Dr. Naresh Pamnani

Mr. lybrate-user, Thanks for the query. At 40 years, HbA1c% should be closer to 6.8%, to say one has good control. From the glucose levels mentioned, it is clear that present treatment is not helping in controlling blood glucose level. Ideally FBG should be < 100 mg, PP 150 to 160 mg & HbA1c% <6.8. Therefore, we need to have a re-look at the present treatment, dietary intake and extent of daily exercise. We may have to change the present drugs or add one or more compounds to the current treatment. It is better if you come in a private conversation (paid consultation) with all the details, then I will be able to guide and even prescribe the medication required. Thanks.

You have to stop masturbation with immediate effect. You require 6-9 months treatment to gain stamina and vigor. Sexual stamina depends on two issues one is timely ejaculation and tightness of organ to get pleasure. This requires semen holding and strengthening of organ, the internal herbal aphrodisiac and local special oil for organ, if interested inform.

salt and protein restriction can help to bring creatinine down. increase water intake as well. your readings are in normal range so nothing to worry about. readings could be slightly different even when you check it from different labs

The main Principal is small frequent low calorie meal Take full plate of salad before each three meal.Take missi roti without ghee over it .chew slowly.take fruits in between meal .all fruits except Mango Banana,Grapes,Chikoo and Leechi.No fruit juices.Brisk walking at least 30 min per day.Also start drugs like Istamet 50/500 twice daily.

Dear Lybrate user. I can understand. Please do not panic or worry. The whitish substance is called smegma. Smegma is a combination of shed skin cells, skin oils, urine, sperm cells and moisture. It occurs in both male and female genital organs. In females, it collects around the clitoris and in males, smegma can collect under the foreskin. There is no evidence that smegma causes penile cancer, but its presence over a long period of time may irritate and inflame the penis, which may increase the risk of cancer. It may also make it harder to see very early cancers. Clean the area beneath your foreskin daily twice after pulling your foreskin back. Take care.

Snoring occurs when you can't move your air through nose and throat during sleep. So air vibrate the surrounding tissues and snoring sound. Causes of snoring • overwight or obesity • Age - in middle age muscle of throat muscle decreases. • nasal problem (blocked or stuffy nose) • Alcohol, smoking, medication • Sleep posture These are some methods & instruction for releif in snoring: • Exercise daily and running, jogging. Do long breathing exercise pranayam daily. • Clear nasal passage (nose) before sleeping. You can take steam for 2 - 3 minutes to clear the passage. • Change your sleeping position, elevate your pillow slightly while sleeping. • Sleep on a side not on back. • Avoid smoking and excess drinking alcohol. Do not take sedative medicines. • You can do some throat exercises. Repeat these vowel a, e, i, o, you loudly three minutes few times in a day. Place your tongue tip behind your teeth and move backward three times in a day. Move your jaw in left side with open mouth for 30 seconds and in right side for 30 seconds. • You can also try for anti snoring mouth appliance.

Stop smoking or use of tobacco and alcohol if any . Take vitamin supplements . Check your hormones and rule out Diabetes . Your clinical check by andrologist if there is any correctable factor can be done . Treatment as per cause , most of the times with vitamins and antioxidants

Stop masturbation totally It is not good for health It decrease your oaz and saptadhatu It exhausts your urogenital system prematurely affecting future sexual life

Black Seed oil massage generated heat in the penis and help to pump more blood in the penis which gives perfect erection. It help increase penis size addresses premature ejaculation. So, yes it can ghelp. But these herbs should be used wisely and only in right quantity, only a sexologist can help you here. Consult a professional sexologist who can effectively treat your problem with the best possible approach according to your custom needs and formulate a penis enlargement treatment plan for you which actually works.

It seems that her immunity is low please increase it by syp septilin by himalaya 1 tsf twice for 3mths minimum.