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Dr. G K Prakash

Endocrinologist, Bangalore

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Dr. G K Prakash Endocrinologist, Bangalore
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. G K Prakash
Dr. G K Prakash is a trusted Endocrinologist in International Airport Road, Bangalore. He is currently associated with The Denvax Clinic in International Airport Road, Bangalore. Book an appointment online with Dr. G K Prakash on Lybrate.com.

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The Denvax Clinic

#43 2, Bangalore International Airport Road, Sahakarnagar. Landmark: Near Hebbal FlyoverBangalore Get Directions
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Natural Supplements For Boosting Fertility

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Natural Supplements For Boosting Fertility

Supplements

There is now a great deal of scientific knowledge about the use of nutritional supplements and their beneficial effects on both male and female fertility. As you will see, these supplements can be very effective in re-balancing your hormones, as well as improving you and your partner’s overall health, which are so vital for successful conception.

Scientific research has shown that certain vitamins and minerals can increase your chances of getting and staying pregnant. In order to maximise your chances of conceiving it is very important that you and your partner are in optimum health. By eliminating nutritional deficiencies and improving sperm production and mobility you can dramatically increase your chances of getting pregnant. In order to do this it is essential that you are obtaining the right nutrients and in the right quantities to enhance your success.

Supplements are necessary because even the best diet in the world mayl not contain all the nutrients you need to give you the best chance of conceiving.

Folic acid

It is now known that folic acid can prevent spina bifida in your baby, and it is essential that you get plenty both before and during pregnancy. And that’s not all: folic acid is undoubtedly important, but it is just part of the very important b-complex family of vitamins that are necessary to produce the genetic materials dna and rna, not only of the egg but also the sperm. Together with vitamin b12, folic acid works to ensure that your baby’s genetic codes are intact. Remember: it’s not enough to take folic acid alone when you are trying to become pregnant. All of the b vitamins are essential during the pre-conceptual period. Research has shown that giving b6 to women who have trouble conceiving increases fertility and vitamin b12 has been found to improve low sperm counts.

Zinc

Zinc is the most widely studied nutrient in terms of fertility for both men and women. It is an essential component of genetic material and a zinc deficiency can cause chromosome changes in either you or our partner, leading to reduced fertility and an increased risk of miscarriage. Zinc is necessary for your body to ‘attract and hold’ (utilise efficiently) the reproductive hormones, oestrogen and progesterone.

And it’s equally important for your partner: zinc is found in high concentrations in the sperm. Zinc is needed to make the outer layer and tail of the sperm and is, therefore, essential for the health of your partner’s sperm and, subsequently, your baby. Interestingly, several studies have also shown that reducing zinc in a man’s diet will also reduce his sperm count.

Selenium

Selenium is an antioxidant that helps to protect your body from highly reactive chemical fragments called free radicals. For this reason, selenium can prevent chromosome breakage, which is known to be a cause of birth defects and miscarriages. Good levels of selenium are also essential to maximise sperm formation. Blood selenium levels have been found to be lower in men with low sperm counts.

Omega 3 fatty acids

These essential fats have a profound effect on every system of the body, including the reproductive system and they are crucial for healthy hormone functioning. Omega 3 fatty acids also control inflammation which may interfere with getting and staying pregnant. For men essential fatty acid supplementation is crucial because the semen is rich in prostaglandins which are produced from these fats. Men with poor sperm quality, abnormal sperm, poor motility or low count, have inadequate levels of these beneficial prostaglandins.

Many of the women I see in the clinic have been taking evening primrose oil supplements – an omega 6 fatty acid – for years and have not been eating enough omega 3 oils, or taking them in supplement form, to counterbalance this. Some women are also taking combinations such as omega 3, 6, and 9 in supplement form because they have heard that we need a good balance of all the omega fatty acids. This is true, but you have to take into account what your own levels may be in the first place. It is no good adding in more omega 6 if you have already got enough or in fact too much in your body. (you can now have a blood test to tell you if you have the correct levels of omega 3 to omega 6 in your body see below). To check whether you have sufficient levels of omega 3 please click omega 3 deficiency test (at home finger prick blood)

Vitamin e

Vitamin e is another powerful antioxidant and has been shown to increase fertility when given to both men and women. Men going for ivf treatment with their partners have been given vitamin e, and fertilisation rates have, as a result, increased from 19 to 29 percent. It has been suggested that the antioxidant activity of vitamin e might make the sperm more fertile.

