PCOS Rehabilitation Program

You have a diagnosis of PCOS and are wondering: what now?

If this news came to you recently, you must feel very confused.

I completely understand; when you search for information about female hormones, you are met with lots of conflicting answers.

It also seems that no one around you really understands everything behind this syndrome.

First of all: It’s not easy to deal with being and feeling overweight when the only reason was that you were overeating.

Now add a hormonal problem!

Did you know that…

Even the representatives of the European Society of Human Reproduction and American Society of Reproductive Medicine modified the concept of PCOS by defining it as a disorder with multiple phenotypes.(1)

This means that the syndrome can present in multiple ways in each woman.

pcos nutritionist

If you consider that 1 in 10 women can have PCOS in the UK(2), can you imagine how many variations there can be?

Some women may even have PCOS without knowing it!

This represents a major challenge for any professional who has to find a suitable solution.

You don’t know how to deal with all the PCOS symptoms and need an immediate lifestyle change to feel better?

I am pleased to tell you that you are in the right place to clarify your doubts and use a very effective laser sharp customised definitive solution for your PCOS symptoms.

What are the Symptoms of PCOS?

PCOS (polycystic ovary syndrome) symptoms are very varied. (2)

You can be in a room with 10 other women suffering from PCOS and you will notice that they will all have a different combination of symptoms.

This syndrome may include 2 or more of the following manifestations:

  • pcos transformationIrregular or missed menstrual periods
  • Multiple painless ovarian cysts confirmed by pelvic ultrasound
  • Infertility
  • Weight gain (especially around the waist)
  • Acne
  • Excess hair growth on face and body
  • Hair loss
  • Severe hair thinning

In addition, other unusual symptoms may also occur, such as:

  • High blood pressure
  • Insomnia
  • Sleep apnoea
  • Mood changes
  • Depression
  • Anxiety

This means that women with PCOS need to be listened to and cared for,

But above all, a woman with PCOS needs specialised care.

In recent years, several studies have shown an increasingly strong association between PCOS and mental health. (3)

This makes it a really serious problem, as it not only affects the reproductive system.

PCOS affects your mood and is also a major metabolic problem that affects several Body systems.

Dealing with heavy or prolonged periods causes lots of anxiety.

And not knowing whether infertility could be permanent is a constant concern among women.

Having to go through menstruation every month is upsetting enough!

I can’t imagine what it’s like to have to endure the symptoms of PCOS caused by multifactorial hormonal imbalances!

Your head fills with negative thoughts, and you think that:

– If you are overweight, it becomes more challenging to reduce measurements without the right help and,

– You start to become overly conscious of your physical appearance due to acne, oily skin, coarse facial hair, uncontrollable cravings for sweet food and so on!

PCOS program

On top of that, due to irregular menstrual cycles and lack of ovulation, the uterus wall may not shed as often as it should.

This means that without PCOS management, the risk of cancer of the lining of the uterus (endometrium) may increase.

The priority for you should be to get a PCOS rehabilitation program for the busy woman in London that will bring your health to an optimal level.

A laser sharp customised PCOS rehabilitation program is designed to address all aspects of a woman’s health.

Not just aimed at relieving symptoms, PCOS rehab aims to help women build a new, active and healthy lifestyle.

This is achieved by addressing each individual’s needs, from the PCOS diet, to a highly scientific customised exercise programme to improve the symptoms of PCOS.

Understanding the Causes and Risks

Although you may be interested in finding out more about PCOS just to improve specific symptoms or to find out how you can lose weight with PCOS, comprehensive consultation in London offers much more than that.

PCOS (polycystic ovary syndrome) is a complex disorder and requires a thorough analysis of the case through a detailed consultation.

When you want to effectively address your PCOS symptoms, one rule fits all generalisation or using a superficial approach will never work.

Read more

The PCOS diet: How to Manage Symptoms through Nutrition and Healthy Eating

Have you ever heard the phrase: all roads lead to Rome?

Do you find that when it comes to finding a solution for your PCOS, all roads lead to dieting?

Maybe nutrition doesn’t seem so relevant to you right now.

I’m sure you know that with a proper diet you can lose weight, but do you know HOW MUCH you can achieve with a diet specifically geared towards resolving the PCOS symptoms?

PCOS diet is the main way to go and there are very good reasons behind this.

Read more

The Benefits of Exercise For PCOS and Recommended Types of Exercise

This is one of my favourite part, and I’m not planning to discredit the diet.

But, do you know how good it feels to finish a workout?

Movement oxygenates your whole body and gets your heart racing, that’s why exercise is synonymous with life!

