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Dr. P Ranganath Nayak

Cardiologist, Bangalore

500 at clinic
Dr. P Ranganath Nayak Cardiologist, Bangalore
500 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. P Ranganath Nayak
Dr. P Ranganath Nayak is one of the best Cardiologists in Malleshwaram, Bangalore. You can consult Dr. P Ranganath Nayak at Northside Manipal Hospital in Malleshwaram, Bangalore. Book an appointment online with Dr. P Ranganath Nayak and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Cardiologists in India. You will find Cardiologists with more than 36 years of experience on Lybrate.com. You can find Cardiologists online in Bangalore 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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#71, 11th Main, Malleshwaram. Landmark: Opp. Malleshwaram Railway StationBangalore Get Directions
500 at clinic
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Why You Must Not Dismiss Chest Pain as a Minor Affair!

DM - Cardiology, MD
Cardiologist, Ghaziabad
Why You Must Not Dismiss Chest Pain as a Minor Affair!
Things to do in case of chest pain or angina pain

Unlike yesteryears chest pain or heart related problems aren’t just age related anymore. Many young people under 30 are experiencing chest pain. It seems to be directly proportional to the increasing stress levels.The medical term for mild chest pain is angina pectoris and it happens when your heart is not getting its usual requirement for blood. Such a situation occurs when one or more arteries are blocked. Angina Pectoris is experienced usually while doing physical activities or experiencing strong emotions. At such times, the heart doesn't get as much blood as it requires for normal functioning.

Broadly speaking, discomfort in the upper part of the body is the symptom of angina, the symptoms typically include:

1. It may feel like you are suffering from indigestion or gas or fullness and pressure.

2. It may also feel like chest pain spreading to the neck, back, arms, shoulder or jaw.

3. You feel better after a little rest or some medication.

4. It doesn't last for too long, at the most five minutes.

5. Shortness of breath, anxiety, dizziness, sweating, fatigue and nausea and also symptoms of angina.

Physical conditions and habits which put you at the high risk zone for angina are:
1. When you don't get enough exercise.
2. If you are a smoker
3. If you are overweight
4. If you have a history of heart diseases
5. If you are diabetic
6. If you suffer from blood pressure of high cholesterol

Steps You Must Do To Manage the Pain and Resultant Effects

1. Calm Down - The first thing to do to counter angina pains is to rest and calm down. If you are doing physical activity, stop doing it. And if you are under emotional turbulence, you need to find ways to calm down immediately. Meditate, if needed.

2. Get Professional Help - Do not delay in consulting the doctor and ensure that you take the prescribed medication diligently. In situations where the damage is much more and medications cannot clear the problem, surgery is resorted to.

3. Change Of Lifestyle - In the long run, lifestyle change is a good idea. Staying fit, a clean medical report and keeping a healthy lifestyle will keep enough blood pumping into your heart.

If you would like to consult with me privately, please click on 'Consult'.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.
3492 people found this helpful

I am 20 years old male. I have blood pressure problem from last one year. I can take 2 dose tab of stamblo 5 mg and olmezest 2 mg per day. But not progress yet.

BHMS
Homeopath, Ahmednagar
I am 20 years old male. I have blood pressure problem from last one year. I can take 2 dose tab of stamblo 5 mg and o...
Lybrate-user you should continue with your medicines for atleast a month and then get your bp checked by your Dr. He will get the dose of your medicines adjusted accordingly. You should avoid salt totally in your meals and you should go for early morning exercises daily especially walking.
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Sir/Madam, I feel lethargic with no energy and my eyes are always heavy and heart beat increases as I do some even small work. I really feel very bad all the day please help me.

BHMS
Homeopath, Delhi
Sir/Madam,
I feel lethargic with no energy and my eyes are always heavy and heart beat increases as I do some even sm...
It can be due to stress and anxiety. Try out pranayam daily early morning. You may also go for blood test (cbc)
11 people found this helpful
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Is Egg yolk increase good cholesterol or bad cholesterol in body. If I am doing gym of 2 hrs daily and eat 6 egg daily. Please explain me.

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
Is Egg yolk increase good cholesterol or bad cholesterol in body. If I am doing gym of 2 hrs daily and eat 6 egg dail...
Avoid egg yellow take garlic and onion plenty over some time egg yellow collects bad cholesterol. Though only 20%of food cholesterol eaten is absorbed. Take soya tofu it's good protein.
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I have pain in heart upper side back side and lower side so thats way I am going to take Metoprolol succinate Extended Release in one tablet in a day and have a any problem to take this medicine please favourable reply.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have pain in heart upper side back side and lower side so thats way I am going to take Metoprolol succinate Extende...
Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Apply hot fomentation twice daily. Avoid bending in front.
1 person found this helpful
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

Heart disease begins in youth

C.S.C, D.C.H, M.B.B.S
General Physician,
Heart disease begins in youth
Autopsy studies of young people who died in accidents have shown that by the late teens, heart blockages, the kind of lesions that cause heart attacks and strokes are in the process of developing.

