The PCOS Root Cause Roadmap™ is a premium, proven, and proprietary 6-step program that helps you identify and address the root causes of YOUR PCOS symptoms so you can finally gain control over your PCOS symptoms in just 6 weeks and maintain your success for a lifetime.

Before I tell you about this life-changing program, let's talk about who it's really for...

You've been diagnosed with PCOS and you are tired of feeling like you're the boss of your life in every area BUT your hormones. You value information and need to understand the WHY in order to make lasting changes, but you just don't have time to do the research yourself. Your medical team has been less than helpful when it comes to helping you truly understand your PCOS and even less helpful in giving you acceptable solutions. You're willing to make some changes and put in the work... but it has to fit into YOUR lifestyle and you need to see results in order to stick with it.

Whether you're...

  • Newly diagnosed and confused and overwhelmed about where to start
  • Have been struggling with symptoms of PCOS for a long time, and have literally tried everything
  • Actively trying improve your fertility, actively trying to lose weight, actively trying to lower your long-term risks, or just trying to get symptoms like irregular cycles, acne, hair loss, and weight gain under control

You're in the right place. I'm going to share with you how The PCOS Root Cause Roadmap will give you the knowledge, tools, and support you need on your journey to lifelong, personalized PCOS management.

By the end of this program, you will...


  • Get regular periods without medications

    By addressing the root causes of PCOS, it's possible to shorten your cycles from 60, 90 days (or more!) to 30 or fewer days and confirm ovulation so you can identify your fertile window. If you're trying to get pregnant, that increases your chances several times over per year! And even if you're not, a healthy, regular menstrual cycle is a key sign of good health! 
  • Lose the cravings for good

    By balancing your blood sugar, you will feel less "snacky," not be hungry or thinking about food all the time, not craving carbs & sugar constantly, have more energy, and eliminate binges caused by underfueling throughout the day.
  • Feel confident in your own skin... and hair... and body

    Let's face it. One of the most unfair parts about having PCOS is that it affects the way you look. It's hard to feel confident when your skin is breaking out, your hair is falling out or growing where you don't want it, and you're too bloated to fit into any of your clothes. By balancing your hormones, you will have clearer skin, thicker hair, and less hirsutism. So you can feel more like the boss you are!
  • Lower your long-term health risks

    Did you know that women with PCOS are at a much higher risk for diabetes, heart disease, and uterine cancer? Insulin resistance, inflammation, and irregular periods are responsible for these increased risks, so managing PCOS with nutrition and lifestyle changes is key to   reducing these risk factors.
  • Confidently choose the right foods to support YOUR PCOS

    News flash: there IS no one right diet for PCOS. Because every case of PCOS is different. Different symptoms, different root causes (and severity of those root causes) different needs, different goals, different preferences, likes, dislikes, and time, money, and energy to spend. By identifying YOUR root causes, you will know for sure what to eat, no matter where you are — without cutting out any of your favorite foods and without spending hours meal prepping foods you don't even like!
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What's Inside

The PCOS Root Cause Roadmap

A proven 6-week framework to uncover and address
YOUR root causes

I've taken everything that I've learned from helping thousands of women with PCOS learn how to identify and address their root causes to improve their symptoms and channeled it into a step-by-step framework that not only teaches you the WHY behind your PCOS symptoms but also tells you HOW to improve them. 

The PCOS Root Cause Roadmap is the ONLY program of its kind that…

1. Helps you identify and address YOUR root causes of PCOS
2. Is taught by a licensed integrative registered dietitian
3. Is not a restrictive diet that makes you cut out all your favorite foods or count calories or macros
4. Is a comprehensive, whole-body approach to PCOS, not just focused on fertility or weight
5. Is based on real scientific evidence about what works for PCOS

So if you’re finally ready to take control of your PCOS symptoms without a restrictive diet, medications, or sketchy supplements...

Here's how we'll help you get there:


PCOS — The Science Behind the Symptoms

Learn what's really driving your PCOS symptoms like irregular periods, acne, facial hair, hair loss, fatigue, and weight gain. Find out why treating your symptoms like a game of whack-a-mole or slapping a bandaid like the pill on them doesn't work in the long run. Only by addressing the root causes can you finally gain control over your PCOS symptoms.

Module Highlights:

To understand HOW to treat your PCOS symptoms, you must first understand the WHY behind the symptoms. 

  • What is PCOS?
  • PCOS Types — Truth or BS?
  • The 4 main root causes of PCOS symptoms
  • Why diets don't work for PCOS... and why intuitive eating doesn't work either
  • My 6-step, 4-pronged approach to treating PCOS



Insulin Resistance — The Not So Sweet Basis of PCOS

75-90% of women with PCOS have some degree of insulin resistance. Find out why this makes PCOS symptoms worse and why you won't ovulate or lose weight until you get your insulin resistance under control. 

Module Highlights:

How to find out if insulin resistance is a problem for YOU and what to do about it.

