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Dr. Chakradhar Nannapaneni

Endocrinologist, Hyderabad

150 at clinic
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Dr. Chakradhar Nannapaneni Endocrinologist, Hyderabad
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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. Chakradhar Nannapaneni
Dr. Chakradhar Nannapaneni is one of the best Endocrinologists in Jeedimetla, Hyderabad. He is currently associated with Carewell Diabetes and general Hospital in Jeedimetla, Hyderabad. You can book an instant appointment online with Dr. Chakradhar Nannapaneni on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 39 years of experience on Lybrate.com. Find the best Endocrinologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Carewell Diabetes and general Hospital

HMT Housing Society, Opposite Esi Dispensary, Ida, Shapur Nagar, Gajularamaram Road, Jeedimetla, HyderabadHyderabad Get Directions
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Carewell Diabetes and General Hospital

HMT Housing Society, Opposite Esi Dispensary, Ida, Shapur Nagar, Gajularamaram Road, JeedimetlaHyderabad Get Directions
150 at clinic
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Burning sensation in both foot. I think it may be diabetes. I have not yet checked my blood sugar level. Is it normal? Or I should check up? Any advice.

BHMS
Homeopath, Delhi
Burning sensation in both foot. I think it may be diabetes. I have not yet checked my blood sugar level. Is it normal...
Hello Prabhu burning sensation in both foot can be normal....but still u should get blood sugar levels checked....after that u can consult me privately..as I have solution for your complaint...
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I can't get rid of cold and cough. I'M also dealing with hypothyroidism. How can I get relieved of it?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I can't get rid of cold and cough. I'M also dealing with hypothyroidism. How can I get relieved of it?
-Drink plenty of fluids(veg/tomato soups,dal water/coconut water/herbal tea etc), and eat nutritious food(like sprouts). Avoid foods or drinks with caffeine -.Gargle to keep from getting a sore throat.Take only lukewarm water to drink during the day -Use saline nasal sprays or nasal irrigation. -Tablet nasorest-p once/twice daily may ease breathing. -Do steam inhalation once or twice daily. u can get relieved of hypothyroidism by taking simple thyroxine tablets daily in the morning empty stomach..the dose of which can be advised only when u provide ur actual full thyroid report
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I have problem of high bp. sugar .thyroid. spondylitis.i take 100 mg thyronorm. My weight is 70. Nd I am 29 years old. I have a baby boy. When I was pregnant my sugar level shoot up to 650 .since then I am diabetic.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
I have problem of high bp. sugar .thyroid. spondylitis.i take 100 mg thyronorm. My weight is 70. Nd I am 29 years old...
High sugar levels during pregnancy does not necessarily lead to diabetes after the baby is born. It is a natural tendency for the body to produce more sugar to feed the baby. But ofcourse, you have to take care. To reduce weight, dependency on medication and to remain healthy, it is necessary for you to adopt a very healthy lifestyle that includes adequate exercise, diet, relaxation techniques and positive care for you baby. Do not aim for 55 kg. Aim to have a healthy, flexible and strong body and mind.
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Hypothyroidism: What You Need to Know About an Underactive Thyroid

MBBS, MD - Paediatrics, FRACP - Pediatrc Endocrinology, SCE, Endocrinology
Endocrinologist, Kanpur
Hypothyroidism: What You Need to Know About an Underactive Thyroid

Hypothyroidism is a condition in which the thyroid gland is not producing the thyroid hormones adequately. This is a fairly common condition.

What is thyroid gland?

The thyroid gland is a small butterfly-shaped gland located just below Adam’s apple. It encircles the windpipe or the trachea. It is about 4 cms in height and weighs about 18 gms. This gland is responsible for the secretion of thyroid hormones. Hormones are chemicals produced by special glands like thyroid, adrenals, ovaries etc. They act as messengers and are carried by the blood to the various target organs.

What are the hormones produced by thyroid gland and what do they do?

