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Dr. Gajendran T N

Endocrinologist, Chennai

100 at clinic
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Dr. Gajendran T N Endocrinologist, Chennai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
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Dr. Gajendran T N is a popular Endocrinologist in Velachery, Chennai. You can meet Dr. Gajendran T N personally at Gajendran's Diabetic Care in Velachery, Chennai. You can book an instant appointment online with Dr. Gajendran T N on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 31 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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Gajendran's Diabetic Care

New No 320/A Old No 47 A, Velacheri Main Road, Velachery,Landmark:Opp To Indian Bank & Near Velacheri Police Station, ChennaiChennai Get Directions
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Hello doctor i'm venu _age 28, ,male my fasting blood reports are 126 mg so I have diabetes?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello doctor i'm venu _age 28, ,male
my fasting blood reports are 126 mg
so I have diabetes?
Mr. lybrate-user, Thanks for the query. Fasting blood glucose 126 mg and above is diagnostic for diabetes. But if it is just a single reading, then it is better to do one or more readings plus do fasting, after food and even HbA1c%, before confirming the diagnosis. Fasting 126 mg and above, PP 200 mg and above & HbA1c% 6.5 and above, all confirm diabetes. Thanks.
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Hi I am diabetes patient last 5 years and now I have sex problem I can't find proper treatment.

BAMS, MD Ayurveda
Sexologist, Lonavala
Hi I am diabetes patient last 5 years and now I have sex problem I can't find proper treatment.
The best ayurveda herb for your case is 1. Take ½ a bowl of chopped carrots 2. Add 1 half boiled egg 3. Add 2 tbsp of honey 4. Mix well 5. Have once everyday 6. Do this for 1 month Causes: • Old age • Injury • Stress • Addiction to nicotine • Consuming alcohol • Drug abuse • Can be a side effect of medical conditions like: o Diabetes o High cholesterol o Depression o Heart diseases o Other psychiatric diseases this is very helpful.
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Stress and Infertility - How Stress Affects Your Fertility

MBBS, MD - Obstetrtics & Gynaecology, Certified IVF Specialist
IVF Specialist, Delhi
Stress and Infertility - How Stress Affects Your Fertility

In today’s modern, fast paced society, it is easy for people to become stressed. In fact, one would almost think that being stressed is the “in” thing, and if you aren’t stressed it must mean there is something wrong with you! Realistically however, stress is not a good thing for our bodies in general, and has a very real impact on your fertility.

Can Stress Have an Effect on Your Fertility?

If your mind and body is under stress your body is signaled to release a hormone - Adrenalin. This is a stress relieving hormone and gives your body the rush to face the stress. This hormone inhibits the utilization of the hormone Progesterone, which is essential for fertility. Also during stress Prolactin, another hormone, is relapsed which also interferes with infertility. Hence to conceive its essential that your anxiety levels are under control.

How Stress Impacts Fertility?

Recent research tells us that stress boosts levels of stress hormones, such as adrenaline, catecholamines and cortisol, which can inhibit the release of the body’s main hormone, GnRH (gonadotropin releasing hormone), which is responsible for the release of sex hormones. Subsequently this may suppress ovulation in women, reduce sperm count in men and lower libido in both women and men.

Chronic Stress also decreases libido:

Chronic stress may cause lack of libido as well as a decrease in general fertility. This has become such a common issue that they have created a name for it Stress Induced Reproductive Dysfunction. These facts are very important to consider if you have been trying to conceive with no results. It also shows that stress relief should be a part of every couple's conception plan even if they are going through In-vitro fertilization (IVF).

Ways to reduce stress & improve fertility:

If you are having difficulty to conceive, it's imperative that you get fertility tests done and also evaluate your life. Look out for the stress points that may be hindering a relationship. Remember defeating the stress may be the solution to your worries.

  1. Reduce stress in your life: The issues in your life may be work or result related. You need to learn to balance your personal and professional life. The sooner you do it the better; after all you are preparing yourself to welcome a new born in your life.
  2. Change your reactions: Get a hang of the situation and react accordingly. Over reaction to a situation can harm your body and mind. Stop bothering so much about the future.
  3. Let few things be the way they are: Stop getting bothered about people. Remember by nature everything will fall in place. Let few things be the way they are.
  4. Make it your habit to reduce stress: Call it an obsession or a practice, train your mind to choose options where there is less stress.
  5. Sleep well: A good rest is essential for a healthy mind and body. Meditate, do yoga or seek counseling. Go for facials if it sooths you.

