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Dr. Selvapandian

Endocrinologist, Chennai

Dr. Selvapandian 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.
More about Dr. Selvapandian
Dr. Selvapandian is one of the best Endocrinologists in T.Nagar, Chennai. You can visit him/her at Bharathiraja Superspeciality Hospital & Research Centre in T.Nagar, Chennai. Book an appointment online with Dr. Selvapandian on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 25 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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Bharathiraja Superspeciality Hospital & Research Centre

No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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I got a diabetes for more than 30 years I take medicine glibencamine and metformin but the blood sugar is still 190-200 I need your advice to improve them, Thank you srisit@hotmail. Com.

MBBS, FELLOWSHIP IN HIV MEDICINE
General Physician, Pune
Only medicines will not help you to control the blood sugar you have to follow diet and daily exercise minimum 45 minutes or daily 5 to 7 km brisk walking avoid high glycemic index substances.
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I am thyriod patient. I used to eat thronorum 100 mcg. I want to know what type of foods should I avoid to eat.?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
For hypothyroidism the main treatment is taking thyronorm tablets regularly as prescribed by the doctor. There is no food restriction. You can continue to eat the normal food as of now.
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In recent sonography report I found to have cysts in ovaries about 2-5mms in diameter and my tsh level is also increased can it be cured?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
You should consult physician for tsh and start medicine for that. Most of the ovarian cysts are functional and resolve by itself, and only few cysts require management by medicines. So consult gyne for proper diagnosis and management.
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Diabetic since 1990. HbA1c 8.4 . Fasting fluctuates between 134- 160, random in TBS e evenings before dinner 140- 160. I am asked to shift my insulin from Mixtard 50/50 to pure insulin at present I take 30-30-25 . What is a pure insulin? What should be the effective dosage! I have itching during g sugar fluctuations, what to do?

PGDHM, PGCDM, MD - Internal Medicine, MBBS
General Physician, Ahmedabad
Hello Your A1c is 8.4 which suggest you have poorly controlled Diabetes despite taking Mixtard 50:50 in three dosage, You have diabetes since 1990, and MIxtard 50: 50 thrice a day is not a correct dosage, You need to change or shift to BAsal Bolus insulin for the better control blood sugars Thanks Dr Joozer Rangwala
2 people found this helpful
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My sister having type 2 diabetes how can I keep my sister's sugar level maintained?

M.sc dietitics and food service management, Diabetes educator
Dietitian/Nutritionist, Bhopal
Timely and balanced diet is as important as regular medicine intake to control diabetes. Diet high in protein for the health of diabetics because it supplies the essential amino acids needed for tissue repair. Pulsese are rich in protein and fibre. Take lukewarm water with half spoon methidana powder in the morning. Junk food should be avoided. Complex carbohydrates and fibre should be included in diet. Use sufficient amount of ginger, onion, garlic, coriander, lemon, greenchilli, black paper, fenugreek seeds, cinnamon, bay leaves in food items. Except fruit juice you should eat complete fruit because it contain fibers which is good for a diabetic.
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One doctor unnecessarily confused that if a diabetic overweight or underweight patient takes lots of stress, sugar level may reduce some times. Is it the truth? Or wrong suggestion?

MBBS, MD - Medicine
Internal Medicine Specialist, Gurgaon
Hi, Sugars have a strong correlation with stress. Sugars may go high or low when a diabetic patient stresses out also similar issues arise if a patient had infection.
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I am 26 years old and I m suffering from thyroid since l ast 5 years sometimes I m getting irritation from all the things and my mood swings its affects my personal and professional life.

MBBS, MD Obs & Gynae, FNB Reproductive Medicine
Gynaecologist, Jalandhar
do some de-stressing body mind relaxation in the form of yoga etc. thyroid problems are unlikely to cause it. search for a reason in your personal or professional life.
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Dear Doctor, do we have to keep our mind always relaxed and happy to avoid many diseases like heart problem, diabetes?

MSC Human Development , Hypnotherapy , Special Educator , ms- counselling and physiotherapy, Applied psychology Hons
Psychologist, Faridabad
Yes of-course be positive always and be normal in every circumstances.Surrender to god, have faith on him and you will free happy and relaxed. It has experienced by my self if you don't take tensions about anything and shift them to god then he will take care of you and you feel stress free and if you feel like this then you may not feel any physical problem. But it is also require that every person have to die who born in this earth so diseases are the reason for it some time. Except every thing as they happen in your life. May god bless you always.
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Dear sir my wife is diabetes and BP patients last 10 years she is 39 years old last few days she is not doing her daily work n so much tired n weakness n also feel unhealthy. So kindly suggest.

