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Enlivening Elle MSc Nutritionist and Yoga teacher with a special interest in non-diet support for women's health, fr

Common symptoms of PMOS and what they meanPMOS (PCOS) is a syndrome, meaning a collection of symptoms and the way it pre...
11/10/2026

Common symptoms of PMOS and what they mean

PMOS (PCOS) is a syndrome, meaning a collection of symptoms and the way it presents looks different between people. None of these symptoms are diagnostic in themselves , but some point towards the criteria that can lead to a PMOS diagnosis using the Rotterdam Criteria (more on that in another post). Here are some common symptoms and what they mean:

Hirsutism, or excess hair
Acne post-puberty
Thinning of hair in areas such as the crown of the head (unfairly you can have excess hair in one place and thinning in another!)
👉🏽 These are signs of raised androgens (“male” hormones, such as testosterone), which can be confirmed via a blood test.

Irregular periods (greater than 35 days between periods)
Infrequent periods (variable menstrual cycle lengths)
Absent periods (“Oligomenorrhea”)
👉🏽 Signs of ovulatory dysfunction, meaning ovulation isn’t occurring as expected.

Patches of darker, thicker and sometimes velvety skin (“Acanthosis nigricans”)
Raised blood glucose levels (usually found with a blood test)
Poor lipid levels in a blood test, such as raised triglycerides, low HDL/ high LDL cholesterol levels
Weight distributed around the abdomen (central adiposity) or difficulty in losing weight
👉🏽 Signs of insulin resistance or metabolic health impairment

It is also common for people with PMOS to be living with poorer mental health outcomes, disordered eating and disordered relationships with their bodies. These can be overlooked as symptoms, but can have a huge impact on someone’s quality of life.

This list is by no means exhaustive, but includes some common symptoms, some of which indicate a specific aspect of PMOS, like raised androgens. Having a clear list of symptoms can help both with tracking PMOS, and assessing whether or not you have the condition. Many of these symptoms overlap with other conditions, so shouldn’t be relied upon or used to self-diagnose, but can give helpful clues.

PMOS (formerly PCOS) is a complex condition and is managed differently between people. Getting your head around all the ...
09/10/2026

PMOS (formerly PCOS) is a complex condition and is managed differently between people. Getting your head around all the foods and eating patterns to manage PMOS can be A LOT, but luckily there are some key principles to start with. 🩵
A big part of managing PMOS is starting with a balanced plate, especially if you think you have insulin resistance (see my pinned reel for more on this). Think plenty of vegetables, a source of protein, higher-fibre carbohydrates and some unsaturated fats. From there, you can start to layer in specific foods and nutrients to best support your body.

Swipe through for more, or read the full guide either via the link in my bio, or drop me a comment and I’ll send it directly to you (bare with me as I’m doing this manually rather than an automated system!!) 🫣

Postpartum and PMOS-friendly meal ideasSome recent favourite meals and snacks:Cheesy lentil tacos (by Amy Sheppard )Spee...
03/08/2026

Postpartum and PMOS-friendly meal ideas
Some recent favourite meals and snacks:
Cheesy lentil tacos (by Amy Sheppard )
Speedy tomato and Bold Bean Co butter beans with Bluebird Bakery sourdough
“Custard” porridge (a fancy way of saying adding an egg to porridge -a great way to add protein and choline to your breakfast) with blueberries, pumpkin seeds, flaxseeds and a splash of cream Harissa chicken thighs -seared then baked -with baked sweet potatoes, a green salad and feta.
Aubergine and ricotta happiness pasta (by Jamie Oliver using Northern Pasta Co )
My iron-rich brownies. Ridiculously gooey, fudgy and delicious.