The best opportunity to prevent heart disease is to focus on children and adolescents and start the preventive process early. More than a third of children and adolescents are overweight or obese.

The first signs that men are at higher risk of heart disease than women appear during the adolescent years despite the fact that boys lose fat and gain muscle in adolescence, while girls add body fat.

Between the ages of 11 and 19, levels of triglycerides, a type of blood fat associated with cardiovascular disease, increases in the boys and drops in the girls. Levels of hdl cholesterol, the" good" kind that helps keep arteries clear, go down in boys but rise in girls. Blood pressure increases in both, but significantly more in boys. Insulin resistance, a marker of cardiovascular risk, which is lower in boys at age 11, rises until the age of 19 years.

Any protection that the young women have for cardiovascular protection can be wiped out by obesity and hence obesity in girls should be handled on priority.
31 people found this helpful

I am 29 male. I have hypothyroid and cholesterol. What are natural ways to get ride of this and how to meditate for stress relieve.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
I am 29 male. I have hypothyroid and cholesterol. What are natural ways to get ride of this and how to meditate for s...
Dear lybreate user, you need to consult a yoga therapist. With the help of a few asanas, and pranayama you might be able to have some control/regulation on your thyroid and cholesterol. Having flax seeds everyday may lower your cholesterol levels. You may consult an ayurvedic doctor for this.
3 people found this helpful
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I have a sneezing allergy since last 20 years. Is there any cure in homeopathy? Also I have cholesterol problem. Kindly suggest some medicine for it.

MS - ENT
Ear-Nose-Throat (ENT) Specialist, Gandhinagar
I have a sneezing allergy since last 20 years. Is there any cure in homeopathy? Also I have cholesterol problem. Kind...
Nasal Allergy: It is very common now a days…it is of two types –Seasonal and perineal. Seasonal allergic rhinitis occurs according to changes in atmosphere. Antihistaminics and decongestants can help you.
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I want to know that. What should I do. I m feel weakness in body. And I m suffering from breath problem. And sometime I suffer from heart pain problem.

MBBS, cc USG
General Physician, Gurgaon
I want to know that. What should I do. I m feel weakness in body. And I m suffering from breath problem. And sometime...
Hi, This problem may be due to Any medical disease like Anaemia/ Hypoproteinemia/ Thyroid problem/Vit D deficiency Multi mineral and vitamin Deficiency Stress/ anxiety Over exertion (physical and mental) kindly follow advises given below: 1. Take adequate rest 2. Proper diet 3. I recommend you to take Tablet Daily(Nutrilite) after personal consultation this supplement has shown wonderful result Consult me for further management
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My wife is having problem of low blood pressure so I want solution because she always face problem like nose bleeding, senseless, etc. Please help me.

MBBS
General Physician, Cuttack
1. Drink plenty of water/ Nimbu pani 2.Increase salt intake 3.Take plenty of fresh green leafy vegetables, Fruits. fish, chicken etc 4.Avoid alcohol 5, Go for regular exercise 6. Drink Tea/ coffee 7. Avoid prolonged standing 8. Avoid stress, anxiety, depression 9.Take . adequate rest and have 7-8 hours of sound sleep in the night 10.Do yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 11.. check your hemoglobin, monitor BP and consult physician for advice and treatment
1 person found this helpful
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I am 44 years old man, when l walk 100-200 m feel chest pain and my breathe was going slow. L feel uncomfortable and just sit down, after 5-10 min l feel comfort to walk. My bp is always 130/100.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 44 years old man, when l walk 100-200 m feel chest pain and my breathe was going slow. L feel uncomfortable and ...
Hi take ginger tea mixed with 2-3 crushed garlic cloves. Massaging the chest with warm sesame oil mixed with salt helps to loosen the phlegm deposited in the chest, especially, when followed with steam inhalation. Take shwas kuthar ras twice a day. Pranacharya asthamin capsule 1-1 twice a day. And pranacharya shwas vikarasav 2-2 tsf twice a day. 1-1 drop of cow ghee in both nostrils at night time before sleep. Take hot water steam.
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My uncle is diagnosed as AWMI .and the Cag reports says that my uncle has a triple vessel disease .should we go for CABG or angioplasty.

