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Dr. A.L. Narayanan  - Cardiologist, Chennai

Dr. A.L. Narayanan

MD - General Medicine, DM - Cardiology

Cardiologist, Chennai

38 Years Experience  ·  400 - 700 at clinic
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Dr. A.L. Narayanan MD - General Medicine, DM - Cardiology Cardiologist, Chennai
38 Years Experience  ·  400 - 700 at clinic
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Personal Statement

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. A.L. Narayanan
Dr. A.L. Narayanan is a popular Cardiologist in Nungambakkam, Chennai. He has had many happy patients in his 38 years of journey as a Cardiologist. He studied and completed MD - General Medicine, DM - Cardiology . He is currently practising at Idhaya Clinic in Nungambakkam, Chennai. Book an appointment online with Dr. A.L. Narayanan on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 41 years of experience on Lybrate.com. You can find Cardiologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MD - General Medicine - Madras University - 1979
DM - Cardiology - Madras University - 1982
Languages spoken
English

Location

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Idhaya Clinic

New No. 24, Old No. 47, Vaithyanathan Street Off Veerabathran Street Nungambakkam, Chennai - 600034 , Landmark - Near honnur kote, ChennaiChennai Get Directions
700 at clinic
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Vijaya Heart Foundation

#180, NSK Salai, Vadapalani. Landmark: Vijaya Forum Mall & Near Hotel Green Park & Opp Kamala Theater, ChennaiChennai Get Directions
400 at clinic
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I am 43 year male, suffering from high cholesterol and insufficient iron and hemoglobin 11.9 % only.

DNB (ENT), MBBS
ENT Specialist, Bangalore
I am 43 year male, suffering from high cholesterol and insufficient iron and hemoglobin 11.9 % only.
Hi, The hemoglobin is not too bad and will pick up with syrup haem-up one tablespoon everyday after breakfast for 3 months. For cholesterol you will need to take some statins which can be prescribed by a physician. High cholesterol increases the risk for heart damage.
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Dear sir, I am 33 years old. I am suffering from primary hypothyroidism and high blood pressure last 15 month. My esonophil count is 11 which is out of range. I have ellergic problem. Please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Dear sir, I am 33 years old. I am suffering from primary hypothyroidism and high blood pressure last 15 month. My eso...
Hello dear High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines . Cap. Ecosprin gold-10 at night daily. IN HYPOTHYROIDISM:--- 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 iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. 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 can help, take tab. lcz for allergy.
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I am 19 years old and I am suffering from chest pain everyday. I consulted with many doctors but no relief. What should I do to get relief from this pain?

mbbs, MD - Medicine
Internal Medicine Specialist, Guwahati
I am 19 years old and I am suffering from chest pain everyday. I consulted with many doctors but no relief. What shou...
It may be a parietal pain, if chest xray or ct is normal, it will go away with time, or may be. A referred from other site, in that case further consultation or investigation required.
1 person found this helpful
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How to control or maintain our sugar and blood pressure, and who's medicine is less cost and better for diabetes patient?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
How to control or maintain our sugar and blood pressure, and who's medicine is less cost and better for diabetes pati...
Following are the tips to prevent onset/or control diabetes 1-Control Diabetes by Losing Weight:-The most significant thing which can make a big difference to your health is to lose your extra weight.This will not only lower your blood pressure but also helps lowering your cholesterol too. For woman:waist of 80 cm or more & for man:waist of 90 cm or more are at risk 2- Constant and regular food timings :-the timings at which you have your meals should be set fixed and at regular intervals each day. This will considerably improve your metabolic activity and helps reducing your weight. 3- Split your meals and eating in moderate amount:-Spliting your meals into 3-4 times per day (including snacks)and eating in fair and consistent amount , improves ur metabolic rate as the food u take is not concentrated at one time. 4- No long Gaps and skipping of meals:-There should be no long gaps between meals.Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time .Try to have moderate amount of food each time u eat.It will help maintain your blood sugar at a healthy level and wont let it to fluctuate.Remember to eat your food slowly, chew well. 6- Proper Exercise and work outs:-Exercise is very important and a fast way to trim down calories ,extra weight and controlling glucose level.Brisk walking for 30 min.atleast five times a week is the best and easiest way of excersicing.You can also try Cycling,swimming,dancing.Timings for exercise should be fixed and regular.Avoid heavy exercise.Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods and meat:Limit fats and sweets.Rather choose a variety of foods including whole grains, fresh vegetables, salads, fruits, low fat dairy products. 9- Take high-fiber and complex carbohydrates:-as they are easily broken down to basic sugars. Add whole grain foods in your diet.Avoid carbohydrates like white bread, pasta, pizza , candies, and snacks.Instead include high-fiber carbohydrates like wheat bran,flaxseed and methi seeds to your wheatflour.This will increase fibre in your diet. 10-Drink enough fluids:-Keep your body well hydrated.Drink a lot of water that will help flush the toxins off your system. 11.Fresh vegetables and fruits:- gives essential benefits as these contain a lot of vital minerals as well as nutrients .Include sprouts in the diet as they are easily digestible and a rich source of nutrients. 12- Avoid excess salt:-in form of pickles/papads etc..just 1 tsp(5 gm)is sufficient for a healthy diabetic hypertensive individual. 13-Avoid alcohol consumption:-Alcohols such as beer and wine contains large amount of calories .choose sugar-free drink. 14- dairy products :-Dairy products are high on fat content such as cheese, curd, milk etc.So instead consume skimmed milk products , low fat cheese, yogurt (curd) etc.Do not have more than two cups of tea or coffee every day.Try green tea instead.
2 people found this helpful
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I am suffering from back to chest I am suffering from pain many I know what is the reason for that I need to check to doctor. Please help me I am not able to go to doctor because my exams are going on.

