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ANBU CLINIC

Endocrinologist Clinic

#7, Lattice Bridge Road, Chennai Chennai
1 Doctor
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ANBU CLINIC Endocrinologist Clinic #7, Lattice Bridge Road, Chennai Chennai
1 Doctor
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Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and fin......more
Our goal is to provide a compassionate professional environment to make your experience comfortable. Our staff is friendly, knowledgable and very helpful in addressing your health and financial concerns.
More about ANBU CLINIC
ANBU CLINIC is known for housing experienced Endocrinologists. Dr. Hema, a well-reputed Endocrinologist, practices in Chennai. Visit this medical health centre for Endocrinologists recommended by 99 patients.

Timings

MON-SAT
11:00 AM - 04:30 PM

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#7, Lattice Bridge Road, Chennai
Chennai, Tamil Nadu
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Dr. Hema

Endocrinologist
Available today
11:00 AM - 04:30 PM
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My mother has been suffering from diabetes for the past 15 years. She has to take insulin and medicines everyday as prescribed by doctor. Because of which her blood sugar level goes below normal on certain occasions. But today, it dropped to 37 mg/dl, which has never happened before. She was feeling very weak for sometime and took some glucose after that. Please Doctor, let me know what should be done to avoid such situations in future.

m.b.b.s,, F.D.R.C.
Endocrinologist, Raipur
My mother has been suffering from diabetes for the past 15 years. She has to take insulin and medicines everyday as p...
If she is not taking food at the proper time after taking insulin also one reason, apart from that if she is taking more dose she can have hypoglycaemia. In such a case you check blood sugars before breakfast and before lunch and before dinner for one or two days and you can find out which time sugar is high and which time it is very normal or low, accordingly you can increase or decrease the dosage of insulin. So keep in mind and also always keep some easily digestible food, if you get low sugar symptoms you can take some amount of food, you can prevent hypo. All the best.
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I am on Thyronorm 12. 5 mcg for 4 years. Recently when the TSH was not in range (6.67) so I increased the dose to 25 mcg. After 90 days the TSH is <0.01uIU/ml and T4 is 13. 5ug/dl. Should I stop taking Thyronorm now?

m.b.b.s,, F.D.R.C.
Endocrinologist, Raipur
Yes you can stop for a month, then check tsh if it is more than 6 then start with 12. 5 mcg then after a month check tsh, then decide.
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What are the common symptoms of thyroid and is it true that once we get thyroid we must take tablets till death? Tell me about top foods to balance female hormones.

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
Common symptoms of Hypothyroidism are - Low energy, weight gain, hairfall, dry skin, depression, irregular mensus, constipatiom, etc.It is important to realize that in young girls, hypothyroidism may lead to PCOS, infertility, miscarriage, pregnancy diabetes, fetal issues. Most cases need Thyroid supplementation long term / life long. Regarding top foods to balance female hormones, the list is long. It is better to customize foods to your specific requirement.
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Diabetes and Depression: Coping With The Two Conditions

MBBS
Diabetologist, Jabalpur
Diabetes and Depression: Coping With The Two Conditions

According to most experts, depression and diabetes have been intricately connected in a vicious cycle. While the prolonged and sustaining nature of diabetes directly makes one vulnerable to the bouts of depression, doctors tend to locate traces of depression in the family history of an individual in order to diagnose the roots of diabetes. It won't be too far-fetched to state that both causes as well as affects the other.

If you have diabetes, either type 1 or type 2, you have an increased risk of developing depression. And if you're depressed, you may have a greater chance of developing type 2 diabetes. The good news is that diabetes and depression can be treated together. And effectively managing one can have a positive effect on the other.

How Diabetes and Depression Correlated?                    
There are myriad ways in which diabetes affects depression and vice versa.

Firstly, tackling such a long drawn disease and its various pitfalls might cause a lot of anxiety to one and lead to depression. Whereas on the other hand, depression reduces the zeal to live and thus results in poor lifestyle choices which in turn causes weight gain, unhealthy food habits, physical inactivity. As we are well aware, all these have the potential to wreak havoc for any patient of diabetes. 