Vitamin c

Vitamin c is also an antioxidant, and studies show that vitamin c enhances sperm quality, protecting sperm and the dna within it from damage. Some research has indicated that certain types of dna damage in the sperm can make it difficult to conceive in the first place, or it can cause an increased risk of miscarriage if conception does take place. If dna is damaged, there may be a chromosomal problem in the baby, should the pregnancy proceed. Whether or not dna damage does have these effects has not been conclusively proven, but it’s worth taking vitamin c and the other antioxidants as a precautionary measure.

Vitamin c also appears to keep the sperm from clumping together, making them more motile.
One study has shown that women taking the drug clomiphene to stimulate ovulation will have a better chance of ovulating if vitamin c is taken alongside the drug. Clomiphene does not always work in every woman, but the chances are often increased when vitamin c is supplemented.

Beta-carotene

This is the vegetable precursor to vitamin a and is completely safe during pregnancy. Beta-carotene is a powerful antioxidant which helps to protect egg and sperm dna from damage by harmful free radicals which can affect the quality of both the egg and sperm. Free radicals are highly unstable and set off a process called oxidation which can have harmful effects on the every cell in the body. Beta- carotene will be contained in your multivitamin and mineral.

L-arginine

This is an amino acid found in many foods and the head of the sperm contains an exceptional amount of this nutrient, which is essential for sperm production. Supplementing with l-arginine can help to increase both the sperm count and quality.
Note: people who have herpes attacks (either cold sores or genital herpes) should not supplement with l-arginine because it stimulates the virus.

L-carnitine

This amino acid is essential for normal functioning of sperm cells. According to research, it appears that the higher the levels of l-carnitine in the sperm cells, the better the sperm count and motility.

Furthermore, by adopting a healthier lifestyle you will be more likely to prevent fertility problems.

7 people found this helpful

Dear sir, I am a sugar patient, pls tell me how am I recover my sugar without medicine.

Diploma in Diabetology, MBBS
General Physician, Warangal
Dear sir, I am a sugar patient, pls tell me how am I recover my sugar without medicine.
Maintain ibw take balance d diet walk daily avoid sugary items fat food take plenty of vegetables and fruits in 2 / 3 servings take high fibre low calorie food check sugar levels frequently.
2 people found this helpful
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I am diabetic for the last 5 years. I was taking glyciphage for 3 years. Then Dr. Changed it coz the tablets were not getting dissolved. Now I am taking gemer n janumet. Of late I can again c tablets in the toilet bottom even after flush. Please advice. I am 53 years old.

Diploma in Anesthesia, MBBS
General Physician, Hyderabad
I am diabetic for the last 5 years. I was taking glyciphage for 3 years. Then Dr. Changed it coz the tablets were not...
seeing the shape of the tablet in toilet is no indicaion that the whole tablet has come out. what happens is in the case of slow release or long acting tablets/capsules the shell is made in such a way where the medicine is released slowly at the intestines and doesnot get dissoloved in the gastric juices. that shell which comes out along with motion is some times seen as the tablet. if the drug has not gone in to your blood then there will not be any controle on the blood sugar. when you get your blood sugar tested there will be desired levels of the sugar in blood. so donot worry and continue the usage of the tablet.
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I am 48 years old female suffering from diabetes since sep 15. I have been taking glycomet 500 but diabetes has increase from 135 to 152 (fasting) 235 from 238 (PP). MY HB1C is 8.1. I am walking daily but not in morning since I am working and do not get time for morning walk. Can I eat moongali. Coffee can be taken or not.