Diploma In Dermatology And Venerology And Leprosy (DDVL), MBBS
Dermatologist, Ranchi
I am suffering from back to chest I am suffering from pain many I know what is the reason for that I need to check to...
Take fresh fruits, milk products, avoid, alcohol, smoking, cola, tea, coffee, junk foods. Take ant acid please consult with full detail. So we can help u.
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All About Palpitations!

DM - Cardiology -, MD - General Medicine - , MBBS, FSCAI, MHRS, FACC, FESC , Fellowship in Interventional Cardiology & EP, Interventional Cardiology & EP and Devices, Senior Specialist( Interventional Cardiology), Fellow of southeast Asian Interventional Cardiology Society, International Award of Excellence in Cardiology
Cardiologist, Delhi
All About Palpitations!

What is Palpitation?
Palpitation is a feeling of awareness of your own heart beat. It is usually described as heart rate being either too fast (racing), too slow or a sensation of missing a beat.

Types of palpitations?

Normal (Benign)

  1. These palpitations occur as a response to physical or mental stress like exercise, fever, pain, fear, anxiety etc. 
  2. They are harmless and settle on their own once the precipitating factors disappear. They do not require any medical treatment.

Abnormal

  1. These palpitations occur due to some underlying abnormality in either the structure of heart or the beating of heart. 
  2. These can be dangerous and at times life threatening. They may or may not settle on their own and require some medical treatment.

Warning signs that suggest palpitations are abnormal?
Palpitations are abnormal, if they are associated with chest heaviness, chest pain, uneasiness, sweating, weakness, giddiness, feeling of black out, fainting, nausea, vomiting, seizures. Palpitations are more likely to be abnormal in people who have some existing heart disease and these patients should report to their doctor at the earliest.

What to do during palpitations?

  1. Stay calm. 
  2. Call for help. If u are alone avoid driving, use a taxi or auto, go to your nearest hospital/doctor and try to get an ECG during the palpitations. If you are helping someone having palpitations, if they faint, call for help, start CPR if they remain unresponsive and take them to the nearest hospital. 

Which doctor can treat palpitations?
Doctors who specialise in the treatment of palpitations are called Electrophysiologists. They specialise in heart rhythm and are capable of performing a variety of complex tests to identify and treat different types of palpitations.

Which investigations are used to diagnose palpitations?

  • ECG: Taken during palpitations and when the patient is normal is a very helpful tool. 
  • Holter: Externally applied recorder, which continuously records heart rhythm for 24 hrs. 
  • ELR: Extended loop recorder, is like holter, but it records rhythm for longer durations. 
  • ILR:  Internal loop recorder is attached within the body for recording rhythm for long duration. 
  • EPS: Electrophysiology study, is the most sure shot test to diagnose, identify and treat Palpitations.

