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Feeling constant weakness, fatigue, and loss of appetite could be signs of an underlying health issue, such as anemia or a thyroid problem. It is important to consult a general physician or an internist who can diagnose and treat your condition properly.

Your insulin lowers blood sugar, causing dizzine­ss when levels drop in e­vening. Eating raises blood sugar, helping dizzine­ss. Consume snacks before 6 pm to te­st if it improves. Persistent dizzine­ss requires discussion with healthcare­ provider. Small adjustments may make big diffe­rence. Freque­nt monitoring helps regulate sugar fluctuations. Maintaining stable­ levels preve­nts dizzy spells. Seeking me­dical guidance ensures prope­r care.

A hbA1c sugar level of 9.1 means that your blood sugar has been high for some time. Even if you do not feel it, high levels can damage your body. Symptoms may not appear immediately. This should be taken seriously. Eating well, exercising, and perhaps medicine may help lower your blood sugar. 

Your body has probably become alerted to the changes in the medicine you're consuming, as evidenced by the switch of drugs. A sudden drop in your TSH may cause you to have symptoms such as a feeling that your energy has escalated, increased appetites, and weight gain. To obtain the respective proper medication regimen, you should talk with your doctor.