PCOS and Hypothyroidism Diet Plan: A Comprehensive Guide

Polycystic ovary syndrome (PCOS) and hypothyroidism are two distinct hormonal imbalances that can significantly impact a woman's health. While seemingly different, research indicates a strong association between these conditions, with a notable percentage of women with PCOS also experiencing subclinical hypothyroidism. Both conditions can affect periods, menstrual cycle and fertility. Managing these conditions often involves a multifaceted approach, where dietary adjustments can play a critical role in alleviating symptoms and improving overall well-being.

Understanding PCOS and Hypothyroidism

Polycystic Ovary Syndrome (PCOS)

PCOS is a common hormone disorder that affects the reproductive system and appearance. It is characterized by an imbalance in reproductive hormones, such as androgens and estrogens. Common symptoms include menstrual irregularities, ovarian cysts, and excess hair growth. One of the most common features of PCOS is insulin resistance, where cells don't respond effectively to insulin, leading to elevated levels of insulin and glucose in the blood.

Hypothyroidism

Hypothyroidism occurs when the thyroid gland is underactive and doesn't produce enough thyroid hormones. Thyroid hormones play a vital role in regulating various bodily functions, including energy levels, metabolism, and mood. Symptoms of hypothyroidism can include constipation, weight gain, and decreased metabolism. Research suggests that individuals with Hashimoto’s thyroiditis, a leading cause of hypothyroidism, often experience higher levels of inflammation.

The Connection Between PCOS and Hypothyroidism

Studies have shown that hypothyroidism and autoimmune thyroid disorders are more prevalent in women with PCOS compared to the general population. An increased estrogen and estrogen/progesterone ratio seem to be directly involved in high anti-TPO levels in PCOS patients. Hypothyroidism can increase testosterone by decreasing the level of sex hormone binding globulin (SHBG), increasing the conversion of androstenedione to testosterone and estradiol, and reducing the metabolic clearance of androstenedione.

Dietary Strategies for Managing PCOS and Hypothyroidism

Changing your diet is a great way to manage both your PCOS and hypothyroidism symptoms. Both conditions respond well to similar diets. Dietary changes can help people with these conditions manage their symptoms. The recommended dietary approach for PCOS involves eating fewer refined carbohydrates and more foods that help keep blood sugar levels stable. People with PCOS also benefit from limiting foods that contribute to inflammation. For hypothyroidism, limiting processed and inflammatory foods can support overall health.

Read also: Guide to PCOS Exercise

Foods to Avoid

  • Refined Carbohydrates: White bread, white rice, bagels, muffins, and breakfast pastries can worsen insulin resistance in PCOS.
  • Sugary Foods and Drinks: Sodas, sports drinks, cakes, cookies, and sugary snacks can rapidly raise insulin levels. Sugar should be avoided whenever possible, so this means you will have to really pay attention to your food labels. Avoid foods with the following names in the ingredient list: Sucrose DextroseHigh Fructose corn syrup
  • Processed and Fried Foods: Deep-fried foods, processed meats, and margarine contribute to inflammation and should be limited.
  • Red Meat: Limiting red meat intake can be beneficial for managing PCOS symptoms.
  • Goitrogenic Foods (for Hypothyroidism): Broccoli, peanuts, and soy contain goitrogens, which can interfere with thyroid function if consumed in excess. Note that it’s OK to eat goitrogenic foods in moderation, and cooking decreases goitrogenic activity in foods.
  • Highly processed foods: like cookies and cakes
  • Alcohol and excessive intake of coffee: should also be avoided

