High testosterone in PCOS is often treated like a hormone problem by itself, but that can miss what is actually driving it. In this video, I break down why elevated androgens in PCOS are so often connected to insulin resistance, how that affects SHBG and free testosterone, and why symptoms like acne, hair loss, excess facial hair, and irregular cycles can all trace back to the same root issue.You’ll learn:why insulin resistance is one of the biggest drivers of high testosterone in PCOSwhich labs to ask for, including free and total testosterone, DHEA-S, SHBG, fasting insulin, and fasting glucosethe lifestyle changes that may have the biggest impact on lowering androgenswhich supplements may support insulin sensitivity and hormone balancewhere medications like metformin, GLP-1s, birth control, and spironolactone fit inThis is a practical breakdown of what may actually help, what mainly manages symptoms, and how to think more clearly about your options if you have PCOS and elevated testosterone.Disclaimer: I’m a Physician Assistant (PA), but this video is for educational purposes only and is not medical advice. Please consult your healthcare professional before making changes to medications, supplements, or treatment.Link for free initial consult with my team! https://link.tcycoaching.com/widget/form/4jw1fq4XOV1ikqp9WBOI