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Pilatou on "PCOS Questions (Metaformin, insulin resistance, DX'ing, ...)"

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My thyroid levels came back normal today so I decided to look up the symptoms of insulin resistance on wiki (don't know why I haven't done this yet) and I was shocked that I have 9 out of the 10 symptoms listed (and could possibly have the 10th symptom if I had another test done).

Then I started reading about PCOS, which I've done in the past -- but this correlation with insulin resistance seemed to sort of tie it all together for me. If my insulin level is high this ups my ovaries production of androgens which causes excess hair growth and acne and stops my cycle (it's been MIA almost 3 months now).

I'm overweight, depressed, tired, foggy head, AF is MIA, obvious hirsutism, acne, have high blood pressure, etc., etc. so seem to fit into both categories. Which came first the PCOS or insulin resistance, who knows.

So my (first) question is, does metaformin really work? I know the best treatment for insulin resistance is a low carb diet and exercise (although even this doesn't help some who genetically inherited it) but I've read mixed things about metaformin, that it helps with weight loss and that it causes weight gain. So, which is it, or is it both?

I have an appointment with an endocrinologist in June, so just around the corner. I'm really hoping they can help me. I have some questions to ask in terms of b/w that some great ladies here suggested. But does anyone know what the best way to DX insulin resistance, or does the fact that my cycle has been MIA sort of seal the fate between PCOS and insulin resistance?

Sorry for all the questions, I feel really lost. Any help understanding PCOS or insulin resistance, especially in terms of treatment and DX'ing, would be gratefully appreciated. TIA!


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