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Dr. Zahir Hussain

MCh endocrine surgery

Endocrinologist, Chennai

6 Years Experience  ·  400 at clinic
Dr. Zahir Hussain MCh endocrine surgery Endocrinologist, Chennai
6 Years Experience  ·  400 at clinic
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Personal Statement

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. Zahir Hussain
Dr. Zahir Hussain is a renowned Endocrinologist in Anna Salai, Chennai. He has been a practicing Endocrinologist for 6 years. He has done MCh endocrine surgery . You can meet Dr. Zahir Hussain personally at aara thyroid and endocrine clinic in Anna Salai, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Zahir Hussain on Lybrate.com.

Lybrate.com has a number of highly qualified 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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Specialty
Education
MCh endocrine surgery - madras medical college - 2011
Languages spoken
English
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FIMSA

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aara thyroid and endocrine clinic

251,hamid building, anna salaiChennai Get Directions
400 at clinic
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I had a problem of sudden low sugar reaction for last couple of years .my hba1c is 5.3.Fasting 112 & pp 127. My other hormonal tests are fine. I am not taking any sugar medicine but has family history of diabetes. Why this happens to me? What can I do pls help.

M.Sc - Dietitics / Nutrition, B.Sc Home Science (hons)
Dietitian/Nutritionist, Ludhiana
I had a problem of sudden low sugar reaction for last couple of years .my hba1c is 5.3.Fasting 112 & pp 127. My other...
Hello You need not worry. You need to take precautions as you have family history. Low sugar levels can be due to improper meal timing. Take 3 main meals and 2 side meals. Don't skip breakfast. Sleep for 7-9 hours per night. Exercise regularly. Avoid fried foods, sweets, carbonated drinks and processed foods. Include whole grains, sprouts, seasonal fruits and vegetables. Avoid mango, cheeku, banana, arbi and zimikand. Take flaxseed powder 1 tsp with lukewarm water on empty stomach. Take green tea 3-4 cups a day. Drink plenty of water. Thank you
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What is the alternate for taking insulin injections daily. It is so difficult taking injections daily.

B.Sc. - Dietitics / Nutrition, CAFE, MMM, M.Sc - Dietitics / Nutrition, Nutrition Certification, PGCDE, PhD
Dietitian/Nutritionist, Kolkata
What is the alternate for taking insulin injections daily. It is so difficult taking injections daily.
Hi- alternative could be proper diet 1000-1200 kal/ day diet. Right medications. Fre hand exercises. But should be practicing as per diabetologist's advice, proper suggestions & of course if these are really fit for you. But still patients can improve like this way as we are noticing.
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Dear Dr. Sir / Dr. Ma'am, I have TSH - 8.85, T3- Normal & T4- Normal. Please suggest which medicine I have to take. Thanks & Regards, Swati.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Dear Dr. Sir / Dr. Ma'am,
I have TSH - 8.85, T3- Normal & T4- Normal.
Please suggest which medicine I have to tak...
Take diet for hypothyroidism:- 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, avoid few foods in hypothroidism i. E. Caffeine products tea, coffee, tabcco, alcohol / wine, kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take some relax during work. Proper follow up you can feel better and reduce weight also. Take treatment for hypothyroidism:- tab. Thyroxine is used in hypothyroidism. And dose are according to level of thyroid for life time. Do tests thyroid profile every 3 to 6 months. And consult doctor regular on time.
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Sir, my post prandial sugar level is high (200 approx) even after intake of medicine. please advise whether to increase the doses.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir, my post prandial sugar level is high (200 approx) even after intake of medicine. please advise whether to increa...
Mr. lybrate-user, You have not mentioned which drug/s you are taking and what is the current dosage. Hence, difficult to advise. If blood glucose is marginally high, then one can bring it down to desired level by 1) increased exercise or 2) reduced food intake. There is no need to always increase the dose. Looking at your weight and height, BMI is 26.49 kgs/M2, which is showing over weight. So reduction weight itself will bring down the blood glucose. Thanks.
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I am a thyroid patient from 1998 and daily I am taking Thyronorm 100mcg tablets. I check periodically T3, T4, & TSH levels. But recently upon the advice of a Physician at Dilsukhnagar I am checking my TSH levels only during the past 3 years. Now my TSH come down to less than 0.01. I want to consult an Endocrinologist immediately. I want to know whether I have to see the doctor with the 3 reports or only TSH is enough.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am a thyroid patient from 1998 and daily I am taking Thyronorm 100mcg tablets. I check periodically T3, T4, & TSH l...
all three reports are ideally required..your dose needs to be decreased immediately...first get all three reports done then consult immediately,but don't decrease dose on your own
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I am 47 years female suffering from Hypo-thyroid & because of it Hairfall, please help me in suggesting home remedy any herbal medicine.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 47 years female  suffering from Hypo-thyroid & because of it Hairfall, please help me in suggesting home remedy ...
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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I am south Indian. I use to take most of time Rice. Recently, it appear that I got Diabetes problem. May I know exactly the following details What is the minimum and Maximum level of Blood Sugar before taking Food in Morning What is the minimum and Maximum level of Blood Sugar after taking Food in Morning What will be random level of Blood sugar.

