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Dr. P Durai

Post Graduate Diploma in Diabetology (PGDD), MBBS

Endocrinologist, Chennai

33 Years Experience  ·  200 at clinic
Dr. P Durai Post Graduate Diploma in Diabetology (PGDD), MBBS Endocrinologist, Chennai
33 Years Experience  ·  200 at clinic
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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.
More about Dr. P Durai
Dr. P Durai is a renowned Endocrinologist in Kodambakkam, Chennai. He has over 33 years of experience as a Endocrinologist. He has done Post Graduate Diploma in Diabetology (PGDD), MBBS . He is currently practising at S V Diabetes Care Centre in Kodambakkam, Chennai. Book an appointment online with Dr. P Durai on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 29 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.

Info

Education
Post Graduate Diploma in Diabetology (PGDD) - University of Newcastle, Australia - 2003
MBBS - Assam Medial College, Dibrugarh - 1984
Professional Memberships
American College of Chest Physicians
Fellow of the Royal Society of Health (FRSH)

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#56, Kodambakkam High Road, T Nagar. Landmark: Near Kodambakkam Bridge, ChennaiChennai Get Directions
200 at clinic
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#2/22, Periyar Road, T Nagar, ChennaiChennai Get Directions
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#56, Kodambakkam High Road, T Nagar, Landmark: Near Kodambakkam Bridge, ChennaiChennai Get Directions
200 at clinic
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#2/22, Periyar Road, T Nagar, ChennaiChennai Get Directions
200 at clinic
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New Number 36, Old Number 16, Dr. Ambedkar Road Landmark : Near Samiyar Madam Bus StopChennai Get Directions
200 at clinic
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As I am diabetic and doing workout and bodybuilding, help me to decide which supplement is good for me my sugar level in fasting is 137 and after fasting is 158. I am a beginner and my age is 27.

MBBS, MD - Medicine
General Physician, Delhi
As I am diabetic and doing workout and bodybuilding, help me to decide which supplement is good for me my sugar level...
Your sugars r perfect. You can take any whey protein. Exercise only wen your sugar is under control.
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I'm 25 years old female. I went for blood sugar test and fasting blood sugar is 94.1 and post meal blood sugar is 120.2 .is it fine or I must take precautions.

MBBS, MD, CCEBDM(diabetology), CCMTD(thyroid dissorders)
General Physician,
I'm 25 years old female. I went for blood sugar test and fasting blood sugar is 94.1 and post meal blood sugar is 120...
Its absolutely fine and well within range, so no need to worry. Still I would recommend everyone to have a healthy life style so that it would be fine for ever. Thank you and be healthy.
1 person found this helpful
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Guidelines for Treatment of Elderly Diseases

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
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Here are some guidelines that can help you in treatment of elderly diseases

3035 people found this helpful

Her sugar level is above 200 inspire if taking 24 units lantus injection. please suggest me what to do?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Her sugar level is above 200 inspire if taking 24 units lantus injection. please suggest me what to do?
take oral medication with it ..tablet galvus met 50/1000 mg twice daily after meals.....it will be controlled
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My father (age 55) Thyroid tsh level 17 t3 and t4 are normal total cholesterol is 244 and BP remains high these days please suggest me.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
My father (age 55) Thyroid tsh level 17 t3 and t4 are normal total cholesterol is 244 and BP remains high these days ...
Tsh - 17 is high. Get his free t3 and free t4 done along with anti - tpo. Cholesterol is high due to hypothyroidism and it will come down once thyroid is treated. For bp restrict salt intake if it is still high start medication.
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I am 43 year old male, I am suffering diabetics since last 23 year. What kinds of physical exercises suitable for me.

