PCOS affects a major part of a menstruating person’s life than many of them are aware of. The lack of information about the condition and the reluctance of people to talk about the matter makes it worse. As we kick off World PCOS Awareness Month, we try to understand the proper repercussions and the best ways to manage your periods. As science progresses each day, many women have taken the initiative to further the research on PCOS and the reproductive health of women. We spoke to Dr Prarthana Shah, a doctor who specialised in preventative CVD medicine and an Integrative Health Coach to get a better understanding of the vital role nutrition plays in a woman’s reproductive cycle.

Polycystic Ovary Syndrome (PCOS) is a hormonal disorder affecting millions of women worldwide. Characterized by irregular menstrual cycles, excess androgen production, and the presence of cysts on the ovaries, PCOS can lead to a range of health issues, including infertility, obesity, type 2 diabetes, cardiovascular disease, and endometrial cancer.

Role of Nutrition in PCOS Management

A balanced diet plays a crucial role in managing PCOS symptoms and reducing the risk of associated health complications. By focusing on nutrient-dense foods and avoiding certain triggers, women with PCOS can significantly improve their overall well-being.

According to Dr. Prarthana, “The first thing is B12. So, a common deficiency, even otherwise, which can affect a woman's hormonal balance, because it helps regulate your hair length, and so it's important to make sure that you're getting enough B12.” There are important nutrients that women must have for healthy menstrual cycles.

• Vitamin B12: Essential for hormonal balance, hair health, and regular menstruation.
• Vitamin D: Helps regulate hormones, supports ovarian function, and improves insulin sensitivity.
• Iron: Crucial for preventing anaemia, which is common during menstruation.
• Electrolytes: Help maintain fluid balance and prevent fatigue.
• Amino acids: Provide building blocks for proteins and support overall health.

Dietary Recommendations for PCOS

As Dr Prarthana mentioned, the key nutrients that women lack are the reason why their periods might be irregular and make it difficult for them to handle it. She suggested that it's essential to prioritize a nutrient-rich diet. Focus on consuming whole foods like fruits, vegetables, whole grains, lean proteins, and healthy fats.

Minimize your intake of processed foods, sugary drinks, processed meats, and refined carbohydrates, as these can contribute to inflammation and hormonal imbalances. Consider limiting or avoiding dairy products, as they may contain hormones that can disrupt your hormonal regulation.

She also emphasised the importance of seasonal fruits. While many people have expressed their reservations with cross-contamination and germs from fruits she says, “You have to eat seasonal fruits and vegetables. Greens and salad leaves, all of these things for vitamin B12. Now, of course, there will be some vendors that cut it up. So, don't buy it from there. one tip I personally suggest is that I use something called Veggie Wash where I wash my salad leaves in that at home. You can also wash it with salt or apple cider vinegar.”

When enjoying seasonal fruits and vegetables, be mindful of potential contamination from vendors who cut and sell them. Wash them thoroughly at home to ensure safety. Finally, stay hydrated by drinking plenty of water throughout the day to support overall health and prevent dehydration.

Lifestyle changes you should make for PCOS

According to Dr Prarthana, your lifestyle plays a really important role in PCOS, “So, I know most women, even though they regularly exercise, I mean the ones that do, also kind of skip it during the period and that is the wrong thing to do, ideally.”

She also expresses how much it actually helps with period pains and relief for women, “It's okay. You should go and do some sort of exercise. Go for a walk. It could be lighter if you're, you know, tired. But something in some form of movement, maybe yoga, stretching, whatever works for each person depending on how much pain they have. It really opens up the muscles and gives you relief.”

Other changes include,

• Manage stress: Practice stress-reduction techniques like meditation, yoga, or deep breathing.
• Prioritize sleep: Aim for 7-8 hours of quality sleep each night.
• Consider supplements: Consult with a healthcare professional about potential supplements, such as vitamin D and iron, to address specific deficiencies.

While you may have seen multiple women, who are not pregnant, taking prenatal vitamins to improve their skin, hair and nail quality, experts say you should steer clear and only stick to multivitamins to ensure your body stays healthy all-year round.

Prenatal vitamins are daily supplements for women who are pregnant or trying to get pregnant. These supplements contain the vitamins and minerals you need to support healthy fetal development, according to the Cleveland Clinic.

Dr Rohan Palshetkar, Consultant IVF Specialist, Bloom IVF tells Healthandme: ""Prenatal vitamin should be taken three months at least prior to the pregnancy or basically whenever you begin to start planning the pregnancy, ensure that all your micro nutrients as well as your folic acid levels are up to the normal mark so as to ensure that your baby has a healthy growth"

But when your body doesn't need it, taking supplements could put you at risk over time.

