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Dr. Ramesh Goyal

MD - Diabetology

Endocrinologist, Ahmedabad

17 Years Experience
Dr. Ramesh Goyal MD - Diabetology Endocrinologist, Ahmedabad
17 Years Experience
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Ramesh Goyal
Dr. Ramesh Goyal is a renowned Endocrinologist in Bhat, Ahmedabad. He has been a practicing Endocrinologist for 17 years. He has completed MD - Diabetology . You can meet Dr. Ramesh Goyal personally at Apollo Hospitals in Bhat, Ahmedabad. You can book an instant appointment online with Dr. Ramesh Goyal on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 32 years of experience on Lybrate.com. You can find Endocrinologists online in Ahmedabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MD - Diabetology - AIIMS - 2000
Languages spoken
English
Hindi

Location

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Apollo Hospitals

Plot No. 1 A, Bhat GIDC Estate, GandhinagarAhmedabad Get Directions
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I am a 53 years old woman with a history of 26 years of Diabetes. I got myself tested for cholesterol recently and got Triglyceride levels at 146 where as the normal range was between 35 and 135. What shall I do to make them normal as well? Something in the diet or in medication?

MSc
Dietitian/Nutritionist, Hyderabad
I am a 53 years old woman with a history of 26 years of Diabetes. I got myself tested for cholesterol recently and go...
Diabetesand triglycerideslevel control is governed by following the right diabetic diet. What to eat and what not to eat is important for diabetes control and diabetes cure or diabetes reversal. Few tips. - one teaspoon of methi seeds soaked overnight in 100 ml of water is very effective in controlling diabetes. - drink tomato juice with salt and pepper every morning on an empty stomach. - intake of 6 almonds (soaked overnight) is also helpful in keeping a check on diabetes. Natural remedies for diabetics. Tender guava leaf juice aloe vera green tea cinnamon black jamun seed extract methi seed powder drumstick leaf powder flaxseed powder amla neem flower tea multi grains wheat germ and bran lemon grass wheat grass quinoa are some of the foods which definitely control diabetes and triglycerides level. Take personalised dietary expert advice. Thank you.
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Affect of Diabetes on Kidney

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
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Diabetes is the major cause of Kidney Disease!

Hello friends welcome back to Lybrate I am Dr Hanish Gupta and today I will be talking about diabetes and kidney diseases. Friends all over the world a large number of patients are started to have dialysis, a large number of patients are undergoing kidney failure. This hasn't happened suddenly but has happened because of 2 common causes known as diabetes and blood pressure. Diabetes forms the biggest cause of Kidney failure and kidney diseases and today for any stage of kidney illness diabetes is the number one cause for the people of USA. India is also fast approaching that scenario.

People believe that in diabetes when they get their kidney function test done and it comes out to be normal they think everything is fine which isn't the case. Kidney starts the sign of deterioration with diabetes very early on and it is very important for the Dr to detect if there is any kidney issue or not. The test required here is the urine test. In very early stage of diabetes there is microalbuminuria in urine which is the passage of protein from the body in very small amount, that is the result stage of kidney failure. That is also the right time to save further complications of kidney infection.

People keep in getting their kidney function test and believe their kidney is fine on the basis of that. But it is actually the urine ACR done by standardized methods in laboratories that gives the right diagnosis. The important thing is that not only test but also the signs and symptoms that tell us about the kidney condition. People believe that it is the amount of urine passage that decides this factor but the most important sign is swelling over the body. Simple signs like loss of appetite can also detail about kidney failure.When kidney has started deteriorating patient observed a tremendous amount of relief in sugar control, thus patient believes that diabetes condition is improving but that is not the case it is actually kidney deterioration that brings down the sugar level. The reason for this is  that insulin is eliminated from the kidney and when kidney is undergoing deterioration the time period for which insulin remains in the body increases which is called as increase in the half life of insulin. So with that points keep your kidneys healthy and keep diabetes under control.

You can visit my clinic or contact me through Lybrate.

