Best Diet for PCOS Weight Loss: Low GI, Mediterranean & Sample Menu (+ Free Plan)
Finding the best diet for PCOS weight loss can feel overwhelming. Between blood sugar crashes, cravings, and the frustration of trying plans that don’t stick, many women are left confused about what really works. The truth? Sustainable weight loss with PCOS comes from building meals that balance hormones, improve insulin sensitivity, and actually fit into your lifestyle.
That’s exactly what I focus on here—real food strategies, backed by evidence, that help you feel in control of your body again. If you’re ready for step-by-step guidance, I’ve created several free and paid tools you can use alongside this article:
My 7-Day PCOS Diet Plan PDF shows you how to put these principles into practice with done-for-you meals.
The PCOS Meal Plans Collection (1200–2000 calories) includes grocery lists, recipes, and prep tips tailored for different energy needs.
If dinner is your biggest struggle, check out my Easy PCOS Dinner Recipes for quick, hormone-friendly ideas.
And if you’re curious about nutrition add-ons, I break down what’s safe and effective in my 3rd-Party Tested Supplement Guide.
Together, these resources and the strategies below will help you cut through the noise, build a way of eating that works for you, and finally see progress toward your PCOS weight loss goals.
Quick Comparison: The Best Diets for PCOS Weight Loss
Low Glycemic (Low GI)
Core Focus: Keeps blood sugar stable with slow-digesting carbs
Example Meal: Greek yogurt with berries and chia seeds
Pros: Balances hormones and reduces cravings
Cons: Requires mindful carb tracking
Ease of Following: ⭐⭐⭐⭐
Mediterranean Diet
Core Focus: Whole foods, healthy fats, and lean proteins
Example Meal: Salmon with quinoa and vegetables
Pros: Sustainable, heart-healthy, and great for long-term hormone support
Cons: Less structured for rapid fat loss
Ease of Following: ⭐⭐⭐⭐⭐
High-Protein Balanced Diet
Core Focus: Prioritizes protein at each meal
Example Meal: Egg omelet with avocado toast
Pros: Boosts metabolism and helps maintain lean muscle
Cons: Can feel repetitive if meal variety is low
Ease of Following: ⭐⭐⭐⭐
Each of these diets can work for PCOS — the key is consistency and balance.
Why Diet Matters for PCOS and Weight Loss
For many women, weight loss with PCOS feels like an uphill battle. The challenge often comes down to insulin resistance, hormone imbalance, and inflammation. A tailored diet can help manage these underlying drivers, making it easier to lose weight and feel better.
PCOS and Insulin Resistance
Up to 70% of women with PCOS experience insulin resistance (NIH). This leads to higher insulin levels, increased fat storage, and difficulty losing weight. Diets built on high-fiber carbs, lean protein, and healthy fats can improve blood sugar control and support weight management.
Inflammation and Hormonal Imbalance
PCOS is also linked to chronic low-grade inflammation. This worsens hormonal symptoms like irregular cycles, acne, and fatigue. Anti-inflammatory foods such as olive oil, vegetables, berries, and omega-3 rich fish can reduce inflammation and improve outcomes (PubMed).
Top Diets for PCOS Weight Loss
Low GI Diet for PCOS
A low glycemic index (GI) diet focuses on foods that don’t spike blood sugar. Examples include quinoa, beans, lentils, and non-starchy vegetables.
Research shows that women following a low GI diet lose more weight and improve cycle regularity compared to a standard healthy diet (AJCN).
See my PCOS Grocery List for easy swaps to build meals around low GI foods.
Mediterranean Diet and PCOS
The Mediterranean diet emphasizes whole foods, produce, legumes, nuts, fish, and olive oil. It limits processed foods and added sugars.
This approach supports healthy weight loss, reduces inflammation, and improves insulin sensitivity (Harvard).
Example meal: grilled salmon with quinoa, roasted zucchini, and olive oil.
Get started with my PCOS Meal Plans, which include Mediterranean-style recipes designed for hormone balance.
Keto Diet for PCOS
The keto diet is very low carb and high fat. It may reduce insulin levels and promote short-term weight loss (PubMed).
However, keto can be restrictive and difficult to maintain. Some women experience nutrient gaps or cravings when reintroducing carbs.
Learn more in my PCOS Weight Loss Nutrition Guide, where I compare keto and Mediterranean strategies side by side.
Other Approaches
DASH diet: Focuses on blood pressure and heart health but also improves insulin sensitivity.
Plant-forward diets: Can work well if balanced with protein sources like tofu, lentils, or edamame.
The key is sustainability—choose an approach you can follow long term.
Practical Nutrition Tips for PCOS Weight Loss
Build Balanced Plates
Divide meals into three parts: protein, high-fiber carbs, and vegetables. Add healthy fats like avocado or olive oil for satiety.
The PCOS Plate Formula: ½ non-starchy vegetables + ¼ lean protein + ¼ complex carbs + 1–2 tbsp healthy fat
Simple, visual, and sustainable — this formula helps reduce insulin spikes, keeps you full, and supports steady energy.
Snack Smart
Pair protein with fiber to keep blood sugar stable. Examples:
Greek yogurt with chia seeds
Hummus with raw veggies
Boiled eggs with fruit
Check out my Best PCOS Snacks Guide.
Beyond Diet
Exercise, sleep, and stress management are just as important as food. Strength training improves insulin sensitivity and helps preserve lean muscle (NIH).
Sample 1-Day PCOS Weight Loss Menu
Here’s what a balanced, hormone-friendly day looks like:
Breakfast: Greek yogurt with ¼ cup berries, 1 tbsp chia seeds, cinnamon
Lunch: Grilled chicken quinoa bowl with roasted veggies and olive oil
Snack: 1 apple + 2 tbsp almond butter
Dinner: Baked salmon, ½ cup quinoa, steamed asparagus
Want the full 7-day version? Download my Free 7-Day PCOS Diet Plan PDF
FAQs About the Best Diet for PCOS Weight Loss
What is the best diet for PCOS weight loss?
Low GI and Mediterranean diets are the most sustainable. Keto may be effective short term.
Does keto help with PCOS?
Yes, it can reduce insulin resistance, but it may be hard to follow long term.
Is a low GI diet effective for PCOS?
Yes. Studies confirm it supports weight loss and blood sugar control.
Which foods should I avoid?
Highly processed carbs, sugary drinks, and trans fats.
How much protein should I eat?
Aim for 20–30 grams of protein at each meal (NIH).
How many carbs per day should I eat for PCOS?
Most women do best with 100–150 g carbs daily from oats, quinoa, and fruit. Very low-carb diets can increase stress hormones.
Can I lose weight with PCOS without cutting carbs?
Yes! It’s about quality, not elimination. Pair carbs with protein and fiber for steady blood sugar.
Next Steps for Your PCOS Journey
The best diet for PCOS weight loss isn’t about strict rules. It’s about finding a plan that works for your body and lifestyle. Low GI and Mediterranean diets are often the most effective, while keto may help in the short term.
The right meals can balance hormones, stabilize blood sugar, and make weight loss easier.
Start with the 7-Day PCOS Diet Plan PDF — a free, structured plan to guide your week.
Explore my full PCOS Meal Plans for long-term success.
Use the PCOS Grocery List to shop smarter and faster.
Save money with PCOS Meals on a Budget without sacrificing results.
With the right plan, you’ll stop guessing and start seeing progress.