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Dr. Ranganath

Endocrinologist, Bangalore

Dr. Ranganath Endocrinologist, Bangalore
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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. Ranganath
Dr. Ranganath is a trusted Endocrinologist in Basaveshwara Nagar, Bangalore. He is currently associated with Jeevamrutha Diagnostics in Basaveshwara Nagar, Bangalore. Save your time and book an appointment online with Dr. Ranganath on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 25 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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#1, 1st Main, 1st Stage, KHB Colony, BasaveshwaranagarBangalore Get Directions
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My mom recently went to a gastrologist and he said she has "diffuse inflammatory gastritis" could you please explain what is this exactly?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mom recently went to a gastrologist and he said she has "diffuse inflammatory gastritis" could you please explain ...
Mr. Lybrate-user, diffuse inflammatory gastritis, means the mucous lining of stomach is inflammed, (becomes more red) and irritates, can go on to develop some ulceration. This most often happens due to excess acid production in the stomach. It can be treated by using ppis (omeprazole, rabeprazole etc) plus bland diet.
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My mother has thyroid and has swelling in her whole body and max in arms. She is fed of the pain in arms near shoulder she is taking homeopathic medicines for 3-4 years but till date she have not got relief. She has also pain in the joints of legs. Also every day she suffers from headache and digestive problems (like stomach pain resulting in vomitting after lunch) please tell a solution for this ?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
My mother has thyroid and has swelling in her whole body and max in arms. She is fed of the pain in arms near shoulde...
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Please get few blood tests done for her from a good lab like srl or Dr. Lal's pathology lab and get these tests done preferable empty stomach. Cbc, esr, crp, serum electrolytes, serum vitamin d levels and send the reports across to me so that I can see and advise you accordingly. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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I am diabetic and hypertensive. Undergone bypass surgery in2008. I on insulin and dia norm m and zylos am. My blood sugar is fluctuating. Pl. Suggest homeopathic medicine.

B.H.M.S
Homeopath, Patna
I am diabetic and hypertensive. Undergone bypass surgery in2008. I on insulin and dia norm m and zylos am. My blood s...
1.RAOULFIA Q / GYMNEMA Q/CRATAGUES Q / TAKE 5 DROP OF IN A GLASS OF WATER AT INTERVAL OF 1 HOUR TWICE DAILY FOR ONE MONTH 2. STAPHASGARIA 200 ONE DROP TWICE DAILY FOR 7 DAYS. EXPRESS IN DETAILES ABOUT YOUR SELF AND YOUR OTHER DISEASE PLEASE.
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I am 45 old male suffering from hypothyroidism. Now I am taking vit a, d &e suppliments along with minerals and feeling better. Should I use this suppliments for life time?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 45 old male suffering from hypothyroidism. Now I am taking vit a, d &e suppliments along with minerals and feeli...
Usually if one is taking good food (balanced diet), there is hardly any need for supplements. But if you are feeling good with those may continue with. All these three vitamins are fat soluble and get stored in the body, hence taking excess is not advisable. Where as bcomplex group and vitamin c are water soluble supplementing them regularly is unlikely to cause any difficulty. So you might take vit a, d & e for a few days and stop and then take again if required.
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I am a 46 years old male from New Delhi, India, non drinker. I had been diagnosed with Blood Sugar couple of years back, my blood glucose level are Fasting 224 and PP 360. I have been taking Ayurveda medicines for this. I have started walking 45 minutes a day. please help.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
I am a 46 years old male from New Delhi, India, non drinker. I had been diagnosed with Blood Sugar couple of years ba...
Although it is good that you have started regular walks, you need to start on allopathic medicines too. Also, check with your doctor about screening for any early complications of diabetes so that they can be controlled at an early stage. You would need a few blood and urine tests and also an eye checkup.
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She is suffering from uric acid and having swelling on feet as well as fingers what's the solution for this problem?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
She is suffering from uric acid and having swelling on feet as well as fingers what's the solution for this problem?
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed.
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My aunt is pregnant she also has diabetes. What to do now?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician,
My aunt is pregnant she also has diabetes. What to do now?
in pregnancy diabetes is managed with insulin as it doesnot harm fetus...get in touch with nearest endocrinologist/diabetologist with hba1c reports fasting and pp sugar reports to adjust the dosage of insulin
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I'm 19 years old suffering from hyperuricemia (9.3) so please help me to overcome from this.

