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Dr. Shanmuganadham

Endocrinologist, Chennai

100 at clinic
Dr. Shanmuganadham Endocrinologist, Chennai
100 at clinic
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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. Shanmuganadham
Dr. Shanmuganadham is one of the best Endocrinologists in Ambattur, Chennai. Doctor is currently associated with Mothers Multispeciality Hospital in Ambattur, Chennai. You can book an instant appointment online with Dr. Shanmuganadham 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.

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Mothers Multispeciality Hospital

#36,Old Township Office Road, Venkatapuram ,Ambattur. Landmark:Opp To Kumar Hotel, ChennaiChennai Get Directions
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I have hypothyroid and regularly exercise and taking 200mcg of thyroxine can I take whey protein?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have hypothyroid and regularly exercise and taking 200mcg of thyroxine can I take whey protein?
Take diet for hypothyroidism:- high-carbohydrate foods such as potatoes, rice, pasta and bread, avoid oily foods,junk foods, go for walk. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, avoid more protein diet,milk products.avoid alcohol.
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I'm 31 years Old and my TSH IS 9.10 AND I also have pcos with regular periods and we are trying for kids since 5 years.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I'm 31 years Old and my TSH IS 9.10 AND I also have pcos with regular periods and we are trying for kids since 5 years.
First you need to control tsh level by medication and start doing weight loss exercise. Along with that consult infertility specialist get investigation done required.
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I have checked my blood sugar levels and found the reading is 76 before breakfast and 101 post lunch. But my urine sugar strips are showing 2+ sugar levels or just a trace before breakfast. So I got my blood sugar levels tested again and no sugar in blood. What does this indicate? my hba1c reading is 6.3. Right now I am not taking any medicine for diabetes. Please tell me where is this taking me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Ayurveda, Mumbai
I have checked my blood sugar levels and found the reading is 76 before breakfast and 101 post lunch. But my urine su...
You might be prediabetic, did you get the urine sugar test done in the lab too. If not get a fasting urine sugar done. It might be renal glucosuria or a reduced in the glucose threshold for the kidneys. Please also get a serum creatinine, and blood urea done done too. Do not worry let us analyze it properly.
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My uncal have diabetic. 400 above so he have also pain from back to legs so tell any best Dr. In new delhi.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My uncal have diabetic. 400 above so he have also pain from back to legs so tell any best Dr. In new delhi.
If he has not started treatment for diabetes, then he should consult a diabetologist urgently as blood sugar value of 400 mg is too high and risky. As regards the back pain he may see an orthopedician.
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My father is suffering from diabetes and if he gets late in having meal he starts perspiring a lot. Can you pls suggest the solution.

BHMS
Homeopath, Faridabad
My father is suffering from diabetes and if he gets late in having meal he starts perspiring a lot.
Can you pls sugge...
Hello. As your father is diabetic and diabetic patients are advised to keep taking small frequent meals after every 2 hours as there are chances of getting hypoglycemic when the blood sugar drops abruptly (the patient is also having to lower the blood sugar). So, at the time he is hungry, his low blood sugar causes perspiration. Tell him to carry candies in hand all the time.
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Hypothyroid and PCOS. What food to eat and avoid? Currently on medications for thyroids and actively trying to conceive. Kindly advice of fertility rich foods.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hypothyroid and PCOS. What food to eat and avoid?
Currently on medications for thyroids and actively trying to concei...
Hello, You need to follow a healthy diet involving fresh fruits and vegetables, whole-grain foods, high-fiber cereals. Avoid eating starchy vegetables like Potato and peas or sugary foods. Most importantly, drink lots of water.
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I am male, 30 years. I just had a thyroid test done. My total t3 level is 80 but my t4 and tsh levels are normal. Does that mean I am suffering from thyroid disorder?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, your thyroid test results are normal. T3 80 ng/dl is absolutely normal. There is no need to worry.
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I'm a sugar patient my immunity level is low how to I grow my level my age is 45approx. How to improve my health.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
General Physician, Sri Ganganagar
I'm a sugar patient my immunity level is low how to I grow my level my age is 45approx. How to improve my health.
To improove immunity eat lot of salad full plate before each meal, fruits in between meal. Take calcium and vitamin d3. Do regular exercises. Control tightly the sugar. Please talk on line after paying fees.
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What are the symptoms of thyroid? My weight is increasing day by day? What should I do?

