Hello XXXX, I really appreciate your concern for your wife. At the outset I would like further information for better assessment of the condition like Her weight and height Relevant medical history if any metabolic disorders like thyroid disorders or any gynaecological disorder? In my opinion decdan and practin both are not required, encourage her to take lots of fresh fruits and vegetables, frequent eating 6-8 times a day. Decdan and practin both can lead to some side effects. so, better it would be for her, if she doesn t take both the medicines. I would advise her for a battery of investigation like CBC, liver function test, ESR, AEC (absolute eosinophil count), urine and stool test . Meanwhile consider her for deworming with albendazole group of drugs after consulting your doctor. Frequent meals with incorporation of fatty fried food and dairy products like milk, ghee, butter, and meat and egg if she is non vegetarian. Ask her to go out for exercise like brisk walking, swimming or games . Hope you will find my answer informative and useful, please feel free to ask for follow up question with all the details I have asked for, So that I will be able to tell you more precisely. Best wishes