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Dr. Kalpana Jain

MBBS

Endocrinologist, Delhi

11 Years Experience
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Dr. Kalpana Jain MBBS Endocrinologist, Delhi
11 Years Experience
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Kalpana Jain
Dr. Kalpana Jain is an experienced Endocrinologist in Tirath Ram Shah Hospital, Delhi. She has been a practicing Endocrinologist for 11 years. She is a MBBS . You can meet Dr. Kalpana Jain personally at Tirath Ram Shah Hospital in Tirath Ram Shah Hospital, Delhi. Book an appointment online with Dr. Kalpana Jain on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 37 years of experience on Lybrate.com. You can find Endocrinologists online in Delhi 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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Education
MBBS - . - 2006
Languages spoken
English
Hindi

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Tirath Ram Shah Hospital

2, R.b.l.isher Das Sawhney Marg, Rajpur Road Civil Line.Landmark- Near Metro Sation, DelhiDelhi Get Directions
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Dear sir/madam, today I tested tsh. The result is 21.09 microIU/ml. What does it mean. Explain me in detail. Is there any big issue to deal. Please help me out.

C.S.C, D.C.H, M.B.B.S
General Physician,
Dear sir/madam, today I tested tsh. The result is 21.09 microIU/ml. What does it mean. Explain me in detail. Is there...
Tsh 21 is a serious hypothyroidism and need treatment with Eltroxin. Tsh low low means the thyroid gland is not functioning less and the brain is trying to make it work harder by sending TSH as boosting agent
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I have got my thyroid tests done. T3 & t4 are normal but tsh is quite high. Which medicines should I start?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. High TSh (above 10 mU/L) suggests one has hypothyroidism. This needs to be treated with synthetic thyroid hormone in adequate dose. Thanks.
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I am having diabetes Fasting (pp)-224 Fasting (bs)-130 Please give me a proper diet chat and please tell me the precautions to be taken.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
I am having diabetes
Fasting (pp)-224
Fasting (bs)-130
Please give me a proper diet chat and please tell me the preca...
You are on the Borderline although on plus side. If you take proper precautions, diet, your sugar levels can come down. Diabetes can be controlled/managed by a proper regulated diet and exercise..>> Avoid 3 big meals. Instead take small mini meals every 2/3 hours. Take green vegetables/salad with every minimeal..>> Eat whole grain food/grains like ragi, wheat, jowar, barley, instead of refined grains like maida/ sooji/ white bread, white rice etc.>> Avoid all forms of simple sugars like Colas, juices, sweets, cakes, biscuits, pizzas, noodles etc..>> Eat fruits  with low/medium GI index like apple, guava, mosambi, orange.  .>> Do at least 30-45 mins of exercise everyday. Walk for 10 mins after every meal..>> These steps can help reduce sugar levels.
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What causes hashimoto's thyroiditis, and what is the best method of treatment? can iodine help this condition?

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
Hashimoto's thyroiditis is caused by autoimmune response by body where body try to destroy thyroid gland and its enzyme. Anti-tpo anti atg is mostly positive or either of it. Thyroid peroxidase is enzyme needs to build t3 t4 hormones from iodine. The best way to treat is via levothyroxine supplementation. Iodine is raw material but when enzyme is destructed by autoimmune system, supplementing raw material is not of much use.
2 people found this helpful
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Unconsummated Marriages - A Leading Cause Of Infertility!

MS sexuality, M.Phil Clinical Psychology, PhD (behaviour modification), Certified in Treatment of Resistant Depression
Sexologist, Hyderabad
Unconsummated Marriages - A Leading Cause Of Infertility!
  • Chances are you've never heard of vaginismus (or, as it is now known, genito pelvic pain penetration disorder) before. Why? Because it's the disorder nobody wants to talk about, least of all those whom it most affects - women. Vaginismus is musculature of the outer third of the vagina, which interferes with coitus and causes distress and interpersonal difficulty.
  • Among the male factor infertility, erectile dysfunction was found to be the top ranking cause accounting for 79.37% followed by premature ejaculation 12.01%, Lack of sexual desire 3.92%, homosexual orientation 2.79%, sexual aversion disorder 1.31% and disorders of sexual preference 0.61%. 
  • Vaginismus is believed to be a psycho-physiologic disorder due to fear from actual or imagined negative experiences with penetration and/or organic pathology. Women with vaginismus have also been noted to have a lack of sex education.  Vaginismus was the 63.9% , ed 11.9% , PME 8.3% , low male sexual desire 2.7%, low sexual desire in female 13.9% dysfunctional underlying non consummation of marriage is largely treatable. Adaptation to the situation usually occurs and associated factors add to the primary cause. Treatment of the underlying dysfunction can challenge the relationship.
  • Sexual dysfunction is a common problem which leads to inter-personal problems and marital discord. defined as recurrent or persistent involuntary spasm of the with coitus and causes distress and interpersonal difficulty. 

