97 episodes

It can be ridiculously confusing living with PCOS, you're constantly reading conflicting advice. Each week, I, Clare Goodwin, will be helping to simplify this for you by sharing with you some actionable steps to take and breaking down the latest research so you can actually understand it. I'll also share some real life stories of women who've improved their PCOS symptoms to give you that weekly boost to just keep putting one foot in front of another. If you have PCOS and you want some real talk about what to do, hit that subscribe button now.

The PCOS Nutritionist Podcast Clare Goodwin

    • Health & Fitness
    • 4.8 • 150 Ratings

It can be ridiculously confusing living with PCOS, you're constantly reading conflicting advice. Each week, I, Clare Goodwin, will be helping to simplify this for you by sharing with you some actionable steps to take and breaking down the latest research so you can actually understand it. I'll also share some real life stories of women who've improved their PCOS symptoms to give you that weekly boost to just keep putting one foot in front of another. If you have PCOS and you want some real talk about what to do, hit that subscribe button now.

    Can you actually have insulin resistance if your test results come back normal?

    Can you actually have insulin resistance if your test results come back normal?

    A question I get a lot is “can you actually have insulin resistance if your test results have come back normal?”.
    A lot of you have suspected insulin may be driving your PCOS and requested blood work from your doctor, only to find that everything is normal - and they won’t order anything else. So you’re stumped as to what your next step should be and you’ve got all these awful symptoms but you’re not sure why.
    “What the heck do I do now? I don’t understand what my root cause could be. I feel like I fit all of them…”
    PCOS is a complicated beast, which is why it’s so important to work with someone who knows about all of the nuances that come with having it.

    Because I know so many of you are confused about your PCOS and have questions like the one above, I’ve done a Q&A podcast answering some of your questions! 
    I know, it’s a bit late this week because a) you guys had soooo many questions (I’m going to have to do a part 2!) and b) I’ve just moved house! If you know you know, it’s chaotic to say the least.
    In this podcast, I sit down with my lovely colleague Sophia and we talk through some of your burning questions about PCOS that we got the other week. We talk about everything from the question above to BMR and PCOS, the Pill to Orlistat, endometriosis to stress and ovulation pain.
    It’s a jam packed episode with lots of great tidbits on not only all the science-y information you know and love from the podcast but also some great actionable tips. So even if you’re not worried about insulin resistance, it’s definitely worth a listen!
    This episode is for you if:
    Your tests have come back normal and your doctor won’t order anything elseYou’ve just been pushed to go on the Pill and lose weight for your PCOSYou think you might have endometriosisWeight loss is a goal for youYou keep gaining weight, particularly around your midsectionWeight gain doesn’t seem to stop even when you’re exercising 6 times a week and eating in a severe calorie deficitYou take YasminYour stress levels are high and you want to know how to manage them betterSome things we cover in this episode:
    EndometriosisStressYour BMR and PCOSCalorie deficits and intense exerciseWhy the calorie equation isn’t the be all end allOrlistatPain, PCOS and ovulationResources and References:
    “What’s the difference between an ovarian cyst and polycystic ovaries?” Instagram post10: Part 1: Why period pain is not a symptom of PCOS and all things Endometriosis with Dr. Lara Briden11: Part 2: PCOS and Endometriosis with Dr Lara Briden38: The long term effects of not addressing our insulin resistance with Professor Grant Schofield44: Your Guide to Birth Control (Part 1): Hormonal Birth Control45: Your Guide to Birth Control (Part 2): Non-Hormonal Birth ControlMy Book: Getting Pregnant with PCOSLinks to our programs:
    The PCOS ProtocolEggducated

    • 1 hr 6 min
    What should a normal period actually look like?

    What should a normal period actually look like?

    What should a normal period actually look like?
    Irregular periods and long cycles are pretty typical in PCOS - in fact, it’s one of the three criteria your doctor or OBGYN will consider when deciding whether you fit the diagnosis.
    While some women with PCOS have perfectly regular periods, that’s unfortunately not the reality for many women dealing with PCOS. 
    As a good friend of mine, Lara Briden, puts it: 
    Your period is like a monthly report card about your health.

