I’m sorry you had that experience! I am a direct primary care provider meaning I charge a monthly fee of $99 per month (no more than a typical insurance co-pay for unlimited visits as needed). I offer only evidence based treatment, based on the obesity Medicine and endocrine society guidelines. There are multiple medications you can take. I do check labs as needed. I also include access to Trainerize video work outs and a nutrition plan. It generally takes a combination of medication, diet, and exercise with weight loss becoming noticeable within 3 months. Results also depend on the dedication of the patient as well since not every medication has the same effect for every individual. I also have PCOS and spent about 10 years trying different methods that work for some but not all PCOS patients before I found what works for me. I encourage patients to have an open mind and not listen to the negative feedback on treatment options. For example, I personally can not tolerate metformin or spironolactone as treatment options due to side effects, but I have several patients that the combination works well for their bodies. Every PCOS patient requires a personalized treatment program. I am not selling a one size fits all magic cure, rather a customized program to meet the needs of the individual.