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This is a common insecurity for women with PCOS. Dark, velvety patches on their neck, underarms, or groin. Acanthosis Nigricans (AN). AN is not a hygiene issue; it’s a common sign of insulin resistance, often linked to PCOS. When your body has high insulin levels over time, insulin can bind to receptors in the skin, prompting an overgrowth of skin cells. This results in the thick, dark patches that can leave you feeling insecure or embarrassed. Insulin isn’t just managing your blood sugar - it’s also stimulating your skin cells via insulin-like growth factor receptors, which causes these cells to multiply and darken. Essentially, these changes are your body’s way of signaling an underlying metabolic issue. Often topical treatments are handed out for AN, if insulin resistance is causing the issue..to be blunt, this is basically putting whipped cream on garbage. > Insulin resistance. Remember, these patches are a signal - not a flaw. By tackling insulin resistance, you won’t just fix one symptom you will see MANY symptoms get better or resolve. I’ll show you how to fix your insulin resistance, simply by eating the right food. lick the link below to learn more.