Provider PCOS + Food Peace Course Details

Hey there fellow provider,

Thank you for trusting me to learn how to help people with PCOS. A few things have come to my attention that has lead me to decide to retire the Provider PCOS + Food Peace Course in June 2021.

You may be reading this because you want to purchase this course and I hope this helps clarify for you whether that is your next best steps.

I want this post to help you understand why I am making this decision and what steps course members are to take before it goes in the digital course creation vault.

On June 25th, 2021 my CDR approved continuing education CEUs expire. This means I will need to reapply and this process is not simple and quite time consuming. I started to connect with the overwhelm of this task, wondering how I will find the time to do this–the pandemic is no where near over and my two kids are still schooling from home.

I have a feeling you can relate to starting a new year reevaluating your time and resources. We all need to be sure we are working to not burn out and get enough rest. When I evaluated how much time and resources I have now (and probably until August 2021–my guess for the return to school), I need to remove some tasks from my plate.

It became clear to me that I could no longer provide what this course needs after June 2021.

This makes me sad honestly yet relieved that I won’t be burning the candle from both ends.

What does this mean for us now? Here’s a breakdown:

  • I will continue to host monthly consultation calls on the third Thursday of the month at 1 pm US EST through June.
  • Dietitians: be sure to complete all your CEUs before June 25th 2021. After you finish all the modules, you automatically get an email from me that includes course test questions. Submitting these questions as instructed in the email allows dietitians to get the CEU certificate.
  • I will be removing the course from the platform on June 26th 2021. Be sure to download all the content so you can access it after that if you like. I will be checking to make sure all the content is downloadable this month. The only items that will not be available to download include the consultation calls.
  • If you are a provider with PCOS, I want to extend free access to my consumer course. I will send an email at a later date to see who would like this option.
  • Everyone who completes the course and practices as a fat positive provider has the option to be listed as a PCOS + Food Peace Provider. I give this list out daily when people ask for PCOS provider recommendations. I would love to have you on the list.
  • I am adding more coaching calls to my consumer PCOS + Food Peace course. Would you be interested in being a part of this? It would be a paid opportunity to meet with my course members, teach them something you enjoy teaching, and answer any questions. You can apply here.

Current course members–thank you from the bottom of my heart for trusting me over the last 3 years teaching you how I help people with PCOS. I am impressed with you and your expertise. Please know you have taught me so much and I am grateful.

Take care,

Julie

p.s. ICYMI–Would you be interested in leading a PCOS + Food Peace consumer coaching call? It would be a paid opportunity to meet with my course members, teach them something you enjoy teaching, and answer any questions. You can apply here.

Giveaway open until January 15th!

January has me thinking about what content would be useful for you this year. We know Diet Culture is strategizing so we need to as well.

I put together a BRIEF survey for those of you with PCOS. Click here to get to the Google Form.

✨ ✨ Fun Part ✨ ✨ If you fill out the survey, you will be entered into a giveaway! I put together an anti-diet care package including some stickers and custom pins I made on Sticker Mule, Robyn Goldberg’s book The Eating Disorder Trap and other fun stuff. I will include a handwritten note mailed to wherever you like!

If you have PCOS and want to enter the drawing, click here to fill out the survey. In order to win, the randomly selected entry will need to include an email address. From there, I will contact you to get your preferred mailing address.

Survey closes January 15th so enter ASAP 🙌🏼

Thank you in advance for helping me make content that is useful for you along your Food Peace Journey.

I wish you had permission to…

I would love to include YOUR letter to Food in a 2021 Love Food Podcast episode. 

I am planning now to in particular focus on complicated relationships with food that connect with

⭐️Trauma
⭐️Fertility
⭐️Movement
⭐️Advocacy

You can submit your letter two ways–email it to LoveFoodPodcast@gmail.com or via a Google Form here https://forms.gle/StGytGnYQXmapomm8.

Love Food is a weekly podcast series for those with a complicated relationship with Food hoping to rewrite their fate. Listen at JulieDillonRD.com/lovefoodpodcast or on Apple Podcasts, Spotify, Amazon Music, or your fav pod catcher. You can even ask Alexa and she will play it for you 😉

PCOS and Keto

Curious if Keto is right for you to manage PCOS? Been told Keto is the way to control your insulin levels to prevent diabetes, improve ovulation to get pregnant, or get rid of your constant carb cravings?

Why is Keto so popular to treat PCOS?

Most people with PCOS experience high circulating insulin levels that promote intense carb cravings, absent or irregular periods, and problems with sleep. Finding a way to lower insulin potentially helps improve fertility, energy levels, mood, hair growth, and metabolism.

I didn’t mention weight and PCOS yet on purpose. I appreciate people promote Keto as a way to lose weight (aka weight suppress) and that assumes that weight CAUSES the high insulin levels and other PCOS symptoms. It doesn’t.

Weight gain or higher weight does NOT cause PCOS. It is a genetic condition passed down through families.

Assuming weight loss will help manage PCOS contributes to the constant weight discrimination found in the PCOS world.

I get it why Keto is so attractive to treat PCOS. But….

