Thank you for an excellent and informative class!
I hope that I didn't miss this as part of the class, but I'm interested in understanding the physiology of the lean PCOS patient better. I have a very thin, amenorrheic PCOS patient, all of her labs are normal except for slightly elevated testosterone (triglycerides, glucose, TSH, etc all normal), but she has the string of pearls and no ovulation, even with letrozole. Her uterine lining is also a bit thin. I've advised her to reduce her carbs, which were pretty low already. How does one explain the insulin resistance when her glucose-related labs are normal? I tried to research this myself online as well and couldn't find much.
Thanks so much! It was a wonderful class.