As an elite London personal trainer, I love to safely (SAFE is a keyword) help my clients achieve their maximum fitness level, respecting their pace and physical capacity.

Exercise for PCOS is very special because it has a huge scientific foundation to back it up and when is used correctly makes it a powerful tool to improve symptoms in women with PCOS.

Read more

The Role of a Qualified Personal Trainer and Supervising Exercise Programs for PCOS

The most effective way to:

  • Improve your body composition,
  • Reduce weight,
  • Improve your mood and,
  • Restore your menstrual cycle is to have a structured exercise plan guided 1-2-1 by a professional.

Even if you have back, knee, ankle, shoulder injuries or chronic pain, your workout program is planned safely so that you can perform every movement without any risk.

That’s why I limit myself to working only with women who are committed to their health and are willing to improve in all aspects of their lives.

I will not take the risk of giving generalised advice, as this not only takes you away from your goal, it can also do you more harm.

The PCOS management program includes supervision by a team of highly trained medical professionals in nutrition and coaching for women with polycystic ovary syndrome.

The rules are smartly structured and individualised for women in London who are committed to their well-being.

The first thing I want to address is your current diet, as according to the latest research on PCOS treatment, diet is the cornerstone of improving PCOS symptoms.

And while there are specific recommendations, such as fibre intake to improve insulin resistance (if any), they cannot be recommended from the outset without assessment.

For example, green smoothies loaded with selected vegetables are an excellent source of fibre, vitamins, antioxidants and enzymes.

When used correctly and in the proper context, this could be a potent elixir for reproductive health and nervous system health. (20)

But imagine two women, both obese but one of whom suffers from irritable bowel disease.

The second woman suffers from constipation.

In the first case, an ideal approach would be to start a low-fibre diet for a couple of weeks to help deflate the colon.

During the follow-up of this case and under medical supervision, the most appropriate continuation will be considered to avoid discomfort.

In the second case, a woman with constipation may benefit greatly from the inclusion of customised green smoothies as they provide the correct nutrients, energy balance, fibre + water.

This is the key combination to improve bowel movement.

Both women will have a different approach through a PCOS diet programme that will allow them to progress at their own pace, taking into account their individual needs.

Physical condition is also assessed.

And, chances are, you might not be too keen on the idea of exercise.

But, I can tell you with confidence that you’ll end up loving the PCOS exercise program because it’s formulated based on scientific evidence, combined with my experience working with several elite athletes and in the way I will organise this for you – soon will make you start feeling awesome.

That means:

I will create the best supervised routine that fits you like a glove.

Have you ever felt that post-exercise pain?

The one that tells you that you have worked your muscles.

That is the purpose: to stimulate your muscle fibres enough to promote the creation of muscle mass, which generates the correct muscle tension due to the effort made in the area.

You will in no way feel pain or risk injury, thanks to the 1-2-1 guidance of a qualified personal trainer in London who will monitor the correct execution of each exercise.

Jessica is one of my clients and she managed to improve her lower back pain after a few weeks of exercise.

Here’s what she says after completing her PCOS exercise program:

“I used to experience back pain including some sciatic pain.

I am not experiencing back pain in the same way.

There is a huge improvement in my back health compared with before starting to train with Jazz.”

• Have you ever experienced back pain when performing some exercises?

• Does back pain prevent you from doing some daily tasks?

• Are you afraid to make sudden movements because of back pain?

These and other questions should be answered at the comprehensive consultation as back pain can have multiple causes.

It is essential to review your history in order to choose a specific routine.

For example,

One cause could be spinal spondylosis, which is managed with flexibility exercises in the hamstrings and lumbar paravertebral muscles.

This condition has a degenerative cause, so it is not reversible, but the pain can improve significantly using correct exercise customisation and healthy weight loss. (21)

Another common cause of low back pain is spasm or strain of the muscles in that area.

Did you know that carrying a lot of weight with improper posture can affect the muscles in your lower Back?

The approach requires postural education in daily chores to alleviate the painful contraction and can be 100% reversed. (22)

The essential thing, in this case, is to focus on core strengthening to protect your spine and give you better balance.

These are the benefits of a fully customised workout: No detail is left out.

You can schedule a free consultation today to start your transformation!

This is for women with PCOS who are available for personal outdoor coaching near home and those who prefer to do the training via video.

Either way, you will receive the supervision you need to achieve the change you desire and dramatically improve your reproductive health.

Who is Jazz Alessi

Jazz Alessi is an elite personal trainer, injury rehabilitation specialist and a Harley Street nutritionist specialising in women with PCOS in London with 20 years experience.

