What to eat (that is the question)

A month ago, I posted that I had been making some diet changes in order to get my body in line if we decided to go ahead with another IVF cycle.

I was doing things pretty casually until labmonkey posted with her numbers explaining why she’d decided to start eating meat.

I hadn’t actually sat down and worked out the specifics until that point.

If I’m aiming for 30% protein and max 40% carbs in my diet (which means fat has to come in at 30%), and I’m eating around 1800 calories a day, that’s 135 g of protein.

No problem, I thought. Look at all the meat I’m eating!

Then I went and actually looked up the numbers.

100g of chicken breast: 21 g
100g of tuna or salmon: 26 g
100g lean ground beef: 20 g
100g pork: 20 g

The point where I realized that I could eat 200 g of meat at dinner (which is almost half a pound!) every.single.night and I still wouldn’t be anywhere near half of my daily requirements was when I started to freak out a little bit.

But I persevered.

My body has not been happy. I’m not sure if it’s all the supplements or the diet changes or both but I haven’t felt all that great these last few weeks. It’s not just that it’s either feast or famine when it comes to the functioning of my digestive system. I feel nauseated much of the time. I’m already beyond sick of eggs. Cashew butter doesn’t taste good anymore. And canned tuna (which I normally really like) makes me want to hurl.

Even with a cup of Greek yoghurt (24 g) with a swirl of almond butter (3 g), or three eggs (18 g) scrambled with a cup of cooked spinach (5 g) and some cheese (3 g), for breakfast, I wasn’t hitting my targets on a consistent basis. And I thought I was going to throw up if I ate eggs at breakfast again.

I figured I had three choices:
1. Add in more dairy (cottage cheese as a snack being the obvious one)
2. Add in a protein bar or protein shakes
3. Eat even more meat at breakfast and lunch

#3 was out- I just couldn’t stomach the thought of more meat. It really didn’t help that E. came down with a hideous gastro bug the night we got back from visiting my sister and future brother-in-law (he started vomiting in the taxi queue of our home airport), which I then got two days later, on a night where I’d made beef and black bean tacos. Nothing like throwing up the remnants of a meal for five hours straight to make you a bit wary of ground beef in the future.

I didn’t like the idea of #2 either, since a protein bar was likely to have a bunch of sugar in it (and probably carbs too). And protein bars and protein shakes aren’t ‘real’ food. They’re not something that’s part of my usual diet and it seemed crazy to add them.

That left #1, but the first rule of diets for PCOS folk is not to eat much dairy (if at all). I hemmed and hawed, but clearly I wouldn’t survive without Greek yoghurt for breakfast and dairy in cooking, so cutting it out altogether wasn’t possible (nor was cutting out legumes- I don’t know how people go paleo. I wouldn’t be able to cope.)

I finally settled on trialling cottage cheese as a snack. Maybe I could alternate cottage cheese snack days with edamame snack days (although, of course, I’m not supposed to eat too much soy either. HOW CAN IT BE THIS COMPLICATED?)

I bought cottage cheese this weekend. I actually quite like cottage cheese but I cut it out of my diet several years ago because I didn’t like its salt content. On balance, however, I thought it made more sense than protein shakes.

I was all set to start eating it.

And then I got my period yesterday.

I’m not on birth control.

I had a period on the pill in the second week of April. And I distinctly remember looking at the calendar and realizing that if I started the new package on the expected day, I’d get my period while we were on holiday (I can’t skip periods anymore on my pill- I get breakthrough bleeding).

Nuts to that, I thought. I’ll wait another week before I start.

And then I got sidetracked because my doctor had prescribed me a new pill which she really liked for PCOS, but when I started reading about the pill, I didn’t like all the bad press. So I wasn’t sure what to do and therefore did nothing. When I was visiting with my sister I talked the new pill issue over with her and agreed I didn’t want to switch, but then I came home and jet lag and vomiting and chaos meant I didn’t start a new package of my usual pill.

And while we were away, I can remember a couple of days where I couldn’t figure out what the hell was going on downstairs. In retrospect, I think this was EWCM. I’m not used to seeing it.

So.

It looks like I ovulated about a month after my last withdrawal bleed on the pill, and then had a two week luteal phase.

HOLY SHIT.

If you are long-time readers of this blog, you will know that I NEVER, EVER ovulate on my own. I never have. I used to go off the pill for months in my twenties to see if my body would kick start, and it never did. I hoped I might get my period back when I weaned E., and I never did.

For my entire adult life, my body has not functioned normally.

Today I think something may have possibly changed.

It’s still very early days, of course, and it’s possible that this will turn out to be some sort of horrific random bleeding and not a period after all. Or, if it is a period, maybe it won’t happen again.

But I know two things right now.

I’m not going back on the pill for another few weeks- I want to see what happens.

And I’m sticking with this diet.

I don’t think this can be chalked up to anything but diet- I’m taking metformin, but that’s never helped in the past, and otherwise my supplements are pretty much the same with the exception of CoQ10 and fish oil, and I can’t see either of those being the deciding factor.

So now I’m back to wondering if cottage cheese is such a good idea after all, given PCOS and dairy are meant to be a bad combo. I have some long-term infertility friends who have basically cut dairy out of their diets (except for Greek yoghurt and some cheese in cooking) and their PCOS is under control. They have textbook cycles.

I think I need to sit down and really track what I’m eating for the next few days and see how my numbers are stacking up and then go from there. Maybe I don’t need to hit 125 g of protein (which was what I’d been aiming for) every day for things to be kickstarted.

I don’t for a second think we’d get pregnant from this, but it would be nice to have a PCOS management strategy that wasn’t “stay on the pill for the next fifteen years and then see if you enter menopause”.

I’ll keep you posted.

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1 Comment

Filed under Cycle Madness, Family, Food, PCOS, The Sick

One response to “What to eat (that is the question)

  1. Oooh what an interesting development!!!

    And I hear you about getting sick of meat and eggs. I am already thinking about what to do post pregnancy to lose some weight, and am leaning towards vegan instead of paleo because the thought of eggs again makes me gag! 4 months was enough! šŸ™‚

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