The thyroid hormones are of two types – T3 (Tri iodo thyronine) and T4 (Thyroxine). These hormones are mainly responsible for the body’s metabolism - a process in which food is converted into energy in the cells. They influence growth and development and regulate various bodily functions which are mentioned below:

  • Heartbeat
  • Body temperature
  • Breathing
  • Body weight
  • Metabolism of fat
  • Menstrual cycles in females
  • Functioning of Nervous system
  • Digestion
  • Burning calories etc.

What is Hypothyroidism?

Inadequate production of hormones by the thyroid gland is termed as hypothyroidism. This is also called Underactive thyroid state. Hypothyroidism can make the body’s development to slow down and reduces metabolism rates.

What are the causes of Hypothyroidism?

Hypothyroidism can be caused by a number of factors:

  1. Hashimoto's thyroiditis: This is the commonest cause. This is an autoimmune disorder (normally body’s defence system fight against external infections. In autoimmune disorder the defence system attacks the healthy cells of the body by mistake). In Hashimoto’s thyroiditis the immune system/defence system produces antibodies that attack the thyroid gland and destroy it.
  2. Iodine deficiency in diet. For the production of thyroid hormones iodine is very important. The body does not produce iodine normally, so it needs to be supplemented from outside. Iodine is mainly present in the food we eat. It is mainly present in shellfish, salt-water fish, eggs, dairy products. If a person does not eat iodine rich foods, he may end up with iodine deficiency leading to hypothyroidism. Currently, this causative factor is on the decline due to government initiative of table salt with iodine.
  3. Surgery: Surgery to remove thyroid gland (for e.g. thyroid cancer treatment, overactive thyroid etc.)
  4. Radiation to the neck (to treat cancer in the neck area): The thyroid gland cells are damaged due to the radiation.
  5. Treatment with radioactive iodine: This treatment is used for managing hyperthyroidism/overactive thyroid, where the thyroid gland produces excessive thyroid hormones. One of the treatment modalities is by radioactive iodine. Sometimes this radiotherapy destroys normal functioning cells which lead to hypothyroidism.
  6. Certain medicines: Certain medicines used to treat heart conditions, cancer, psychiatric conditions etc. – for e.g. amiodarone, lithium, interleukin-2, interferon-alpha.
  7. Pregnancy: Pregnancy (the reason is unclear but it has been noticed that the thyroid may get inflamed after delivery – this is called Postpartum thyroiditis.
  8. Damage to the pituitary gland: Pituitary gland is a gland which is present in the brain. It produces a hormone called TSH (Thyroxine-Stimulating hormone).The TSH tells the thyroid gland how much thyroid hormone it should make. If the levels of thyroid hormone in the blood are low, then the TSH will stimulate the thyroid gland to produce more Thyroid hormone.
  9. Hypothalamus disorders: This is an organ in the brain. This produces a hormone called TRH (Thyrotropin Releasing Hormone) which acts on the Pituitary gland to secrete TSH. So any disorder of Pituitary gland will indirectly effect the production and secretion of Thyroid hormones. These are very rare disorders.
  10. Congenital thyroid defects: Some babies are born with thyroid problems. This is due to the thyroid not being developed normally during pregnancy. Sometimes the thyroid gland does not function normal. This can be identified by screening for thyroid disorders in the first week after delivery. This is usually by a blood test using a small drop of blood from the baby’s heel.

What are the different types of hypothyroidism?

One classification is based on whether the defect is with the thyroid gland or not:

  1. Primary hypothyroidism: The problem is in the thyroid gland itself and thus there is reduced production /secretion of thyroid hormones.
  2. Secondary hypothyroidism: Here the problem is with the Pituitary gland or the Hypothalamus. This results in abnormal production of TSH or TRH, which indirectly leads to less production and secretion of thyroid hormones.

Another classification is based on the symptoms and levels of the thyroid hormones and TSH:

  1. Overt hypothyroidism: Here the patient is having the symptoms. Further the T3/T4 are low and TSH is high
  2. Subclinical hypothyroidism: Here patient may or may not have symptoms. The T3/T4 levels are normal but TSH is high. In this situation the patient is at an increased risk of developing overt hypothyroidism in the future especially if he has Thyroid peroxidase antibodies on testing.

Who are at risk of developing Hypothyroidism?

