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Dr. Gajendran

Endocrinologist, Chennai

100 at clinic
Dr. Gajendran Endocrinologist, Chennai
100 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Gajendran
Dr. Gajendran is a renowned Endocrinologist in Velachery, Chennai. Doctor is currently practising at Ramana Diabetic Care Hospital in Velachery, Chennai. You can book an instant appointment online with Dr. Gajendran on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 36 years of experience on Lybrate.com. You can find Endocrinologists online in Chennai 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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#320-A/47-A, Velachery Main Road, Velacheri. Landmark: Opp. to Indian Bank, ChennaiChennai Get Directions
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I have diabetes form 2 years advice me with some food habits.

Advanced Aesthetics
Ayurveda,
I have diabetes form 2 years advice me with some food habits.
The increase in the blood sugar levels damages nerves and blood vessels. It also leads to complications like cardiovascular diseases, strokes, kidney problems, blindness, dental problems and amputations. High blood glucose levels also damage nerves and blood vessels. Diabetes can also lead to depression, fertility issues, and increased risk of other diseases and lack of mobility as the age of the person increases. It is very difficult to find out what exactly triggers diabetes, but health experts say that genes and environmental factors are responsible for rise in blood glucose levels. There are two types of diabetes- type 1 diabetes and type 2 diabetes. Let us study the causes that give rise to type 1 and type 2 diabetes. Diabetes is a grave medical condition, but with a healthy diet and regular exercise, managing the condition becomes a child? s play. Here are a handful of diabetes home remedies every diabetic can rely on to keep fluctuations of sugar levels under control. Bitter gourd: bitter gourds are one among the most effective ways for preventing sugar level fluctuations. Being a safe vegetable, this iron-rich gourd can be consumed by anyone. It influences the glucose metabolism in the body and helps stimulate pancreatic insulin secretion. Known to thwart off insulin resistance, bitter gourd is equally beneficial for people suffering from type 1 and type 2 diabetes. Drink a glass of bitter gourd juice, flavored with a little honey, every morning to keep diabetes away. Guava is rich in both vitamin c and fiber, both that help in maintaining normal blood sugar levels. A very good home remedy for diabetes. Just peel the skin and consume one fruit daily to reap its benefits get some physical activity daily to burn calories and stay in shape. This will also reduce the risk of cardiovascular diseases. Have a lot of fiber in the form of fruits, vegetables, nuts, seeds and whole grains any queries inform me.
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Suddenly I feel shakiness. Sweat comes body becomes cold. Sugar range is between 130 to 140. BLOOd pressure 140/80.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Suddenly I feel shakiness. Sweat comes body becomes cold. Sugar range is between 130 to 140. BLOOd pressure 140/80.
These are signs of hypoglycemia. For this you need adjustment in your medicenes. You can also avoid it if you take meals at Fix time.
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Indians generally have oil usage in their food daily. To lower Diabetes and Cholesterol, Which is the best and healthy oil to use daily? Peanut vs Sunflower vs another Please suggest. Thank you.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Indians generally have oil usage in their food daily. To lower Diabetes and Cholesterol, Which is the best and health...
Not just indians, but all nationalities use oil in their daily lives. Only the type varies. As far as indian cooking is concerned, any of the traditionally used oils, in moderation are ok. It depends on what region you are from, your tastes, style of cooking, availability & cost. Eg: here is kerala, we use quite a lot of coconut oil in our cooking, but to someone from north india, it wouldn't sound very appealing as they mostly use it for hair care! but avoid vanaspathi.
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If someone is diabetic, aged above 70, male, weight is 95 Kgs, is it ok to have Butter Toast (Four Nos ) in breakfast with Tea without Sugar ?

