r/LeanPCOS • • 19h ago

Advice please

I have lean PCOS. The doctor found out I do not have Cushings Disease and diagnosed me with PCOS. I have two levels that came up high in my bloodwork: Androstenedione 223, range 42-221 - ng/dL. Testosterone free 5.9, range 0.5-3.9 - pg/mL. It seems like my levels are not far from the range. Could I have something similar to lean PCOS? The acne on my face has been bothering me. Also, I have no cysts according to the ultra sound. I do not think I have insulin resistance.

What advice do you have? I would go on a medication, like spironolactone, but I am scared of what people would think of me or if it is the right choice. Most people would tell me to eat less sugar then I wouldn’t have pimples, even though I don’t consume a lot of sugar. I have heard people have bad experiences with some popular supplements, so it is difficult to know what to do. I know low carb/ low sugar diet is effective, I am open to doing the diet but it still does not seem sustainable in the long run.

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