DNHE, BPTh/BPT, weight management specialist
Dietitian/Nutritionist, Kolkata
I am 48 years old female suffering from diabetes since sep 15. I have been taking glycomet 500 but diabetes has incre...
Well, one simple thing to do is have methi water in the morning. Soak 1 tsp of methi seeds in a glass of water and next day strain the seeds and have water only, this helps to control sugar. Besides to keep glycosylated hb under control have food items like brown rice, whole grains, avoid refined flour etc. Yes peanuts can be had in moderation.
4 people found this helpful
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I am sixty year old. I am suffering type 2 diabetes for about ten years and under regular treatment. For last about three months I am not able to have sound sleep and feeling tense mentally all time. I am also having acute constipation now a days inspite of taking laxatives and having hardness in my stomach. I am taking one tablet of amryl m2 twice in day i. E. Morning / evening and one tablet of trajenta in the afternoon as advised by doctor for diabetes. Can you guide me to set my stomach right free from constipation and also mind tense free so that I can sleep well in the night.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am sixty year old. I am suffering type 2 diabetes for about ten years and under regular treatment. For last about t...
I need some more details from you to guide you effectively, like weight, height, waist circumference and level of activity (exercising). You have also not mentioned sugar levels and hba1c also. I need them to guide you. Still a few things I want you to follow 1) do regular pranayama, if you know the details or learn it 2) do certain yoga asanas like manduk asana, pawanmuktasana etc. 3) increase consumption of fiber in your diet by using fenugreek seeds, more green salads. I await your reply.
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I have sugar. My Age is 51 years. Please advise where I can eat everything and sugar remain in control.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have sugar. My Age is 51 years. Please advise where I can eat everything and sugar remain in control.
If you have confirmed diabetes, then treatment with antidiabetic medicine is a must, which I am sure must be on. Please tell me what are current fasting and pp sugar levels and hba1c%, because unless diabetes (blood sugar levels) is under excellent control it is difficult to avoid long term problems of various complications. As regards" eating everything" for a diabetic person there will always be restrictions in food intake like avoiding sweets, direct sugar, deep fried foods and certain fruits like mango, chikoo, banana & grapes. Even your food intake has to in relation to body's requirement based on ideal body weight. (ideal body weight = height in cms - 100 x 0.9 = kgs). If you are a sedentary type of person then calories allowed would be 25 kcal /kg / day. So far a diabetic person restricted food intake is the only choice.
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I am diabetic since last two years and taking drugs Glysipage G2b my sugar lavel is fasting 120To130. and post lunch 160 to180. After taking drugs twice a day now a days sugar level increases what to do ?

MD - Consultant Physician
General Physician, Mumbai
Your blood sugar seems to be fairly well controlled. A FBS less than 130 and PPBS less than 180 mg/dl if satisfactory for most people. If you are young, say less than 40 years, then a slightly tighter blood sugar level would be ideal. Check your HBA1C and see your average blood sugar.
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She is 10 years old, 47kg, she has thyroid and her back neck and under arm are black, doctor said due to high level insulin. How to cure this?

Ph.D - Ayurveda, FFAM-Post Graduate Fellowship, MD - Ayurveda
Ayurveda, Delhi
She is 10 years old, 47kg, she has thyroid and her back neck and under arm are black, doctor said due to high level  ...
This requires both local application of suitable specific herbal paste and internal consumption of herbal preparations which detox the body and help in getting fair healthy skin and color
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My friend is suffering from diabetics disease so they required a help how to control this disease.

Doctor of Medicine
General Physician, Surat
My friend is suffering from diabetics disease so they required a help how to control this disease.
Anti-diabetes is the only option and that are being given according to type of diabetes, and its status, blood sugar level need to be managed on tight rule basis, some time it may requires Insulin too.
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I am 49 years I am diabetic more than two years l have glycomet 1gm od my sugar level now 110 random so please suggest me I continue medicine or discontinue.

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
I am 49 years I am diabetic more than two years l have glycomet 1gm od my sugar level now 110 random so please sugges...
Hello, you can control diabetes by having a medication prescribed by doctor. Its a degenerative disease inside from your body. But to completely get rid of diabetes, you should have a better control on your food habits. Along with your medication, if you take a proper diet of proteins, amino acids, vitamins and minerals these will work on your body hormonal balancing system once your harmon are working in a balancing way, slowing your degenerative diseases will be repaired and medication dosage will come down. Eventually you can continue diet without medication. Preparing your diet and nutrition chart doesn't much time, maximum half day. Let me know if I can help you with best nutrition. Get rid of diabetes will take time as this degeneration might happened from a long time, but we only come to know when you have a sympton out of it. Let me know for more info.
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Hi, I am Ms. Vamsy got married since4 months unable to conceive. I am 28 and my husband is 36 yrs old May I know the reason please? 1. I have frequent urination but no diabetes. I always drink water 2. During intercourse there is white discharge every time no fishy smell, but it happens even before periods and after periods.

