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Baseline biomarker evaluation—fasting insulin, HOMA-IR, testosterone, DHEA-S, and inflammatory markers (CRP, TNF-α)—helps clarify whether you have insulin-resistant PCOS (60–70% of cases) or non-insulin-resistant PCOS, which may influence treatment choice

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And if your biggest issue is reflux and nausea, remember that probiotics won't "out-supplement" delayed gastric emptying, meal size, meal timing, and dose tolerance often matter more