I think half the time she actually does have the money to spend on bullshit (like magazines, dunkin donuts) but she has to keep up the ~uwu im a poor gurl~ shit so she says that strangers bought it because she was "counting change". She got that one magazine right after visiting her dad.. And im pretty sure she gets/takes money from him. Its not enough to buy dope, so she just goes and spends it on dumb shit.
Las mujeres con PCOS pueden tomar medicamentos para la fertilidad como Clomid o inyectárselos a fin de inducir la ovulación. Las mujeres también pueden tomar medicamentos para aumentar la sensibilidad a la insulina o esteroides (para reducir el nivel de andrógeno) a fin de inducir la ovulación. Algunos estudios también indican que tomar una dosis baja de aspirina, que ayuda a prevenir la coagulación en el recubrimiento uterino y mejora la circulación, puede mejorar la probabilidad de un embarazo.

It is thought that insulin resistance may be a key factor in PCOS. Insulin helps transport glucose into the body's cells. where it is needed for energy production. When there is resistance to insulin's effect, the body tries to compensate by making even more insulin and releasing it in the blood (hyperinsulinemia). Some believe that too much insulin may cause the ovaries to increase androgen production, which in turn causes the symptoms associated with PCOS.


Women with PCOS have a normal uterus and healthy eggs. Many women with PCOS have trouble getting pregnant, but some women have no trouble at all. If you’re concerned about your fertility (ability to get pregnant) in the future, talk to your health care provider about all the new options available, including medications to lower your insulin levels or to help you ovulate each month.
Polycystic ovarian syndrome (PCOS), also known by the name Stein-Leventhal syndrome, is a hormonal problem that causes women to have a variety of symptoms. It should be noted that most women with the condition have a number of small cysts in the ovaries. However, women may have cysts in the ovaries for a number of reasons, and it is the characteristic constellation of symptoms, rather than the presence of the cysts themselves, that is important in establishing the PCOS diagnosis.
Diet is crucial component in treating PCOS and really should be considered along with herbal remedies a key consideration when managing this disorder. A well-balanced junk free diet filled with PCOS foods will also help control putting on weight too which could lessen your PCOS symptoms. PCOS food options do not have to exclude all your favorite dishes, you can still enjoy a delectable range of lean proteins, fruit, veggies and whole grain products despite polycystic ovarian syndrome problems. Many women with PCOS think carbohydrates are the enemy; however, high fiber and whole grain carbohydrates have numerous vitamins and nutrition vital so consuming these types of foods also help control glucose and reduce the influence of blood insulin sensitivity. A small decrease in carb intake may be recommended if your polycystic ovarian syndrome is severe but don’t make any major changes before you talk to your physician. Keep in mind you should spread your carb consumption equally across the entire day from breakfast to an evening snack. This helps keep the glucose level even all the way through the night. It’s also wise to combine your carbohydrates with a lean protein source every meal (including snacks) because this will stabilize your blood sugar levels. Desserts, chocolate, sodas as well as an excessive amount of juice are not considered to be PCOS foods and should be avoided because they can negatively impact polycystic ovarian syndrome symptoms and sabotage your efforts to stay healthy.
Your health care provider will ask you a lot of questions about your menstrual cycle and your general health, and then do a complete physical examination. You will most likely need to have a blood test to check your hormone levels, blood sugar, and lipids (including cholesterol). Your health care provider may also want you to have an ultrasound test. This is a test that uses sound waves to make a picture of your reproductive organs (ovaries and uterus) and bladder (where your urine is stored). In girls with PCOS, the ovaries may be slightly larger (often >10cc in volume) and have multiple tiny cysts.
On the topic of Chief, I've been wondering why she's so into him and was attracted to him in the first place. He's just a dirty, ugly, boring, almost middle-aged man, whereas there are tons of younger male junkies who look and act the part of ~tortured artiste~ and would match her aesthetic and desired lifestyle much better. What's the deal? Why Chief? Is he just the first guy who came along who'd shoot her up, and now she just can't be bothered to find someone better?

