INS and polycystic ovary syndrome: To obtain insight into the etiology and deconstruct the heterogeneity of PCOS, a recent study performed clustering analysis using body mass index (BMI) and seven biochemical biomarkers in a PCOS cohort and identified two distinct phenotypic clusters: a “reproductive” subtype characterized by high luteinizing hormone (LH) and sex hormone binding globulin (SHBG) levels with low BMI and insulin levels, and a “metabolic” subtype characterized by high BMI, glucose, and insulin levels with low SHBG and LH levels [5].