 Treating vaginismus merits a two-front approach which includes behavioral sex therapy techniques and relational intervention. When appropriate, the behavioral intervention consists of prescribing dilators (from smallest to largest) that the wife is to use in the privacy of her own home to gradually desensitize herself to penetration (the fourth and usually largest dilator is roughly the size of a penis).  While the husband may be called upon to help his wife insert the dilators (depending on his wife's comfort level), for the most part his job is to ease off the pressure for her to perform, be supportive, and try to understand his role in the marital dynamic (usually an enabling one) and the associated symptom.
Ascribing to a psychodynamic model of treatment, is helpful for a couple to understand where their symptom came from, but I'll admit this is not always necessary for them to achieve a positive outcome. Nevertheless, employing the psychodynamic systems approach to uncover any conflicts that might be behind or exacerbating the vaginismus. These underlying causes may include prior sexual abuse, chronic control struggles experienced in the family of origin, negative messages or beliefs about sex emanating from the family of origin, religious values that conflict with sexual pleasure, to name a few. I also pay close attention to the couple's interactional style in order to assess whether it, too, is a contributing factor.

 What causes it?

 

  • "Both [primary and secondary conditions] are psychologically based. "It's a physical condition, but it's a psychological condition as well.
  • "To treat it correctly, you need to treat both the physical and psychological aspects."
  • while there are many hypotheses on possible causes, its actual etiology is unknown, probably in part due to the fact sufferers are so reluctant to come forward.
  • "It's a really complex thing, And while it is influenced by many things -- there are lots of hypotheses -- the big link, for primary vaginismus anyway, seems to be strong correlation between being raised in a religious environment.
  • "This may be due to several factors including lack of information, insufficient premarital education, a cultural context strongly proscribing sexual behavior, and the expectation that intercourse take place immediately after the wedding, necessitating a radical shift from sexual abstinence to sexual intercourse.
  • Often the anxiety resulting from repeated attempts at intercourse contributes to the sexual dysfunction. One or both partners may be anxious that penetration will be painful, that there will be bleeding, or that the woman will get pregnant.  While a certain amount of anxiety surrounding sexual activity is normal, when one or both partners are overly anxious, sexual function can be affected in the following ways: The male partner may have difficulty maintaining an erection strong enough to allow penetration or he may lose his erection just prior to intercourse. Anxiety may contribute to premature ejaculation, also just prior to reaching penetration. Anxiety may prevent the woman from relaxing enough to allow penetration. She may close her legs or contract her vaginal muscles. This presentation is referred to as vaginismus, defined as the persistent or recurrent difficulty of a woman to allow vaginal entry of a penis, a finger, and/or any object, despite her expressed wish to do so. While anxiety may indeed be a factor contributing to and perpetuating many sexual problems, there are many components to sexual problems, including physiological ones. Therefore, each partner in a couple presenting with an unconsummated marriage should undergo a physical exam. 
  • Physical presentations of the female partner that might prevent intercourse can include sexual pain disorders such as localized vulvodynia, also known as vulvar vestibulitis syndrome. This fairly common condition is characterized by pain with touch at the entry to the vagina, which can prevent intercourse. A woman's hymen may be a barrier to intercourse. Some women have a very thick hymen, or a septate hymen, which is a thin piece of membrane running vertically which separates the vagina in to two sides. While most of these conditions can be addressed with sexual counseling and  physical therapy, including use of vaginal dilators, in most cases a septate hymen needs to be repaired surgically.
  •  Frequently, lack of knowledge about sexual anatomy and physiology may contribute to a situation whereby attempting intercourse feels awkward and un-natural. Often all that  is needed is some basic anatomical information  and positioning advice. For example, a couple may report that the woman's vagina feels dry and excess friction prevents intercourse. In this case, the couple may  be  advised to ensure that intercourse take place when the woman is sufficiently aroused after plenty of exciting foreplay. Over the counter lubricants may be very helpful.  While some people are physically active, very aware of their bodies, and comfortable with movement, other people are less so and may simply have not figured out how their bodies move in order to comfortably find a position for intercourse. One or both of the partners may have mobility problems or difficulty getting in to or maintaining a position. A woman may have difficulty keeping her legs open or a man may not be able to hold his weight up on his arms.  In these cases as well, consultation with a physical therapist may be helpful in providing exercises and positioning advice.
  • While behavioral solutions may be found for many couples, it is important to note that couples in unconsummated relationships, particularly of long standing duration, may benefit from couples therapy directed by a competent Sexologist. A doctor working with such a couple may wish to gain understanding in how the couple presents and organizes around the problem: How is the presenting problem perceived by each partner? Is there attribution of blame?  What is the significance of the dysfunction itself and how is that perceived by the couple? Who is aware of this situation and in what way is outside intervention (community, parents, and religious leader) perceived in assisting or perpetuating this condition?  Identifying the various factors contributing to the condition and dealing with them with physical, psychosexual, and couples therapy, may be the key to consummation and the commencement of a satisfying intimate life.
    "So we are talking about people who are raised in conservative faith, who may not have looked at their anatomy in the mirror," Small continued. "They haven't touched themselves, they haven't looked at themselves -- they may view the entire thing as being dirty."
    "In terms of the secondary form, this is a result of some kind of trauma or sexual issue, and can be triggered by something later on.
    "Women don't talk about it. They learn to live with it. I've seen cases where women have been married or in relationship for up to 12 years and only present when they want to have children."
  • Women don't talk about it. They learn to live with it. I've seen cases where women have been married or in relationship for up to 12 years and only present when they want to have children.

