A 58 years old woman, diabetic since15 years with gout, dyslipidemia, hypothyroidism has bloating abdomen which goes on increasing after taking meal and muscle cramps. The patient had laparoscopic cholecystectomy 15 years ago.
Lab tests: Hba1c 8.1, ESR 75, Hb 11gms, Tgs 585, HDL 41, LDL 120, TC 250, TFT, electrolytes, uric acid, KFT in normal range, SGOT, SGPT slightly raised, vitamin D70 Medication: Daily metformin2.5 gms, glimepiride 6 mgs, teneligliptin 20 mgs, saroglitazar 4, allopurinol 300 mgs. What would you advise for management of this case?
