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Dr. Vivek Agarwal

Endocrinologist, Delhi

Dr. Vivek Agarwal Endocrinologist, Delhi
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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. Vivek Agarwal
Dr. Vivek Agarwal is a renowned Endocrinologist in Shalimar Bagh, Delhi. He is currently associated with Fortis Hospital - Shalimar Bagh in Shalimar Bagh, Delhi. Save your time and book an appointment online with Dr. Vivek Agarwal on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 27 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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English
Hindi

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A Block, Shalimar Bagh. Landmark: Near Goodluck Public School & Killa Godown, DelhiDelhi Get Directions
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Hi I have thyroid from last 5 years I was using thyronorm 25 mg for a day. Last year it get increased to 65 mg during pregnancy after develery my doctor ask me to continue same mg after 3 months I started taking 50 mg now after a year n half I have done thyroid test in empty stomach and the value is 0.99uIU/ml. Is it a normal range or do I need to reduce my mg level to 25 mg.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
It is ok. Continue 50 mcm. Observe diet restrictions no cabbage, broccoli, no radish, mustard, turnip, soya, no fatty / fast / spicy / processed food. Less tea / coffee. Take more water repeat test after 2 months and report on private chat for further advise good luck.
1 person found this helpful
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What advised in day to day activity to curb hypertension and also to curb sugar level ?

MD - Consultant Physician
Cardiologist, Kolkata
What advised in day to day activity to curb hypertension and also to curb sugar level ?
Regular physical exercise, diet no fry, fatty, fast food light cooking no smoking or tobacco of any types, work in light mood.
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I have thyroid for last one month. I have put on more weight and my neck, underarms are getting dark in color now. I have low confidence now as I look fatty. I have even controlled my diet and started doing exercises. But still I look similar.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have thyroid for last one month. I have put on more weight and my neck, underarms are getting dark in color now. I ...
You have mentioned that only a month back treatment for hypothyroidism has been started. Then you need to wait for a period of at least 4 to six weeks for tsh levels to come to normal. On treatment tsh should revert to 3 to 4 milli units for control of all symptoms, plus efforts to reduce weight to show any result. If tsh levels remain high then diet and exercise will not benefit.
4 people found this helpful
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From some days m feeling very tired and sleepy and feeling so week. please give me good suggestions actually m thyroid patient and also b.p low problem so its all problem is due to thyroid problem?

PDDM, MHA, MBBS
General Physician, Nashik
1. Eat well – Take a balanced Diet comprising of 45% carbohydrate, 30% protein and 25% protein, plenty of green leafy vegetables, fruits. Don’t over eat. Avoid junk, spicy, oily, high calorie, cholesterol rich diet, don’t skip your breakfast. Take warm, homemade food. Avoid food and drink from outside. Don’t skip or postpone your meal. Minimize consumption of refined grains like white rice, white bread, sugary or refined food. 2. Keep hydrated- Drink 2 liters /6-8 glasses of water daily 3. Do regular exercise for one hour daily like brisk walking/Jugging etc 4. Take adequate rest- 7-8 hours of sound sleep in the night is required to remain healthy 5. Avoid stress, anxiety, depression, agitation etc 6. Find time for relaxation and enjoyments with friends and family 7. Practice yoga, meditation and deep breathing exercise to calm your mind, control emotion, improve concentration and relieve stress 8. Develop hobby, Learn new skill 9.Go for detail Annual Health check up.
1 person found this helpful
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We are married for almost 7 years still we are not blessed with a baby 1 tube is blocked doctors always suggest for ivf.

MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
We are married for almost 7 years still we are not blessed with a baby 1 tube is blocked doctors always suggest for ivf.
Get thorough hsg if other tube is blocked then only ivf other wise there is good chance for normal concievement
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Overcome Obesity and Diabetes With Ultrasonic Lipolysis

M.D, MBBS
Cosmetic Physician, Mumbai
Overcome Obesity and Diabetes With Ultrasonic Lipolysis

Is there anybody who is happy with their body? Definitely not! Almost everyone wants weight loss. While some want to reduce their overall weight, others are concerned about their thighs, arms, buttocks, and/or belly and get fat loss in these areas. The last couple of decades have seen a drastic change in the lifestyle of people. With more processed and refined items finding their way into each of our meals and physical activity drastically declining, the new epidemic is obesity. No germs causing it, but our foods.