Foods to Include

  • Lean Protein: Fish, eggs, chicken, and turkey support stable blood sugar levels and provide essential nutrients.
  • Healthy Fats: Nuts, seeds, avocado, and olive oil offer anti-inflammatory benefits and support hormone production.
  • Fiber-Rich Foods: Vegetables, fruits, and gluten-free grains like brown rice and quinoa promote satiety and help regulate blood sugar.
  • Anti-Inflammatory Foods: Berries, leafy greens, and fatty fish (like salmon) contain compounds that combat inflammation.
  • Vegetables: leafy green vegetables like spinach, fenugreek leaves, coriander etc.
  • Fruits: berries, bananas, oranges, tomatoes, apples, Dry coconut etc.
  • Gluten-free grains and seeds: brown rice, buckwheat, quinoa, chia seeds, Pumpkin seeds, and flax seeds.
  • Dairy: all dairy products, including milk, cheese, yogurt, etc.
  • Iodine rich food: Iodine is found mainly in animal protein foods and sea vegetables, and to a lesser extent in fortified foods like breads, cereals, and milk (Dairy products), curry leaves, pomegranate, beetroot, and iodized salt.
  • Selenium rich food: Barley, broccoli, brown rice, chia seeds, flax seeds, Brazil nuts, mushrooms, sunflower seeds, and wheat are the main source of selenium.
  • Zinc rich foods: The best source of zinc is mainly found from animal foods and plant-based food like Chickpeas, Lentils, Beans, Oatmeal, Curd, Tofu, Whole Wheat, Moong, almonds, cashews, seeds like pumpkin seeds and watermelon seeds.

Sample Meal Ideas

Here are some meal ideas incorporating beneficial foods for both PCOS and hypothyroidism:

Breakfast

  • Fiesta Egg Omelet: Eggs with fresh spinach, cherry tomatoes, and green peppers.
  • Berry and Nut Parfait: Low-fat Greek yogurt with fresh berries, chopped almonds, and walnuts.
  • Sweet Potato Breakfast Hash: Sweet potatoes, ground turkey sausage, chopped kale, and green peppers.
  • Overnight Chocolate Chia Pudding: Chia seeds are a wonderful source of protein, fibre and magnesium.
  • California Sweet Potato Hash with Feta and Eggs: Because it’s Sunday.

Lunch

  • Spinach Salad with Roasted Salmon: A nutrient-rich and anti-inflammatory option.
  • Kale Salad with Berries, Nuts, and Chicken: Provides fiber, protein, and healthy fats.
  • Quinoa Bowls with Roasted Vegetables: A balanced and customizable meal.
  • Greek Yogurt Tuna Salad.
  • Middle-Eastern Mason Jar Salad.
  • Pumpkin Soup Like You’ve Never Tasted Before.
  • Quinoa Salad with Nuts: Quinoa is a versatile grain that is naturally gluten-free and high protein.

Dinner

  • Brown Rice Bowls with Ground Turkey: A hearty and healthy meal.
  • Grilled Chicken and Summer Vegetables: A simple and nutritious choice.
  • Chicken and Kale Soup with Wild Rice: Provides warmth and essential nutrients.
  • Egg Shakshuka + rice to serve: This Tunisian dish is a wonderful source of vegetables and eggs, a source of iodine.
  • Shrimp, Zucchini & Pesto Angel Hair Pasta: You should choose gluten-free pasta for this recipe (doesn’t need to be angel hair).
  • One Pot Cheesy Taco Skillet.
  • Quinoa Crusted Chicken Parmesan + vegetables to serve.

Snacks

  • Apple with nut butter
  • Cottage cheese and avocado
  • Non-fat vanilla Greek yogurt with clementines, blueberries, or sliced almonds.
  • 2-3 Brazil nuts: High in protein, fibre and healthy fats, Brazil nuts are a fantastic source of selenium (for thyroid health).
  • 5-Ingredient Sweet Potato Chips.
  • Spicy Honey-Roasted Chickpeas.
  • Super Simple Banana Bread: Only 4 ingredients and perfect for toddlers too.
  • Homemade Hummus.

