how emily handles stress

emily is a long-time client of sS, turned front desk associate and now, esthetician in training! she’s gone through quite a few growth spurts this year (changed careers, got licensed as an esthetician, started 2 new jobs – reception and esthetics at skinSALVATION, and got married!) and thus, has had her fair share of busy- and sometimes stressful times. it’s been years since i’ve tried to coax her to joining sS, and we are super lucky + happy to have her as part of our team! -kim

if i don’t put a real effort into managing stress, my default mode is to be a stress case. i put a lot of effort into managing it so that i can be the best version of myself, for myself and the people i love and interact with everyday. here’s a glimpse into my stress management toolbox:

meditation is the cornerstone of my approach to handling stress. i especially like body scan meditations to get me back in my body/reality. you can search “body scan meditation” on youtube and find a plethora. i also like this one for when i really need a reset and a reminder that everything is ok. if i don’t even have five minutes to spare, i follow the steps below. i got this technique from here.

  1. get comfortable. adjust your posture (whether sitting, standing, laying down) so that you are in the most comfortable position possible
  2. do a quick scan from head to toe, relaxing each muscle as you move down from head to toe. you can imagine a warm golden glow moving down your body if that helps. this can be done in as little as 5 seconds if you are in a rush, but ideally it would take about 30 seconds-1 minute
  3. smile inwardly and remind yourself that holding onto stress and resentments is silly
  4. take 4 slow, deep breaths and feel the relaxation moving down your body with each out breath. slowly open your eyes after the fourth breath

if other people are stressing me out and i find myself easily annoyed, i try to do a quick spot check inventory to put a stop to the downward spiral of resentments. i’ve included some questions that really help put a hex on unhealthy thoughts – but just a warning, they aren’t always fun to answer. give them a shot next time you’re feeling super stressed at a person or circumstance, i promise it will at minimum change your perspective on the situation.

  • why am I angry?
  • what are my expectations?
  • what am I failing to accept? (accepting opinions of others doesn’t mean I agree with them)
  • do I need to be right instead of happy?
  • what have I done in the past to set this ball rolling? (trains of circumstances)
  • am I being loving and tolerant?
  • where have I been selfish or inconsiderate?
  • where have I been dishonest?
  • where have I been self-seeking?
  • where have I been frightened?
  • where was I to blame?
  • what should I have done instead?

basic miscellaneous tips:

  1. i try not to let myself get too hungry because when my blood sugar gets low my mood gets crazy. eating breakfast helps me avoid getting too hungry throughout the day. if you’re like me and don’t always feel hungry in the morning, i have found that smoothies and oatmeal are an easy way to get some calories quick, and i can drink/eat them fast on my way out the door. 
  2. having two dogs forces me to focus on something other than myself. i start out each day walking my dogs for at least twenty minutes. i get fresh air, exercise, and connection to my community just by walking around the ‘hood. it helps me more than my pups even know!
  3. to get settled at night i drink this and this, plus take 3 of these. i try to stay off my phone and not watch anything too scary on tv before bed so that i don’t get all riled up.

exercise and acne: move your body for clear skin

whether you are a yoga mat-toting cyclist or a gym rat with a penchant for the elliptical, working out is an important ritual for many of us – it’s our way of shedding daily stress while doing something positive for our physical bodies. daily movement of some kind, be it taking a walk during your lunch break, choosing the stairs over the escalator, going on a robust run or attending a barre class, has been linked to better digestion, better moods and more vibrant heart health. and if you struggle with persistent acne, finding the right balance of exercise and movement is crucial for maintaining healthy skin.

how exercise benefits the skin, the body and the mind

if improved overall health isn’t enough to get you off the couch and into some jumping jacks, here are a few more tantalising reasons to regularly move your body. 

