So, my endo. appt went really well! I explained my symptoms to my doctor and he said that he is almost certain that I have PCOS. He wants me to do some lab work to confirm that I don't have anything else going on, but he started me on 50 mg on Spiro that day. It's only been a few days, so I haven't noticed any change in my acne yet. I have been urinating a TON(Spiro is a diuretic), and my migraines have been much worse. I already drink plenty of water, but I guess I need to start drinking more because I really don't need more migraines in my life. I'm so pleased that he actually listened to me. I feel like, had I went to a dermatologist instead, they would have given me some topical and called it a day. My acne is definitely an internal problem, so I'm happy I'm taking something to address that. I haven't changed anything else from my routine. I'm still avoiding dairy, soy, nightshades, and gluten as much as possible. My skincare routine is the same, and I feel that, while it may not be getting rid of my acne, it is calming my skin down quite a bit.