I am also what many consider an athletic lean build.
I am always in competitive sports and train daily. As to maintain a competitive edge in sports, I eat as healthy as I can. My periods used to be normal, up until five years ago when I got on birth control. Every since then, I have slowly come undone with symptoms.

My doctor prescribed me, in my opinion, way too many drugs: spironalactone 100mg, vagifem (for two weeks), and birth control. I recently stopped the spironalactone due to extreme side effects: dizziness, double vision, fatigue, nausea, and extreme peeing. I am worried that birth control will make things worse. My gut tells me that I need to get off all drugs and get a second opinion on how to treat the underlying cause of this PCOS.

Please help!

Dear Elizabeth,

Thank you for contacting the Insulite PCOS Support Blog.

I do believe the Insulite PCOS System offers a more comprehensive treatment that is safe and more effective than many conventional options.

Our view on the pharmaceutical treatment of PCOS is that there is no one drug on the market that will change your condition. The only way to reverse the disorder is to reduce elevations in insulin which directly affect testosterone and other hormonal changes that are responsible for causing PCOS.



The Insulite PCOS System was created to address the cause of PCOS. With those on birth control pills, we cannot say that we have noticed dramatic results in weight loss, hair growth, acne or other symptoms related to PCOS.



These symptoms can be partially controlled by diet and exercise changes. The addition of nutrients will help you become more sensitive to your insulin and reduce the symptoms of insulin resistance and PCOS.


The topics of lean women with PCOS, and PCOS without insulin resistance are still not entirely understood in the medical community. Many thin women with PCOS do have insulin resistance, but some do not. It is not a clear-cut distinction that thin women are not Insulin resistant. Some lean women with PCOS hyper-secrete insulin but do not yet manifest insulin resistance. And in many women with PCOS, their ovaries are highly sensitive to insulin, so that even if their serum insulin levels are normal, the ovaries are highly reactive to that insulin.


Here is a link comparing lean and obese women with PCOS PCOS (lean women found to hyper-secrete insulin):
HYPERLINK “http://jcem.endojournals.org/cgi/content/abstract/89/6/2942″ http://jcem.endojournals.org/cgi/content/abstract/89/6/2942

Here is a link to study that was done with lean and overweight women with PCOS: HYPERLINK “http://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2265.1993.tb02144.x” http://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2265.1993.tb02144.x

I hope this information answers your questions. Please don’t hesitate to contact us again with any further questions or concerns.

Best wishes,


Dr. Nicole Kellum, ND
Insulite Laboratories Consulting & Advisory teams

DISCLAIMER: The information contained in this email 
and the Insulite Labs website is for the sole purpose
of being informative. This information is not and
should not be used or relied upon as medical advice.
 Always seek the advice of your physician, nurse or
other qualified health care provider before you
undergo any treatment, take any medication,
 supplements or other nutritional support, or for
answers to any questions you may have regarding a
medical condition.

Dear Shasha,

Thank you for writing into the PCOS Support blog.

Did your doctor diagnose you with PCOS based on these findings or are
they containing to evaluate the situation?

Some of your symptoms are certainly suspicious of PCOS. The ultrasound
that was done supports this diagnosis but there are other symptoms, labs
to consider.

Here are a list of tests and symptoms that we use to help with evaluating PCOS.

- free testosterone- elevated in PCOS

- DHEA-s- often elevated in PCOS

- Sex Hormone Binding Globulin (SHBG)- usually low in PCOS

- Fasting insulin- elevated in PCOS. Some doctors may hesitate to order
this test because the normal range (0-20) is so wide. However, we find
that results greater than 9 indicate insulin resistance. Insulin resistance
is usually the underlying cause of PCOS, as you may have read about
on our site. Some doctors may also order a 2-hour post-prandial insulin
test, along with a 2-hour post-prandial glucose test. For the post-prandial
insulin, results over 25 or 30 may indicate insulin resistance.

- Fasting glucose or 2-hour post-prandial glucose test- elevated in PCOS.
Using this information in combination with the insulin levels helps to
diagnose insulin resistance. Also, women with PCOS have a higher risk of
diabetes so it is important to screen for this early and often.

- LH: – Some doctors may also look at the ratio between these two hormones.
In PCOS, we would expect LH to be elevated in comparison to FSH.

- You could get an ultrasound to check for the presence of ovarian cysts. Even
if the ovaries do appear normal, the absence of ovarian cysts does not mean
that you don’t have PCOS. Not everyone with PCOS has ovarian cysts.