Extensive research is being done to identify newer methods to manage obesity. The complicating issue is also that once lost, the chance of fat re-accumulation always exists. One such new technique is the ultrasonic lipolysis. This technique involves the use of ultrasound waves to kill the fat cells (lipo - fat, lysis - kill). This is a noninvasive method wherein localized fat deposits are reduced, thereby helping in fat loss especially in areas like the abdomen, hips, thighs, upper arm, and buttocks and resulting in further weight loss. This is an advanced technique available to patients who want to achieve weight loss and body contouring too.

How it Works?
The fat that is consumed through foods is digested but then accumulates under the skin. The accumulated fat is seen as fat globules or bubbles. These bubbles are difficult to break, but attract
more fat bubble formation and therefore fat accumulation continues over a period of time. After a detailed case history and examination, a customized programme is drawn that could be of 3 to 5 sessions spread over a period of one to two weeks.

During each session, heat waves of different wavelengths are applied to the area of fat deposition through fiber-optic lasers which start the process of fat loss. The sound energy gets converted into
mechanical energy which helps in bursting of the fat molecules. By a process known as emulsification, the larger fat cells are broken into smaller ones, almost to a liquid form, thereby reducing fat deposits.

Benefits of this include:

  1. Non-invasive
  2. Painless
  3. Improves body contour
  4. Reduces body circumference
  5. Muscle toning and firming
  6. Localized body shaping

Earlier, liposuction was used, which would remove the fat leaving sagging skin behind. New research has shown that a combination of lipolysis and liposuction can produce the best results for fat loss. There is no sagging of the skin in these patients and as an added advantage, there is also skin firming indirectly when Lipolysis is done.

Studies have shown that obesity is linked to increased morbidity with higher incidence of cardiovascular disease, stroke, and paralysis. It is therefore, extremely essential that both women and men do all that is possible for weight loss and fight obesity.

4527 people found this helpful

What is the possibility and kinds of of birth defects that can happen in babies if the mother has normal T3, T4, and TSH values but father has hypothyroidism which is genetic in his family?

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
What is the possibility and kinds of of birth defects that can happen in babies if the mother has normal T3, T4, and ...
The risk of birth defects is not increased as compared to the general population. So relax, nothing to worry.
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I am diabetic person having 100/137 sugar level. Fasting and after meals. What should follow in food and exercised daily.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am diabetic person having 100/137 sugar level. Fasting and after meals. What should follow in food and exercised da...
Your sugar levels look really go your bmi is 24.85kg per sq meter. This a bit more than ideal for indians which is 23kg/m2, what means is you have to exercise more than one hour a day so that enogh calories are burnt and simultaneously control your eating. Your ideal body weight is 182cms - 100 = 82x. 9= 73.8 kg. Please let me know your activity level based on that caloric is calculated. As regards the type food you should avoid deep fried foods, direct sweets and fruits like mangoes, bananas, chikoos (sapotas) and grapes.
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Hello. Sir mere father diabetes ke patient hai. Abhi kuch din pahle unka accident hua tha ab unhe weakness feel hota hai unhe takat ke liye kya kya khila sakte hai market se lake. Ye btaye hame.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello. Sir mere father diabetes ke patient hai. Abhi  kuch din pahle unka accident hua tha ab unhe weakness feel hota...
Mr. Lybrate-user, first thing is his blood sugar should be well in control with fasting sugar near 100 mg, pp should be 150 to 160 mg and hba1c% <7. Agar unaka sugar level aisa hai to accha hai. Because if you want to feed him anything extra that will affect blood sugar badly. You might think of giving egg white regularly and some protein powders without carbohydrate.
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I have tested for thyroid. T3 & T4 are within range, but TSH level is 9.949 which is more than the range. How to control (lower) TSH level.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
I have tested for thyroid. T3 & T4 are within range, but TSH level is 9.949 which is more than the range. How to cont...
No cabbage, broccoli, no radish, mustard, turnip, soya, no fatty / fast / spicy / processed food. Less tea / coffee. Take more water repeat TSH after one month and contact on chat for further advise and medicine.
4 people found this helpful
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What medicine should be given to diabetes patients?

