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Dr. R. Ram Kumar

MBBS, DRM, Fellowship in Diabetology, Post Graduate Diploma in Diabetology (P...

Endocrinologist, Chennai

31 Years Experience
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Dr. R. Ram Kumar MBBS, DRM, Fellowship in Diabetology, Post Graduate Diplo... Endocrinologist, Chennai
31 Years Experience
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. R. Ram Kumar
Dr. R. Ram Kumar is a popular Endocrinologist in Chintadripet, Chennai. He has been a successful Endocrinologist for the last 31 years. He is a MBBS, DRM, Fellowship in Diabetology, Post Graduate Diploma in Diabetology (PGDD) . He is currently associated with Thyroid Centre in Chintadripet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. R. Ram Kumar 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.

Info

Specialty
Education
MBBS - Bangalore University, - 1986
DRM - BOMBAY UNIVERSITY, - 1990
Fellowship in Diabetology - IMA, - 2009
...more
Post Graduate Diploma in Diabetology (PGDD) - - 2011
Languages spoken
English
Professional Memberships
Indian Radiological and Imaging Association
Indian Medical Association (IMA)
Indian Academy of Paediatrics (IAP)
...more
Indian Society of Nephrology (ISN)
American Association of Clinical Endocrinologists (AACE)
Society of Nuclear Medicine (SNM)

Location

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Thyroid Centre

60, Sanipandhram Street, Chintadripet, Sanipandhram Stret. Landmark: Landmark: Near Kalyana Mantapam, ChennaiChennai Get Directions
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My dad has diabetes. Can he use fenfuro capsules. I read a lot in internet but not sure. Please suggest.

C.S.C, D.C.H, M.B.B.S
General Physician,
My dad has diabetes.  Can he use fenfuro capsules. I read a lot in internet but not sure. Please suggest.
Without other medicines diabetes cannot be controlled with Fenfuro .Diabetes affects all organs in the body ? Eyes, kidneys, nerves, reproductive system all are affected, In fact, from toe to hair. For diabetic control, patient should be under proper guidance for regular follow up and advice. It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose ? SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & lifestyle.
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Hi doctor, I am from bombay but staying in kuwait for business, my age is 50 years and my weigh is 85, in my blood report tg level is high, there is cholesterol in liver is high, sugar is high, my blood pressure always high like 180 to 200. So, what should I do and which type of food I avoid please advice me. Thank you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi doctor, I am from bombay but staying in kuwait for business, my age is 50 years and my weigh is 85, in my blood re...
It appears you are suffering from high blood sugar, (diabetes), high bp and dyslipidemia. You seem to also have fatty liver. These conditions must be properly taken care of. You also are obese (bmi 31.227). Please let me know are on any medication now if so what are taking? further how much exercise do you do every day? please furnish this information to help you properly. As regards the food you have to restrict deep fried foods, sweets and even red meat. Total caloric intake also has to be curtailed to reduce excess weight. Avoid tobacco in any form and alcohol completely. I await your information.
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My wife have a problem of egg not forming for get pregnancy had all consultant with Dr. nd also have some course of injection to get egg.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Because of abnormal hormonal levels eggs doesn't for get these test done on the 2nd day of period f. S. H, l. H, t. S. H, prolactin, free testosterone, dht.
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I have thyroid value 13. I am taking medicine thyrox 50. What I will do to maintain my thyroid?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
DEAR SIR YOUR MEDICINES DISAGE IS NOT PROPER..PL. TAKE TAB. THYROX 125 MCG BEFORE MEAL. TAKE DIET...Walnuts Soybean flour Cottonseed meal Iron supplements or multivitamins containing iron Calcium supplements Antacids that contain aluminum or magnesium Some ulcer medications, such as sucralfate (Carafate) Some cholesterol-lowering drugs, such as those containing cholestyramine (Questran) and colestipol (Colestid) To avoid potential interactions, eat these foods or use these products several hours before or after you take your thyroid medication.
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What is the cure for acute urinary tract infection My mother is a diabetic and has recurring urinary infections Any cure ?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What is the cure for acute urinary tract infection
My mother is a diabetic and has recurring urinary infections Any c...
Lybrate-user, in diabetes chance of getting repeated urinary tract infection is quite common. So strict blood glucose control is very essential. Fasting glucose should be closer to 100 mg, pp 150 to 160 mg & hba1c% <7. Plus there has to be appropriate antibiotic treatment of each episode of infection. It may be necessary to get a sensitivity test to see which antibiotic is most effective. But still if hyperglycemia is not controlled urinary tract infection can continue to occur. Thanks.
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I hav thyroid problem .last one year I lost all my hairs .is the problem due to thyroid or due to else.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Thanks for the query. In uncontrolled hypothyroidism there can be fairly severe hair loss. So controlling TSH level between 3 to 4 mU/L is very essential. Dosage of Levothyroxine should be such that you are able to maintain TSH as mentioned above. Then most of the symptoms will be in control including hair loss. In the situation TSH is in good control and still there is hair loss one will have to find out what other cause may be involved. Then you will have to consult a Dermatologist, who can guide specifically. Thanks.
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Hi, I am a diabetic patient. And my age is 27. My blood glucose is un fasting 75 and pp 110. I want to known which type of food to ear and I known to in diabetic kinda and heart are also effect when in control.