M. sc Psychology, BHMS
Homeopath, Hyderabad
Hi,
I am Ms. Vamsy got married since4 months unable to conceive. I am 28 and my husband is 36 yrs old
May I know the ...
Hi lybrate-user, white discharge befeore&after periods is normal phenomena for any healthy women& even its common during midterm of cycle. Means 2nd&3rd wk after periods also, as then that is ovulation time,&so the dicharge is. Unless its offencive odored, with any itching, rash over extrenal area, staining the linen greenish or yellowish in colour, then we could suspect any infection, then some times both couple should use the medications based on the diagnosis&if any infections I identified. As you are taking more intake of water, then the out floew also will be more. Once you can check by taking less intake or avoiding water intake for few hrs&then observe, still the same frequency is maintaining or not so. Anyway, there are no sugar levels identified in test, you need not worry& at the same time you continue the more intake of water as usual which is good for body ingeneral. **abt conception, iys just 4 months only since married, so, you need not worry abt pregnancy. Plan the intercourse during ovulation period, i. E. From 2nd wk to 3rd wk. More often. If your menstrual cycle is normal, then you need not to worry. But still you are anxious, or after waiting 2 more months, you both try to go for check ups, including harmones[ like thyroid, lsh, etc}& for your husband. Semen analysis.
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My fasting sugar levels are not below 140 irrespective of diet and medication. .How to control the levels.

MBBS, CCEBDM
Diabetologist, Bangalore
My fasting sugar levels are not below 140 irrespective of diet and medication. .How to control the levels.
Hi Few diet changes can help in reducing your Fasting blood sugar. 1. Finish your dinner by 8 pm. 2. Avoid taking dinner rich in carbohydrates like white rice, pasta, bread, biscuits, fruits as well. 3. Have a protein drink just before going to bed. 4. Sleep well. 5. Avoid stress. MOST importantly DO NOT MISS YOUR MEDICATIONS. Inspite of these changes if your FBS is still high you need dose adjustment of your medications.
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Hi I am 29 years old, height 5.8 and weight 78 kg. I had increased uric acid level before 1year. I consulted with doctor and he prescribed tablet goutcheck and pan-40 & then I had relief. After 3-4 months I stopped medicines. Now i'm suffering from back pain in morning and some times I get tingling sensation in feets.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Your current symptoms of back pain with off an on tingling sensation in feet region may not be linked to your earlier problem. If you have only localized backache with no other associated symptoms like radiating leg pain, numbness, weakness in legs etc, and no systemic symptoms like fever, loss of appetite, loss of weight etc, my advice to you for initial 2-3 weeks will be: - to maintain proper posture while working and sleeping - if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or even tab paracetamol which suits you - intensive physical therapy initially under supervision of a trained physiotherapist and then to continue at home - adequate calcium & vitamin d intake if levels are low in body - ice packs can applied 3-4 times in a day - analgesic spray for local application like dynapar qps spray can be used and is easily available. - avoid lifting heavyweight/ acute forward bending in mornings etc if you do not improve in 2-3 weeks with this conservative management, we will need to evaluate you further in form of dynamic x rays to look for any instability as a cause for pain and some blood investigations to rule out any deficiencies etc. Do not hesitate to contact me if you need any further assistance.
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I am 68 years old male my blood sugar is 160 fasting. Lam taking xila- m its okay or not ?

C.S.C, D.C.H, M.B.B.S
General Physician,
It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (self-monitoring of blood glucose? smbg). Though difficult, this can be done by a glucometer and keep a record. Get an idea of fasting sugar (fbs) and 2 hours after food (ppbs) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ insulin will be needed. For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch.
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Can we give the injection TROXONE-T injection to a diabetic and BP patient.(Taken only insulin before 5/6 hours) The patient taken CIPMOL 650 and a antibiotics.

