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Your body may be having trouble dealing with sugar properly. If sugar levels are too high, it can cause tiredness and trouble vision. These are diabetic signs. You should get checked by a medical professional. They will suggest dietary options and probably a medication to control your sugar levels and make you feel better.

FSH (Follicle-stimulating hormone) and LH (Luteinizing hormone) regulate your reproductive system. Increased LH and decreased FSH levels may be the reason for diseases like polycystic ovary syndrome (PCOS) or early menopause. Symptoms could be a delay in periods, acquisition of acne, or trouble in pregnancy.

The symptoms you mentioned, like pigmentation, hair loss, and irregular periods, could be related to PCOS. The underlying cause of these symptoms can be hormonal imbalance. You need to visit a doctor who will make a diagnosis and will offer treatment options.

The symptoms you're experiencing could be related to Cushing's disease. It's important to discuss the necessary tests with your doctor to get an accurate diagnosis. These tests include a cortisol urine test, blood cortisol levels, and an MRI to check your pituitary gland. Cortisol levels can fluctuate, so multiple tests at different times may be needed for a definitive diagnosis. Even if initial tests are normal but your doctor suspects Cushing's disease based on your symptoms, further testing and monitoring might be required. Be open and honest with your doctors, ask questions, and express your concerns to ensure you receive the best care.