Insulin resistance drives PCOS. Keto reduces insulin and restores ovarian function in many women. Endometriosis involves chronic inflammation — keto’s NLRP3 inhibition directly reduces inflammatory signalling. Ovarian cysts related to PCOS typically improve with reduced insulin levels. The foundation: adequate fat for hormone production, anti-inflammatory omega-3s, and blood sugar stability. Our keto breakfast ideas and keto main dishes provide hormone-supportive, anti-inflammatory nutrition.