What is EPS?
EPS stands for Electrophysiology study. By this test a trained Electrophysiologist studies the conduction and formation system of heart beat, to understand the source, cause and type of palpitation. It is a simple and safe procedure of 2 to 3 hours and can be done as a day care procedure (by admitting the patient for a few hours in hospital, with discharge on same day).

It requires fasting for 4 hrs, some standard blood investigations and is done with local anaesthesia and if required it can be combined with treatment like ablation in the same sitting.In the procedure Electrophysiologist take catheters into your heart to study and stimulate the palpitations and understand them. Once found they can use various techniques to stop the palpitations, the techniques are called Ablation.

What are the treatment options available for palpitations?
There are many options depending upon the nature of palpitations and condition of the patient: 

  1. Drug therapy 
  2. Cardioversion where either a drug or electric shock is given to stop palpitations immediately. 
  • Ablations using many sophisticated computer softwares 
  • Device Therapy like ICD (Internal cardiac defibrillator) 
  • Combination of all the above therapies. If you wish to discuss about any specific problem, you can consult a Cardiologist.
3232 people found this helpful

Whenever I check my bp it always comes under 70 - 90 range. I also feel short breath issue after taking more water/food in dinner as well as in day also. Do I need to consult with Doctor. Why its happening. I am feeling this issue from last one year. Please advice.

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
You've probably heard that high blood pressure is a problem. Sometimes blood pressure that is too low can also cause problems. Blood pressure is the force of your blood pushing against the walls of your arteries. Each time your heart beats, it pumps out blood into the arteries. Your blood pressure is highest when your heart beats, pumping the blood. This is called systolic pressure. When your heart is at rest, between beats, your blood pressure falls. This is the diastolic pressure. Your blood pressure reading uses these two numbers. Usually they're written one above or before the other, such as 120/80. If your blood pressure reading is 90/60 or lower, you have low blood pressure. Some people have low blood pressure all the time. They have no symptoms and their low readings are normal for them. In other people, blood pressure drops below normal because of a medical condition or certain medicines. Some people may have symptoms of low blood pressure when standing up too quickly. Low blood pressure is a problem only if it causes dizziness, fainting or in extreme cases, shock. Certain medicines and substances can lead to low blood pressure, including:     * Alcohol     * Anti-anxiety medicines     * Certain antidepressants     * Diuretics     * Heart medicines, including those used to treat high blood pressure and coronary heart disease     * Medicines used for surgery     * Painkillers Other causes of low blood pressure include:     * Nerve damage from diabetes     * Changes in heart rhythm (arrhythmias)     * Not drinking enough fluids (dehydration)     * Heart failure You can do a few things to prevent low blood pressure     * Drinking more fluids     * Getting up slowly after sitting or lying down     * Not drinking alcohol     * Not standing for a long time     * Using compression stockings so blood does not collect in the legs Get these test done to find cause of blood pressure problems tests include Thyroid functions, ECG, ECHO.
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She is a heart patient. What is the reason of heart attack? And how can a person prevent it.

BAMS
Ayurveda, Bangalore
She is a heart patient. What is the reason of heart attack? And how can a person prevent it.
Hi, When the blood supply is cut off to the cardiac muscles due to blockage in the coronary vessels, heart attack occurs. Please follow these tips to avoid heart attacks: - Work out everyday (yoga or gym) or walk for 1 hour daily. -Avoid excessive intake of sweets, oil fried food, excessive intake of carbohydrates. - Take high fibre diet. - Check your lipid profile once in 6 months and sugar levels once in 3 months. - Undergo stress test (TMT) once in a year - Avoid sedentary life style and be active. - Do not put on weight - Use heart friendly cooking oil like rice bran oil, olive oil, etc - Avoid mental tension and worries.
4 people found this helpful
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I am 35 years old I was taking blood pressure treatment for last 5 years. In this concern some times having more pain in the back side of head, already told my doctor. He told it's normal to all so don't worry. Am not satisfied this answer. What can I do, kindly help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I am 35 years old I was taking blood pressure treatment for last 5 years. In this concern some times having more pain...
Take following remedies 1. Triphala kadha 4 tsp before lunch and dinner 2. Amala juice 4 tsp + 2tsp sugar + 2tsp honey in the morning empty stomach 3. Duralabharishta 2 tablespoon after lunch and dinner.
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Good Cholesterol Vs Bad Cholesterol

BHMS
Homeopath, Kolkata
Good Cholesterol Vs Bad Cholesterol

For a long time cholesterol in totality was seen as a bad thing for your body although the truth was a little more complicated than that. Cholesterol primarily is divided into two types, one of which can be categorized as bad cholesterol and the other as good cholesterol. Let's have an in-depth look at both the categories.