MD-Physician, PGDCC
Cardiologist, Jaipur
Hi, I am a diabetic patient. And my age is 27. My blood glucose is un fasting 75 and pp 110. I want to known which ty...
Hello. It is very important for you to take care of your health. As diabetes can harm heart as well as kidneys and other organs. But. In your case reports are good and looks like sitagliptin works well for you. Weight control. Less carbs. More proteins. No soft drinks. No beer. That will help. Never to smoke and to take less oily food. Feel free to consult me if you need on this.
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My mother has diabetes since 3 years. Now we diagnosed hypothyroidism. I want to know whether these two are interlinked or not?

BAMS
Ayurveda,
My mother has diabetes since 3 years. Now we diagnosed hypothyroidism. I want to know whether these two are interlink...
No this not necessary to interlink but differently treatment are there, just follow few tips and some medicine will help you better than before. Ok.
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I am 48 years female diabetic since 2008 having puffy eyes. Is this due to ageing or some other reason. Usually diabetes between 200-260. Sometimes better than that. Please suggest the remedy.

MBBS, DNB (OPHTHALMOLOGY)
Ophthalmologist, Pune
I am 48 years female diabetic since 2008 having puffy eyes. Is this due to ageing or some other reason. Usually diabe...
Hello ma'am. Puffiness under the eye can be due to many reasons. Since you are a diabetic and it's not under complete control, get your kidney function test done once. Then if it's normal show to a cosmetologist or dermatologist. But get your retina check up done by a ophthalmologist once.
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Can we take sugarfree tablets or powder in place of sugar? Does sugar free have any side effects?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Can we take sugarfree tablets or powder in place of sugar? Does sugar free have any side effects?
You can taken sugar free tablets like aspartum safely but in a limit 2-5/day. No side effect. Fully safe if taken in limit.
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How much Alcohol Consumption is Allowed for a Diabetic on Insulin Injections every day. What should be the Daily Diet and how much to eat and what to eat.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
How much Alcohol Consumption is Allowed for a Diabetic on Insulin Injections every day. What should be the Daily Diet...
Avoid Alcohol completely. If diabetes is not properly controlled it can have disastrous effects on your eyes, feet and several organs of the body. Diabetes can be controlled/managed by a proper regulated diet and exercise. Avoid 3 big meals. Instead take small mini meals every 2/3 hours. Take green vegetables/salad with every minimeal. Eat whole grain food/grains like ragi, wheat, jowar, barley, instead of refined grains like maida/ sooji/ white bread, white rice etc. Avoid all forms of simple sugars/carbs like Colas, juices, sweets, cakes, biscuits, pizzas, noodles etc. Eat fruits with low/medium GI index like apple, guava, mosambi, orange. Do at least 30-45 mins of exercise everyday. Walk for 10 mins after every meal. These steps can help reduce sugar levels.
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Hello sir what kind of diet or eat in thyroid Sir my period is irregular what is reason of that. Its related to by thyroid. please Give right suggestion.

M.Sc - Psychology, PGDEMS, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
Hello sir what kind of diet or eat in thyroid
Sir my period is irregular what is reason of that. Its related to by th...
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Sugar level in blood increase, more than 200 Also high blood pressure problem Please suggest natural foods to control bp & sugar in blood.