  1. Women have a higher risk of suffering from hypothyroidism than men.
  2. Older people are at increased risk.
  3. People suffering from other autoimmune diseases like Coeliac disease, Type-1 Diabetes Mellitus, Vitiligo, Pernicious anemia, Multiple sclerosis, Rheumatoid arthritis, Addison’s disease etc.
  4. People with psychiatric conditions such as bipolar disorder
  5. People with Chromosomal abnormalities like Down syndrome, Turners syndrome also have a high risk of suffering from hypothyroidism.

What are the symptoms of hypothyroidism?

Symptoms vary from person to person. They may also mimic other conditions and hence be difficult to diagnose. Symptoms may also develop very slowly over a span of moths-years. Some of the characteristic symptoms of this disease are:

  1. Depression
  2. Constipation
  3. Hair loss
  4. Dry hair
  5. Dryness of the skin
  6. Tiredness
  7. Body pains
  8. Fluid retention in the body
  9. Irregular menstrual cycle
  10. Increased sensitivity to cold
  11. Reduced heart rate
  12. Increase in size of the thyroid gland – called Goitre. This is due to constant stimulation of the thyroid gland by TSH.
  13. Weight gain
  14. Carpal tunnel syndrome
  15. Hoarse voice
  16. Infertility
  17. Loss of libido/sex drive
  18. Confusion or memory problems especially in the elderly

What are the symptoms to look for in a baby if you suspect hypothyroidism?

Infants suffering from congenital hypothyroidism may show no symptoms or exhibit signs of excessive drowsiness, cold hands, cold feet, constipation, hoarse cry, poor growth or absent growth, poor appetite, bloating of abdomen, puffiness of face, swollen tongue, persistent jaundice.

How to diagnose hypothyroidism?

Blood tests:

  1. TSH: This hormone is made in the pituitary gland and it stimulates the thyroid gland to produce thyroxine. If the thyroxine levels are low in the blood, the pituitary gland produces and secretes more TSH into the blood to act on the thyroid gland to produce more thyroxine. A raised TSH level indicates hypothyroidism. Other tests are not usually necessary unless a rare cause of hypothyroidism.
  2. T4: A low level of thyroxine indicates hypothyroidism.
  3. T3: these levels are generally not needed to diagnose hypothyroidism
  4. Anti-Thyroid peroxidase antibodies (anti-TPO antibodies) or Anti- thyroglobulin antibodies are present in 90-95% of patient with autoimmune thyroiditis.
  5. Other blood tests include Creatinine Kinase, Serum Lipids, Complete blood picture etc.
  6. Ultrasound of the neck is done if the patient presents with a thyroid swelling.

What is the treatment of hypothyroidism?

Overt hypothyroidism is treated by synthetic Thyroxin hormone which should be taken every day on an empty stomach at least 30 – 45 minutes before breakfast. The treatment is continued for the rest of the patient’s life. Regular thyroid function tests are done once every 8 weeks-12 weeks to adjust the dose of the thyroxine in the initial period of diagnosis. Once the thyroxine dose is stabilised, the tests can be done even once a year. This treatment is quite effective.

Sub-clinical hypothyroidism is only treated if the patient is a woman and is contemplating pregnancy, in patients with symptoms or if the TSH is quite high.

What are the side-effects of thyroxine medication?

There are few side effects if any. Most people tolerate these medications quite well. An important consideration before starting medication is to check if the patient has chest pain/angina. These people are started on the least available dose. If these patients are started on a higher dose they notice a worsening of their angina pains.

Side effects mainly occur if the thyroxine dose is high which leads to hyperthyroidism. The symptoms of this could be palpitations 9increased heart beat), weight loss, profuse sweating, anxiety, irritability etc.

There are some tablets which increase with thyroxine tablets. These include carbamazepine, iron supplements, calcium supplements, rifampicin, phenytoin, warfarin etc.

What are the complications of hypothyroidism?