MBBS, DFM, FID, CERTIFICATE COURSE IN EVIDENCE BASED DIABETES MANAGEMENT, Certificate Course in Management of Thyroid Disorders, Advanced Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease, M.MED
General Physician, Hyderabad
I'm 19 years old suffering from hyperuricemia (9.3) so please help me to overcome from this.
Hi high levels of uric acid in the blood cause crystals to form and accumulate around a joint. Uric acid is produced when the body breaks down a chemical called purine. Purine occurs naturally in your body, but it's also found in certain foods. Uric acid is eliminated from the body in urine. A gout diet may help decrease uric acid levels in the blood. While a gout diet is not a cure, it may lower the risk of recurring painful gout attacks and slow the progression of joint damage. Medication also is needed to manage pain and to lower levels of uric acid. Purpose A little history Gout has been associated for centuries with overindulgence in meats, seafood and alcohol. The condition was, in fact, considered a disease of the wealthiest people — those who could afford such eating habits. And long before the cause of gout was understood, doctors had observed some benefit of a restricted diet on gout management. For many years, treatment for gout focused on eliminating all foods that had moderate to high amounts of purine. The list of foods to avoid was long, which made the diet difficult to follow. Current understanding More recent research on gout has created a clearer picture of the role of diet in disease management. Some foods should be avoided, but not all foods with purines should be eliminated. And some foods should be included in your diet to control uric acid levels. The purpose of a gout diet today is to address all factors related to disease risk and management. Above all, the goals are a healthy weight and healthy eating — a message that applies to lowering the risk of many diseases. Diet details The general principles of a gout diet are essentially the same as recommendations for a balanced, healthy diet: Weight loss. Being overweight increases the risk of developing gout, and losing weight lowers the risk of gout. Research suggests that reducing the number of calories and losing weight — even without a purine-restricted diet — lowers uric acid levels and reduces the number of gout attacks. Losing weight also lessens the overall stress on joints. Complex carbs. Eat more fruits, vegetables and whole grains, which provide complex carbohydrates. Avoid foods such as white bread, cakes, candy, sugar-sweetened beverages and products with high-fructose corn syrup. Water. Keep yourself hydrated by drinking water. An increase in water consumption has been linked to fewer gout attacks. Aim for eight to 16 glasses of fluids a day with at least half of that as water. A glass is 8 ounces (237 milliliters). Talk to your doctor about appropriate fluid intake goals for you. Fats. Cut back on saturated fats from red meats, fatty poultry and high-fat dairy products. Proteins. Limit daily proteins from lean meat, fish and poultry to 4 to 6 ounces (113 to 170 grams). Add protein to your diet with low-fat or fat-free dairy products, such as low-fat yogurt or skim milk, which are associated with reduced uric acid levels. Recommendations for specific foods or supplements include the following: High-purine vegetables. Studies have shown that vegetables high in purines do not increase the risk of gout or recurring gout attacks. A healthy diet based on lots of fruits and vegetables can include high-purine vegetables, such as asparagus, spinach, peas, cauliflower or mushrooms. You can also eat beans or lentils, which are moderately high in purines but are also a good source of protein. Organ and glandular meats. Avoid meats such as liver, kidney and sweetbreads, which have high purine levels and contribute to high blood levels of uric acid. Selected seafood. Avoid the following types of seafood, which are higher in purines than others: anchovies, herring, sardines, mussels, scallops, trout, haddock, mackerel and tuna. Alcohol. The metabolism of alcohol in your body is thought to increase uric acid production, and alcohol contributes to dehydration. Beer is associated with an increased risk of gout and recurring attacks, as are distilled liquors to some extent. The effect of wine is not as well-understood. If you drink alcohol, talk to your doctor about what is appropriate for you. Vitamin C. Vitamin C may help lower uric acid levels. Talk to your doctor about whether a 500-milligram vitamin C supplement fits into your diet and medication plan. Coffee. Some research suggests that moderate coffee consumption may be associated with a reduced risk of gout, particularly with regular caffeinated coffee. Drinking coffee may not be appropriate for other medical conditions. Talk to your doctor about how much coffee is right for you. Cherries. There is some evidence that eating cherries is associated with a reduced risk of gout attacks. A sample menu Here's a look at what you might eat during a typical day on a gout diet: Breakfast Whole-grain, unsweetened cereal with skim or low-fat milk 1 cup fresh strawberries Coffee Water Lunch Roasted chicken breast slices (2 ounces) on a whole-grain roll with mustard Mixed green salad with balsamic vinegar and olive oil dressing Skim or low-fat milk Water Afternoon snack 1 cup fresh cherries Water Dinner Roasted salmon (3-4 ounces) Roasted or steamed green beans 1/2 cup whole-grain pasta with olive oil and lemon pepper Water Low-fat yogurt 1 cup fresh melon Caffeine-free beverage, such as herbal tea Dos and do nots Uric acid: Manage high uric acid with nutrition tip #1 High-fibre foods According to the University