As you have pcos it leads to unintentional weight gain due to insulin resistance
Conversely weight loss can improve your pcos symptoms
There is recommendation to start metformin for pcos but only after thorough medical evaluation
Reports show raised
lipid levels which can be managed partly by diet and partly by medication
Grade 1 fatty
liver doesnt have any immediate significance
Next Steps
consult an endocrinologist as all problems seem to be rooted in pcos