M.Sc - Dietitics / Nutrition, B.Sc Home Science (hons)
Dietitian/Nutritionist, Ludhiana
I am south Indian. I use to take most of time Rice. Recently, it appear that I got Diabetes problem. May I know exact...
Hello blood sugar levels should be as follows: fasting - 90 - 120 after 2 hours of breakfast (pp) - 130 - 160 10 mins before dinner - 100 - 150 thank you.
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How to prevent diabetes? I generally do not eat junk food and slightly fat. I do small exercises and walk a small distance. What more could I do?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
How to prevent diabetes? I generally do not eat junk food and slightly fat. I do small exercises and walk a small dis...
If you have type 2 diabetes and your blood sugar levels are racing up and down like a roller coaster, it's time to get off the ride. Big swings in your blood sugar can make you feel lousy. But even if you aren't aware of them, they can still increase your risk for a number of serious health problems. By making simple but specific adjustments to your lifestyle and diet, you can gain better blood-sugar control. Your body uses the sugar, also known as glucose, in the foods you eat for energy. Think of it as a fuel that keeps your body moving throughout the day. Blood Sugar Highs and Lows Type 2 diabetes decreases the body’s production of insulin, which is a hormone that regulates blood sugar. Without enough insulin, sugar builds up in the blood and can damage nerves and blood vessels. This increase of blood sugar also increases your risk for heart disease and stroke. Over time, high blood sugar, also known as hyperglycemia, can lead to more health problems, including kidney failure and blindness" Keeping blood sugar stable can help prevent the long-term consequences of fluctuations, high blood sugar can cause a number of symptoms that include: Fatigue Increased thirst Blurry vision Frequent urination It's also important to know that you can have high blood sugar and still feel fine, but your body can still suffer damage, Symptoms of high blood sugar typically develop at levels above 200 milligrams per deciliter (mg/dL" You can have high blood sugar that's between 141 and 199 and feel perfectly fine,. Over time, your body can also get used to chronically high blood sugar levels, so you don’t feel the symptoms, she says. On the flip side, if you’re not closely monitoring your blood sugar levels, they can drop too low. Warning signs of low blood sugar, or hypoglycemia, include: Dizziness Irritability Sweating Weakness Lack of coordination Keeping Your Blood Sugar Steady With certain strategies, you can help prevent spikes in your blood sugar levels, Rather than focus on things you shouldn't have, try incorporating the following foods and healthy habits into your daily type 2 diabetes routine: Go nuts. Nuts such as almonds, walnuts, and pistachios contain healthy fat that slows the body's absorption of sugar. But be sure to limit how many nuts you eat in one sitting because even healthy fats contain calories, Smithson says. Just six almonds or four pecan halves have the same number of calories as one teaspoon of butter. Eat whole grains. Oat bran, barley, and rye are fiber-rich foods that contain beta-glucan. This soluble fiber increases the amount of time it takes for your stomach to empty after eating and prevents spikes in blood sugar. Remember, though, that these foods are still carbohydrates" Whole grains will still raise your blood sugar, just not as quickly and as high as processed foods, Veg