PDDM, MHA, MBBS
General Physician, Nashik
What are the symptoms of thyroid? My weight is increasing day by day? What should I do?
Symptoms of hypothyroidism fatigue. Weakness. Weight gain or increased difficulty losing weight. Coarse, dry hair. Dry, rough pale skin. Hair loss. Cold intolerance (you can't tolerate cold temperatures like those around you) muscle cramps and frequent muscle aches. Kindly get your fasting thyroid profile done and revert.
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Last month I had a thyroid test and my thyroid level is 4.6 How can we reduce the thyroid level? Does thyroid level have any impact in conceiving? I do not have family history of hypothyroidism. I have been asked to take tablet Throw ell to reduce thyroid level. Does it really help? And if not what is the natural way to cure the same?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Last month I had a thyroid test and my thyroid level is 4.6
How can we reduce the thyroid level? Does thyroid level h...
Hi lybrate-user, your thyroid levels are slightly high it should be around 2.5 when trying to get pregnant. Diet won't help that much in hypothyroidism, you can try for gluten free diet. Ideally you should have thyroid medicine it will be corrected in a month don't worry it's not major issues. Don't stop talking medicine without consulting doctor.
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Health Tips For Thyroid Health!

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai

Thyroid is an important endocrine gland which is located in the neck. It produces triiodothyronine and thyroxine hormones which are known as t3 and t4 respectively. Iodine is necessary for the production of these hormones. These hormones are necessary for the proper working of our body. They increase the cholesterol, fat, protein and carbohydrate metabolism. Common problems of the thyroid gland are over activity or hyperthyroidism and under activity or hypothyroidism. The important causes of thyroid disorders are graves’ disease and hashimoto’s disease. Enlargement of the thyroid gland is known as goiter.

Foods for hyperthyroidism

When the thyroid gland starts producing excessive hormones, it is known as hyperthyroidism. This has various symptoms like increased heart rate, sudden weight loss, irregular heartbeat, anxiety, bulging eyes, sensitivity to heat and sweating, goiter etc. Hyperthyroidism can be controlled by using certain particular foods.

1. Foods belonging to brassica family
Consume foods like cauliflower, brussels sprouts, peanuts, cabbage, broccoli, kale, mustard greens, turnips, rutabagas, soybeans, spinach etc which contains goitrogens.
• goitrogens helps to block the ability of thyroid to use iodine and hence slows down the activity of the thyroid.
• eat raw cruciferous vegetables to get maximum benefit as goitrogens are active in the raw state.

2. Include more berries
Add at least one serving of berries in your diet plan to control hyperthyroidism.
• blueberries, raspberries, strawberries contain anti-oxidants which improves your immune system.

3. Omega -3- fatty acid and proteins
Omega -3- fatty acid helps to control the hyper stimulated thyroid gland. Proteins are necessary for the building of muscles and to provide energy for the body. Protein sources also contain l-glutamine which helps in rebuilding the gut and de-inflaming the body.
• eat cold water fish, flaxseed oil and nuts to get the omega-3-fatty acid necessary for the body.
• include soy, turkey, walnuts, salmon, tuna and trout in your hyperthyroidism diet.

4. Dairy products
Hyperactivity of the thyroid gland can remove the calcium from your blood. The body compensates this loss by leaching calcium from the bones. This can cause osteoporosis.
• include three servings of yoghurt, cheese, milk or cottage cheese in your daily diet. 

5. Spinach and collard greens
If you are allergic to dairy products, you can get your daily supply of calcium from vegetable sources like spinach collard greens etc.
• figs, prunes and sesame seeds are also excellent hyperthyroidism foods.

6. Zinc
This is another vital component of hyperthyroidism diet. The hyperactive thyroid gland can deplete the zinc.
• include almonds, walnuts, pumpkin seeds, peanuts which are rich in zinc in your diet.

7. Fiber rich foods and anti inflammatory foods
Fiber rich foods are beneficial for the proper working of the thyroid gland. Anti inflammatory herbs help to reduce the inflammation of the thyroid which is the reason for hyperthyroidism.
• include whole grain foods, like oatmeal, whole grain breads, brown rice etc in your food.
• the anti inflammatory herbs to be included in your diet are turmeric, ginger, rosemary, cinnamon and oregano.

8. Antioxidant rich foods and vitamin d
It is also necessary to consume antioxidants and vitamin d rich foods in the diet. This will reduce the oxidative stress caused by hyperthyroidism. Vitamin d can reduce the inflammation and auto- immune reactions of the body.
• avocados, olive oil broccoli etc contain antioxidants.
• salmon is a good source of vitamin d. You can get your daily dose of vitamin d from eggs, mushrooms etc.
• spend 20- 30 minutes in the sun to get the necessary vitamin d for the body.

