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Dr. Vikram

Endocrinologist, Chennai

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Dr. Vikram Endocrinologist, Chennai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
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Dr. Vikram is an experienced Endocrinologist in Thiruvanmiyur, Chennai. Doctor is currently practising at Vitalife Clinic in Thiruvanmiyur, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Vikram on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 43 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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Vitalife Clinic

44, East Coast Road , Kottivakkam, Landmark:1 Km from Thiruvanmiyur RTO, ChennaiChennai Get Directions
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C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Hypothyroidism

Introduction
Hypothyroidism happens when your thyroid gland, located at the front of your neck, doesn't produce enough thyroid hormone (underactive thyroid). There are several types of hypothyroidism. The most common is Hashimoto's thyroiditis, an autoimmune disease where the immune system mistakenly attacks the thyroid gland. The disease affects both sexes and all ages, but is most common in women over age 60. Because the thyroid gland helps regulate your metabolism, low thyroid levels cause your body to slow down and can affect everything from appetite to body temperature. Symptoms can appear over time and can be hard to diagnose. Left untreated, hypothyroidism can cause serious health complications.

Signs and Symptoms

Slow pulse
Fatigue
Hoarse voice, slowed speech
Goiter (caused by swollen thyroid gland)
Sensitivity to cold
Weight gain
Constipation
Dry, scaly, thick, coarse hair
Numbness in fingers or hands
Confusion, depression, dementia
Headaches
Menstrual problems
In children, slowed growth, delayed teething, and slow mental development
What Causes It?

There are different kinds of hypothyroidism with different causes. In Hashimoto's thyroiditis, antibodies in the blood mistakenly attack the thyroid gland and start to destroy it. Post-therapeutic hypothyroidism occurs when treatment for hyperthyroidism leaves the thyroid unable to produce enough thyroid hormone. And hypothyroidism with goiter happens when you don?t get enough iodine in your diet. In the developed world iodine is added to salt so goiter is rare, although it still happens in undeveloped countries.

Your thyroid gland produces two main thyroid hormones, T3 and T4. In addition, the pituitary gland produces thyroid-stimulating hormone (TSH), which helps control how much T3 and T4 the thyroid makes. Your health care provider will draw blood to measure levels TSH. When levels of thyroid hormones are low, your body produces more TSH to increase production of thyroid hormones. Your doctor may also test for levels of T3 or T4.
Natural medicine practitioners may pay particular attention to levels of T3 hormone. T3 is the active form of thyroid hormone. Your thyroid gland makes some T3, but the body also converts T4 into T3. If you are unable to convert T4 to T3, your laboratory tests for T4 may be normal, but you still may have all the symptoms of hypothyroidism. Talk to your doctor about including T3 laboratory tests in the treatment of your hypothyroidism.

Treatment Options

Drug Therapies
Your health care provider will prescribe a synthetic thyroid hormone called levothyroxine (Levothroid, Synthroid, Unithroid) that you will take daily. A natural dessicated thyroid hormone drug, made from the thyroid glands of pigs, is also available by prescription. Your doctor will want to adjust your dose over a period of several weeks, after regular blood tests to check the amount of thyroid hormone in your blood.