Please note that if your fertility reports are normal, then it's just a matter of time. Give you, your partner and your body time. There are certain medical complications or disorders that can also be responsible for infertility. Be calm and composed so that you are able to face the rough waters clearly with your partner. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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My age is 23. My father is having diabetes. Do I have the chance of getting diabetes in future?

M.sc in dietetics and community nutrittion management
Dietitian/Nutritionist, Kolkata
My age is 23. My father is having diabetes. Do I have the chance of getting diabetes in future?
Yes there is possibilities of getting diabetes. Change your life style including your food habits.
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What are the symptoms of diabetes and how it it be cured does it take too long to cure.

MBBS, MD - Medicine
General Physician, Delhi
What are the symptoms of diabetes and how it it be cured does it take too long to cure.
Increase thirst, increased frequency of urination are some initial symptoms of diabetes but it can vary from being completely asymptomatic to non specific symptoms like weakness, loss of weight, tingling in feet, dry mouth, blurry vision, burning during urination. You need to follow a healthy lifestyle to prevent such metabolic diseases. Type 1 usually occurs at younger age due to insulin deficiency and treated with insulin injections. It can't be cured completely but you can keep it controlled by taking these precautions.
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My age is 41 morbidly obese with hba1c 7.2 should I start taking diabetic medicine. I am on no medicine still now. Should I try with lifestyle changes. I have myth if I start taking medication my body would stop producing insulin. Suggestions needed to avoid medicine and get hba1c between 5 to 6.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My age is 41 morbidly obese with hba1c 7.2 should I start taking diabetic medicine. I am on no medicine still now. Sh...
Mr. lybrate-user, Thanks for the query. With HbA1c% 7.2, you have confirmed diabetes. It needs to be treated with appropriate medication. Plus with your morbid obesity, there is bound to be strong resistance to insulin action, so treatment is essential. However, if you take steps to reduce weight by about 5 to 8% of present, then there is a possibility of blood glucose going down. Plus there has to be a strict control on dietary intake. Thanks.
1 person found this helpful
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Fight Obesity to Prevent Yourself Against Diabetes!

M.D, MBBS
Cosmetic Physician, Mumbai
Fight Obesity to Prevent Yourself Against Diabetes!

Obesity is a disorder which is characterized by accumulation of fat in the body resulting in various health problems. Diabetes is a metabolic disorder that occurs when the sugar in the blood does not get efficiently utilized by the body. This is due to the inability of the body to produce enough insulin to metabolize the sugar. 

Diabetes is classified into two types, Type 1 diabetes wherein the body is unable to produce enough insulin and Type 2 wherein the body develops a resistance to insulin. Diabetes is known to cause diseases such as blindness and kidney problems. The risks of suffering from a stroke and other cardiovascular problems go up significantly if you have been diagnosed with diabetes. 

Weight plays a big role in the development of Type 2 diabetes and so weight loss is recommended. Other factors such as stress, age, pregnancy and medications also contribute to this disorder. Usually, a majority of the people who have been diagnosed with Type 2 diabetes are found to be overweight. Being obese makes it difficult for the body to utilize insulin effectively in order to metabolize blood sugar.

As obesity is closely linked with diabetes, it becomes essential to focus on weight loss as a preventive measure against diabetes. 

  1. Try to exercise on a regular basis. Add cardiovascular exercises to your regimen such as running and swimming as they are very effective in burning fat from your body thus reducing the weight/fat. 
  2. Lifting weights also promotes fat loss by boosting your Resting Metabolic Rate or Basal Metabolic Rate (the body’s rate of burning off calories while you are at rest). 
  3. Follow a well- balanced diet that focuses on low carbohydrate and high protein based meals. 