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Please give a diet chart for pre diabetes. My weight is 86 kg and height is 6 ft.

MD - Medicine, MBBS
Cardiologist, Panchkula
It is very difficult to stick to diet chart for a long time. Simply remember one line avoid sugars and fatty and fried food. Do exercise regularly.
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I am 61 yrs old and a diabetic since 2004. I take metformin tablets 1 gm twice one in the morning and one in the evening after meals & glyperimide 2 mg after breakfast. Other medicines are atorvastatin 10 mg, and bp medicine along with tablets containing multivitamins, minerals, antioxidants etc. I have been suffering from erectile dysfunction over the last few years but has worsened over the past few months. Is ed due to diabetes or due to my age?

MBBS
General Physician, Ahmedabad
I am 61 yrs old and a diabetic since 2004. I take metformin tablets 1 gm twice one in the morning and one in the even...
Likely due to diabetes. Keep close control of it ==what is your hba1clevel? you r also overweight--which can reduce your performance.\ reduce your weight. Ask privately with more detailed reports and your sexual history. Some bp medicine also cause erectile problem. Send details.
2 people found this helpful
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Hello sir, I am having headache and I m sleepy since 2-3 days and I m also having diabetes so what should I do?

MBBS, MBA (Healthcare)
General Physician, Delhi
Hello sir, I am having headache and I m sleepy since 2-3 days and I m also having diabetes so what should I do?
check your BP. Check your eye sight. take crocin pain relief in case of severe headache. take good sleep and rest. avoid stress. inform if not ok.
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I'm diabetic from past 4 years, Taking medication prescribed by Doctor, but from past 5-6 months stopped taking regular medicines, not taken any precautions for diet control also, Currently having high sugar levels and high cholesterol levels, according to current test reports, situation is worse, Also found Deficiency of Vitamin D.

Certification in Diabetes Educators Program, Post Graduate Diploma in Sports Nutrition
Dietitian/Nutritionist, Mumbai
I'm diabetic from past 4 years, Taking medication prescribed by Doctor, but from past 5-6 months stopped taking regul...
You have to follow a very disciplined life style if you have diabetes. If your sugar levels are high for a prolonged period of time, then there are chances that you may develop issues in your eyes, kidneys and nerves. You have to immediately get your sugar levels into controlled levels. In case of diabetes you have to eat nutrient dense food and exercise well. You need a diet which comprises of whole grains like jowar, bajra, wheat, brown rice, pulses like moong, musoor, bengal gram, lots of vegetables, fruits, eggs, fish, chicken, paneer, healthy oil, nuts and seeds. You need to eat them in right proportion. Avoid eating sugar and sweets, refined foods like maida, noodles pasta, white rice and products, bread. Drink a lot of water. Exercise atleast 5 times a week. Do not overeat. Eat 3 proper meals and 2 snacks in between. Stop when your stomach is 80% full. Eat slowly.
4 people found this helpful
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One known person suffering from diabetes last 17 years & presently taking these medicine 1) zomelis met 2) glucoryl 3) cremaffin-syrup. Sugar level is controlled but not getting stomach clear please suggest.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
One known person suffering from diabetes last 17 years & presently taking these medicine 1) zomelis met 2) glucoryl 3...
He is on gliptins metformin and sulfonylurea combination. Metformin is known to cause gi disturbances. Gliptins delays gastic emptying. Long term diabetics usually have diabetic gastropathy symptoms as well. Instead of cremaffin he can take isabgol powder. And increase fiber content in diet.
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Hi, I am twenty eight eight yrs old last three months I didn't have periods i am hypo thyroid patient tsh level high so please suggest.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi, I am twenty eight eight yrs old last three months I didn't have periods i am hypo thyroid patient tsh level high ...
IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time. FOR uterus dysfunction tests all hormonals. after tests you can consult again.
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Worried ness, heart beats abnormal but no blood pressure and sugar complaint. Sleeping sickness, lower back pain since one year. Age 50 years, weight 78kgs. What can I do sir. I am employee in an industry having little bit of dust and gas pollution.