Advanced Aesthetics
Ayurveda, Gulbarga
I am 43 year old male, I am suffering diabetics since last 23 year. What kinds of physical exercises suitable for me.
The effectiveness of Ayurvedic medicine in treating diabetes is well documented. The efficacy of herbs widely recommended in Ayurvedic texts for normalizing the blood sugar level has been validated in several clinical trials. In Ayurveda, diabetes mellitus is known as Madhu meha. Owing to the adverse effect of high blood sugar on nearly every vital organ of the body, diabetes is referred to as ?maharoga? or the major disease in Ayurveda.Ayurvedic medicine for diabetes contain herbs that help to lower the blood sugar level by regulating metabolism of carbohydrates, regulating sugar absorption, stimulating insulin secretion and improving sensitivity to the hormone insulin. Gymnema Sylvestre (Gurmar) Gymnema sylvestre is an effective hypoglycemic component in Ayurvedic medicines for diabetes. The common name of the herb is Gurmar, which means the sugar crusher. The efficacy of Gymnema sylvestre leaves in reducing the blood sugar level has been demonstrated in experimental and clinical studies. Treatment with the herb helps to lower the fasting blood sugar level. By assisting regeneration of the residual pancreatic beta cells, it reduces dependence on insulin medications. Coccinia Indica Coccinia indica is a powerful anti-diabetic agent. By regulating breakdown of starch, it helps to prevent sudden surge of blood sugar after consuming carbohydrates. It could also protect the vital organs from the adverse effect of high blood sugar level.
1 person found this helpful
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Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D in Ayurveda, Ph.D
Ayurveda, Hyderabad
Now a days after Fifty years 80% of people are suffering with Diabetic & BP. So avoid Salt & GreenChilly in their diet to prevent & Control this .
2 people found this helpful

I am a retired person from Govt. Service and I am 59 years old male and have pain in right solder, from last 3 months and taking medicine and pain relief gel as prescribed my family doctor. Also I have BP and diabetes and taking tablets as prescribed my family doctor from last 5 years. Daily I am doing walking, exercise, and Yoga. But I am feel low satisfaction in all aspect of Health. position. What is your advice to me to follow. I kindly expect your reply. Thanking You.

MBBS, MD - Medicine
General Physician, Delhi
I am a retired person from Govt. Service and I am 59 years old male and have pain in right solder, from last 3 months...
1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product 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, cucumber, carrot, tomato, j 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, a handful of walnut daily (akhrot) 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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Since 18 years I have been diabetic. Due to it I suffering erectile dysfunction. Sugar level is fast 110 & post 200 please advise best medicine.

MBBS, PGDUS, Fellowship In Aesthetic Medicine, Advance Course In Diabetes - USA, MD - Medicine
Aesthetic Medicine Specialist, Delhi
Since 18 years I have been diabetic. Due to it I suffering erectile dysfunction. Sugar level is fast 110 & post 200 p...
Go for hba1c level and consult me or your diabetologist for proper management. Start tb. Epineuron sr daily in the morning empty stomach that will help in improving. Review with hba1c level, gliptins may help you.
4 people found this helpful
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I have diabetes from past 18 years and also have kidney problem Now suffering from diabetic neuropathy leg selling is not getting reduce I consulted doctor and took medicine but its not getting reduce how can I get rid of it.

MBBS
General Physician, Mumbai
I have diabetes from past 18 years and also have kidney problem Now suffering from diabetic neuropathy leg selling is...
In a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet and leg swelling can be due to kidney disease or congestive cardiac disease or improper blood circulation and which needs rest and first confirm the diagnosis and than decide the plan for treatment accordingly.
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Hypothyroidism - 4 Easy Tips to Help You Manage it

MBBS, MD - General Medicine, DM
Endocrinologist, Hyderabad
Hypothyroidism - 4 Easy Tips to Help You Manage it

The thyroid gland, in the lower front of the neck, releases hormones in the bloodstream that affect almost every part of your body, from your brain and heart, to your skin and muscles. It also controls metabolism which is the process of changing the food you eat into energy. When the thyroid gland does not produce enough thyroid hormone, it is called hypothyroidism.