MBBS
General Physician, Mumbai
Sugar level in blood increase, more than 200 Also high blood pressure problem
Please suggest natural foods to control...
We need to control sugar levels with medication exercise and following a diabetic diet and eat food with low glycemic index levels
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I am having sub clinical hypothyroidism my tsh is 7 but my t3 and t4 are normal I have been in medication for the past 3 months will this hypothyroidism gets cured?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am having sub clinical hypothyroidism my tsh is 7 but my t3 and t4 are normal I have been in medication for the pas...
lybrate-user, Subclinical hypothyroidism or clinical hypothyroidism, basically mean the thyroid gland is not producing adequate quantity of thyroxine. This is an essential hormone for development and day to day functioning of brain, as well as multiple vital metabolic reactions constantly going on in the body. Therefore, thyroxine supplement is essential. Once the condition occurs, it will stay for lifetime. There is no cure. Thanks.
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My wife's T3 TT4 is normal but her TSH 3rd generation is 11. Wich type if this thyroid is. Dr. advice 100 MCG throxin. Which treatment is better ayurveda or allopathy. Her hb is 6.3 also.

BHMS
Homeopath, Bhopal
Hello. This is hypothyroidism. Hypothyroidism is a condition in which there is a deficiency of thyroid hormones in the body. Hypo means under or below or less. Therefore hypothyroidism means an underactive thyroid gland. The thyroid gland is responsible for the release of the thyroid hormones and an underactive thyroid causes lack of thyroid hromones in the body. Location and function of Thyroid gland To be able to understand this disease, one must know what thyroid gland is and what are the functions of the hormones that are released by the thyroid gland. Thyroid gland is a small butterfly shaped gland situated just below the Adam’s apple and above the place where the two collar bones meet. One cannot feel a normal thyroid. It is only when the thyroid gland gets enlarged that one can feel it. The one and only function of the thyroid gland is to produce thyroid hormones. These thyroid hormones regulate the metabolism of the whole body. The metabolism of the body is the process which indicates the way the body uses energy. Regulation of Thyroid gland The thryoid gland is itself regulated by the pituitary gland. When the levels of the thyroid hormones T3 and T4 fall, the pituitary gland increases the production of Thyroid Stimulating Hormone (TSH). This TSH then stimulates the thryoid gland to produce more T3 and T4. When the levels of T3 and T4 increase, the pituitary gland decreases the production of TSH which then causes less production of T3 and T4. This way the balance of thyroid hormones is maintained in the body. Causes of Hypothyroidism Hypothyroidism is caused when the functioning of the thyroid gland is inadequate to produce the thyroid hormones T3 and T4. This may be due to the problem in the functioning of the thyroid gland or due to inadequate stimulation of the thyroid gland by the pituitary gland. As mentioned earlier, the pituitary gland releases the Thyroid Stimulating Hormone or TSH which causes the thyroid gland to produce more T3 and T4. So if the levels of TSH are low, the thyroid may not be able to produce enough thyroid hormones. When the deficiency of thyroid hormones is due inadequate production of thyroid hormones by the thyroid gland, it is known as primary hypothyroidism. When the deficiency is due to inadequate stimulation of the thyroid gland by the pituitary, it is known as secondary hypothyroidism. The prevalence of primary hypothyroidism is much more than secondary hypothyroidism. It is close to 1000 times more common than the secondary one. When it comes to primary hypothyroidism, deficiency of Iodine is the most common reason. In areas where the levels of Iodine are low in diet, there is an increased prevalence of hypothyroidism and goitre. Adding iodine to common salt in such areas has shown marked decrease in the incidence of goitre and hypothyroidism. In areas where Iodine is adequate, Hashimoto’s thyroiditis is the most common cause of hypothyroidism. Thyroiditis means inflammation of the thyroid gland. Hashimoto’s thyroiditis is an autoimmune disorder, which means that the problem occurs when the natural immunity of the body starts attacking the body organs or systems itself instead of protecting them from foreign invaders. Viral infections or other respiratory disorders may also sometimes cause hypothyroidism. Certain medicines may also cause hypothyroidism. A medicine called lithium used to treat psychiatric disorders has been known to cause hypothyroidism. Radiation therapy for some cancers may also induce hypothyroidism. Treating hyperthyroidism with anti-thyoid medicine can also cause a shift from hyperthyroidism to hypothyroidism. Some people may be born with an underactive thyroid gland In some cases, the hypothyroidism develops during pregnancy. Signs and Symptoms of Hypothyroidism