BHMS
Homeopath, Faridabad
Worried ness, heart beats abnormal but no blood pressure and sugar complaint. Sleeping sickness, lower back pain sinc...
Hi, First, get thorough check of your whole body annually (once every year) from a reliable hospital to rule out any medical condition. Otherwise for staying fit: We need make few changes in our life to stay fit and healthy (if there is no medical condition): - Just walking alone is a very beneficial exercise which can help you stay in shape, feel more energetic, and get healthy. Always take stairs rather than taking an elevator. -Standing while you work can help your body get more activity than if you were just sitting down. Spend at least some of your work day standing instead of sitting in order to help your blood flow and maintain your muscles. -Do more chores. Lots of household chores actually involve a lot of exercise and being better about doing chores can be a great way for you to fit activity and exercise into your day. -Aim to exercise for a total of 30 minutes per day and you’ll easily be able to maintain your fitness level. -Some exercises will be more efficient than others, and choosing these more efficient exercises means that the small amount of time that you do spend exercising will really count. Try to choose exercises that focus on your core muscles, since your legs and arms can get activity through daily activities like lifting bags of groceries and walking a longer distance from your car. Try squats, planks, burpees. -Get indulge into some activity at home like riding a bicycle, swimming, playing active games with your kids. -Eating right. Cut out unhealthy fats and take in healthy fats. The easiest way to identify unhealthy fats is to look for “solid” fats, or fats that are solid at room temperature. Get plenty of protein. Protein will help you maintain your muscles and also give you the energetic feeling that you may be missing now that you’re getting less exercise. Good protein sources include skinless chicken, salmon, sardines, almonds, walnuts, peanuts and peas. Eat properly portioned, balanced meals. Generally, about ⅓ of your plate should be fruits and vegetables and ⅓ of your plate should be grains. The final third should be a mix of protein and low-fat dairy (cottage cheese, eggs, non-fat milk, etc). -Drinking enough water also has the added bonus of keeping your hunger level down, helping you to maintain the lower calorie count that you’ll be getting now that you’re not exercising as much.
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My mother suffering from diabetes 2 and takes metformin tablets 2 times and we gives her natural sugar free butter grid and jamun juice 2 times before meal but her sugar level shows 140 to 150 in morning and 200 and above in night what should I do to cure her diabetes disease.

MBBS
General Physician, Mumbai
My mother suffering from diabetes 2 and takes metformin tablets 2 times and we gives her natural sugar free butter gr...
In a known case of diabetic we need to control sugar levels with medication , aerobic exercise and following a diabetic diet and few tips on diet say no to maida items like toast , khaari ,naan ,white bread . can drink tea but without sugar say no to Buffalo milk and can drink cows milk can eat brown bread can eat sprout's can eat green vegetables, can eat chappati ,bajra ka rotla can eat one katori of rice twice a day with dal to avoid farsan food items can eat fruits say no to coconut water
1 person found this helpful
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I am 67yrs diabetic for the last 12 years, under medication for 10 years, unable to control sugar within limits. Please advice.