of Maryland Medical Center, adding foods high in dietary fibre may help lower uric acid levels in your blood. Dietary fibre may help absorb uric acid in your bloodstream, allowing it to be eliminated from your body through your kidneys. Increase the consumption of dietary soluble fibres such as Isabgol, Oats, Spinach, Broccoli to name few. Uric acid: Manage high uric acid with nutrition tip #2 Cold-pressed olive oil Use cold-pressed olive oil in cooking instead of shortening, butter or vegetable oils. Oils that have been subjected to heat or processing turn rancid quickly. Rancid fats destroy vitamin E in your body - this vitamin is necessary for controlling uric acid levels. Olive oil helps you avoid the production of excess uric acid, which is associated with the consumption of rancid fats. Uric acid: Manage high uric acid with nutrition tip #3 Take in a healthy dose of vitamin C To help reduce the amount of uric acid in your system, regularly taking 500 milligrams of vitamin C will decrease your uric acid levels in a month or two. Uric acid: Manage high uric acid with nutrition tip #4 Avoid bakery products Avoid cakes, pastries, cookies and other sugary delights which are rich in saturated fats and trans fats. Uric acid: Manage high uric acid with nutrition tip #5 Celery seed extract This is also a popular natural remedy for gout and uric acid problems. The seeds of the celery plant have long been used to treat gout, rheumatism and arthritis. Celery possesses sedative, antioxidant and mild diuretic action and is considered a urinary antiseptic. In rare cases, this herb is also used to treat sleeplessness, anxiety and nervous breakdown. Although the seeds of this plant are often used in herbal supplements, the roots may also be used. Uric acid: Manage high uric acid with nutrition tip #6 Antioxidant-rich foods Fruits and vegetables such as red bell peppers, tomatoes, blueberries, broccoli and grapes are rich sources of antioxidant vitamins. Antioxidants which are vitamins that prevent free radical molecules from attacking your organ and muscle tissue cells may help lower uric acid levels. Uric acid: Manage high uric acid with nutrition tip #7 Cherries Cherries contain chemical compounds that may help neutralise uric acid allowing your body to eliminate this acid as waste. Some researchers recommend consuming 30 to 40 cherries every four hours during an attack. Uric acid: Manage high uric acid with nutrition tip #8 Apple cider vinegar It is believed that raw, apple cider vinegar can help alleviate high uric acid levels by changing the pH values of your blood. But it has to be raw, un-distilled, un-pasteurised apple cider vinegar; the kind you get from your local health food store. Dr. Sharad advices a simple home remedy" Add 2 teaspoons of vinegar to a large glass of water and stir thoroughly. Drink a glass between 2 and 3 times every day. You can also use it topically: half a cup added to three cups of hot water and soak the affected area for 30 minutes. Reheat and repeat as necessary. Uric acid: Manage high uric acid with nutrition tip #9 Saturated fat, trans fat, sugar and alcohol All these affect your triglycerides, a type of fat that can clog your arteries and increase your risk for heart attacks and strokes. Uric acid: Manage high uric acid with nutrition tip #10 High-fructose corn syrup This is a type of sweetener in soft drinks and other processed foods that can elevate your levels of triglyceride and uric acid - a chemical associated with diabetes, gout, alcoholism, kidney disease and other health problems. Uric acid: Manage high uric acid with nutrition tip #11 Drink plenty of fluids to help flush uric acid from your body Drink a minimum of 3 and 1/2 liters of water daily. Water is a medium that aids the kidney to'strain' the impurities from your body. Uric acid: Manage high uric acid with nutrition tip #12 Also avoid high-protein weight-loss diets which can cause you to produce too much uric acid (hyperuricemia). Uric acid: Manage high uric acid with nutrition tip #13 Limit meat, poultry and fish - animal proteins are high in purine and this will result in high uric acid levels in the body Uric acid: Manage high uric acid with nutrition tip #14 Limit or avoid alcohol Alcohol interferes with the elimination of uric acid from your body. Drinking beer in particular has been linked to gout attacks. If you are prone to uric acid attacks, limit alcohol consumption to one drink three times a week. Uric acid: Manage high uric acid with nutrition tip #15 Choose complex carbohydrates Eat more whole grains, fruits and vegetables and fewer refined carbohydrates such as white bread, cakes and candy. Because foods rich in complex carbohydrates promote feelings of fullness, and prevent overeating and are useful in maintaining a healthy weight. SEE VERY GOOD SENIOR ORTHOPEDICIAN.
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I am taking tipride 2 for diabetes, i am going to change to generic tablets, contents of both or same, but rate are different its good, no side effects in generic.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am taking tipride 2 for diabetes, i am going to change to generic tablets, contents of both or same, but rate are d...
no side effect in generic but generic ones re less effective in action ..so think before switching medications
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Sir I am suffering from type 2 diabetes from last 16 years and so my treatment also but I see no change in my sugar level, I use 15 ml insulin at night and 26 ml at morning and also takes some medicines like zomat-th , please tell me what would be best medication and diets from me if nothing else my sugar can be controlled.