Similarly, diabetes ushers in various other health complications, adversely impacting one's productivity. This may cause depression in a lot of people. 

On the flipside, depression impedes one's ability and enthusiasm to work or communicate, this in turn intervenes with one's monitoring of diabetes. Since these two extremely malevolent diseases have such close connections, medical science recommends ways to grapple with both. The rigors of managing diabetes can be stressful and lead to symptoms of depression.

Diabetes can cause complications and health problems that may worsen symptoms of depression.

Depression affects your ability to perform tasks, communicate and think clearly. This can interfere with your ability to successfully manage diabetes.

Treatment: Depression is just like any other illness, it can be treated. Treatment can lift the depression and improve diabetes control.

Looking after your diabetes will help decrease the risk of getting depression. If you already have depression, good diabetes management will help lessen the negative impacts it can have. Depression is no different to any of the other complication of diabetes. It is a genuine illness for which you need to seek help and support from health professionals.

The treatment for depression and diabetes involves a coordinated approach that monitors both diabetes control and the symptoms of depression. It is about finding the treatment that works best for each person. For example, people with diabetes and mild depression may find that regular physical activity improves depressed moods and also helps control blood glucose levels.

Helping Yourself.

If you suspect you might have depression, take control of your health by:

  • Going to a doctor or other health professional
  • Getting involved in social activities
  • Engaging in regular moderate physical activity
  • Learning about depression and diabetes
  • Very particular about medicines prescribed for Diabetes
  • Eating healthily and including a wide variety of nutritious foods
  • Achieving and maintaining healthy weight
  • Limiting your alcohol intake
  • Getting help, support and encouragement from family and friends
  • Asking your doctor to check your blood pressure, cholesterol and blood glucose levels

type diabetes

1 person found this helpful

Infertility - Causes And Treatment

MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Infertility - Causes And Treatment

Infertility

I am a Type 2 diabetic patient and have been consuming half tablet of galvusmet 50/1000 two times a day. Few days before I checked liver and PGOT levels were thrice of normal levels.

BHMS
Homeopath, Asansol
I am a Type 2 diabetic patient and have been consuming half tablet of galvusmet 50/1000 two times a day. Few days bef...
Yes definitely problem is there please come today my online clinic for complete solution for time being CARDUS MER Q 20 DROPS TWICE DAILY.
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I am confused about my medical condition. I was a thyroid patient 12 years back. For the past 9y rs my thyroid is coming normal without any medications. My present reports are TSH is 2.602,FT4is 0.79 and FT3 is 3.13.Let me know whether I am suffering from thyroid or not. Secondly my RA Quantitative is28. 84 IU/ml whereas my anti ccp is less than 0. 50 and uric acid is 4.2 and esr is 14 mm. Pl. Let me also know whether l am suffering from rheumatoid arthritis.

DNB FORENSIC MEDICINE, MD FORENSIC MEDICINE, MBBS
Internal Medicine Specialist, Delhi
I am confused about my medical condition. I was a thyroid patient 12 years back. For the past 9y rs my thyroid is com...
Hi there. Your TSH, FT3, FT4 all are within normal limits. No need of any concern. You are not suffering from thyroid illness. Your thyroid is still normal after 9-10 years. Your RA quantitative is raised, while your anti-CCP is within normal limits. Uric acid is normal and ESR is either normal or borderline depending upon which type it is. Again, no need of any concern. As far as treatment for Rheumatoid Arthritis is concerned, you may or may not require treatment depending upon your symptoms. As a rule, we treat patients, not reports. So, if you have symptoms or signs of R.A. You might need treatment. Otherwise, not. I have special interest in Rheumatoid illnesses and have acquired good experience in treatment of these conditions. Feel free to consult in case you require further help. All the best .and have a great day.
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I have hashimoto thyroiditis. My antibody tpo is 533. Is taking supplement like zinc and selenium will help to reduce antibodies. Diet will also play a role to control antibodies or not.

