PCOS advice Lifestyle measures- This is advocated as initial management and as an adjuvant with any other modality: • Diet – Achievable goals such as 5% to 10% weight loss in those with excess weight yields signifi cant clinical improvement • Overweight and obese: Advocate an energy defi cit of 30% or 500 - 750 kcal/day (1,200 to 1,500 kcal/day) • Individualized approach for tailoring of dietary changes: consider food preferences, avoid unduly restrictive and nutritionally unbalanced diets • Reduce carbohydrate to only 40% of total calories (130gms/d) • 3 main meals / 3 snacks • Avoid refi ned carbohydrates and sugars in processed foods • Increase fi bre content in diet by increasing fruit and vegetables / oat bran / barley • Increase of intake of omega 3/6 fatty acids – fi sh / nut / olive oil • Never skip breakfast / meals. Eat breakfast within 2 hours of waking up. • Exercise – • For modest weight-loss, prevention of weight-regain and greater health benefi ts￾A minimum of 250 min/week of moderate intensity activities or 150 min/week of vigorous intensity or an equivalent combination of both, and muscle strengthening activities involving major muscle groups on 2 non-consecutive days/ week • For maintaining healthy lifestyle- At least 60 minutes of moderate to vigorous intensity physical activity/ day, including those that strengthen muscle and bone at least 3 times weekly