MBBS
General Physician, Cuttack
Sir I am suffering from type 2 diabetes from last 16 years and so my treatment also but I see no change in my sugar l...
1. Do regular aerobic exercise for 1 hour daily (brisk walking, jogging, running, swimming, cycling etc) 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly 6. Consult diabetologist for advice and treatment.
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My uncle had sugar problem . Sugar level 450 .he's age 51 . How to control sugar .

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My uncle had sugar problem . Sugar level 450 .he's age 51 . How to control sugar .
Mr. Lybrate-user, blood glucose level of 451 mg is too high. It is better to use insulin injections to control that level. Otherwise there can be very severe complications related various organs. Oral drugs may not be benefiting much. Thanks.
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What are the symptoms of diabetes and how it's spread and why and how we save from diabetes?

MBBS
General Physician, Mumbai
What are the symptoms of diabetes and how it's spread and why and how we save from diabetes?
Increase in appetite and thirst with increase in urine output is a typical symptom of diabetes and in a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet.
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I am suffering from thyroid. And my weight is increasing day by day. Could you help me out in this?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Take proper medicines time to time. Test thyroid every 3 to 6 months. Go for morning walk daily. Eat fatless.
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My friend has hypothyroidism. They found it when she was at the age of 14. Now she is 18. She is taking thyronorm 125 mcg. Can she donate blood?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My friend has hypothyroidism. They found it when she was at the age of 14. Now she is 18. She is taking thyronorm 125...
a person with hypothyroidism taking thyroxine can donate blood without any difficulty. Hence your friend can definitely do that.
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My grand father and my mom are suffering with diabetes will it come with jeans and if yes how to take prevention actions.

MBBS, DNB, pg certificate in diabetes management
General Physician, Kolkata
My grand father and my mom are suffering with diabetes will it come with jeans and if yes how to take prevention acti...
From grandparents you can get a type of diabetes called mody (less serious) at a younger age upto 25 years roughly. From mother more common is type 2 diabetes. Check your idrs score (from net you type idrs risk score) for probability of diabetes. Check hba1c value whether you are prediabetic or not (5.7-6.4), normal <5.7. Control obesity if you are obese because that is the main culprit by eating healthy, doing active exercise. Don't think too much. Stay healthy.
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I am 35 years old my left feet is painful when I am walking for I have went to doctor he suggested for blood test the result is diabetes 249 after food. What dite should I take?

