She’s 27. Regular exercise. “Healthy eater.” 🚨 Join me for story time 🚨 Periods every 2 to 4 months since college. Told: common… take birth control if it bothers you. BMI 26 so no one pursued it. Labs: A1C 5.3 Fasting glucose 90 TSH normal Total testosterone borderline high Reassured. Dermatology for acne OB for irregular cycles Years pass. Then more labs: Triglycerides 198 HDL 37 ALT 49 Ultrasound → polycystic ovaries Still labeled reproductive problem. But insulin was never measured. Fasting insulin: 70 µIU/mL 2-hour insulin after glucose: 192 µIU/mL Chronic hyperinsulinemia driving ovarian androgen production. After targeting insulin exposure: 3 months • spontaneous cycle 6 months • cycles monthly • acne fading • cravings reduced 9 months • triglycerides 54 • ALT normalized • ovulation confirmed Same diagnosis Different target The ovary wasn’t the primary organ involved, the pancreas was…

Posted by Doctor Tro at 2026-02-13 00:04:56 UTC