Most of what we see in India is not several unrelated conditions. It is one metabolic pattern showing up in different places, at different ages, under different names.
Prediabetes, the insulin-driven form of PCOS, and non-alcoholic fatty liver disease share a mechanism: cells stop responding properly to insulin, the body compensates by producing more of it, and the consequences surface in whichever system is most vulnerable first — glucose regulation, the ovaries, or the liver.
That is why a person can be told they have three separate problems by three separate specialists, and why addressing them separately often works less well than addressing what they have in common.
It is also why the Healthness+ assessment scores several domains at once rather than producing a single number. The combination is the finding.