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
General tiredness and unhealthy feeling may be due to various factors. Uncontrolled bp and/or diabetes, underlying complications for example blockages in heart, another condition like hypothyroidism or simply lack of fitness. You need to consult any physician and find out the exact cause. It may not be possible to advise online in such cases.
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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
Yes there is possibilities of getting diabetes. Change your life style including your food habits.
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DEAR SIR, IS WATER MELON IS GOOD FOR TYPE 2 DIABETES PATIENTS? Thanks in advance for the reply.

BAMS, MD - Ayurveda
Ayurveda, Navi Mumbai
Dear Sir , Water melon is good choice of fruit for diabetes because of its GI & GL . GI-Glycemic Index is the effect of carbohydrates on blood glucose & Gl- Glycemic load which which combines both quality & quantity of actual carbohydrates consume. So for for watermelon both comes to low if you considered one cup or one plate of it. For any further clinical assistant kindly revert back to me. Thanking You.
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What advised in day to day activity to curb hypertension and also to curb sugar level ?

MD - Consultant Physician
Cardiologist, Kolkata
Regular physical exercise, diet no fry, fatty, fast food light cooking no smoking or tobacco of any types, work in light mood.

Hi sir I hv type 2 diabetes. From last 8 years. I am feeling so weak day by day. My joints are also weak. My face is looking very dull and have wrinkles. Please solve my these problems.

B.A.M.S, M.D In Ayurvedic Medicine
Ayurveda, Amritsar
Dear sir, Please add Jou or barley flour in your diet. Roast this flour and mix 1/4th of it in normal wheat flour. Prepare chapaties wit it and Eat it daily. Eat more of fiber containing food like green leafy vegies, more of fresh seasonal fruits, drink less water with meals instead take sips of water while eating food and don?t drink before and after. Take 1 teaspoon of Fengrueek Seed Powder ( Methi Dana Powder) with water daily will control diabetes and its complications. You can also chew 4-5 leaves of curry patta daily as it will reduce your blood pressure, protects liver and works as antioxidants along with increasing Hb which will overcome you weakness. Do this for some time & you will feel the difference. Ayurveda is known as the best science to help you control your Diabetes in a Natural, Safer & Better way with no known side effects. For more info share your blood sugar level reports and other medication details if you are taking any to understand your case better Thanks n Regards Dr.Ritesh Chawla
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I am a diabetic patient and my last bilirubin is 3.1. Now please tell me what I do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user kumar, first and foremost is to control blood sugar effectively. Fasting should be closer to 100 mg, pp 150 to 160 mg and hba1c% 6.8. Then exercise regularly, reduce deep fried foods, take low fat milk products, avoid organ meats, red meat, fishes can be a good choice. Take low fat milk, more of curds and butter milk. Take fiber rich creals. This will help in reducing bilirubin levels. Plus refrain from alcohol completely.
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My mother is a thyroid patient. She had a huge weight gain and had been prescribed medicines gluformin XL500' and 'supradyn' But I want to know, how this issue can be cured by home remedies and what precautions need to be taken in diet.