PG Dip (Dietetics n Applied nutrition), Msc.in Nutrition n dietetics, Post graduate Certificate (Diabetes Education)
Dietitian/Nutritionist, Jamnagar
If someone is diabetic, aged above 70, male, weight is 95 Kgs, is it ok to have Butter Toast (Four Nos ) in breakfast...
Hello! you must concentrate on your weight. Too much of refined carbohydrate with bad fat can increase your blood glucose level n fat percentage also. Take small meals in every 3-4 hr. Regular interval. Avoid sweet n sugar also honey n jaggery, fried foods, ready to eat foods, preserved foods n simple carb like maida. Take whole grain cereals in limitation, lot of veggies, 150-200 gm fruit (not juice). Don't skip breakfast n take a small portion of milk or product or any whole grain cereal before bed time. Do 30 min of exercise a day. Consult a dietician for diet plan.
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I am suffering from thyroid and am regularly taking throx 50 1 tablet daily before breakfast. Is there any permanent solution to this or will I have to take medicines forever?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering from thyroid and am regularly taking throx 50 1 tablet daily before breakfast. Is there any permanent ...
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,
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I am a female of 55 years age. I am suffering from type 2 diabetes for the past 12/15 years now. I have been prescribed with a list of tablets one of which is Mopaday forte which according to the leaflet inside can cause bladder cancer. Is there an alternative tablet that I can take, because I am reluctant to take this. Please advise.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am a female of 55 years age.  I am suffering from type 2 diabetes for the past 12/15 years now. I have been prescri...
instead of mopaday u can take galvus met but serum creatinine levels are required to be done before starting it
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What should we opt as a hobby if we suffering from diabetes? Please help me

MBBS
General Physician,
What should we opt as a hobby if we suffering from diabetes? Please help me
Hi , hobby for what, in the form exercise or relaxation? I advise for aerobic exercise like brisk walking, cycling, swimming that you can perform with pleasure and suitable for you. You may play light games. But take care to avoid injury to feet, wear proper size sport shoes.
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Sugar level is 81 in empty stomach. Problem is frequent urination some time after 1and half hour and some time after two hour. Is it normal?

DNB (General Medicine)
General Physician, Pune
Sugar level is 81 in empty stomach. Problem is frequent urination some time after 1and half hour and some time after ...
Increased frequency of urine, though a common problem in diabetes, is not specific of it. There are many other causes of increased urine frequency urinary tract infection, cystitis, or recent change in whether is also one cause!
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I am diabetic 26 years old. Hba1c 7.5 .how long I will use metformin ?will I use it throughout my life?

MBBS, PG Diploma In Emergency Trauma Care, Fellowship in Diabetes
General Physician, Delhi
I am diabetic 26 years old. Hba1c 7.5 .how long I will use metformin ?will I use it throughout my life?
The treatment of diabetes is not that simple. There are many classes of diabetic drugs. It depends on extent of diabetes and complications to decide medicine for the diabetic person. Dosages are also decided upon depending on your acute and chronic sugar levels, fasting sugar levels, post prandial sugar levels, urine sugar levels, urine microalbumin levels, urea and creatinine levels. So, a complete diabetic profile needs to be done to reach for the best drugs and proper dosages. Here is the list of tests, please get them done and follow up with me. I will do the best and give you a proper treatment. 1. Hba1c. 2. Sugar - fasting and pp. 3. Urine - routine and microscopy. 4. Urine microalbumin. 5. Urea and creatinine. 6. Lipid profile. Follow up with the reports. I will set up a wonderful treatment plan to control your sugar levels. Additionally I will also make a customised dietary plan for you to take care of your sugar levels naturally.
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Sir, madam I have uric acid level is 9.4 mg dl and I have knee pain in both knee. On maximum time my uric acid level remains above 7.2 mg dl. My doctor has started alluprinol to me and said, you have to keep it eating for your entire life. Does this true for the medicine or something else is there. But my knees are still hurting and my doctor has no answer for this I have already taken NSAID, Cortic Steroid injection, Hylane injection into the knees but still pain is there. After that they told me that you have gouty arthritis due to high uric acid level and you have to keep eating alluprinol. My x ray of knees show early degenerative changes. Please tell me upto how much time I have to take alluprinol and when my knees get rid off from pain.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
Sir, madam I have uric acid level is 9.4 mg dl and I have knee pain in both knee. On maximum time my uric acid level ...
You may have to continue medication for Uricemia and keep blood tested rregularly when the treatment is under progress. You may temporarily stop medication when after a prolonged treatment Uric Acid is normal If pain does not subside even temporarily even then, There may be another cause for multiple large size joints. Your weight will have to be brought down first . These things should be under the direct supervision and advice of a well equipped Orthpedic Centre near your place like Goa, Manipal Hubli or Belgaum. Remain under their care permanently. Medical treatment already taken may prove to be harmful to you.
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M.D. Internal Medicine
Endocrinologist, Mumbai
Diabetes and Heart Disease
Worlds most centres have confirmed more than 40 % diabetes patients suffer from heart disease and more than 70% diabetic patients die because of heart disease.
However Preventive Diabetology has proved excellent results in reducing incidence of heart involvement to less than 10% by following approaches ,
1) Preventive approach from day one .
2) Regular advise for life style modification for patients as well as relatives.
3) Regular monitoring and control of sugars and lipid profile and other risk factors ,efforts to increase HDL cholesterol , Reduce Triglyceride/ HDL ratio ,Reduce Waist hip ratio, Reduce BMI less than 23 /21 (MALE/FEMALE)
4) Regular monitoring by ECG once in year, early atherosclerosis scanning by COLIN VASCULAR PROFILER 1000- detecting early heart patients with arterial stiffness ,Ankle brachial index may be yearly –indirectly confirming blockages and documented reversal of disease with timely medicines may not requires interventions ,stress testing /2D echo may be once in three years.
4) Constant involvements of family members during counseling at regular intervals in developing good support system for patients and their relatives resulting in reinforcement.
5) Continuous educations through free lectures, free literature and Audio visuals, videos, online question answer sessions.
6)Role of exercise as changing routine with constant changes in speed ,pace, rhythm of walking, sports activity, musical-dancing exercises, yogic exercises. Accepting exercises as pleasurable activity building energy levels and not as punishments or tiring chores.




