It can be caused by simple things like sleeping position, high sodium intake, or seasonal allergies. Since your kidney tests are normal, you might consider asking your doctor about a thyroid function test (TSH), as thyroid imbalances can sometimes cause puffiness. A basic allergy evaluation could also be helpful. Rest assured, this is very common, and your doctor can help you find the exact cause.

Yes, it is definitely possible that you could be pregnant. Glycomet (metformin) and Fopymin (folic acid) help regulate your hormones and improve ovulation, which actually increases your chances of conceiving. Since you are on day 31 of your cycle, the most reliable and reassuring next step is to take a home pregnancy test, preferably using your first morning urine. Please do not worry, as this is a very common and positive step in managing your cycle. If the test is positive, or if your period is still delayed in a few days, I gently encourage you to consult your doctor to discuss your next steps.

Taking your levothyroxine (Thyroxine) first thing in the morning on an empty stomach, and then waiting one hour before having breakfast with your Glycomet (metformin), is the ideal way to take these medications. Levothyroxine needs to be absorbed on an empty stomach, while metformin is best taken with food to prevent mild stomach upset. You are doing a wonderful job managing your health, and this schedule will help both medications work beautifully for you.

Your A1C of 6.9% and average daily sugar of 151 mg/dL are excellent, as they are right on target?which is typically under 7% for most adults. This shows that your current dose of Glycomet-GP1, which contains metformin and glimepiride, is working very well to keep your diabetes well-controlled. Since you are meeting your goals, your current regimen is highly effective. Please continue taking your medication as prescribed, and share these great results with your doctor at your next routine visit to ensure they align with your personalized long-term goals.

Often, these patches improve as we manage underlying insulin levels with your metformin (Glycomet SR). For topical relief, a dermatologist can recommend safe creams containing generic ingredients like azelaic acid or glycolic acid. Since you are taking orlistat (Obelit 60) and managing thyroid health, it is best to avoid strong self-prescribed treatments. Please consult your doctor to find a gentle, safe option tailored just for you.

Yes, using progestogen treatments like Deviry (medroxyprogesterone) and Proluton Depot (hydroxyprogesterone caproate) is a common medical approach to help induce a period in PCOS, especially while managing your condition with Glycomet (metformin). Experiencing only light spotting instead of a full flow can happen if your uterine lining is quite thin, which is very common with the hormonal fluctuations of PCOS. This is not a cause for panic. Please discuss this result with your gynecologist to evaluate your hormone levels and plan the next steps.