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Dr. Krishna Seshadri

MBBS, MD - Internal Medicine

Endocrinologist, Chennai

27 Years Experience  ·  500 at clinic
Dr. Krishna Seshadri MBBS, MD - Internal Medicine Endocrinologist, Chennai
27 Years Experience  ·  500 at clinic
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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Krishna Seshadri
Dr. Krishna Seshadri is a renowned Endocrinologist in Adyar, Chennai. He has helped numerous patients in his 27 years of experience as a Endocrinologist. He has done MBBS, MD - Internal Medicine . He is currently associated with Dr. Krishna Seshadri@Fortis Malar Hospital in Adyar, Chennai. Book an appointment online with Dr. Krishna Seshadri on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 37 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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Education
MBBS - Madras Medical College, Madras University, Chennai - 1990
MD - Internal Medicine - Rush University, Illinosis, USA - 1998
Professional Memberships
American College of Physicians
American Endocrine Society
Indian Medical Association (IMA)

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#52, 1st Main Road, Gandhinagar Landmark : Near Adyar SignalChennai Get Directions
500 at clinic
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My father got thyroid. We had test from Lab and they said THCL is 179. Something. But the doctor said that they have not did proper report. I want to know is it possible thcl 179.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr Tasveer, Is he on treatment for hypothyroidism? If yes what is the dose being taken? Secondly the level mentioned by you of 179 is of what, plus there is no mention of any unit. So difficult to comment. If you have any doubt please get the test repeated, that will clarify the situation. Are you referring to TSH (thyroid stimulating hormone)?
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Hello doctors . My weight is 100 kgs n height is 5.6 inches. Since 3 years whatever I do there is 5 kgs up n down in my weight. I'm having cereals n boiled egg without yellow morning. When I go to college I take 2 with wid vegetables for lunch. If I am at home I have phulka or one cup rice. Evening have green tea. And I have one jowar roti with vegetables at night around 7 pm. Then I don't eat anything at night. Drink water in adequate amounts too. Morning due to hectic college schedule if have have time then I do walking for nearly half to one hour. Im fed up im not at all loosing weight. Please suggest me. I had few thyroid abnormalities in childhood so had iodine tonic for 2 months then it was fine. Again at the age of 15 I had imbalance so ate 12. 5 mg thyroxine for one month. Now at the age of 20 again symptoms of thyroid with pcod im having. Since 6 months eating 25 mg of thyroxine. There is a family background of hypothyroidism and diabetes. Pls help me I don't want to be inline with them. And want to loose my weight too.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
Hello doctors . My weight is 100 kgs n height is 5.6 inches. Since 3 years whatever I do there is 5 kgs up n down in ...
dear first of all make principle of life small frequent low calorie diet. Fruits in betwnnn breakfast and meal then lunch and dinner. Brisk walking and anxiety free life and some drugs like kg cut 30 min before dinner 3 tsf in water.
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Hello Doctor, My query is What is the below results in a report indicates Plasma Glucose - Fasting is 117. Please advise.

M.sc
Dietitian/Nutritionist, Salem
Hello Doctor, My query is What is the below results in a report indicates Plasma Glucose - Fasting is 117. Please adv...
Hello lybrate-user, plasma glucose-fasting sugar is differ children's, adolescents, adult like wise. Your blood sugar 117 mg/dl is normal. Dangerous fasting sugar higher than 315+ and highly dangerous fasting sugar less than 50
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I am suffering from diabetic problem, what can I do? I am not consulted with any doctor. Please advise.