He also has extensive experience in knee and back injury rehabilitation and training with high performance athletes.

This allows him to create the best PCOS rehabilation programs for women that include specific nutrition to improve the hormonal system, delivery advice coaching and exercises to help improve insulin resistance and reduce body weight – all medically supervised.

Jazz

Women in London with PCOS benefit greatly from an elite personal trainer who offers a highly detailed customised programme focused on achieving each woman’s specific goals.

Keen to get started?

For a limited time only, access Jazz through a FREE CONSULTATION !

References

1. Szczuko M, Kikut J, Szczuko U, et al. Nutrition Strategy and Life Style in Polycystic Ovary Syndrome-Narrative Review. Nutrients. 2021;13(7):2452. Published 2021 Jul 18. doi:10.3390/nu13072452 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308732/

2. Overview – Polycystic ovary syndrome. NHS UK https://www.nhs.uk/conditions/polycystic-ovary-syndrome-pcos/#:~:text=Polycystic%20ovaries,-Polycystic%20ovaries%20contain&text=It’s%20difficult%20to%20know%20exactly,do%20not%20have%20any%20symptoms.

3. Hung JH, Hu LY, Tsai SJ, et al. Risk of psychiatric disorders following polycystic ovary syndrome: a nationwide population-based cohort study. PLoS One. 2014;9(5):e97041. Published 2014 May 9. doi:10.1371/journal.pone.0097041 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4016227/

4. Polycystic Ovary Syndrome (PCOS) Last reviewed by a Cleveland Clinic medical professional on 09/21/2021 https://my.clevelandclinic.org/health/diseases/8316-polycystic-ovary-syndrome-pcos#:~:text=Several%20other%20factors%20also%20play,to%20develop%20in%20the%20ovaries.

5. Incidence and prevalence of diabetes and cost of illness analysis of polycystic ovary syndrome: a Bayesian modelling study Tao Ding, Paul J Hardiman, Irene Petersen, Gianluca Baio. Human Reproduction, Volume 33, Issue 7, July 2018, Pages 1299–1306, https://doi.org/10.1093/humrep/dey093 https://academic.oup.com/humrep/article/33/7/1299/4976976

6. What is the glycaemic index (GI)? NHS UK https://www.nhs.uk/common-health-questions/food-and-diet/what-is-the-glycaemic-index-gi/

7. Anti-inflammatory effects of plant-based foods and of their constituents. Bernhard Watzl. Int J Vitam Nutr Res. 2008 Dec;78(6):293-8. doi: 10.1024/0300-9831.78.6.293. https://pubmed.ncbi.nlm.nih.gov/19685439/

8. The Gut-Brain Axis: How Microbiota and Host Inflammasome Influence Brain Physiology and Pathology. Andrina Rutsch , Johan B Kantsjö , Francesca Ronchi. Front Immunol. 2020 Dec 10;11:604179. doi:10.3389/fimmu.2020.604179. eCollection 2020. https://pubmed.ncbi.nlm.nih.gov/33362788/

9. Serotonergic Mechanisms Regulating the GI Tract: Experimental Evidence and Therapeutic Relevance. Natalie Terry and Kara Gross Margolis. Handb Exp Pharmacol. Author manuscript; available in PMC 2017 Jul 25. Published in final edited form as: Handb Exp Pharmacol. 2017; 239: 319–342. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5526216/#:~:text=95%25%20of%20the%20body’s%20serotonin,%2C%20paracrine%2C%20and%20endocrine%20actions.

10. Front. Cardiovasc. Med., 12 November 2020 Sec. Cardiovascular Epidemiology and Prevention Volume 7 – 2020 | https://doi.org/10.3389/fcvm.2020.552421 Risk of Cardiovascular and Cerebrovascular Events in Polycystic Ovarian Syndrome Women: A Meta-Analysis of Cohort Studies Jun Zhang1, Ji-Hong Xu2*, Qian-Qin Qu3 and Guo-Qing Zhong4 https://www.frontiersin.org/articles/10.3389/fcvm.2020.552421/full#:~:text=Compared%20to%20non%2DPCOS%20women,higher%20in%20the%20PCOS%20group.