  1. exercise eases stress and helps regulate mood. exercise releases the chemical norepinephrine, which helps the brain adapt to all types of stress. physical movement also releases endorphins, our happiness chemicals, and dopamine, our reward chemical. ever hear of runner’s high? it’s just the endorphins kicking in after intense energy expenditure. some studies have shown that exercise can be as effective an anti-depressant as prescription medication for some people.1 and since stress is linked to the development of acne, reducing stress by taking up some physical activity is a great step on your journey to clear skin. so get moving!
  2. exercise helps us stay sharp as a tack. not only has regular exercise been linked to an increased longevity of brain cells, it is now a common recommendation by doctors as an important step in staving off alzheimer’s. how does it work? exercising boosts the chemicals in the brain that help keep the hippocampus, our memory center, running as a well-oiled machine. exercise has also been linked to neurogenesis, or the creation of new brain cells, which primes us for a lifetime of learning and an enviable quick-wittedness.2
  3. confidence and self-worth skyrocket. this one is fairly obvious, but exercising can help boost self-esteem and self-image. because we know that movement is good for our physical bodies, this often translates to feeling better about ourselves overall. the more you move, the better you feel!
  4. exercise can help create vivacious skin. a recent study shows that regular exercise can help slow signs of aging by increasing circulation and oxygen flow to the skin around the face and by contributing to the growth of collagen.3 regular light exercise in combination with an anti-inflammatory diet and a non-comedogenic skin regimen can have powerful effects on skin health.
  5. exercise improves sleep quality. consistent exercise over long periods of time has been shown to benefit quality and length of sleep.4 daytime physical activity promotes longer periods of slow-wave sleep, which is the deep restful shut-eye we all crave. the quality of our sleep shows in our skin – when we skimp on sleep, our skin doesn’t have the time and resources to heal itself.5  so move your body and drift peacefully into dreamland.
  6. the more we move, the more energy we have. regular exercise can have an astounding impact on our ability to sustain vibrant energy levels throughout the day. those who engage in regular physical activity generally report feeling more awake in the mornings and better able to maintain a stable energy level over the course of the day.6 say goodbye to that afternoon slump! 
  7. movement keeps things moving. if you ever feel a bit…backed up, try some yoga or a gentle jog around the block. physical activity helps move things along internally, acting as a sort of massage for the internal organs. light exercise also helps us absorb nutrients from our foods more readily.7 beware of digestive issues – sedentarism has been linked to the onset of many gastrointestinal diseases. smooth digestion is hugely important for skin health, so make sure you move your body to keep things moving.

exercising your way to clear skin

now that we know why we should exercise, let’s talk about how. exercise is a form of temporary stress on the body that ultimately leads to a greater good – it’s also known as a hormetic stressor. even though exercise temporarily activates the release of cortisol, our stress hormone, from our adrenal glands, low levels of exercise with plenty of rest in between are very beneficial to our overall health and help make us stronger. 

but for many of us, especially us women, exercising can easily spin out of control because of the societal pressures we face to look a certain way, to attain perfect beach bodies and six-pack abs. overexercising can be downright dangerous for women because of the specific ways in which women’s bodies respond to stress, and despite the benefits of movement, an overzealous approach to exercise can contribute to, rather than heal, acne. because exercise is a physical stressor on the body, it’s important to not go overboard and send the body into a state of chronic stress without recovery. chronic stress causes our adrenal glands to release higher levels of male sex hormones like dhea-s, which is later converted into testosterone, often setting the stage for acne along the jawline, oily skin, menstrual irregularities and hair growth.

so how do you know if you are overexercising? feeling sore and totally drained after a workout and into the next day is a sign that you are working out too hard. if you experience any of the above symptoms of hormonal imbalance in combination with the symptoms of overexercising, try scaling things back. try less intensive types of exercise like swimming, tennis, walking, and yoga, or reduce the number of days each week that you engage in taxing workouts. if you are used to running ten miles a day, try swapping out a day or two for a moderately strenuous hike. if high intensity interval training is your movement of choice, try dialing it back and alternating with yoga. listen to your body’s needs each day and honor them by finding activities that you enjoy that also work your body – tennis, hiking, or group sports like soccer or basketball always do the trick. and always make time to allow the body to rest and recuperate after workouts. remember to refuel your glycogen stores afterwards by eating plenty of carbohydrates and protein8 – fasting creates an added stress on the body and leaves you utterly deprived of precious energy. so don’t skimp on the nourishing food and remember to take plenty of rest days!

