Reversing PCOS Using Mira + CGM with Rose Mackenzie and Dr. Basma Faris

Three women who've spent years inside the PCOS conversation — one as a clinician, one as a hormone tracking specialist, one as a board-certified OBGYN and culinary medicine physician — and they still said, out loud, that nobody has all the answers. That alone makes this episode worth your time.

Today Dr. Susan Fox is joined by Rose McKenzie, clinical manager at Mira, and Dr. Basma Faris, founder of her namesake practice and creator of the Adopt a Mediterranean Diet for PCOS course, for a conversation about what it actually looks like to track, understand, and act on your own hormonal and metabolic data — especially when you have PCOS.

Mira is a medical-grade at-home hormone monitor tracking four hormones using fluorescent technology. A CGM — continuous glucose monitor — shows you in real time how your blood sugar responds to food, stress, sleep, and where you are in your cycle. Together, these tools are changing what it means for a woman with PCOS to know her own body.

You'll learn 

• why PCOS is a metabolic disorder on a spectrum — and why where you are on that spectrum is not where you have to stay
• what a 2023 University of Toronto study revealed about how glucose levels shift between the follicular and luteal phases — and what that means if you have insulin resistance
• why 70% of people with PCOS have insulin resistance — and why the other 30% matters just as much
• how high insulin drives testosterone production, how testosterone impairs insulin sensitivity, and why breaking that cycle requires interrupting it at multiple points simultaneously
• what Mira hormone data actually looks like in a postpartum breastfeeding woman with PCOS — and why this population is almost always missed
• why elevated fasting glucose and elevated post-meal glucose are two different problems pointing to two different root causes
• how long to use a CGM before you've learned what you need to know, and 
• what "glucorexia" is — and why more data isn't always better.

This episode is for you if you have PCOS and feel like every protocol you've tried was designed for someone else;, you're postpartum and nobody has looked closely at your hormones; you're tired of being told what to eat without being monitored when you follow the rules; you want to understand the insulin-testosterone feedback loop in plain language; you're a provider curious about integrating hormone and metabolic tracking into your PCOS care; or you've been handed a diagnosis and told to manage it — when what you actually want is to reverse it.

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