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Dr. Sridhar

MBBS

Endocrinologist, Chennai

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Dr. Sridhar MBBS Endocrinologist, Chennai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Sridhar
Dr. Sridhar is a popular Endocrinologist in Gopala Puram, Chennai. Doctor is a MBBS . You can visit him/her at Life Med Hospitals in Gopala Puram, Chennai. You can book an instant appointment online with Dr. Sridhar on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 32 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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MBBS - - -

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Old No.32, New No.12, Conran Smith Road, Gopalapuram. Landmark: Near Sathyam Theater, ChennaiChennai Get Directions
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Old No.32, New No.12, Conran Smith Road, Gopalapuram. Landmark: Near Sathyam Theater.Chennai Get Directions
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Goodafternoon doctor. I am a thyroid patient since 2 years. T3 is 3.84pmol//l, T4 14.50 TSH 4.37. I am 35 years old lady. Pl suggest me something to reduce weight gain. Regards.

PDDM, MHA, MBBS
General Physician, Nashik
Pay close attention to your food choice. ·        Eat less carbohydrate food sources like chapatti, rice, noodles, pasta, bread etc as they help in gaining weight and storing fat. ·        While having lunch or dinner eat vegetables and dal to fill your stomach rather eating lots of chapattis or rice. ·        Have a healthy breakfast like poha, idli, upma, plain dosa, oats, dalia or khichdi with vegetables. ·        Eat a balance diet including good quality proteins like: fish, lean chicken and eggs. If you are a vegetarian then include skimmed milk, low fat paneer, butter milk, soy bean or soy milk in your diet. ·        Avoid ghee, butter or vanaspati. Prepare your diet with vegetable oil like sunflower, safflower soybean or olive oil. ·        Eat plenty of salads. ·        Eat fresh fruits including apple, orange, pineapple, papaya, sweet lime, berries, guava, watermelon, mask melon etc. ·        Avoid eating outside junk and fried foods like pizza, pasta, roll, burgers, cakes, chocolates and cookies. ·        Have an early dinner. The earlier the better, giving your system more time to digest the food. ·        Avoid cold drinks/alcohol as they add empty calories to your diet. ·        Avoid fat enriched milk products like cheese, sweets, full fat cream etc. ·        Drink 3 liters of water in a day. ·        Try to have less sugar in food and beverages. ·        Try to drink 2 cups of green tea in a day as green tea helps in weight loss by aiding digestion. ·        Avoid red meat like mutton, beef, lamb or pork. ·        Eat sprouts or roasted chana, whenever you feel hungry.
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Do you have any treatment system for helping older couples in 40s to have children.Please let us know the success %age , clinics and procedure

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Success rate varies from 10 to 50% per single treatment but actually depends on actual age, the health and some other factors of both the partners. There are many clinics including ours. The procedure also depends on the actual cause of the infertility. But the hope is always there.
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I'm 56 years having diabetes since last 7 years. so, what to do to keep it in control?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I'm 56 years having diabetes since last 7 years. so, what to do to keep it in control?
Do let me know your hba1c value? also you need to provide me your daily food intake details. There are many lifestyle and dietary guidelines that can be followed: take high fiber prescribed diet which includes soluble fibre like apple, isabgol etc. Get more physical activity. eat a balanced diet which includes whole grains and excludes all refined products like maida as prescribed. if you're overweight, diabetes prevention may hinge on weight loss. Every pound you lose can improve your health, and you may be surprised by how much. Participants in one large study who lost a modest amount of weight around 7 percent of initial body weight and exercised regularly reduced the risk of developing diabetes by almost 60 percent.
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Hi sir/mdam already I said that I have a hypo thyroid, I have one doubt in that I got a married last year, I am trying to conceive still there is no result in that, and one more thing I have no irregular periods it is regular, can you give me the suggestion,

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi sir/mdam already I said that I have a hypo thyroid, I have one doubt in that I got a married last year, I am tryin...
lybrate-user, Hypothyroidism if not well controlled does not allow conception to occur. Primary need is to achieve a very strict control with TSH remaining below 2 mU/L for conception to take place. Even through the pregnancy also TSH levels have to be maintained around 2 mU/L. Hence, please check and come back. Thanks.
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My fasting blood sugar is 126 and post fasting is 128. One is indicating diabetic and the other one not so. Do I have diabetes 1 or 2?