CCEDM(DIABETES), MD - Internal Medicine, MBBS
General Physician,
What medicine should be given to diabetes patients?
medicines can be decided only after knowing the current sugar levels and hba1c values. till then follow these simple advices -Eat regular meals throughout the day at same time everyday. Avoid skipping meals. -Include high fibre foods at each meal i.e.Legumes (beans/lentils, nuts (almonds, walnut, eggs etc) – -Take fruit as a healthy snack i.e. Apples, pears, papaya, mausami, jamun, guava -Avoid: grapes, mango, bananas, jackfruit,cheeku . -Vegetables to be included in plenty-at least 2 servings per meal. Include foods like daliya, oats, -Reduce the fat intake, fried foods, cakes, pastries and foods containing palm oil and coconut oil. Reduce salt intake in the diet to 1 tsp or less per day.Limit intake of sugar and sugary foods like sweets. if so desire can take sugarfree as sugar substitute .
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My father has high sugar levels. Tests showed something 300 before food and 330 after food. He regularly used to consume whiskey at nights. He has a high intake of cheese butter tea, brown bread, junk food etc. He has a very bad diet schedule, he eats late night and sleeps directly. Please suggest a diet chart for him.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
My father has high sugar levels. Tests showed something 300 before food and 330 after food.
He regularly used to cons...
The difficult part which I see in sorting out your problem is not the diet chart or highly uncontrolled sugars - but the fact that the concerns are yours and not that of your father's! You are disturbed because your father is having such a high sugar and is having such a undisciplined lifestyle but believe me, you will never be able to bring a change in any of these if you are unable to bring a change in the attitude of your father. Firstly he has to realise what high sugars can do to his body. Then he has to accept that he is not immune to such complications and he can also develop such effects on his body as well. And lastly, he has make suitable changes in his routine and diet. By merely handing him over a diet chart- you will achieve nothing. Involve your other family members as well. First change his thoughts then his attitude and the his behaviour!
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I have diabetics and I have taken insulin blood glucose level is under control before food 90 after food 1and half value 148 but I have blurry vision I have undergone eye examination no prob in nerves and eye but blurry vision is my problem I wear glass power -3 both side power continue for 4 years is ther any medicine for reduce complexity of blurred vision pls help me.

Diploma in Endocrinology
Endocrinologist,
I have diabetics and I have taken insulin blood glucose level is under control before food 90 after food 1and half va...
Your blood sugar values are well within control limits according to american diabetes association good control means fasting sugar 70-130 mg/dl ppbs 70-180 mg/dl hba1c < 7 bp < 140/80 ldl-c < 100 check whether your blood pressure and ldl-cholesterol if all parameters are controlled then you need fundiscopiy- examination of your retina (inner membrane of eye) by an expeperienced ophthalmologist. Retinopathy if detected can be controlled/ treated by laaer therapy etc. And your vision will improve. All the best regards
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I am a 40 year old female .I got my TSH report yesterday and it shows TSH-24.4 and T 3 And T4 within normal range. What does it mean? My BMI is 25.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am a 40 year old female .I got my TSH report yesterday and it shows TSH-24.4 and T 3 And T4 within normal range. Wh...
Herbal tea with ginger is beneficial for thyroid functioning. In fact, beverages including coffee, tea, carbonated drinks and alcohols should be avoided by patients afflicted with thyroid disorders. In its place herbal tea may be an alternative option. Take punarnavadi mandoor and kanchnar guggul 1-1 tab twice a day. .take arogyavardhini vati 1-1 tab twice a day with warm water.
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My father, 82 years, is diabetic since 30 years. He was on regular dose of'Glizid-M (80/500), OD and fasting sugar was 110-20.