Complementary and Alternative Therapies

If you have hypothyroidism, you need conventional medical treatment. Nutrition and herbs can help support conventional treatment, but should not be used by themselves to treat hypothyroidism.
Nutrition and Supplements
Following these nutritional tips may help reduce symptoms:
Eat foods high in B-vitamins and iron, such as whole grains (if no allergy), fresh vegetables, and sea vegetables.
Avoid foods that interfere with thyroid function, including broccoli, cabbage, brussels sprouts, cauliflower, kale, spinach, turnips, soybeans, peanuts, linseed, pine nuts, millet, cassava, and mustard greens.
If you take thyroid hormone medication, talk to your doctor before eating soy products. There is some evidence soy may interfere with the absorption of thyroid hormone.
Taking iron supplements may interfere with the absorption of thyroid hormone medication, so ask your doctor before taking iron.
Eat foods high in antioxidants, including fruits (such as blueberries, cherries, and tomatoes) and vegetables (such as squash and bell pepper).
Avoid alcohol and tobacco. Talk to your doctor before increasing your caffeine intake, as caffeine impacts several conditions and medications.
These supplements may also help:
Omega-3 fatty acids, such as fish oil, to help decrease inflammation and help with immunity. Omega-3 fatty acids may increase the risk of bleeding, especially if you already take blood-thinning medication. Ask your doctor before taking omega-3 fatty acids if you take blood thinners such as warfarin (Coumadin) or if you have a bleeding disorder.
L-tyrosine, 500 mg two to three times daily. The thyroid gland combines tyrosine and iodine to make thyroid hormone. If you are taking prescription thyroid hormone medication, you should never take L-tyrosine without direction from your doctor. Do not take L-tyrosine if you have high blood pressure or have symptoms of mania.
Do not take an iodine supplement unless your doctor tells you to. Iodine is only effective when hypothyroidism is caused by iodine deficiency, which is rare in the developed world. And too much iodine can actually cause hypothyroidism.

Herbs ( though not scientifically proven or dependable for hypothyroidism )

Herbs are a way to strengthen and tone the body's systems. As with any therapy, you should work with your health care provider to get your problem diagnosed before starting any treatment. You may use herbs may as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). People with a history of alcoholism should not take tinctures. Unless otherwise indicated, make teas with 1 tsp. Herb per cup of hot water. Steep covered 5 - 10 minutes for leaf or flowers, and 10 - 20 minutes for roots. Drink 2 - 4 cups per day. You may use tinctures singly or in combination as noted.
Few herbs have been studied for treating hypothyroidism. More research is needed.
Coleus (Coleus forskohlii), for low thyroid function. Coleus may interfere with certain medications, including some blood pressure medicines, nitrogylcern, and blood-thinning medications, such as warfarin (Coumadin). Talk to your doctor.
Guggul (Commiphora mukul), for low thyroid support. Guggul may interfere with estrogen, birth control pills, and other medications. Talk with your doctor.
Bladderwrack (Fucus vesiculosus), for low thyroid support. Do not take bladderwrack unless directed by your doctor. Bladderwrack contains iodine. Although lack of iodine can cause hypothyroidism, most cases of hypothyroidism in the developed world are not caused by iodine deficiency. In fact, too much iodine can actually cause hypothyroidism. Bladderwrack may also contain toxic heavy metals.

Following Up
After you start on thyroid hormone replacement therapy, your provider will want you to have frequent checkups to monitor its effectiveness.
3 people found this helpful

Hypothyroidism - Know Its Homeopathic Remedies!

BHMS
Homeopath, Delhi
Hypothyroidism - Know Its Homeopathic Remedies!

Hypothyroidism refers to the lack of thyroid hormones in your body. Hypothyroidism is caused when the thyroid gland of your body is unable to produce the thyroid hormones like T3 (triiodothyronine) and T4 (thyroxine). Hypothyroidism can occur due to the inflammation of the thyroid gland or as a result of previous thyroid treatments, where a major portion of the thyroid producing cells has been removed. Hypothyroidism is more common in women. But, it can develop in any person irrespective of age or sex.

The symptoms of hypothyroidism are as follows:

  1. Fatigue
  2. Increased feeling of cold
  3. Dryness of skin
  4. Constipation
  5. Depression
  6. Obesity
  7. Increased blood cholesterol level
  8. Your muscles may be become weak and you may suffer from muscle pain
  9. Disruption in menstrual cycle

Though these are the common symptoms, but it may vary from person to person. Hypothyroidism is a very common problem and homeopathy offers a very safe, painless and effective treatment for hypothyroidism.

Homeopathic Treatment For Hypothyroidism

Homeopathy is best holistic therapy for hypothyroidism. Homeopathic medicines have been known to correct the imbalance in the thyroid hormones in a very mild and subtle manner.  The homeopathic medicines for hypothyroidism are purely natural in origin and have no side effects at all. They are able to improve the functioning of the thyroid gland permanently. Once cured, one has no need to take medicines and can live a disease free as well as medicine free life.