MBBS, MS - ENT
ENT Specialist, Faridabad
I have hashimoto thyroiditis. My antibody tpo is 533. Is taking supplement like zinc and selenium will help to reduce...
Hashimoto thyroiditis is an autoimmune disease, that means your body produces antibody against your own thyroid tissue. Zinc and selenium are minerals with minimal immunomodulator action, diet has nothing to do with it.
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Is the diabetic vaccine true? Can my mother who is 70 year use the diabetic vaccine and benefit from it?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Is the diabetic vaccine true? Can my mother who is 70 year use the diabetic vaccine and benefit from it?
lybrate-user, Thanks for the query. There are some studies going on since many years for developing a vaccine for T1 diabetes, however, still there no success. Now the expectation is by 2018 there may be a possibility of introduction of such a vaccine. For T1 DM but at present there is no vaccine. Plus for T2 diabetes there is possibility of that at all. Thanks.
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I am age of 43 using janumet 50/500, earlier I used gilmipride1 with metformin 500 my glucose levels are ok my doctor ask me change the medicine is it the above changed medicine is ok? Which is good medicine?

MD - Medicine, MBBS
Endocrinologist, Delhi
I am age of 43 using janumet 50/500, earlier I used gilmipride1 with metformin 500 my glucose levels are ok my doctor...
If hba1c is below 7 then continue same dose.any Diabetes Medicine is good if it’s controlling your sugars without side effects
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Hi. My HbA1C level is 6.7.Fructosamine levels are also elevated. Im not currently on any anti-diabetic medication. What should I do now?

MBBS
General Physician, Greater Noida
Hi. My HbA1C level is 6.7.Fructosamine levels are also elevated. Im not currently on any anti-diabetic medication. Wh...
Lab: lipid profile liver function test complete haemogram hba1c b sugar f, pp ecg Prescription: 1. Diet- stop oily, spicy and fast food 2. Avoid red meat 3. Plenty of water, warm water in morning 4. Green tea 5.almonds, green vegetables, salads, fruits 6. Jamun powder 7. Yoga and daily walk 30 min 8. Weight and bp monitoring biweekly 9. Review after 2 week.
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I am taking glycomet 1 twice daily and my sugar level Fasting 110 and pp is 190 should I change medicine or keep it continue.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am taking glycomet 1 twice daily and my sugar level Fasting 110 and pp is 190 should I change medicine or keep it c...
Hello, Thanks for the query. The glucose levels mentioned are fairly good. Ideally fasting should be < 100 mg & PP 150 to 160 mg. These levels can be achieved by altering your diet and increasing the amount of daily exercise that you are doing. There is no need to change the medication. Thanks.
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Hi I took a Thyroid test yesterday and the results were as below T3 came out to be 1.24, T4 1.87 and TSH 1.47. T3 and TSH is within the safe limits but TSH is too low. What could be the reason? Is it something to worry about? Please help.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi
I took a Thyroid test yesterday and the results were as below T3 came out to be 1.24, T4 1.87 and TSH 1.47. T3 and...
lybrate-user, Thanks for the query. Your thyroid test results are absolutely normal. TSH range is 0.3 to 5.5 mU/L. In some labs it is shown as 0.4 to 4.5 mu/L. Therefore 1.47 mU/L is within the normal range. There is no reason to worry. Thanks.
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Doctor Ji, Blood sugar range as per lab, fasting is 100 mg % (Normal Rage 60-110 Mg%) and Postprandial is 144 mg% (Range as per report 80-150 mg%. And as per electronic sugar checker is showing pasting 154 post 165. This is for my mother's report aged about 74 yrs. Dosage is Melmet SR 500 mg Tab, 1 tab for morning and 1 tab for night. Is it required to continue the same dosage or any advise for the same.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Doctor Ji, Blood sugar range as per lab, fasting is 100 mg % (Normal Rage 60-110 Mg%) and Postprandial is 144 mg% (Ra...
lybrate-user, Thanks for the query. The blood glucose levels (fasting 199 mg & PP 144 mg) are quite good. The other levels mentioned (fasting 154 mg) is high but PP 165 mg is good. The blood glucose levels from venous blood are about 11% lower than those from capillary blood (glucometer). Please check the HbA1c%, it should be <7 % or so. Which means her diabetes is under good control. There is no need to change any medication. Thanks.
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Type 1 diabetes, medication is novapaid 16-16-16 and lantus 26-28, even though I am getting g sugar level ranging from 240-280.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bijapur
Type 1 diabetes, medication is novapaid 16-16-16 and lantus 26-28, even though I am getting g sugar level ranging fro...
Switch on to ayurvedic medicine where you can control blood sugar level significantly. Take tab goranchi 1-1-1 before meals.
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Sir my sugar level fasting 213 in six months back and at present (just control food- without any medicine 177). Is it necessary to take any medicine to control my sugar level.

