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Dr. Sriram

Endocrinologist, Chennai

0 - 600 at clinic
Dr. Sriram Endocrinologist, Chennai
0 - 600 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Sriram
Dr. Sriram is a trusted Endocrinologist in Royapuram, Chennai. Doctor is currently practising at M.V. Hospital for Diabetes & Diabetes Research Centre in Royapuram, Chennai. You can book an instant appointment online with Dr. Sriram on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 26 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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No.110/111, Ground Floor, Burma Colony,Perungudi . Landmark: Behind State Bank of India, ChennaiChennai Get Directions
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No.4, West Mada Church Street, Royapuram. Landmark: Near To Axis Bank ATM, ChennaiChennai Get Directions
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#4, West Mada Church Street, Royapuram, Landmark: Near To Axis Bank ATM.Chennai Get Directions
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Hi , I have 20 year old brother he suffering from sugar problem and cholesterol. What type of doctor I should consult for this.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Kolkata
Hi , I have 20 year old brother he suffering from sugar problem and cholesterol. What type of doctor I should consult...
1st you go to allopathy good doctor for good and proper consultation. After control go to homoeopathy good doctor for life time treatment.
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I am obese, height is 5'6" weight 117 kg. I wanna lose weight but not able to go to the gym because of my night shifts. I have thyroid and excess quantity of insulin in my blood. Please suggest how can I lose weight.

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
I am obese, height is 5'6" weight 117 kg. I wanna lose weight but not able to go to the gym because of my night shift...
A) Take 30 ml of aloe vera juice along with 30 ml of honey and 30 ml of lukewarm water, at night before sleep. B) take 10 ml of fresh lemon juice and 10ml of ginger juice before meals. C) eat 10 gm of black cumin seeds along with 30 ml of lukewarm water after meals. D) take 2-2 tablets of sutshekhar rasa and aarogyawardhini vati after meals…do all these things for 30 days…it gives you good result. Consult to me for further suggestions…. THANKS…
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I am type 2 diabetics patient. Can I take multivitamin? And which multivitamin tab. Best for me.

B.Sc.- Food & Nutrition, M.Sc- Food Science & Nutrition, NET (LS)
Dietitian/Nutritionist, Kolkata
I am type 2 diabetics patient. Can I take multivitamin?
And which multivitamin tab. Best for me.
If you have a well balanced diet there is no need for any supplements unless suffering from deficiency. Moreover no supplements should be taken without advice of a health professional as it can interfere with the medicine you are taking and excess of any nutrient is harmful.
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My father have a sugar problem and his age is 54 year. What can I do sir for my father.?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My father have a sugar problem and his age is 54 year. What can I do sir for my father.?
Mr. Lybrate-user, if diabetes is present then appropriate treatment has to be given for life time. Plus his eyes should be checked to see if there is any retinal involvement. This is a test or eye examination done by specialist by dilating the pupil. You have to get him proper treatment and see that he follows it. Plus he should exercise daily for at least 1 hour and take a restricted diet. Should avoid sweets, deep fried foods, junk foods, pastries and sweetened aerated drinks. Should maintain fasting around 100 ms, pp 150 to 160 mg and hba1c% <7. Thanks for the question.
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My husband 31 yr old. He got sugar during 15 yr old boy. Now we got marriage, I am completely alright. If we got a baby. Is it suffer from diabetes?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My husband 31 yr old. He got sugar during 15 yr old boy. Now we got marriage, I am completely alright. If we got a ba...
usually t1 diabetes is not exactly hereditary, meaning if father has t1 dm all children will get it. But the possibility is said to be 1 in 17. (ada data). Apart from genes environment and viral involvement also is said to be the cause. So the chances are very less of the child developing t1 diabetes.
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Sir, my random sugar count is 130 and after food is 260. What medication should I follow. Currently I have been taking glyciphage g2 with voglibose. 2mg twice a day. Kindly advise me.

DNB (General Medicine)
General Physician, Pune
Sir, my random sugar count is 130 and after food is 260. What medication should I follow. Currently I have been takin...
Hi, presently you are on triple drug therapy with optimal dose of each medicine. As your sugar after food is 260 it seems that more tighter control of blood glucose levels is needed the exact blood glucose for you may differ according to your age and associated comorbidities. But before increasing your medicines it is necessary to know whether you are taking present medications in correct timings voglibose has to be taken 15 to 20 minutes before food along with medications exercise and diet control will help a lot exercise will reduce overall medicines requirements by decreasing insulin resistance and small but frequent diet will not allow blood glucose to rise up too high!
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My dad has an age of about 45 he is suffering from diabetes what must he do to control that.