El primer paso es consultar con un médico que sepa sobre PCOS. Elija un médico especialista en problemas hormonales (endocrinólogo) o un médico especialista en la salud de las mujeres (ginecólogo o de cabecera). Recuerde que cuanto antes obtenga ayuda para tratar el síndrome, menor es el riesgo de tener problemas de salud relacionados con PCOS, como la diabetes.
What matters most: Your goal when losing weight is to aim specifically to reduce the fat around your abdomen (belly fat). This requires boosting your metabolism like women who had PCOS did in an Italian weight loss study.7 Those who rode exercise bikes for 30 minutes, three times a week, lost more abdominal fat than those who shed pounds by just eating less.7 You won’t be successful if you only change your diet. More women in the exercise group than the diet group began ovulating even though both groups lost similar amounts of weight.7

This high potency blend of botanicals and antioxidants focuses on supporting the vessels of the cardiovascular system as well as cellular vitality, that can be compromised in women with PCOS and insulin resistance.* Over time, the interior lining of blood vessels are damaged when insulin levels are elevated and this damage contributes to the formation of Cardiovascular Disease. Elevated insulin also causes free radical damage and vessel injuries which are important factors in the progression of PCOS and Insulin Resistance. RejuvaPlus contains high quality antioxidants designed to support cardiovascular vessel integrity, minimize free-radical damage. An additional benefit is supporting immune function.


Examen físico. El médico te tomará la presión arterial, el índice de masa corporal (IMC) y la medida de la cintura. También observarán tu piel en busca de vello excesivo en el rostro, pecho o espalda, acné o decoloración de la piel. Además, puede examinarte en busca de caída del cabello o signos de otras condiciones de salud (como glándula tiroides agrandada).
Women who do not wish to become pregnant can be effectively treated for hirsutism with oral contraceptives. [77] Oral contraceptives slow hair growth in 60-100% of women with hyperandrogenemia. Therapy can be started with a preparation that has a low dose of estrogen and a nonandrogenic progestin. Preparations that have norgestrel and levonorgestrel should be avoided because of their androgenic activity. There is also a risk of thrombotic events in obese women who use oral contraceptives; therefore, the proper precautions should be exercised to prevent such events. Oral contraceptives containing cyproterone acetate are also very effective in the treatment of more severe hirsutism [78] ; however, this combination of agents has not been approved by the FDA for use in the United States.

Ciertos médicos permiten que las embarazadas con PCOS sigan tomando metformina durante el embarazo, mientras que otros no se la recetan a mujeres que están tratando de concebir. No existe evidencia de que cause defectos congénitos, pero se desconocen los efectos a largo plazo en el bebé. Las mujeres deben hablar con su médico sobre los riesgos y beneficios de los medicamentos. Por lo general se vigila más de cerca a aquellas que toman el medicamento. Después del embarazo, muchas mujeres con el síndrome tienen ciclos menstruales normales y se les hace más fácil volver a salir embarazadas.
For acne or excess hair growth, a water pill (diuretic) called spironolactone (Aldactone) may be prescribed to help reverse these problems. The use of spironolactone requires occasional monitoring of blood tests because of its potential effect on the blood potassium levels and kidney function. Eflornithine (Vaniqa) is a prescription cream that can be used to slow facial hair growth in women.Electrolysis and over-the-counter depilatory creams are other options for controlling excess hair growth.
Jump up ^ Wu, XK; Stener-Victorin, E; Kuang, HY; Ma, HL; Gao, JS; Xie, LZ; Hou, LH; Hu, ZX; Shao, XG; Ge, J; Zhang, JF; Xue, HY; Xu, XF; Liang, RN; Ma, HX; Yang, HW; Li, WL; Huang, DM; Sun, Y; Hao, CF; Du, SM; Yang, ZW; Wang, X; Yan, Y; Chen, XH; Fu, P; Ding, CF; Gao, YQ; Zhou, ZM; Wang, CC; Wu, TX; Liu, JP; Ng, EHY; Legro, RS; Zhang, H; PCOSAct Study, Group. (27 June 2017). "Effect of Acupuncture and Clomiphene in Chinese Women With Polycystic Ovary Syndrome: A Randomized Clinical Trial". JAMA. 317 (24): 2502–2514. doi:10.1001/jama.2017.7217. PMC 5815063. PMID 28655015.
In contrast, another recent meta-analysis reviewed 26 studies that evaluated the use of letrozole in women with PCOS. The use of letrozole in cycles for timed intercourse was associated with higher live birth (nine studies; OR 1.63; 95% CI: 1.31 to 2.03; n=1783; I2=3%) and clinical pregnancy rates (fourteen studies; OR 1.32; 95% CI: 1.09 to 1.60; n=2066; I2=25%) compared with CC treatment; however, this evidence was poor. Studies comparing the use of letrozole versus ovarian drilling revealed no differences in live birth, clinical pregnancy or OHSS rates. The administration of letrozole for 5 or 10 days at a dose of 5 or 7.5 mg/day displayed similar clinical pregnancy rates 42. A recent study found that the use of letrozole was associated with higher live birth rates and ovulation among 750 infertile women with polycystic ovary syndrome compared with clomiphene 43.
Es posible que el médico también te pida un análisis de sangre para diagnosticar un síndrome de ovario poliquístico u otras afecciones, como los problemas de la tiroides, de los ovarios o de otras glándulas. Los análisis de sangre permiten medir las concentraciones de andrógenos, insulina y otras hormonas. Los resultados de estas pruebas pueden ayudar a los médicos a determinar el tipo de tratamiento que debes recibir.

