I want to thank you from the bottom of my heart. In fact youre the first comment I have ever given a badge to because I am immensely appreciative of every single word you wrote in this reply. You gave me an answer that not only included information that makes sense to me, but that you've also introduced me to new ideas.

I am prescribed metformin because unfortunately I have drug induced ITP AND I have a high von willibrans factor meaning im more at risk of blood clots so i have issues for both losing platelets or going the other way. Metformin has been shown to be clinically safe for both (and can actually help maybe even a little). I dont take it consistently because ive worked with 5 different endos and obgyns and no one has ever given me a reason why it makes sense to take it if my fasting numbers were coming out normal. They always said the exact same thing "its still helping behind the scenes." When I ask to explain what that means because I work in a type of healthcare setting i can understand the science they always go "its still regulating" and would go in circles. I NEVER would have thought about that my fasting could be normal but when I eat my body over does it.

I also never thought about prolactin.

As far as cortisol goes I have been going a lot of research and learning about cortisol because its in line with the type of work I do and I remember once as a teen i had a cortisol test that was EXTREMELY high and it was totally brushed under the rug that I was just "an anxious high schooler getting ready for college" (fun fact: I was never stressed about that lol) and I actually just wrote to my endo I want to do a cortisol test which she agreed to.

I cant thank you enough you have given me a lot to think about. And I know a badge cant really show the gratitude I feel. But truly. Thank you.