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
My fasting blood sugar is 126 and post fasting is 128. One is indicating diabetic and the other one not so. Do I have...
Hi, you need to screen again n hba1c also. Do you want to be labeled as 1 or 2 or any way you r taking it head on to reverse it. For this i'll support. Rest fine.
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I am 57. I cannot tolerate heat. I have excess vata and pita humours and having no thyroid. Please suggest specific acupressure/sujok points in shape of picture by your accupressurist to regulate and to cool the body. An early suggestion is solicited.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
In our science the concept of hot or cold body is not there at all. You may seek opinion of doctors who know that subject.
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Is drinking one cup of milk with pinch of haldi is advisable for diabetic patient or not.

BHMS, MD - Homeopathy
Homeopath, Navi Mumbai
Is drinking one cup of milk with pinch of haldi is advisable for diabetic patient or not.
Diabetics should not consume buffalo milk,it should b cow's milk or a skimmed milk,without sugar. Haldi is anyways good for ur health.
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Drinking juices is good. I am not a diabetes patient but I am a boundary line case. I drink tea without sugar to be on safe side. Will drinking juices sold by Tropicana and Real advisable for me?

C.S.C, D.C.H, M.B.B.S
General Physician,
Drinking juices is good. I am not a diabetes patient but I am a boundary line case. I drink tea without sugar to be o...
Commercial juices have many additives in them and are harmful. You take freshly homemade juices and too in small amount if you have diabetes monitoring it.
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Hi I m suffring from thyroid which was 78 now 1s 17, but my wait is not loosing

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist,
To improve your hormonal balance and support thyroid health you should : Eliminate processed & simple carbohydrates Avoid foods high in sugar Some foods contain substances called goitrogens, which can cause thyroid to enlarge. Goitrogenic foods can also slow down the thyroid resulting in under activity. Avoid use of soy products & butter Avoid soft drinks & limit caffeine to 1 cup/day Avoid cabbage,cauliflower & broccoli Recommended lima beans - as it increases the thyroid function omega 3 -essential fatty acids (walnuts ,almonds & cloves ) fruits-apples,kiwi & pear veggie-carrot,pumpkin etc olive oil & coconut oil are safe with best of health Dr hegde
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My father is 59 years old he is suffering from diabetes can you suggest a proper food chart for him.

B.Sc. - Dietitics / Nutrition, M.sc-DFSM
Dietitian/Nutritionist, Hyderabad
My father is 59 years old he is suffering from diabetes can you suggest a proper food chart for him.
Hello lybrate-user, I am suggesting a proper diet for your father, pls follow :1.Exercise, Yoga, Walking daily, plenty of water is needed. 2.Fruits and vegetables: Eat 4 to 6 serving daily Carrot, onion, peas, beetroot, green and leafy vegetables. Watermelon, muskmelon, papaya, sweet lime, orange, peach, fig, guava, apple, jambu. 3. Cereals, pulses, legumes: Eat moderately [3 to 5 serving]. Wheat, jowar, bajra, rice, bread, Bengal gram, whole dal. 4. Low fat dairy product, paultry, eggs: Eat moderately 2 to 3 serving. Fish, chicken, cheese, paneer, egg white, peanut butter, Skimmed milk, curd. 5. Nuts and oils: Eat sparingly [1 to 2 serving] Almonds, cashew nuts, walnuts, olive oil, sunflower oil, Canola oil, etc. AVOID: Sugar, sweets, colas, red meat and refined food products. Deep fried, French fries, fast foods, etc. If you need further assistance consult me privately. Pls Write your feedback. Thanks.
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Which fruits are good and which are bad for people with diabetes? I once came across a GI (glycemic index) chart at a doctors chamber and read that grapes are low in GI but watermelons are high which contradicts doctor's opinion. So are fruits with low GI really good for diabetic people?

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
Which fruits are good and which are bad for people with diabetes? I once came across a GI (glycemic index) chart at a...
All fruits are good for diabetics. Only you have to take them in specified amount. Fruits contain mainly fructose, which is inert sugar and very less glucose. Fruit juice is not allowed.
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How to maintain weight hypothyroidism patients Height.4'11 Wt.63kg?

