Regarding your new prescription, taking oral terbinafine and griseofulvin (Grisovin) together is a strong approach for resistant cases, but combining two oral antifungals can increase the risk of liver strain. While it can be effective, it is very important to consult your prescribing doctor to confirm if they intended for you to take both simultaneously, and to discuss if liver function monitoring is needed.

Since your current pills and cream aren't working, it is very important to consult your prescribing doctor or a dermatologist for a re-evaluation. Sometimes, skin conditions like molluscum contagiosum, persistent acne, or folliculitis require a change in medication, a different dosage, or alternative therapies. Please do not squeeze or pop the bumps, as this can cause spreading or scarring. Your doctor will help adjust your treatment plan to find what works best for your skin.

I understand how frustrating recurring ear pain can be, especially after trying medications like CefpoClva and Diovol LA. Since your throat endoscopy showed redness and you have a history of chewing gutkha, your ear pain is likely 'referred pain' originating from throat irritation or acid reflux. Your next best step is to consult an Ear, Nose, and Throat (ENT) specialist for a detailed evaluation of your throat and ear. It is also highly important to completely stop chewing gutkha to allow your throat lining to heal. In the meantime, avoid spicy foods and stay hydrated.

It is very common to experience bloating from milk tea if you are sensitive to lactose. To help manage this, you can take over-the-counter lactase enzyme tablets right before your first sip of milk tea; these help your body break down the lactose. For active bloating and gas relief during the day, simethicone is a safe and effective option that helps break up gas bubbles in your gut. Trying lactose-free milk or plant-based alternatives in your tea can also prevent these symptoms entirely. Please consult a healthcare professional if your symptoms persist or worsen.

Acid reflux (GERD) or a stomach ulcer can frequently cause chest tightness and pain because the esophagus lies right behind the heart. When stomach acid irritates the esophagus or an ulcer flares up, it can mimic cardiac pain. Healing these areas takes time, often requiring consistent lifestyle adjustments or acid-reducing medications like omeprazole or famotidine. Please continue working with your doctor to find the right treatment plan to help you heal and find relief.

Since your DHT levels are normal, taking Dutas (dutasteride) may not be necessary. Furthermore, dutasteride is generally not recommended for women of childbearing age due to severe safety risks during pregnancy. Because your liver enzymes were previously elevated, any new medication metabolized by the liver requires extra caution. I highly recommend discussing safer, alternative options for managing your PCOS symptoms with your doctor. Your safety and well-being are the top priorities, and we want to protect your liver while finding the right path forward for you.