Dr. Thaïs Aliabadi

It basically tells your body, take this sugar, get rid of it from the blood, and store it as fat.

How does it do that?

It pushes our liver to turn it into triglyceride.

The triglycerides can, A, go into our blood as a form of VLDL and go and attach themselves to the heart.

And that's why PCOS patients, you have to screen them, their lipid panel, because of their cholesterol, risk of cardiovascular disease, risk of diabetes, all of that.

But what it does, it sends these triglycerides to our visceral organs.

So these patients start having visceral fat.

Visceral fat is very different than the fat that you have under your skin.

Visceral fat actually releases cytokines, inflammatory factors, that increases the inflammation.

Inflammation makes our insulin resistance worse.

And inflammation, which is the next pillar, stimulates our ovaries to secrete more androgens.

And I'm not a visceral fat expert.

Or fatty liver.

Do you know what I'm saying?

Fatty liver.

But it gets dismissed, but it's a very dangerous form of fat because of that inflammation.

So the next pillar is chronic inflammation.

That's why PCOS patients have this chronic inflammation that they complain about.

And this chronic inflammation basically stimulates their ovaries to release more androgens.

This chronic inflammation makes their insulin resistance worse.