9. Cassava, sorghum, and millet
These food items contain cyanogenic glucosides which blocks the iodine availability of the gland.
• these foods increase the immune function and gives protection from osteoporosis

10. Vitamin c and vitamin e
These vitamins are helpful in reducing the oxidative stress caused by the hyperactivity of thyroid glands.
• all the citrus fruits are rich in vitamin c.
• bell peppers, olive oil, wheat etc are a good source of vitamin e.

Foods for hypothyroidism
Underactive thyroid gland releases too little hormones. This condition is known as hypothyroidism. The symptoms include unusual weight gain, feeling cold even on warm days, lethargy and fatigue, puffiness of the face, constipation, depression constipation, dry skin, goiter etc. This is a lifelong condition however the impact of hypothyroidism can be controlled using appropriate diet. Changing the diet and lifestyle prevents the flares of symptoms which could disrupt your daily activities.

1. Iodine rich foods
Make sure that you consume a diet that is rich in iodine. Some of the most common foods that you can think about that is rich in iodine are:
• seaweeds and sea foods
• salt water fish
• nori rolls
• sushi
Be certain to use iodized salt while preparing food as it is found to be very effective for hypothyroidism.

2. Bananas
One of the most commonly found fruits are bananas. Try to include bananas in your daily diet as it is a good food for hypothyroidism.
• take at least two to three bananas a day. Make sure that you eat ripe bananas.
• you can also at times consume a banana milkshake that is prepared with low fat or skimmed milk.

3. Water
One of the best known remedies to treat all kinds of disorders as well as hypothyroidism is pure drinking water.
• make sure that you drink at least 8 to 10 glasses of water a day.
• water will help to flush out all toxins in your body.
• it will also prevent you from getting dehydrated so that your body does not store more fat and hence you do not gain excess weight.

4. Eating more fruits and vegetables
Try to include more fruits and vegetables in your diet. This will help you to stay healthy and is highly recommended to prevent hypothyroidism.
• it would be better for you to choose a complete veg. Meal plan full of greens and vegetables one or two days in a week.
• you also need to follow a strict fruit plan diet for a day in a week to fight hypothyroidism.

5. Selenium rich foods
Going for foods that are rich in selenium will help in fighting hypothyroidism.
• make sure to make onions and dairy products as part of your daily diet.
• you also need to occasionally include chicken, salmon, tuna and meat in your daily diet. Try to use one product a day.
• it is important for you to use a lot of garlic in your food preparation.
• brazil nuts as well as whole unrefined grains also help in fighting hypothyroidism and you need to take them at least once a week.

6. High fiber diet
It is important for you to take a high fiber diet so that you do not gain weight that easily and this will help to prevent hypothyroidism.
• add beans, oatmeal and whole wheat to your daily diet to improve your bowel movement and to reduce the cholesterol levels in your body.
• make sure that you only consume brown rice and not white rice in any form when you suffer from hypothyroidism.

7. Green tea
One of the best foods known to treat hypothyroidism is green tea. It has antioxidants and will help in reducing body weight.
• it is ideal for you to include green tea in your daily diet and try to skip other drinks like coffee and black tea.
• it would be ideal for you to consume thee to four cups of hot green tea to increase body metabolism and to burn fat.

8. Tyrosine rich foods
One of the best methods to increase the production of thyroid hormones in your body is to consume foods that are rich in tyrosine.
• fish
• lentils
• lean meat
• soy products
• almonds
• bananas
• avocados

9. Coconut oil
Take coconut oil cooked food will help in improving the production of thyroid hormone and will help in preventing hypothyroidism.
• add a tablespoon of coconut oil in your diet every day.
• it helps in increasing metabolism and is also an emery booster.
• make sure that you consume it in moderation depending on your age and lifestyle and structure of your body.

10. Vitamin a, zinc and copper foods

It is ideal for you to consume vitamin a, zinc and copper rich foods in order to increase the production of thyroid hormones in your body.

Vitamin a rich foods
• yellow vegetables
• carrots
• dark vegetables
• eggs

Zinc and copper foods

• lean beef
• dried beans
• spinach
• seeds and nuts
• yeast
• legumes
• oatmeal
• raisins
• organ meats that are range free.

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Sir I m 42 years old having sugar level 150-170 fasting n also having ldl cholesterol 178 what to do Please guide.

