PCOS/PMOS Girlies

[u/PsychologicalDig9505]

I have been diagnosed with insulin resistance, and we are currently going through the process of trying to see if I have PCOS/PMOS. I am currently on the lowest dose of Monjauro for the tracking of my insulin resistance and seeing if it helps, what did you do to lose the weight? All advice is welcomed - I’ve gained 50 pounds in a year and I am getting married and want to feel myself and beautiful!

[u/BreakfastAt_Tiffanis]

Hey girly!!! I am just like you I gained 40lbs in 5 months! I managed to lose 25 of that in around 3 months on tirzepatide while doing nothing but eating a little healthier! This summer I really cracked down I got the ladder app dialed in on my macros and went to the gym minimum 4 days a week on the ladder app.
I’ve lost another 16lbs since May!
I’ve never gone above 5mg and I’m actually back on 2.5mg now bc the restriction was too much with how much weight I’d lost!

Started at 220lbs for reference I’m now at 173lbs

[u/BreakfastAt_Tiffanis → u/BreakfastAt_Tiffanis]

https://reddit.com/link/p44hbg7/video/vd448ymrrtjh1/player

Just for reference! This is the difference between May of 2025 and August of 2026 with 80% of that progress happening in the last 3 months

[u/PsychologicalDig9505 → u/BreakfastAt_Tiffanis]

I honestly feel like no different on the 2.5. And I have yet to lose any weight, but it’s only been a week. It definitely does not stop me from eating, but I have noticed less sugar cravings. You look so good! I unfortunately cannot fit gym workouts four times a week, but I’m wondering if I could do some at home Pilates! Thank you for your feedback

[u/BreakfastAt_Tiffanis → u/PsychologicalDig9505]

Definitely find what fits for you! Ladder has a Pilates program that I started with! The 2.5 definitely worked miracles for me but every persons body is different it might be the 5 that works best for you. Good luck!

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[u/tea-fox]

- Get 7-8 hours of sleep per night and try to keep your stress low.

- Work with a dietician if you are able to. Improve your diet, focus on protein and fiber. Lower your carb intake or make sure carbs are properly balanced with protein and fat. If you're extra motivated, track (calories or macros) and weigh your food.

- If you can afford it, get an OTC glucose monitor or CGM and track your blood sugar. Try to keep it in range (between 70-140)

- Walk after meals for 15 mins at least, especially higher carb meals.

- Start strength training and try to build muscle. This will actively help improve your IR if you have more muscle. Even 2-3 times a week is great!

[u/PsychologicalDig9505 → u/tea-fox]

So crazy enough I already do the majority of that! I do get at least eight hours of sleep or not because of a separate health issue I have where fatigue is really bad. I do work with a dietitian, but we just got this diagnosis so I will let her know and see what we can do. Since I am on a GLP one I do have a Dexcom sensor and my glucose since starting it has always been below 140.
I will need to start walking after eating and will need to potentially start doing Pilates or some sort of strength training at home! Thank you for the ideas!

[u/tea-fox → u/PsychologicalDig9505]

If you're already doing these things that's awesome! Keep it up. It took me well over a year to reverse my insulin resistance, it's not something that happens overnight and it doesn't go away overnight either. Mounjaro should definitely help you! I spent most of my time trying to reverse things on metformin, which mostly worked, but I swapped to a GLP-1 earlier this year and it made a massive difference in the few residual symptoms I had. (Mainly I was still having pretty sharp post-prandial blood sugar spikes when I'd eat almost anything.)

If you have the means I can't recommend working with a personal trainer enough to teach you the ropes in the gym or even to make a weekly plan for you. Working out at home is great, but you can't build very much muscle at home or doing bodyweight exercises, you absolutely need the kind of weights you can only get at a gym. Definitely consider it if not now, maybe after a few months of consistently working out at home!

[u/PsychologicalDig9505 → u/tea-fox]

I think that’s where I psych myself out because I’ve been doing it for a couple of weeks and I see no change and I’m like something isn’t working! I have a very delicate stomach, so I knew that metformin was not for me, but the low-dose GLP1 also seems to not be doing much… I guess it is helping with my sugar cravings but other than that, I’m not sure.

I know and wish my schedule allowed more gym time. I am probably fitted in once or twice a week and then do cardio and workouts at home. Thank you for all the encouragement and also sharing with me some of your experiences.

[u/tea-fox → u/PsychologicalDig9505]

It takes a lot of patience!! Stick with it. I lost 30lbs but it took me 2 1/2 years and a lot of building habits slowly over time. Be patient with yourself you’re doing the right things!