Brief Answer:
Get the test empty stomach.
Detailed Answer:
Hello XXXXXXX
She should persuade him for blood tests: routine blood counts,
liver function tests,
kidney function tests, sugar fasting,
TSH, t3, t4, Sr. B12 levels,
lipid profile. these should be done empty stomach in morning ( can take only water before it). Many labs come to take blood at home in morning, you can check the one near your home. this is convenient and fasta nod patients Donot have reason to delay. she may get hers too just to show him that it is been done routinely.
I can understand her dellima that he becomes over loving sometimes and over critical and violent other times without enough provocations factors. This is the part of illness and personality factors. Becuase of these extreme loving behaviour expressions these people are able to influence the opposite gender and they fall prey to them. These people are very demanding and dominating , they try to segregate and make the partner dependent on them totally, they curb their social life altogether many times.
It is ok, I can get that his family is not helpful, fine, she should not talk to them about this anymore if they may tell him. But is there anyone in her family who can help her out? Even if indirectly, she has to have some support. Does anyone lives near her home, any close relative of hers?
She should also take precaution that he should not drink at all, even if it is beer, it is harmful. Without making him angry she should try this, if not possible, then just leave it. Donot push him for anything he doesn't like, it will just make him cross/ violent.
Please feel fre to ask more queries if you have , I will be pleased to help you in every possible way.
Wish you good luck and have courage..
Dr. Manisha Gopal
MD psychiatry
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