11. Associations Between Macronutrients From Different Dietary Sources and Serum Lipids in 24 639 UK Biobank Study Participants Rebecca K. Kelly, Cody Z. Watling, Tammy Y.N. Tong, Carmen Piernas, Jennifer L. Carter, Keren Papier, Timothy J. Key and Aurora Perez-Cornago Originally published27 May 2021 https://doi.org/10.1161/ATVBAHA.120.315628 https://www.ahajournals.org/doi/10.1161/ATVBAHA.120.315628

12. Dietary Interventions: A Promising Treatment for Polycystic Ovary Syndrome Xuan Che, Zhuo Chen, Mingqi Liu, Zhongcheng Mo Ann Nutr Metab 2021;77:313–323 https://www.karger.com/Article/Pdf/519302

13. Coelho M, Oliveira T, Fernandes R. Biochemistry of adipose tissue: an endocrine organ. Arch Med Sci. 2013 Apr 20;9(2):191-200. doi: 10.5114/aoms.2013.33181. Epub 2013 Feb 10. PMID: 23671428; PMCID: PMC3648822. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3648822/#:~:text=Adipose%20tissue%20is%20the%20primary,recognized%20as%20an%20endocrine%20organ.

14. Redman LM, Elkind-Hirsch K, Ravussin E. Aerobic exercise in women with polycystic ovary syndrome improves ovarian morphology independent of changes in body composition. Fertil Steril. 2011 Jun 30;95(8):2696-9. doi: 10.1016/j.fertnstert.2011.01.137. Epub 2011 Feb 16. PMID: 21324452; PMCID: PMC3115385. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3115385/#:~:text=Aerobic%20exercise%20without%20weight%20loss,morphology%20in%20women%20with%20PCOS.

15. Venkatasamy VV, Pericherla S, Manthuruthil S, Mishra S, Hanno R. Effect of Physical activity on Insulin Resistance, Inflammation and Oxidative Stress in Diabetes Mellitus. J Clin Diagn Res. 2013 Aug;7(8):1764-6. doi: 10.7860/JCDR/2013/6518.3306. Epub 2013 Jul 17. PMID: 24086908; PMCID: PMC3782965. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3782965/#:~:text=It%20is%20well%20established%20that,least%2040%25%20%5B16%5D.

16. Woodward A, Klonizakis M, Broom D. Exercise and Polycystic Ovary Syndrome. Adv Exp Med Biol. 2020;1228:123-136. doi: 10.1007/978-981-15-1792-1_8. PMID: 32342454. https://pubmed.ncbi.nlm.nih.gov/32342454/

17. Physical activity guidelines for adults aged 19 to 64. NHS UK https://www.nhs.uk/live-well/exercise/exercise-guidelines/physical-activity-guidelines-for-adults-aged-19-to-64/#:~:text=do%20at%20least%20150%20minutes,not%20moving%20with%20some%20activity

18. Association between body mass index, weight loss and the chance of pregnancy in women with polycystic ovary syndrome and overweight or obesity: a retrospective cohort study in the UK Christiane Lundegaard Haas, Anette Varbo, Peter Nørkjær Laursen, Volker Schnecke, Adam H Balen Human Reproduction, deac267, https://doi.org/10.1093/humrep/deac267 Published: 13 January 2023 https://academic.oup.com/humrep/advance-article/doi/10.1093/humrep/deac267/6986989

19. Calories burned chart by activity and weight, including walking, sports, and everyday household activities Harvard Health Publishing March 8, 2021 https://www.health.harvard.edu/diet-and-weight-loss/calories-burned-in-30-minutes-for-people-of-three-different-weights

20. Morris MC, Wang Y, Barnes LL, Bennett DA, Dawson-Hughes B, Booth SL. Nutrients and bioactives in green leafy vegetables and cognitive decline: Prospective study. Neurology. 2018 Jan 16;90(3):e214-e222. doi: 10.1212/WNL.0000000000004815. Epub 2017 Dec 20. PMID: 29263222; PMCID: PMC5772164. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5772164/

21. Middleton K, Fish DE. Lumbar spondylosis: clinical presentation and treatment approaches. Curr Rev Musculoskelet Med. 2009 Jun;2(2):94-104. doi: 10.1007/s12178-009-9051-x. Epub 2009 Mar 25. PMID: 19468872; PMCID: PMC2697338. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2697338/

22. Gobbo S, Bullo V, Bergamo M, Duregon F, Vendramin B, Battista F, Roma E, Bocalini DS, Rica RL, Alberton CL, Cruz-Diaz D, Priolo G, Pancheri V, Maso S, Neunhaeuserer D, Ermolao A, Bergamin M. Physical Exercise Is Confirmed to Reduce Low Back Pain Symptoms in Office Workers: A Systematic Review of the Evidence to Improve Best Practices in the Workplace. Journal of Functional Morphology and Kinesiology. 2019; 4(3):43. https://doi.org/10.3390/jfmk4030043 https://www.mdpi.com/2411-5142/4/3/43

Scroll To Top