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Dr. Prakash

Endocrinologist, Bangalore

350 at clinic
Dr. Prakash Endocrinologist, Bangalore
350 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Prakash
Dr. Prakash is a trusted Endocrinologist in Frazer Town, Bangalore. He is currently practising at Meridian Medical Centre in Frazer Town, Bangalore. Book an appointment online with Dr. Prakash on Lybrate.com.

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Meridian Medical Centre

#14, Standage Road, Frazer Town. Landmark: Opp. Shavari or Empire HotelBangalore Get Directions
350 at clinic
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I am diabetic can l have have one teaspoon of honey with black lemon tea in morning my diabetes is under control.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Trivandrum
I am diabetic can l have have one teaspoon of honey with black lemon tea in morning my diabetes is under control.
Hello. Yes you can have if the honey is pure. As per ayurveda honey can be used by a diabetic patient.
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Testosterone Hormone

BHMS, DEMS
Homeopath, Pune
Testosterone Hormone

Testosterone is a powerful hormone, with the ability to control sex drive, regulate sperm production, promote muscle mass, increase energy, and even influence human behavior (such as aggression and competitiveness). It’s no wonder that a decrease in testosterone would cause quite a stir. However, it is a natural part of aging.

In the Womb

Testosterone plays an important role in shaping the developing fetus during pregnancy. It drives the development of the male reproductive system. Testosterone also masculinizes the brain.testosterone levels have to fall within a very narrow margin in order for the fetal brain to be healthy. High levels of fetal testosterone may be linked to autism.low levels of fetal testosterone may boost your chances of getting Alzheimer’s disease later in life.

Adolescence to Early Adulthood

Testosterone levels are at their highest during adolescence and early adulthood. The first physical signs of testosterone, or androgens, in the body are apparent during puberty. A boy’s voice changes, his shoulders broaden, and his facial structure becomes more masculine. But as men get older, their testosterone levels decline about 1 percent per year after age 30.

Male   Female  
Age: T Level (ng/dL): Age: T Level (ng/dL):
0-5 months 75-400 0-5 months 20-80
6 mos.-9 yrs. <7-20 6 mos.-9 yrs. <7-20
10-11 yrs. <7-130 10-11 yrs. <7-44
12-13 yrs. <7-800 12-16 yrs. <7-75
14 yrs. <7-1,200 17-18 yrs. 20-75
15-16 yrs. 100-1,200 19+ yrs. 8-60
17-18 yrs. 300-1,200    
19+ yrs. 240-950    
Avg. Adult Male 270-1,070 Avg. Adult Female 15-70
30+ yrs. -1% per year

Testosterone and Aging

low testosterone levels can cause changes in sexual function, including:

  • reduced sexual desire, or low libido
  • fewer spontaneous erections
  • impotence (erectile dysfunction)
  • infertility
  • Other signs of decreased testosterone levels include:

  • changes in sleep patterns
  • emotional changes, such as low self-confidence or lack of motivation
  • physical changes, like increased body fat, reduced muscle bulk and strength, and decreased bone density

The normal range of testosterone levels in healthy adult males is between 280 to 1,100 nanograms per deciliter (ng/dL).

Other Possibilities

While the symptoms described here are considered a normal part of aging, they could also be signs of several underlying factors. These include:

  • a reaction to certain medications
  • thyroid gland disorders
  • depression
  • excessive alcohol use                                                                                 
  •  
  • the best time of day to have a blood sample taken for a testosterone test is around 8 a.m.
35 people found this helpful

I'm 48 yrs. My hba1c &amp; blood sugar is 6.5. Uric acid is 480. Dr. Prescribed me janumet (sitagliptin phosphate 50mg/metformin hcl 1000mg) 1 tab daily as mild diabetic, with neurobion &amp; aspirin. Shall I need to start this medication right now or with regular exercise and strict diet it can be reduced? once I start this medicine, I have to continue for life long? how this medicine works? what is your expert advice? thanks.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
I'm 48 yrs. My hba1c &amp; blood sugar is 6.5. Uric acid is 480. Dr. Prescribed me janumet (sitagliptin phosphate 50m...
If you haven't tried exercise and strict diet control as yet then be assured that both these measures can control your diabetes. Sadly, though these approaches are the best way to control diabetes but are also the toughest to practise. Its a myth that diabetes medicines once started cant be stopped. Infact its the patient ongoing test reports and conditions which define the need for medicines.
3 people found this helpful
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What's the treatment for diabetic neuropathy in the lower limbs. Is there a way to reverse diabetic neuropathy.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What's the treatment for diabetic neuropathy in the lower limbs. Is there a way to reverse diabetic neuropathy.
Mr Amod, Diabetic neuropathy occurring in lower limbs can not be reversed, as damage to the nerve endings due hyperglycaemia is permanent. But further deterioration can be prevented by strict blood sugar control, and symptoms of neuropathy can be relieved by using certain drugs. It will be better if you give details like current fasting and PP sugar levels, HbA1c% and drugs being taken with dosage and come in a private conversation then i can give specific suggestions.
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I had Gout issue in past as I have mentioned. Now everything is normal i.e. The uric acid level in blood is normal. Is it fine if I consume Whey Protein supplements?