- I would also check your cholesterol levels, thyroid and liver function tests, as
these can also be abnormal in PCOS (as well as in many other conditions).

You can certainly try using the System to see if it helps with your symptoms,
even without a diagnosis.

The following is a list of the more common symptoms of PCOS, but note
that not everyone with PCOS experiences all of these symptoms. Some
women may have 2 or 3 of these traits while others struggle with all
of them. Most experts consider that a woman must have evidence of both
lack of ovulation manifested by irregular periods AND signs of excess
male hormones to be diagnosed with PCOS. Some experts also require
the presence of polycystic ovaries (small cysts resembling a string of pearls)
to diagnose PCOS.

1. Weight Gain or Inability to Lose Weight. Other people may not
necessarily gain weight but find that no matter how hard they try,
they cannot lose any weight. Not every woman with PCOS will have
problems with excess weight. In fact, up to half of women with PCOS
are lean. Even lean women with PCOS may struggle with high insulin
levels or insulin resistance, however.

2. Absent or Irregular Periods (Amenorrhea or Oligomenorrhea).
Irregular or absent menses indicate that a woman is probably not
ovulating.

3. Infertility. The high levels of excess insulin seen with PCOS can
stimulate the ovaries to produce large amounts of the male hormone
testosterone, which can possibly prevent the ovaries from releasing an
egg each month, thus causing infertility. Because women with PCOS
don’t have regular menstrual cycles, many are unable to become
pregnant. With help, however, many PCOS sufferers conceive.

4. Excess Hair Growth (Hirsutism). This symptom causes excess hair,
which can be difficult for many women. For most PCOS sufferers, hair
in the mustache and beard areas becomes heavier and darker. Masculine
hair on the arms and leg is also possible, as well as hair on abdomen,
chest or back, together with more growing in the pubic area. High
levels of male hormones (androgens) cause this condition.

5. Thinning Hair. Just as heavier hair growth is possible, so is the
type of hair thinning that many men experience.

6. Acne and oily skin

7.Ovarian Cysts. The elevation in insulin levels also contributes to
the formation of cysts in the ovaries in part due to the hormonal
imbalances and also because the ovaries are highly sensitive to the
influence of insulin. These multiple, immature ovarian cysts that are
the hallmark of PCOS are associated with irregular menstruation and
trouble conceiving. Polycystic ovaries are defined as 12 or more
follicles in at least 1 ovary as seen by ultrasound. Note that not
every woman with PCOS has polycystic ovaries.

8. Fatigue. Fatigue is a common symptom that may be related to PCOS in
that insulin resistance can be one cause of reduced energy levels.
Furthermore, many women with PCOS also have low thyroid function
(hypothyroidism) which itself causes fatigue.

9. Other Skin Problems. Skin tags: thick lumps of skin sometimes as
large as raisins can form as a result of PCOS. They are usually
found in the armpits, at the bra line or neck and can easily be
removed by a dermatologist. Darkening and thickening of the skin can
also occur around the neck, groin, underarms or skin folds. This
condition, called Acanthosis Nigricans, is a sign of Insulin
Resistance, the underlying cause of PCOS. Other women with PCOS note
an increase in dandruff.

10. Mood Swings.

11. High cholesterol (Hyperlipidemia) and High Blood Pressure (Hypertension).

12. Sleep Apnea. Women with PCOS have a high risk for sleep apnea.
This may be due to the increased BMI (Body Mass Index) in about half
of women with PCOS. Another possible reason for the increased
prevalence of sleep apnea in people with PCOS is the effects of
testosterone on blood vessels.

The nabothian cyst is not likely related to PCOS, if this is what you are experiencing.

Birth control is not the only option as you may have seen that we offer a non-
pharmaceutical approach to PCOS.

If you are looking for another option, you can certainly contact us and you can check
out our website at http://pcos.insulitelabs.com/.

Sasha, please let me know if you have any other questions or concerns that I may be
able to help with.