Keto doesn’t work for most people and long term research does not exist to support it for treating PCOS.

PCOS and Keto Research

With everyone recommending Keto for PCOS–doctors, dietitians, trainers, and Aunt Marge–you’d think there would be research behind it. Here’s the thing:

We have ZERO long term data on PCOS and Keto.

We do have 2 short term research studies though.

The most recent 2020 research describes:

  • studying 24 people with PCOS without hypothyroidism who weren’t taking Metformin or other insulin sensitizers.
  • 12 week duration–this is important!
  • used a Mediterranean style Keto with extra herbal supplements
  • Plenty of biomarkers improved like HDL, LDL, triglycerides, LH/FSH ratio, and testosterone. Weight decreased.
  • Small sample size and short duration were two of the many study limitations that make it not a generalizable recommendation. It also did not determine whether this diet was safe before and during pregnancy.

The other Keto and PCOS research–from 2005–describes:

  • Eleven people with PCOS were recruited for this study.
  • Study design was 24 weeks and people were instructed to limit their carbohydrate intake to a scary low amount and checked in every 2 weeks into an intensive education program.
  • Five people finished the study–this is important!
  • Plenty of biomarkers improved like LH/FSH ratio, fasting insulin and testosterone. Weight decreased.
  • There were non-significant decreases in insulin, glucose, testosterone, HgbA1c, triglyceride, and perceived body hair. 
  • Small sample size and lack of long term data (>2 years) were some of the study limitations.

Some follow up questions from this research:

  • I am curious what their fasting insulin, testosterone, blood sugar, blood pressure, FH/LSH ratio, ovulation, A1c, and weight was 2 years after completing the study. What are they today?
  • What is life like now with the study subjects? How is their relationship with food? Health is not just physical health yet includes mental and emotional health.
  • What was it like moving away from the rigorous research intervention to real life management of food? How did they experience grocery shopping, family get-togethers, and work dinners?

Six people were not able to continue with the Keto diet in that 2005 research article summarized above. What if that is the norm? How are they experiencing food now that they “failed” that diet? Why weren’t they further studied? (Writing this down for future PhD research.)

Are you ready to cut out a whole food group because 29 people were able to stay on a Keto diet for 3 to 6 months?

Are you ready to shame yourself for not sticking to a Keto diet because 29 people were able to stay on a Keto diet for 3 to 6 months?

Long term diet research–what it says about how it affects the body

We don’t have long term data to support ANY diet to treat PCOS. Yes, dieting is the go to first recommendation to treat PCOS yet even the 2018 PCOS Evidence Based Guidelines say we have ZERO diets that are shown to be sustainable and health promoting for people with PCOS.

Of note, we do have research that found people with PCOS who yo-yo diet more often experience binge eating. So there’s that.

Since we don’t have any long term PCOS diet intervention research to go on, we have to look at general population diet research. This is what it has found (all research looked at >2 years post diet intervention and findings were the same whether a person continued the diet or not):

  • Higher fasting insulin levels
  • Higher cortisol levels (an issue already with PCOS because of its associated chronic pro-inflammatory state)
  • Higher blood sugar
  • Higher incidence of diabetes
  • Higher blood pressure
  • More eating disorders among higher weight individuals
  • More binge eating
  • More weight cycling
  • More depression
  • Higher weight *please note I do not include this as a way to say higher weight is bad because I don’t think it is. I include it because I appreciate most people start a diet in hopes to weigh less. As such, long term dieting predicts weight gain rather than weight loss.

So now what? What can you do instead of Keto or other diets?

  • Move away from the scale as a measure of progress, health, and worth.
  • Be sure you are eating enough. Diets have fucked with your ability to know this. Be compassionate with yourself as you unlearn diet rules. Finding a person to help may make this easier.
  • People with PCOS probably need more protein. This doesn’t mean cut out carbs, sugar, or fat. Experiment with adding more protein at different times of day. Let your body tell you what helps and what doesn’t.
  • Consider your carb cravings as insight. They should be listened to, respected, and not shunned. Carb cravings are the way PCOS lets the person know that the condition needs attention. These cravings indicate that insulin levels are higher, or you are not eating enough, or need more sleep, or need to increase supplements, or medications, or need more protein.
  • Worrying about your weight will only keep you from trusting cravings. Worrying about weight won’t improve health long term and won’t make the cravings go away. Worrying about your weight will only make you more susceptible to binge eating experiences and intensify those cravings.
  • Find sustainable tools that help you lower insulin long term. These include eating enough, adding more protein, adding medications and/or supplements, resting more (and testing for a sleep disorder) and moving your body when you have the energy to do so.

Want more ways to help manage your PCOS without diets? Click here for a tool I designed just for you.

Looking for a non-diet PCOS community? Look no further than here.

Survey

Take the 2020 Love Food Podcast Listener Survey!

Together we have made Love Food a resource helping thousands along their Food Peace™ journey. Let’s make it even better!

Expect just 1 to 2 minutes to fill out this survey. Your honest answers will help support the show, improve content, and allow it to reach more people. All answers are anonymous.

Click here to access the Google form survey.

Thank you!

Warmly,