Are you taking metformin in addition to insulin? I’m guessing you may already be since you mentioned PCOS and insulin resistance, but if not, that seems like an obvious add-on to try. I take metformin ER, 2000mg a day (split into 2 doses)—started w 500mg once a day and gradually worked up to the max dose. Allowed me to lower my insulin doses and finally my efforts to eat well resulted in weight loss like the should.
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