MBBS, cc USG
General Physician, Noida
My dad has an age of about 45 he is suffering from diabetes what must he do to control that.
Get following test done for your father and review with reports 1. FBS, PP Blood sugar 2. HBA1C 3. KFT 4 Urine R/M Diabetes is managed By Diet control Antidiabetic Medication Lifestyle changes There are many class of Antidiabetic medicines are available consult Diabetologist for further management
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Since one yes I have been trying to loose down her weight but she hasn't lost any weight, yes but what had happened is she has reduced her sugar dosages n feeling great? What should I do to loose her weight, her body is not responding.

C.S.C, D.C.H, M.B.B.S
General Physician,
Since one yes I have been trying to loose down her weight but she hasn't lost any weight, yes but what had happened i...
You need to have diet plan based on your bmi & activities. Whatever we eat is metabolised by the body for the energy needed to do daily work and the excess is stored as fat. Abdomen is the first place to gain weight and last to disappear. In brief, weight reduction can be achieved only by reducing the intake of food 1/3 of what you take now. And by appropriate exercise plans for each part like belly, thighs, legs / chest etc. To burn off fat. Some tips 1) drink three or four cups of water whenever you feel hungry and just before eating food 2) take boiled or raw vegetable like cucumber, carrot etc. As half of your diet. Then take 1/2 of your total diet as sprouted pulses / proteinaceous food like roti, cooked pulses and remaining with rice or other carbohydrates. Oil or ghee etc. Should be just bare minimum. And do aerobic exercises, running, jogging or at least walking briskly 3-5 kms and swimming if possible, and in a gym if feasible. The most important is to burn off the energy intake by exercises. There is no short cut or medicines without exercise & dieting to take just as mush food as needed for your activities. The food we eat is utilised for our energy needs and the remaining will be stored as fat which leads to obesity. It is better to do some tests.
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Testosterone Hormone

BHMS, DEMS
Homeopath, Pune
Testosterone Hormone

Testosterone is a powerful hormone, with the ability to control sex drive, regulate sperm production, promote muscle mass, increase energy, and even influence human behavior (such as aggression and competitiveness). It’s no wonder that a decrease in testosterone would cause quite a stir. However, it is a natural part of aging.

In the Womb

Testosterone plays an important role in shaping the developing fetus during pregnancy. It drives the development of the male reproductive system. Testosterone also masculinizes the brain.testosterone levels have to fall within a very narrow margin in order for the fetal brain to be healthy. High levels of fetal testosterone may be linked to autism.low levels of fetal testosterone may boost your chances of getting Alzheimer’s disease later in life.

Adolescence to Early Adulthood

Testosterone levels are at their highest during adolescence and early adulthood. The first physical signs of testosterone, or androgens, in the body are apparent during puberty. A boy’s voice changes, his shoulders broaden, and his facial structure becomes more masculine. But as men get older, their testosterone levels decline about 1 percent per year after age 30.

Male   Female  
Age: T Level (ng/dL): Age: T Level (ng/dL):
0-5 months 75-400 0-5 months 20-80
6 mos.-9 yrs. <7-20 6 mos.-9 yrs. <7-20
10-11 yrs. <7-130 10-11 yrs. <7-44
12-13 yrs. <7-800 12-16 yrs. <7-75
14 yrs. <7-1,200 17-18 yrs. 20-75
15-16 yrs. 100-1,200 19+ yrs. 8-60
17-18 yrs. 300-1,200    
19+ yrs. 240-950    
Avg. Adult Male 270-1,070 Avg. Adult Female 15-70
30+ yrs. -1% per year

Testosterone and Aging

low testosterone levels can cause changes in sexual function, including:

  • reduced sexual desire, or low libido
  • fewer spontaneous erections
  • impotence (erectile dysfunction)
  • infertility
  • Other signs of decreased testosterone levels include:

  • changes in sleep patterns
  • emotional changes, such as low self-confidence or lack of motivation
  • physical changes, like increased body fat, reduced muscle bulk and strength, and decreased bone density

The normal range of testosterone levels in healthy adult males is between 280 to 1,100 nanograms per deciliter (ng/dL).