MD,Medicine,Diabetologist
General Physician,
Hypothyroid patients have tendency to put weight which is both due to the fat accumulation and water retention. So u need to have your disease under control and healthy diet and regular exercise
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I am having diabetes. So I wanted to know what should my meal contain and how many times a day can I eat what should it include so it don't cause high sugar level?

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I am having diabetes. So I wanted to know what should my meal contain and how many times a day can I eat what should ...
In diabetes meal portion size matters. You can eat frequent small meals instead of 1 large meal. A normal person eats around 3-4 times a day. Diabetic person should eat atlest 6-8 times a day but in small portion at a time. Normally high fibre content in diet delay carb absorption and prevent blood sugar peaks. Anything which will take time to digest in stomach is good for diabetes. For example if you are eating an apple then you should eat entire apple and not just inner pulp. The outer cover (chilka) is also important. In normal diet anything which has cover or chilka on it will take time to get digested and prevents sudden blood sugar peaks.
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What food is to be taken for gaining good iron vitamins by a diabetes patient of age 37?

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Mumbai
What food is to be taken for gaining good iron vitamins by a diabetes patient of age 37?
Plenty of green leafy vegetables. Red kidney beans dates dry fruits all red and orange fruits are rich in iron.
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My mom is a diabetic patient, my maternal uncles are having the same problem, so I am afraid that I may also. So how can I prevent from getting a diabetic? My age is 26.

MBBS
General Physician, Jalgaon
My mom is a diabetic patient, my maternal uncles are having the same problem, so I am afraid that I may also.
So how ...
Please Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Take salads and fruits more Take vegetables juices and soups more Avoid maida containing items, avoid processed foods Use organic foods more.
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I got married 3 years back. I have least interest in having sex with my husband. I am over weight and my age is 32. I find that my urge for sex is totally vanished. Is it bcoz of any hormonal disbalance or just stress and weight. I have a hypothyroid too. Please advise.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I got married 3 years back. I have least interest in having sex with my husband. I am over weight and my age is 32. I...
due to hormonal imbalance thyroid and obesity few affects on sexual life . they took low interest in sex. you should be support in sex with your husband. avoid stress. live a normal life with husband. if any dryness or pain in vagina then consult a gyane. doctor. or you can use vaginal tab. candid -v at night.
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Sir there is pain and sound in my knee joint since last month I have consult doctor and advised for blood uric acid test the result is 7.0 mg. What I have to do for best medicine please advise me.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Sir there is pain and sound in my knee joint since last month I have consult doctor and advised for blood uric acid t...
Quadriceps exercises- lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core strengthening exercise- straight leg raised with toes turned outward, repeat 10 times, twice a day. Hams stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. Repeat 10 times, twice a day.
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For my diabetes type 2. Taking janumet 50/500 and glimepiride/metformin twice daily along with telma 40 and atorva. Still sugar is 150 to 200 both pp and fasting. Now 51 yes. Should I change medicines. Reg.

DHMS (Hons.)
Homeopath, Patna
For my diabetes type 2. Taking janumet 50/500 and glimepiride/metformin twice daily along with telma 40 and atorva. S...
Hello, * Diabetes-type II or type I makes no difference to curve down the glucose level in d blood without following the under noted tips. * Go for a walk in the morning for an hr. * Go for meditation for 30 mnts to reduce your stress and anxiety, being one of the exciting points for the diabetics.. * Take plenty of water to eliminate your toxins. * Take easily digestible,non-irritant, fried foods to check cholesterol -level.. * before going for the change of d medicines , make n trial to opt the above noted tips Take care.
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I am 36 year old male. I'm feeling light ache below ribs left side of stomach since one day. I have not taken any medicine till now. I use to drink 4 glasses of water everyday. I'm diabetic patient since 4 years.

DRCH, BHMS
Homeopath, Bareilly
I am 36 year old male. I'm feeling light ache below ribs left side of stomach since one day. I have not taken any med...
Since the pain is light and recent origin massage the area gently with some pain killer ointment or oil, it will resolve itself. If severe see it to doctor.
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Management of hypothyroidism.

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