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I am having sugar level @ 200 after meal and 160 before breakfast continuously whether it is at alarming position or normal I have no such problem of any kind.

MD-Pharmacology, MBBS
Sexologist, Delhi
I am having sugar level @ 200 after meal and 160 before breakfast continuously
whether it is at alarming position or ...
Fasting should be around 100-110 and after meals 140-160; of course your levels are high. You should target hba1c of less than 6.5.
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Dear Sir/Madam, My Father is a diabetic patient he is taking Zoryl M1 Tablets. Fasting 105 Is in control but After Food it is 245 Do he continue with this medicine or Change the medicine? Is Diabetes the reason for joint and back pain? Please reply.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Dear Sir/Madam,
My Father is a diabetic patient he is taking Zoryl M1 Tablets.
Fasting 105 Is in control but After Fo...
Hi drink some bitter gourd juice on an empty stomach each morning. First remove the seeds of two to three bitter gourds and use a juicer to extract the juice. Add some water and then drink it. Follow this treatment daily in the morning for at least two months. Take pranacharya diabeto and shilajeet capsule twice a day with water. Take vasant kusumakar ras twice a day. Avoid sweets. Take small meals in less time interval. Do pranayama early morning. Avoid alcohol consumption.
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I am diabetic and losing weight. Why and is it O.K?

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist,
It may be because of diabetes uncontrolled. However there are many causes for weight loss. You need complete evaluation. You can consult with me regarding further management.
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I feel so tired and weak and my sugar level is 70 I feel hungry most of the times I'm loosing weight, not remain active.

BHMS
Homeopath, Mumbai
I feel so tired and weak and my sugar level is 70
I feel hungry most of the times
I'm loosing weight, not remain active.
Dear Lybrate user, your symptoms of weakness and tiredness and losing weight seems to be hypoglycemic condition. there may be underlying anxeity. work on your nutrition eat small amount of food every two hours altest a fruit or two biscuits apart from your lunch and dinner. Do some breath exercises. go for homeopathy I will be able to help you in your state and also find out the root cause analysis.
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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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Is obesity, fatigue and profusely sweating symptoms of thyroid? Please advise.

MD - Internal Medicine, MBBS
Endocrinologist,
yes..these are symptoms of thyroid..you can go for following test..thyroid profile.,vit.D.,BLOOD sugar.
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i m 49 year old lady my weight is 93kg my height is 5"5 feet. i m suffering from thyroid as my tsh is going low but after taking medicine for 3 months now it is 2.48 .now a days i m suffering from kidney stone pain but i m gaining weight .tell me how to control my weight. thanks manju

Vaidya Visharad
Ayurveda, Narnaul
Hi, your weight too much . avoid fast food , junk food and carbonated drink. drink lot of water and salad . check your cholestrol and thyroid. try these tips and for better result use our medicine and see result with in 15 days for order and other details. call us at 09034358529 or visit us at www.malhotraayurveda.com
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Hai, How we know uric acid high? Only the way of checkup or any other symptoms? If any symptoms, please advise. And please notify which is normal level? Thanks.

Membership of the Royal College of Surgeons (MRCS)
General Surgeon, Chennai
Dear friend, knowing the uric acid level is done by a simple blood test. However symptoms of increased blood uric acid are pain in the joints, particularly that of foot. Increased level of uric acid are more common in men, that more so in those who consume alcohol in excess and eat red meat regularly. So in case you have foot pain, joint pains, please get your uric acid level checked from a good lab. Usually uric acid below 5 is within acceptable limit.
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