Your HbA1c rise to 8.4% despite taking Metformin, Glimepiride, and Tenefit 20, blood sugar levels can fluctuate, and this simply means your treatment plan may need a gentle adjustment. I highly recommend sharing these results with your doctor. They can review your daily routine, evaluate your medications, and safely adjust your dosages or discuss alternative options to bring your numbers back into target range.

It is very common to experience ear heaviness or pressure after recovering from COVID-19. The virus can cause temporary inflammation in your sinuses and Eustachian tubes, leading to fluid buildup. This is highly likely a lingering effect of the virus rather than a reaction to your multivitamins or Rosuvas F (rosuvastatin and fenofibrate), as these medications do not typically cause ear symptoms. To help relieve the pressure, you might try gentle steam inhalation. Since this has persisted for 12 days, please consult a doctor or an ENT specialist to check for any fluid or mild infection behind your eardrum. Rest assured, this is a very common post-viral symptom and usually resolves with time.

You are responding to Rosuvas F10 (which contains rosuvastatin and fenofibrate). LDL level of 20 is generally considered safe and highly protective against heart disease. While it might seem surprisingly low, extensive clinical studies show that very low LDL levels are well-tolerated by the body and do not cause harm. There is no need to worry. I encourage you to share these excellent results with your doctor at your next visit so they can review your overall cardiovascular health and decide if any minor dosage adjustments are appropriate for you.

Please do not increase your dose of Rosuvas F (rosuvastatin and fenofibrate) to twice daily on your own. This combination medication is designed for once-daily use. Doubling the dose without your doctor's supervision significantly increases the risk of side effects, such as muscle discomfort or liver strain, without safely helping your cholesterol. Please consult your prescribing doctor before making any changes. They can safely adjust your therapy or suggest helpful lifestyle steps to support your health journey.

Stopping your Thyronorm (levothyroxine) caused your TSH to jump, which directly contributed to your cholesterol rising. The most important next step is to contact your doctor. They will likely guide you on safely restarting your thyroid medication to bring your TSH down, which will also naturally help lower your cholesterol. Your doctor will also advise on how to safely start your cholesterol medication, Rosuvas F (rosuvastatin/fenofibrate). Please consult them before taking any doses.