I’ve been chronically online for longer than I’d care to admit, so let’s take a look back 😅From a student posting yoga c...
29/06/2026

I’ve been chronically online for longer than I’d care to admit, so let’s take a look back 😅
From a student posting yoga challenges, blogging about meeting (by proxy) Deliciously Ella .mills__ to a health blogger and yoga teacher, to nutritionist and mum! Posting back then felt a lot like trying to keep up with what the big names in health and wellness blogging were doing down in London. But it was also lots of fun, and I got to meet, work with and learn from so many cool people. The trends have shifted a lot over the last few years (less green juice and yoga, more matcha and reformer!), content creation has to be much more agile than before, but it also has opened up a much broader range of locations and topics, which I LOVE.

13/05/2026

Polyendocrine metabolic ovarian syndrome is the new name for polycystic o***y syndrome

PCOS is now being renamed poly-endocrine metabolic ovarian syndrome, or PMOS. What does this mean for you?

Many people have been lobbying for a change in name, as PCOS can be misleading. The cysts in polycystic o***y syndrome refer to the presence of immature follicles, or eggs, in the ovaries due to irregular ovulation. Confusingly, they don’t mean ovarian cysts! Moreover, not everyone with PMOS has these immature follicles. The condition is a syndrome, meaning people will have a selection of symptoms, but not necessarily all. Currently, you may be diagnosed with PMOS if you have at least two of the following:
* Irregular or absence of ovulation (this may be seen through irregular periods)
* Signs of hyperandrogenism (“male” hormones) such as raised testosterone levels, hirsutism, male pattern baldness and acne beyond puberty
* Presence of polycystic ovaries (i.e., those immature follicles) or raised anti-Müllerian hormone (AMH) levels.

The new name of polyendocrine metabolic ovarian syndrome not only aims to remove confusion around cysts, but also recognises that PMOS is more than just a gynaecological condition. It is intrinsically linked to our endocrine (hormonal) system and metabolism. People with PMOS are more likely to experience insulin resistance and are at increased risk of T2D, cardiovascular disease, raised blood pressure and liver disease. Often, people with PMOS feel that the condition isn’t taken seriously until they are trying to conceive, where it is then treated as a fertility disorder.

Recognising the impact that PMOS has on a wide aspect of health at several life stages, not just fertility, is a huge step forward.

However, this does mean a big shift in terms of updating literature and public awareness of the new name, so be prepared to see both PCOS and PMOS used for a while! What are your thoughts?

13/05/2026

Polyendocrine metabolic ovarian syndrome is the new name for polycystic o***y syndrome ✨ Taking a brief pause from mat leave to share this PCOS breaking news 👇🏽

PCOS is now being renamed poly-endocrine metabolic ovarian syndrome, or PMOS. What does this mean for you?

Many people have been lobbying for a change in name, as PCOS can be misleading. The cysts in polycystic o***y syndrome refer to the presence of immature follicles, or eggs, in the ovaries due to irregular ovulation. Confusingly, they don’t mean ovarian cysts! Moreover, not everyone with PMOS has these immature follicles. The condition is a syndrome, meaning people will have a selection of symptoms, but not necessarily all. Currently, you may be diagnosed with PMOS if you have at least two of the following:
* Irregular or absence of ovulation (this may be seen through irregular periods)
* Signs of hyperandrogenism (“male” hormones) such as raised testosterone levels, hirsutism, male pattern baldness and acne beyond puberty
* Presence of polycystic ovaries (i.e., those immature follicles) or raised anti-Müllerian hormone (AMH) levels.

The new name of polyendocrine metabolic ovarian syndrome not only aims to remove confusion around cysts, but also recognises that PMOS is more than just a gynaecological condition. It is intrinsically linked to our endocrine (hormonal) system and metabolism. People with PMOS are more likely to experience insulin resistance and are at increased risk of T2D, cardiovascular disease, raised blood pressure and liver disease. Often, people with PMOS feel that the condition isn’t taken seriously until they are trying to conceive, where it is then treated as a fertility disorder.

Recognising the impact that PMOS has on a wide aspect of health at several life stages, not just fertility, is a huge step forward.