The signs and symptoms of hypothyroidism do not develop all of a sudden. They take a long time to develop, may be years. The initial symptoms that the patient usually feels happen to be fatigue and getting tired easily. He or she may slowly start gaining weight. Over a period of time, as the metabolism of the body gets affected more and more and slows down, the signs and symptoms start getting more and more visible and obvious. Following are the common signs and symptoms of hypothyroidism- Fatigue- the patient feels tired and fatiguued easily. The stamina for work goes down and is unable to work his or her normal routine. Weakness- there is a feeling of weakness in the body. This is also a slow and insidious development and is often neglected by patients. Obesity or weight gain- the patient starts gaining weight despite eating little. In some cases, the weight gain may not happen but the patient finds it difficult to lose weight even after keeping a strict exercise and diet regimen. Dryness of skin-the skin of the patient remains dry and rough. At the same time, there may be paleness of the skin Hair loss- hairfall is often seen and may be quite easily noticed by patients. Intolerance of cold- the patient is unable to tolerate cold and feels unduly chilly as compared to other people around him or her Constipation- the bowel movements are also altered and one feels constipated or unable to pass stool easily. The stool may be hard or even soft but one may have to strain to pass stool. Depression-one tends to feel low and depressed for no rhyme or reason. Even if one does not have any problem in life, one feels sad and low. Disturbed menses- in females the menstrual cycle gets disturbed. The periods may be scanty or delayed. Irritability- there is increased irritability and one gets irritated at trifles. One may feel repentant later on but at that moment, one is unable to control one’s irritability. Decreased libido-there is little desire for any sexual activity. Treatment or therapies for Hypothyroidism The mainstay of Allopathic system of medicine is to keep providing thyroid hormones artificially for the rest of the life of the patient. The deficient thyroid hormones are supplied on a daily basis. This practice of giving thyroid hormones on a daily basis has some major disadvantages. On the one hand, this forces the patient to keep taking medicines for the whole of their lives. This is not only costly but cumbersome too. At the same time, it breeds a sense of illness in the patient when the medicine is to be taken lifelong. Homeopathy for Hypothyroidism is the best Alternative therapy for hypothyroidism Keeping the above mentioned drwabacks in mind, people look for some alternative therapies or holistic therapies which can cure them of their problem once and for all. Also, there is a discomfort in the mind when it comes to taking synthetic or chemicals based medicines lifelong. One can never be sure of the safety of such chemicals or synthetic medicines. So people look for holistic therapies for hypothyroidism. While there are many claims when it comes to treating hypothyroidism, the best option remains that of Homeopathy. I can confidently say from my experience in the last 2 decades of Homeopathic practice that Homeopathy is best holistic therapy for hypothyroidism. Homeopathic medicines have been known to correct the imbalance in the thyroid hormones in a very mild and subtle manner. The homeopathic medicines for hypothyroidism are purely natural in origin and have no side effects at all. They are able to improve the functioning of the thyroid gland permanently. Once cured, one has no need to take medicines and can live a disease free as well as medicine free life. Selecting the right Homeopathic medicine for Hypothyroidism I daily receive dozens of emails and phone calls asking me to recommend a homeopathic medicine for a particular disease. It is not always possible to do so. Homeopathic medicines work only when the symptoms of the patient match with that of the medicines. Here symptoms of the patient mean not only the symptoms of the disease but also each individual patient’s likes and dislikes, his physical and mental make up, his body’s reaction to temperature, his family history, his sleep pattern, his dreams, his appetite and thirst and so on. Here it must be mentioned that there are no shortcuts when it comes to selecting the right homeopathic medicine for each individual patient. This is much more true when it comes to treating hypothryoidism. As mentioned earlier, hypothyroidism is an endocrine or a hormonal disorder. This is therefore a deep seated problem and requires medicines that have the ability to correct the abnormalities in the hormonal system. To be able to do this, the complete symptomatology of the patient has to be taken into account to select the right homeopathic medicine. It is only the constitutional medicine for the patient that works well in this disease.
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I am suffering from hypo thyroid. I am 51 years old weight 75.6 kg height 5 feet 2 inches . Suggested me medicine to loose weight.