out. Packed with fiber, non-starchy vegetables such as broccoli, cucumber, and carrots can also help prevent surges in blood sugar levels while providing essential nutrients. Spice up with cinnamon. Cinnamon may do more than just add flavor to foods. A 2013 study published in the journal Annals of Family Medicine showed that cinnamon is linked to a significant drop in fasting blood sugar levels. Cinnamon may stimulate insulin secretions from the pancreas, Although more research is needed, Smithson says there’s no reason why people with type 2 diabetes shouldn't try to add cinnamon in their diets. Be versatile with vinegar. A 2012 study published in the Journal of Community Hospital Internal Medicine Perspectives suggested that vinegar could help slow the absorption of sugar by the body. The research revealed that 2 ounces of apple cider vinegar improved fasting blood sugar levels and insulin sensitivity. Although the potential health benefits of vinegar are still being investigated, Li-Ng often advises people with type 2 diabetes to take 1 tablespoon of vinegar with each meal, saying that any type of vinegar is good. Don't skip meals. It's important to spread out your daily food intake, starting with breakfast. Consuming more food in just one or two meals a day causes greater fluctuations in blood sugar levels, Li-Ng says" Three healthy meals a day with two nutritious snacks in between can help maintain stable blood sugar, she says. Don't drink on an empty stomach. If you haven't eaten, drinking alcohol can cause your blood sugar to drop up to 24 hours later. This happens because the body is working to get rid of it. If you want to drink alcohol, check your blood sugar first. It's also important to eat before or while you drink. Another caution: Smithson says that symptoms of low blood sugar, such as slurred speech and dizziness, could be mistaken for drunkenness. Plan ahead. Anticipate the unexpected and carry healthy snacks that can prevent your blood sugar level from dropping too low.
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thyroid home treatments.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
thyroid home treatments.
थायरॉइड का आयुर्वेदिक उपचार है बेहद असरदार ..... !
* हमारे शरीर में मौजूद थायरॉइड ग्रंथि जब कम मात्रा में हार्मोन बनाने लगती है तो शरीर में हाइपोथायरॉइडिज्म की समस्या हो जाती है !
हमारे गले में थायरॉइड ग्रंथि होती है जो गले में स्वरयंत्र के ठीक नीचे व सांसनली के दोनों तरफ तितली के पंख के समान फैली होती है !
इससे निकलने वाले हार्मोन जब हमारे खून में कम या अधिक मात्रा में पहुंचते हैं तो शरीर में कई प्रकार की समस्याएं होने लगती हैं !
थायरॉइड ग्रंथि को मस्तिष्क में मौजूद पिट्यूटरी ग्रंथि नियंत्रित करती है जिससे थायरॉइड स्टीम्युलेटिंग हार्मोन ( टीएसएच ) की उत्पत्ति होती है !
थायरॉइड ग्रंथि जब कम मात्रा में हार्मोन बनाने लगती है तो शरीर में हाइपोथायरॉइडिज्म की समस्या हो जाती है !
♀ जानते हैं इसके बारे में :-
☼ ऑटो - इम्यून - डिसऑर्डर :-
( इसमें शरीर का रोग प्रतिरोधी तंत्र थायरॉइड ग्रंथि पर आक्रमण कर देता है ) - शरीर में अन्य हार्मोन का असंतुलन - रेडिएशन - दवाओं व सर्जरी के दुष्प्रभाव - कम मात्रा में आयोडीन का सेवन और फैमिली हिस्ट्री होने पर हाइपोथायरॉइडिज्म की समस्या हो सकती है !
☼ लक्षणों को पहचानें :-
वजन बढऩा - थकान व कमजोरी - उदासी - मांसपेशियों व पैरों में सूजन और खिंचाव - याददाश्त में कमी - आंखों में सूजन - त्वचा का रूखा व मोटा होना - कब्ज - बालों का झडऩा - माहवारी की अनियमितता या अधिक स्राव - सर्दी लगना व कम पसीना आना - आवाज में भारीपन और नाखून मोटे होकर धीरे - धीरे बढऩे जैसे लक्षण होने लगते हैं !
