Module III: Men's and Women's Health Discussion LW is a 32 year old female patient who comes to your medical clinic for primary care. She has been on hormonal contraceptives for years, although she's just been married and has stopped her pills in hopes of becoming pregnant. Her PMHx includes obesity, HTN (diagnosed 3 years ago), familial hypercholesterolemia, and pre-diabetes. Her current medications are as follows: Metformin 1000 mg PO twice daily, Lisinopril 10 mg PO daily, rosuvastatin 5 mg PO daily, and a multivitamin.

Overview of the Case The case involves LW who is a female patient aged 32 years old who present to the medical clinic for primary care. LW has been on hormonal contraceptives over the years. She has stopped using her contraceptives after she recently got married and she is planning to get married. The patient has a past medical history of obesity, PCOS, and familial hypercholesterolemia. She is currently on Metformin 2000 mg PO daily, rosuvastatin 5 mg PO daily, Lisinopril 10 mg PO daily, and multivitamin. The patient complains of dizziness, persistent lower urinary tact symptoms, and generalized muscles weakness. Advice to LW In advising the patient, there is need to focus on multiple health disorders such as PCOS, hyperlipidaemia, and hypertension. This means that the patient has a complex health state despite taking medications for each of the conditions. In this scenario, it is recommended that shed should modify her daily routine to integrate exercises, reduced stress levels, effective coping skills, healthy diet, and sufficient sleep (8 hours of sleep) to regularize the hormones and provide better outcomes. She needs to focus on diet that comprise of whole food rather than processed food (Basu et al., 2019). Due to PCOS, she has reduced insulin sensitivity that result to elevated sugar levels and hunger craving that may result to binge eating and accumulation of more fat in the body. Her calorie intake should be reduced to 1200-1400 kCal accompanied by intake of fresh frugs and vegetables. She should also focus on low carbohydrates and high protein diet while avoiding fats instead should focus on nuts for omega fats. She has recently stopped taking contraceptive pills for conception. She also needs to evaluate her clomid cycles along with metmorphin. Use of clomid in combination with metmorphin is known to increase the rate of fertility since clomid is helpful in induction of ovulation and take diet rich in eggs (DesRoches et al., 2019). She also requires to spend at least 30 minutes of exercise to burn excess calories in her body to maintain a health cholesterol level

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