Hi I have pcos as well and I am a smoker... I have researched and talked to my dr about it. I was told that smoking makes your androgen levels higher. which for a woman with pcos most of the time our androgen levels are already too high.. I have cut down to only 5 a day while working out and taking metformin to regulate my blood sugar. ( she should ask her dr about metformin and if it would work for her) smoking is bad any way that you look at it but I think for someone who already has hormone problems it makes it way worse.
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