The information on this page is educational. It describes how Reforge Health thinks about metabolic health. It is not medical advice, diagnosis, or a treatment recommendation. Consult a qualified healthcare provider before making changes to your health regimen.
PCOS
PCOS. A hormonal label for a metabolic condition.
Polycystic ovary syndrome affects between 8 and 13 percent of women of reproductive age. The name suggests an ovarian problem. The reality is that PCOS sits squarely on the metabolic spectrum: insulin resistance, chronic low-grade inflammation, adrenal androgen excess, and gut dysbiosis are all documented contributors.
Standard care prescribes the contraceptive pill and metformin. The metabolic spectrum reads PCOS through all five lenses: what does the insulin pattern look like, what is the inflammatory load, what is the gut doing, what are the behavioural and environmental drivers, and what does the genomic picture add?
The ovaries are responding to a metabolic signal. Change the signal and the response changes.
The spectrum does not wait for a diagnosis.
If you recognise yourself in any of these conditions, or in the spaces between them, the Metabolic Questionnaire is a good starting point. It is not a diagnosis. It is a structured way to map your symptoms and history so that the right conversation can follow.
