Kindly reduce your weight
get an Fsh
do regular exercise
if yu smoke and drink and favour junk foods please avoid
donot self mwdicate or use steriods
get an usg abdomen and a colonscopy also.
Drink lot of fluids 4 to 8 lts/day
consume green leafy vevetables
you might be suffering from hypogonadism
which requires treatment
Although you hv multiple comorbidities none of them are very serious
get sputum tested for afb
. Pulmonary tb.
.do not panic
the one stop solution to all is reduce yur weight. Hit gym or go for 2.5 kms of regular morning walk.