Dr. Thaïs Aliabadi

this chronic inflammation can affect their gut.

That's why PCOS patients come and say, I don't feel good.

I have food sensitivities.

I feel bloated because these hormonal shifts and these inflammations do affect our gut.

Then we go to the next pillar, which is genetics.

If you look in PCOS families, there's someone who's either diabetic, pre-diabetic, had gestational diabetes, is overweight.

There's some form of insulin resistance.

A lot of times you see these patients and their dad is diabetic.

So you don't have to look in your mom's head at the family.

This is a very important point.

It's both sides.

And then the last pillar is epigenetics, which I know you talk a lot about it, but it's our stress.

How much are we sleeping?

What kind of food are we eating?

Someone said this to me and I love this saying.

They said, your genes load the gun, your environment pulls the trigger.

And I love that because even if you're loaded with insulin resistance, all of that, you can suppress these symptoms.

But if you start eating unhealthy, if you're stressed out, if you're not sleeping, if you're just not exercising, you're pulling that trigger.

And that's why, Andrew, all these pillars work together.

And that's why these patients present so many different ways, right?