Symptoms of hypothyroidism include:

  1. Constipation
  2. Hair loss and dry hair
  3. Dry skin
  4. Fatigue
  5. Sensitivity to cold
  6. Decreased heart rate
  7. Goitre (swollen thyroid glands)
  8. Weight gain and difficulty in losing that weight
  9. Persistent jaundice

Hypothyroidism is not curable, but it can be controlled with the right medication. Along with taking your medicines, you can also adopt the following lifestyle changes:

  1. Eat right: While there is no specific diet for hypothyroidism, you should consume vegetables, fruits, whole grains, healthy fats and lean proteins. Since gaining weight is a common symptom of hypothyroidism, eating the right things can help you maintain your weight.
  2. Regular exercise: Exercising can reduce stress, improve energy and help you maintain your optimum weight. Aerobics (for example, cardio), flexibility and strengthening workouts can help with hypothyroidism. Other than that, light weightlifting, yoga and walking, are also beneficial. Do not forget to consult your doctor before you start on any of these exercises.
  3. Reduce stress: Hypothyroidism is chronic, and the one thing that worsens chronic diseases is stress. Stress has serious repercussions on your overall health. So it is important to reduce your stress as much as you can. Meditate daily, at least for five minutes, and schedule a weekly massage to deal with your stress.
  4. Get enough sleep: Fatigue is a symptom of hypothyroidism; you feel tired and sluggish throughout the day. The best way to counter this is to establish a schedule for sleeping. Try to sleep and wake up every day at the same time in the night and in the morning. Generally, sleeping for seven to eight hours is recommended. If you wish to discuss about any specific problem, you can consult a endocrinologist and ask a free question.
2765 people found this helpful

My father is 35 years old. He is suffering from diabetes for 10 month. Now his sugar levels is normal. But now he has complaints of both knee pain. Sometimes he found very pain in his elbow. What he do.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
My father is 35 years old. He is suffering from diabetes for 10 month. Now his sugar levels is normal. But now he has...
Identify the mid point between the ankle bone and tendons and give pressure with a blunt edge on either side of your foot for 2 minutes. Also give pressure in the web between 2nd and 3rd finger from your toe for 2 minutes. Finally give a good massage for both feet in hot water. Identify the dipping portion on the back of your knee folding. Press this dip with both middle fingers and hold your knee with your thumbs for support. Please swing 20 times morning and evenings. Give pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem.
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What is the symptoms to find out the diabetes in a human body, if it appears then what can be precaution we should use to escape from this disease.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
What is the symptoms to find out the diabetes in a human body, if it appears then what can be precaution we should us...
Individuals can experience different signs and symptoms of diabetes, and sometimes there may be no signs. Some of the signs commonly experienced include: Frequent urination Excessive thirst Increased hunger-even though you are eating Weight loss - even though you are eating more Tiredness Lack of interest and concentration A tingling sensation or numbness or persistant pain in the hands or feet Blurred vision Frequent infections Slow-healing wounds Vomiting and stomach pain (often mistaken as the flu) Extreme fatigue Early detection and treatment of diabetes can decrease the risk of developing the complications of diabetes.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.
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Infertility - Ayurvedic Remedies are the Solution!

MD - Ayurveda
Ayurveda, Delhi
Infertility - Ayurvedic Remedies are the Solution!

Fertility is a potential for reproduction. In other words, fertility is an ability to have babies or to reproduce. When fertility rate in a community, increases more babies are born. To produce an offspring it depends on age, health and other factors of the woman. When we talk about fertility rates it means the number of births that happen during a certain time period in a specific location. On the other end, lack of ability to reproduce is termed as infertility. There are various treatments to deal with fertility issues and one of the ancient and natural as well as a trusted treatment is Ayurveda.