–
Best Wishes,
Dr. Heather DeLuca, ND
Insulite Laboratories Consulting & Advisory teams

DISCLAIMER: The information contained in this email and the Insulite Labs website is for the sole purpose of being informative. This information is not and should not be used or relied upon as medical advice. Always seek the advice of your physician, nurse or other qualified health care provider before you undergo any treatment, take any medication, supplements or other nutritional support, or for answers to any questions you may have regarding a medical condition.

now i had periods and going to take dronis 20.

doctor my doubt is can these medicines really help me?
.should i have to take these for long time?
dont one can get complete cure from it?
cant i be pregnent in my life if i have this disease?

also doctor when searched online,i found tat one of sympton of pcos is overwieght. but iam extremely skinny and also underweight.my doctor told me tat i should eat more and attain atleast 40kg weight to have periods.but doctor i used to eat a lot ,eats all type of food,at any time and dont do proper excercise.then too iam not gaining weight .most of time i feel weak too.

doctor i am badly indeed of gaining weight coz iam too skinny and i dont want to continue like this.there is no fat in my body although i eat many oily foods.
doctor, i want you to suggest my entire diet plan and type of exercices so as to gain weight and decrease polycysitic ovary

and i also want to tell this,last month one day when i was watching tv ,suddenly my heart beat increased tremendously so tat i can feel it and it remained for 5 minute causing irritation .1st it beats fastly ,then it slowed down and was vibrating.after few minutes it become normal.after tat till now it happened to me more than 5 times.sometimes after lunch,or when waking up from long sleep. but i dont feel it is too serious as iam too young.

kindly doctor please reply me

Dear Jameila,

Thank you for posting to the Support Blog. I apologize for the delay in
our response.

I am sorry to hear about your diagnosis. I know that this can be a frustrating
and confusing time. I am glad that you are reaching out with your questions.

At this point, having a regular period is a sign that you are ovulating. And this
increases the likelihood that you will conceive. However, there are some women
that can have somewhat of a regular period but they are not ovulating. If you
are not ovulating, certainly conceiving will be more difficult.

With the increase in body hair, this is a symptom that testosterone levels
may be elevated. This can also affect ovulation.

The short answer is that we are not sure what your chances are to
conceive but I can say that there are many women with PCOS that have
successful pregnancies.

There are a few ways to tell whether or not you may be
ovulating. One, is the presence of regular menses. Other signs of
ovulation include a shift in the basal body temperature and the presence
of fertile cervical fluid (also called “egg white” mucus or
spinnbarkeit).You may also want to check out the following website regarding
the Fertility Awareness Method: http://www.ovusoft.com/library/primer002.asp
You can read more about how to monitor your fertility signs by reading the book
“Taking Charge of Your Fertility” by Toni Weschler.

In the meantime, I would consider the Insulite PCOS System that we offer. This
helps not only to balance hormones but to also address the underlying cause of
PCOS, which in most cases is insulin resistance. You can read more at:
http://pcos.insulitelabs.com/

Jameila, I hope that this helps. Please let me know if you have any additional
questions or concerns.
–
Best Wishes,
Dr. Heather DeLuca, ND
Insulite Laboratories Consulting & Advisory teams

DISCLAIMER: The information contained in this email and the Insulite
Labs website is for the sole purpose of being informative. This
information is not and should not be used or relied upon as medical
advice. Always seek the advice of your physician, nurse or other
qualified health care provider before you undergo any treatment, take
any medication, supplements or other nutritional support, or for answers
to any questions you may have regarding a medical condition.

My blood sugar, HgA1C, insulin, GTT is normal but I have dark patches in underarms and inner thighs. Could I be IR?

LH:FSH ratio is abt 3:1. Elevated testosterone, thyroids are normal. I am lean – 48kg for 5’4″.
Vit. D was 7.2 but I am on supplements now, B12 normal, low ferritin (on supplement)

Diet – vegetarian.
Exercise – it has been a week since I started doing regularly.

Please let me know of your analysis

Thanks

———————–

Dear Swati,

Thank you for contacting the Insulite PCOS Support Blog.

The topics of lean women with PCOS, and PCOS without insulin resistance are still not entirely understood in the medical community. Many thin women with PCOS do have insulin resistance, but some do not. It is not a clear-cut distinction that thin women are not Insulin resistant. Some lean women with PCOS hyper-secrete insulin but do not yet manifest insulin resistance. And in many women with PCOS, their ovaries are highly sensitive to insulin, so that even if their serum insulin levels are normal, the ovaries are highly reactive to that insulin.


Here is a link comparing lean and obese women with PCOS PCOS (lean women found to hyper-secrete insulin):

http://jcem.endojournals.org/cgi/content/abstract/89/6/2942


Here is a link to study that was done with lean and overweight women with PCOS:

http://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2265.1993.tb02144.x


If you have a family history of obesity, diabetes, and heart disease, if you have cravings for carbohydrates or sweets, if you have skin tags or acanthosis nigricans (dark patches on the skin, especially in the armpits, which you have) I would be more inclined to think there is a component of insulin resistance in your case. 