Which Vitamins And Minerals Are Prenatal Vitamins Rich In?

As per the American College of Obstetricians and Gynecologists (ACOG), here are the most important nutrients prenatal vitamins are packed with:

Folic Acid: One of the most important prenatal nutrients, this B vitamin is important as it creates your baby's neural tube. This is the structure that eventually forms brain. As per the US Preventive Services Task Force, folic acid supplements significantly increase the growth of healthy neural tube. The American Academy of Pediatrics also notes that it helps the neural tube to protect from defects by 50 percent.

Iron: It supplies blood and oxygen to the fetus and also helps build the placenta. It also gives the mother extra blood volume that you need throughout pregnancy. Pregnant people are prone to anemia, this is why iron supplementation is a must.

Calcium: The most time spend in uterus for a baby is invested in building their bones and teeth, this is a Herculean task, and requires the mother to have plenty of calcium. If you don't have enough calcium, then your baby will utilise the calcium from your body, which could lead to temporary bone loss.

Certain prenatal supplements also contain other additives such as omega-3 fatty acids.

Why Is It Dangerous To Take Prenatal Vitamins

The main difference between a prenatal vitamin and a multivitamin is the concentration of folic acid and iron.

Ingesting enough folate from food or folic acid from supplements at the start of a pregnancy lowers the risk of certain birth defects. Along with this, iron supplements help the body make the extra blood cells needed during pregnancy.

The amount of folic acid suggested for people who are planning a pregnancy is 400 to 800 micrograms (mcg) a day. The amount of iron needed in pregnancy is 27 milligrams (mg) a day.

The typical amount of folic acid for an non-pregnant adult is 400 mcg a day. For iron, the typical daily amount is 8 mg for males and 18 mg for females.

Taking iron and folic acid at levels higher than the suggested amounts may bump people closer to the upper limit for these nutrients which can raise the risk of health problems.

Taking too much folic acid, especially over 1,000 mcg daily without a doctor's advice, can mask a vitamin B12 deficiency, potentially causing irreversible nerve damage and may lead to side effects such as bitter taste, nausea or sleep problems, with potential links to increased risks in pregnancy like autism or insulin resistance.

Eating too much iron, especially from supplements, can cause acute iron poisoning, leading to severe nausea, vomiting, abdominal pain, diarrhea and bloody stools. Long-term excessive intake causes iron to deposit in tissues, causing iron overload (hemochromatosis) that damages the liver (cirrhosis), heart (failure), and pancreas (diabetes) and may cause a bronze skin color.

The Olympic Games are often seen as the ultimate celebration of human endurance, discipline and perfection. But behind the glittering medals, roaring crowds and emotional national anthems lies a quieter, more personal struggle many athletes carry with them, their mental health.

As the 2026 Winter Olympics in Milano Cortina draw closer, officials from the United States Olympic & Paralympic Committee (USOPC) are acknowledging a reality that has long remained in the shadows. According to the organization’s chief medical officer, Jonathan Finnoff, nearly half of U.S. Olympic athletes and 60 percent of Paralympic athletes are expected to experience symptoms linked to mental health concerns while preparing for or competing in the Games. These numbers highlight how elite sports, despite its glamour, can place enormous emotional and psychological pressure on athletes.

The Growing Recognition Of Mental Health In Elite Sports

Over the years, conversations around athlete well-being have shifted significantly. Earlier, the focus remained heavily on physical fitness and performance, while emotional struggles were often dismissed as signs of weakness. Today, sports bodies are beginning to understand that mental fitness is just as important as physical conditioning.

In response, the USOPC has introduced a wide range of support systems. These include hiring specialized professionals trained in both mental health care and performance psychology, creating virtual consultation services, and introducing structured screening programmes to identify athletes who may require additional support. Officials claim that the programme has grown into a comprehensive support network designed to assist athletes before, during and after competitions.

However, these initiatives have not emerged without criticism. Reports and athlete testimonies over the years have pointed towards gaps in earlier mental health care systems within competitive sports. The issue gained global attention when several high-profile athletes openly spoke about their struggles.

Simone Biles And The Turning Point

One of the most defining moments in this conversation occurred during the Tokyo Olympics in 2021, when American gymnast Simone Biles withdrew from the individual all-around final after experiencing what gymnasts refer to as “the twisties”, a dangerous mental block that disrupts spatial awareness mid-performance.

Her decision sparked global debate and encouraged many athletes to speak openly about psychological challenges. Prominent sportspersons from different disciplines followed suit, helping dismantle long-standing stigma around mental health in professional sports.

