Dr. Hemant Gupta

Your mother needs to avoid pickles papads etc and eat only fresh food prepared at home. Tell her to increase vitamin c and e supplements in her diet.

You will to increase dose. You also need to lose weightTo do that:-- 1. Take less energy, spend more. Therefore, eat less, exercise more. 2. Eat less of sugars, starches and fat and more of proteins, fiber, vitamins and minerals. This means, fill your stomach with salads like raw carrots, turnip, cucumber, tomatoes and plenty of boiled seasonal vegetables etc. And less-sweet fruits like guava, papaya, apples, pears, oranges etc. Avoid cold drinks also. 3. Do regular physical exercise like brisk walk, cycling, swimming, kapaal bharti and mandook aasan. Tell me after two weeks.

Life style modification and walk for 150 minutes a week or other mild exercise will be of great help.

Sudhaji, If you have hypothyroidism, where there is thyroxine deficiency then the treatment has to go on for life time. There is no other option. You are only 24 years, pretty young, so the treatment has to be followed meticulously, because low TSH levels are a must for getting pregnant. That is only possible by taking regular treatment. In addition you should avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, mustard, peanuts and coffee. Consume more of green leafy vegetables and salads, fruits. Use whole grain flour for chapati and roti, no maida. Avoid aerated sweetened drinks and fructose cornsyrup containing products. Exercise daily to maintain normal weight.

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, stomach pain is not due to thyroid.

Shoulder advice. Regular stretching of shoulder muscles. Warm up and cool down is a must. Hot fomentation.

In diabetes we can give protein rich diet, unless there is no other co morbotiy like Diabetic Nephropathy or allied disease. Thanks Dr J Rangwala

Avoid sugar, junk food, fried food and fruit juices. AVOID pulses, non veg except eggs. Avoid fruits except apple and papaya.

Eat Oats daily as it contains high fiber and helps in reducing fats effectively. Avoid bakery products and too much of fermented food Avoid junk food,fried food. drink plenty of water (3-4liters /day. Revert back

Mr brijesh kumar, in diabetes some times fungal infections tend to increase causing itching in various parts of the body. You have not mentioned where all the itching occurs and also if there are rashes or papular eruptions. Also tell me current fasting and pp sugar levels and hba1c%.

In hypothyroidism:-- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time.

For diabetes follow a diet low in carbohydrate, low in fat and high in fibre. Avoid bakery products. Avoid too much rice and potato. Avoid fried stuff. Avoid chocolate, cakes, ice cream, soft drinks and fruit juices. Eat lots of vegetables. Walk for at least 30 minutes a day for 5 days in a week. Medicine and insulin will work better if you follow diet and exercise. Check your blood sugar both in fasting and 2 hours after meal. Your testosterone level is normal. Don't worry much and keep your mind relaxed, as most of the sexual problem are psychological. Try meditation and yoga. If the problem still persists than you will require medication.

To reduce the uric acid levels in blood, you may need to limit intake of alcohol, sugary foods and reduce purine rich foods like meat, poultry, seafood and pulses. Vegetables such as cauliflower, asparagus, spinach, peas and mushroom also contain a lot of purines

Take plenty of fresh fruits,plenty of water,salad,soya products. Avoid smoking,alcohol,cola,coffee,juices, increase the dose of metformin up to 2000 mg daily. Do cycling,swimming. Thanks Dr B M GUPTA BP, SUGAR & THYROID CLINIC DELHI

It appears you are suffering from high blood sugar, (diabetes), high bp and dyslipidemia. You seem to also have fatty liver. These conditions must be properly taken care of. You also are obese (bmi 31.227). Please let me know are on any medication now if so what are taking? further how much exercise do you do every day? please furnish this information to help you properly. As regards the food you have to restrict deep fried foods, sweets and even red meat. Total caloric intake also has to be curtailed to reduce excess weight. Avoid tobacco in any form and alcohol completely. I await your information.

diet for hyperthyroidism:- ………….. avoid salty foods, sea foods, whole milk, red meat, take vit-b12, vit-c, vit-d foods, barccoli, soya products, cauliflower, kale, fresh fruits and veg., omega-3 fatty acid foods,

Mr Shiva, If you have T2 DM, then it should be properly treated with oral drugs and/or Insulin depending on sugar levels. I am sure you are already taking necessary treatment. Apart from that you have to take a balanced and restricted diet that gives exact calories based on ideal body weight (60 kgs), blood sugar levels and extent of daily exercise. You should avoid sweets, direct sugar and jaggery, deep fried foods, junk foods, pastries, sweetened aerated drinks, high fat cheese, ghee and butter. Consume more of green leafy vegetables and salads, permitted fruits (100 g a day). Exercise daily for more than 1 hour.

Avoid sugar honey gul or anything sweets even in a little quantity. No bananas chikoos grapes mangoes or dates. Avoid fruit juices. Rest can be had in moderation. Inspite of this, if sugars are high medicine doses need alteration.

Norma level of vit D is between between 20-50 ng/ml. A level less than 20 ng/ml indicates Vitamin D deficiency. Vitamin D3 is essential for healthy bone, teeth, muscle, cell growth, immunity,neuro muscular functioning and overall health. Deficiency causes ricket/osteomalacia, poor hair growth, increased risk of cancer. Treatment-Vitamin D3 60,000 unit/wk for 3 -6 months 1. Expose yourself to sunlight for 15-20 minutes daily in the morning 2. Take Milk, cheese, egg yolk, Fish (salmon/mackerel/ trout/sardines/tuna) cod liver oil, Mushroom, cereals, orange juice. 3. If you have deficiency of Vitamin D you have to take Vitamin D supplement 60000IU/week fo r 3 months after consulting physician.