BHMS, CGO
Homeopath, Pune
Advice - take a homeopathic treatment with diet plan. All are temporary treatment as per provided information, for permanent cure we need detail history and investigations. Homeopathy is best, safe and effective. We treated every day 2-3 patients of this type of problem with no side effects, no worries our 94% success rates makes sure we're the complete package. You can contact us for Homeopathic Treatment. 7 Best Foods to Include in a Hypothyroidism Diet eating certain foods can help in improving the functions if the thyroid glands and regulate metabolism, heart rate, mood, body temperature and blood pressure. Fish Fish is the first and most important food item in the list of healthy foods for the natural treatment for hypothyroidism because of its essential fatty acids content. The healthy omega 3 fatty acids present in oily fishes like salmon, tuna, sardines and trout helps t reduce inflammation, improve immune power and lower the risk of heart diseases in people suffering from hypothyroidism. Baked fish In addition, fish is a wonderful source of selenium which is most concentrated in the thyroid gland and improves its functions. Nuts No need to worry about sudden food cravings when you have such healthy snacks to munch on. Nuts are another amazing source of selenium that makes them an important food to be included in the diet for thyroid disorder. Some of the healthiest nuts which are loaded with selenium are Brazil nuts, hazelnuts and macadamia nuts that help in maintaining proper functions of the thyroid gland. Nuts Eating just one or two Brazil nuts every day is enough to get the daily nutrients but in case of other nuts a small handful should be the daily serving. But you should always be careful about the portion size because nuts are high in fat. Antioxidant-Rich Fruits and Vegetables A fruit and vegetable detox diet plan is exceptionally popular among health conscious people because these foods help cleanse the system and flush out toxins from the body. But antioxidant rich fruits and vegetables are extremely beneficial for controlling hypothyroidism as well. They work almost like natural remedies for hypothyroidism by controlling weight gain – one of the main hypothyroid symptoms. Fruits and vegetables for hypothyroidism Fruits and vegetables which are especially high in nutrients such as antioxidants and B vitamins benefit the workings of the thyroid gland. Some of the best antioxidant-rich fruits and vegetables to eat for hypothyroidism are blueberries, cherries, bell peppers, tomatoes, sweet potatoes, etc. Whole Grains One of the common signs of hypothyroidism is unexplained constipation, and one of the best ways to solve this problem without the use of laxatives is the addition of some fiber to the diet in the form of whole grains. Some of the healthiest whole grains are brown rice, quinoa, bulgur, oats, etc. And although most of us use oatmeal for weight loss purposes, only it can also help normalize and regularize bowel movement. Whole Grains But, it is important to take your thyroid medications several hours before or after eating fiber-rich foods because fiber can interfere with thyroid medications. Fortified Dairy Products One of the most common causes of hypothyroidism is the Hashimoto’s disease, which is associated with vitamin D deficiency. Dairy Products Fortified milk and dairy products like yogurt, curd, cottage cheese not only contain added vitamin D but also other nutrients like iodine, proteins and calcium – all of which are helpful for controlling the symptoms of hypothyroidism. Beans We are all aware of the amazing bean sprouts health benefits, nut not many know that beans are beneficial for treating hypothyroidism as well. People suffering from hypothyroidism often feel drained and tired. Beans are a wonderful source of sustained energy that contains antioxidants, proteins, complex carbs, vitamins, and minerals. Moreover, which beans there are numerous varieties to try from. Lentils You can add beans to soups, salads, stews and side dishes to enhance the taste. Seaweed Seaweed is a rich source of iodine – an essential nutrient for thyroid function that works like a precursor for the production of thyroid hormone. Seaweed Seaweed varieties such as dulse, nori and wakame can be used in soups and salads, and it works better than iodine supplements. In addition, seaweed also contains calcium, fiber, and vitamins A, B, C, E and K. 7 Foods to Avoid in a Hypothyroidism Diet Hypothyroidism is a tricky health condition and the foods you eat have a huge impact on the treatment. There are certain foods that inhibit the body’s capacity to absorb the replacement hormones that are part of the thyroid treatment. Eating smart will help you to feel better and control the symptoms in a successful manner. Here are the 7 foods to avoid with hypothyroidism. Soy Products Thyroid symptoms in women can be controlled by limiting the consumption of soy and soy-based products. The phytoestrogens present in soybean and soy-rich foods inhibit the functions of the enzyme thyroid peroxidase that forms the thyroid hormone. Beans and Soya Products Consuming too many soy products may increase a person’s risk of developing hypothyroidism. The worst thing is that the goitrogenic activity of soy isoflavones is not destroyed even by cooking. Cruciferous Vegetables Although eating fruits and vegetables to lose weight is really effective, a certain group of vegetables- specifically cruciferous vegetables can have negative effects on the functions of the thyroid gland. Cruciferous vegetables block the gland’s ability to absorb iodine which is necessary for normal thyroid function. Cruciferous Vegetables People suffering from hypothyroidism should limit the intake of broccoli, Brussels