$ प्याज - चुकंदर - कचनार - काला नमक - मूली - शलजम - ब्राह्मी - कमल ककड़ी - कमलनाल - सिंघाड़ा - हरी - सब्जियां - हल्दी - फूल - मखाने - अनार - सेब - मौसमी - आंवला - जामुन - अनानास - करेला - टमाटर - पालक - आलू - मटर - टिंडा - परवल - पनीर - दूध - दही और लस्सी आदि को अपनी डाइट में शामिल करें !
$x पत्तागोभी - ब्रोकली - केला - काजू - सुपारी - सरसों का साग - पीला शलजम व मूंगफली से बचें !
* ऐसे रोगी जो मोटापे से पीडि़त हैं उन्हें चाय - चावल - चीनी - शक्कर - गुड़ - अंडा - मांस - मक्के की रोटी - मैदे से बने खाद्य - पदार्थ जैसे ब्रेड - बिस्किट - जंक फूड और तली - भुनी चीजें जैसे चिप्स - समोसा आदि से परहेज करना चाहिए !
☼ एक गिलास गुनगुने पानी में दो चम्मच शहद व आधे नींबू को निचोड़कर सुबह चाय के स्थान पर लें - इससे वजन नियंत्रित रहता है !
कैल्शियम की कमी होने पर खूबानी - खजूर - किशमिश - बादाम - फैट फ्री दूध - पनीर - प्याज - लहसुन - अखरोट - नारियल - अंजीर खाएं !
* इन बातों का भी रखें ध्यान :-
हल्का - सुपाच्य व पौष्टिक आहार लें - शरीर को आराम दें - ज्यादा शोर - शराबे से बचें - सर्वांगासन - हलासन - उष्ट्रासन - उज्जयी जैसे आसन व कपालभाति और अनुलोम - विलोम प्राणायाम नियमित रूप से करें !
डिप्रेशन में अनुलोम - विलोम जरूर करें - शून्य मुद्रा व अग्नि मुद्रा का नियमित अभ्यास लाभकारी है !
♀ आयुर्वेदिक इलाज से होगा लाभ :-
* ब्राह्मी - गुग्गुलु - मघ पीपल - कालीमिर्च - त्रिफला - दाख ( मुनक्का ) - दशमूल इत्यादि का नियमित प्रयोग करने से हार्मोन में असंतुलन की समस्या दूर होती है !
* 10 किलो गेंहू के आटे में दो किलो बाजरे का आटा व दो किलो ज्वार का आटा मिलाएं - इस आटे से बनी रोटियां खाने से लाभ होता है !
* 100 ग्राम की मात्रा में दानामेथी व सूखे धनिए को बारीक पीस लें - रात के समय इस मिश्रण की दो छोटे चम्मच की मात्रा दो गिलास पानी में भिगो दें - सुबह खाली पेट इस पानी को पिएं व मिश्रण को चबाकर खाएं !
आंवला - गोखरू व गिलोय चूर्ण को समान मात्रा में मिलाएं - इसे 1 - 3 ग्राम सुबह - शाम पानी के साथ लेने से रोगियों का तनाव दूर होता है !
* कचनार गुग्गुलु की 3 - 3 गोलियां दिन में दो बार - दशमूलारिष्ट या दशमूल क्वाथ 20 - 20 मिली पानी से लें !
* सुबह खाली पेट गो - मूत्र या इसके अर्क का सेवन करना लाभकारी है !
सुबह मलत्याग के बाद गो - मूत्र को बारीक कपड़े से छानकर प्रयोग करें - इसेे लेने के बाद एक घंटे तक कुछ न खाएं - महिलाएं मासिक धर्म के दौरान भी इसे ले सकती हैं !
* गर्मियों में गो - मूत्र कम मात्रा में लें क्योंकि इसकी तासीर गर्म होती है - इसके प्रयोग के दौरान चाय - कॉफी - मांस - अंडा - दही - गरिष्ठ भोजन व मादक पदार्थों से बचें !
* दशमूल - दानामेथी - कलौंजी - अजवाइन - भुना जीरा - मीठी सौंफ - चपटी सौंफ व करी पत्ता सभी को 50 - 50 ग्राम की मात्रा में लेकर दरदरा कूट - रात को 2 गिलास सामान्य पानी में 2 चम्मच इस मिश्रण को भिगो दें - सुबह धीमी आंच पर इस पानी को बिना ढके पकाएं - यह पानी चौथाई शेष रहने पर इसे छान लें व हल्का गुनगुना पिएं - यह रोगी की सूजन व मोटापे को कम करने में फायदेमंद है
गर्मियों में प्रयोग न करें क्योंकि इसकी तासीर गर्म होती है - ताजा काढ़ा बनाएं व सुबह ही इसे पिएं !
गर्भवती व पित्त प्रकृति वाले प्रयोग न करें !
☼ माहवारी कम आना :-
अत्यधिक दर्द और अनियमितता जैसी समस्या होने पर रात को सोने से पहले एक गिलास उबले हुए दूध में चुटकी भर हल्दी डालकर पिएं !
♀ हाइपोथायरॉइडिज्म में रात को सोते समय 1 - 3 ग्राम की मात्रा में त्रिफला चूर्ण / त्रिफला के दो कैप्सूल / 30 मिलिलीटर एलोवेरा और त्रिफला जूस रोजाना लें !
* पंचकोल चूर्ण व त्रिफला चूर्ण ( दोनों 100 ग्राम मात्रा में ) मिलाकर रखें !
सुबह - शाम भोजन के बाद चौथाई चम्मच लेने से बढ़ा हुआ कोलेस्ट्रॉल व वसा नियंत्रित होते हैं !
♀ शरीर में सूजन होने पर पुनर्नवा मंडूर की 2 - 2 गोलियां सुबह व शाम ले सकते हैं !
♀ चरक संहिता में बताए गए वर्धमान पिप्पली का सेवन सौंठ के काढ़े के साथ करने से लाभ होता है !
* नियमित रूप से सुदर्शन चूर्ण व पिप्पली मूल से भी लाभ होगा !
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What are the precautions of diabetes even we are taking medicines and diabetes is still increasing?