MBBS
General Physician, Cuttack
I am suffering from diabetic problem, what can I do? I am not consulted with any doctor.
Please advise.
1.Do regular aerobic exercise for 1 hour daily (brisk walking,jogging,running,swimming,cycling etc) 2.Reduce weight if overweight 3Control diet a)Avoid sweets, sugar/honey, milk, excess calorie and carbohydrate rich diet like white bread, cereal,rice, pasta b)avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food,. c)include more fiber like pulse,green leafy vegetable, legume. d)Avoid sweetened fruit like banana,mango,litchi, chickoo,sapota, seethaphal jack fruit,grape etc. can have fruits like guava, pineapple,papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato e)Avoid white/polished rice, take unpolished rice like brown rice/wheat/Jowar/Ragi,moong and chana Dal. f)Avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. g)Avoid red meat.take fish/chicken. h)Avoid alcohol and carbonated drinks like soft drink 4.Adhere to a strict diabetic diet by consulting Dietitian 5.Monitor your fasting, PP blood sugar 3 monthly and HbA1c six monthly 6.Consult diabetologist for advice and treatment
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My Mother is a diabetic patient. She always feels like to pee. In Evey half and hour she goes for three times to the washroom. Please tell what should we do. No doctor also tell properly. What we should do. Really sad to see my mother condition.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
My Mother is a diabetic patient. She always feels like to pee. In Evey half and hour she goes for three times to the ...
Control her sugar strictly, check urine for infection. If urine is normal, Give tablet Darif 7.5 daily for one month.
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Dear Doctor, I am 46 years old and diabetic. Having E coli in urine analysis with burning while urination, After that levofloxacin have been used and recovered. Now after few days I am having same problem with burning urination. Is any problem to participate in intercourse with wife. It will be attackable to sex partner also. Kindly suggest me how to cure this e coli? Is there any precautionary diet required? With thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dear Doctor,
I am 46 years old and diabetic. Having E coli in urine analysis with burning while urination, After that...
Generally utis are not transmitted by sexual contact, unless caused by sexually transmitted infections like chlamidia, trichomoniasis etc. You may have to take another course of antibiotics for may 7 to 14 days to get a cure from it. Thanks.
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56 years old male. Regular in morning walks vegetarian. Since 2_3 months uric acid is 7.9 _ 8.1. Has small knots in feet under joints. Started having pain in knee joints. Having pain in feet. While running no problems. Advice medicine, exercises and food habits to be followed please.

BPTh/BPT
Physiotherapist, Kolkata
56 years old male. Regular in morning walks vegetarian. Since 2_3 months uric acid is 7.9 _ 8.1. Has small knots in f...
Swimming walking use good sports shoe join gym for knee and foot exercise purpose change your food habit take ift over both knee and both feet for 10 days @ 20 min daily ok.
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She is suffering from thyroid & her weight increases as due to water in her body.what to do

PDDM, MHA, MBBS
General Physician, Nashik
She is suffering from thyroid & her weight increases as due to water in her body.what to do
Pay close attention to your food choice. ·        Eat less carbohydrate food sources like chapatti, rice, noodles, pasta, bread etc as they help in gaining weight and storing fat. ·        While having lunch or dinner eat vegetables and dal to fill your stomach rather eating lots of chapattis or rice. ·        Have a healthy breakfast like poha, idli, upma, plain dosa, oats, dalia or khichdi with vegetables. ·        Eat a balance diet including good quality proteins like: fish, lean chicken and eggs. If you are a vegetarian then include skimmed milk, low fat paneer, butter milk, soy bean or soy milk in your diet. ·        Avoid ghee, butter or vanaspati. Prepare your diet with vegetable oil like sunflower, safflower soybean or olive oil. ·        Eat plenty of salads. ·        Eat fresh fruits including apple, orange, pineapple, papaya, sweet lime, berries, guava, watermelon, mask melon etc. ·        Avoid eating outside junk and fried foods like pizza, pasta, roll, burgers, cakes, chocolates and cookies. ·        Have an early dinner. The earlier the better, giving your system more time to digest the food. ·        Avoid cold drinks/alcohol as they add empty calories to your diet. ·        Avoid fat enriched milk products like cheese, sweets, full fat cream etc. ·        Drink 3 liters of water in a day. ·        Try to have less sugar in food and beverages. ·        Try to drink 2 cups of green tea in a day as green tea helps in weight loss by aiding digestion. ·        Avoid red meat like mutton, beef, lamb or pork. ·        Eat sprouts or roasted chana, whenever you feel hungry.
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What is the reason that people get thyroid? What is the cure if hyper thyroid to get rid of permanently?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Lybrate-user, madam thyroid is the normal gland present in all of us, it produces hormone thyroxine, essential for development and functioning of brain, plus essential for almost all vital metabolic activities in the body. Deficiency of that hormone causes hypothyroidism and excess causes hyperthyroidism. Why thyroid disease occur is difficult to explain. There are many reasons including auto immune causes (hashimoto's disease - causing hypothyroidism), iodine deficiency leading to goitre and hypothyroidism. Radiation, environmental causes, heredity etc. All the conditione related to thyroid gland can only be treated and controlled. There is no cure. Treatment is for lifetime.
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Is jaggery the right replacement of Sugar for sweeting the drinks like tea, nimboo Pani etc. And sweet dishes like kheer, halwa etc. What are the bad effects of jaggery?