Apart from these lifestyle changes, focus can be brought on the following techniques also as effective means to shed off the excess fat:

  1. Ultrasonic liposuction: This technique involves using high energy sound waves to eliminate fat from your body. It is a non-invasive procedure that inflicts no trauma on the adjoining tissues in the body and thus providing better weight / inch loss.. 
  2. Mesotherapy: It is a non-surgical treatment that involves injecting medications into fat tissues. These medications target the adipose cells in the body and destroy them. This is a permanent procedure that is very effective in removing stubborn fat from the body and helping further in weight loss. If you wish to discuss about any specific problem, you can consult a cosmetic physician.
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Doctor sir, I am suffering from sugar and high bp last 5 yr now a days my urine I saw white colour jhag (phena) I am 65 years old man kindly suggest me medicine.

Diploma in Gastroenterology, Diploma In Pulmonary Medicine , MSCP, BHMS, SVD( skin and veneral diseases)
Homeopath, Hyderabad
Doctor sir,
I am suffering from sugar and high bp last 5 yr
now a days my urine I saw white colour jhag (phena)
I am ...
You don't have high blood pressure at the moment, but it is slightly above optimal. Single readings are not diagnostic. Optimal BP is <120/80. It would be wise to adopt a healthy lifestyle, such as eating healthily, reduce salt in your diet, exercise, lose weight if overweight, limit alcohol consumption and stop smoking if you smoke. The good thing about exercise is that it reduces the strain on the heart and also raises your HDL (good cholesterol) as well as improving circulation. Now with regards to exercise, the best type of exercise for the heart is aerobic activity which ensures the large groups of muscles in the body get a good work out. Swimming is good, as is brisk walking, dancing and cycling, etc. With regards to diet, as I mentioned before, limit salt consumption and the amount of saturated fats you eat. Also limit the amount of complex carbs you eat. Try and eat 5 portions of fruit and vegetables per day * and also try and eat 3 portions of oily fish per week. Try and avoid frying your food, grill it instead. Switch to olive oil. The key is moderation, you can eat anything you like providing you don't go OTT. * A recent study showed that eating your "5 a day" fruit and vegetables may not cut the cancer risk. Many people have interpreted this study into meaning that eating your "5 a day" fruit and vegetables isn't beneficial at all and that what Doctors and Nurses have been advising patients is incorrect. This isn't accurate. The study just looked at the diet-cancer link (which we already knew wasn't very strong anyway), it didn't look at the other health benefits that eating fruit and vegetables has. But that study has certainly given the alties and their "special cancer curing diet" food for thought! There are various causes of high blood pressure, but proper diet and regular exercise are definitely the biggest part of the equation. “ Actually there are two types, essential and secondary, the latter accounts for about 5% of cases and can be caused by kidney and/or hormone issues. Most people have “essential” hypertension where the cause is less than clear. We know that a poor diet, obesity, excess alcohol, smoking and lack of exercise are major risk factors. Diet and lifestyle changes often helps and is sometimes enough to keep patients off anti-hypertensive medication.
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I am a 48 years old person I am suffer from uriq acid disease what is remedy for uric acid and locel docter says to me the kidney is not running in body that acid is oasse a damage part of body in storage the what is your opinion ?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
There are many lifestyle and dietary guidelines that can be followed to protect against future flares or prevent gout or uric acid problems from occurring in the first instance: maintain a high fluid intake (2-4 liters a day) avoid alcohol maintain a healthy body weight eat a balanced diet limit fish, meat and poultry intake. If attempting to lose weight, avoid low-carbohydrate diets. If carbohydrate intake is insufficient, the body is unable to burn its own fat properly, releasing substances called ketones into the bloodstream. This results in a condition called ketosis that can increase the level of uric acid in the blood. It is most important to avoid foods that are high in purines, to ensure that the levels of uric acid in the blood do not get too high. Here is a list of high-purine foods to be wary of: beef kidneys brains dried beans and peas liver mackerel mushrooms lose some weight by walking or other exercise, avoid meats and get always be on a prescribed diet as prescribed by a registered dietitian. I am a registered dietitian, certified diabetes educator and a doctor, consult privately for detailed treatment plans using diet and medications.
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Diabetes Management

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Diabetes Management

As diabetes is metabolic condition in which an individual affected would have rise in blood glucose level either due to insulin production is not sufficient or body's cells do not respond properly to insulin or both.