How to treat it

  • Most women who experience vaginismus choose to live with it rather than come forward and have it treated. Even those in long-term relationships may try to conceal what is happening from their partner or forgo sexual relations all together.
  • "If they don't do that, they cut that part of intimacy out of their relationship altogether and choose to shut down any intimate feelings they might have. They end up having a very different kind of relationship.
  • "What is important to say is there is a cure and they can be helped. That's the message that needs to get out there. Treatment for vaginismus have included systematic desensitization along with insertion of graded dilators/fingers11, drugs like anxiolytics, botulinum toxin injection,12 
  • and sex therapy. An In the Indian scenario where the talk about sex is taboo and limited among partners it becomes very essential to first improve their communication so as to improve the sex related issues. eclectic approach involving education, graded insertion of fingers, Kegel's exercises and usage of anaesthesia with vaginal containment was tried.
  • As Small previously mentioned, the best approach in terms of a cure is to seek both psychological and physical treatment.
  • For the psychological side of things, she recommends seeking out a competent female sexologist.
  • Physically, many women are taught how to use vaginal dilators in conjunction with relaxation techniques.
  • "With vaginal dilators, basically how they work is you start off very very small, and then, using relaxation techniques, slowly work your way up in terms of size.
  • "It's imperative these women have a gentle introduction and remember they are in control of the situation.
  • "There is also something called saturation therapy which is often undertaken with their partner. Using dilators, they are able to discuss their mental state and what their thoughts are at any stage. There has actually been incredible results with that. Something like 90 percent of participants report sexual success afterward." there has been some preliminary research done into the effectiveness of Botox, but states at this stage, the research is still too new to offer any kind of conclusive evidence.

Steps to take

  • If you think you or your partner might have vaginismus, it's extremely important to understand treatment is available, and, better yet, comes with a high level of success rates.
  • "The first step is to see a competent female sexologist. "It is one of those things that, when it presents, it is pretty obvious it is on a psychological basis.
  • "A sexologist may double-check everything is okay, but typically what they will find is anatomically they are fine and everything is in order and working -- the cause stems from a psychological basis.
  • "The big thing about it is it's treatable, and it is possible to lead a really fulfilled life.
4 people found this helpful

Are pickle good for health for diabetes patient or harmful for a diabetic patient help me out.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Are pickle good for health for diabetes patient or harmful for a diabetic patient help me out.
Mr. Lybrate-user, pickles contain a lot of salt, which is basically unhealthy. These are taken to enhance the taste of food, but they are definitely not good. Especially in a person with raised blood pressure pickles are a taboo. For others too a little bit occasionally may be used. Ther is no health benefit from them.
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Hello Dr. Mujhe thoda thyroid he saans fulti he aur thakaan b rehti he mujhe. Ab mujhe kya karna chahiye.

