I have dark patches on my inner thighs, which have been there for months and they haven’t gone down or away. This has also been alongside an urge to eat food all the time, and tiredness

The dark patches on your inner thighs could be a sign of a condition called acanthosis nigricans, which is often associated with insulin resistance. To address this, I recommend using a topical cream containing hydroquinone and tretinoin, such as Tri-Luma cream, to lighten the dark patches. Additionally, managing your insulin levels through lifestyle changes and medications like metformin can help improve the condition. For the increased appetite and tiredness, it is important to address the underlying cause, which may involve further evaluation and treatment.