The most common recommendations for PCOS within conventional medicine are to regulate menstrual cycles with hormonal birth control and to lose weight. The real issue and what we should be treating is the metabolic mis-firing, not the number on a scale. Weight loss is often used as a goalpost to reach even though it may not directly affect outcomes. Unfortunately, the quick recommendation in the case of most PCOS patients that they lose weight is rooted in medicalized fat-phobia rather than supported by best practices and patient outcomes.