#508 Sam Miller - Revisiting the PCOS to PMOS Reclassification

<p>Sam Miller returns to the podcast to discuss the transition from PCOS to PMOS, what the change actually means, and why the conversation seemed to disappear almost as quickly as it arrived.</p><p><br></p><p>We also get into women’s health messaging, sleep, training nutrition, endurance fueling, and the career setbacks that rarely make it onto social media.</p><p><br></p><p>We discuss:</p><p><br></p><p>• Why discussion around PCOS becoming PMOS died down after the initial attention</p><p>• What the new terminology means for patients and future care</p><p>• Why shifting attention toward actionable behaviours matters</p><p>• Problems with self-diagnosis and self-labelling</p><p>• The two extremes of women’s hormonal health messaging</p><p>• Dismissing symptoms versus convincing everyone they have a hormone deficiency</p><p>• Finding a useful middle ground</p><p>• Why eye masks and earplugs can improve the sleep environment</p><p>• Important caveats around mouth taping</p><p>• Building simple and repeatable sleep routines</p><p>• Light exposure and circadian health</p><p>• Why carbohydrates before training may improve performance</p><p>• Fueling HYROX and endurance-style events</p><p>• Intra-workout carbohydrates</p><p>• Sam’s professional failures and setbacks</p><p>• Why social media creates a distorted picture of professional success</p><p>• Writing, networking, and building a career</p><p>• And much more</p><p><br></p><p>Follow Sam:</p><p><br></p><p>@sammillerscience</p><p><br></p><p><strong>CHAPTERS</strong></p><p><br></p><p>00:51 PCOS Renamed PMOS</p><p>01:48 Why the Name Change Matters</p><p>04:54 Will Practice Actually Change?</p><p>07:02 Action Steps for PMOS</p><p>08:21 Assessing History and Labs</p><p>09:38 Tailoring Training and Nutrition</p><p>15:00 Self-Diagnosis Culture</p><p>17:27 Marketing and Mindset</p><p>18:58 Two Extremes in Women’s Health</p><p>22:24 Finding the Middle Ground</p><p>27:42 Sleep Routine Hacks</p><p>28:04 Eye Mask Evidence</p><p>29:49 Mouth Taping Caveats</p><p>33:06 Travel Sleep Rituals</p><p>34:14 Light Exposure and Metabolism</p><p>35:54 Keeping the Ritual Simple</p><p>36:34 Earplugs and Safety</p><p>38:35 Carbs Before Training</p><p>43:41 Fueling HYROX Events</p><p>44:30 Intra-Workout Carbs</p><p>47:41 Sharing Career Struggles</p><p>58:54 Social Media Fears</p><p>01:03:24 Writing and Networking</p><p>01:05:11 Where to Find Sam</p><p><br></p><p><strong>SUPPORT THE SHOW</strong></p><p><br></p><p>• Subscribe and check out