I am 50 years old woman with 74 kg weight and 5 feet height, having hypothyroidism, hypertension and diabetes. Taking arkamin once a day for hypertension, eltroxin 137 mcg once a day for thyroid replacement and metformin 1 g after breakfast and dinner plus dynaglipt 20 mg with 500 mg metformin before lunch for diabetes. My last hba1c was 6.7 but I am not feeling good most days and have very less energy. My body pains most of the time and since last few days, I am getting headache too sometimes. I get tired very easily with just two hours of house work and though I sleep lately, get up early at 5 or 6 am. Have an irritable bowel syndrome too it seems since I have to go to potty every time I eat or drink water. I.e.i have to go to toilet 5-7 times a day. My vitamins level are ok and iron is also ok when checked last time in may. What is the treatment for ibs and what might be the reason for body pain and getting tired with least amount of work. Energy levels are very low and I can't see and watch videos or films also since I can't be attentive enough to listen with focus due to lack of energy. My hands also pain so much that I don't feel like doing anything. Kindly give me the treatment plan which I am able to follow. Thanks.