Doses-

There are excellent remedies in homeopathy for the patients suffering from hypothyroidism symptoms.The homeopathic remedies are prepared from a wide range of substances such as the vegetables, herb, mineral, chemicals and animal products in extremely minute. The homeopathic remedy selected will be based on all the symptoms of the patient including physical, mental and emotional states and family history of the patient.

Homeopathic remedies stimulate the body’s own immune system and offer a long lasting cure rather than giving temporary relief.

There are two ways to treat hypothyroidism-

  1. Supplement body with external thyroid hormone
  2. Administer medicines that could stimulate the thyroid gland

The conventional method is to supplement the hormone. But the problem here is that the body gets used to it and stops producing its own hormone in desired quantity.

In case of homeopathic treatment, it tries to stimulate the gland to make it produce normal production of hormone.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4546 people found this helpful

Ways Obesity Affects Your Fertility!

MBBS, MD - Obstetrtics & Gynaecology, DNB (Obstetrics and Gynecology), Royal College of Obstetricians and Gynaecologists (MRCOG)
IVF Specialist, Pune
Ways Obesity Affects Your Fertility!

Being overweight can be as problematic as being underweight. Both the situations can have an effect on the infertility of a woman. Usually the body stores the sex hormones in the fat layers. That is why, if a person is underweight, she can have infertility issues, as there is not enough storage space for the hormones. In the same way if a person is overweight, then there is an excess of fat tissues and the amount of the hormone estrogen released is usually more than that the body can handle. This leads to a disruption of the chemicals and proteins, leading to adverse reactions and infertility.

Common Weight Related Infertility Reasons
Being overweight is somewhat linked with the Polycystic Ovary Syndrome (PCOS) and an increase in estrogen hormone. Also, there is a greater chance of a luteal phase defect. Let us see how these can affect a woman:

  1. Estrogen: This hormone is produced by the fat cells, and if there is too much of estrogen production, then the body reacts to it in a similar manner when birth control pills are taken. Ovulation may or may not occur, and if it does, it might be inadequate. And the inadequate ovulation leads to luteal phase defect.
  2. Polycystic Ovary Syndrome (PCOS): This is basically an endocrine disorder with a combination of many symptoms. Symptoms are pain, irregular cycles, ovulatory pain, ovarian cysts, excessive body hair and heavy menstrual bleeding. Diagnosis for PCOS helps in determining the treatment for weight loss.
  3. Luteal Phase Defect: The luteal phase refers to the phase between the ovulation and the menses. The ideal time period for this phase is 14 days. LPD is generally caused by improper ovulation, and thus improving the quality of the follicles is necessary to correct the situation.

How Does Being Overweight Affect Conception Rate
As per a study which was published in the British Medical Journal, if women are too lean or too obese, they can have difficulty in conceiving and that fat distribution has an effect on the body. Women who have a large waist hip ratio have difficulty in conceiving, and apple shaped women also face the same trouble. Usually women who have PCOS have an apple shaped body.

Risk of Miscarriage Due To Being Overweight
Women suffering from PCOS and obesity have more chances of miscarriage as compared to others. The reason is that women with PCOS have increased LH, which tends to affect the pregnancy. However, it is noticed that even if excess fat does not play any role in pregnancy, women with PCOS have excess weight which creates high risk as compared to the others.

Finding Help for Overweight Issues is a Good Idea
Seeking help if you are overweight is always advisable. Consulting a good gynecologist can help along with weight management and fertility treatment. You shouldn't have any hesitations, and all the questions should be asked freely so as to get a holistic idea of the treatment. The doctor might suggest some tests and also conduct a physical examination of the lymph nodes and the abdomen, to feel the ovaries and the uterus. Post physical examination, an internal examination of the cervix to check for infections is done, and if need be, a pap smear might be collected and sent to the lab for culture. At times, a trans-vaginal or an abdominal ultrasound might also be done to rule out the possibilities of abnormalities or others cysts. Tests to check the levels of hormones are also done.

