Hi, I have PCOS too - do you post on the PCOS support board? I've found high-protein keeps me more stable and alleviates most or all of my symptoms. But with any high-protein WOE you do have to keep an eye out for cholesterol since the most readily available protein sources (meats) are also high in cholesterol. You can do low-carb and low-cholesterol at the same time, but keep in mind that low-cholesterol does not mean low-fat. Cut back on animal fats and get more of your protein from nuts, legumes, and low-cholesterol animal sources like low-fat dairy products and fish. Little things can make all the difference, and here are a few things you may want to try:
-Cook in olive or canola oil instead of lard or vegetable oil
-Eat fatty fishes like broiled salmon instead of fried meats. You get the same "oily" texture that you might crave, but you're getting EFAs instead of saturated fats and cholesterol
-Take the yolks out of your eggs - I boil a bunch and take the yolks out and use the whites in salads or just eat them plain with a little salt. If you have pets the yolks are great for their skin and coat so they don't have to go to waste. One egg yolk has about 70% of your recommended cholesterol intake
-Instead of grabbing a piece of bacon or pork rinds for a snack, try some substitutes like vegetarian bacon; if you cook it in a bit of olive oil the taste is about the same and the texture is close. In fact, I prefer it to the real thing since it's not so salty, and they satisfy my crunch cravings. I usually cook a package ahead of time and keep it wrapped in the fridge to snack on.
The important thing to remember is that, as I said, low-cholesterol does not mean low-fat. Just be sure your fats are coming from healthy sources, and make sure you get your EFAs since they're essential for metabolic function; in fact they may actually help lower your cholesterol. Lowering your total fat intake too much can actually impede your loss, so get your fat in, but lower your cholesterol intake by avoiding the higher-fat meats (beef and pork), you can cut those down to once a week. I don't have cholesterol problems myself, but I don't want to develop them, so I watch my saturated fat and cholesterol intakes. Here's what I do, basically:
-Daily protein sources; Egg whites, veggie bacon, nuts (almonds, soy), low-fat cheese or veggie cheese, tuna, low-fat cottage cheese, fish, chicken
-Once a week maximum; beef, pork, organ meats (liver etc.), fried foods
I mostly rely on fish and seafood, with a bit of chicken, for my animal sources of protein most of the week. I generally have one meal a week of "not-so-good-for-you" food, like a steak or fried porkchops, but I limit it to one serving size and eats lots of veggies with it.
One more thing; make sure you're getting plenty of fiber - it really does help lower your cholesterol. Beans and other legumes are good sources of fiber and protein, and packed with vitamins and minerals, but they are a bit high in carbs if you're still cutting to <20 a day.
Just making a few small changes can make all the difference, and there are lots of substitutes out there for your favorite high-cholesterol snacks. Hope that helps, and good luck!