DM - Rheumatology, MD - General Medicine
Rheumatologist, Mumbai
I had Gout issue in past as I have mentioned. Now everything is normal i.e. The uric acid level in blood is normal. I...
Yes it is safe. Its non veg sources which increases uric acid due to high purine content, high purine is to be avoided in gout, not high protein which is a misconception widespread even among doctors. But gout remains silent for many years before coming again. Specially if your uric acid remains above 6. Was the first episode really gout? increased uric acid doesn't mean its gout.
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I am 39 year old and suffering from diabetes and blood pressure last 18 year now I feel to weak in working

Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D in Ayurveda, Ph.D
Ayurveda, Hyderabad
Dear, for Diabetic the best Ayurvedic medicine is there, but let me know the Blood report ie Sugar,fasting, PP, HbA1c. Send me to my email:-drvsrao58@gmail.com.
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I am having thyroid since March 2016. Don't want to take any allopathic medicine. Putting on weight. Kindly help me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am having thyroid since March 2016. Don't want to take any allopathic medicine. Putting on weight. Kindly help me.
Lybrate-user, if any one has hypothyroidism, then only way to treat it is to take thyroxine hormone as a replacement. The condition occurs due to deficiency of thyroxine hormone produced by thyroid gland. This hormone is required for development and functioning of brain on day to day basis. Plus it is necessary for multiple metabolic activities in the body. If not provided (as tablets of thyroxine) then considerable problems occur including weight gain, slow heart rate, tired feeling, early fatigue, lack of interest, dry hair, dry skin and hair fall, difficulty in speech, inability to concentrate, swelling of face and lower limbs, irregular periods and excess flow, irritability, anxiety and depression. Only remedy for this is taking thyroixine tablets for life time. There are no other options. Choice is yours. Thanks.
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I am diabetic from four years and I am avoiding rice, potato, sweets but still my sugar level not decreasing. Please advice me what to do?

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Howrah
I am diabetic from four years and I am avoiding rice, potato, sweets but still my sugar level not decreasing. Please ...
Naturally sugar is present in many of foods which we have daily not only rice, potato or sweets. Don't require to eliminate any particular food from your diet. Just avoid simple carbs, sweet products, fruits which are high in sugar content. You need a well balanced diet to manage blood sugar level. You may contact me for detailed diet plan.
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I am 50 years old diabetic patient taking citapin 30 tablet is there any other substitute of this medicine ?

SLE, Fellowship In Diabetology, Diploma In Psychology Mental Health And Illness, PLAB (MANCHESTOR, UK), FAGE, MBBS
General Physician, Bangalore
Yes there are other substitutes for this drug. Please provide infoabout the last blood sugar tests and I will be able to provide more info. Thanks.
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Hello sir I want ask yu my wife is percent so I would ask you she has 41 weight how to gain weight she suffer from thyroid also she has 1.26 thyroid d so how to gain weight so pls tell me any diet, she ask also can do sex in pregent time reply me.

PDDM, MHA, MBBS
General Physician, Nashik
Hello sir I want ask yu my wife is percent so I would ask you she has 41 weight how to gain weight she suffer from th...
Here is a sample diet Breakfast - 1 glass banana milkshake+ 5 khajur+ 5 anjeer, •. Mid morning - 2 chikoo •. Lunch - 4 chapati + 1 bowl sabji+1 bowl dal++ 1 bowl rice + 1 bowl curd •tea time - tea + 1 pckt parleg •. Late evening - 1 bowl roasted chana •dinner same as lunch •. Bed time - 1 glass banana milkshake Sex can be done in second trimester only after the permission of your gynecologist.
4 people found this helpful
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I am 54 years old. I have leg pain from 1 months. I am a sugar and diabetic patient. I have cholesterol also. Why it is happening? What are the remedies?

MS - Orthopaedics, MBBS
Orthopedist, Pune
I am 54 years old. I have leg pain from 1 months. I am a sugar and diabetic patient. I have cholesterol also. Why it ...
Hello lybrate-user, as you are diabetic kindly get your lower limb colour doppler sonography done to see the condition of your vessel walls. God bless you.
2 people found this helpful
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BHMS
Homeopath, Sindhudurg
TIPS TO INCREASE SPERM COUNT -

Citrus Fruits
Antioxidants like the vitamin C found in citrus fruits can increase sperm count. Orange or grapefruit juice that contains 100 percent fruit juice will provide the same effect. Males who aren’t big juice drinkers can try squeezing fresh lemon juice into their water.

Bananas
There are some awesome things going on in bananas to help increase sperm count. Bananas have a rare enzyme in them called Bromelain, which has been shown to regulate sex hormones. There’s also a good amount of vitamin B1, vitamin A, and vitamin C which will help increase his stamina and boost his body’s ability to make sperm.

Tomatoes
Tomatoes contain lycopene which also raises sperm count. Since lycopene is also found in ketchup and marinara sauces, most men won’t need much encouragement to add this to their diet.

Beans
A zinc deficiency is one of the leading causes of male infertility. Beans are a versatile, vegetarian source of zinc. To avoid food boredom, get creative with bean dishes. Try making chicken burritos or tacos with black beans, turkey chili with pinto beans, hummus (which is made from garbanzo beans) or lentil soup.

Nuts
Nuts are great for raising sperm count because they contain zinc and the antioxidant vitamin E—both of which can raise sperm counts. Try to have a handful of unsalted nuts like almonds every day.

Dark Chocolate
There’s no sexier food to bring into the bedroom than dark chocolate, but now, it’s not just the seductive taste you’ll want it for. Dark chocolate contains L-Arginine HCL, an amino acid related to the arginine in walnuts. It also doubles your guy’s sperm count and semen volume. Men who eat a little dark chocolate everyday have also noted that they have stronger and more intense orgasms. BONUS: it does that for you, too. *wink*

Meat
Red meat and turkey are other sources of zinc. Neither contain as much as oysters, but they may be easier to consume on a regular basis. Consume fresh turkey because processed meats are high in salt and other preservatives. Since red meat is high in saturated fat, stick to just one serving of lean-cut red meat per week.

Pomegranate
This is the most super of all super foods. It seems like it can truly cure whatever ails you from the common cold to low sperm count. Because of the intense cocktail of antioxidants in pomegranates, the juice can lower a chemical in the blood called malondialidehyde. That chemical destroys sperm, so drinking pomegranate juice is like putting a super hero cape on all those sperm so they can destroy the evil free radicals and get to the egg just in time.

Walnuts
Walnuts contain arganine, which helps the testicles to increase sperm production and also aids in semen volume increase. It also contains Omega-3 fatty acids which improve the blood flow to the penis. These nuts also have twice the antioxidant power over other nuts so they do a great job of protecting the little guys, too. BONUS: eating 7 walnuts a day lowers cholesterol and the risk of heart disease.

Eggs
Eggs contain two ingredients known to raise sperm count—vitamin B12 and selenium. Since it’s often hard to find the time for a sit-down breakfast, hard boil eggs the night before and take them on the go.


Homeopathic medicine found to be most effective therapy in treatment of Low Sperm Count, Low Sperm Motility, Low Sperm Volume, Abnormal Sperm cell Morphology, Semen Viscosity, Anti Sperm Antibodies and combination of the any of the disorder

Advantage of Treatment

Fastest acting and safest mode of treatment available till today, absolutely no side effect of medicine.
Effectiveness is tested in thousands of patients with more than 90 % of success rate.
Medicine not only increases count but also increases sperm motility and Volume, abnormal sperm morphology will corrected with treatment.
Homeopathic medicine are safe, free from hormones.
Maximum time required for treatment is 9 month with minimum of 1 million sperm count, no need of medicine for at least 8 to 10 year after completion of treatment and semen analysis parameter will be normal.
Homeopathic medicine are small sweet pills and its easy to dissolve it on tongue, medication is easy and hassle free.
Treatment also clears Varicocele, hormonal imbalance and other urological abnormalities.
Corrects Spermatogenesis.
Effective in Small Testes, even with one testes there is chance to have normal Sperm Count with Homeopathy.
consult me for homoepathic treatment without side effects
1 person found this helpful

How to identify type one and type 2 diabetes what are the test and where I can do it in pune.

Dietitian/Nutritionist
Dietitian/Nutritionist, Delhi
How to identify type one and type 2 diabetes what are the test and where I can do it in pune.
This is a right questions because you should aware about the difference in between type 1 and type 2 diabetes. Type 1 diabetes occur in children. In this diabetes insulin inharrent to secrets by beta cell of pancreas so artificial insulin injected to the patient. Type 2 diabetes occur in adults mainly. In this diabetes insulin secret but not in sufficient amount by pancreas so first you can control by medication. Everyone can be prone to develop diabetes due to life style change, heridritry or obesity. These are the causeing factors to developing diabetes.
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Suffering from pcos and hypothyroidism. I do gyming. And taking homeopathy medicines for pcos and eltroxin 50mcg for thyroid I ws 99kgs now 88kgs I problem is hair loss. May be coz of thyroid Can not I gt my hairs back cuz Im a thyroid patient? Please tell me da medicines supplements for my hairs and nails and how to take them before food or after food. Nd how to consume flaxseed also My t3 is 153ng/dl. T4 is 12.4. Tsh is 3.09 Taking glyciphage 500 twice a day for pcos. As I have pcos how I can reduce that facial and body hairs. and glow of my face.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Suffering from pcos and hypothyroidism. I do gyming. And taking homeopathy medicines for pcos and eltroxin 50mcg for ...
When on treatment for hypothyroidism tsh levels should be between 3 to 4 milli units / ml, to be in control and free from symptoms. If you achieved that then all symptoms including hair loss will stop. Of all the symptoms hair loss is the last one to go. Plus I am sure you are following the dosing guidelines of taking thyroxine tablets early morning on empty stomach and nothing to be taken after that for 2 hours. This has to be followed always. Secondly avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, peanuts, mustard and coffee. Consume more of green leafy vegetables, salds and fruits. Use whole grain flour for chapati and roti, avoid refined flour like maida. Avoid high fat milk products. Your dietary intake has to be based on your ideal body weight (58 kgs). Calories 58 x 25 = 1450. Plus since you want to loose weight, another 500 k cals should be less. So daily intake has to be just about 1000 k cal.
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I am type 1 diabetic; having stone in left kidney; infection in stomach, gas problem, piles with Fisher, cervical and gape in l4 nd l5 nd pains in feet too much. Please advice what should i do ?

MBBS
General Physician, Faridabad
I am type 1 diabetic;  having stone in left kidney;  infection  in stomach, gas problem, piles with Fisher, cervical ...
keep sugar under controll, go ahead with treatment according to need. Take tab flagyl 400 three times a day and tab rantac 150 morning empty stomach and before dinner for 5 days. Take tab meftal spas when you have stomachache. It will help. Thank you.
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I am 38 year old. Surreing diabetics since 5 year pp is more then 300. What I should do for diet. And what kind of medicine I will take. please suggests me the diet.

BAMS, MD Ayurveda
Sexologist, Lonavala
I am 38 year old. Surreing diabetics since 5 year pp is more then 300. What I should do for diet. And what kind of me...
Take 2 teaspoons of bitter gourd (karela) juice once a day. One can also increase its use as a cooked vegetable. Take 1 teaspoon of indian gooseberry (amla; amalaki) juice mixed with 1 teaspoon of bitter gourd juice twice a day. Chew 10 holy basil leaves (tulsi), 10 margosa leaves (neem), and 10 bael leaves (belpatra) on an empty stomach in the early morning.
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My age is 28 my sugar in fasting us 240 and after fasting is 360 iam not feeling well kindly advice me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
My age is 28  my sugar in fasting us 240 and after fasting is 360 iam not feeling well kindly advice me.
hi,what is ur hba1c levels? ur sugars are pretty high ..what is ur body weight..its better if u start on insulin for initial control of sugars..it can later be withdrawn...at present take tablet cetapin xr 1000 mg twice daily after meals...it'll help...kindly revert with ur body weight,hba1c value and kidney function tests...cholesterol tests
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I am cycling for about half an hour in morning beside using in day also for 5/10 minutes. Do I require any other exercise for controlling BP (i have) and avoiding risk of diabetes.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am cycling for about half an hour in morning beside using in day also for 5/10 minutes.
Do I require any other exer...
Mr. Lybrate-user, usually a minimum of 30 minutes a day of physical activity is recommended to keep fit and prevent adding additional weight. So the amount of exercise being done by you (cycling) appears to be good enough. But still if you walk for another 20 minutes a day, that will add to keep fit as well as remain free from diabetes. Thanks for the question.
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