We have had customers with Lean PCOS on the Insulite PCOS System with success. You could certainly try the System. I do want to let you know we offer a 100% satisfaction guarantee. If for some reason, the system does not work for you, Insulite Laboratories offers a 90 day money back guarantee. If you are not completely satisfied with the Insulite System, we will refund your original purchase price for up to 90 days. (Excluding shipping and handling)



You just might want to pay close attention to your blood sugar in the first few weeks on the System, to make sure it does not drop too low. You can monitor blood sugar with a home glucometer (blood glucose meter) and by watching for symptoms of low blood sugar such as: headaches, feeling faint or dizzy, feeling clammy or sweaty, trembling and hunger. These symptoms relieved by eating.



The dietary guidelines are flexible enough that you can adjust the caloric intake to meet your needs to sustain your weight. If you would like guidance to help you gain weight, we might be able to help with that too.



The nutrients themselves will not make you lose weight. If you find that you are having difficulty maintaining your weight while using the Insulite PCOS System, please contact us right away so that we can help you with that.



I hope this information answers your questions. Please don’t hesitate to contact us again with any further questions or concerns.

Best wishes,


Dr. Nicole Kellum, ND
Insulite Laboratories Consulting & Advisory teams

DISCLAIMER: The information contained in this email 
and the Insulite Labs website is for the sole purpose
of being informative. This information is not and
should not be used or relied upon as medical advice.
 Always seek the advice of your physician, nurse or
other qualified health care provider before you
undergo any treatment, take any medication,
 supplements or other nutritional support, or for
answers to any questions you may have regarding a
medical condition.

——————

Dear Kim,

Thank you for contacting the Insulite PCOS Support Blog.

It is possible that you have both PCOS and hypothyroidism.
Many thin women with PCOS do have insulin resistance, but some do not. It is not a clear-cut distinction that thin women are not Insulin resistant. Some lean women with PCOS hyper-secrete insulin but do not yet manifest insulin resistance. And in many women with PCOS, their ovaries are highly sensitive to insulin, so that even if their serum insulin levels are normal, the ovaries are highly reactive to that insulin.
 Often women with PCOS have low progesterone. Did your doctors test your LH to FSH ratio (elevated in PCOS) or do an ultrasound to see if you have ovarian cysts (often but not always present in women with PCOS)?

I hope you are receiving treatment for your low T3. This alone could help normalize your periods. Our Insulite PCOS System is not designed to treat hypothyroidism, but it may help to elevate your progesterone levels and reverse your symptoms of PCOS.

I hope this information answers your questions. Please don’t hesitate to contact us again with any further questions or concerns.

Best wishes,


Dr. Nicole Kellum, ND
Insulite Laboratories Consulting & Advisory teams

DISCLAIMER: The information contained in this email 
and the Insulite Labs website is for the sole purpose
of being informative. This information is not and
should not be used or relied upon as medical advice.
 Always seek the advice of your physician, nurse or
other qualified health care provider before you
undergo any treatment, take any medication,
 supplements or other nutritional support, or for
answers to any questions you may have regarding a
medical condition.

Dear Marania,
First let me apologize for the delay in responding.

Well the excess facial and body hair and irregular periods are symptoms
of PCOS. But the fact is you can’t be sure until you are evaluated. What
interests me a bit is that your mom had to use medications to become
pregnant. Does she have symptoms of PCOS or has this been considered
in her case, or was there another reason she was having difficulty conceiving?
PCOS does have a hereditary component.

I do not know if the hormones she used have impacted your symptoms. It is possible
that they did but honestly, I do know.

However, I would recommend that you discuss being evaluated for PCOS,
with your doctor. Based on asking about symptoms, they may proceed with
further testing. Some of the tests include:

- free testosterone- elevated in PCOS

- DHEA-S- often elevated in PCOS

- Sex Hormone Binding Globulin (SHBG)- usually low in PCOS

- Fasting insulin- elevated in PCOS. Some doctors may hesitate to order
this test because the normal range (0-20) is so wide. However, we find
that results greater than 9 indicate insulin resistance. Insulin resistance
is usually the underlying cause of PCOS, as you may have read about
on our site. Some doctors may also order a 2-hour post-prandial insulin
test, along with a 2-hour post-prandial glucose test. For the post-prandial
insulin, results over 25 or 30 may indicate insulin resistance.