rather than stressing about incorporating 30 minutes of exercise into my daily routine, i try to get other forms of movement in where i can. i take the stairs whenever possible. if i drive to a grocery store, i park far from the entrance to get a few more steps in. i take breaks at work to do a few sets of squats, lunges or jumping jacks. i stretch often and i coordinate walking meetings at work, rather than meetings around the conference table. think outside the box to add little bits of movement to your routine rather than attempting to force a strict exercise regimen into an already hectic day.

packing your acne-safe gym bag

if you choose to get your kicks at the gym, here are a few tips for staying acne-safe in the process. if you have access to a shower, try to rinse off using your sS cleanser immediately following a sweaty workout. the last thing you want is a build-up of sweat and dead skin cells collecting to clog your precious pores. if you can’t get to a shower, try to at least rinse your face at the bathroom sink and follow up with some sS sterilizing toner on some toner pads. if you exercise in the evening, clean any makeup off your face beforehand in order to avoid any makeup creeping into your open pores while you’re getting your groove on on the treadmill. tie your hair up and away from your face and always wear breathable, loose-fitting clothing. and remember to keep your hands off your face during your workout – you never know where that kettlebell has been!

when building your acne-safe gym bag, be sure to include the following items:

  1. cleanser – use sS charcoal or hydrating cleanser immediately after a workout to wash away any lingering sweat.
  2. hydrating toner or sterilizing toner  – use either of these directly after cleansing to close those pores and to ensure that the bacteria from your sweat doesn’t spread.
  3. toner pads – keep plenty of these on hand to apply your toner either as part of your regimen or as a face wipe when you can’t access running water.
  4. sunscreen – whether you’re heading out into the sun or not, pop some sun protection onto your face before AND after working out.
  5. travel-size acne-safe shampoo, conditioner and body wash – these are important pieces of every gym bag that often go overlooked. this is especially important if you are prone to body acne.
  6. acne-safe makeup and clean brushes – if you wear makeup, check those ingredients and make sure nothing is gonna clog your pores! clean your brushes at least once a week with sS charcoal cleanser.
  7. clean towels and fresh clothes. make sure you are not reusing the same grimy gym towel over and over, day after day. just like changing out your pillowcases, swap out your towel for a fresh one every single day to avoid spreading bacteria.

let us know your favorite ways to add movement into your day along with the contents of your acne-safe gym bag!

footnotes

1. american psychological association. stress and exercise.
2. disalvo, d. (2013) how exercise makes your brain grow. forbes magazine. oct 13 2013.
3. safdar, a., et al. (2011) endurance exercise rescues progeroid aging and induces systemic mitochondrial rejuvenation in mtDNA mutator mice. pnas. 2011 mar; 108(10):4135–4140.
4. breus, m. (2013) better sleep found by exercising on a regular basis. psychology today. sep 6 2013.
5. kubota, y., et al. (2010) community-based epidemiological study of psychosocial effects of acne in japanese adolescents. journal of dermatology. 2010 jul;37(7):617-22.
6. fahmy, s. (2008) low-intensity exercise reduces fatigue symptoms by 65 percent, study finds. university of georgia today. feb 28 2008.
7. tauseef, a., et al. (2013) sleep, immunity and inflammation in gastrointestinal disorders. world journal of gastroenterology. 2013 dec 28; 19(48): 9231–9239.
8. chandler, r.m., et al. (1994) dietary supplements affect the anabolic hormones after weight-training exercise. journal of applied physiology. 1994 feb; 76(2):839-45.

the official sS guide to constipation and acne

throughout my twenties, i was in a band that toured the country often. i had persistent acne that would not relent despite my efforts to “eat clean” and to pare down my skincare regimen. during this period of my life, i noticed that every time i left town to go on tour, my digestive functions would, without fail, shut down. i found myself going 6, 7, 8 days without…dropping the kids off at the pool. now several years later, i recognize this as extreme constipation in response to the stress of travel, alcohol consumption, disrupted sleep and altered dietary routines. at the time, i couldn’t make sense of it all. i mostly just laughed it off as a quirk, not fully comprehending the gravity of constipation as a health condition.

