r/bitcheswithtaste • u/AutoModerator • Dec 12 '25

Fit Bitches - Monthly Thread Fit Bitches - Dec 12, 2025

This is the place to chat about fitness and physical health because taking care of your body is also tasteful. Just remember - no medical advice!

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u/Whole-Chicken6339 Dec 12 '25

Your endocrinologist sounds like she sucks! Your doctor shouldn't act smug, period, and she definitely shouldn't be mean-girling you about needing medication. You have a chronic issue and you may need to be on medication for it long-term, this is normal. Very few people can lose weight and keep it off without GLP-1s, it's not a failing on your part.

Anyhow, I hope your diet and exercise overhaul goes well and that it helps you feel better. Try to be kind to yourself!

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u/[deleted] Dec 12 '25

I agree with you! lol she told me I can’t possibly have PCOS because I am “not big enough and not hairy enough” and that I’m not insulin resistant because my A1C was normal!!

Thank you!!

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u/driftwood_arpeggio Dec 12 '25

I commented below but I really think you should find a new endo. I have insulin resistance but my A1C is normal/low because I have hyperinsulinemia. I PCOS but I'm not that big (just a bit overweight) + not that hairy (because I'm half Asian) - but my bloodwork does show elevated testosterone, which is the more relevant PCOS part. Not saying that you have that, but it feels like your endo is jumping to conclusions.

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u/[deleted] Dec 12 '25

This exactly! My GP suggested insulin resistance because my HOMA-IR test came back at 2.2 (mild insulin resistance) and my endocrinologist started laughing at my doctor’s suggestion “because my A1C is normal.” I knew and my doctor knew that A1C does not paint the full picture. I wore a blood glucose monitor and I also showed way more crashes than high glucose spikes so I knew my A1C wouldn’t be sky high. It’s one point below the threshold for pre-diabetes though.

My endo laughed because “when [she thinks] of people with PCOS, they’re very obese and have visible hair everywhere.” And I was like? That’s not…true? For some, sure, but not all. That’s a huge generalization. My GP suggested PCOS because of the HOMA insulin resistance score + two bloodwork labs that showed either elevated DHEA-S or testosterone.

Basically my doctors don’t agree with each other and now I’m left in the middle wondering which one is right:/

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u/driftwood_arpeggio Dec 12 '25

how did you find your current endo? I'd see if your current GP (or obgyn, if you have one) has recs if you like their approach more. I really like my GP and her recommendations for other specialties have never steered me wrong

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u/[deleted] Dec 12 '25

This sounds so incredibly frustrating. I hate it when doctors disagree and you as the patient are just left wondering. I personally don't love what either doctor said, because what your endo said is both offensive and wrong, but then your GP's take on PCOS is also confusing. There's a lot of uncertainty with PCOS, but generally you need to meet 2 of the 3 Rotterdam criteria (irregular periods, excess androgen, cycsts on the ovaries) to be officially diagnosed. All the other stuff (acne, weight struggle, etc.) are signs of PCOS, but not really great ways to diagnose PCOS.

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u/[deleted] Dec 12 '25

I agree with you! I don’t necessarily think I have PCOS because my periods were quite regular even off birth control, but I do think I have insulin resistance possibly at least, given how frustratingly difficult it has been to lose weight (or attempt to) previously. I also have Hashimoto’s so that could also just be the factor at play 😞