My daughter has suffered with horrible cystic acne since a budding teenager. Tired of the regular hormone tests at the doctor where they tell you everything looks normal yet they are only testing for 3 hormones, we took to the internet to do research. I was able to find a lot of good data on PCOS (poly-cystic ovarian syndrome). In these cases, women have metabolic issues that cause too many androgens in the system. But the doctors have never tested her for these extra androgens - they only look at regular testosterone. By using this test we were able to determine that my daughter does in fact have too many androgens. Now we are able to heal her using things for blood sugar balancing and to balance the androgen hormones. Without this specialized test we would still be very lost as it seems that doctors don't know how to properly test for this. Even the dermatologist did not suggest this test - they call it hormonal acne yet tell you that the hormones are normal. Makes no sense. Thank you Dr Dales for helping this make sense!