MBBS, CCEBDM
Diabetologist, Bangalore
Can we give the injection TROXONE-T injection to a diabetic and BP patient.(Taken only insulin before 5/6 hours)
The ...
Hi Troxone is an antibiotic called CEFTRIAXONE. This can be given in diabetics and hypertensives under the guidance of a doctor as we will have to look into other medications that the patient is taking and see if there is any interactions. Especially blood thinners.
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My mother had ultrasound of her neck today in which the doctor said her thyroid gland is increasing and its tissues are coming out. Can anyone please help me with this that why is it happening? My mom has to go for two blood tests as well yet then the doctor will tell about the treatment. Since 1.5 months my mom feels tired after working, has swelling on right side of her neck and it pains in the ear too when she tries to sleep that side. No internal pain but it pains outside and it has gradually increased. Please tell me the precautions that we should take and also is it serious? Would be very helpful. Thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi, If thyroid gland size is increasing, it may be due to goitre formation. So it is necessary to get a thyroid assay done. The result will help in a correct diagnosis of the condition. It can be Hashimoto's Thyroiditis, a simple goitre or thyrotoxicosis. Only assay will help in finding out First get the thyroid assay done and come back with the results then only I will be able to guide. Thanks.
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How to control diabetes? How to gain muscles? How to loose weight? What type of food do we in dieting?

MBBS
General Physician, Mumbai
How to control diabetes?
How to gain muscles?
How to loose weight?
What type of food do we in dieting?
We need to control sugar levels with medication exercise and following a diabetic diet and eat low fat and high protein content in your diet for dieting
1 person found this helpful
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Infertility - A Complete Guide!

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
Infertility - A Complete Guide!

The term infertility in females explains a wide range of disorders but in order to simplify things, lets’ just say, infertility in women is a condition in which women are unable to conceive. There are numerous reasons that can be responsible for this situation and although some are preventable or curable, most others have no specific cure or treatment.

Ovulatory Disorders

One of the most common reasons for infertility is an ovulatory disorder. Almost 30 percent of female infertility is caused due to this reason. 70 percent of such infertility is treatable with drugs such as Reprones/Menogan and Clomiphene. Here is a list of causes of failed ovulation-

  1. Disruption in the complex hormonal balance.

  2. Ovaries fail to produce mature eggs. Polycystic ovarian syndrome is the most common disorder causing this problem. This syndrome has reduced FSH production and increased production of LH, Oestrogen and Testosterone. Suppressed FSH production may cause the partial development of ovarian follicles.

  3. Hypothalamus may malfunction thereby causing the pituitary to malfunction, thus losing control over the process or FSH and LH production.

  4. Physical damage to the ovaries by multiple surgeries or due to the formation of cysts.

  5. A rare case of premature menopause.

  6. Problems of the follicle.

  7. Poor functioning of fallopian tubes

Diseases or disorders in the tube have been another major reason of infertility in women. Almost 25 percent of women infertility occurs due to this reason. Although treatments exist, success rates of the treatments are as high as 30 percent. The causes of tube damage may be as follows-

  1. Infection caused by bacteria or viruses

  2. Abdominal diseases like colitis and appendicitis

  3. Previous pelvic or abdominal surgeries.

  4. A condition called ectopic pregnancy which occurs in the tube, and even if very carefully but successfully overcome, may leave permanent damage.

  5. Rare congenital defects in which women may be born with tube anomalies.

Endometriosis

This is the condition where the endometrium expands excessively thereby preventing individuals from getting pregnant. This affects almost 10 percent of the population of infertile women. Almost 40 percent of women with endometriosis are infertile.

Other Factors

Other additional factors may include:

  1. Abnormal uterus

  2. Congenital diseases

  3. Behavioural factors like personal habits, lifestyle and health factors.

  4. Exercise and diet- extremely overweight or underweight women may have problems in conceiving.

  5. Cigarette smoking reduces the chances of conceiving by one-third.

  6. Alcohol increases the chances of birth defects.

Hence, pregnancy is tougher than it might really seem. If you wish to discuss about any specific problem, you can consult a gynaecologist.

I lost my weights. Dnt know y. Feeling sick from .It can be diebatics. How can I check this

SENIOR RESIDENCY-ENDOCRINOLOGY, FELLOWSHIP IN DIABETES AND ENDOCRINOLOGY, MD, MEDICINE
Endocrinologist, Bangalore
FBS and HbA1c, if ur fasting is between 100- 125 u ned to do a 75gOGTT, if FBS is more than 126 that means u r diabetic.
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