Hi,
Gemcal is not associated with loss appetite and sleepiness.
Hypothyroidism may be the cause.
TSH, T3, T4 levels are to be repeated and may need dose modifications of Throxine. I assumed she is already on medicines of conditions you mentioned. Additionally, I will suggest simple things:
* No caffeine or go near pollution or
smoking area
* Take fruits vegetables, salads in diet
* Do some sitting sukshm
yoga. Join her art of living sahaj smadhi workshop online now a days. These will help in fastened recovering of iidm, crf, hypothyroidism, pain and psychological upset. They will definitely go away, make sure she join[have seen similar history patient got benefited in past.
* Continue all other medications she is on
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Sunny Madar, General & Family Physician