DHMS (Diploma in Homeopathic Medicine and Surgery), FWT (W.B)
Homeopath, 24 Parganas
Sir my sugar level fasting 213 in six months back and at present (just control food- without any medicine 177). Is it...
Hi Lybrate user if you not control your sugar immediately it can do damage your vital organ so take medecine immediately now you take neem (vestige com) it's very helpful to control sugar one capsule morning &one at evening so take care.
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How Ayurveda Is The Best Way To Treat Diabetes?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Noida
How Ayurveda Is The Best Way To Treat Diabetes?

Living with diabetes can be tough, the manifestation of the condition can significantly disrupt the normal routine. If you are looking at treatment options for diabetes, then know that Ayurveda can be of help, not just in managing the condition but by effectively curing it.

Diabetes is a chronic metabolic disorder where the body is unable to make the right usage of glucose because of insufficient production of insulin resulting in a high level of sugar in the blood. According to Ayurveda, diabetes is a disease in which a large quantity of turbid urine is frequently passed and can be cured using panchakarma therapy technique.

In Ayurveda, diabetes is known as 'Madhumeha' and is classified as a 'kapha' type of disorder. Ayurveda identifies 20 types of diabetes - 4 due to Vata, 6 results from Pitta, and 10 are caused by Kapha.

Causes

Factors that are often responsible for causing diabetes are excessive intake of foods which are difficult to digest, such as fried foods, creams, etc. Lack of exercise, mental stress and strain, excessive sleep, overeating and consequent obesity, excessive intake of sugar and refined carbohydrates, overloading of proteins and fats can also lead to diabetes. Hereditary factors also play role in causing diabetes.

Symptoms

  1. Fatigue
  2. Weight loss or weight gain
  3. Frequent urinary tract infections
  4. Blurred vision
  5. Excessive sweating
  6. Excessive thirst
  7. Excessive hunger
  8. Frequent urination in large quantity

Ayurvedic Remedies To Control Diabetes

There are several herbs which are found to be very effective in treating diabetes and lowering blood sugar level. The greatest advantage of these herbal diabetes medicine supplements are that they have no side effects. Given below is a list of some of the most effective diabetes treatment herbs-

  1. Bitter Gourd (Momordica charantia)
  2. Bael (Aegle marmelos)
  3. Gurmar Leaves (Gymnema sylvestrae)
  4. Fenugreek (Trigonella foenum graecum)
  5. Turmeric (Curcuma longa)
  6. Onion (Allium cepa)
  7. Nayantatra (Vinca rosa)
  8. Neem (Azadirachtha indica)
  9. Garlic (Allium sativum)
  10. Sagar gota (Ceasalpinia crista)

The Panchakarma Therapies for Diabetes

Ayurveda attempts to identify the symptoms appropriately and then takes to prevent the disease from progressing further. The treatment procedures in Ayurveda involves the use of herbal medicines, modifications in the diet, changes in the lifestyle to a healthy one and exercise that includes yoga and pranayama. Another most crucial step is the known as the Panchakarma, a procedure to purify the body.

1. Herbal Medicines: Ayurveda uses a number of herbal medicines like madhunashini, bilva, haridra, jambhulbeej, shilajit, kutaj, shuddha guggul, tulshi andaamlaki for effectively keeping the level of sugar in the blood under control so that it does not rise further thereby preventing diabetes from worsening.