It is always a wise decision to know how being overweight can impact the chances of becoming pregnant. Working towards losing weight and getting it under healthy BMI levels, can lead to the restoration of the hormones and in turn make you healthier.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4279 people found this helpful

Hi i am 23 year old and i'm 20week pregnant. Before pregnancy I do not have any thyroid abnormalities but after pregnancy my doctor told me that my thyroid level is low and she prescribed me thyroxine tablet. So I need to know that whether it affects my baby? Or do it have any side effect after delivery.

MD. DGO.DSP
Gynaecologist, Mumbai
Hi i am 23 year old and i'm 20week pregnant. Before pregnancy I do not have any thyroid abnormalities but after pregn...
Please take thyroid meds if you don't it will affect baby. Low thyroid can cause birth defects abortion preterm labour etc thyroid meds are absolutely safe for mother n baby.
1 person found this helpful
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My aunt is 60 years of age and she is suffering from high cholesterol levels and thyroid problem. What should her diet and health routine consists of?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My aunt is 60 years of age and she is suffering from high cholesterol levels and thyroid problem. What should her die...
High cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take green veg., whole grain.garlic,. Take anti cholesterol medicines . you should be avoid bad habits . Avoid stress. Some Relax during work. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take 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. 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 oily foods,junk foods, go for walk. Tests every 3 to 6 months.
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MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology, ADVANCED CERTIFICATE COURSE IN DIABETES
Diabetologist, Dehradun
vitamin D level should be checked in diabetics as it play a role in control of sugar
2 people found this helpful

मैं डाइबिटिक पेसेंट हूँ मेरा सुगर लेबल पिछले 3 वर्षो मे लगभग 200 से 300 तक रहता है मुझे सेक्सऊवल कमजोरी रहती है मेरे वजह पत्नी भी परेसान रहती है

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
मैं डाइबिटिक पेसेंट हूँ मेरा सुगर लेबल पिछले 3 वर्षो मे लगभग 200 से 300 तक रहता है मुझे सेक्सऊवल कमजोरी रहती है मेरे ...
Diabetes agar control me na raha to impotence honeki sambhavana hamesha hoti hai. Isliye pahale aap ko blood sugar levels ko kabu me lana hoga. Usake saath kisi sexologist doctor se milke salah leni hogi. Because you have a very badly controlled diabete for such a long time. Sometimes sildenafil tablets do help. But better to consult a specialist for this.
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Sir, My father is a diabetic patient. Please guide me what he should eat & not eat? Guide me.

Diploma In Diet & Nutrition
Dietitian/Nutritionist, Hyderabad
Sir, My father is a diabetic patient. Please guide me what he should eat & not eat? Guide me.
What Not to Eat. Sugar - Sweets - Fruit Juices - Maida based products - Potatoes - White Bread - Honey - Mangoes - Chikoo - Any Mithai - Colas of all types - All fried / oily stuff - Biscuits - Cakes - pastries - Sooji based items - Full cream milk - Alcohol ---- You need to avoid all these foods which are simple carbohydrates. These will disturb your body system and aggravate the diabetes problem. As for the foods to eat you can refer to the other doctor's recommendations.
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I am diabetic, having hypertension and heart disease, can I take thyronorm tablets.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am diabetic, having hypertension and heart disease, can I take thyronorm tablets.
Mr. lybrate-user, Thanks for the query. To treat hypothyroidism only available drug is Levothyroxine tablets. Hence, if you have that condition, then it may be necessary to take Thyroxine tablets. But I can only give a proper yes or know based on actual TSH value, BP reading plus some details on the heart condition. Since nothing is mentioned, it is difficult to give any opinion. Thanks.
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Hi Age 77 bypass 25 years back, angioplasty 9 years back, my fasting bs always higher than pp. Last result: fasting 145, pp 116. Please help.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
Hi Age 77 bypass 25 years back, angioplasty 9 years back, my fasting bs always higher than pp. Last result: fasting 1...
You have very early stage. You change your life style. Then check blood sugar after 15 days. Inj. Lantus 10 units in late night may help you. Discuss with me on line.
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