but what exactly is constipation and why am i talking about it on an acne blog? as we’ve discussed in previous blog posts, digestion plays a crucial role in skin health. if your digestive system is not functioning like a well-oiled machine, other organs, like the skin, usually take up the slack. for those with acne-prone skin, keeping things moving is an essential step on the skin-healing journey.

constipation affects 20% of the american adult population.1 it’s a condition that results in a person having “fewer than three bowel movements a week, or hard, dry and small bowel movements that are painful or difficult to pass.”2 though we should aim to eliminate 1 to 3 times each day, modern lifestyle factors like stress, poor fiber intake and dehydration can slow down our body processes. healthy bowel transit time should rest anywhere between 12 and 24 hours. an easy way to test for this is to swallow 2 tablespoons of whole white sesame seeds with a meal, record the time and observe when they appear in your stool afterwards.

have you ever taken a moment to really examine the stuff that ends up in the toilet? if not, you’re not alone! we are encouraged from an early age to avoid this taboo subject, to replace direct language with euphemisms and flat-out denials, to dance around the doo-doo. many of us are afraid to even admit that we undergo this natural and perfectly healthy daily routine altogether.

here at skinSALVATION, we are not afraid to get right to it. if you’re a client, you are probably already familiar with the digestion-acne connection. the main purpose of defecation is to swiftly remove toxins and excess estrogens from the body. when people suffer from constipation, these toxins and hormones get held up at the border and if they are stopped up for too long, they make their way back into the bloodstream. the body then finds alternate ways of pushing them out and the skin becomes the next exit point. the influx of estrogen back into the bloodstream has an additionally negative impact on hormonal balance, which in turn, can contribute to acne.

so how do you know where you stand on the poop spectrum? in the late 90s in bristol, england, some medical researchers generated a genius poo-determination tool called the bristol stool chart. while other healing modalities like chinese medicine and ayurveda had been examining poop characteristics as a means of determining illness in patients for centuries, the bristol stool chart was the first standardized poop test in the west and it has been important in the diagnosis of conditions like irritable bowel syndrome (ibs) and small intestinal bacterial overgrowth (sibo).

how does your poop match up? if types 1 or 2 seem all too familiar, it might be time for a re-evaluation. here are some of our favorite tips to combat constipation:

drink more water. this is an easy one. aim to consume at least half your body weight in ounces each day. so if you weigh 160 lbs, try to get at least 80 ounces of water into that beautiful bod to hydrate your cells and to loosen up your stools. carry a large glass or stainless steel water bottle with you and sip from it all day. add tasty accessories to your water to make it more palatable – citrus, cucumber, spearmint and sage work wonders to spruce up some plain old water.

drink herbal tea (these can count toward your total water goal for the day). try drinking teas with digestive herbs after eating in order to lend a helping hand to your overworked digestive organs. look for teas with black pepper, licorice, cardamom, cinnamon, ginger and fennel, all of which beat the bloat while helping to move things along. if your constipation is dire, senna tea can be a temporary solution, but avoid relying on this herb, as it is more of a bandaid that doesn’t tackle the root of the problem.eat enough fiber – both soluble and insoluble. soluble fiber is the soft stuff that hastens our bowel movements – bananas, the inside of a sweet potato, and the fleshy parts of root vegetables. insoluble fiber consists of fruit and vegetable skins and stalks – all of the roughage that we don’t digest and which contributes bulk to our stools. we would be lost without both of these important types of fiber and we should all aim to consume 25-40 grams in total each day.

avoid processed food, dairy and fried foods. these foods can contribute to major backups and often have a dehydrating effect on the body.

take a magnesium supplement like natural calm before bed. not only does magnesium help you drift off into a blissful night’s sleep, it is also a crucial mineral for skin health and acts as a mild muscle relaxer. most americans are deficient in this mineral and it is not easily absorbed from food, so taking at least 400 mg each night is advised.3 taking an epsom salt bath is another great way to absorb this precious mineral through the skin. a quality cod liver oil supplement can also help move things along. we like nordic naturals.

