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How?

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The recommended daily allowance (RDA) of protein for sedentary individuals is 0.75 g per kilogram of body weight. However, for those who are trying to get fit and develop their muscles, this may not be enough. Everyone’s individual requirement will vary – a dietician can advise you on this.

Good sources of protein which are low in unhealthy fats include chicken, turkey breast and oily fish. Try to eat plain, live yogurt – preferably daily (if you have a cow’s milk allergy, try other sources – soya, goat’s milk, sheep’s milk) – as it contains beneficial bacteria that populate the gut and support your digestion.

A Word about Soy

Soy protein in the form of tofu (bean curd, usually sold in blocks) and soy milk are vegetarian protein sources. However, some women find that soy foods produce allergic reactions such as a rapid heart rate and rashes. If you are sensitive to soy you can derive the benefits from supplements or pills rather than the food itself. Excess soy can also upset your body’s mineral balance, leading to problems like panic attacks and hair loss. So don’t use soy as your only source of protein. Once again, moderation is key.

Excess protein intake is not wise if you have PCOS. If you fill up on proteins you have less room for nutrient-rich foods that can help balance blood-sugar levels. If you do eat animal protein, limit your intake to 2 or 3 oz per meal – a serving size no bigger than the palm of your hand. Where possible eat organic animal foods to avoid consuming the growth hormones and antibiotics with which many non-organic animals are routinely treated.

A sensible balance is two portions of carbohydrate to every one portion of protein, and no less than one portion of carbs to one portion of protein. One portion of protein equals 3 oz of cooked, lean meat or fish, half a cup of baked beans, 3 oz of hard cheese, 2 eggs or three-quarters of a cup of cottage cheese. To avoid a large intake of animal protein and an increase in saturated fat, it is possible to eat vegetarian sources of protein.

Try to include a range of protein in the form of low-fat cottage cheese, ricotta cheeses, quark cheese, lean red meat, poultry, seafood, fish and egg whites. Other sources of proteins are soybeans, split peas, kidney beans, peas, wheatgerm, lima beans, black-eyed peas, lentils, black beans, spirulina and grains such as quinoa.

Proteins and fats are digested more slowly than carbohydrates and will slow down the entry of sugar into your blood. Dried beans and peas can lower the effect of other carbohydrate-rich foods on your blood-sugar. When eaten alone, legumes don’t raise blood-sugar very much even though they contain carbohydrate, but when eaten together with other carbohydrate-rich foods they can actually lower the effect these foods have on your bloodstream. For example, when you eat pinto beans with rice, the beans reduce the effect of the rice on blood-sugar. Similarly, if you really want to eat that cake, make sure you eat it as part of a meal that includes beans.

Ideally your protein intake should be split throughout the day so that at every meal you take in some protein along with carbohydrates from wholegrains, vegetables and fruits. This will help reduce your insulin production levels in response to the amount of carbohydrate eaten. But if you do find it hard to digest food or have irritable bowel syndrome (IBS) or digestive problems, food combining (taking proteins and carbs at separate meals) can often help to ease the problem until you can work up to a diet where you can mix the two (see page 174).

For Vegetarians and Vegans

When you look at the diets of most vegetarians, protein intake tends to be small. If you are a vegetarian it is very important that you get complete proteins in your meal. Below are some suggestions to help you do this.

– If you are the only vegetarian in your household, make sure you substitute pulses, beans, wholegrain cereals, dairy products, tofu products or textured vegetable protein instead of just leaving the meat part out of the meal.

– Choose cereals fortified with vitamins, especially B12.

– Try to eat a large portion of dark green leafy vegetables every day, and half to three-quarters of a pint of semi-skimmed milk a day to ensure your calcium intake. If you are lactose intolerant you can get your calcium in soya yogurts and milks or nut milks.

– Eat dried fruits, pulses, green vegetables and whole grains for fibre and iron. Cocoa powder and dark chocolate are good sources of iron, too.

– Eat at last 30 g of pulses, nuts and seeds every day for protein and EFAs.

– Eat at least one serving of low-fat cheese or cottage cheese a day for protein and calcium – or a soya pattie or tofu portion.

– Eat a total of three to four eggs a week.

– Choose margarine or butter fortified with vitamin D and E in a vegetarian spread. You can get vitamin D from sunlight as well, and vitamin E from nuts and seeds.

If you are a vegan, the risk of nutritional deficiencies is higher. You need to seek expert advice from a doctor or nutritionist. The Vegan Society has lots of useful information (see Chapter 12).

Your biggest concern as a vegan is to ensure you get adequate amounts of protein and vitamin B12. The American Diabetic Association states that soy protein has been shown to be nutritionally equivalent to animal protein. Nuts, seeds, grains, pulses and vegetables are other good sources of protein. Yeast extracts used as food flavourings are often high in B12; if you are a vegan, eat these foods regularly, together with other products such as cereals, with a guaranteed vitamin B12 content. You can also take a B-complex vitamin supplement which includes B12.

PCOS Diet Book: How you can use the nutritional approach to deal with polycystic ovary syndrome

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