EPISODE · Jul 16, 2026 · 12 MIN
Fertility, Weight, And Metabolic Health
from Modern Metabolic Health with Dr. Lindsay Ogle, MD · host Lindsay Ogle, MD
We walk through how underweight, excess weight, and insulin resistance can change ovulation, fertility, and pregnancy risk long before a test turns positive. We also unpack PCOS basics, why some clinics enforce BMI cutoffs, and what safer preconception weight management can look like with your doctor. • extremes of weight affecting ovulation and menstrual cycles • RED-S and why under-fueling can stop periods • PCOS prevalence and diagnostic criteria in plain language • insulin resistance driving higher insulin and higher androgens • why weight loss can be harder with high insulin • small weight changes improving fertility potential in PCOS • metformin and GLP-1 medications as medically supervised options before pregnancy • fertility clinic BMI cutoffs, success metrics, and weight bias • pregnancy complications linked with higher starting BMI, with risks possible at any size • bariatric surgery timing and why waiting a year can matter • anti-obesity medications not recommended in pregnancy or breastfeeding • topiramate birth defect risk and the need for effective birth control If you found this information helpful, please share with a friend, family member, or colleague. Please subscribe and write a review. ----------------------------------------------Birth Control Option (YouTube)Birth Control & GLP-1s (YouTube)👩🏼⚕️ Live in Missouri? Want to be my patient?Telehealth clinic: https://missourimetabolichealth.com🥑 Have questions you want answered on the podcast? Email [email protected]✨Freebies✨Anti-Obesity Medication OptionsHow To Prevent DiabetesHealthy Habits WorkbookPreventative Health Checklist🤗 Socials:Instagram: https://www.instagram.com/dr.lindsayogle/TikTok: https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg
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What this episode covers
We walk through how underweight, excess weight, and insulin resistance can change ovulation, fertility, and pregnancy risk long before a test turns positive. We also unpack PCOS basics, why some clinics enforce BMI cutoffs, and what safer preconception weight management can look like with your doctor. • extremes of weight affecting ovulation and menstrual cycles • RED-S and why under-fueling can stop periods • PCOS prevalence and diagnostic criteria in plain language ...
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Fertility, Weight, And Metabolic Health
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