I listened to my gut and made an appointment with an endocrinologist despite all my blood work coming back OK after my last visit with my GP. I really liked this endocrinologist - Dr. B. He's an older man who practices the old fashioned way: he asked me questions and listened a lot. He refused to look at my blood work results from the previous tests until after he examined me and talked to me. His comment "that's cheating." He didn't walk around with a laptop. Instead, he had pen and paper and he liked to draw pictures. He spent over an hour with me.
And he feels I still have metabolic syndrome and if it's not managed, I'll likely develop Type II Diabetes, which runs rampant in my family. Additionally, despite having my periods on a somewhat regular basis (I got them back after I lost weight), he believes I should still actively manage PCOS - the condition did not fully go away, just some of the symptoms. And finally, he believes I have hypothyroidism, which can slow the metabolism and be partially responsible for my until now unexplained edema in my ankles.
He told me that he wasn't surprised I wasn't losing weight despite all the effort I'm making to do so.
I'm not sure what all the treatment plans will entail - continued healthy diet and exercise for sure, and possibly medication. He believes medication will help me get insulin production under control, which in turn will help me shed the weight.
I have to admit, I feel a bit vindicated here, but as I told my partner this morning "watch the blood work come back completely normal and Dr B's diagnoses will not be validated." His reply: "dear, he's an endocrinologist. He's looking for small nuances. Little blips your GP is not trained to see." I guess I'm a bit apprehensive because all the while I had been diagnosed with PCOS, my blood work didn't support the diagnosis. And because I think part of me is hoping this will be a magic pill.
Y'all know what I think about magic pills and chasing them. And here I am doing it.