MBBS
General Physician, Cuttack
Sir I m 42 years old having sugar level 150-170 fasting n also having ldl cholesterol 178 what to do
Please guide.
Your Blood cholesterol is within normal limit but fasting blood sugar is high. Do post prandial blood sugar and consult physician. Follow the advice given below 1.Do regular exercise 2.Reduce weight if overweight 3Control diet 4.Avoid sweets, excess calorie and carbohydrate rich diet, . 5.Adhere to a strict diabetic diet by consulting Dietitian 6.Monitor your fasting, PP blood sugar and Hba1c three monthly 7.Consult diabetologist for advice and treatment 8.consult me for further advice
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I have uric acid count of 7.8 how do I get this down to 3 or 4. Also kindly suggest diatery restrictions. Similar questions were asked some 4-5 days ago but got no response as yet.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
There are many lifestyle and dietary guidelines that can be followed to protect against future flares or prevent gout or uric acid problems from occurring in the first instance: maintain a high fluid intake (2-4 liters a day) avoid alcohol maintain a healthy body weight eat a balanced diet limit fish, meat and poultry intake. If attempting to lose weight, avoid low-carbohydrate diets. If carbohydrate intake is insufficient, the body is unable to burn its own fat properly, releasing substances called ketones into the bloodstream. This results in a condition called ketosis that can increase the level of uric acid in the blood. It is most important to avoid foods that are high in purines, to ensure that the levels of uric acid in the blood do not get too high. Here is a list of high-purine foods to be wary of: beef kidneys brains dried beans and peas liver mackerel mushrooms lose some weight by walking or other exercise, avoid meats and get always be on a prescribed diet as prescribed by a registered dietitian. I am a registered dietitian, certified diabetes educator and a doctor, consult privately for detailed treatment plans using diet and medications.
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He is having diabetes and he is losing weight is this because of diabetes? what can be done to overcome this problem?

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
He is having diabetes and he is losing weight is this because of diabetes? what can be done to overcome this problem?
Hello having diabetes and losing weight might be one reason, other reason could be irregular spacing in meals lack of protein and carbohydrate deficient in certain nutrients a detail diet plan with meeting the rda must help.
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I have a thyroid problem 4 years ago but I have no idea about it and recent days I have know about this excessive hair loss cold problem laziness stress also. Could you suggest me what should I follow the diet in thyroid because my weight suddenly increase it was 59 and recent65 so suggest me diet and should I eat oats and dalia sugar free aur spicy.

BHMS
Homeopath, Chennai
Homeopathy treats the person as a whole. This means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The Homeopathic thyroid treatment medicines are selected after a full individualizing examination and case-analysis, which includes the medical history of the patient, physical and mental constitution etc. A miasmatic tendency (predisposition/susceptibility) is also often taken into account for the treatment of chronic conditions.
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From past few month I have been diagnosed with thyroid, having tsh reading of 9.8. I had been given thyronorm 25 and am taking it regularly, but I still feel lazy, I sleep a lot as in am not able to get up early in the morning, not interested in any activities, constipation is also there, and am gaining weight. Can you please suggest what I need to do to completely get rid out of this and I need to shed down my weight. Please suggest me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
From past few month I have been diagnosed with thyroid, having tsh reading of 9.8. I had been given thyronorm 25 and ...
IN HYPOTHYROIDISM:--- Deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving ' THYROXINE ' tablets. And dose are according to level of thyroid for life time. Avoid iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help,
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I am 67 years old having diabetics since last 10 yrs. From last one years it is not controlled FBS and PPBS s to more than 250 Glinison 2 daily two tablets one at the time of breakfast and another at the time of dinner moreover insulin human mixtard 20u before lunch and 14u before dinner recently Daonil started 1-1-1- please advise me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 67 years old having diabetics since last 10 yrs. From last one years it is not controlled FBS and PPBS s to more...
Mr. Lybrate-user, it appears the dosage of insulin is not adequate, needs to be uptitrated. This can be done by first targeting fasting sugar level and later pp sugar level. Night time insulin dose can be increased by 2 to 4 units every 3 rd day based on fasting glucose level till target level is achieved, through a system of self monitoring and getting info from your doctor on insulin dose, till a trget level (120 mg fasting) is reached. I do not understand the reason for starting dionil now, because it is not suitable in old age as it can precipitate severe hypoglycemia. Dionil or glimepiride push pancreas beta cells to produce insulin, but if there is no reserve of beta cells then these drugs have no action at all.
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What is the symptom of thyroid? How can we determine that a man is suffering from thyroid?

PDDM, MHA, MBBS
General Physician, Nashik
Major symptoms include fatigue, cold sensitivity, constipation, dry skin and unexplained weight gain. It can be diagnosed by a blood test.
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