Diploma in Diabetology, MBBS
General Physician, Amritsar
What are the precautions of diabetes even we are taking medicines and diabetes is still increasing?
Life style modification and walk for 150 minutes a week or other mild exercise will be of great help.
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I am 46 years old, suffering from uric acid excess, acidity and mild spondylysis & very mild waist lumber pains and nerves disorder. Where is the basic problem lying. Sgpt too is around 50. Hemoglobin 11. 5. Uric acid 7. 4

MD-Homeopathy
Homeopath, Kolkata
You require few more blood tests like-- ra factor, ana, ca, vit d and digital xray of ls spine. Best to consult any orthopedic doctor for advice.
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My stone in right kidney is 4.1 mm and in ureter it is 5.5 mm. I am suffering from migraine also. Please guide some dietary plan. As 4 year ago I have positive thyroid by only small amount but I gained a lot of weight. Whole day I used to have small meals but doesn't lose much weight. I am getting more fatty day by day and getting tensed due to these diseases.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My stone in right kidney is 4.1 mm and in ureter it is 5.5 mm. I am suffering from migraine also. Please guide some d...
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, you have stone in your ureter is 5.5 it may be out it by diuretic medicines . cure infection in kidney. continue your medicines for thyroid, migraine, go for walk.
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I m diabatic and having blood sugar 142/184. What should I take precaution in food. As I am posted at kolkata and residing lonely and touring job, normally I used to take rice and potato. I am taking medicine as follows - gemer1, istamet 50/500 & a to z gold.