If untreated hypothyroidism can lead to:

  • heart problems like heart attack due to increased levels of bad cholesterol like LDL, or heart failure due to fluid retention
  • obesity
  • infertility
  • joint pains
  • depression
  • A pregnant woman with hypothyroidism is at increased risk of giving birth to a baby with congenital hypothyroidism, also known as cretinism. Further, the woman may have pregnancy related complications like pre-eclampsia, premature delivery, low birth weight baby, anemia, post-partum haemorrhage (bleeding after delivery) etc.
  • Myxoedema is another complication where the patient has extremely low levels of thyroid hormone. The body temperature drops drastically making the person lose consciousness or go into a coma. If you wish to discuss about any specific problem, you can consult an Endocrinologist.
1081 people found this helpful

I am type 2 diabetic taking metformin1000sr once daily my hab1c is 6 FBS 96 and ppbs 153.Can i maintain be with out metformin only with diet and exercise?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), M.D in Ayurveda, Ph.D
Ayurveda, Hyderabad
Dear, Let me know your age so that I will suggest good Ayurvedic medicine.you need not worry.because your HbA1c is below to the normal. Reply to my Email:-drvsrao58@gmail.com.
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I am diabetic person at tje age of31, with ahectic schedule, consuming glimepiride & Metformin 2+500 mg, twice daily, but in last 15 daus sugar level has reached 350 at PP. Please help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
I am diabetic person at tje age of31, with ahectic schedule, consuming glimepiride & Metformin 2+500 mg, twice daily,...
At this young age and of an athletic, you can be fittest person if you decide to switch to herbal support of DM. I will not say to stop your current med now. Slowly when you improve, your potential side effects will start drifting away. Otherwise best of allopathic med can not stop side effects of DM and anti DM drugs. Ask who are suufering from decades. This does not mean that allopathic is bad. Its relevant for acute and emergent cases. But lifestyle improvement is poosible with herbs.
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I have done blood test last month where the fasting blood sugar 305 and Avg blood sugar was 232. Today I did urine routine where sugar level is a+++ an ketone a+. How bad is my diabetic profile?

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
I have done blood test last month where the fasting blood sugar 305 and Avg blood sugar was 232. Today I did urine ro...
FBS of 305 is extremely high and you need to take medicines urgently or your body systems will start getting effected adversely. FBS upto 100 is OK and from 100-126 is Prediabetic and 127 onwards is considered Diabetic. You are @ 305. So Please consult a Diabetologist urgently and take required medicines. Also consult a dietician and modify your diet so that your Sugar levels can be brought down. Also start min 30 mins exercise daily. All these steps must be taken on TOP PRIORITY.
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Which food to be taken for control of diabetic persons? And which do not take. Please answer to me.

MBBS, MD - Medicine
General Physician, Delhi
Which food to be taken for control of diabetic persons? And which do not take. Please answer to me.
1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3. Control diet a) avoid sweets, sugar/honey, full cream milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, tomato, legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugars monthly and hba1c six monthly.
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I am 35 year old male I have fistula & varicose vein. Recently I diagnosed with thyroid. My thyroid level is 7. Please suggest. How do I cure my self

BAMS
General Physician, Delhi
Get medicines for thyroid get complete thyroid profile not tsh only. When thyroid treatment starts then only you can go treatment for varicose veins. Inform me with reports & click on private
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My wife had thyroid problem (59.05iu/ml) she always has a severe body ache. What should she do and what medicine she should take?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My wife had thyroid problem (59.05iu/ml) she always has a severe body ache. What should she do and what medicine she ...
your tsh level is very high . you can take tab. thyroxine 125mcg before meal in morning daily. 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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I am 58 years old and suffering from diabetic. Presently I am taking tab pioglit gf one in the morning and one in the evening empty stomach but sugar level has increased to 190 fasting so Dr. Advised me to take tab galvus 50 mg in addition to pioglit gf. With this medicine constipation developed and some pimple started coming on my face. Please advise me what to do for controlling sugar level. Awaiting for your reply. Regards.

MBBS
General Physician, Mumbai
I am 58 years old and suffering from diabetic. Presently I am taking tab pioglit gf one in the morning and one in the...
I will suggest you to stop previous medication and start with tablet daonil before breakfast before lunch before dinner and tablet metatime 500 mg after breakfast after lunch after dinner and follow diabetic diet and revert back after five days with fasting sugar report only.
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I have thyroid problem since july, I'm taking tablets for it, will it get cured completely soon?