keep your stress in check. is there any physical ailment that does not include stress management as a treatment? no! as i parlayed in my story above, the gut-brain connection has a huge impact on our bodily functions. our digestive systems shut down during times of stress as the body funnels its energy to our fight or flight response. eating in a calm environment and practicing stress management techniques daily is essential for keeping constipation at bay. the better we manage stress, the more energy our bodies have to devote to digesting and eliminating our food.

consume prebiotics, probiotics and enzymes. prebiotics are particular foods (artichoke, asparagus, green bananas and plantains, onions, garlic) that are consumed and digested by our good gut flora, while probiotics re-populate our guts with new bacteria. since our stools mostly consist of bacteria, having balanced gut flora is essential. additionally, taking an enzyme before each meal can help our bodies break down proteins, carbohydrates and fats, allowing us to absorb more nutrients from our food. for those suffering from sibo or ibs, be careful with pre and probiotics and talk to your doctor for recommendations.

get into proper squat position when you’re ready to release. using a squatty potty or a footstool can make all the difference. it’s important to create good bathroom habits – don’t rush, always try to relax and try to eliminate at the same times each day.

express yourself. get those emotions out, either by going to therapy, talking to friends or by starting a daily journaling practice. your body’s physical need to hold onto matter within its walls often reflects a psychological need to hold onto habits or emotions that no longer serve you. instead of bottling up your emotions, let them out in positive and healthy ways. this release can be illuminating in more ways than one!

move and stretch. yoga and gentle exercise are fantastic ways to get things moving downtown. try wind-relieving pose, child’s pose, downward dog, supine twist and forward fold – these twisty yoga poses can all help relieve constipation and encourage movement.

constipation is a serious issue. it means that something is out of balance internally, either with digestion, stress or hormones. so if you find yourself unable to eliminate for several days in a row, seek professional medical advice.

footnotes

1. pinto sanchez, m.i., bercik, p. (2011) epidemiology and burden of chronic constipation. canadian journal of gastroenterology. v.25(suppl b).
2. national institute of diabetes and digestive and kidney diseases
3. kresser, c. (2011) 9 steps to perfect health – #4: supplement wisely. posted february 2011.

care for yourself by caring for others

Link

i have found that when life is busy, even with wonderful things and people i love, it can feel hectic and overwhelming. doing things that aren’t alllll about me ends up being a great way to slow my mind and relax. magically, i’ve found that helping others is an unexpected form of self-care!
for a couple of years i volunteered at project open hand (poh) once a week. poh is a non-profit that was founded in 1985 and delivers food to seniors and people battling critical illness. they also provide daily meals at their locations in san francisco and oakland. this is not your average food kitchen! poh collaborated with UC san francisco school of medicine in a study published in january of 2017. the study demonstrated how nutritious food has healing powers that are crucial for helping the critically ill.
volunteering at poh proved to be a wonderful break from my hectic schedule, where i could play just a teensy role in getting food prepped to be provided to people in need. while helping out in the kitchen, i primarily peeled and chopped vegetables. in the grocery center i sorted and packed food in the warehouse – both activities were super simple but extremely fulfilling!
in addition to the awesome kitchen, grocery center and meal deliveries, poh also has a radical indoor greenhouse at the polk street location. it’s unlike any greenhouse i’ve seen before – reminding me of a science fiction movie! it has veggies planted in these wheels, which rotate at a slow pace around the light in the center.
the greenhouse garden grows veggies like red sails leaf lettuce, freckles romaine lettuce, basil and micro greens. it can produce a lot of leafy greens at once! for example, if they dedicate all space on the wheel for basil and then use all the leaves produced for a sauce, it can be used in up to 1,400 meals! to see the awesome video that explains how it works, click here.
to help the cause, please click here to donate and here for more information on how to start volunteering! also, if you’re in the mood for a tear jerker, here’s a heartwarming video that gives a more complete idea of how project open hand changes lives – https://www.openhand.org/about-us
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empact northwest is a non-profit organization providing immediate disaster response, rescue training and medical education for underserved communities. one of skinSALVATION’s AMAZING clients volunteers with this organization and was in haiti last year helping rebuild the community!
founded in 2010 in response to the haiti earthquake, empact is dedicated to providing technical rescue service, direct medical care and education around the world to those who need it most, regardless of national or political affiliation.
they strive to complete their mission with minimum bureaucracy and a maximum involvement of volunteers. empact also offers training to fire department, law enforcement, search and rescue, and other emergency response personnel. they welcome input, so if you have suggestions please contact them by sending an email here.
 on sept 9th, empact posted this update on their facebook page regarding relief and aid provided during this brutal hurricane season: 