Symptoms:

- frequent urination and increased thirst 

- unexplained weight loss 

- cuts and wounds takes long time to heal 

- scabies and scratchiness on skin feet getting numb or cramps in legs 

Causes:

- lack of exercise and obesity 

- unhealthy diet junk food fatty food alcohol tobacco etc,

- lack of proper nutrition expecially proteins and fibres

- stress and anxiety 

- gestational diabetes 

Prevention:

- weight control 

- away from tension and stress 

- avoid tobacco and its products 

- follow healthy diet with fruits and green vegetables

- restrain from eating sweets

I am 41 years old. Whenever I go for dieting I become constipated. I'm suffering from high b. P. High triglyceride and hypothyroidism too. Please guide me with proper diet chart. Should I remove oil and eat boiled vegetables? Can I con sattu? It helps in bowl movement. I'm 5 ft in height and weigh 65 kg, female.

Diploma in Cardiology, MBBS
Cardiologist, Delhi
I am 41 years old. Whenever I go for dieting I become constipated. I'm suffering from high b. P. High triglyceride an...
Probably it's your hypothyroidism which is causing constipation. Drink as much of fluid yu can and add salads n fruits. N walk daily for some time.
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I am 32 years old lady. Having thyroid taking one table of 75 mg thyroxine daily. I have a problem of hair fall. What should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 32 years old lady. Having thyroid taking one table of  75 mg thyroxine daily. I have a problem of hair fall. Wha...
continue your medicines. for hair fall you can use hair oil- minoxidil . tab. fluka-150 mg once a week for 4 weeks. cap. vit.E 400mg once a day for 30 days.
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I have hypothyroidism. My tsh is 13. I also have fissured or coated tongue. Is this a symptom of hypothyroidism.

BHMS
Homeopath, Chennai
I have hypothyroidism. My tsh is 13. I also have fissured or coated tongue. Is this a symptom of hypothyroidism.
Hypothyroidism is a condition in which the thyroid gland is under active and does not produce sufficient amounts of thyroid hormones required in the body. The most cause of hypothyroidism is Hashimoto’s thyroiditis. Hashimoto’s thyroiditis is an auto immune disorder in which the antibodies are produced by the immune system against its own tissue, which in turn attacks the thyroid gland resulting in hypothyroidism.Severe Iodine defficiency can also lead to hypothyroidism . Natural Homeopathic remedies for hypothyroidism are highly effective and especially useful for people who want to avoid the side effects of prescription drugs. Top Homeopathic Remedies for Hypothyroidism Calcarea carb , Sepia ,Lycopodium, Graphites and Nux Vomica are the leading homeopathic remedies for hypothyroidism The normal range of TSH levels is 0.4 to 4.0 milli-international units per liter. You can easily take an online consultation for further treatment guidance and permanent cure without any side effects exact cause of fissured tongue isn't known. However, researchers believe it may occur as a result of an underlying syndrome or condition, such as malnutrition, infection. Since fissured tongue is often seen in families, the condition may also be genetic.
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Last week I hav checked my blood sugar on fasting it came 130, but Hba1c comes 5.6% and ABG comes 114. So please consult what to do or do some home remedy.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Last week I hav checked my blood sugar on fasting it came 130, but Hba1c comes 5.6% and ABG comes 114. So please cons...
Fasting blood sugar rises first then post prandial or hba1c so you are in prediabetic state do life style modification diet control and exercise. Repeat after 3 month fbsugar and hba1c test.
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What are the symptoms of elevated uric acid what line of treatment is recommended for the same. Also are there any dietary restrictions.

MBBS
General Physician, Mumbai
Swelling and pain over the great toe is a typical symptom of increase uricacid levels and avoid pickles and papads and eat freshly prepared home made food
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Infertility - A Complete Guide!

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
Infertility - A Complete Guide!

The term infertility in females explains a wide range of disorders but in order to simplify things, lets’ just say, infertility in women is a condition in which women are unable to conceive. There are numerous reasons that can be responsible for this situation and although some are preventable or curable, most others have no specific cure or treatment.

Ovulatory Disorders

One of the most common reasons for infertility is an ovulatory disorder. Almost 30 percent of female infertility is caused due to this reason. 70 percent of such infertility is treatable with drugs such as Reprones/Menogan and Clomiphene. Here is a list of causes of failed ovulation-

  1. Disruption in the complex hormonal balance.

  2. Ovaries fail to produce mature eggs. Polycystic ovarian syndrome is the most common disorder causing this problem. This syndrome has reduced FSH production and increased production of LH, Oestrogen and Testosterone. Suppressed FSH production may cause the partial development of ovarian follicles.