MBBS
General Physician, Cuttack
My father, 82 years, is diabetic since 30 years. He was on regular dose of'Glizid-M (80/500), OD and fasting sugar wa...
Fasting sugar is within normal limit. Get his Post Prandial(PP) sugar and Hba1c tested. If it is within normal range let him continue the same medicine
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Hello sir, what to do in case blood sugar goes extremely low? In case if the victim is a diabetes person. Thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello sir, what to do in case blood sugar goes extremely low? In case if the victim is a diabetes person. Thanks.
In a diabetes patient sometimes hypoglycemial does occur. If blood sugar goes below 70mg /100 ml or even further down below 50 mg then patient may feel dizzy. The best thing to do is give some sugar or gluco tabs which are available. Even candy can be useful. Hypoglycemia hardly happens in a normal person. Hypoglycemia is more common in patients who are on insulin injections.
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Male infertitly

PG Dip(psycosexual diseases), MBBS
Sexologist, Delhi
Male infertitly
Male infertility
What is male infertility?
Reproduction (or making a baby) is a simple and natural experience for most couples. However, for some couples it is very difficult to conceive.
A man’s fertility generally relies on the quantity and quality of his sperm. If the number of sperm a man ejaculates is low or if the sperm are of a poor quality, it will be difficult, and sometimes impossible, for him to cause a pregnancy.
Male infertility is diagnosed when, after testing both partners, reproductive problems have been found in the male.
How common is male infertility?
Infertility is a widespread problem. For about one in five infertile couples the problem lies solely in the male partner. The reasons of male infertility is found out so because due to changing of fast new lifestyle.It is estimated that one in 20 men has some kind of fertility problem with low numbers of sperm in his ejaculate. However, only about one in every 100 men has no sperm in his ejaculate.
What are the symptoms of male infertility?
In most cases, there are no obvious signs of infertility. Intercourse, erections and ejaculation will usually happen without difficulty. The quantity and appearance of the ejaculated semen generally appears normal to the naked eye.
Medical tests are needed to find out if a man is infertile.
What causes male infertility?
Male infertility is usually caused by problems that affect either sperm production or sperm transport. Through medical testing, the doctor may be able to find the cause of the problem. About two-thirds of infertile men have a problem with making sperm in the testes. Either low numbers of sperm are made and/or the sperm that are made do not work properly. Sperm transport problems are found in about one in every five infertile men, including men who have had a vasectomy but now wish to have more children. Blockages (often referred to as obstructions) in the tubes leading sperm away from the testes to the penis can cause a complete lack of sperm in the ejaculated semen. Other less common causes of infertility include: sexual problems that affect whether semen is able to enter the woman’s vagina for fertilisation to take place (one in 100 infertile couples); low levels of hormones made in the pituitary gland that act on the testes (one in 100 infertile men); and sperm antibodies (found in one in 16 infertile men). In most men sperm antibodies will not affect the chance of a pregnancy but in some men sperm antibodies reduce fertility.

Known causes of male infertility
1.Sperm production problems

• Chromosomal or genetic causes
• Undescended testes
(failure of the testes to descend at birth)
• Infections
• Torsion (twisting of the testis in scrotum)
• Varicocele (varicose veins of the testes)
• Medicines and chemicals

• Infections
• Prostate-related problems
• Absence of vas deferens
• Vasectomy


2.Sexual problems
(erection and ejaculation problems)
• Retrograde and premature ejaculation
• Failure of ejaculation
• Erectile dysfunction
• Infrequent intercourse
• Spinal cord injury
• Prostate surgery
• Damage to nerves
• Some medicines


3.Hormonal problems
• Pituitary tumours
• Congenital lack of LH/FSH (pituitary problem from birth)
• Anabolic (androgenic) steroid abuse


4.Sperm antibodies
• Vasectomy
• Injury or infection in the epididymis
• Unknown cause

