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Signs of high androgens ( hyperandrogenism ): This can show up on bloodwork as elevated testosterone or through symptoms like acne, hair thinning, or excess facial and body hair, even when labs look normal. Polycystic-appearing ovaries on ultrasound: Defined as ovaries with 12 or more small follicles (2 to 9 mm each) or a volume over 10 mL

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DAnecdotal evidence

2 In 2023, 28% of UnitedHealthcare members had a metabolic condition, and those members accounted for 56% of their employers total health care spend 4x more than those without a metabolic condition