    So how do you know if your period is “normal” or not? How do you know if you’re getting a ‘good grade’ on that monthly report card from your body? Maybe you’re dealing with long cycles or short cycles or random bleeding. Maybe you think your periods are too light or too heavy or your ‘period’ has lasted multiple weeks or months. 
    Whatever the reason, it’s important to understand what’s normal so you can accurately troubleshoot why your cycle is looking the way it is OR you can be assured that your cycle is working as it should. 
    Hence today’s episode being all about what a normal period should look like - and a starting point with where to get help if your period doesn’t look quite right.
    I hope this podcast today helps you get started on your journey of improving your periods - because they’re so darn important!
    This episode is for you if:
    Your periods are irregularYou don’t know if the amount of days of bleeding in your cycle is normalYour periods are longer than 7 days or shorter than 2 daysYou can’t tell if the flow counts as a period or notComing off the Pill, you aren’t sure if your periods are normal or notYou want to know if your bleeding is a ‘normal’ amount for a heavy flow or if it’s something you should be concerned aboutYou soak through pads / tampons within 1-2hrsYou are thinking of coming off hormonal birth control and want to know what your period should ideally look likeSome things we cover in this episode:
    Cycle length and period length (two different things!)How to tell if it’s spotting or an actual flowAmenorrheaHeavy bleeding - when you should be concernedEndometriosisIntermenstrual bleedingOvulating - why it’s importantResources and References:
    Lara’s book: Period Repair ManualMy Book: Getting Pregnant with PCOSLinks to our programs:
    The PCOS ProtocolEggducated

    • 38 min
    So what do you do if you have SIBO and PCOS?

    So what do you do if you have SIBO and PCOS?

    You’ll remember last week on the podcast I spoke about all things SIBO (small intestinal bacterial overgrowth) related. You may have been thinking, “I wonder if I have SIBO as well as PCOS?”.
    Like PCOS, SIBO is one of those conditions that’s hard to get most doctors to take seriously. But it’s a very real condition - and you don’t have to put up with it. 
    I had so many of you reach out to tell me that you hadn’t heard of it before, you have symptoms of SIBO and you’ve thought you just have to live with those symptoms! You also had lots of questions around what it’s actually like to have SIBO, the risk factors that contribute to getting it and what it can impact.
    I think you’ll find this episode extremely helpful and inspiring, because it really encapsulates what I always say about advocating for your health - because you know when something’s not quite right in your body. Whether that’s PCOS or gut issues like SIBO.
    Luckily, I haven’t had to struggle with SIBO myself, but a few of my patients have been dealing with it. Which is why I’ve brought on the lovely Alex from The PCOS Protocol to speak more about her journey with PCOS and SIBO, how her weight loss surgery could have impacted her gut microbiome and contributed to SIBO, her struggles with weight, insulin issues as well as her cycle irregularity, getting ovulating again and pregnancy with PCOS and gut issues.
    While it’s all well and good to have me talk about SIBO from a more clinical perspective, what’s it actually like to have it? What other risk factors are there for getting SIBO? What is the process actually like of seeing doctors, gastroenterologists, naturopaths to get a treatment plan in place? How do you know whether that’s the right plan for you?
    That’s why I think it’s so important to bring on someone who’s actually dealing with both PCOS and SIBO, like Alex. You’ll know from listening to these podcasts already that hearing someone else’s story can really prompt you to make the next move in improving your own health. So I had to share Alex’s amazing journey with you all.
    Got a SIBO diagnosis but don’t know what next steps to take? Wondering what could impact your risk of getting SIBO?
    This episode is for you if:
    You’ve been diagnosed with IBSYou have had a gastric bypass / sleeve / bandEverything you eat makes your stomach hurtYou have irregular periodsYour nutrient levels are lowYou’re always tiredWeight has been an issue for you for a whileYou deal with constipation or diarrhoeaYour stools consistency and frequency changes regularlyYou never feel like you’ve fully evacuated your bowelStandard IBS treatments like low FODMAP haven’t made a huge impact on your gut symptomsSome things we cover in this episode:
    Alex’s PCOS storySIBO and gastric surgeryAlex’s SIBO journeyAdvocating for your health with your doctorsSIBO symptomsStress and SIBOOvulation, periods and pregnancy with PCOSResources and References:
    Small intestinal bacterial overgrowth syndromeSmall Intestinal Bacterial Overgrowth: A Comprehensive ReviewLeaky gut and autoimmune diseasesMy Book: Getting Pregnant with PCOSLinks to our programs:
    The PCOS Protocol

    • 41 min
    What's causing your IBS — is it SIBO?

    What's causing your IBS — is it SIBO?