sprouts, cabbage, kale, cauliflower, bok choy, turnips, etc. However, cooking these vegetables can reduce their goitrogenic effect. Gluten Gluten is a particular type of protein found in processed forms of grains like wheat, barley, rye, etc. And people with gluten intolerance are recommended to avoid gluten rich foods. People with hypothyroidism should also consider limiting the intake of gluten because it can irritate the small intestine and hinder absorption of thyroid hormones from replacement medication. Gluten-food But you can consume a limited quantity of whole grains like brown rice, multi-grain bread, and pasta in order to improve bowel irregularity. Fatty Foods Unhealthy fats such as transfats and saturated fatty acids destroys the body’s capacity to absorb thyroid hormones from replacement medicines. Fats also interfere with the thyroid gland’s ability to produce the hormones as well. Trans Fats Therefore, it is best to cut out all types of fatty foods and fried foods like French fries, chips, fried chicken, butter, margarine, mayonnaise and fatty cuts of meat like prime rib and bacon. Processed Foods Processed foods and ready to eat meals are usually high in sodium and people with hypothyroidism should stay away from sodium. Processed foods such as cookies, cakes, pasta, bread, and pretzels increase not only blood sugar levels but also blood pressure. Fried and Processed Foods People with hypothyroidism are already at risk of developing hypertension and sodium-rich foods only make things worse. People with risk of high blood pressure should limit their sodium intake to 1500 milligrams per day. Sugary Foods Hypothyroidism affects the body’s metabolism and causes it to slow down thereby promoting weight gain, so a person with hypothyroidism should be really careful about fatty and sugary foods. Therefore, a hypothyroidism diet should be free from sugar because sugar has lots of empty calories and no nutrients. Sugary cereals Even sugar substitute Aspartame should also be avoided because excessive intake of aspartame promotes the onset of Graves’ disease, which causes thyroid problems by turning the immune system against the thyroid gland. Alcohol and Caffeine Alcohol wreaks havoc on the functions of the thyroid gland and the levels of thyroid hormone in the body. Alcohol has a noxious effect on the thyroid gland, and it suppresses the capacity of the body to use the thyroid hormone in an effective manner. Therefore, it is best to cut out the consumption of alcohol completely for best results. Alcohol We all know about the numerous disadvantages of coffee and it has been seen that caffeine also hampers the healing properties of the thyroid medications by preventing the absorption of the medicines in the intestine. Top 5 Healthy Foods to be Included in the Hyperthyroidism Diet In this list, you might notice that certain foods that are harmful to hypothyroidism are beneficial in case of hyperthyroidism. Following a well-balanced diet rich in necessary nutrients can help manage and prevent hyperthyroidism effectively. Let us check out the 5 best foods to eat for hyperthyroidism. Omega 3 Fatty Acids This is one of the most important nutrients that is necessary for controlling the symptoms of hyperthyroidism, but the human body cannot produce this nutrient on its own and, therefore, it has to be supplemented with foods. It helps to balance the endocrine system and help to maintain thyroid levels in the body. Omega 3 Fatty Acids Fish is an amazing source of omega 3 fatty acids. Those who are not into fish can get this nutrient from nuts, olive oil, and flaxseed oil. Vitamin D Rich Foods Our bones are in a continuous state of regeneration and turnover in which old bones are worn out and replaced by new growth. But prolonged untreated hyperthyroidism speeds up this natural turnover process such that bone degeneration out spaces deposition of new bone and this imbalance leads to reduces bone strength and increased risk of bone fracture. Vitamin D Rich Foods Vitamin D is a vital nutrient for bone health so increased intake of vitamin D-rich foods such as fortified milk, and fatty fish helps to improve bone strength. Protein-rich Foods Proteins are not only necessary for a healthy bodybuilding diet; they are equally important for managing hyperthyroidism as well. Abnormal weight loss is a common symptom of hyperthyroidism, therefore, eating enough protein is necessary in order to ensure healthy body weight and maintain muscle mass. Protein foods Chicken, turkey, eggs and fish are the best non-vegetarian sources of protein. Vegetarians can get their daily dose of protein from beans, lentils and nuts. Each and every meal of a hyperthyroid diet must include protein-rich foods. Dairy Products Untreated hyperthyroidism or Graves’ disease causes bone loss and eventually lead to osteoporosis. Even if the disorder has been treated through medication, the patient will still need calcium in order to rebuild the weak and worn out bones. The best food source of calcium is dairy products like milk, cheese, and yogurt. Dairy products People with lactose intolerance can get plenty of calcium from fortified foods like soy milk, fortified whole grain cereals, bread and fortified orange juice. A person should have at least 3 servings of dairy products on a daily basis. Cruciferous Vegetables Although cruciferous vegetables are included in the list of foods to avoid in case of hypothyroidism, they have positive effects in case of hyperthyroidism. Vegetables like broccoli, cauliflower and kale have a goitrogenic effect which helps to suppress the production of thyroid hormone by the thyroid gland and manage the symptoms of hyperthyroidism successfully. Cruciferous Vegetables It is recommend consuming 1 or more serving of cruciferous vegetables every day for best results. 