  • HOW insulin resistance worsens PCOS symptoms — and how PCOS worsens insulin resistance
  • Eating for blood-sugar balance — why low-carb diets aren't the answer
  • Ideal meal timing for improving insulin sensitivity
  • What supplements and lifestyle changes help with insulin resistance?
  • How to find out if YOU have insulin resistance — and why normal fasting glucose & A1c don't mean anything
  • The most-up-to-date evidence & strategies for managing insulin resistance

Inflammation — How to Extinguish the PCOS Fire

In a vicious cycle, PCOS itself creates inflammation and inflammation makes PCOS worse. 

Module Highlights:

What exactly IS inflammation and where does it come from? Why it's so important to address in PCOS.

  • How inflammation makes PCOS symptoms worse — and how PCOS makes inflammation worse
  • Sources of inflammation in diet & lifestyle
  • The best way to eat to lower inflammation — and no, you DON'T have to cut gluten or dairy
  • Supplements & lifestyle changes that may help lower inflammation
  • How to tell if YOU have inflammation

Gut Check — What's the link between PCOS & gut imbalances?

You may not have realized that those pesky GI symptoms you experience regularly are actually linked to your PCOS. But if your digestion is not on point, your PCOS symptoms are going to be worse. 

Module Highlights:

What's the connection between PCOS and the gut... and what to do about it.

  • Common GI issues in PCOS — and what to do about them
  • Eating for a healthy gut microbiome
  • Supplements & lifestyle changes for a healthy gut — why it's not so simple as popping a probiotic
  • How to find out if there's something more serious going on

Balancing Your Hormones Naturally

You may already know that androgens (male hormones) such as testosterone are responsible for many of your PCOS symptoms. But did you know that testosterone is not the only hormone affected by PCOS?

Module Highlights:

Fully understand what the key hormones involved in PCOS are, how to find out which ones may be problems for YOU, and what to do about them

  • Normal menstrual cycle hormones — and how they differ in PCOS
  • Sex hormones, adrenal hormones, and thyroid hormones, oh my!
  • Conventional & functional testing to identify hormone imbalances
  • How to troubleshoot YOUR hormone imbalances and address them with nutrition, supplements, and lifestyle changes

Advanced Nutrition & Lifestyle TIps

Take your approach to PCOS to the next level with these tips on how to customize the plan for YOU.

Module Highlights:

Learn the latest research on popular health topics in PCOS and learn how to experiment to know what works best for YOU!

  • How to identify your own personal carb tolerance
  • Intermittent fasting & meal timing
  • How to conquer binges once and for all
  • How to tune in to YOUR body & why emotional eating is not a "bad" thing
  • Should you wear a CGM? And more...

Next Steps for PCOS Success

Now that you've learned what the root causes of PCOS are and what to do about them as well as some advanced treatment approaches, learn how to apply the knowledge to your OWN life!

Module Highlights:

Learn how to take the information you've learned and develop a PCOS success plan you can live with for a lifetime

  • How to eat a PCOS-friendly diet even over holidays, while on vacation, or when you're too busy to even stop and eat
  • How to tailor a supplement plan for YOU and what to stop when (no laundry list of supps to take for a lifetime!)
  • Important diagnostic & monitoring tests to keep tabs on
  • Sustainable lifestyle changes — all the deets on sleep, stress, exercise, and environmental toxins
  • Building your PCOS dream team — how to find supportive and knowledgeable practitioners

6 Exclusive Yoga Videos by Kendra Tolbert, MS, RD, RYT

6 exclusive yoga videos taught by PCOS yoga and nutrition expert Kendra Tolbert, MS, RD, RYT, with each sequence designed to align with the theme of each module of the course. You'll get one new video each week of the course!


Yoga sequences:

  • Module 1 - Blood-sugar balancing gentle flow
  • Module 2 - Calming and soothing yin bedtime flow
  • Module 3 - Digestion-supporting hatha flow
  • Module 4 - Hormone-balancing gentle flow
  • Module 5 - Poses to support you in exploring new directions
  • Module 6 - Calming and energizing flow to support you in your lifetime journey

"Taking the Course was one of the best things I have invested in for my fertility journey. You learn so much about ways to fuel your body correctly, tests and real facts about PCOS, and it’s packed with useful handouts that make implementing everything so much easier. By following Melissa’s methods, I was able to ovulate naturally within the first few weeks."

PCOS RCR Student

"Taking the PCOS Root Cause Roadmap helped me understand my symptoms, as well as real applicable ways to deal with them. I saw results within the first month (got a period for the first time in 6 months!), and since then have had another 4 periods all with confirmed ovulation! Which is HUGE for someone who only had one period the year before and has been trying to conceive! Melissa’s no BS approach to PCOS is what sold me. She’s blunt, straightforward, and doesn’t coddle you! Basically, if you put in the work and follow the recommendations she so thoughtfully lays out for you, you can most certainly expect to see results. "

PCOS RCR Student

"Three weeks in, my cycle is down to 28 days vs 38 days previously. I’m so glad I took the plunge and decided to enroll! And now crossing my fingers I’ll see that double line on a pregnancy stick! Melissa’s no BS approach to PCOS is what sold me. She’s blunt, straightforward, and doesn’t coddle you! Basically, if you put in the work and follow the recommendations she so thoughtfully lays out for you, you can most certainly expect to see results. "

