### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am 72 year old female and have taken metformin for about 14 years...muscle problems of severe tightness and have had for over 1 year tightnss i neck muscles and trouble swallowing and swollen lymph nodes. My doctor just ignored and said it was good lymph nodes fighting whatever in my system. Was able to get a physican to have ear,nose,throat doc test but he only did minimal testing and said I was ok. I get massages regularly to try for relief. I have had neck surgery C4,5 and have had carotid artery surgery both sides. Nothing is found to cause my prblems. Could my medicines Metformin 850 twice daily cause muscle problems in neck,legs, shoulders etc.? (A1c last month was 6.3) I have never gone over 6.5...

### output:

Hi, thank you for providing a brief history of you. Since you are concerned with the medicine, I really do not think it should be the case. But still if you feel you can stop for a week and check it out. Since you are taking that medicine for the diabetes you should consult your planetologist for the same can only help you by guiding onto how to get rid of the symptoms you are facing. As you said you feel tightness in neck muscles, u have undergone cervical level surgery also, and have trouble swallowing as well. The reason for tightness of your neck muscles is the protective mechanism of the body to safeguard the spine. You should try doing neck muscle Strengthening exercises and take physical therapy services for neck muscle tightness. As once the strengtChatDoctores the tightness will slow down. This is my way of dealing with my parents in diabetes. And they get helped up to 80-90%.you mentioned your age as 72. So as I see geriatrics a lot I can understand that your metabolism is slow, and it needs a booster. If you try performing regular exercises may be your sugar. Level will Chat Doctor. This has happened many a time with my patients. Almost I can say 95% of my patients. Exercise is a natural way of boosting the metabolism and control the high sugar level. Balancing the sugar levels in the blood stream is possible naturally by putting an extra effort into exercise. You can discuss the same with your planetologist.regards Jay In