BHMS
Homeopath, Hoshiarpur
If you go for allopathix rx there they will give you replacement therapy thyroxine as substitute and it will be lifelong you have to take and it will increase in dosage also And ultimatly vicious cycle Whereas in homeopathy we prescribe after casetaking and then selecting most similimum so as to stimulate your thyroid to produce thyroxine within span of few years your own thyroid will start working and there will be no need to take any supplement thyroxine from outside And your all medicines will be stopped.
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I am 72 years old male. I am border case diabetic and taking one tablet in the morning for controlling diabetes. Now I have problem with my left knee. When I walk there is a sound at my knee and there is moderate pain also. What best I should do to overcome this problem so that I can continue my morning walk.

MBBS
General Physician, Mumbai
I am 72 years old male. I am border case diabetic and taking one tablet in the morning for controlling diabetes. Now ...
For pain take tablet paracetamol 650 mg and In a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet.
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Hi doc! I am a diabetic and hypertensive and on drugs for the same. My doc prescribed nervijen D (methylcobalamin, one cap daily) and dries 2000 (vitamin D on alt days. Is it safe to continue with these drugs for a long time? Pls advise. Thanks.

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
Hi doc! I am a diabetic and hypertensive and on drugs for the same. My doc prescribed nervijen D (methylcobalamin, on...
Diabetic neuropathy is known complication and to prevent Nervijen D. Daily requirement of vitd3 is 2000 units. So on right track. Monitor blood glucose and routine diabetic profile as advocated. Consult for guidelines. God bless you.
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I have autoimmune thyroiditis. Many doctors abroad suggest a diet free from gluten for hypothyroidism. (1) Should I too consider it? And even if I do follow gluten free diet (2) will I benefit from it because I have autoimmune thyroiditis? And While following gluten free diet (3) what options I'm I left for eating because everything contains some amount of it? I want the answers in the sequence I asked please.

MBBS, MD
Endocrinologist, Delhi
I have autoimmune thyroiditis. Many doctors abroad suggest a diet free from gluten for hypothyroidism. (1) Should I t...
Autoimmune thyroiditis is very common condition. Out of all hypothyroid patients more than 90% have autoimmune cause means your body is producing antibodies against your own thyroid. So do not worry so much, just control your hypothyroid with thyroid hormone under supervision of Physician.
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4 months ago we did a complete t3, t4 tsh test and got irregular results :t3 t4 were high tsh was low. Now yesterday we did the complete test again the t3, t4 and tsh are increased. I am 23 years old female. T3 is 238 t4 is 14 and tsh is 0.005. There are not any physical symptoms these days but my wait has increased significantly. I think its hyperthyroidism, can you please advise any medicine or diet I should follow.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
4 months ago we did a complete t3, t4 tsh test and got irregular results :t3 t4 were high tsh was low. Now yesterday ...
Hello, Thanks for the query. The thyroid hormone test results do point towards presence of Hyperthyroidism. But in that condition there is an increased metabolic activity, increased heart rate, even palpitations, loss of weight, increased hunger and eating. There may be sleep disturbances, menstrual irregularities and heat intolerance. So please let me know if do yave any of these symptoms? In this communication we are supposed to give only general guide lines, no prescriptions. So if you come in a private conversation (paid consultation) then I can prescribethe necessary medications and also help in treating the condition properly. Or else, consult a local endocrinologist and initiate the treatment. Thanks.
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Hi I am 29 and single and weight is 54 kg and because irregular period my gynecologist said for blood test and my TSH level is 8.89 and she asked me to have tablet for 3 months is it curable r not and I can reduce to normal level please help me and how?