However, this does mean a big shift in terms of updating literature and public awareness of the new name, so be prepared to see both PCOS and PMOS used for a while! What are your thoughts?

Cinnamon and PCOS 🍂 It’s definitely the season for cinnamon spiced food! Have you heard about cinnamon and potential ben...
24/10/2024

Cinnamon and PCOS 🍂 It’s definitely the season for cinnamon spiced food! Have you heard about cinnamon and potential benefits for PCOS?
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Cinnamon may be able to support PCOS management by reducing insulin resistance, supporting menstrual cycle regularity and positively impacting cholesterol levels.
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Research on cinnamon and PCOS is still not conclusive, and sometimes uses are concentrations that you’d eat in a normal day.
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However, using ground cinnamon in cooking is a low-risk, low-cost addition that you may wish to explore in your own PCOS management.
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Carbs are getting a lot of flack at the moment, even in people who don’t have insulin resistance. As a result, you may f...
13/09/2024

Carbs are getting a lot of flack at the moment, even in people who don’t have insulin resistance. As a result, you may feel as though you need to avoid carbs to manage your PCOS.
However, carbohydrates are essential for a variety of reasons, including for fibre, satiety, balanced nutrition and not to mention food enjoyment! Fruits, vegetables and pulses are also all carbohydrate containing.

Exactly how much carbohydrate you have will be personal to you, your body’s needs and preferences. We can support you with this if you’re unsure.

Nutrition of oat milk vs dairy and soy. 🥛⠀⠀⠀⠀⠀⠀⠀⠀⠀On the Enliven Nutrition blog, we’ve been talking about whether it is ...
09/01/2024

Nutrition of oat milk vs dairy and soy. 🥛
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On the Enliven Nutrition blog, we’ve been talking about whether it is okay to have oat milk. So what does the nutrition say? Swipe to see! 👈🏼
Depending on your individual needs, some points of nutrition shown here may be more or less relevant to you. There’s also an aspect of choice that can’t be shown just by looking at the nutrition label. Allergies, ethics, environment and food preferences are also important to consider when choosing the best milk for you.
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I personally have a mix of all three -I love oat milk in my tea and iced lattes, but might have a dairy flat white. ☕️
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See the full post on whether its okay to have oat milk on enliveningelle.com
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Can I have oat milk?⠀⠀⠀⠀⠀⠀⠀⠀⠀Recently there seems to be a lot of posts going around demonising oat milk, but do you real...
29/12/2023

Can I have oat milk?
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Recently there seems to be a lot of posts going around demonising oat milk, but do you really need to avoid it? Click the link in bio for the full post and detailed breakdown.
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These fears seem to primarily focus on the impact on blood sugars and the inclusion of seed oils in many oat milk products.
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Oat milk does have a higher glycemic index (GI, the measure of how quickly a food impacts your blood sugar levels) than some other milks, like dairy and soy. This is partly due to having a lower protein content and partly to do with the amount and type of carbohydrate that oat milk contains. Oat milk contains maltose, which has a higher GI level than other sugars, like glucose.
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Most people don’t drink oat milk in isolation. The amount of milk that you drink and what you have it with all slow down the effect on your blood sugars.
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Despite a higher GI, for most people this won’t have a great impact on your short-term glucose levels. For people with conditions like diabetes, you may need to pay a little more attention. Although dairy and soy are technically a better choice for blood glucose levels, your overall diet is much more important. GI doesn’t take the full picture into context
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As for seed oils, there’s a full blog post via the link in bio to read. But in a nutshell, the previous thought process of omega-6 fatty acids found in seed oils being inflammatory have been disproven. In recent decades we’ve had time to do much larger, higher quality human studies that have found no association between omega-6 intake and inflammation. In fact, several studies have shown that people who eat high levels of omega-6 and omega-3 have lowest levels of inflammation.
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Full post on enliveningelle.com/blog

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