Other Possibilities

While the symptoms described here are considered a normal part of aging, they could also be signs of several underlying factors. These include:

  • a reaction to certain medications
  • thyroid gland disorders
  • depression
  • excessive alcohol use                                                                                 
  •  
  • the best time of day to have a blood sample taken for a testosterone test is around 8 a.m.
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My sugar level from last two years 145 to 190 please advised for tablet and dite chart for per day?

MBBS
General Physician, Cuttack
My sugar level from last two years 145 to 190 please advised for tablet and dite chart for per day?
If your fasting sugar is above 140 and PP Sugar is above 200 you have to start medicine after consulting diabetologist.regular exercise, weight reduction ,and diet control will help in reducing your sugar.Avoid sweets and excess carbohydrate. Consult dietician for a diet chart
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I am 32 years old male. Since last few months I became fatty and my face became heavy. I do not have thyroid problem. I want to reduce my face fat as well as glow of my face have been reduce. Lot of spots have been visible on my face. Skin of my face have been rough. Please help me to reduce my face fat as well as body weight and improve my skin quality.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 32 years old male. Since last few months I became fatty and my face became heavy. I do not have thyroid problem....
Mr. Lybrate-user, from your height and weight it is clear that bmi is 25 kgs/m2, showing mild over weight. If you do not have hypothyroidism, then properly planned diet and regular exercise of more than 1 hour or preferably joining a gym and doing a workout under the guidance of a professional trainer is going to be more beneficial. In the diet you should avoid sweets, deep fried foods, sweetened aerated drinks, junk foods, pastries, other bakery items, red meat, high fat milk products, fructose corn syrup containing products & highly processed food products. Also refrain from alcohol and smoking completely. You might increase protein food intake daily, by taking 2 to 3 eggs. Consume more of green leafy vegetables, use whole grain products and whole grain flour for chapati and roti. Avoid all products made of refined flour like maida. Rigorous exercise will definitely help you shed extra fat including that on the face. Thanks.
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Please provide the side effects if uric acid increases

MD - Internal Medicine, MBBS
Endocrinologist,
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.
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My grand mother is diabetes from last 21year. She is not interested in talking insulin so how it can be control without insulin.

CDIABT, MBBS
Endocrinologist, Mumbai
My grand mother is diabetes from last 21year. She is not interested in talking insulin so how it can be control witho...
Treatment will depend upon the level of blood sugars. There are various tablets available which can be used. However insulin injection are painless and easy to take. Help your grandmother to remove the fear of insulin injection.
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I am a mom of a toddler 2 years old and working as well having hypothyroid. I am so much exhausted that wen I go to bed I juat want to sleep dat is the reason I have a fight with my husband almost every day he says I dnt have interest in sex. Whybthis ia so I really do not feel like having sex.

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
I am a mom of a toddler 2 years old and working as well having hypothyroid. I am so much exhausted that wen I go to b...
Take interest as that will give you double satisfaction and good sleep and remove your fear or laziness.
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I am 59 year old and have diabetes since last ten years. I have problem of sex slowly i'm not able to make sex now no erection. Every day take medicine for b. P. And diabetes. Diabetes level is normally 180 fasting and after eat 190 some time it's 150 @ 160.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Somesome anti hypertension med and madhumeh may cause such condition which is reversible. It is more a counselling challenge than medical. There are safe herbal medicines and combos in rejuvenation and geriatrics in ayurveda. But you have to be patient. Hasty people fall prey to commercial otc products often and get disappointment. Pl. Consult any local pvt ayurved doctor or may consult us too by giving details.
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I am 63 year old male suffering from hypothyroid. I am taking 150mg ELTROXIN every day morning. Beside taking control diet, my weight remains the same i. E. 97 Kgms (Ht 178 cms). Please advise.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 63 year old male suffering from hypothyroid. I am taking 150mg ELTROXIN every day morning. Beside taking control...
Antioxidant-rich fruits and vegetables: 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. 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 73 years old and deibitic with medication, glycepage 250 1-0-1 glytop 5sr 1-0-1. I have burning sensation whenever I take slightest spices.Please do help.

BAMS, YIC, DEC
Ayurveda,
Hi you can try chitrakadivati 2-0-2 and hinguvastak churns 2 tsp -0-2 tsp with honey before food for evaluation of dm,You can consult me.
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I am a diabetes patient what I can do to decrease my sugar level.

MBBS
General Physician,
I am a diabetes patient what I can do to decrease my sugar level.
go to walk for 1 hr daily morning and evening, avoid sweets and do not use sugar in tea or milk, level will come down, tell me blood sugar level. welcome.
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