El estilo de vida puede tener un gran impacto en la resistencia a la insulina, especialmente si una mujer tiene sobrepeso debido a su dieta o a la falta de actividad física. La resistencia a la insulina también es un rasgo de familia. Perder peso ayudará muchas veces a mejorar los síntomas, independientemente de lo que causó la resistencia a la insulina.


Examen físico. El médico te tomará la presión arterial, el índice de masa corporal (IMC) y la medida de la cintura. También observarán tu piel en busca de vello excesivo en el rostro, pecho o espalda, acné o decoloración de la piel. Además, puede examinarte en busca de caída del cabello o signos de otras condiciones de salud (como glándula tiroides agrandada).

meh. I think she takes selfies (including the body posi ones) because it helps her cultivate her image rather than because she thinks she's gorgeous. She's not like many of the other cows in that she doesn't try to hide her cellulite or mismatching eye sockets or her flab. Her imperfections feed into her junkie chic look, which is why calling them out every time she posts a picture ad nauseum doesn't make sense. She knows she has these features and doesn't seem to care, she mentions them herself, and she might even like how they fit into her style. She's totally comfortable with them and places a much higher importance on aesthetic than having a beautiful body.
Altos niveles de andrógenos. Los andrógenos a veces se conocen como "hormonas masculinas", aunque todas las mujeres generan pequeñas cantidades de andrógenos. Los andrógenos controlan el desarrollo de características masculinas, como la calvicie de patrón masculino. Las mujeres con SOP tienen más andrógenos de lo normal. Los niveles de andrógeno más elevados de lo normal pueden evitar el desprendimiento de un óvulo de un ovario (ovulación) en cada ciclo menstrual y pueden causar un crecimiento excesivo de vello y acné, dos signos de SOP.
A secondary analysis of two randomized, double blind, placebo-controlled trials that included 182 children of mothers with PCOS reported that children exposed to metformin had higher BMI and increased prevalence of overweight/obesity at 4 years of age. The study found that at 4 years of age, the metformin group had higher weight z-score than the placebo group; difference in means 0.38 (0.07 to 0.69), p=0.017, and higher BMI z-score; difference in means 0.45 (0.11 to 0.78), p=0.010. There were also more overweight/obese children in the metformin group; 26 (32%) than in the placebo group; 14 (18%) at 4 years of age; odds ratio (95% CI): 2.17 (1.04 to 4.61), p=0.038. More studies are needed to examine this association. [94]
AQUA LUNA is just a few steps from the historical centre of Riga, in the quiet Andrejsala area. An old port where abandoned warehouses of imperial times are located next to a modern yacht-club, fashionable restaurants and night clubs, Andrejsala first became a popular leisure area for independent youth and bohemia, and more recently for high society and the wealthy. Industrial port buildings and the urban landscape add a special romanticism and piquancy to the area, which in the evenings becomes a centre of entertainment in Riga.
El primer paso es consultar con un médico que sepa sobre PCOS. Elija un médico especialista en problemas hormonales (endocrinólogo) o un médico especialista en la salud de las mujeres (ginecólogo o de cabecera). Recuerde que cuanto antes obtenga ayuda para tratar el síndrome, menor es el riesgo de tener problemas de salud relacionados con PCOS, como la diabetes.
