Metabolic Support for PMOS

Polyendocrine Metabolic Ovarian Syndrome, Previously Known as PCOS

Polyendocrine Metabolic Ovarian Syndrome, or PMOS, is a hormone and metabolic condition previously known as PCOS. It may affect menstrual cycles, androgen-related symptoms, skin concerns, fertility, weight patterns, insulin resistance, blood sugar, cholesterol, and long-term cardiometabolic health.

What This May Include

Patients may seek for:

  •  PMOS with insulin resistance
  • Weight gain or difficulty losing weight
  • Prediabetes or elevated A1C
  • Blood sugar changes or energy crashes
  • Increased cravings, hunger, or reduced satiety
  • High cholesterol or elevated triglycerides
  • Fatty liver risk or abnormal metabolic labs
  • History of irregular cycles, acne, or excess hair growth
  • Family history of type 2 diabetes or cardiometabolic disease
  • Desire for more education, accountability, and metabolic support 

How Obsidian Supports You

Our approach may include: 

  • Comprehensive metabolic assessment
  • Review of A1C, fasting glucose, insulin trends when appropriate, cholesterol, triglycerides, liver function, kidney function, thyroid markers when appropriate, and other relevant labs
  • Nutrition and lifestyle planning
  • Weight and waist trend monitoring
  • Body composition testing when appropriate
  • Resting Metabolic Rate testing when appropriate
  • Medication review 
  •  Medication education and support when clinically appropriate
  • Ongoing education, accountability, and plan adjustment
  • Coordination with OB/GYN, endocrinology, fertility specialists, or primary care when needed 

We Focus on the Metabolic Side of PMOS 

PMOS care can include different needs, including menstrual cycle management, acne or hair growth treatment, fertility support, and metabolic risk reduction. Obsidian’s role is focused on the metabolic health side of PMOS.


We help patients better understand how PMOS may be connected to insulin resistance, weight changes, blood sugar patterns, cholesterol levels, fatty liver risk, and long-term cardiometabolic health.


For reproductive health, fertility treatment, pelvic evaluation, or complex hormonal concerns, we encourage appropriate care with an OB/GYN, endocrinologist, or fertility specialist. 

We Look Beyond Weight Alone in PMOS

PMOS-related metabolic concerns are not just about weight. At Obsidian, we look at the broader picture, including:


  • Blood sugar and insulin resistance patterns
  • Cholesterol and triglycerides
  • Weight and waist trends
  • Body composition when appropriate
  • Appetite, cravings, and satiety patterns
  • Sleep, stress, and recovery
  • Medication history
  • Nutrition habits and movement capacity
  • Family history of diabetes or heart disease
  • Long-term cardiometabolic risk


PMOS is associated with increased long-term risk for insulin resistance, type 2 diabetes, and obesity, and care may include lifestyle changes and medications depending on the person’s symptoms and goals.

PMOS is more than a reproductive condition

PMOS can affect the whole metabolic picture, including blood sugar, weight, cholesterol, energy, and long-term diabetes risk. Obsidian helps connect these patterns so your care plan is not based on one symptom or one number alone.