-hurricane harvey: all empact personnel have returned from the texas/louisiana border area.-hurricane

-hurricane irma: empact is actively monitoring the situation in partnership with the cajun navy and offering what assistance we can. It is our hope that residents of florida have heeded the warnings and evacuated.

-mexico earthquake: empact continues to monitor the situation in southern mexico in partnership with INSARAG and the UN OCHA. no request for international assistance has been made yet.

as you can see, empact is helping communities all over the place and needs support! to donate to their mission click here.

the ins and outs of pcos and acne

pcos, or polycystic ovarian syndrome, is complicated. it’s an endocrine condition that affects 8-20% of women of reproductive age worldwide1 and it is characterized by at least two of the following three symptoms: cysts on the ovaries, elevated male sex hormones and/or absent or irregular periods. pcos is a highly misunderstood condition whose symptoms manifest differently among women. many women with pcos gain weight while others have thin body types, some have acne and regular periods while other haven’t menstruated in months. because almost all women with pcos test high in androgens (male sex hormones), many symptoms include infertility, male-pattern hair loss, oily skin and acne along the jawline, and facial hair growth. these symptoms can be frustrating to deal with because they are persistent and can often make women feel like they have no control over their bodies. but these symptoms appear for a reason. and usually that reason is that our bodies are chronically stressed and something about our lifestyles needs to change. women with pcos are at increased risk for developing type 2 diabetes, hypothyroidism and cardiovascular disease, so acknowledging these signals from our bodies is key to keeping ourselves healthy for a lifetime. 

 

what causes pcos? 

  • genetics – while pcos is not a genetic condition, per se, predisposition to pcos can be passed down through generations. those who are exposed to higher androgens by their mothers while in the womb are also at greater risk of contracting pcos later in life.

  • stress – both physical and emotional stressors can contribute to pcos. some examples of physical stressors include over-exercising, eating foods you are intolerant to, not eating enough and constant blood sugar issues. many women who suffer from pcos are stressed to the max in their everyday lives – they take on extra work at their jobs, juggle familial responsibilities, endure harrowing breakups and family stress and then often criticize themselves for not working or trying hard enough.

  • blood sugar imbalances – this is one of the most common root causes of pcos and often stems from excessive intake of refined sugars and carbs, or the standard american diet. it often leads to weight gain and involves chronically elevated blood sugar. these blood sugar imbalances cause systemic inflammation in the body and directly influence the production of testosterone, which then inhibits ovulation and fertility.

  • over-exercising and under-eating – our society places a tremendous amount of pressure on women to look a certain way. many women internalize the pressure to be thin and spend years of their lives under-eating while engaging in excessive (usually cardio) exercise. high-intensity exercise always causes testosterone spikes, but they are usually temporary, subsiding when we refuel our bodies with calories. but when women exercise for too long without replenishing their energy stores, their hormone balance starts to suffer.

dealing with facial hair growth and acne

if you struggle with facial hair growth, you are not alone. this can be particularly frustrating if it accompanies hormonal acne – they often show up in exactly the same places along the jawline and chin. because of the cultural expectation that women maintain hairless faces, this type of hair growth can be embarrassing – but there is absolutely nothing wrong with you, there is no reason to feel shame, and there is no reason for you to change in order to appease the people in your life. having pcos is hard enough without having to navigate gendered cultural expectations.