MBBS, DPHA, DPH, PGDHHM, MBA (Healthcare), Fellow in Diabetes
General Physician, Gandhidham
Is jaggery the right replacement of Sugar for sweeting the drinks like tea, nimboo Pani etc. And sweet dishes like kh...
Hi Lybrate, Jaggery cannot be replacement for sugar in diet. It is sugar only in other form and taste. Needs more quantity than regular crystal sugar. The jaggary contains Iron and B12 vitamin is good for health in normal way. But it has similar effects like sugar in body making one prone to diabetes and obesity. Regards.
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I am not getting the sleep well because of thyroid but I want to come out from this but how? and english medicine is better or homeopathy for thyroid.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am not getting the sleep well because of thyroid but I want to come out from this but how?  
and english medicine i...
stop taking more stress of any kind of work or things.go for walk daily, take intrest in your works. take healthy food diet, whole garin, oats food, plenty of water , both systems of medicines are good ..it is your choice which you wants.
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MY NAME IS S. priyadharshini SENTHIL I HAVE THYROID GLAND PROBLEM FROM MY BIRTH WHICH HYPOTHYROIDISM AND ALSO MY BODY appearance AND WEIGHT GETTING RAISE FOR THAT WHAT I NEED TO DO DOCTOR AND ALSO I TAKING eltroxin 100mg TABLET FROM BIRTH I STOPPED THAT TABLET FOR 10 DAYS RESULT IS I FELT FEVER TO ME TO STOP THAT TABLET FROM MY LIFETIME WHAT I NEED TO DO PLS HLP ME.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
MY NAME IS S. priyadharshini SENTHIL I HAVE THYROID GLAND PROBLEM FROM MY BIRTH WHICH HYPOTHYROIDISM AND ALSO MY BODY...
Lybrate-user, if you have hypothyroidism since birth, (congental) then the only treatment is to take thyroxine tablets in prescribed dosage for life time. If you stop, then it will affect very adversely and lead to multiple problems. So please keep taking that medicine with out stopping. If stop then serious metabolic complications occur.
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What happens when a non-diabetic person takes insulin?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist,
What happens when a non-diabetic person takes insulin?
if a non diabetic person take insulin then sugar levels will go down causing severe hypoglycemia and even death.
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I have high sugar problem. What should I do in home to control my blood sugar level.

MD - General Medicine
General Physician, Delhi
I have high sugar problem. What should I do in home to control my blood sugar level.
You need to take antidiabetic drugs if your blood sugar levels are very high like more than 250. Take diabetic diet according to diabetic diet chart and do regular exercise for 30 minutes daily in morning or evening. Reduce your weight atleast 5 kg. All these will help controlling blood sugar.
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Hi Mere Blood me ESR (erythrocyte sedimentation rate) jyada hone pe kya karna chahiye? Patient age 50 years and weight 75 kg. Old patient of diabetes and hypertension.

MD, DYA, PGDCR
Ayurveda, Nashik
Hi Mere Blood me ESR (erythrocyte sedimentation rate) jyada hone pe kya karna chahiye? Patient age 50 years and weigh...
In Ayurved it is due to Raktagat aam. Kindly drink hot water whenever thirsty. Do not eat anything apart from rice flakes whenever hungry. Do this for three days. It will detoxify the blood. Then you can switch over to normal diet. please consult for other details.
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Management of hypothyroidism.

