INS and hyperandrogenism: First, despite evidence for the effectiveness of medical nutrition therapy—individualized nutrition assessment and counseling delivered by credentialed dietitians—in managing insulin resistance and hyperandrogenism [54], participants reported that real-world telehealth-based nutrition often failed to reflect metabolic individuality (eg, insulin sensitivity, basal metabolic rate, and hormonal status), revealing a gap between best practice and digital delivery [55].