- Fasting glucose or 2-hour post-prandial glucose test- elevated in PCOS.
Using this information in combination with the insulin levels helps to
diagnose insulin resistance. Also, women with PCOS have a higher risk of
diabetes so it is important to screen for this early and often.

- LH: – Some doctors may also look at the ratio between these two hormones.
In PCOS, we would expect LH to be elevated in comparison to FSH.

- You could get an ultrasound to check for the presence of ovarian cysts. Even
if the ovaries do appear normal, the absence of ovarian cysts does not mean
that you don’t have PCOS. Not everyone with PCOS has ovarian cysts.

Now, if you have PCOS, it is important to know that there are many women who
have successful pregnancies. We just don’t know who will have a problem
conceiving.

Having some tests can certainly help you determine if this is something that you
will need to address.

Marania, I hope that this helps some. Right now we just don’t know but the good
thing is that you have time to discuss this with your doctor and take steps to
address, if need be.

Please let me know if I can help further. Again, I am sorry for the length of time
without a response to your post.

–
Best Wishes,
Dr. Heather DeLuca, ND
Insulite Laboratories Consulting & Advisory teams

DISCLAIMER: The information contained in this email and the Insulite Labs website is for the sole purpose of being informative. This information is not and should not be used or relied upon as medical advice. Always seek the advice of your physician, nurse or other qualified health care provider before you undergo any treatment, take any medication, supplements or other nutritional support, or for answers to any questions you may have regarding a medical condition.

Dear Sheetal,
Thank you for writing into the PCOS Support blog. I am sorry your post went
unanswered for this long.

I have had many women report that metformin worked for a bit then symptoms
returned. Unfortunately, it sounds as though you are becoming more insulin resistant.
This was likely the reason metformin was given.

Hopefully during the last 8 months you also started to make nutrition, in addition
to the exercise you are doing. If not, now is the time to really start to commit to
change to control the symptoms and improve your ability to become pregnant
and carry the pregnancy to term.

You should also discuss the changes with your doctor as they may want to do some
tests to be see what has changed or if there is anything else that should be evaluated,
such as your thyroid. It is not uncommon to have an under-active thyroid and
some of your symptoms can also be symptoms of an under-active thyroid.

Briefly, what we recommend to our customers using the Insulite PCOS System,
is a low carbohydrate diet. You would want to focus in lean protein (not high amounts),
lots of non-starchy vegetables (kale, broccoli, mixed green lettuces, green beans,
peppers, artichokes, etc.) and healthy fats (nuts, seeds, olive oil, avocados, etc.).
Then you can fill in with some whole grains and fruit. More information is available
with the System.

Regarding exercise, if you choose the Insulite PCOS System, we will guide you
through changes to increase the intensity, time and types of exercise. Your
body can be come accustom to the exercise and you may need to change it up a bit.

With what you have mentioned and the decrease in efficacy of metformin, I would
recommend the PCOS System.

PCOS is a major cause of infertility. A symptom of the condition can be nine
or fewer menstrual cycles per year or irregular periods. Because women with
PCOS don’t have regular periods and not ovulating, many are unable to
become pregnant. To read more about PCOS and infertility please
visit the following link:
http://www.pcos.insulitelabs.com/PCOS-and-Infertility.php

Women with PCOS may be able to improve their fertility by losing weight
and improving the insulin resistance that underlies PCOS.

The Insulite PCOS System is designed to help heal PCOS by addressing its
underlying cause, which in most cases is insulin resistance.

With insulin resistance, the body becomes insensitive to the insulin it
produces, which leads to elevated circulating levels of insulin. This in
turn leads to hormonal imbalances such as increased testosterone and other
androgens (masculinizing hormones).

Elevated insulin can also contributes to weight gain, as well as the
formation of cysts in the ovaries in part due to the hormonal imbalances and
also because the ovaries are highly sensitive to the influence of insulin.

All of these factors combine to complicate a woman’s chances of conceiving
and/or ovulating if she has PCOS.

The Insulite PCOS System helps to improve insulin sensitivity with its
combination of nutrients and herbs as well as diet and exercise guidelines.
The supplements are also designed to correct the hormone imbalance of PCOS.
While we cannot guarantee that you will conceive on our program, we know
that theoretically reducing insulin and testosterone will increase your
chances of conceiving, barring any other factors contributing to the
infertility.

