Dr. Syeeda Ahmed

Mr. lybrate-user, Thanks for the query. Garlic can be taken by any body except one who has allergy to it. It is better to take it as a part of the diet. But most important is to achieve a strict blood glucose control with fasting < 100 mg, PP 160 to 170 mg & HbA1c% <7. Plus BP should be ideally maintained around 130 / 80 mm HG. Thanks.

Hello as per your query take protein rich diet.do yoga and meditation. avoid fried & spicy food. take ashwaghanda powder 1tsf bd with milk. Be happy.

Hi First: medicines are mandatory. Otherwise you might have weight gain, muscle ache, sleep and anxiety issues as well as gynaecological and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH If you have already done these tests Share on Lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio, weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs. Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements. Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption. Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines, diet and exercise. You will start better as the levels of your hormone normalises. Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months Diet /EXERCISE/Medicines/Sleep/meditation: 5 pillars of health needed to live the healthiest Hope this helps Let me know. Take care

Yes your new combination of diabetic medication is correct you continue that.

Modify your lifestyle, Do regular exercise , avoid stress. redo test after one month , informe report

Maintain proper sitting posture n neck position relative to screen your watching. Do some spine exercises to strengthen paraspinal muscles.

There are many medicine. It depends on your personal medical history. Your doctor will guide you through it.

It is well known that diabetic have a high incidence of erectile dysfunction and loss of libido. The meds you are taking for Hypertension and for controlling cholesterol also negatively impact the above mentioned symptoms. There is a high chance that you will alao be suffering from Low Testosterone levels. I treat such cases through a comprehensive assessment of your metabolic and hormone parameters and systemmaticallly improving the same through nutrient supplementation and Bioidentical Hormone Replacement Therapy. This along with structured diet and exercise and positive lifestyle changes. One of the goals would be to get you off statins. It would be unrealistic to ecpect you to be off anti-hypertensives but I would definitely try and mitigate its impact on sex drive and performance.

I will suggest you to eat nutritious home made food with adequate fluid intake and take physical rest and In a known case of diabetic we need to control sugar levels with medication , aerobic exercise and following a diabetic diet and few tips on diet - say no to maida items like toast , khaari ,naan ,white bread . can drink tea but without sugar and say no to Buffalo milk and can drink cows milk , can eat brown bread , can eat sprout’s , can eat green vegetables, can eat chappati ,bajra ka rotla can eat one katori of rice twice a day with dal and to avoid farsan food items and can eat fruits and say no to coconut water

lybrate-user ji, Thanks for the query. TSH 0.064 mU/L, shows that there is excess of thyroxine dosage. So it is necessary to reduce the dose by at least 12.5 to 25 mcg per day. Then check TSH after 6 weeks to see if TSH is within the expected normal range. Ideally it should be maintained around 3 to 4 mU/L. If you have any doubts please do come back. Thanks.