Causes
Female infertility is caused due to structural problems like blocked fallopian tubes, a defect in cervical canal, uterine fibroids or polyps. Hormonal imbalance leading to ovulation problems too can cause infertility. In males. infertility may have anatomical, psychological, hormonal or lifestyle related causes. The cause of infertility in approximately 20% of couples can't be determined using the currently available methods of investigation. From Ayurvedic perspectives, shukra dhatu can get affected by various physical, mental causes and even by serious diseases. Poor quality shukra dhatu can cause infertility in males & females.

Symptoms

Failure to reproduce

Ayurveda For Infertility

Ayurveda is one of the world's oldest holistic healing systems. It is based on the belief that health and wellness depend on a delicate balance between the mind, body and Spirit. The primary focus of Ayurvedic medicine is to promote good health, rather than fight disease. Fertility problems are increasing these days for many young couples. There are many factors which account for this like Lifestyle, delayed marriages, diet, etc. But Ayurveda not only does explain how to increase fertility with herbal supplements, but it also focuses on how to have healthy children.

For a pregnancy to be healthy and successful, a couple needs to take care of the following four essential factors:

  1. Sperm/Ovum (Seeds)
  2. Uterus (Soil)
  3. Nourishment (Water)
  4. Time for Conception (Timing of Sowing)

Reproductive health, in both men and women, depends on the health of the reproductive tissue or shukra dhatu. In women, shukra creates the ovum as part of the monthly cycle, and in men, the semen is formed due to sexual stimulation. The shukra is created as part of a long chain of metabolic transformations. It starts with the digestion of food, then goes on to the transformation of food to nutrient fluid, blood, muscle, fat, bone, bone marrow, and finally, to shukra tissue. Healthy shukra tissue, then, according to Ayurveda, depends on the health of all the other tissues in the body.

Foods to Nourish All Seven Dhatus (Bringhana)

  1. Fresh, organic fruits and vegetables
  2. Dairy proteins, including milk, lassi, and panir (a fresh cheese made of milk)
  3. Whole grains
  4. Mung dhal
  5. Soaked almonds or soaked walnuts
  6. Dried fruits such as dates, figs, and raisins
  7. Sweet, juicy fruits such as mangoes, peaches, plums, and pears
  8. If your digestion is strong, eat urad dhal (available at Indian grocery stores) cooked with equal parts turmeric, cumin, coriander, and fennel.
  9. A banana cooked in ghee, cinnamon and cardamom is a tasty and wholesome dessert for people with strong digestion.

Foods to Enhance the Reproductive Tissue (Vrishya)

  1. Asparagus
  2. Broccoli
  3. Milk
  4. Date-milk shake
  5. Mango milkshake
  6. Rice pudding

Spices such as ajwain powder, cumin (which purifies the uterus in women and the genitourinary tract in men), turmeric (to improve the interaction between hormones and targeted tissues), and black cumin.
In general, it's important to eat a wide variety of foods in order to receive all the essential nutrients. Keep trying new vegetables and fruits, and rotate your menus to make sure you're not eating the same thing day after day. If you wish to discuss about any specific problem, you can consult an ayurveda and ask a free question.

5957 people found this helpful
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Dear Doctor, I am having diabetic and hypertension for the last 12 years. I am 51 years old. I am presently taking the following medicines: Glycomet GP 0.5 mg 2-0-2 Zita 100 mg 1-0-0 Atorva 10 0 -0-1 Olmax 40 1-0-0 Revelol am 5 /50 - 0-0-1 Presently on a recent checking my BP levels and cholestrol levels seems to be fine and normal. BP 90/130 Total Cholestrol : 118, Trigliceride: 127 ,LDL : 60 ,HDL :45. I presume my BP and cholestrol and BP levels are fine with these numbers. My concern is diabetics. Earlier 3 years back my medication was Pioglit 15 , after its so called ban, doctor changed the medicine to Glycomet GP 0.5 mg which i am using for the last three and half years. My fasting & pp sugar initially even after medication happens to be 130 / 170 levels. However during the last 4 months my sugar started shooting up , partly due to official preoccupations. My HbA1c levels are nearing 8 and morning fasting levels ( vary between 170 to 200) depending on the food what i take at night. Doctor asked me to increase the dosage of medicine and now i am using Glycomet GP 0.5 mg 2-0-2 instead of earlier 1-0-1. Zita i am using only 100 mg. I am not seeing any change in sugar levels. I s the combination right ? should i need to change it ? Please guide. Since i have a touring job for 15 days a month, i resort to outside food and i do walking. Please guide.