2. Panchakarma: Panchakarma is the primary purification, and the detoxification treatment carried out by Ayurveda for the cure of diabetes. The procedures used in panchakarma are, abhyanga swedan, basti, and vierchena. The diabetic patients can be highly benefitted by relaxing effects from the abhyanga therapy. It involves massage using pre-medicated herbal oils. It also helps in the reduction of stress and muscles at the same time which results in a sense of well - being. Swedan is an herbal steam bath that opens the pores for flushing out the toxins and cleansing the body through the excreted sweat by the skin.

Basti involves the cleansing of the body through the rectum by the introduction of certain medicinal oils through the anal region under the supervision of an expert. Vierchena is a specially medicated purification therapy which helps in the removal of the toxins from the body of the affected individual that are accumulated in the gallbladder and the liver.

Thus, panchakarma is extremely useful in the maintenance of the proper level of sugar in the blood and at the same time play a crucial role in the prevention of further complications of the disease.

Ayurvedic Tips for Diabetes Cure

  1. The bitter gourd is regarded as the best remedy for diabetes. Drinking at least one tablespoon of bitter gourd juice daily will reduce blood sugar levels in your blood and urine.
  2. Having bitter gourd cooked in ghee for a period of three months will bring the diabetes down by a significant amount.
  3. A tablespoon of Indian gooseberry juice mixed with a cup of fresh bitter-gourd juice, taken daily for two months will enable the pancreas to secrete insulin.
  4. Drinking a glass of water with 10 tulsi leaves, 10 neem leaves and 10 belpatras early morning on an empty stomach helps in keeping sugar levels under control.
  5. Mix and grind seeds of Fenugreek (100 gm), turmeric (50gm), white pepper. Take one teaspoon of this powder with a glass of milk twice daily.
  6. Put one cup of water into a copper vessel at night, and drink the water in the morning.

Diabetes Lifestyle

  1. Avoid sleeping during daytime
  2. Avoid smoking
  3. Take adequate eye care
  4. Do exercise regularly
  5. Take extra care of your foot

In Ayurveda, the body is made up of three doshas - kapha, vata, pitta and gunas - rajas, tamas and satva. The various techniques that Ayurveda recommends to improve your wellbeing are -

  • Meditate regularly
  • Exercise on a regular basis
  • Eat the largest meal during lunch
  • Limit portion sizes
  • Weed out negative emotions
  • Limit foods that are high in sugar
  • Be careful about when and how many carbohydrates you eat
  • Eat a variety of whole-grain foods and vegetables every day
  • Eat less fat
  • Limit your use of alcohol
  • Use less salt
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Diabetes - How Best It Can Be Controlled?

PDDM, MHA, MBBS
General Physician, Nashik
Diabetes - How Best It Can Be Controlled?

Diabetes might not be the end of the road for you. While it is a chronic disorder, there are a number of steps you can take to minimize its effects. Before that you should know what diabetes is and its various types.

What is diabetes?

Diabetes is a metabolic disorder where the sugar in your blood is not metabolized by the body. This leads to a situation wherein sugar accumulates in your blood; this condition is known as high blood sugar. Now this can happen in two ways:

  1. Type 1 Diabetes: In this type, the beta cells of the pancreas that produce insulin (hormone that metabolizes sugar) are destroyed by the immune system of the body. This leads to reduction in insulin levels, causing blood sugar to shoot up.

  2. Type 2 Diabetes: Type 2 diabetes is a condition wherein the body cannot effectively utilize the insulin to metabolize sugar. This again leads to accumulation of sugar in the blood.

Apart from these two types, there is a third type that is known as ‘gestational diabetes’. Gestational diabetes occurs during pregnancy wherein the body produces hormones that inhibit insulin.

Now that you know the various types of diabetes, it is time to focus on the preventive measures. The various tips for high blood sugar level are:

  1. Steer Clear of Sugar: Think of sugar as your enemy, as it is something that you have to stay away from. Sugar will only add to the high blood sugar content that you are already diagnosed with.