BAMS
Ayurveda, Bangalore
My uncle is diagnosed as AWMI .and the Cag reports says that my uncle has a triple vessel disease .should we go for C...
Hi, Triple vessel disease means there are 3 blocks in 3 major blood vessels. Therefore, CABG is the adviced treatment.
2 people found this helpful
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I have high blood pressure 170/100, and also having pain in the right side ,below the ribs. What medicine should be taken?

BHMS
Homeopath, Greater Noida
I have high blood pressure 170/100, and also having pain in the right side ,below the ribs. What medicine should be t...
U have to take proper and regular treatment in homoeopathy. Some medicine as rauwolfia serpentine Q and Digitalis 30 has good result in such case and tell ur proper case history as how and when it started whether you have any addiction or disease and avoid oily and spicy food u will definitely get benefited by this treatment
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I have high blood pressure, and my sugar is also high. What can be the treatment to control it.

CME Course in Diabetes for Family Physicians, Certificate in Child Health , BHMS
Homeopath, Gurgaon
I have high blood pressure, and my sugar is also high. What can be the treatment to control it.
If your BP and blood sugar are on the border-line or marginally high,you can take homoeopathic medicines.
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Hai I am smoker wat should I eat to maintain my breast and body fit and avoid heart prblm in future.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Hai I am smoker wat should I eat to maintain my breast and body fit and avoid heart prblm in future.
first stop smoking ... exercise daily for 30 min to prevent heart problems consume less of salt in your diet eat sprouts daily in breakfast with milk avoid fast foods
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Sir I am 22 years old and I am a chain smoker from last 3 years. But I have some problem in my heart that is it beats very fast i.e.90-95/min .i feel sometimes pain and sometimes difficulty in taking oxygen ?sir please help me? Some times I also got vibrations in full body .please please sir answer me?

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
Sir I am 22 years old and I am a chain smoker from last 3 years. But I have some problem in my heart that is it beats...
Dear Sajid, You are aware that your condition is triggered by the stressors of food. First thing: GIVE UP SMOKING and tobacco. No excuses, no delay, no reducing slowly. Simply STOP. This is causing palpitations, vibrations and the weakness is leading to your breathlessness and difficulty in taking oxygen as you experience. Change your life style Eat properly, exercise properly and think positive. Regards.
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My mom is suffering from thyroid and cholesterol any suggestions to overcome it or any recommendations what to eat and what not to ?

PDDM, MHA, MBBS
General Physician, Nashik
My mom is suffering from thyroid and cholesterol any suggestions to overcome it or any recommendations what to eat an...
Following are the recommendations for your mother :- Pay close attention to your food choice. ·        Eat less carbohydrate food sources like chapatti, rice, noodles, pasta, bread etc as they help in gaining weight and storing fat. ·        While having lunch or dinner eat vegetables and dal to fill your stomach rather eating lots of chapattis or rice. ·        Have a healthy breakfast like poha, idli, upma, plain dosa, oats, dalia or khichdi with vegetables. ·        Eat a balance diet including good quality proteins like: fish, lean chicken and eggs. If you are a vegetarian then include skimmed milk, low fat paneer, butter milk, soy bean or soy milk in your diet. ·        Avoid ghee, butter or vanaspati. Prepare your diet with vegetable oil like sunflower, safflower soybean or olive oil. ·        Eat plenty of salads. ·        Eat fresh fruits including apple, orange, pineapple, papaya, sweet lime, berries, guava, watermelon, mask melon etc. ·        Avoid eating outside junk and fried foods like pizza, pasta, roll, burgers, cakes, chocolates and cookies. ·        Have an early dinner. The earlier the better, giving your system more time to digest the food. ·        Avoid cold drinks/alcohol as they add empty calories to your diet. ·        Avoid fat enriched milk products like cheese, sweets, full fat cream etc. ·        Drink 3 liters of water in a day. ·        Try to have less sugar in food and beverages. ·        Try to drink 2 cups of green tea in a day as green tea helps in weight loss by aiding digestion. ·        Avoid red meat like mutton, beef, lamb or pork. ·        Eat sprouts or roasted chana, whenever you feel hungry.
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My cholesterol levels are high, Could you please tell me how I can reduce them without tables. I have earlier used the medication for reducing the cholesterol levels which had impact on LFT. So thinking on reducing it through food control/exercise/Yoga etc. Please suggest me if there are any foods that can be consumed/not consumed? Thank you.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
My cholesterol levels are high, Could you please tell me how I can reduce them without tables. I have earlier used th...
Follow diet modifications (get a detailed diet consult for a low fat, low sugar diet) and start exercising begin gradually and increase to daily 45 mins of brisk walking or yoga. Stop drinking and smoking if you do. If they still remain high, consult a cardiologist for options.
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