5 Foods to Avoid in a Hyperthyroidism Diet There are certain hyperthyroidism diet restrictions which help in better management of the condition. Here is a list of foods that should be avoided if a person has thyroid disorders. Foods High in Iodine Although iodine rich foods are beneficial for hypothyroidism, they have an opposite effect in the case of hyperthyroidism. The thyroid gland is extremely sensitive to iodine, and a large amount of iodine in foods can further aggravate hyperthyroidism by promoting the gland to produce more thyroxine hormone and speed up metabolism further. Salt and Preservatives Therefore, it is best to stay away from iodine-rich foods like seaweed, kelp, salt, processed foods and fried foods. High GI Carbs Hyperthyroidism interferes with carbohydrate metabolism and blood sugar balance, but it is not a good idea to give up carbohydrates completely because it is the main source of energy for the proper functioning of the body. Therefore, it is best to choose the carbs with great care in order to keep the blood sugar level in the normal range and reduce the risk of diabetes which is strongly linked with thyroid disorder. Spoons with groats Avoid high-glycemic carbohydrates like white flour, sugary foods, and ready to eat breakfast cereals, etc. And opt for fiber-rich carbohydrates such as whole grains, barley, oats, and lentils instead. Food Allergens Consuming foods that you are allergic to can worsen the symptoms of hyperthyroidism which may include rashes, abdominal pain and cramps, diarrhea, breathing problems, etc. In addition, these allergens also slow down the recovery process of the disease. Gluten-food Therefore, it is best to avoid suspected food allergens like gluten, soy, corn and artificial food additives. Choose gluten free starches, instead. A formal test helps identify the foods that a person is allergic to. Hydrogenated Vegetable Oils Hydrogenated vegetable oils are one of the main food items that should be avoided if a person has hyperthyroidism. The hydrogenation process makes the oils heavier to digest, and they are mainly used for increasing the texture, color and flavor of foods. But hydrogenated oils are loaded with unhealthy trans fats that have a negative impact on the levels of hormone and cholesterol in the body. Potato chips Therefore, it is best to stay away from foods containing hydrogenated vegetable oil like crackers, onion rings, chips, donuts and packed food products. Caffeine Caffeine-rich foods like coffee, tea, chocolate and cola aggravates the hyperthyroidism symptoms such as nervousness, anxiety, palpitations, rapid heart rate and weight loss. It also interferes with mood balance, sleep and effectiveness of thyroid medications. Coffee Therefore, doctors recommend staying hydrated by drinking plenty of non-caffeinated drinks like water, lemon water, herbal teas, broth-based soups, fresh fruits and low-fat milk. So, now that you have some idea about the foods you should eat and avoid in case if thyroid disorders, plan out your diet accordingly and continue with your thyroid medications to lead a healthy life even with hypothyroidism or hyperthyroidism. Note - Please do all these things under the supervision of Consultant.
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I hv diabetes and I am around 93 khs 41 years want to go for a diet programme can you please suggest me why programme should I go for.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, it is good to know that you are keen on reducing weight by starting a diet programme. However, to suggest a specific diet, I need more details like fbs< ppbs, hba1c%, extent of daily exercise, current diet & bmi it is better if you come in a private conversation with above details, then I can give a specific diet suitable to your needs. Thanks.
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I have high levels of sugar and bp. Though I'm taking tablets regularly it's not coming down. So please help me on how to bring that in control and is there any exercise to do then let me know about it too thank you.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
Please control your diet. Avoid all sugars. Cut the salt content. Please do at least 20 min of exercise a day. It can be simple walking or yoga or the playing outdoor games. Do your fasting and pp sugars depending upon which medicines may be prescribed. Most importantly, please keep smiling to keep your stress at bay.
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I am 50 years old. And I am suffering from diabetes and severe headache and fever. Please advise.

BHMS
Homeopath, Delhi
Hello, you can take homoeopathic medicine belladonna 200 (4 drops in little water) 4 times in a day for 2 days and revert.
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I am 60 year old male. I am suffering from diabetes for 6 to 7 years kindly advise effective with reasonable cost preferably Ayurveda.?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Ayurveda is only offers roi (return of investment), so thanks to our self less forefathers who only shared that dm can reverse and to be maintained n it takes individual efforts. Thanks you trust ayurveda. Start yoga soon n now u'll find large group to move on the path. Though you controlling dm at good but most of dm cases may land in its complications of arteries n nerves. Modern shares its idiopathic? it means so many things involved in this. Yet modern medicine science to be enriched. Yeah those r accepting d things as well. Till you meet ayurveda Dr. You can rely on 3gm mixture of amala, haldi n daru haldi in equal proportion at night/early morning with warm water.
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