Metformin treatment has a TSH-lowering effect in hypothyroid patients with PCOS, both treated with l-thyroxine and untreated

http://www.medscape.com/viewarticle/748073?src=mp&spon=22

Insulin plus elevated LH causes increased Testosterone production in ovary

http://www.jarrow.com/product/188/Neuro_Optimizer consider this product via Vitacost


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What causes ovarian cysts?
--ETIO: hormone imbalance, ov CA, mets, smoking, low BMI, early menarche, infert (4x), hypothyroid, neonatal cysts (common in babies of moms w/ DM, toxemia and Rh immunization)
--RISK factors: tamoxifen tx (10% incr risk), smoking (0-2x incr in incidence), hx of cysts
( self quiz based on SSL's review sheet, and notes )