Complexity makes weight loss feel like a code only an “expert” can crack. And somewhere along the way, a lot of women—especially midlife women—embodied a story that goes: I’ve tried everything. Nothing works. My metabolism is broken.

There comes a time in many women’s lives where they ask themselves, “Is this perimenopause? Or is it my thyroid? Or maybe both?”

After more than a decade of debate and input from over 22,000 patients and providers and an international panel of clinicians, researchers, and patient advocates, “polycystic ovary syndrome” is officially polyendocrine metabolic ovarian syndrome, or PMOS.