At 20, urinating 8-9 times with extra thirst plus two months of tiredness is a classic
diabetes screen, not just poor sleep - that is the first thing I would rule out. Get fasting and post-meal
sugar with
HbA1c and a urine routine this week, and since the fatigue is older I would also add CBC,
TSH and
creatinine. Doxt-SL for acne does not cause this pattern, so do not stop it on your own - finish the course as your dermatologist planned. If you notice weight loss, blurred vision or very high urine output, treat it as urgent and get the sugar checked the same day.
Next Steps
Do the
sugar,
HbA1c and urine tests first, then share the reports with me on a Practo online consult or meet me in OPD at Synergy Multispeciality Hospital, Miraj - I will tell you in one visit whether this is
diabetes or something simpler.