Metformin is among one of the main treatments to target insulin resistance if you have prediabetes or diabetes, including because of PCOS. The advice is controversial, but some physicians believe that PCOS always requires metformin, notes Dr. Dunaif. “There’s no reason to give every woman with PCOS metformin. It’s a good and safe drug, but there’s no point in taking it if you don’t need it,” she says. (She notes that it has such a good safety profile that even when overprescribed, it doesn’t cause any harm.) But it’s not a good way to reduce the male hormone symptoms, like excess hair growth.
Although the exact cause of PCOS is not known, there are several factors that are associated with the condition. It is closely linked to high levels of hormones such as insulin and testosterone, but it is not clear if this is a cause or an effect of the condition. Additionally, it appears to run in some families, which suggests that there may be a genetic link in the pathogenesis of the condition.
This month, a groundbreaking study was published in the journal Nature Medicine that might have found a treatment for this disorder. The research was lead by Dr. Paolo Giacobini at the French National Institute of Health and Medical Research. The authors’ goal was to determine if something in the environment of the womb could be causing PCOS. We have known for awhile that PCOS runs in families (so if your mother or sister has PCOS, you may be more likely to have PCOS because you share genes that are associated with the disorder) but there don’t seem to be enough carriers of these genes to explain the high prevalence of PCOS (again, 10% of women!).
A case control study examining 100 infertile women with PCOS found that those who supplemented a daily 1500 mg dose of metformin, a medication commonly used to treat PCOS symptoms, with calcium and vitamin D saw improvements in BMI, menstrual abnormalities, and other symptoms. The women in the study added 1,000 mg of calcium a day and 100,000 IU of vitamin D a month to their daily metformin dose for six months.
Preclinical and clinical studies provide evidence that six herbal medicines may have beneficial effects for women with oligo/amenorrhea, hyperandrogenism and PCOS. However the quantity of pre-clinical data was limited, and the quality of clinical evidence was variable. Further pre-clinical studies are needed to explain the effects of herbal medicines not included in this review with current clinical evidence but an absence of pre-clinical data.

96. Glintborg D, Frystyk J, Højlund K, Andersen KK, Henriksen JE, Hermann AP, Hagen C, Flyvbjerg A, Andersen M. Total and high molecular weight (HMW) adiponectin levels and measures of glucose and lipid metabolism following pioglitazone treatment in a randomized placebo-controlled study in polycystic ovary syndrome. Clin Endocrinol (Oxf) 2008;68:165–174. [PubMed]
PCOS is associated with multiple metabolic defects, including metabolic syndrome. Twice as many women with PCOS have metabolic syndrome as in the general population, and about one-half of women with PCOS are obese.1,9 The presence of PCOS is also associated with a fourfold increase in the risk of type 2 diabetes mellitus.10 There is an increased prevalence of nonalcoholic fatty liver disease,11,12 sleep apnea,13 and dyslipidemia14 in patients with PCOS, even when controlled for body mass index. Rates of cardiovascular disease are higher in patients with PCOS, but increased cardiovascular mortality has not been consistently demonstrated.15,16 Finally, there is evidence to suggest an increased risk of mood disorders among patients with PCOS.17,18

