Your upper right belly pain is much more commonly related to issues like gallbladder spasms or gallstones, which are more frequent with obesity and PCOS. Sometimes, kidney stones can also cause radiating discomfort. Your past medications, including Glycomet SR (metformin), Normoz, and Eva Care syrup, are safe and not linked to this pain. I highly recommend consulting your doctor for a simple abdominal ultrasound to check your gallbladder and kidneys.

A shorter withdrawal bleed and brown discharge (which is just older blood) are very common when first starting Diane-35 (cyproterone/ethinylestradiol) and Glycomet (metformin) for PCOS. Your body is simply adjusting to the new hormone levels. Because you have taken your birth control consistently, pregnancy is highly unlikely. However, for your peace of mind, taking a simple home pregnancy test can offer quick reassurance.

It is very common to experience an acne flare-up after stopping Yasmin and metformin, as your body's hormone levels adjust. I highly recommend discussing this with your doctor to explore safe alternatives. Since you discontinued Yasmin and metformin, topical options like generic azelaic acid, benzoyl peroxide, or topical retinoids can be highly effective for managing PCOS-related acne without needing to restart oral medications. Maintaining a gentle, non-comedogenic skincare routine is also key.

The steroid medication, Dexona (dexamethasone), is highly effective for COVID-19 but temporarily causes significant increases in blood sugar levels. Please be reassured that this is a temporary effect that will improve once the steroid treatment is completed. Since her blood sugar remains high at 325 despite her current insulin, please contact her treating doctor or an endocrinologist immediately. They will safely adjust her insulin doses during this recovery period. Ensure she stays well-hydrated. Once she recovers and stops the steroids, her blood sugar should return to her baseline, allowing her to eventually transition back to Glycomet GP1 under medical guidance.

While unsalted buttermilk is generally safe and a great option, daily coconut water requires some caution. Coconut water is rich in potassium. Since you take Listril (lisinopril), which can naturally increase potassium levels in your body, daily consumption might raise your potassium too high. Additionally, coconut water contains natural sugars that could impact your blood sugar levels while on Glycomet GP2. It is safest to enjoy coconut water occasionally rather than daily, and always discuss your diet with your doctor to keep your levels perfectly balanced.

Leg pain and weakness can sometimes occur as the body adjusts to lower blood sugar levels. It could also be related to diabetic nerve changes (neuropathy) or a mild vitamin B12 deficiency, which can occasionally happen with metformin, an active ingredient in his prescribed medications. Please consult his doctor soon. They can easily check his vitamin levels, evaluate his nerves, and adjust his treatment to make him much more comfortable.