Sample Diet Chart

  • Early morning (6:30 am to 7:00 am): Take thyroid medicine on an empty stomach. Keep 1hour gap between thyroid medicine and meals.
  • Around 7:30 am: Coriander seed water and a handful of soaked walnuts and almonds. Or take 1 glass of lukewarm water added with one spoon of apple cider vinegar, mix it well and have it.
  • Breakfast (7:50 am to 8:00 am): Protein rich food like 2 Moong Dal Chilla1sprouts chaat Or1 bowl of Vegetable oats Or1 bowl of vegetable brown rice Or1bowl of Quinoa Bowl2.One should take 2spoon of flax seed powder mixed with any meal or fruit dish.
  • Mid-morning snack (10:00 am to 10:30 am): Any seasonal fruit can be taken but Citrus fruit is preferred.Chia seed water or fresh coconut water can take OrOne glass of smoothie3/ smoothie bowl.
  • Lunch (12:30 pm - 1:00 pm): Take salad before 15min of lunch which improves digestion and reduces overeating.1-2 Sattvic chapati4 or ragi / bajra / jowar roti with 1 bowl of properly cooked vegetables. One bowl of daal or curd.
  • Evening snacks (around 4:30 pm): Cup of green tea or herbal tea + 1 spoon of pumpkin seeds or watermelon seeds.
  • Dinner (6:30 pm to 7:00 pm): 1 bowl of properly cooked vegetables, 1bowl of dal, boiled rice, millets or multigrain roti or mixed Dal khichdi.
  • At bedtime (9:00 pm to 10:00 pm): 1 glass of Golden milk.

Recipe: Coriander Seed Water

  • Ingredients:
    • Coriander seed - ½ teaspoon
    • Powdered cinnamon - one pinch
    • Mint leaves - 2 to 3
    • Lemon juice - 1 Spoon
  • Preparation:
    • Soak ½ teaspoon of coriander seeds in water overnight.
    • Next morning, put A Pinch of cinnamon and mint leaves in the mixture.
    • Boil this mixture for 3 to 5 minutes.
    • Strain the mixture and add lemon juice and drink it lukewarm.
  • Benefits: It is very beneficial for thyroid due to its high mineral content like B1, B2, B3 in coriander. It stimulates digestion, boosts immunity, strengthens the hair and reduces hair thinning and hair loss, removes toxins from the body and will help to reduce weight.

Lifestyle Changes

Like many other disorders, PCOS responds well to proactive lifestyle choices. This includes physical movement or exercise at a higher frequency. Physical activity is known for its ability to reduce insulin resistance. This is especially true when you integrate a healthy diet and limit your intake of carbohydrates. Experts note that exercise up to 150 minutes per week is ideal. This should be broken down into daily activity and be coupled with a diet that is low in inflammatory foods and low in sugar. With these changes, women can see an improvement in ovulation and weight loss. PCOS symptoms can cause stress. It is imperative for you to understand how to use stress reduction techniques to help you keep calm. These include meditation and yoga.

Additional Considerations

  • Consult a Healthcare Professional: Talk with your doctor about the best diet for you. It is essential to consult with a healthcare provider or registered dietitian for personalized dietary recommendations.
  • Medication: Medication can help manage both conditions, but dietary changes are another step you can take to help manage your symptoms.
  • Thyroid hormone consumption: Thyroid hormone should be consumed fasting: At least 1-2 hours before your first food (being conservative). This could mean you skip breakfast altogether, which is fine if it suits you.
  • Flexibility is key: Of course this plan cannot meet all your individual needs, so if there is an ingredient you don’t eat then replace it or leave it out.
  • Limit or eliminate junk foods and highly processed products: This plan focuses on whole, unrefined foods as they are fundamental to a healthy diet. Realistically it’s very difficult to eliminate all highly processed (often pre-packaged) foods, but just be mindful of cutting down.

Read also: PCOS Diet Recipe Guide

Read also: Natural Ways to Reduce PCOS Facial Hair

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