MBBS, MRCGP ( UK), Diploma in Diabetes (UK), DFSRH (UK), DRCOG (UK)
Endocrinologist, Hyderabad
Hi I am 29 and single and weight is 54 kg and because irregular period my gynecologist said for blood test and my TSH...
Dear Madam, Your TSH is mildly increased, I don't think you got your T3 and T4 levels checked. When TSH is raised and T3 and T4 are normal then that condition is called Subclinical Hypothyroidism. Here a patient may not have any symptoms. When TSH is raised and T3 and T4 are low, then it called Overt Hypothyroidism, here patient may have symptoms like period problems, dry skin, hair loss, weight gain, low mood etc. So without knowing T3 and T4 levels it is difficult to categorise if you have Subclinical or Overt Hypothyroidism. Period problems can be of different reasons too-may be due to other hormonal imbalance. Did your gynaecologist check your FSH, LH, Estrogen, Progesterone etc? Either way whether Subclinical or overt Hypothyroidism, the treatment is the same. You will on thyroxine replacement therapy. You need to take this most probably for lifelong. Once your TSH levels come to normal range, the dose of tablet can be reduced. But do not stop the tablet without informing your doctor, it is very important for young girls to have their TSH in normal range before becoming pregnant. Even though your TSH is in normal range if you stop the tablet, in a few month the TSH will start to raise again. So it is better to be on the least possible dose. Hope this helps you Thank you.
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I am diabetic for last 5yr. & on insulin (mixtard 30) 18 units morning before breakfast & 14 units before diner & my sugar level is 125 fasting, 143 pp is there any oral medicine in homeopathy, ayurvedic or any other.

Advanced Aesthetics
Ayurveda, Gulbarga
I am diabetic for last 5yr. & on insulin (mixtard 30) 18 units morning before breakfast & 14 units before diner & my ...
Ayurvedic medicens 1tab-hyponid 1-1 tab 2 times a day 2. Madhumardhana churna 5gm 2 times a day it controlles your sugar level.
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Sir my mom is suffering from thyroid she has major problem with digestion is it be due to thyroid? Please advise.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Sir my mom is suffering from thyroid she has major problem with digestion is it be due to thyroid? Please advise.
Yes, it's due to thyroid. Hello, we have self made specialised medicine prepared for complete management of thyroid. It includes correction of weight, stopping hair fall and alleviating other symptoms such as weakness, lethargy, increased sleep, infertility etc. This is how this treatment minimizes dependence on artificial hormones and stimulates thyroid gland to produce it's own natural hormone. At the same time, this treatment increases metabolic rate thereby helping maintain good weight over long term.
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My mother is suffering from diabetes she is 42 years old. I just wanted know that she can consume ghee. Some people say yes you should and some says no. And also jaggery replacing sugar. My mother's diabetes is 170 after meal and before meal is normal 101. So please help me out. What to eat and what not to eat.

MBBS, MD
Endocrinologist, Delhi
My mother is suffering from diabetes she is 42 years old. I just wanted know that she can consume ghee. Some people s...
It seems that your mother's blood sugar is satisfactorily controlled. Do not give jaggery and she can take small amount of ghee some times.
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My mother is aged 63 years. She is having diabetes and is on regular medicine. In a recent urine report, there is one observation as the traces of ALBUMIN is found. What does that mean. I found that it means that protein is passing in urine. But what precaution should be taken to control it. Kindly suggest.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
My mother is aged 63 years.
She is having diabetes and is on regular medicine.
In a recent urine report, there is one...
No details about duration of Diabetes and medications she is taking. Although appearance of Albumin or Microalbumin may be connected with early involvement of renal mechanism and kidney However there may be some commonest reasons like urine infection which can be easily diagnosed and treated. Take her to a physician for clinical examination, related investigations diagnosis and treatment
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Hello doctor my self dev I am 54 year old man and I have sugar problem last year what I do.

BHMS
Homeopath, Faridabad
Hello doctor my self dev I am 54 year old man and I have sugar problem last year what I do.
Hello, take Sygyzium 1x, 2 tabs twice daily. Doma morning qwalk for at least 1 hour. Cut short your sugar intake.
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Can thyroid be cured permanently by homeo or ayurveda, medication? I have thyroid problem since 6 years and have been taking thyronorm 100 mcg tablets to keep it in control - Thanks.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Can thyroid be cured permanently by homeo or ayurveda, medication? I have thyroid problem since 6 years and have been...
it can be only control by any system of medicines. 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 consult doctor on time.
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Hi doctor. I have thyroid from 2 years I want to conceive but trying from 3 years my marriage time is 3.5 years.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi doctor. I have thyroid from 2 years I want to conceive but trying from 3 years my marriage time is 3.5 years.
if your thyroid level is not normal it may affect you in conceiving baby. pl. tell us what are reports of you. but do not worry you can conceive 100%. after treatments.
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