Suffered acne for 18 years and tried everything wit no

Patient: Suffered acne for 18 years and tried everything wit no successcurrently 33 y/o excessive acne around jaw line and foreheadexcessively oily t zone and scalplosing hair – currently very thin around hairlineexcess hair on chin and nipplessuspected hormone imbalancetestosterone 1.9 nmol/Lsex binding globulin 52 nmol/Lfree androgen index 3.7 %DHEAS 4.4 umol/Lfree testosterone 7.1 pmol/Lfasting insulin 5 mU/Lzinc 14.9 umol/L

Symptoms: Acne, hair loss, hair growth on chin and nipples

Doctor: