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Dr. Ramzith Ali

Endocrinologist, Bangalore

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Dr. Ramzith Ali Endocrinologist, Bangalore
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Ramzith Ali
Dr. Ramzith Ali is a trusted Endocrinologist in RT Nagar, Bangalore. He is currently practising at V-Care Hospital in RT Nagar, Bangalore. Book an appointment online with Dr. Ramzith Ali on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 36 years of experience on Lybrate.com. You can find Endocrinologists 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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V-Care Hospital

No 29, 1st main Road, A 1st Block, Devegowda Road, R T NagarBangalore Get Directions
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Unconsummated Marriages - A Leading Cause Of Infertility!

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Unconsummated Marriages - A Leading Cause Of Infertility!
  • Chances are you've never heard of vaginismus (or, as it is now known, genito pelvic pain penetration disorder) before. Why? Because it's the disorder nobody wants to talk about, least of all those whom it most affects - women. Vaginismus is musculature of the outer third of the vagina, which interferes with coitus and causes distress and interpersonal difficulty.
  • Among the male factor infertility, erectile dysfunction was found to be the top ranking cause accounting for 79.37% followed by premature ejaculation 12.01%, Lack of sexual desire 3.92%, homosexual orientation 2.79%, sexual aversion disorder 1.31% and disorders of sexual preference 0.61%. 
  • Vaginismus is believed to be a psycho-physiologic disorder due to fear from actual or imagined negative experiences with penetration and/or organic pathology. Women with vaginismus have also been noted to have a lack of sex education.  Vaginismus was the 63.9% , ed 11.9% , PME 8.3% , low male sexual desire 2.7%, low sexual desire in female 13.9% dysfunctional underlying non consummation of marriage is largely treatable. Adaptation to the situation usually occurs and associated factors add to the primary cause. Treatment of the underlying dysfunction can challenge the relationship.
  • Sexual dysfunction is a common problem which leads to inter-personal problems and marital discord. defined as recurrent or persistent involuntary spasm of the with coitus and causes distress and interpersonal difficulty. 

 Treating vaginismus merits a two-front approach which includes behavioral sex therapy techniques and relational intervention. When appropriate, the behavioral intervention consists of prescribing dilators (from smallest to largest) that the wife is to use in the privacy of her own home to gradually desensitize herself to penetration (the fourth and usually largest dilator is roughly the size of a penis).  While the husband may be called upon to help his wife insert the dilators (depending on his wife's comfort level), for the most part his job is to ease off the pressure for her to perform, be supportive, and try to understand his role in the marital dynamic (usually an enabling one) and the associated symptom.
Ascribing to a psychodynamic model of treatment, is helpful for a couple to understand where their symptom came from, but I'll admit this is not always necessary for them to achieve a positive outcome. Nevertheless, employing the psychodynamic systems approach to uncover any conflicts that might be behind or exacerbating the vaginismus. These underlying causes may include prior sexual abuse, chronic control struggles experienced in the family of origin, negative messages or beliefs about sex emanating from the family of origin, religious values that conflict with sexual pleasure, to name a few. I also pay close attention to the couple's interactional style in order to assess whether it, too, is a contributing factor.

 What causes it?

 

  • "Both [primary and secondary conditions] are psychologically based. "It's a physical condition, but it's a psychological condition as well.
  • "To treat it correctly, you need to treat both the physical and psychological aspects."
  • while there are many hypotheses on possible causes, its actual etiology is unknown, probably in part due to the fact sufferers are so reluctant to come forward.
  • "It's a really complex thing, And while it is influenced by many things -- there are lots of hypotheses -- the big link, for primary vaginismus anyway, seems to be strong correlation between being raised in a religious environment.
  • "This may be due to several factors including lack of information, insufficient premarital education, a cultural context strongly proscribing sexual behavior, and the expectation that intercourse take place immediately after the wedding, necessitating a radical shift from sexual abstinence to sexual intercourse.
  • Often the anxiety resulting from repeated attempts at intercourse contributes to the sexual dysfunction. One or both partners may be anxious that penetration will be painful, that there will be bleeding, or that the woman will get pregnant.  While a certain amount of anxiety surrounding sexual activity is normal, when one or both partners are overly anxious, sexual function can be affected in the following ways: The male partner may have difficulty maintaining an erection strong enough to allow penetration or he may lose his erection just prior to intercourse. Anxiety may contribute to premature ejaculation, also just prior to reaching penetration. Anxiety may prevent the woman from relaxing enough to allow penetration. She may close her legs or contract her vaginal muscles. This presentation is referred to as vaginismus, defined as the persistent or recurrent difficulty of a woman to allow vaginal entry of a penis, a finger, and/or any object, despite her expressed wish to do so. While anxiety may indeed be a factor contributing to and perpetuating many sexual problems, there are many components to sexual problems, including physiological ones. Therefore, each partner in a couple presenting with an unconsummated marriage should undergo a physical exam. 
  • Physical presentations of the female partner that might prevent intercourse can include sexual pain disorders such as localized vulvodynia, also known as vulvar vestibulitis syndrome. This fairly common condition is characterized by pain with touch at the entry to the vagina, which can prevent intercourse. A woman's hymen may be a barrier to intercourse. Some women have a very thick hymen, or a septate hymen, which is a thin piece of membrane running vertically which separates the vagina in to two sides. While most of these conditions can be addressed with sexual counseling and  physical therapy, including use of vaginal dilators, in most cases a septate hymen needs to be repaired surgically.
  •  Frequently, lack of knowledge about sexual anatomy and physiology may contribute to a situation whereby attempting intercourse feels awkward and un-natural. Often all that  is needed is some basic anatomical information  and positioning advice. For example, a couple may report that the woman's vagina feels dry and excess friction prevents intercourse. In this case, the couple may  be  advised to ensure that intercourse take place when the woman is sufficiently aroused after plenty of exciting foreplay. Over the counter lubricants may be very helpful.  While some people are physically active, very aware of their bodies, and comfortable with movement, other people are less so and may simply have not figured out how their bodies move in order to comfortably find a position for intercourse. One or both of the partners may have mobility problems or difficulty getting in to or maintaining a position. A woman may have difficulty keeping her legs open or a man may not be able to hold his weight up on his arms.  In these cases as well, consultation with a physical therapist may be helpful in providing exercises and positioning advice.
  • While behavioral solutions may be found for many couples, it is important to note that couples in unconsummated relationships, particularly of long standing duration, may benefit from couples therapy directed by a competent Sexologist. A doctor working with such a couple may wish to gain understanding in how the couple presents and organizes around the problem: How is the presenting problem perceived by each partner? Is there attribution of blame?  What is the significance of the dysfunction itself and how is that perceived by the couple? Who is aware of this situation and in what way is outside intervention (community, parents, and religious leader) perceived in assisting or perpetuating this condition?  Identifying the various factors contributing to the condition and dealing with them with physical, psychosexual, and couples therapy, may be the key to consummation and the commencement of a satisfying intimate life.
    "So we are talking about people who are raised in conservative faith, who may not have looked at their anatomy in the mirror," Small continued. "They haven't touched themselves, they haven't looked at themselves -- they may view the entire thing as being dirty."
    "In terms of the secondary form, this is a result of some kind of trauma or sexual issue, and can be triggered by something later on.
    "Women don't talk about it. They learn to live with it. I've seen cases where women have been married or in relationship for up to 12 years and only present when they want to have children."
  • Women don't talk about it. They learn to live with it. I've seen cases where women have been married or in relationship for up to 12 years and only present when they want to have children.

How to treat it

  • Most women who experience vaginismus choose to live with it rather than come forward and have it treated. Even those in long-term relationships may try to conceal what is happening from their partner or forgo sexual relations all together.
  • "If they don't do that, they cut that part of intimacy out of their relationship altogether and choose to shut down any intimate feelings they might have. They end up having a very different kind of relationship.
  • "What is important to say is there is a cure and they can be helped. That's the message that needs to get out there. Treatment for vaginismus have included systematic desensitization along with insertion of graded dilators/fingers11, drugs like anxiolytics, botulinum toxin injection,12 
  • and sex therapy. An In the Indian scenario where the talk about sex is taboo and limited among partners it becomes very essential to first improve their communication so as to improve the sex related issues. eclectic approach involving education, graded insertion of fingers, Kegel's exercises and usage of anaesthesia with vaginal containment was tried.
  • As Small previously mentioned, the best approach in terms of a cure is to seek both psychological and physical treatment.
  • For the psychological side of things, she recommends seeking out a competent female sexologist.
  • Physically, many women are taught how to use vaginal dilators in conjunction with relaxation techniques.
  • "With vaginal dilators, basically how they work is you start off very very small, and then, using relaxation techniques, slowly work your way up in terms of size.
  • "It's imperative these women have a gentle introduction and remember they are in control of the situation.
  • "There is also something called saturation therapy which is often undertaken with their partner. Using dilators, they are able to discuss their mental state and what their thoughts are at any stage. There has actually been incredible results with that. Something like 90 percent of participants report sexual success afterward." there has been some preliminary research done into the effectiveness of Botox, but states at this stage, the research is still too new to offer any kind of conclusive evidence.

Steps to take

  • If you think you or your partner might have vaginismus, it's extremely important to understand treatment is available, and, better yet, comes with a high level of success rates.
  • "The first step is to see a competent female sexologist. "It is one of those things that, when it presents, it is pretty obvious it is on a psychological basis.
  • "A sexologist may double-check everything is okay, but typically what they will find is anatomically they are fine and everything is in order and working -- the cause stems from a psychological basis.
  • "The big thing about it is it's treatable, and it is possible to lead a really fulfilled life.
4 people found this helpful

If anyone with hypo thyroidism maintain his tsh level within 4, then after long time does it affect his memory or brain power? I want to know whether it is possible to keep one's memory and intelligence level unaffected by maintaining tsh level even after the diagnosis of hypothyroidism? Please suggest.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
If anyone with hypo thyroidism maintain his tsh level within 4, then after long time does it affect his memory or bra...
Mr. lybrate-user, Thanks for the query. When thyroid function is normalised or if adequate thyroxine hormone supplemented, then there is no adverse effect on brain function. Thnanks.
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I am pre diabetic. Whether eating no sweet substance will help to lower sugar level.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am pre diabetic. Whether eating no sweet substance will help to lower sugar level.
Mr. lybrate-user, Thanks for the query. Only stopping sweets is not going to help in reducing blood glucose levels. You will have to take a totally restricted diet, that gives exact caloric needs based on your ideal body weight (67 kgs) and not on 83 kgs. Plus there has to be a reduction in total carbohydrate intake. Because all the carbs (rice, roti, chapati, paratha, dosa, idli, potato, banana, corn, millets) get converted to glucose only after digestion. Plus you will have to reduce your weight and bring it towards 67 kgs. That will help in preventing progressing towards diabetes. Thanks.
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I am a 23 years old male and having cold and cough after every two months and having it right now too. Also a patient of Hypothyroidism with increasing weight and knee pain. What should I do?

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
I am a 23 years old male and having  cold and cough after every two months and having it right now too. Also a patien...
Cold & cough often means low immunity. Start putting anu tailam 2-2 drops daily on nose. Start taking siva syrup 10 ml bd. This will improve the immune system & you will bot get frequent infections. Take 1 amla everyday.
2 people found this helpful
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My mother, 78 years old, has blood sugar level of 216. Her liver and kidney are beginning to show damage. Would you advice her to control it by diet and medicine or insulin injections.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
My mother, 78 years old, has blood sugar level of 216. Her liver and kidney are beginning to show damage. Would you a...
It depends on the extent of liver and kidney damage. If its severe, insulin is the safest option as oral medicines may not be allowed. But if the problem is not major, she can be controlled by tablets. In either case, dietary changes are also required.
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Causes and Treatments of Hypertension

Diploma in Diet and Nutrition, M.Sc - Psychology, BHMS
Homeopath, Delhi
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Here are some causes and treatments of hypertension

Hello this is Dr. Chhavi Bansal and I am practicing Homeopathy at Homeosure-Home of Homeopathy and Wellness, Pritampura. Today I’ll be discussing about Hypertension which is the most common emerging lifestyle disorder these days. Hypertension is defines as elevation of blood pressure. Blood pressure is the pressure of flowing blood on the inner walls of the blood vessels and it depends on various factors like the pumping force of the heart, the resistance of the blood vessels and the amount of blood flowing through the vessels. As I have previously told that it is a lifestyle disorder, its development has been attributed to various lifestyle changes like poor diet, lack of exercise, lack of sleep, poor sleeping habits, work stress, mental stress.


It is often termed as the ‘silent killer’ because in many of the cases its symptoms do not manifest in the beginning of the cases and usually manifests itself with complications. Also many people do not give importance to hypertension until and unless they develop complications. Hypertension can be of two types: primary or essential and secondary hypertension depending on the causes of hypertension. And in majority of the cases, almost 90-95% cases there is no underline cause to hypertension and this is termed as Primary or Essential Hypertension.

Secondary Hypertension is the one where there is some kind of underlining medical condition which needs to be treated there. Now coming to the risk factors of hypertension, these factors can be modifiable and non-modifiable. The non-modifiable factor includes: Age like it is more common in later ages, Race because it is more common in African Americans and Genetic, because hypertension has been found running in families. The Modifiable risk factors are obesity, smoking, much intake of alcohol, caffeine, fatty food, higer level of cholesterol, high sodium diet, low potassium diet, prolonged stress or prolonged use of OCPs.


Now what is the harm from Hypertension? Prolonged hypertension can create a lot many complications: it can damage your eyes it can damage your kidneys, it can damage your heart and lead you to lot of diseases which can create loss of vision, kidney, heart diseases and stroke.


Now coming to the prevention or treatment of hypertension, as been previously told that there are various risk factors which make you prone to develop hypertension. So prevention is the best treatment of hypertension, if the risk factors are controlled then it will definitely control your hypertension or at least delay it. So the best prevention would be to have a healthy lifestyle which includes cutting down your alcohol and caffeine intake, quit smoking and maintaining your weight, adding physical activities to your routine daily, decreasing your sodium intake and increasing your potassium intake.
Homeopathy has wonderful results in delaying Hypertension and controlling Hypertension.

If you have any further queries regarding hypertension feel free to consult me through Lybrate.
 

3767 people found this helpful

Me & wife suffering from diabetics since last 10 years taking medicines jalra m50&reclide xr-60 &glycomet 850 respectively, daily morning& evening walk of 3 km but still sugar level remains 200mg/dl. Kindly advice how to control?

M.D. Internal Medicine
Endocrinologist, Mumbai
Me & wife suffering from diabetics since last 10 years taking medicines jalra m50&reclide xr-60 &glycomet 850 respect...
May be you need to alter your diet- reduce simple carbohydrates replace it by complex fiber base carbohydrate like fruits, vegetable parathas or fiber base protein like vegetable dals or sprouts. Reduce oil consumption less than 3 teaspoons per day. May weight reduction also help you. If no improvement within 1 month then you may need change of medicine if your hba1c more than 8%
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My blood sugar fasting is 125 and pp is 251. Please advise me the best medicine to control my sugar level. My left side stomach is always feeling me a little pain like bite of aunt.

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
My blood sugar fasting is 125 and pp is 251. Please advise me the best medicine to control my sugar level. My left si...
DEAR LYBRATE USER....A) Take 5-5 gm of fine powder of turmeric and aamla along with 30 ml of fresh lemon juice early in the morning. B) take 30 ml of divya shwasari pravahi (PATANJALI AYURVEDA) along with 30 ml of water after meals..C) eat 5 gm of black cumin seeds after meals D) take 30 ml of aloe vera juice and 30 ml of lukewarm water at night before sleep...Do all these things for 15 days ..it gives you good result..consult to me for further suggestions..THANKS….
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I am suffering fro hypothyroid and ht since 25 years treating with allopathy medicine now a day my ht is not controlled it suit up some time 210/122 what can I do pl advise.

BHMS
Homeopath,
I am suffering fro hypothyroid and ht since 25 years treating with allopathy medicine now a day my ht is not controll...
Taking hypothyroid medicine fr long can be harmful fr health..soo I think u need to do proper homeopathic treatment.by proper homeopathic treatment ur thyroid problem will be cure permanently...walk regularly..
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Sir I am diabetic aged 49 I am always maintaining between 140- 225. How to bring to normalcy and what type of food I have to take.

B.H.M.S
Homeopath, Patna
Take ultraono graphy of whole abdomen and send to lybrate. May be fatty lier. So treatment hould be done accoring to repot.
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Being a patient of SLE how much sugar I should have. I like sweets. Anything that can be a substitute. Anything beside sugar that can be healthy and put it in tea or milk.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Being a patient of SLE how much sugar I should have. I like sweets. Anything that can be a substitute. Anything besid...
if you have only sle, then there is no restriction on sugar intake. But some times because of steroid therapy there is possibility of increase in the blood sugar or diabetes may have set in. So check your blood sugar if it is normal then there is no reason to worry. There are a number of substitutes for sugar like sucralose, this is good one. It can be used even in making various preparations.
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My eye sight has become very weak within 2 months. My number is 1.25 and sugar is low. What tests should I do and why is this happening. Please tell me.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
My eye sight has become very weak within 2 months. My number is 1.25 and sugar is low. What tests should I do and why...
Hello Please don't worry This 1.25 is for near and this is normal This is known as presbyopia This is unrelated to sugar
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I already gone for LFT and I do not take alcohol Apart from this my RBC is 6.11 and Total bilirubin is 1.7 mg/dl Uric acid is 7.4 mg/dl. SGPT is 83 and SGOT 42. Please advice what should i do?

PDDM, MHA, MBBS
General Physician, Nashik
I already gone for LFT and I do not take alcohol Apart from this my RBC is 6.11 and Total bilirubin is 1.7 mg/dl Uric...
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
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Hello sir/madam. My elder sister has 31 year only and she is suffering from type-2diabetes melitus and also have thyroid problem i. E increase in t3 &t4. Some time she have saviour chest and stomach pain and also have gastric and acidity problem. So please kindly tell sir/madam if any problem is there? Nd please give some suggestion about it.

MBBS
General Physician, Mumbai
Hello sir/madam. My elder sister has 31 year only and she is suffering from type-2diabetes melitus and also have thyr...
We need to control sugar levels with medication exercise and following a diabetic diet and for pain take tablet paracetamol 650 mg and avoid spicy food in your diet and also avoid peanuts and potatoes in your diet.
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Hello Doc, My age is 24 and weight is 75. Due to my overweight body I get pain in my joints and I get tired often after 1 hour of work or so. I was very active before some months but nowadays I feel fatigue. Also my sugar level has gone significantly up. Today without eating anything it came around 150. What to do.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello Doc,
My age is 24 and weight is 75. Due to my overweight body I get pain in my joints and I get tired often aft...
It appears that you have t2 diabetes, which needs regular treatment. From your info it is not clear if you are taking any treatment now. Your bmi is 29.29kgs /m2 which means your excessively overweight. Increased weight also increases blood sugar level as fat in the body opposes insulin action (insulin resistance). If you are not on antidiabetic treatment then please start taking anti diabetic drugs immediately. Apart from treatment you also have to work towards reducing the weight. Your ideal body weight should be 54 kgs. Which means you have 21 kgs extra. Please take all necessary action right away.
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I am 17 years old. And I have a weight of 98 kg. Please suggest me some ways to reduce it. Is this any symptom of thyroid or any other disease?

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
I am 17 years old. And I have a weight of 98 kg. Please suggest me some ways to reduce it. Is this any symptom of thy...
Dear lybrate user with the limited amount of information provided it appears that you are concerned about your weight. For a successful weight reduction it is essential that you should start exercising 30-45 min on a regular basis and should have strict diet which is low in carbohydrate and high in fibre. Right now difficult to say without testing what you could be suffering from. So if in doubt then get yourself tested. Hope that solves your query. Anything more then please feel free to revert.
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My daughter suffering from thyroid last 2yrs, his age on 11yrs, so pl suggest me which medicine take in homeopathic.

Diploma - Diploma - OLO - Rhino-Laryngology
Acupuncturist, Indore
My daughter suffering from thyroid last 2yrs, his age on 11yrs, so pl suggest me which medicine take in homeopathic.
U need to specify the type of thyroid you have go to endocrinologists for proper treatment n then after contact me to learn acupressure to correct it from root.
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I have thyroid problem due to which my neck has swollen I am going to get married next month my age is 24 years will I face any problem in pregnancy can medicine help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have thyroid problem due to which my neck has swollen I am going to get married next month my age is 24 years will ...
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. IT affect also pregnancy. do not worry take medicine on time and when all hormones are normal you can conceive ....
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Whether type-i diabetes (juvenile diabetes) can be cured? if yes let know the curriculum of such patients who are cured and the time duration and cost of treatment

Pediatrician, Pune
Type 1 diabetes is condition when body cannot produce insulin on its own, it has to be supplemented to the body by giving insulin injections though out life, children can not be cured but they can lead near normal life with supplementation of insulin and maintaining normal blood sugar levels.
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When should I get checked for my thyroid for normal results if I am taken an ipill. After how many days does the hormone level comes back to normal. thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr Zishan, If treatment for hypothyroidism has been started then after 6 weeks one should check TSH levels to see if levels have come to normal or if there is any need to increase the dose of thyroxine being taken. This treatment has to continue for life time. There is no way to stop it .
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