    Got gut issues as well as PCOS? PCOS and IBS are similar in that IBS is not a single disease with a single cause. Rather, it’s a syndrome — a collection of signs and symptoms — that has multiple possible causes.
    Maybe you've been tested for coeliac - negative. You've done low FODMAP - it didn't work. You've tried cutting various things out - no real change in your symptoms. You've done a colonoscopy and/or gastroscopy and they said everything looks spic and span, no sign of IBD, polyps or anything sinister like cancer.
    Your doctor has taken all of this info and thought, “well looks like it's just IBS”. And that's kind of where they leave you to figure it out. But the only real treatments they suggest are that low FODMAP diet (which you may have already done) and reducing stress (which you're already doing), so you're kind of at a dead end with what to do next. I hear you! It's a common issue - some of my patients and staff have been where you are!
    What your doctor might not have told you about (because they may not know enough about it / have the time to explain it all) is something called SIBO (Small Intestinal Bacterial Overgrowth). This could be what’s causing those IBS symptoms for you.
    It's pretty much the presence of excessive bacteria in the small intestine - it shouldn't live there and ends up giving you nasty symptoms like abdominal pain, bloating, abdominal distention, constipation and/or diarrhoea, gas (ie burping and farting), fatigue, brain fog, muscle aches / pain / weakness, halitosis (bad breath), B12 deficiency and in some more advanced cases, it can impact your absorption — leading to nutrient deficiencies.
    Because this is a concern I see coming up more and more in patients, those around me and in my DMs too, I thought it was about time I did a podcast talking all about it so you can learn a bit more about it!
    I'm going to talk about everything you need to know about SIBO in today's episode. If you've been dealing with IBS symptoms and not been getting anywhere, this is one you'll definitely want to plug in and listen to! 
    This episode is for you if:
    You’ve been diagnosed with IBSEverything you eat makes your stomach hurtYour nutrient levels are lowYou can’t pinpoint trigger foods that set your gut offYou’re always tiredYou deal with constipation or diarrhoeaYour stools consistency and frequency changes regularlyYou never feel like you’ve fully evacuated your bowelStandard IBS treatments like low FODMAP haven’t made a huge impact on your gut symptomsSome things we cover in this episode:
    What SIBO actually isHow many people have itWhy it’s a large contributor to IBSWhat causes SIBOSIBO symptomsWhat damage does it do (other than IBS)?How to diagnose and treat Stress, SIBO and IBSResources and References:
    Small intestinal bacterial overgrowth syndromeSmall Intestinal Bacterial Overgrowth: A Comprehensive ReviewLeaky gut and autoimmune diseasesMy Book: Getting Pregnant with PCOSLinks to our programs:
    The PCOS ProtocolEggducated

    • 32 min
    Why am I not getting pregnant and improving my symptoms when I’m already leading a healthy lifestyle?

    Why am I not getting pregnant and improving my symptoms when I’m already leading a healthy lifestyle?

    The pandemic meant a lot of us were not able to do the things we'd planned. For many women who have PCOS, it meant that their fertility treatment was put on hold. Something they've been waiting for and working towards, shut down and stopped until further notice - virtually overnight. Now for many women, the TTC journey with PCOS is a long, exhausting one so this kind of news is devastating. 
    This is exactly what happened to one of my patients from the Protocol - Sim. The day before she was supposed to go in and start her fertility treatment, COVID shut everything down. It felt like everything was working against her. 
    As a high achieving female who also worked in healthcare, Sim was already living a healthy lifestyle yet her fertility, weight, sugar cravings and energy levels weren’t budging, if anything they were going more haywire.
    It’s not like she was eating McDonald’s 3 times a day, so how was nothing improving? Well, not everyone who has issues with insulin resistance and eventually develops Type 2 Diabetes is eating McDonalds and laying on the couch all day. 
    It’s something I see often - women living a healthy lifestyle by the books but still not getting anywhere. 
    The thing is, while you’re living a ‘healthy lifestyle’, these guidelines may not quite be healthy for you. 
    What seemed like a huge roadblock in her TTC journey ended up being a blessing in disguise because she learnt she could ovulate on her own and feel better overall by understanding her root cause - and ultimately 6 weeks into the changes her cycles started to regulate and she was able to conceive earlier this year!