It is safe to continue trying to get pregnant while you are using the
System. We do recommend, however, that, if you become pregnant while using
the PCOS System, you discontinue using the supplements during your pregnancy
and then resume them after you finish breastfeeding. The reason is that
while we know that the Insulite PCOS System is safe and non-toxic in
general, these supplements have not been tested in any clinical trials
specifically on pregnant women or infants.

The Insulite PCOS System consists of several elements, all designed to work
together to address PCOS and its underlying cause, insulin resistance.
Sheetal, I hope that this gives you more information and you consider the
PCOS System. If you have any additional questions or concerns, please
contact me.
–
Best Wishes,
Dr. Heather DeLuca, ND
Insulite Laboratories Consulting & Advisory teams

DISCLAIMER: The information contained in this email and the Insulite Labs website is for the sole purpose of being informative. This information is not and should not be used or relied upon as medical advice. Always seek the advice of your physician, nurse or other qualified health care provider before you undergo any treatment, take any medication, supplements or other nutritional support, or for answers to any questions you may have regarding a medical condition.

Dear Karen,

Thank you for writing into the PCOS Support blog. I first want to apologize for the delay in my response. For some reason, I missed a few of the posts.

I know that you may still be overwhelmed by all of this. But I want to assure you that there is support available and information that can help you understand what is going on and not only what meds are used (and why) but work that you can do to control and manage PCOS.

As you may know by now, you are falling into the category of lean PCOS. And although people will discuss those that are thin and those that are heavy as being different, with regard to PCOS, the weight gain is just one of the many symptoms of PCOS. However, with your symptoms and the treatment they are using, likely you have elevated levels of androgens, such as testosterone, DHEA-s, that are responsible for symptoms such as excess facial and body hair (hirsutism) and acne and thinning hair on the head. In most cases there is a similar root to the problem and that is why treatments varies very little from one person to the next. That is insulin resistance, that you continue to hear about on our blogs, forums, website, etc.

There are studies to support that thin women with PCOS have some level of insulin/glucose dysregulation and why we recommend the same approach when starting the Insulite PCOS System.

So, you may be asking yourself, “why didn’t my doctor test for this?”. And the reason is that many doctors do not test fasting insulin and usually only test fasting glucose. If glucose if fine, they will not mention insulin resistance, however, to know for sure, fasting insulin should be checked. Also, levels of fasting insulin should be below 10 (normal can range from 1-23). In research, above 9-10 is already showing showing signs of insulin resistance. And although your levels may have been checked or may be with in a optimal range (< 10), women with PCOS, who are lean, can definitely be insulin resistant. Weight is not the deciding factor.

The goal the doctors have for you right now, is to reduce androgens. However, what is important is that you also take steps in your daily life to contribute to balancing those hormones, as well.

You can ask your doctor if this test was done and if not, ask for it to be tested. They may not do it but it can't hurt to ask. If you have been diagnosed, they may assume it is true or just focus on the hormones.

Now regarding vitamin D... it is not uncommon to be deficient in vitamin D. However, there is a correlation between lower vitamin D levels and irregular cycles and those that are deficiency in vitamin D are also at greater risk for insulin resistance, elevated glucose levels and other insulin resistant related syndromes (metabolic syndrome). So, yes there may be a connection. So this aspect should be resolved. After you are treated with the vitamin D therapy, you should ask for a retest in about 3-6 months. Cholecalciferol (vitamin D3), is the most absorbable form and if you are not taking this for, ask your doctor to change it to D3. The reason I mention this is because the prescription given is D2 (calcitriol). One name brand of a pharmaceutical is ROCALTROL. Vitamin D2 potency is less than one third that of vitamin D3. http://jcem.endojournals.org/content/89/11/5387.full

One link that will also get you started on learning more in addition to the one I am putting below is this: http://pcos.insulitelabs.com/Insulite-PCOS-System-Support-Links.php

I hope that this answers your questions and provides some useful information. Please check out our website, if you are looking for additional options. http://pcos.insulitelabs.com/

Let me know if I can help further.

–
Best Wishes,
Dr. Heather DeLuca, ND
Insulite Laboratories Consulting & Advisory teams

DISCLAIMER: The information contained in this email and the Insulite Labs website is for the sole purpose of being informative. This information is not and should not be used or relied upon as medical advice. Always seek the advice of your physician, nurse or other qualified health care provider before you undergo any treatment, take any medication, supplements or other nutritional support, or for answers to any questions you may have regarding a medical condition.