MD - Internal Medicine, MBBS
Endocrinologist,
Management of hypothyroidism.
Hypothyroidism Treatment & Management The treatment goals for hypothyroidism are to reverse clinical progression and correct metabolic derangements, as evidenced by normal blood levels of thyroid-stimulating hormone (TSH) and free thyroxine (T4). Thyroid hormone is administered to supplement or replace endogenous production. In general, hypothyroidism can be adequately treated with a constant daily dose of levothyroxine (LT4). Thyroid hormone can be started at anticipated full replacement doses in individuals who are young and otherwise healthy. In elderly patients and those with known ischemic heart disease, treatment should begin with one fourth to one half the expected dosage, and the dosage should be adjusted in small increments after no less than 4-6 weeks. For most cases of mild to moderate hypothyroidism, a starting levothyroxine dosage of 50-75 µg/day will suffice. Clinical benefits begin in 3-5 days and level off after 4-6 weeks. Achieving a TSH level within the reference range may take several months because of delayed readaptation of the hypothalamic-pituitary axis. In patients receiving treatment with LT4, dosing changes should be made every 6-8 weeks until the patient’s TSH is in target range. In patients with central (ie, pituitary or hypothalamic) hypothyroidism, T4 levels rather than TSH levels are used to guide treatment. In most cases, the free T4 level should be kept in the upper third of the reference range. After dosage stabilization, patients can be monitored with annual or semiannual clinical evaluations and TSH monitoring. Patients should be monitored for symptoms and signs of overtreatment, which include the following: Tachycardia Palpitations Atrial fibrillation Nervousness Tiredness Headache Increased excitability Sleeplessness Tremors Possible angina The updated guidelines on hypothyroidism issued by the American Thyroid Association in 2014 maintain the recommendation of levothyroxine as the preparation of choice for hypothyroidism, with the following considerations:[5, 6] If levothyroxine dose requirements are much higher than expected, consider evaluating for gastrointestinal disorders such as Helicobacter pylori –related gastritis, atrophic gastritis, or celiac disease; if such disorders are detected and effectively treated, re-evaluation of thyroid function and levothyroxine dosage is recommended. Initiation or discontinuation of estrogen and androgens should be followed by reassessment of serum TSH at steady state, since such medications may alter levothyroxine requirement. Serum TSH should be reassessed upon initiation of agents such as tyrosine kinase inhibitors that affect thyroxine metabolism and thyroxine or triiodothyronine deiodination. Serum TSH monitoring is advisable when medications such as phenobarbital, phenytoin, carbamazepine, rifampin, and sertraline are started. When deciding on a starting dose of levothyroxine, the patient’s weight, lean body mass, pregnancy status, etiology of hypothyroidism, degree of TSH elevation, age, and general clinical context, including the presence of cardiac disease, should be considered. The serum TSH goal appropriate for the clinical situation should also be considered. Thyroid hormone therapy should be initiated as an initial full replacement or as partial replacement with gradual increments in the dose titrated upward using serum TSH as the goal. Dose adjustments should be made upon significant changes in body weight, with aging, and with pregnancy; TSH assessment should be performed 4-6 weeks after any dosage change. Reference ranges of serum TSH levels are higher in older populations (eg, >65 years), so higher serum TSH targets may be appropriate. A meta-analysis of randomized, controlled trials of T4-triiodothyronine (T3) combination therapy versus T4 monotherapy for treatment of clinical hypothyroidism found no difference in effectiveness between combination therapy and monotherapy with respect to side effects such as bodily pain, depression, fatigue, body weight, anxiety, quality of life, and total low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol and triglyceride levels.[36] A study of athyrotic patients found a high heterogeneity in these patients’ ability to produce T3 when treated with levothyroxine. Approximately 20% of these athyrotic patients did not maintain normal free T4 or free T3 values despite a normal TSH.[37] However, it is unclear whether more physiologic treatments offer any benefit, even in subgroups of hypothyroid patients. In patients who continue to have symptoms (eg, weight gain and fatigue) despite normalization of the TSH level, one should consider causes other than hypothyroidism, rather than simply increasing the thyroid hormone dose on the basis of symptoms alone (see DDx). In some cases, however, symptom persistence is the result of a polymorphism of the deiodinase 2 enzyme, which converts T4 to T3 in the brain; these patients may benefit from combined LT4-liothyronine (LT3) therapy, using a physiologic LT4-to-LT3 ratio in the range of 10-14:1.[4] Most patients with hypothyroidism can be treated in an ambulatory care setting. Patients who require long-term continuous tube feeding routinely require intravenous (IV) LT4 replacement because the absorption of oral agents is impaired by the contents of tube feeds. Alternatively, tube feeds can be withheld for 1 hour while the patient receives an oral preparation of LT4. It should be noted that oral and IV preparations of LT4 are not equivalent; consequently, great care must be taken in switching between these formulations. Patients with severe hypothyroidism requiring hospitalization (eg, myxedema) may require aggressive management. Overreplacement or aggressive replacement with any thyroid hormone may precipitate tachyarrhythmias or, very rarely, thyroid storm and should be balanced against the need for urgent replacement. Risk is higher with T3 therapy. Surgery is rarely needed in patients with hypothyroidism; it is more commonly required in the treatment of hyperthyroidism. However, surgery is indicated for large goiters that compromise tracheoesophageal function.
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I am suffering from diabetes so please ap mujhe bta sakte h kya kya foods nahi khane chaiye.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am suffering from diabetes so please ap mujhe bta sakte h kya kya foods nahi khane chaiye.
DIABETIC DIET CHART: Morning: 4-5 Almonds soaked overnight in water or 1-2 walnuts 6:30 a.m.: Tea + 2 mariegold biscuits(only for those who can’t skip their morning tea) 8:00-9:00 a.m. : 2 Roti + subzi + daliya /upma/poha/raw cheese/sprouts + 1 glass skimmed milk 11:00-12:00 a.m.: Fruits (only those permitted), salads, guava, papaya, pomegranate, cucumber, carrot, sprouts etc 1:00-2:00 p.m.: 2 roti +dal + salads+curd/raita/buttermilk 4:00-5:00 p.m : tea + roasted chana/bhelpuri(only if hungry) 7:00 p.m : salads/coconut water/lemon water(without sugar) 8:00-9:00 p.m: 2 roti +dal/khicdi + skimmed milk Try to sleep daily on sametime till 11:00 p.m. SPECIAL PRECAUTIONS:  Avoid potato/sweet potato/arbi banana/cheeku/grapes/mango/litchi papads/ chatni/pickles/fried foods groundnuts/cashew/pista/raisins sweets/honey/cold drinks/jaggery Note: For preparing chapatis, use whole wheat flour mixed with chana flour or besan in 3:1 proportion alongwith small amounts of soyabean ●Eat regular meals throughout the day at same time everyday..Avoid skipping meals ●Include high fibre foods at each meal e.g. legumes(beans/lentils ),nuts(almonds,walnut),eggs etc ●Take fruit as a healthy snack e.g. apples,pears,papaya,mausami,jamun,guava ●Try to avoid –grapes,mango,bananas,jackfruit(cheeku) ●Vegetables to be included in plenty-at least 2 servings per meal ●Reduce the fat intake,fried foods,cakes,pastries and foods containing palm oil and coconut oil  ●Include healthy foods like daliya,oats ●Reduce salt intake in the diet to 1 tsp or less per day ●stay away from especially labelled diabetic foods(they are of no benefit),and saturated fats  ●Limit intake of sugar and sugary foods like sweets ●If so desire can take sugarfree as sugar substitute for sweetening purposes
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I am 43 years my thyroid TSH is 150 last year October but again I tested this year August TSH is 117 and I started treatment of tablet 75 mg for 45 days again tested a week back TSH 15 Now what can I do.