  3. Hypothalamus may malfunction thereby causing the pituitary to malfunction, thus losing control over the process or FSH and LH production.

  4. Physical damage to the ovaries by multiple surgeries or due to the formation of cysts.

  5. A rare case of premature menopause.

  6. Problems of the follicle.

  7. Poor functioning of fallopian tubes

Diseases or disorders in the tube have been another major reason of infertility in women. Almost 25 percent of women infertility occurs due to this reason. Although treatments exist, success rates of the treatments are as high as 30 percent. The causes of tube damage may be as follows-

  1. Infection caused by bacteria or viruses

  2. Abdominal diseases like colitis and appendicitis

  3. Previous pelvic or abdominal surgeries.

  4. A condition called ectopic pregnancy which occurs in the tube, and even if very carefully but successfully overcome, may leave permanent damage.

  5. Rare congenital defects in which women may be born with tube anomalies.

Endometriosis

This is the condition where the endometrium expands excessively thereby preventing individuals from getting pregnant. This affects almost 10 percent of the population of infertile women. Almost 40 percent of women with endometriosis are infertile.

Other Factors

Other additional factors may include:

  1. Abnormal uterus

  2. Congenital diseases

  3. Behavioural factors like personal habits, lifestyle and health factors.

  4. Exercise and diet- extremely overweight or underweight women may have problems in conceiving.

  5. Cigarette smoking reduces the chances of conceiving by one-third.

  6. Alcohol increases the chances of birth defects.

Hence, pregnancy is tougher than it might really seem. If you wish to discuss about any specific problem, you can consult a gynaecologist.

My father is suffered by diabetes He wants to know the fruits to eat and the fruits to avoid.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PGCRCDM, PDCR, MBA
Ayurveda, Ghaziabad
My father is suffered by diabetes
He wants to know the fruits to eat and the fruits to avoid.
Most fruits have a low glycemic index (gi) because of their fructose and fiber content. Melons and pineapple have medium gi values as do some dried fruits such as dates, raisins, and sweetened cranberries. So avoid all these and eat all other fruits.
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I am suffering from Thyroid disease. From the last month I am talking the medicine of thyroid. Last month my thyroid comes 12.09 nd Dr. consult me to take a 25 mg of medicine. This month I have again done the test nd nw my thyroid comes to 4. So I have to continue my medicines or not?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering from Thyroid disease. From the last month I am talking the medicine of thyroid. Last month my thyroid ...
In hypothyroidism:-- where there is 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. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, 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 may help, avoid oily foods,junk foods, go for walk. Tests every 3 to 6 months.
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Blood sugar is fasting 113 & After Meal 237 is bad or normal how much blood sugar normal chart.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Blood sugar is fasting 113 & After Meal 237 is bad or normal
how much blood sugar normal chart.
Mr. lybrate-user, Thanks for the query. Fasting & Pp glucose levels (particularly PP) are high, suggesting presence of diabetes. This needs treatment. Normal fasting blood glucose" 70 to 100 mg, after food:<140 mg & HbA1c% < 5.9.Pre-diabetes: Fasting:101 to 125 mg, PP 141 to 199 mg & HbA1c% 5.9 to 6.4. Diabetes: Fasting 126 mg and above, PP 200 mg and above & HbA1c% 5.5 % and above. Thanks.
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Sir I m thyroid patient. T2.342. T3.22. And t4.0. 01. I m taking thyroid medicine regularly. Can you tell me permanent remedy of my dease. Pls give me advice.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr Balmukund, Hypothyroidism is a thyroxine deficiency disorder, hence the treatment is replacement of the hormone through oral tablets. This has to be done for life time as the hormone is needed for day to day normal functioning of our brain and metabolism. Hence this is the only option, There is no permanent cure for it. In addition one has to avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, peanuts, radish, mustard and coffee. Plus have to consume more of green leafy vegetables, salads and fruits. Use whole grain flour to make chapati and roti. No refined flour like maida. Daily exercise for 1 hour is also equally important to avoid weight gain.
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