Is it possible to have a severe case of pcos if you are lean and have no insulin resistance at least according to labs? insulin levels 3.7 uiu/ml & bmi 23.3. if so how common is this? thanks?

Disruptions in insulin are often secondary to the original cause of pcos which is not ovulating. Any condition that disrupts ovulation can lead to the symptoms associated with pcos like disruption of periods,acne, hair growth, weight gain, and disruptions of blood sugar. Attention to really be directed more towards the cause of not ovulating regularly.