MBBS, DNB
Nuclear Medicine Physician, Mumbai
Kindly repeat TSH only after 3 months of changing the dose and that too if you have been taking the medication regularly. If TSH has still not normalized then increase the dose of medication by 12.5 microgram and again repeat test after 3 months.
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My father is 52years old he is diabetic patient. He is taking medicine (Zoryl MV 1) for his diabetes from few years. But from last 3-4days he is suffering from severe pain in his knees. please tell why it is happening? Is there anything about to worry? Please let me know how to get rid of this problem.

MD Homeopath, DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Gurgaon
My father is 52years old he is diabetic patient. He is taking medicine (Zoryl MV 1) for his diabetes from few years. ...
Lybrate-user having pain in knee of your is nothing to do with diabetes provided their b sugar is under control - having pain in knee for 3-4 days could be linked to some un-knowing traumatic injury or strain in ligament or osteo-arthritic changes in knees - go for uric acid test / ra factor / and x-ray knee will help us in ruling out certain possibilites. For the time being put a cotton clothe soaked in hot salted water and apply over knee with give some relief.
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What are the symptoms for diabetes and how it can be known, if it is diabetes or other disease.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Sultanpur
What are the symptoms for diabetes and how it can be known, if it is diabetes or other disease.
Sir excessive hunger, more thirsty and more ruination at night and loss of weight are common symptoms of diabetes. Please check blood sugar levels both fasting and pp. And urine test for confirmation. Symptoms may vary,
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