PCOS RCR Student

"I’ve had my first normal cycle after one month of changes (89 days to 32 days) and I’m not even through the [program]! My cycles appear to be normal, my sugar cravings have practically disappeared. My acne is improving. Melissa’s no BS approach to PCOS is what sold me. She’s blunt, straightforward, and doesn’t coddle you! Basically, if you put in the work and follow the recommendations she so thoughtfully lays out for you, you can most certainly expect to see results. "

PCOS RCR Student

"Your health is so worth the investment and you can use this information for life..." I got my period naturally about 3 months after finishing the course and it wasn’t painful for the first time ever! My mental health greatly improved and overall my body feels so much better. Your health is so worth the investment and you can use this information for life! "

PCOS RCR Student

"I'm down 30 pounds and on my second regular cycle... for the first time in my life!" ... "I was able to ovulate and now I'm almost 12 weeks pregnant!" ... "I got my period at 35 days! So much better than 45-60!" ... "Thank you so much for this course! I had my first natural ovulation ever a couple of weeks ago and confirmed pregnancy via hcg yesterday!!!" ... "I started my period today on day 29 of my cycle! No wonder they call you The Period Fairy, Melissa!!! "

Other feedback from
Current PCOS RCR Students

Still thinking about it?

I want to make sure you're making the right decision, so you can enroll with confidence that this is the right next step for you.

You should give The PCOS Root Cause Roadmap™ a shot if...

  1. You've just been diagnosed with PCOS and you're confused and overwhelmed about where to start, OR...
  2. You've been struggling with PCOS for a long time and have literally tried everything
  3. You're ready to try a different approach — because you're tired of following random recommendations you read about on the internet
  4. You're actively trying to get pregnant, concerned about your future fertility, or not at all concerned with fertility but know that regular menstrual cycles are a sign of overall health
  5. You're too exhausted and busy to spend time and energy counting calories, macros, or anything else, and you don't want to spend hours in the kitchen, either
  6. You're afraid that PCOS means you're doomed to a lifetime of being overweight, dealing with symptoms like acne and facial hair, expensive fertility treatments, and diabetes
  7. You value evidence and research... you just don't have the time to sort through it all yourself
  8. You have just ONE hour of time a week for just 6 weeks to invest in your long-term health and healing your PCOS root causes
  9. You want to cut through the noise and fast-track your PCOS journey
  10. You can (maybe) start to picture yourself in just 6 weeks feeling more energized, confident, and in control of your PCOS... instead of it controlling you (and the thought excites you!)

 Imagine yourself in just 6 short weeks...

Really understanding WHY PCOS makes you feel the way you do and what to do about it

Having fewer cravings and eliminating those night-time binges that come from underfueling yourself

Having so much energy you don't even know what to do with yourself

Seeing clearer, glowing skin in the mirror and thicker, shinier hair

Feeling less bloated and fitting better into your clothes

Getting regular periods without medications — and maybe even pregnant ?! (if you're trying)

Feeling 100% confident that you know how to eat for YOUR PCOS symptoms, which supplements are right for YOUR situation, and which lifestyle changes make sense for your life

I cannot wait to guide you over these next 6 weeks...

Helping women with PCOS reach their goals is my life's mission!

In working with thousands of women with PCOS in my practice and in my programs, I've honed in on the key nutrition, lifestyle, and supplement changes that not only make a real difference, but also are sustainable. Yes, I geek out over the latest research... but if it's impossible to implement? Yeah, no thank you. Who has time to waste time?

After working in NYC advertising for 15 years, going back to school to become a dietitian, and then opening my own practice... I value time above all else. My goal is to get you from where you are to where you want to be as quickly and painlessly as possible.

And I take so much joy in being a part of your transformation... I celebrate WITH you every confirmed ovulation, every regular period, every positive pregnancy test. And not just the big stuff but the small improvements too — I love seeing you win!

If you're struggling... I see you. And I'm here to support you in your journey.

I look forward to meeting you personally inside The PCOS Root Cause Roadmap.™ Once you're in, you're part of the THD fam forever.

All my best,

Melissa Groves Azzaro, RDN, LD

The Hormone Dietitian®

Melissa Groves Azzaro, RDN, LD, is

  • An award-winning integrative and functional registered dietitian specializing in PCOS, fertility and hormones
  • CEO & Founder of The Hormone Dietitian® LLC
  • Author of A Balanced Approach to PCOS and host of Hormonally Yours with The Hormone Dietitian
  • Creator of The PCOS Root Cause Roadmap™, The Period Problems Root Cause Roadmap™, and PCOS Meal Prep Made Easy
  • Past Chair of the national practice group, Dietitians in Integrative and Functional Medicine

Join the Waitlist for the Next Round!

We'll next be running the basic 6-week program Summer 2023. The next round of VIP & Platinum Upgrades will be Fall 2023.

Looking for one-on-one PCOS support?

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