest drivers. So really putting those proper tools in place to really help you manage that stress better so that you can really process it better and just manage it overall better—it’s important, and I can’t stress it enough.

Dr. Krystal: (32:12)

Looking at your environment, your environmental toxins. Making sure the products that you’re using are good [and that] your house isn’t filled with candles. Guys, we’ve got to really limit the toxic fragrances. We’ve got to watch what we’re putting on our bodies with parabens and what we’re storing our food in. Definitely be careful of those kinds of things. You want to watch that. So when I’m working with PCOS, yes, testing is very important so we can figure out what’s driving it. But diet, stress, and making sure that you are sleeping and taking sleep seriously [are all important]. You know, you hear that saying, “Sleep when I’m dead.” No, no, no, no, no, no! I’m telling you, you’ve got to make sure that you’re getting solid sleep and figuring out how you’re sleeping and where you need to work on that because if you’re not sleeping, your hormones are being impacted. So these are some of those foundational tools that you really need to focus on when working with that.

Dr. Krystal: (33:19)

Also, having joy in your life—these are some of those foundational things that we need to focus on. We live in a very busy, fast-paced world right now. You’ve got to find time for joy, for love, and to spend time with the people that make you happy and fill your cup. Even if it gives you joy to be by yourself, I get it. I love that myself. I need that ‘me-time’ because, with the type of job that I have, I really give, give, give, and I have to fill my cup back up. So it’s important to really make sure you are getting in that joy. 

Dr. Krystal: (34:07)

Social support, if you have that. And I understand we’re all different; we come from different families, backgrounds, and things like that. But asking for help if it’s there, getting help, or putting those proper tools in place so that you have that support. Especially for moms, we take on so much. Dads too. You guys take on the world to provide for your families and things like that. So asking for that social support is really important for hormones. 

Dr. Krystal: (34:27)

And then the circadian rhythm—this is a really important one. This is one of those foundational things. Making sure that you’re getting full spectrum light exposure to your eyes, especially in the morning when that sun comes out. Even if it’s not sunny, guys really step outside. Expose your eyes to full-spectrum light. We spend so much time inside stuck on computers with our jobs, and then we have all the artificial lighting inside the house. Then, if you think about it, when the sun goes down, we’re exposing ourselves to more blue light, which is impacting our circadian rhythm and really impacting our sleep cycles. So, really, put those proper tools in place.

Dr. Krystal: (35:08)

So when it comes to a lot of this, Dr. Campbell and I are really, really excited. Our functional medicine at home courses are live now, and we’ve had a lot of really great feedback. This is where you guys can start diving into testing. If you want to do a stool test, we can lead you there. You can run a stool test. We show you how to break down that stool test and how you need to support your body accordingly. The same [is true] with the Dutch test for men and women; we break a Dutch test down for you guys, show you how to support your body, and [explain] the different protocols depending on what patterns you are going through. So definitely check out the functional medicine at home courses that we have available.

Dr. Krystal: (36:01)

We also have a core program, which is very foundational. This is where we want most patients to start because this is teaching you how to eat, what to eat, how we start processing, helping [with] stress and trauma in our lives, different things as far as the environment and how that’s impacting us, and really working on our gentle detox pathways. The core program is very, very foundational. We really like patients or people to start there and then really dive into the thorough testing. Now, in the courses, the testing is not included. You can definitely buy the testing at discounted rates throughout the course, which is great. So what we recommend is going through the core program and ordering your testing as you’re starting to really work on the foundational aspects of health. Then, once that testing comes in, you can dive into your gut health to figure out how to support your body, and we walk you through all that.

Dr. Krystal: (37:13)

And then, of course, diving into hormones—this is important for everything that we just talked about with PCOS, too. The Dutch test is absolutely amazing so that you can figure out where your hormones are at. If you’re dealing with higher testosterone, there are things you can do to support that when it comes to supporting different things when it comes to the dysregulation that we find in there. If you’re dealing with high estrogen, there are things you can do to support that. If you’re dealing with gut infections, we’ll show you how to get rid of that and how to support that. So definitely check out the Health Babes functional medicine at-home courses. 

Dr. Krystal: (37:54)

One thing I will say: Where you are going to get the most savings is in the bundle. So if you plan on diving into your health and really taking action, the bundle includes the core plus the GI-MAP test breakdown with support and the Dutch test breakdown with support. So we walk you through all of that. You can find all of this at where we walk you through to see what is best for you. So we’re really excited about it. We put our heart and soul into this, and it’s where you can really dive into some of the amazing functional testing that we have. 

Dr. Krystal: (38:37)

One thing that I wanted to talk to you guys a little bit [about] before we wrap up here is some of the common supplements and supports that you can even start researching right now that I’ve had excellent results with with patients when working on PCOS. You’ll find a lot of the stuff in the courses too. So, keep that in mind as we walk you through if this is what your body needs. 

Dr. Krystal: (39:03)

So berberine is a really good blood sugar, insulin, and triglyceride support. I find it really drives down that A1C. It lowers triglycerides. It’s very, very helpful for PCOS. The same [is true] with inositol. Inositol is another really great supplement to help support healthy ovulation. It really helps manage blood sugar. [Also], 5-alpha reductase inhibitors are really great, like saw palmetto, lupenone. There are a lot of different types of alpha reductase inhibitors, and I go into a lot of these in the Dutch [test] breakdown and provide a lot of these for you guys. But this is where you will see if you favor more of those androgenic pathways on the Dutch test, and where you need to support that. Because there are so many great ones out there, it can just get a little bit overwhelming. I’ve had great results with saw palmetto. Melatonin is really good. Really good liver support, like NAC, is really good and really important.

Dr. Krystal: (40:10)

You definitely want to support that liver because, again, your liver is really responsible for so much of the breakdown of our hormones and metabolism. The liver is the master. There are so many important jobs of the liver. This is why we focus so heavily on babying the liver in the core program that we walk you through all of this. 

Dr. Krystal: (40:30)

I hope you guys enjoyed this episode. I know it’s a lot of information to dive into. If you’re someone who’s really struggling with PCOS, definitely talk to your doctors about the different tests and blood work you can look at. We’re going to be adding more to our courses where we’re going to be diving more into blood work in the future and things like that. There’s so much that we want to share with you guys. But definitely dive into the Dutch test and the gut test. And really get those foundational tools aligned for yourself if you’re struggling with PCOS or if you feel like this is what you struggle with, and get that in order. But thank you so much for listening. I hope you guys have a great rest of your day.

Speaker 2: (41:20)

Thank you, guys, so much for listening to this episode. If you love this episode, please leave a review. It only takes a couple minutes, and you can find out more about us at And you can follow us over on Instagram: @HealthBabesPodcast, @DrBeckyCampbell, and @DrKrystalHohn. Have an amazing day!

Watch the Full Episode on the Health Babes Podcast YouTube Channel

The Health Babes Podcast

Watch the full episode of the Health Babes Podcast YouTube channel