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I went through your query and understood your concerns.
Her sleep issues are due to multiple health problems. Her stress levels will decrease if she gets normal menstrual periods, gets relieved of her PCOS, and becomes free of her acne issues. But it takes time to settle down, and I have also seen her laboratory reports (attachment removed to protect the patient's identity). So, I would like to make slight changes in her daily routine. I suggest you to make her follow the instructions mentioned below,
1. Let her start with a new passion and pursue it. Most of my patients have defeated these diseases through self-determination.
2. Keep a healthy diet comprising of vegetables, salads, and fruits.
3. Meditation, going to the gym, and practicing yoga will help her calm down. Also, doing kegel exercises, aerobics, and following an active lifestyle is the key to a better routine.
Hormonal adjustments will improve her health condition with time. Therefore, we do not need to add any more medications. So a little patience is required, and let us wait and see.
I hope this has helped you.