LDL or Low Density Lipoprotein aka bad cholesterol: Cholesterol is a wax like chemical which is found all over the body and it has important functions to perform. Cholesterol is carried all over the body by Lipoproteins. The low density lipoproteins are denoted as bad cholesterol as they can accumulate on the walls of the blood vessels and cause blockages resulting in many ailments. LDL levels of 190 and above are considered dangerous. 

Some of the risks associated with it are:

  1. Heart disease
  2. Stroke
  3. Atherosclerosis
  4. peripheral artery disease among many others

HDL or High Density Lipoprotein aka good cholesterol: This is a form of cholesterol which is usually desired in higher quantities as it removes LDL from the system by dislodging it from the arteries and then carrying it through the bloodstream into the liver. The liver then breaks it down and removes it from the body. Thus, higher number of HDL cholesterol is always desirable. Some of the ideal numbers for HDL cholesterol within the body are:

For Women  - Ideal: 60 mg/dl, dangerous: 50 mg/dl or lower
For Men - Ideal: 60 mg/dl, dangerous: 50 mg/dl lower

The role of triglycerides:
Good and bad cholesterol levels also depend on the levels of triglycerides within the body and not just LDL or HDL cholesterol. Triglycerides are another type of fat which are used to store energy within the body, but can also affect your health. It is most associated with atherosclerosis when the levels of triglycerides are high within the body. 

Some habits that contribute to high levels of it are:

  • Lack of physical activity
  • Obesity or being overweight
  • Excesses in alcohol consumption
  • Smoking
  • Bad diet and others

Thus the good cholesterol vs bad cholesterol war also includes other factors, most of which can be easily changed by making subtle changes in lifestyle and incorporating healthier habits. This will increase the good cholesterol and the other relevant elements and reduce the bad.

4118 people found this helpful

Recently my chest bones have started makes popping sound whenever I stretch my body. Is it normal. And how to improve bones density and strength. My age is 26 and weight is 66.

MBBS
General Physician, Mumbai
Recently my chest bones have started makes popping sound whenever I stretch my body. Is it normal.
And how to improve...
Get a Serum 25 Hydroxy, Vitamin D test done. If it shows deficiency or insufficiency, you will have to take Vitamin D tablets and oral Calcium supplements which will improve your bone density and strength.
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I am 47 years old man. My blood pressure is 130/90 hyper tension. How to decrease in normal b.p ?

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Kali iod (biochemic) craetegus (homeo) treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.
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Sir, I am a diabetic patient having FBS at 91 and PBS 196 and also BP now in normal condition 110 and 70. I am suffering from loss of libido and premature ejaculation problems pl. Advice me what medication I have to follow.

BAMS, MD Ayurveda
Sexologist, Lonavala
Sir, I am a diabetic patient having FBS at 91 and PBS 196 and also BP now in normal condition 110 and 70. I am suffer...
The best ayurveda herb for your case is Natural home remedy using asparagus powder and milk: 1. Take 2 tsp Indian asparagus powder 2. Add 1 cup milk 3. Boil the mixture for 10 min 4. Drink 2 times every day This will surely help you.
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My 1 year old son having second time pacemaker surgery. Is there any risk in the surgery.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
My 1 year old son having second time pacemaker surgery. Is there any risk in the surgery.
It is not natural for a child of age 1 to have a pacemaker; and yes, there is always a risk of a second surgery for the same cause. Please visit a super-specialty heart center for children before you take this decision. AIIMS will assist you in understanding your options better. If you give all details, they will see your son early also. God bless.
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Hi Dr. Please help me out with some information on "moringo nutramatics plus capsule" How much effective is this capsule for thyroid, high bp and urinary tract problem in a person aged 76 yrs. Thnx.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi Dr. Please help me out with some information on "moringo nutramatics plus capsule" How much effective is this caps...
Hello, Thanks for the query. I feel I have answered the same question yesterday. These so called gerbal remedy can be just a supportive therapy. Has absolutely NO SPECIFIC ROLE in either thyroid related conditions or on high BP. There can be multiple high claims such remedies make with out any clinical evidence. Thanks.
3 people found this helpful
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I have pain in my upper stomach and also in chest. Pain is under chest bones Tell me what I have to do?

