Episode 235: How Does PCOS Make Me Gain Weight? episode artwork

EPISODE · Apr 6, 2026 · 13 MIN

Episode 235: How Does PCOS Make Me Gain Weight?

from Back on Track: Achieving Healthy Weight Loss · host Dr. Alicia Shelly

You're doing everything right — watching what you eat, trying to stay active — and still the weight won't budge. If you have PCOS, this isn't a willpower problem. It's biology. And once you understand the cycle driving it, you can finally start to break it. PCOS creates a vicious cycle between high androgens, insulin resistance, and weight gain and each one feeds into the others. Your body isn't working against you randomly. There are real mechanisms at play, and understanding them is the first step to taking back control. In this episode, I break down exactly what's happening inside your body with PCOS and what you can actually do about it. I'll walk you through the androgen-insulin connection, where and why your body stores fat differently, and what the latest international guidelines say about treatment including newer options like GLP-1 medications. If you've been frustrated, discouraged, or told it's just about eating less and moving more this episode will change how you see your body and your options. Listen now! Episode Highlights: Why high androgens and insulin resistance keep feeding each other and why that makes weight loss so much harder Where PCOS fat actually gets stored (and why it's more than a cosmetic issue) Why losing just 5–10% of your body weight can dramatically improve your symptoms What nutrition and exercise approaches the research actually supports for PCOS What GLP-1 medications like semaglutide are showing in women with PCOS and what you need to know before considering them Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd   About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH.  Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014.  In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss,  where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''.   Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!) 👉 Click  

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