BHMS
Homeopath,
I am 35 years old my left feet is painful when I am walking for I have went to doctor he suggested for blood test the...
Dear lybrate user, one of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Muscle cells utilise the glucose molecules to release energy by breaking down those glucose molecules. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. The failure of utilisation of the glucose molecules by the muscle cells results in production of less energy than normal condition. This is externally manifested as the fatigue & tiredness of the patient. This excess amount of blood sugar compels the kidney to function more than normal level in order to excrete the blood sugar molecules through urine. As a result the patient suffers from frequent urination. This abnormal condition is clinically known as diabetes mellitus. Once a patient is diagnosed with diabetes he has to take regular medicine to keep his blood sugar level within normal limits. However, the patient does not need to take medicine unless his/her post. Prandial blood sugar level reaches 200. If post. Prandial blood sugar level reaches 200 then patient can take homoeopathic mother tincture gymnema sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Along with intake of medicines the patient need to walk at least 1 hour daily without any interval. In order to decrease the intake of carbohydrate in diet the patient should avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.
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I am male and my age is 35 years. My problem is hypertension, acidity. My uric level 6.6/7 and BP level 150/110. Please inform to me that hyper level uric acid cause hypertension?

MBBS
General Physician, Faridabad
I am male and my age is 35 years. My problem is hypertension, acidity. My uric level 6.6/7 and BP level 150/110. Plea...
Uric acid upto 7 is normal. Reduce salt intake, drink 3-4 lt of water daily, morning walk daily for 1 hr, it will help or we have to change med. Welcome.
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Dietician said to eat 35gm paneer daily for my dad, he is diabetic and early CKD patient and on low protein diet. Is that ok? Or we should avoid milk n paneer.

Diploma in Diabetology, DNB (General Medicine)
Endocrinologist, Mumbai
Dietician said to eat 35gm paneer daily for my dad, he is diabetic and early CKD patient and on low protein diet. Is ...
Hi as the dietician as recommended a diet after assessing the body weight and other medical issues then it is ok milk has first class protection be for vegetarians hence it is a good source of proteins.
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Hi doctor my current TSH is 6.5 and T3 and T4 are normal, I have been taking thyrox 50 mg for last 5 months, I started this medicine when my TSH vale was 10, two months back it was 4.5 but now again it has increased and reported at 6.5 T3 and T4 are normal please suggest further action plan thanks a lot in advance, I am also observing hair thickness and falling issue from one month.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi doctor my current TSH is 6.5 and T3 and T4 are normal, I have been taking thyrox 50 mg for last 5 months, I starte...
Mr. lybrate-user, When on treatment for hypothyroidism, it is necessary to bring TSH down to 3 to 4 mU/L, then only one will be freem from all the troublesome symptoms. Hence, if TSH is 6.5 mU/L, then it should be reduced to the value mentioned above. Therefore, there is a need to increase the dose of thyroxine being taken now. After increasing the dose TSH should be checked 6 weeks later to see if desired level is reached. Thanks.
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I have sugar problem I have tried many medicines but it doesn't work. Can you tell how can it be cured.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have sugar problem I have tried many medicines but it doesn't work. Can you tell how can it be cured.
lybrate-user, First thing you have to understand is that, diabetes can only be well controlled with proper medication, strict diet intake and regular exercise with weight maintenance. There is NO CURE. Therefore, only alternative is to take most appropriate treatment that suits your condition. There are plenty of medicines available, which help in excellent control of blood glucose. Almost all the patients of diabetes are well controlled and that too for lifetime with proper treatment. If the disease is not controlled properly, then it affects almost every single vital organ in the body causing serious long term complications. So if you want any specific suggestion or treatment advice please come in a private conversation with following details: Fasting, PP blood glucose levels (current), HbA1c%, weight and height, diet pattern and extent of daily exercise and details of drugs being taken with dosage. Then I will be able to give specific guidance. Thanks.
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