PDDM, MHA, MBBS
General Physician, Nashik
Rice and potatoes have high glycemic index and should be consumed in minimal quantity. Consult for proper management. Dr surbhi agrawal consultant physician and diabetologist
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I am 36 year old female, I am patient of Wheat Allergy since 2009 due to Thyroid. What can I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 36 year old female, I am patient of Wheat Allergy since 2009 due to Thyroid. What can I do?
wheat allergy is not due to thyroid. Wheat allergy is an allergic reaction to foods containing wheat, one of the top eight food allergens in the United States. Allergic reactions can result from eating wheat, but also, in some cases, by inhaling wheat flour.Epinephrine is an emergency treatment for anaphylaxis. for wheat allergy.
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I take 125 mg thyroxine, in my latest report the TOTAL TRIIODOTHYRONINE (T3) C.L.I.A 81 ng/dl TOTAL THYROXINE (T4) C.L.I.A 8.5 µg/dl THYROID STIMULATING HORMONE (TSH) C.L.I.A 0.3 µIU/ml Should I increase or decrease my thyroxine Mgs?

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
I take 125 mg thyroxine, in my latest report the TOTAL TRIIODOTHYRONINE (T3) C.L.I.A 81 ng/dl
TOTAL THYROXINE (T4) C....
Dear lybrate-user, It is always better to do Free T3 and Free T4 rather than Total. The decision to increase or decrease Thyroid dosage depends not just on the lab report but on the status of symptoms. Other factors relate to status of other metabolic imbalances and the presence or absence of comorbidities. Management of Hypothyroodism should be comprehensive through an elaborate protocol. Prima facie I would say, if your energy leves are good, weight under control and moods quite positive, there is no need to change your present dose of Thyroxine.
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HYPOTHYROIDISM OR MYXOEDEMA [HYPOTHYROID]

BHMS, Certificate in Gynaecology & Obestric, MD - Homeopathy
Homeopath, Delhi
HYPOTHYROIDISM OR MYXOEDEMA [HYPOTHYROID]
HYPOTHYROIDISM OR MYXOEDEMA [HYPOTHYROID]

HYPOTHYROIDISM / MYXOEDEMA
Hypothyroidism is a clinical condition, which results from deficiency of thyroid hormones.
Hypothyroidism with deposition of mucinous substance in subcutaneous tissues is known as ‘myxoedema`.
 
CAUSES:
• Primary thyroid gland involvement.
• Lack of pituitary TSH (thyroid stimulating hormone).
• Hypothalamic deficiency of TRH (thyrotropin-releasing hormone).
• Autoimmune thyroiditis.
• Severe iodine deficiency.
 
SIGN AND SYMPTOMS:
• Slowing down of mental and physical functions of the body.
• Easy fatigability and tiredness.
Sleepiness.
Body ache.
• Puffiness of face.
• Edema feet.
• Weight gain.
• Increased sensitivity to cold.
• Dryness of skin.
• Brittle nails.
Constipation.
Hair fall.
Hoarseness of voice.
Hearing loss.
• Tendency for repeated infections.
Muscle cramps.
Shortness of breath.
Anemia.
• Mood swings.
Forgetfulness.
• Slow speech.
Infertility.
• Menorrhagia (profuse menses).
• Occasionally rise in blood pressure.
 