Vaidya Visharad
Ayurveda, Narnaul
Dear, According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com
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My wife suffer from hypothyroid she had low T3 & T4 and very high Tsh level. Pls suggest me.

BHMS
Homeopath, Bangalore
My wife suffer from hypothyroid she had low T3 & T4 and very high Tsh level. Pls suggest me.
Hello try n meet nearby homoeopathic consultant as proper case taking n physical examination is required..
1 person found this helpful
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I have diabetes since 4 months, my parrents also have diabetes. Doctor prescribed me to take insulin 32/26 when my sugar level is 465. Now sugar level is 80. Now I am taking insulin 8/6, I want to stop insulin what should I do ?

DM - Endocrinology
Endocrinologist, Hyderabad
u have already come down to so less unit of insulin. probably ur doctor will be stop in near future. maintain good diet and exercise regime so thaty it will be easier to stop insulin.
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What is commonly understandble interpretation of tsh/ hypo thyroidism/hyper thyroidism ?

C.S.C, D.C.H, M.B.B.S
General Physician,
T3 (triiodothyronine) free (serum) top of page 0-6 years: 2.4 -4.2 pg/ml 7-17 years: 2.9-5.1 pg/ml > 18 years old: 2.3- 4.2 pg/ml 3.5 - 6.5 pmol/l t3 (triiodothyronine) reverse (rt3) (serum) top of page birth-6 days: 600 -2500 pg/ml > 7 days old: 90 -350 pg/ml adults: 0.11 - 0.32 ng/ml 0.04 - 0.29 nmol/l t3 (triiodothyronine) total (serum) top of page cord blood: 14 -86 ng/dl 1-7 days: 100 -470 ng/dl 8- 364 days: 105 -245 ng/dl 1 -9 years: 94 -269 ng/dl 10-19 years: 102 -200 ng/dl > 20 years old: 80 -200 ng/dl adults: 0.8 - 2.0 ng/ml 0.9 - 2.8 nmol/l t4 (thyroxine) free (serum) top of page 0.8 - 1.8 ng/dl 10 - 23 pmol/l t4 (thyroxine) total (serum) top of page 4.5 - 12.5 g/dl 58 - 161 nmol/l for personal discussion you are welcome to ask privately in this site.
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Hello, I am 45 years female having a overweight problem. (5ft / 70 kgs) have gone through hystectomy operation in 2012. Currently my throid level is 4.16 and doctors have asked me to reduce the weight because I am suffering from knee pain recently. Can I get the solution / guidance to loose weight so that I can have my throid controlled as I have started walking daily as an exercise. My job profile is alsways at the desk. Also I need a solution for my knee pain problem. Currently I am taking calcium supplementary called glucosamine tablets.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, I am 45 years female having a overweight problem. (5ft / 70 kgs) have gone through hystectomy operation in 201...
Your BMI is 30.30kg/m2 which is showing you are obese. The ways to reduce weight are mainly two 1) reduce the food intake, 2) exercise and burn extra calories. There are drugs like orlistat tabs which does help in reduction of weight (about 6 kg in a year), but has certain side effects. Since you complain of knee pain, can try some stretching exercises and abdominals which do not put strain on knees. Also alternately join yoga classes learn asanas that help. Set a target of reducing 2 kgs per month, that can be achieved by cutting down 550 calories from your daily intake. Your caloric intake daily should not exceed 1000 calories and exercising has to continue. Glucosamine is not calcium supplement, it is supposed to help cartilage building but evidence is not there. Calcium tabs can tab veba plus daily one for a few months.
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