Hello @peggyn,

I'm sure that your friend appreciates your care and interest in this difficult health problem. Like Martin, @predictable, I do not know much about this disorder. I did find some information on Mayo Clinic's website, though. Just click on this link and it will give you information about symptoms and treatments,
https://www.mayoclinic.org/diseases-conditions/metabolic-syndrome/symptoms-causes/syc-20351916.
Here is the first page of the article,

Overview

Metabolic syndrome is a cluster of conditions that occur together, increasing your risk of heart disease, stroke and type 2 diabetes. These conditions include increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels.

Having just one of these conditions doesn't mean you have metabolic syndrome. But it does mean you have a greater risk of serious disease. And if you develop more of these conditions, your risk of complications, such as type 2 diabetes and heart disease, rises even higher.

Metabolic syndrome is increasingly common, and up to one-third of U.S. adults have it. If you have metabolic syndrome or any of its components, aggressive lifestyle changes can delay or even prevent the development of serious health problems.

It does look like Mayo Clinics has specialists who treat this disorder. Is your friend near a Mayo facility (Minnesota, Arizona or Florida)? Once again, I appreciate your interest in helping your friend. Will you post again and let me know how she is doing?