Shahin et al. [65] Randomised controlled trial using with an active control arm for comparative effectiveness. One menstrual cycle. 147 women aged less than 35 years with un-explained infertility and recurrent clomiphene resistance for ovulation induction. Anovulatory participants were excluded (n = 28). Anovulation was diagnosed by serum oestradiol < 200 ng/ml and absence of a dominant ovarian follicle on day 9 of the menstrual cycle. Complete data sets available for 119 women. All women received Clomiphene citrate (clomiphene) 150 mg on menstrual cycle days 3–7. A randomised group also took Cimicifuga racemosa 20 mg per day between days 1–12. Cimicifuga racemosa described as ‘phytoestrogens’ was provided in the commercial preparation Klimadynon®, manufactured by Norica in Germany. A trigger injection (human chorionic gonadotropin, 10 000 IU) and timed intercourse was recommended when a dominant follicle > 17 mm was observed. Pregnancy rate measured as increasing serum human chorionic gonadotropin (HCG) over two days. Clinical pregnancy defined as detection of gestational sac with embryonic heart-beat. Endometrial thickness measured by ultrasound concurrent with follicle maturation monitoring. Number of days to ovulation (trigger injection) Serum concentration for FSH oestradiol and LH. Luteal progesterone measured on days 21–23 of the menstrual cycle. Miscarriage and multiple pregnancy rates. Pregnancy rate in clomiphene alone group was 20.3% and 43.3% in the clomiphene plus Cimicifuga racemosa group (P < 0.01). Clinical pregnancy rate in the combination group was 36.7% versus 13.6% in the clomiphene alone group (P < 0.01). Endometrial thickness in combination group was 8.9 (±1.4) versus 7.5 (±1.3) (p < 0.001). Days to ovulation in clomiphene alone group was 13.0 ± 1.1 and in the clomiphene plus Cimicifuga racemosa group 14.2 ± 1.3 (n.s.). Luteal progesterone peak (ng/ml) in combination group was 13.3 (±3.1) versus 9.3 (±2.0) in clomiphene alone group (p < 0.01). All other hormone measures were not significantly different No detailed current baseline criteria for other causes of infertility. Confounding factors include current male fertility status. This may have caused an imbalance between the two groups. There is no description of the distribution of excluded (anovulatory) participants between groups.
Androgen lowering effects for Glycyrrhiza spp. have been demonstrated in one laboratory study examining hormone concentration in female rats (Glycyrrhiza uralensis), [53] and corroborated in two clinical trials, one including healthy women [55] and the other including women with PCOS (Glycyrrhiza glabra) [54] (Table 1). The animal study reported significantly reduced free and total testosterone and increased oestradiol in sterilised rats and no hormonal changes in oophrectomised rats. The authors conclude that the hormonal effects occurred primarily in the ovary via enhanced aromatisation of testosterone to 17-beta oestradiol. The investigators also observed significantly increased oestradiol. There were no changes to FSH or LH in androgen sterilised or oophrectomised rats [53].
In patients with polycystic ovarian syndrome (PCOS) who are obese, endocrine-metabolic parameters markedly improve after 4-12 weeks of dietary restriction. Their sex hormone–binding globulin (SHBG) levels rise, and free testosterone levels fall by 2-fold. [66] Serum insulin and insulin-like growth factor-1 (IGF-1) levels also decrease. In patients with PCOS who are obese, weight loss is associated with a reduction of hirsutism and a return of ovulatory cycles in 30% of women, thereby improving pregnancy rates, as well as improving glucose tolerance and lipid levels. [12, 3]
i wonder if luna's dad knows about how much she complains about him. all he would have to do is google her name to see how much she hates him. if i were her dad and i saw the shit she says about me, i'd kick her to the curb. poor dude is letting her have what she wants, when she wants it, and she STILL talks about him like he's a monster. maybe he's a piece of shit but damn, at least he's trying. what an ungrateful brat

Bragging moment! For the first time in 13 YEARS I'm having a normal period! Bleeding normally, NOT having excruciating cramps, NOT breaking out terribly and my hair is NOT falling out! I am so happy I could cry! The Insulite sytem helped me stay sane and given me my sanity back. I am in control of my body for the first time in my entire life. Truly a blessing.