How is male infertility diagnosed?
If a couple has been trying for a pregnancy without success, they should go to their local doctor, family planning clinic or women’s health clinic, and have some initial tests. Both partners should be tested, even if one has a child from another relationship. Diagnosis can involve a medical history from the man and a physical examination along with a semen analysis to check the number, shape and movement of sperm in the ejaculate.
Blood tests may also be done to check the levels of hormones that control sperm production. Genetic investigations and testicular biopsies are also done.
How is male infertility treated?
One in eight infertile men has a treatable condition, and after treatment, couples can become pregnant naturally.
In some cases, the doctor will recommend that the couple seek assisted reproductive technologies (ART), such as IVF (in vitro fertilisation). ART do not cure or treat the cause of infertility but they can help couples achieve a pregnancy, even if the man’s sperm count is very low.
What is ICSI?
Intracytoplasmic sperm injection (ICSI) is a form of IVF where a single sperm is placed directly into each egg by piercing the outer covering of the egg. ICSI is particularly helpful for men with poor sperm production. Sperm are collected from the semen or removed carefully from the testis or epididymis
Can I do anything to prevent male infertility?
It is best to avoid cigarette smoking, excess alcohol, sexually transmitted infections, heat stress from tight fitting underwear, and anabolic steroids (taken for body building or sporting purposes) as these factors can be harmful to the production of sperm.If you work in an occupation that may affect your fertility, it’s important to wear protective clothing and follow all occupational health and safety guidelines. It is recommended that couples trying to conceive avoid exposure to any possibly harmful chemicals.Because of the possible effects on fertility, it’s important to tell your doctor if you have had hormone treatment or had surgery as a child to move your testes into the scrotum.


Can older age cause male fertility problems?
Healthy men in their 70s and beyond can still father children, however the time taken for a partner to become pregnant is longer when a man is middle-aged or older. Reasons for this may include a decrease in sexual activity, lower semen volume, changes to sperm motility (movement), a lower number of motile sperm, and possibly lower sperm function and DNA quality.
The chance of the child having some genetic or chromosomal problem is also increased for older men.
What emotions might a man experience when diagnosed with infertility?
Men may be shocked when they find out they are infertile. There is still a common but incorrect belief that infertility is a woman’s problem. Therefore, when men are told there is a sperm problem, they are often unprepared. Being told that there is a sperm problem can affect a man’s sense of masculinity, sexuality and potency. Most infertile men at some time struggle with the idea that they are not able to do what other men can.
An emotional response to infertility is normal. Talking with a doctor or a sexual therapist or counsellor can help men with their feelings about infertility.





















15 people found this helpful

Please guide home remedy for thyroid (Hypo). Suffering From last 5 yrs and reports are normal. Please guide for diet to take and permanent cure.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Please guide home remedy for thyroid (Hypo). Suffering From last 5 yrs and reports are normal. Please guide for diet ...
take iodine -rich meals, banana, intake at least 8 glass of water in day. eat more fiber rich foods, coconut oil, green tea, tyrosine -rich foods, low fat milk, avoid soya - products, go for walk daily, do exercises---yoga.
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D/all concern. As I have already discussed the problem of my brother that he is working men n his shift timings are frm 11 am-10 pm. N he is not having time fr any workout n he is also taking medicines fr the past 10 years fr depression n his chemical imbalance is not gud. He is totally vegetarian n fr the last few months he is not at all taking gud diet. He is non alcoholic ,non smoker. Totally vegetarian. He do not even sleep properly .n the medicines he is taking I do not have their names. Pls help n tell something fruitful as he is having vitamin d deficiency ,uric acid is high, cholesterol level is high n his doctor advice him that he is near to heart problem like heart attack. Pls help sir as he is the only earning member .pls do the needful help . Pls advice the diet chart n the precautions fr quick n better recovery pls help. Thanx in anticipation.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
D/all concern.
As I have already discussed the problem of my brother that he is working men n his shift timings are  ...
Dear lybrate user, it appears that your brother is under lot of stress. But in spite of this he is not taking care of his health and there has to be some reason for this. He may be having certain issues that he is not able to share with anyone. Please take him to a counsellor, who will help him to have a healthy outlet for his unexpressed emotions and the counsellor will help him to think rationally. You, along with your other family members may help him by contributing financially. May be, if you and other family members start earning some money, your brother will be relieved of some stress, because you said, right now, he is the only earning member. See how you all can change your lifestyles to support him. All the best.
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