  2. Welcome whole grains with open arms: Refined grains are a big no; that means no more of those delicious white bread sandwiches. Instead, opt for whole grains such as brown bread, brown rice and oats. Refined grains come under simple carbohydrates that cause your blood sugar levels to shoot up.

  3. Avoid over consumption of fruits: While fruits are healthy, they do contain fructose which is again, a form of sugar. So, yes eat them but limit their consumption to one serving a day.

  4. High time you realize nothing substitutes exercise: Regular exercise can help you burn calories and also keep your blood sugar levels low. It allows you to maintain healthy weight levels and improves your overall wellbeing.

  5. Take no stress: Stress has been shown to increase blood sugar, so if you are feeling stressed and can’t seem to get out of with, take steps to deal with it. Practice relaxation techniques such as meditation that can help you reduce stress and improve focus.

Type Diabetes

Hypothyroidism: 5 Foods To Avoid

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Surat
Hypothyroidism: 5 Foods To Avoid

The thyroid is a small gland located on the neck. When the thyroid gland functions normally, it is easy to ignore it but an underactive or overactive thyroid gland can cause a number of problems. An underactive thyroid gland is known as hypothyroidism. In this case, the gland does not produce enough thyroid hormone. This, in turn, lowers metabolism. Your diet plays a large role in influencing the functioning of the thyroid gland. Some of the foods you should avoid in cases of hypothyroidism are:

Cruciferous Vegetables
This includes vegetables such as cabbage, bok choi, kale, sprouts, and broccoli. These vegetables restrict the thyroid’s ability to absorb iodine which in turn lowers the functionality of the thyroid gland. While you do not need to completely avoid these vegetables, you should restrict their intake to less than 5 ounces each day. Cooking these vegetables can also help reduce their effect.

Soy
Soy products are rich in plant-based phytoestrogen. This hormone interferes with the body’s ability to use the thyroid hormone. It can worsen hypothyroidism and even increase the risk of hypothyroidism. However, this has not been scientifically proven and hence there are no specific dietary guidelines on how much should be eaten. To be on the safe side, consume soy products in moderation and avoid them whenever possible.

Fatty Foods
Hypothyroidism is yet another reason to avoid fatty foods. Fats interfere with the body’s ability to absorb thyroid hormone as well as thyroid hormone replacement drugs. It also lowers the production of thyroid hormone and thus aggravates hypothyroidism. Ideally, you should avoid fatty foods such as red meat, fatty fish, butter, mayonnaise etc. You should also avoid foods that are deep fried. Instead, try steaming or baking your food.

Sugar
Many dieticians refer to sugar as empty calories. These calories do not have any nutrients but can slow down the body’s metabolism rate. It also leads to weight gain that furthers aggravates hypothyroidism as well as other lifestyle disorders such as diabetes. Limit your sugar consumption to 1-2 spoons a day or try and eliminate it completely. You could also try replacing sugar with honey to sweeten your tea.

Excess Fiber
An excessive amount of anything including fiber can be detrimental to the body. Too much fiber can create complications in the treatment of hypothyroidism. Thus, you should not consume more than 35 grams of fiber a day. This can take the form of whole grains, legumes, fruits, vegetables, and beans.

I am 67 Year old male At Present My Thyroid is 3.25 BP 130/78 serum Creatinine 1.45 Uric Aid under normal value Fasting 86 I am experiencing slight swelling in lower legs during day time working hrs. Feeling some swelling of heaviness in calf and face, what could be the problem For BP Taking Tab Cilacar-20 of J B Chemicals.

m.b.b.s,, F.D.R.C.
Endocrinologist, Raipur
I am 67 Year old male
At Present My Thyroid is 3.25
BP 130/78
serum Creatinine 1.45
Uric Aid under normal value
Fasti...
You can take cilacar c for two weeks, reduce salt intake, keep your feet at foot rest_elevate your foot while sitting, after 2 weeks check s.creatinine, once everything settled you can take plain cilacar.
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