MBBS
General Physician, Cuttack
I have pain in my upper stomach and also in chest.
Pain is under chest bones
Tell me what I have to do?
It Could be due to Hyper acidity 1.Take bland diet, Avoid foods which cause acidity like spicy, oily, fatty and junk foods, onion, garlic, citrus fruit, tomato etc 2..Have proper Breakfast, Don’t skip or postpone your meal, Take home made food, Avoid food and water from outside, 3.Eat smaller meals at frequent intervals like 5-6 meals per day, and don't overeat. 4.Drink plenty of water. Take your meal regularly and timely. Avoid fasting, Don’t skip your breakfast. 5. Stop smoking, consumption of alcohol and tobacco, excess tea or coffee if you are having, 7. Avoid stress 8. Take one tablet of pan40 in the morning before breakfast daily for few days.9.Consult me for further advice
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6 Super Foods That Actively Help Lower Cholesterol

Diploma in Naturopathy & Yogic Science (DNYS), M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Vadodara
6 Super Foods That Actively Help Lower Cholesterol

Some foods punch well above their weight in helping to reduce cholesterol levels, we call them 'Cholesterol busters'. Choosing a healthy diet, low in saturated fat is important in helping to keep your cholesterol low but you can reduce your cholesterol levels further by including these super six foods in your everyday diet

  1. Soya Foods: Being naturally low in saturated fat, soya foods help lower cholesterol. The special proteins in soya also appear to influence how the body regulates cholesterol too. Studies show you can lower your cholesterol by around 6% by including as little as 15g soya protein per day. Choose from: soya alternatives to milk and yogurt, soya desserts, soya meat alternatives, soya nuts, edamame beans and tofu.
  2. Nuts: All nuts are rich in vegetable protein, fibre, heart healthy unsaturated fats, vitamin E, magnesium, potassium, natural plant sterols and a host of beneficial plant nutrients. 30-35g a day of nuts (a handful) has the potential to lower cholesterol by an average of 5%.
  3. Oats and Barley: Both oats and barley are rich in a form of soluble fibre called beta glucan. Once eaten beta glucan forms a gel which helps bind cholesterol in the intestines and prevent it from being absorbed. It is recommended that we eat about 3g of beta glucan per day. Foods which contain 1g or more of beta glucan can carry a cholesterol lowering claim.
  4. Foods fortified with plant sterols and stanols: Plant sterols are structurally similar to cholesterol and can be divided into sterols and stanols. Their cholesterol lowering effects have been known for some time. Plant sterols/stanols are naturally found in a wide range of foods such as vegetable oils, nuts, seeds, whole grains, fruits and vegetables. However, for most people, it is not possible to achieve the optimum intake from ordinary foods.
  5. Fruits and vegetables: All fruits and vegetables are low in saturated fat so eating more helps to keep saturated fat intake low. Fruit and vegetables are also a valuable source of cholesterol lowering soluble fibres. Try to include at least one pulse (beans, peas, lentils) everyday. Other rich sources of soluble fibre include sweet potato, aubergene, okra (ladies finger), broccoli, apples, strawberry and prunes.
  6. Foods rich in unsaturated fats: Keeping our daily saturated fat intake below 20g (women) and 30g (men) is vital for cholesterol lowering, but it is equally important to replace this saturated fat with modest amounts of unsaturated fats such as those found in olive, sunflower, corn, rapeseed and other vegetable, nut and seed oils. Other foods rich in unsaturated fats include vegetable spreads, avocado, oily fish and nuts. Avoid coconut and palm oil as, unlike other these vegetable oils, they are rich in saturated fats.
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My mom is of 45 yrs. She is too heavy (110 Kg). That's why she is having lots of problems such as joint pain, feeling uncomfortable, BP low patient, etc. Kindly suggest the diet at this age.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
My mom is of 45 yrs. She is too heavy (110 Kg). That's why she is having lots of problems such as joint pain, feeling...
She should not take oil, sugar carbohydrates, junk food, cookies etc. She shoukd take small meals four times a day.
2 people found this helpful
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