Monday, February 3, 2025

My cycle seems to be out of control and it's ruining my diet!

Hey everyone! I'm making an appointment at my doctor's to discuss this issue too but historically they haven't been much help, so I thought I'd ask online as well.

I'm 5'6 and about 210 lbs, trying to get down to 170. I average 20-25k steps a day and do some morning conditioning and stretching. Weight loss (and gain) is very sporadic in my life-- +30 lbs in a month, or -10 lbs in a week, with months long stretches of no weight variation-- with seemingly no explanation. I am doing CICO and low carb to try and lose weight and have been for several months with little success.

I've been narrowing in on the idea that my problems might be related to my menstrual cycle and the drastic changes in appetite and insulin sensitivity it seems to cause.

So, for example, in my follicular phase, my appetite can be very, very low-- I struggle to eat more than 1000 calories a day, often feeling painfully full all day after about 700-800 calories.

On the other hand, during my luteal phase-- especially the tail end-- I can easily eat over 3000 calories. My first thought was just to be really careful during this period, but ive found calories deficits can lead to sudden, unpredictable hypoglycemic episodes that can cause fainting and severe heart palpitations. Even mild cuts like going to 2300 kcal a day can cause these episodes.

These extremes seem to be really throwing me off because I never know what to plan for!! Its has made dieting functionally impossible.

Has anyone dealt with similar? Any advice on what to ask my doctor? Thyroid and blood sugar is all very normal year over year, though I may ask for another check.

TLDR Menstrual cycle is causing severe fluctuations in appetite (and maybe TDEE) and episodes of hypoglycemic attacks if not properly managed. Trying to diet for weight loss, but the chaos is making it very difficult to do!

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