Suffered acne for 18 years and tried everything wit no

Patient : Suffered acne for 18 years and tried everything wit no success currently 33 y/o excessive acne around jaw line and forehead excessively oily t zone and scalp losing hair - currently very thin around hairline excess hair on chin and nipples suspected hormone imbalance testosterone 1.9 nmol/L sex binding globulin 52 nmol/L free androgen index 3.7 % DHEAS 4.4 umol/L free testosterone 7.1 pmol/L fasting insulin 5 mU/L zinc 14.9 umol/L
Symptoms:  Acne, hair loss, hair growth on chin and nipples
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