PDDM, MHA, MBBS
General Physician, Nashik
Probably you are not receiving the right therapy. Consult privately for proper management. Dr surbhi agrawal consultant physician and diabetologist
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I have a Diabetic since 2 years, the sugar value were ups and down in the last 2 years due to work burden and not able to taking the tablet properly. Doctors suggested me take the glycomet 500mg and after 1 month sugar value were good control. But I felt that chronic constipation. So left out the Medicine. After I started to doing the gym exercise and some diet like (Green tea,vegetable) I am clean habit person. On recently I have taken the My Blood sugar value which results is Fasting 144 and PP sugar is 272, Urine sugar Fasting Nil and PP urine Sugar is. Next day I have taken the HBA1C test on 6PM value is 5.5. Why it cause ups and down? My age is 33. Pl help me.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
I have a Diabetic since 2 years, the sugar value were ups and down in the last 2 years due to work burden and not abl...
rSugars fluctuate depending on the diet,activity, medicine and the stress hormones released in the body. The way your body metabolises your sugar depends on the internal environment .so,it's actually not feasible to check sugars frequently. So,hba1c gives fairly average sugars over a period of 3 months. So,5.5 is good control, u need not worry but follow a balanced diet to me antain the same
5 people found this helpful
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Hello I am a 24 year male, from childhood I have infertility complex, low self-esteem, some time my actions and thoughts are unwilling to me. I have high temper. I am always confused, ready to quit hard works.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Hello I am a 24 year male, from childhood I have infertility complex, low self-esteem, some time my actions and thoug...
Dear , inferiority complex, low self esteem etc become part of life mainly because of your circumstantial experience. If you are able to understand your life and to learn your life, all these things automatically gets elated. I suggest you psychological counseling. Take care.
2 people found this helpful
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How much of Dark Chocolate can a Diabetic have everyday? Besides, how much percentage of cocoa in dark chocolate is best for diabetic?

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
How much of Dark Chocolate can a Diabetic have everyday? Besides, how much percentage of cocoa in dark chocolate is b...
Hello, Yes, infact it helps in insulin activity. Can have upto 2 Pcs, with 80 percent and above cocoa.
1 person found this helpful
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My mother having a diabetic under control and thyroid tsh 10.8 She complains about her vision and having a headache What should we do pls help us out.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother having a diabetic under control and thyroid tsh 10.8 She complains about her vision and having a headache W...
Mr. Lybrate-user, if she has diabetes since long then it is essential to get her retinal examination done urgently, because diabetes affects retina badly. This is done by dilating the pupil. It is not testing for glasses. Secondly good control means fasting should be closer to 100 mg, pp 150 to 160 mg & hba1c% <7. If this is achieved and maintained then complications can be delayed or prevented. Tsh value of 10.8 mu/l, means hypothyroidism is present and is not in control. Also needs to be treated. Treatment with thyroxine tablets with appropriate dse should be initiated immediately. Plus regular exercise for 1 hour a day is also needed. She should avoid sweets, deep fried foods, junk foods, pastries, other bakery items and items made out of maida. Should consume whole grain products always. Avoid soy beans, soya containing products, cabbage, cauliflower, broccoli, radish, mustard, peanuts and coffee. (fo hypothyroidism). If any doubts please come in a private conversation with all details like fasting, pp sugar levels, hba1c%, dietary habits, extent of daily exercise, present treatment with dosage then I will be able to guide specifically. Thanks.
2 people found this helpful
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I have diabetes, potassium, thriod now recently my calostrial came down can someone suggest good diet or nutrition so I could consult personally.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Mumbai
I have diabetes, potassium, thriod now recently my calostrial came down can someone suggest good diet or nutrition so...
Dear patient, a proper measure for knowing and managing your diabetes will be to ensure a hba1c below 6.5%. Regarding diet, we indians have high carbohydrate diet. You have to closely observe your plate and you can come up with a better diet plan for yourself or your mother. To simplify it, identify the items which are carb rich in your plate and try to compensate the same with protein and fibres, for eg cut down a roti and increase sabji, dal or salad. To have a better control you can do a monthly self glucose monitoring 3 times a day and keep a track of the food with it. Check fasting sugar, sugar one hour prior to lunch and 2 hrs post lunch, and note down the details of her breakfast and lunch items. Modify as per my earlier suggestions and within a week you will see your blood sugar level responding. Best of luck.
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Treating Infertility Caused by PCOS With IVF

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Treating Infertility Caused by PCOS With IVF

PCOS is an abbreviation for Polycystic Ovarian Syndrome. It is a problem that is caused in women when their hormones are out of balance. It affects menstrual periods and can even hinder conception when aggravated to an advanced stage. Many women having PCOS develop small cysts on their ovaries. These cysts might not be harmful, but they lead to hormonal imbalances. 

