QC: Navigating Diet Conflicts: Endometriosis Meets PCOS Meets Intermittent Fasting With Sarah Rae

Intro: Dietary Approaches for Endo & PCOS

Speaker 1
0:00

Have

you

ever

wondered

what

diets

would

be

helpful

for

both

endometriosis

and

PCOS
,

or

are

they

different
?

Are

there

conflicts

of

interest

when

you

talk

about

diet

with

PCOS

and

endometriosis
,

and

is

intermittent

fasting

something

that

you

should

even

consider

when

you

have

endometriosis
?

Is

it

helpful

or

is

it

harmful
?

Registered

dietitian

Sarah

Rae

is

here

to

cut

through

the

noise

and

help

bring

clarity

to

these

very

things
.

Stick

around
.

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Balancing Diet for Both Conditions

Speaker 1
1:09

Today

we're

joined

by

Sarah

Ray

from

Pacific

Northwest

Endometriosis

Nutrition
.

She's

a

registered

dietitian

specializing

in

endometriosis

and

fertility

nutrition
.

She's

here

to

cut

through

the

noise

and

share

real
,

evidence-based

strategies

to

help

you

fuel

your

body
.

Without

the

confusion
.

Let's

dive

in
.

How

can

someone

with

both

endometriosis

and

PCOS

balance

their

diet
,

when

recommendations

often

seem

conflicting
?

Speaker 2
1:34

That

is

a

really

good

question

and

I'm

not

sure

what

recommendations

this

person

is

referring

to

that

are

conflicting
,

but

I

actually

recommend

kind

of

a

similar

diet

for

both
.

So

how

I

like

to

approach

endometriosis

nutrition

and

what

seems

to

make

most

people

feel

better

is

working

on

balancing

blood

sugars
,

which

can

impact

our

sleep
,

which

can

impact

our

hormones

like

estrogen

and

insulin
.

It

impacts

our

hunger

levels

when

we're

eating

frequently

enough

and

insulin

it

impacts

our

hunger

levels

when

we're

eating

frequently

enough
.

That

kind

of

helps

both

conditions
.

So

with

PCOS

people

may

not

be

bloating

as

much

as

people

with

endometriosis
,

but

both

kind

of

need

to

eat

frequently

for

different

reasons
.

So

if

you

have

both

and

you

have

PCOS

and

you're

a

little

bit

insulin

resistant
,

say
,

we

might

need

to

be

a

little

bit

more

careful

with

carbohydrate

intake

than

somebody

who

just

has

endometriosis
.

Speaker 2
2:28

But

for

both

populations

I

really

like

to

focus

on

getting

enough

protein

at

meals
.

So

usually

that's

at

least

20

to

30

grams

every

time

we're

eating
,

getting

a

fiber

and

a

healthy

fat

as

a

part

of

that

meal

and

then

a

moderate

amount

of

carbohydrates
.

So

you

don't

have

to

count

your

macronutrients
.

But

if

we

have

like

a

whole

large

bagel

and

then

just

one

egg
,

our

protein

and

carbs

are

really

kind

of

out

of

balance

and

it's

not

necessarily

going

to

make

the

endometriosis

grow
,

but

we're

missing

out

on

really

key

nutrients

with

that
.

If

you

have

PCOS
,

we're

really

looking

at

how

that

might

affect

blood

sugar

balance
.

So

trying

to

get

that

balance

of

macronutrients

in

eating

regularly
,

getting

lots

of

anti-inflammatory

foods

in

that
,

really

speaks

to

both

populations
.

So

I

treat

both

fairly

similarly
.

Unless

somebody

with

PCOS

is

also

struggling

with

insulin
,

we

might

look

more

at

carbohydrate

intake

Intermittent Fasting: Helpful or Harmful?

Speaker 2
3:25

.

Speaker 1
3:25

Would

this

eliminate

doing

intermittent

fasting
?

Would

you

not

recommend

it

for

people

that

are

dealing

with

both

of

these

things
?

Speaker 2
3:33

I

generally

don't

recommend

intermittent

fasting

One
,

because

it's

a

food

rule

that

can

lead

to

disordered

eating

and

a

lot

of

times

is

not

sustainable
.

I

have

a

couple

of

clients

who

have

said

they

feel

better

with

endometriosis

and

intermittent

fasting

and

they

just

tended

to

not

be

a

breakfast

eater

naturally
.

So

if

that

just

feels

natural
,

if

adding

breakfast

in

makes

somebody

super

nauseous

and

they

kind

of

always

ate

that

way

and

we're

making

sure

they're

getting

enough

calories

and

maybe

adding

enough

foods

later

in

the

day

if

they

aren't

eating

till

noon
,

say
,

I

can

support

that
.

But

it's

not

something

I

recommend

for

symptom

management

for

either

group
.

Breakfast

is

really

important

for

preventing

binge

eating

later

in

the

day
,

for

helping

control

sugar

cravings
.

Usually

people

feel

better

with

their

bloat
,

with

their

fatigue
,

with

their

brain

fog

when

they

are

eating

balanced

meals

throughout

the

day
.

So

it's

not

something

that

I

use

in

my

practice

unless

somebody

really

feels

strongly

that

that's

what's

been

best

for

them

in

the

past
.

Episode Wrap-Up and Contact Information

Speaker 1
4:38

That's

a

wrap

for

this

Quick

Connect
.

I

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