if you are a client here at sS and you to decide to undergo laser hair removal or electrolysis, we just ask that you wait at least two weeks between those treatments and our acne face treatments – we don’t want to stress your skin out too much! if you have hair on your face that you want to remove by shaving, try the tinkle razor, which we sell in the clinic. these razors are more gentle than conventional razors. as for waxing, we don’t recommend it! the heat can be irritating to the skin and who knows what kinds of comedogenic ingredients are lurking in those waxes! 

if your doctor diagnoses you with pcos, they will most likely send you home with a prescription for one or both of two medications: metformin for insulin regulation and spironolactone for decreasing testosterone levels. it is entirely up to you whether you decide to take these medications or not, and whatever your decision, here are a few herbal, dietary and lifestyle changes to implement to keep pcos symptoms under control (and, as always, ask your doctor before making any major changes to your health plan):

  • two cups of spearmint tea each day has been shown to reduce free testosterone levels in women with pcos and has resulted in reduced hirsutism with none of the side effects of pharmaceutical-grade drugs.2 

  • 400mg of saw palmetto, a plant native to the americas, has been found to inhibit the 5-alpha reductase enzyme. the inhibition of this enzyme helps reduce the conversion of testosterone to dht, which is the male sex hormone that leads to oily skin, hair loss, acne and facial hair growth.3

  • balance out your blood sugar by reducing your consumption of refined sugars and carbohydrates – ditch the morning cereals for eggs and greens; instead of a sandwich at lunch, try a salad with tuna or grilled chicken. and pasta for dinner? no way! zucchini noodles will do the trick. eat plenty of good fats and protein and aim for three square meals a day to get your blood sugar on track and to give your digestion a break.4 and supplementing with chromium picolinate has been shown to decrease insulin resistance in women with pcos.5

  • dial in your digestion. take a test to determine any foods you might not tolerate or try an elimination diet to get to the bottom of any digestive woes. this is hugely important because digestive distress is another physical stressor on the body that can ultimately contribute to elevated cortisol and testosterone levels. similarly, make sure your elimination is on track – we flush excess hormones out of the body through our stool, so eat your fiber!

  • practice stress management. this is absolutely huge. take up meditation, improve your time-management skills, see a therapist to work through emotional stress, start a gratitude journal – do what you can to reduce chronic stress in your life as this is often the root cause of pcos.

  • cut the coffee. this is a double whammy – not only does coffee contribute to acne, but it also elevates cortisol levels and contributes to systemic inflammation. instead, try green tea, which has a healing effect on the skin due to its high anti-oxidant polyphenol content.

  • ease up on the exercise. instead of intensive cardio like running or hiit several days a week, switch these out for yoga, walking or light swimming. this will give your adrenal glands a break and will allow your body to more readily recover from stress. 

  • sleep. give your body a chance to do its healing work by getting a solid eight hours of restful and uninterrupted sleep each night. try to make this a priority – this can have a huge impact on the health of our hormones!

  • find a support group near you to work through your emotions around pcos. it’s a tough condition to deal with so finding support in different areas of your life can be a huge relief. 

 further reference:

8 steps to reverse your pcos by fiona mcculloch

paleo for women

pcos diva

pcos awareness association

soul cysters

footnotes

1. sirmans, s. m., pate, k. a. (2014). epidemiology, diagnosis, and management of polycystic ovary syndrome. clinical epidemiology. 6, 1–13.

2. grant, p. & ramasamy, s. (2012) an update on plant derived anti-androgens. international journal of endocrinology metabolism. 2012 Spring; 10(2): 497–502.
3. hudson, t. (2008) polycystic ovarian syndrome (pcos). dec 8, 2008.
4. liepa, g.u., sengupta, a & karsies, d. (2008) polycystic ovary syndrome (pcos) and other androgen excess-related conditions: can changes in dietary intake make a difference? nutrition in clinical practice. 2008 Feb; 23(1):63-71.
5. rabinovitz, h., et al. (2004) effect of chromium supplementation on blood glucose and lipid levels in type 2 diabetes mellitus elderly patients. international journal for vitamin and nutrition research. 2004 May; 74(3):178-82.