DIETARY MANAGEMENT:
Avoid:
• Avoid goitrogens (food that blocks the utilization of iodine): turnips, cabbage, mustard, cassava root, soybeans, peanuts, pine nuts and millets. Cooking usually inactivates goitrogens.
 
CONSUME:
• Increase consumption of iodine, it is an important building block of thyroid hormone:
– Sea food, meat, milk and milk, sea plants- kelp, dulse (vegetable sea food) and Japanese sea vegetables. Plants grown in iodine rich soils are also good source of iodine.
– Iodized salt is a primary source of iodine.
• Increase consumption of copper, selenium and zinc as these minerals are essential for normal thyroid hormone production and metabolism.
• Foods rich in copper:
– Meat gelatin, eggs, yeast, lamb; pork; pheasant quail; duck; goose; squid; salmon; organ meats.
– Soy and soy products, nuts and seeds, beans, legumes; almonds, broccoli, garlic; bran breads and cereals; sea plants and mushrooms.
– Dried beans - soy beans, lima beans, baked beans, dried peas; lentils; barley.
– Dried fruits including raisins, dates, prunes, avocado, Chocolate.
– Some amount of cooper is obtained from cooking in copper vessels.
• Foods rich in selenium:
– Grains, Brazil nuts, garlic, wheat germ and brewer`s yeast, fish, shellfish, eggs, red meat, chicken and liver.
• Food rich in zinc: Good dietary sources of zinc include seafood (especially oysters), beef, oatmeal, chicken, liver, spinach, nuts and seeds.
– Meat, poultry and milk, shell fish, crab, shrimp and sea plants etc.
– Plant foods are low in zinc, Whole wheat grains provide good amount of zinc.
• Increase consumption of Omega-3 fatty acids, one of the PUFA`s (poly unsaturated fatty acids), as it also contributes to normal thyroid function: Fish and fish oils provide excellent forms of omega-3s as well as vitamin A, which improves thyroid receptor binding and thyroid hormone activity. Flax / linseed oil is the richest source of PUFA`s. Other oils that contain PUFA`s are safflower oil, soybean oil, cottonseed oil, maize oil, sesame oil, rich bran oil, ground nut oil, mustard oil and olive oil.
• Increase consumption of proteins - tyrosine, an amino acid is a precursor for making thyroid hormone :
– Milk and milk products, eggs (is the richest source), Flesh food: meat, fish, and poultry.
– Nuts and oilseeds, pulses, cereals.
• Mild to moderate exercise is advisable, exercise stimulates thyroid gland function.
• Practise yoga, helps in increasing tissue sensitivity to thyroid hormone.
 
CONSULT PHYSICIAN:
• If myxoedema presents with complications like cardiac failure or coma consult your physician immediately. Immediate medical attention is necessary. 

I am 55 years and female, hypothyroid. Can I include gram flour in chapati to cut down gluten? which nuts to include for fiber intake & can they be taken in morning after 1 hour of thyroid medicine.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 55 years and female, hypothyroid. Can I include gram flour in chapati to cut down gluten? which nuts to include ...
In hypothyroidism it is good to consume whole grain flour made bread (chapatis). Gram flour is good enough. Nuts which are good in hypothyroidism are brazil nut, macadamia & hazelnut. Peanut (ground nut to be avoided). Fresh fruits and green vegetables are good. (to restrict use of cabbage, cauliflower, broccoli). Whole grain cereal foods mus be taken several hours after taking the medication. Tha gap between medicine and chapati has to be more than 3 - 4 hrs.
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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
Dear Doctor, do we have to keep our mind always relaxed and happy to avoid many diseases like heart problem, diabetes?
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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I'm have sugar and BP hi I'm not taking any medication it is good for my health or not.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
I'm have sugar and BP hi I'm not taking any medication it is good for my health or not.
It is not good to have uncontrolled diabetes and blood pressure. It is better to have medicines and keep them well under control. Please start medications at the earliest. If uncontrolled, these disorders may lead to complications.
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