#PCOS-Friendly Recipes

20-Minute Mediterranean Cod (Low Carb, PCOS-Friendly Dinner)

rustic table setting with mediterranean cod in cast iron skillet
The perfect easy dinner that feels special enough for any night.

“My PCOS-Friendly Dinner for Exhausted Evenings” – Emma’s Story

There was a time when 6 PM would hit and my PCOS fatigue would feel like a physical weight. I’d stare into the fridge, knowing I needed something anti-inflammatory but too exhausted to face multiple pots. This One-Pan Mediterranean Cod was my breakthrough during one of those exhausting weeks.

As someone who’s navigated PCOS for years, I created this recipe specifically for nights when both my energy and willpower were running low. The lean protein helps manage my hunger hormones, while the healthy fats work to reduce the inflammation that worsens my PCOS symptoms. It’s become my weekly warrior against evening cravings and fatigue.

The Flavor Flux PCOS Power Score: 🌿🌿🌿🌿 (4/5)

PCOS Benefit Why This Works
Lean Protein 25g protein to reduce cravings and support hormone balance
Healthy Fats Olive oil and olives provide anti-inflammatory benefits
Blood Sugar Friendly Protein-fat combo prevents evening energy crashes
Quick & Easy 20-minute prep means you’ll actually make it on tired nights

My PCOS Kitchen Toolkit

artistic arrangement of mediterranean cod ingredients
Simple, quality ingredients come together for maximum flavor.

The Protein Base:

  • Cod Fillets: Mild, lean protein that cooks quickly

  • Olive Oil: My go-to anti-inflammatory fat for PCOS

The Flavor Boosters:

  • Cherry Tomatoes: Burst with sweetness and antioxidants

  • Kalamata Olives: Salty, briny depth that makes healthy eating feel luxurious

  • Garlic & Capers: Natural flavor powerhouses that reduce need for excess salt

  • Fresh Herbs: Basil and lemon brighten everything up

My 20-Minute Method

1. CREATE the Flavor Base

My Tip: Cooking tomatoes in olive oil helps your body absorb their antioxidants better.
Heat oven to 400°F. In an oven-safe skillet, sauté cherry tomatoes, olives, garlic, and capers in olive oil for 3-4 minutes.

2. PREPARE the Fish

My Tip: Patting fish completely dry ensures perfect texture every time.
Dry cod fillets thoroughly, then rub with olive oil and season with oregano, salt, and pepper.

3. COMBINE & ROAST
Nestle cod into the tomato mixture. Roast for 12-15 minutes until fish flakes easily.

4. FINISH with Freshness

My  Tip: Fresh lemon at the end helps with nutrient absorption.
Top with fresh basil, lemon zest, and a squeeze of lemon juice.

Make It Your Own

For Different PCOS Needs:

  • Extra Inflammation Fighting: Add ¼ tsp turmeric with the tomatoes

  • More Fiber: Serve with a side of quinoa or roasted vegetables

  • When You’re Extra Tired: Use pre-minced garlic and pre-pitted olives

Simple Swaps:

  • Different Fish: Salmon or halibut work beautifully

  • Extra Veggies: Add zucchini or bell peppers

  • Herb Variations: Try parsley or dill instead of basil

Your Questions Answered

Can I use a different type of fish?
Absolutely. This recipe works well with other firm, white fish like halibut or haddock. Salmon is also a great option if you prefer a richer flavor and extra omega-3s. The cooking time may need slight adjustment based on the thickness of the fillets.

What should I serve with this cod?
It’s delicious with simple sides that don’t overpower the Mediterranean flavors. I love it with a quick arugula salad, lemon rice, or roasted asparagus. Crusty bread is also perfect for soaking up the delicious sauce in the pan.

I don’t have an oven-safe skillet. What can I do?
No problem! Simply prepare the tomato and olive mixture in any regular skillet on the stovetop. Then, transfer everything to a standard baking dish before adding the cod and placing it in the oven to finish cooking.

How should I store and reheat leftovers?
Store leftovers in an airtight container in the refrigerator for up to 2 days. To reheat, place it in a covered oven-safe dish at 300°F until warm, about 10-15 minutes. Avoid the microwave, as it can make the fish rubbery.

Is this recipe suitable for meal prep?
Yes, but with one tip for best results. You can fully prepare the tomato and olive mixture ahead of time and store it separately. Cook the fresh cod just before serving to maintain its perfect flaky texture. The cooked dish can be refrigerated and enjoyed within 2 days.

A Final Note From Emma

This recipe represents everything I’ve learned about cooking with PCOS: it needs to be easy enough for our most exhausted days, delicious enough to feel like self-care, and nourishing enough to actually help our symptoms.

Important: I share this recipe from my personal PCOS experience as a food enthusiast, not a medical professional. Please consult your healthcare provider for personalized medical advice.

close-up of flaky mediterranean cod with tomatoes and olives
Perfectly cooked, flaky cod that melts in your mouth.

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infographic for one-pan mediterranean cod recipe

20-Minute Mediterranean Cod (Low Carb, PCOS-Friendly Dinner)

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My personal 20-minute Mediterranean cod recipe with lean protein and healthy fats. Perfect for easy PCOS-friendly dinners.

  • Total Time: 20
  • Yield: 4 servings

Ingredients

  • 4 (6 oz) cod fillets

  • 3 tbsp olive oil, divided

  • 2 cups cherry tomatoes

  • ½ cup Kalamata olives, pitted

  • 3 cloves garlic, minced

  • 2 tbsp capers

  • 1 tsp dried oregano

  • 1 lemon, zested and juiced

  • ¼ cup fresh basil, chopped

  • Salt and pepper to taste

Instructions

  1. Preheat oven to 400°F.

  2. In large oven-safe skillet, heat 2 tbsp olive oil over medium heat. Add tomatoes, olives, garlic, and capers. Sauté 3-4 minutes.

  3. Pat cod fillets dry. Rub with remaining 1 tbsp olive oil and season with oregano, salt, and pepper.

  4. Nestle cod into tomato mixture. Spoon juices over fish.

  5. Transfer to oven and roast 12-15 minutes until cod flakes easily.

  6. Top with fresh basil, lemon zest, and lemon juice before serving.

Notes

  • For Perfect Fish: Patting the cod completely dry is key for the best texture.

  • Emma’s Kitchen Note: This is one of my absolute go-to recipes—I probably make it every other week. It’s my fail-safe for busy nights when I need a dinner that feels a bit special but requires minimal effort and cleanup. It never lets me down!

  • Meal Prep: The tomato mixture can be made 1-2 days ahead.

  • Serving Suggestion: Perfect with a simple green salad or crusty bread.

 

  • Calories: 245 kcal
  • Author: Emma Carter
  • Prep Time: 5
  • Cook Time: 15
  • Category: Dinner
  • Method: Pan-Roasting
  • Cuisine: Mediterranean
  • Diet: Gluten Free

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