Following these developments, the USOPC significantly expanded its psychological services, increasing the number of licensed professionals and strengthening its support infrastructure. Additional funding from private foundations further helped expand mental health resources available to athletes.

Life After The Spotlight: The Emotional Void Athletes Face

For many athletes, the psychological strain does not end with the competition. Olympic freestyle skier Nick Goepper has spoken openly about his personal struggles with depression, substance abuse and feelings of purposelessness after major sporting events.

Athletes often dedicate their entire lives to reaching the Olympic stage. Once the event concludes, many find themselves grappling with identity crises and emotional emptiness. The sudden transition from global recognition to everyday routine can be deeply unsettling, especially when athletes begin questioning their purpose beyond sport.

Mental health professionals working with Olympic teams now recognize that athletes are not only dealing with performance pressure but also navigating personal life challenges, grief, injuries and major life transitions during their careers.

Balancing Performance And Well-being

While global sponsors and sporting organizations continue to prioritize medal tallies, there is growing acknowledgement that long-term athletic success cannot be separated from mental well-being. Psychological services within Olympic teams now focus not only on improving performance but also on helping athletes manage stress, trauma and life challenges.

Experts working with Olympic teams note that mental health support often extends beyond competition preparation. Athletes may seek counselling for personal losses, relationship struggles or major life changes, all of which can affect performance and overall well-being.

A Cultural Shift In Sports

The evolving approach toward athlete mental health reflects a broader cultural change in competitive sports. Open conversations, improved medical support and athlete-led advocacy are slowly transforming how mental health is perceived in elite sporting environments.

As the Milano Cortina Games approach, the spotlight will undoubtedly remain on record-breaking performances and medal counts. Yet, an equally important story will unfold behind the scenes — one where athletes, coaches and sports organizations work together to ensure that champions are supported not just physically, but emotionally as well.

Non-alcoholic fatty liver disease, often called fatty liver, occurs when excess fat builds up in the liver due to reasons unrelated to alcohol consumption. Multiple studies suggest that nearly 35 to 40 percent of Indian adults may already be living with fatty liver disease. Experts believe this figure could be a conservative estimate, making it a growing public health concern.

What is even more worrying is that Indians are significantly more prone to developing fatty liver disease compared to many other ethnic groups.

A Genetic Link Rooted in Survival

Dr Alok Chopra, a cardiologist and functional medicine expert with over four decades of experience, recently explained in an Instagram video why Indians are disproportionately affected.

“This is not just about junk food or sitting all day,” Dr Chopra said. “People from the Indian subcontinent developed a survival mechanism over generations of famine. Our bodies learned to store fat quickly, especially in the liver, to protect us during periods of starvation.”

According to him, this genetic adaptation has outlived its usefulness in modern times. “The famine disappeared, but the genetic switch never turned off,” he explained. “That is why today nearly one in three Indians is estimated to have fatty liver disease, and the real number may actually be closer to half the population.”

Why Fatty Liver Often Goes Unnoticed

Fatty liver disease is often called a silent condition because it may not cause obvious symptoms in its early stages. Many people discover it accidentally during routine blood tests or ultrasound scans. If left unchecked, it can progress to liver inflammation, fibrosis, or even cirrhosis.

Dr Chopra warns that ignoring early signs can be risky, but he also offers reassurance.

The Liver Can Heal If Given the Right Support

“The good news is that fatty liver is one of the most reversible conditions,” he said. “The liver is a remarkable organ. It detoxifies, regenerates, and supports metabolism, hormones, and energy. But it needs the right environment to heal.”

According to him, early action through lifestyle and nutrition changes can make a significant difference before the disease progresses.

Three Simple Steps to Reverse Fatty Liver

Dr Chopra outlines three key strategies to support liver health.

First, he advises aligning eating habits with the body’s natural rhythms. “Eat your dinner early, avoid late-night snacking, and include periods of intermittent fasting,” he said. “This is how our ancestors naturally lived.”

Second, he stresses the importance of cooking fats. “Your grandmom was right,” he noted. “Use ghee instead of refined seed oils. Bad oils, corn syrups, and highly processed foods push the liver towards inflammation and fat storage.”

Lastly, he highlights antioxidants. “Glutathione is the body’s master antioxidant,” Dr Chopra explained. “You can also support it with berries, dark leafy greens like spinach and kale, colorful vegetables, and even coffee, which research shows can lower the risk of fatty liver.”

With awareness and timely action, fatty liver disease does not have to be permanent.

Note: This is a user-generated content available publicly. It is not a substitute of medical consultation.