Most doctors are recommending low carb diets to PCOS patients. Low carb can mean anything from 20-60 grams per day for weight loss, depending on your metabolism. High fiber fruits and veggies are fine on a low carb diet. Berries are a good choice for fruits, especially strawberries. Green veggies are fine, yellow squash, tomatoes, cauliflower. You will need to stay away from root veggies, like potatoes, carrots, beets; corn and other grains, as well as rice and starches, like bread, pasta. As a general rule, you shop the perimeter of the grocery store, and you'll be in good shape. Veggies, low sugar fruits, nuts, fish, meats, dairy (high fat is lower in carbs that low or non-fat) will be your staples. The best thing is that fats are fine, so your food tastes really good (i.e. you can used full-fat salad dressings if you want! They are usually low in carbs) It's a definite change in thinking, but it does work, and it's really healthy. I lost 30 pounds on a low carb diet (Atkins) a few years ago. My blood work improved remarkably, and my PCOS symptoms lessened a bit. Problem was I had 70 more to lose, and couldn't stick with it.
My insurance won't cover WLS either. My company excludes it.
But I'm going to go forward as a self-pay. I feel like I've tried everything else at this point. It's my last hope.
Best of luck to you!