    Because I knew so many of you are TTC with PCOS, are living a healthy lifestyle already and would resonate with her journey, I wanted to bring her on to speak more about her PCOS journey.
    This episode is for you if:
    You are already living a healthy lifestyle but still not seeing improvements in your symptomsYou’re trying to get pregnant with PCOSCOVID has meant your fertility journey has been altered / not gone to planYou have sugar cravings and hangry attacksLosing weight is a struggle for youYou’re always tired and lack energyYou aren’t (or don’t think) you’re ovulatingYou want to know more about your cycle and how to get pregnant with PCOSSome things we cover in this episode:
    Why PCOS can impact ovulation and our cyclesThe importance of ‘doing less’ in order to improve your PCOSWhy the scale shouldn’t be your go-to for weight lossWhy healthy is relative to YOUResources and References:
    My Book: Getting Pregnant with PCOSEpisode 8Episode 16Episode 20Episode 30Links to our programs:
    The PCOS ProtocolEggducated

    • 55 min
    Answering your questions about cholesterol and PCOS

    Answering your questions about cholesterol and PCOS

    Been told you have to go low fat by your doctor for your cholesterol but high fat by your nutritionist / dietitian for your insulin resistant PCOS? Trying to make sense of all of the information out there on cholesterol? Hoping that you can still eat eggs?!
    You may remember a few episodes ago, I spoke to Dr Simon Thornley all about cholesterol. When I say the response I got was overwhelming, oh my gosh! I got so many DMs about what you’ve been told by doctors about cholesterol.
    I’m going to be honest, I’m still a bit shocked that a lot of the research hasn’t filtered through yet. For example, the advice in most parts of the world is to go on a low-fat diet if you have high LDL cholesterol. However this isn’t actually evidence based. And as many of us with PCOS have a degree of insulin resistance, getting this advice - which is virtually opposite to what we’re told to do for our insulin resistance - makes things all the more confusing.
    Because of the difference between what you’ve been told and what the research has shown (which I touched on in that previous episode), I got a raft of DMs with questions about cholesterol and PCOS. In today’s episode of The PCOS Nutritionist Podcast, I wanted to go through the most frequently asked questions to help you make sense of all of the information out there.
    Because let’s be honest, it’s pretty darn confusing to know what to believe!
    So, What are the key markers we need to be looking at? What markers should we actually be worried about? How does insulin resistance and PCOS actually lead to having too much ‘bad’ cholesterol and not enough ‘good’ cholesterol? What foods actually make a difference to cholesterol?
    And do we really need to avoid eggs?! A question I get time and time again because the information out there is so conflicting. 
    So if you listened to that episode and still had a whole lot of burning questions about PCOS and cholesterol, this episode is one you’re definitely going to want to hop on and listen to.
    This episode is for you if:
    You’ve been told that you can’t have eggs - or certainly no more than 1 a dayYou don’t have high cholesterol now but you’re now worried you’ll be at risk of developing itYou’re feeling confused because the advice for PCOS seems to be the opposite of what your doctor is telling you to do for your cholesterolYou want to know what the deal is with heart disease risk, cholesterol and PCOSYou heard me mention ApoA-I, ApoC-I, and LP(a) in the last podcast and want more information on what these mean and why they’re important for women with PCOSYour thyroid is out of whackYou want to understand a bit about what cholesterol is and what specific markers you need to know aboutSome things we cover in this episode:
    Why triglycerides and Lp(a) are really key when it comes to PCOS and cholesterolApoA-I, ApoC-I, and Lp(a) abnormalities in PCOSWhat the other potential causes of cholesterol issues in PCOS areRisks of cholesterol issues and PCOSThyroid, cholesterol and PCOSCholesterol and Heart Disease RiskCan you talk more about Eggs, I’ve been told I shouldn’t have eggs, or certainly no more than 1 a day.  Is this correct? What foods do make a difference Resources and References:
    My Book: Getting Pregnant with PCOSLinks to our programs:
    The PCOS ProtocolEggducated

    • 37 min

Customer Reviews

4.8 out of 5
150 Ratings

150 Ratings

M_Rigbones ,

Amazing resource

As a woman with PCOS and a background in biomedical science, I really appreciate Claire’s expertise and communication of the research. It’s clear that she really cares about the women she works with, and is deeply knowledgeable in the subject. This podcast and her blog have been a super important source of information for me on my journey to better health and balanced hormones.

alvaro10 ,

So informative!

Claire your podcasts are so informative and amazing!!! I’m so happy I found you!

cholesterol flor ,

Awesome cholesterol questions answered pod!!

I got so much clarity from this pod episode! Thank you Claire!!!

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