Since you haven't had a cycle since January, it is very important to consult your gynecologist. They can prescribe a short course of progesterone to safely bring back your period. Since your metformin (Glycomet) may need adjustment, your doctor can also discuss ovulation-inducing options to help you get pregnant. Please don't lose heart; with the right medical guidance and personalized care, many women with PCOD successfully conceive.

Your current metformin (Glycomet) therapy is working very well. Both IME 9 and BGR 34 are ayurvedic formulations. While some patients use them as supportive therapies, they cannot replace your prescribed metformin, and there is no strong clinical data to prove one is superior to the other. Adding them might also risk lowering your blood sugar too much. Since your readings are already well-controlled, please consult your doctor before starting any herbal supplements.

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.

A prolactin level of 53.42 ng/mL is only mildly elevated, but it can sometimes interfere with ovulation. To help you conceive, doctors often recommend adding a medication like cabergoline or bromocriptine to gently lower your prolactin levels. These medications are highly effective and can safely be used alongside your metformin (Glycomet). Your endocrinologist or gynecologist will help tailor the right dosage for you.

It is very common to experience stomach upset and diarrhea with Glycomet (metformin), and I understand how distressing this is for your mother. Often, these side effects can be greatly reduced by switching to an extended-release formulation of metformin, which is much gentler on the stomach. Alternatively, her doctor may consider other classes of diabetes medications, such as DPP-4 inhibitors or SGLT2 inhibitors, which manage blood sugar differently. Please consult her healthcare provider before making any changes, so they can safely adjust her prescription to a more comfortable option.

It is wonderful that your blood sugar is at a healthy 90, which shows your treatment is working well. Please do not stop taking your Glycomet-500 (metformin) without consulting your doctor, as stopping it suddenly could cause your sugar levels to rise again. To keep you and your baby safe, it is very important to continue monitoring your fasting and post-lunch blood sugar levels as advised. This tracking helps your healthcare team ensure your levels stay stable during these final weeks. Please share these normal readings with your doctor at your next visit.