Chicken and egg: was Luna an asshole who started drugs and became even more of an asshole, or did she start drugs that turned into an asshole? A lot of what's wrong with her has little to do with her addiction - e.g. her desperate attempts at focusing everything into a mad scramble for sympathy (some bum died, so she wrote a story that made it look as if he had been her closest friend so people tell her they're sorry etc.) derive from her being an asshole, not from her addiction. Anyone who consciously wants to become a junkie for an aesthetic is already way deeply fucked imho.
You can lose weight by exercising regularly and having a healthy, balanced diet. Your diet should include plenty of fruit and vegetables, (at least five portions a day), whole foods (such as wholemeal bread, wholegrain cereals and brown rice), lean meats, fish and chicken. Your GP may be able to refer you to a dietitian if you need specific dietary advice.
Dandelion Root (Taraxacum officinale): This herb is an effective liver detoxifier and bile flow stimulant. It is used to cleanse the liver and get rid of any build-up of hormones. This clean up can stimulate the production of SHGB which also means free testosterone in the blood is decreased.7 Dandelion root is used for PCOS treatment because menstrual irregularities are often affected by the liver being backed up with excessive hormones.

Clinical trials have shown that metformin can effectively reduce androgen levels, improve insulin sensitivity, and facilitate weight loss in patients with PCOS as early as adolescence. [55, 56, 57, 58] One study concluded that the use of metformin throughout pregnancy was associated with a 9-fold decrease in gestational diabetes in women with PCOS. [59] In addition to having the potential to reduce gestational diabetes in pregnant women with PCOS, metformin may also reduce the risk of preeclampsia in this population. [60]

Su médico puede ayudarla a encontrar la manera de sentirse mejor sobre su apariencia. Por ejemplo, puede preguntarle al médico acerca de la mejor manera de eliminar el vello facial. Si se siente deprimida o preocupada, pregúntele a sus padres o médico de quién puede recibir terapia. También puede recurrir a un grupo de apoyo para hablar con otras mujeres con el síndrome. Es más valiente recibir terapia que sufrir en silencio.
Lifestyle measures to achieve a weight loss of 5%-10% in overweight women can help regulate ovulation and periods. Although the basic approach of nutrition is needed, it can be more challenging to lose weight and maintain weight loss with PCOS. Dr. Dunaif from Northwestern is very encouraging that even “a little bit of weight reduction and exercise can improve insulin sensitivity.”
magandang araw po, ask lang po ang resulta po ba ng mataas na PROLACTIN ay nangangahulugang hindi magkaka anak ang isang babae? sobrang taas po ng prolactin level result q 62.77 ng/ml kumpara sa normal na 5 – 25 ng/ml., anu pu ba ang pwedeng gawin para mapababa sa normal ito? maraming salamat po at sana’y masagot ang tanong q kung meron kau pagkakataon, godbless po!
Androgen lowering effects for Glycyrrhiza spp. have been demonstrated in one laboratory study examining hormone concentration in female rats (Glycyrrhiza uralensis), [53] and corroborated in two clinical trials, one including healthy women [55] and the other including women with PCOS (Glycyrrhiza glabra) [54] (Table 1). The animal study reported significantly reduced free and total testosterone and increased oestradiol in sterilised rats and no hormonal changes in oophrectomised rats. The authors conclude that the hormonal effects occurred primarily in the ovary via enhanced aromatisation of testosterone to 17-beta oestradiol. The investigators also observed significantly increased oestradiol. There were no changes to FSH or LH in androgen sterilised or oophrectomised rats [53].
High levels of androgens. Androgens are sometimes called "male hormones," although all women make small amounts of androgens. Androgens control the development of male traits, such as male-pattern baldness. Women with PCOS have more androgens than normal. Higher than normal androgen levels in women can prevent the ovaries from releasing an egg (ovulation) during each menstrual cycle, and can cause extra hair growth and acne, two signs of PCOS.
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