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mohali
I am suffering from hypo thyroid. I am 51 years old weight 75.6 kg height 5 feet 2 inches . Suggested me medicine to ...
Hello lybrate your bmi- 33.6 you want to loss wt. Daily walk/ cycling/ exercise/ yoga/ aasan a sugary diet, caffeine and refined carbohydrates. Such foods can burn the thyroid and destabilize your blood sugar. Some foods are avoid soy products cruciferous vegetables. Gluten. Gluten is compound of glutein and gliadin proteins include in diet whole grains based foods complex carbs. Flaxseeds, extra virgin oils.
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I have diabetes my fasting is 150 and pp is 180. Having both diabetic parents. And now I am thinking for pregnancy. Am taking janumet50/500bd. Should I go for pregnancy aur not?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have diabetes my fasting is 150 and pp is 180. Having both diabetic parents. And now I am thinking for pregnancy. A...
lybrate-user, Thanks for the query. A lady with diabetes, can definitely go for getting a baby. Only thing you have to take care is that achieving a strict blood glucose control, meaning maintaining blood glucose level between 90 to 120 mg through out the day. Mean Blood glucose level should be around<110 mg. Hence you will have to shift to Insulin injections just prior to getting conceived. Insulin dosage adjustment will help in maintaining the above mentioned glucose level in pregnancy. Plus you will have to do a self monitoring of blood glucose at home (SMBG). Pregnancy in in a lady with pre-existing diabetes has to be managed with a lot of care and efficacy by a team of doctors including your obstetrician, diabetologist and a physician with 100 % commitment from your side. Take care. Thanks.
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Hello doctor. I am 22. Recently I discovered that my blood sugar level has gone high (230-280) and also hba1c is 10.8. I'm planning to reduce this with proper diet. Please suggest me a good diet plan. Tell me what all I can eat without fear and what all I should avoid. Rice, chapati, phulka, vegetables, curries, chicken, eggs. Etc.

BAMS, YIC, DEC
Ayurveda,
Hello doctor. I am 22. Recently I discovered that my blood sugar level has gone high (230-280) and also hba1c is 10.8...
Hi for breakfast you can have brown bread sandwich, one egg, one multigrain chapathi are dosa, ragi idili and dosa, oats dosa are idili are any other form then after noon one small cup of wheat rice are normal rice with lot of veggies, i. E palya are sabji, and only one chapathi, evening have cup of green tea are coffee with out sugar, and only one slice of fruit like one piece of apple are sapotha etc, are you can also have sprouts, again in night 2 chapathi are any other food mentioned from above, here make sure you have 4 meals a day and qualitative and quantitative avoid sweets, potatoes, bannans, ice creams, junk food are out side food, juices with sugar, include all veggies and green vegetables in food avoid red meat and chicken, you can have sea food s, fish prons etc, for more results you can try ayurvedic medicine, for more details you can consult me.
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I am diabetic patient for last 3years . Please suggest some medicine or any other solution

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
For diabetes, we have seen in our clinic, a vaman karma done in spring season, followed by medicine for 3 months, completely wipes out excessive blood sugar levels. If you can follow some simple lifestyle changes, then you should go for it.
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Hello My wife is sufling from thyroid from last 7 years also her hemoglobin is 9.3 ,she is too weak what can I do.

MBBS
General Physician, Cuttack
Hello
My wife is sufling from thyroid from last 7 years also her hemoglobin is 9.3 ,she is too weak what can I do.
1.Take good nourishing diet like milk, cheese, paneer, egg, fish, mutton, chicken, pulses,soybean 2. Fresh green leafy vegetables ,tomato, cauliflower, broccoli,pumpkin, beans,spinach. 3 .Fruits rich in vitamin c (helps in absorption of iron) like citrus fruits lorange/grape/strawberry guava/mango/pineapple/- water melon 4.Fruits like apple, dry fruits like dates, khajoor, kismiss 5.Drink plenty of water, 6.Go for regular exercise, 7Take adequate rest, 8.Avoid physical and mental exertion. 9.Take Haem up syrup 3 tsf twice daily before food 10. Monitor your hemoglobin 11. Consult doctor for further advice For her thyroid problem, do a thyroid function test and consult physician/Endocrinologist with report for advice and treatment.
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