Common symptoms include:

  1. Gain of weight or Weight loss problems
  2. Acne
  3. Excess hair on body and face
  4. Irregularities in periods
  5. Fertility problems
  6. Depression

It is possible for most women with PCOS who fail to attain pregnancy easily to use other treatments to get pregnant. Using In vitro fertilization (IVF) is one such mode of treatment. The procedure is helpful if done within the age of forty. You should undergo IVF only in a high quality clinic under the supervision of an experienced doctor.

There is a considerable amount of risk of having a higher order multiple pregnancy due to treatment of PCOS infertility using injectable gonadotrophins. Recent developments have allowed the patients to maintain high rates of pregnancy while simultaneously controlling the risk of multiple pregnancy. A variant of the standard IVF treatment known as Blastocyst embryo transfer is useful in the control of multiple birth rates. Generally, success rates for IVF treatment in cases where infertility is caused due to PCOS is quite high.

IVF Protocols for PCOS
There are two simulation protocols that are commonly used with PCOS:

  1. Ganirelix with Lupron trigger protocol: Used to avoid ovarian hyperstimulation syndrome.
  2. PCOS down-regulation protocol

This protocol combines:

  1. Oral Contraceptive Pills
  2. Metformin

A calendar is followed for the down regulation protocol for PCOS. Before starting with Lupron, a dosage ( 500 mg, 3 times a day) of metformin is followed daily. After this, oral contraceptive pills are prescribed for around 21 days. Lupron coincides with the last 3 pills of birth control. 

Lupron is a subcutaneous injection of a medicine that is taken once daily. Simulation of the ovaries is initiated after 6 or 7 days without using pills. It is very important with polycystic ovary that the dose of FSH hormone is properly controlled and that the ovarian response is cautiously monitored. Over response to the treatment can cause ovarian hyperstimulation syndrome. This should be avoided.

1 person found this helpful

I am diabetic for last 9 years I am on victoza1.2 with 4 mg glimipride & 1000mg metformin twice daily. Still my pp remains around 200, what to do ?

MD
General Physician, Delhi
Hi , Along with medication ,try dietary , exercise option as well. 1. Consume a low-calorie diet (often less than 1,400-1,800 calories a day). Most people cannot adhere to this kind of low-calorie diet. 2. Consume a Mediterranean diet, with lots of fresh fruits and vegetables, fish and beans as protein sources, and omega-3 and monounsaturated fats (olive oil), while avoiding saturated fats, refined carbohydrates, cholesterol-laden foods, excess omega-6 fats, and most animal products. An increasing percentage of health-conscious Americans are adopting this kind of diet 3. Avoid sugary fruit juices (almost all fruit juices contain too many sugars) and beverages spiked with fructose,80-84 sucrose,85-89 and/or high-fructose corn syrup.Consume a low-glycemic index and low-glycemic load diet. Brisk walks for 20-30 mins at lest 5 times a week

I'm 23 years male. I always have cough problem. I think it maybe thyroid. Can you please tell me symptoms of thyroid?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I'm 23 years male. I always have cough problem. I think it maybe thyroid. Can you please tell me symptoms of thyroid?
IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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Health Benefits of Bajra

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Health Benefits of Bajra

5 reasons you should include bajra in your diet

1. Powerful for controlling diabetes: 

Pearl millet is very powerful in controlling diabetes. Because of its high fibre content, it tends to digest slowly and release glucose at a slower rate as compared to other foods. This helps in maintaining healthy blood sugar levels for a long period of time.

2. Weight loss:

 Being high in fibre content, it takes a longer time for the grain to move from the stomach to the intestines. This way, bajra curbs hunger for a long span of time.

3. Reduces cholesterol: 

It contains phyto chemical, which is called phytic acid believed to increase cholesterol metabolism. It also stabilises the level of cholesterol in the body.

4. Helps in digestion:

 Bajra is rich in insoluble fibre that aids digestion. It also reduces secretion of bile acids and is linked to a lowered risk of gallstone formation.

5. Helps prevent cancer: 

Bajra has cancer-protecting properties. A study showed that regular intake of bajra protects pre-menopausal women from developing breast cancer.

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