The Root Causes And Treatment For PCOS

Episode 596 50m


Polycystic ovary syndrome, or PCOS, affects 5 to 10% of women in their childbearing years. Despite the many women struggling with the difficult symptoms of PCOS, we still know little about it.

Those symptoms can include irregular or missing periods, excessive hair growth or hair loss, acne, and weight gain. Sadly, the average woman with PCOS sees four doctors before receiving a diagnosis.

Today on The Doctor’s Farmacy, I’m excited to talk to Dr. Heather Huddleston to dig into the nuances and research around PCOS.

PCOS is a prime example of the need for a personalized approach to healing. We know there are certain components involved, like increased production of androgens and a propensity towards insulin resistance, but each case is different. That means what works for one person may not have the same impact for another—a challenge that requires a present and informed practitioner to help navigate.

Throughout our conversation, we discuss how PCOS is diagnosed and the various methods Dr. Huddleston uses to treat her patients. There is no single cause of PCOS and it takes a multifaceted approach to improve. Balancing sex hormones, blood sugar, and insulin while reducing inflammation, supporting metabolic health, and assessing mental health are all important aspects to pay attention to. We also talk about emerging information on the role of the microbiome in PCOS. Dr. Huddleston and I share some of our experiences with patients, from assisting with weight loss to supporting fertility and more.


This episode is brought to you by Rupa Health, Cozy Earth, and BiOptimizers. The Doctor’s Farmacy podcast works with a select group of sponsors to allow for ongoing production and allow it to be zero-cost to anyone who wishes to listen to and watch the podcast.

Topics Covered

  • Why PCOS often falls through the cracks in our siloed medical system


  • Symptoms of PCOS


  • Do we know the causes of PCOS?


  • Diet, nutrition, gut health, and PCOS


  • How inflammation affects and exacerbates PCOS


  • The five areas Dr. Huddleston addresses with PCOS patients


  • Therapies for and approaches to treating PCOS


  • Supplements for treating PCOS


  • How exercise and quality sleep can benefit PCOS patients


  • Measuring insulin levels and diagnosing insulin resistance


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Resources Mentioned

Host & Guests


Automatically generated. Please forgive any typos or errors in the following transcript. It was generated by a third party and has not been subsequently reviewed by our team.

Introduction: Coming up on this episode of The Doctor's Farmacy. Dr. Heather Huddleston: I think a lot of patients with PCOS sort of end up getting bounced around to different doctors, never really getting great explanations about what's going on with them and what are sort of some appropriate treatment pathways for them. Dr. Mark Hyman: Welcome to The Doctor's Farmacy. I'm Dr. Mark Hyman. That's Farmacy with an F, a place for conversations that matter. If you struggle with hormones, if you've had something called PCOS, or known someone with it, or know anybody with infertility, or acne, or irregular periods, this podcast might be quite interesting for you because we're going to discuss polycystic ovarian syndrome, a really common problem that affects so many women, maybe 5% to..

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Ep. 596 - The Root Causes And Treatment For PCOS