It sounds like you might have Type 2 diabetes or insulin resistance, a condition in which the body does not react well to insulin, leading to tiredness and poor control even with medication. When this occurs, treatment frequently requires modification; in addition to medication, a consistent regimen of a healthy diet (low sugar, regulated carbohydrates), frequent exercise, weight control, and restful sleep is crucial. Please see your doctor for blood tests (such as sugar levels and HbA1c) if you feel your body is "not cooperating" or if medications are bothering you so they may safely adjust the dosage or medications.

Yes, it is generally very safe and common to take metformin (Glycomet) after dinner. For young women managing elevated testosterone and weight challenges?often linked to conditions like PCOS?metformin is highly effective at improving insulin sensitivity. Taking this medication right after your evening meal is actually a great strategy, as it significantly helps minimize mild, common side effects like stomach upset or nausea. Please continue to follow your doctor's specific dosing instructions, and feel free to reach out if you have any side effects.

Yes, Glycomet-SR (metformin) can gently aid in weight management for mild PCOS by helping your body use insulin more effectively, especially when paired with a healthy lifestyle. Regarding your second question, a six-month course is a very common starting point to assess how your body responds. While PCOS is a long-term condition, it does not necessarily mean lifelong medication. Many women successfully manage mild PCOS over time through diet, exercise, and stress management, allowing them to eventually reduce or pause medication under their doctor's guidance.

Yes, you can take Januvia (sitagliptin) and Glycomet (metformin) together. Istamet is a combination pill containing both of these exact medicines, so taking them separately works the same way. However, please double-check your Glycomet dose with your doctor, as "1mg" is likely 1 gram (1000mg). It is safest to confirm that these individual doses match your prescribed Istamet strength before making the switch to ensure your blood sugar remains perfectly balanced.

Metformin is often prescribed for conditions like Polycystic Ovary Syndrome (PCOS). In PCOS, the body can experience "insulin resistance," where cells do not respond well to insulin. This can disrupt hormone levels and ovulation. Metformin helps improve insulin sensitivity, even if your blood sugar is normal. When combined with supplements like Mychiro and Ovasital F (which contain inositols), they work together to balance your hormones, support healthy ovarian function, and regulate your menstrual cycle. It is a very common and effective approach to help your body function at its best.

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.