Dr. K. Srinivasan

Hello, Yes, infact it helps in insulin activity. Can have upto 2 Pcs, with 80 percent and above cocoa.

Hello, Thanks for the query. The results are not showing anything alarming. Her thyroid results are within normal limits. Only TSH 7.27 mU/L is slightly high, in the subclinical state. But later level is fine. What is her blood glucose level both fasting and PP. It is important to check that plus BP and lipids. What is the age, weight and height? Thanks.

Hello, Thanks for the query. From the details given it is difficult to understand what is the medication being taken. Because there is nothing in liquid form for treating hypothyroidism (Altrocine 100 ml daily. What is the ideal dose she would be taken?). Levothyroxine is available only in tablet form in microgram dosage. Plus it is necessary to know TSH, T4 values along with weight and height of the patient to calculate the correct dosage. Another aspect looking at the weight and height mentioned, with a BMI of 33.59 kgs/ Sq meter, she is already in grade 1 obesity, this is probably due to uncontrolled hypothyroidism. Thanks.

you are taking med. thyroxine 100mcg for hypothyroidism. shoulder pain may be due many reasons . you should be test thyroid every 3 to 6 months. pl. do x ray of shoulder..and consult with orthopedic doctor.

Mr. lybrate-user, Thanks for your question. Cashew nuts can be taken by a diabetes patient but in a very limited quantity, about 5 pieces per day or so. Thanks.

Hello, It is essential for you to start antidiabetes treatment with appropriate drugs rightaway. Otherwise the condition can become worse and may lead to some of the long term complications of diabetes. Hence, please initiate immediate treatment. Plus follow a healthy diet and regular exercise schedule. Ideal body weight should be (height in Cms - 100 + IBW). All your intake should be based on IBW and extent of daily physical activity. All the best.

Please see an endocrinologist. Your TSH is just above normal. If the eltroxin has just been started, then it takes atleast 6 weeks for its effect to be seen on TSH level. If you have a thyroid swelling as well, you need to do an ultrasound of the same and if needed FNAC. Sometimes hypothyroidism may be due to thyroiditis like Hashimoto’s. This would be diagnosed on fnac / increased antibody levels in blood. Feel free to contact me if you want to discuss this further in details.

Mr. lybrate-user, Thanks for the query. With a BMI of close 35 kgs/Sq you are almost in grade 2 obesity. That is the main culprit for increased blood glucose. It is necessary to reduce weight as your ideal body weight should be less than 65 kgs. There is an excess of 30 kgs. SInce blood glucose shows you have diabetes, there is a need to start the treatment with appropriate drugs, plus diet restriction and regular exercise. Other medication that you are on should be continued. Please check fasting, PP glucose levels and HbA1c% as well as lipid profile. Thanks.

Hello, Gaining weight is a slow process which requires patience and dedication! It not only depends upon the amount of food you consume daily, but also about eating Sensibly, depends upon your genes, your body's proper metabolism, assimilation and absorption, the levels of stress/ tension in your life, and any underlying medical condition you have! The food what and how you eat, makes the difference! For increasing your weight, concentrate on the below points (if you don’t have any medical condition) which helps in gaining weight in a right way without harming your body. - Consume more healthy fats. Foods containing healthy fats are full of nutrients and also high in calories, making them a great option for weight gain. Foods containing plant fats should be your first option - this includes items such as nuts, seeds, peanut butter, avocados and olive oil. Foods containing healthy animals fats include lean meats and full fat dairy products - although if you have high cholesterol, you should probably stick to low-fat options. -Eat more protein. Good sources of protein include lean meat, fish and poultry, in addition to eggs, whole grains, dairy products and legumes. -Drink more calories. Try drinking a large glass of orange juice in the mornings (along with your normal breakfast). Drink a glass or two of full-cream milk throughout the day. -Have 6 small and frequent meals in a day. -Gain muscle mass. It's a good idea to continue to exercise while you attempt to gain weight the healthy way. Strength training includes working with weights and performing exercises such as squats, deadlifts, bench presses, bicep curls, crunches, chin-ups and leg curls. Just keep in mind that the more you exercise, the more calories you will need to consume to replace those you lost while working out. -Quit smoking. As it suppresses the appetite. -Stay healthy. The most important thing through the entire weight gain process is to stay healthy - eating a balanced diet and continuing to exercise throughout. -Take enough of rest and sleep for rejuvenation of the cells and tissues. -Think Positive which will help you in achieving your target of gaining weight. -Avoid taking unnecessary stress/ tension. Medication: Take Schwabe’s Alfaalfa Tonic and Five Phos. Both thrice daily ½ an hour before meals for 3 months. Revert.

No, you don't need medicines. There are plenty of side-effects and one should not attack without medical advice just like that.