BHMS
Homeopath, Faridabad
hello, it can be cured completely because your age is not much but i need to know your thyroid report before this confirmation. So please share the reports.Thank you.
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How Thyroid Surgery is Beneficial For You?

FIAGES, FMAS, MS - General Surgery, MBBS
General Surgeon, Bangalore
How Thyroid Surgery is Beneficial For You?

Thyroid is a small butterfly shaped gland, which  is present at the lower frontal region of the neck, right beneath the voice box. It produces hormones which regulate metabolism (the breakdown of food by the body to convert it into energy). It even plays a pivotal role in boosting organ functions as well as in helping the body to sustain heat. However, too much of hormone production by the thyroid gland might yield structural problems, for instance, growth of nodules (abnormal tissue growth) or cysts (non-cancerous sac-like structures containing fluid) and swelling. Hence, a thyroid surgery is a must once these problems occur. The surgery, administered with general anesthesia, eliminates the thyroid gland either wholly or partially.

Why do you need surgery?

  1. The presence of tumors or nodules on one’s thyroid gland is one of the reasons why one should go for the surgery. Although most of the nodules are benign, few can be pre-cancerous or cancerous too. Also, those benign nodules can spell trouble, if they expand in size, thus obstructing the throat. They can be problematic as well if they cause the thyroid gland to overproduce hormones, giving rise to a condition known as hyperthyroidism.
  2. Hyperthyroidism can be corrected through surgery. It is often an outcome of Grave’s disease, an autoimmune disorder wherein the body misidentifies the thyroid gland as a foreign body, thereby creating antibodies to combat it. The thyroid gland gets inflamed in the process, resulting in the overproduction of hormones.
  3. Another reason is the enlargement or swelling up of the thyroid gland, termed as goiter. Similar to large nodules, goiter too can clog the throat, thus interfering with one’s breathing, speaking and eating.

Types of Surgery

  1. Lobectomy: This procedure calls for partial removal of the lobes when a nodule or an inflammation affects just half of the thyroid gland.
  2. Subtotal Thyroidectomy: Here, a small proportion of the thyroid tissue is left behind even after the elimination of the thyroid gland.
  3. Total Thyroidectomy: Through this procedure, the entire thyroid gland is taken out along with the thyroid tissue.

My mother is sugar patient. But in feet very heat means (jalan) doctor & what type of food she has to eat doctor.

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
My mother is sugar patient. But in feet very heat means (jalan) doctor & what type of food she has to eat doctor.
Dear lybrate-user, diabetes has affected nerves of legs of your mother. It is called diabetic neuropathy. We need to control sugar very tightly and give her medicines to treat neuropathy. Balanced and healthy diet will help control sugar but can't treat neuropathy.
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I had Hypothyroid from 2007. I was in medication of medicine name'Thyronorm', I recovered after medication till 6 months same year. I had my blood test this year in January, the level of TSH was normal but when I got my Blood test report for this month the level of my TSH decreased drastically leading to increase in my T3 and T4. I thought this is my exam stress or depression unknown of the checkup. I feel more of breathlessness, mood swings, hunger, thirst, anxious, body pain and low muscle density of contraction. Can you please confirm what is my health problem, Is it Hyperthyroidism?

MS - ENT,MBBS
ENT Specialist, Kolkata
I had Hypothyroid from 2007. I was in medication of medicine name'Thyronorm', I recovered after medication till 6 mon...
First: medicines are mandatory.  Otherwise you might have weight gain, muscle ache, sleep and anxiety issues as well as reproductive  and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH  If you have already done these tests Share on Lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio, weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs.  Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements.  Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption.  Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines, diet and exercise.  You will start  Better as the levels of your hormone normalises.  Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months Sometimes due to stress levels, diet sleep habit changes our through gland gers stressed too. During Eltroxin use this us monitored to avoid iatrogenic hyperthyroidism. Kindly share your recent and last TFT report Diet /EXERCISE/Medicines/Sleep/meditation: 5 pillars of health needed to live the healthiest Hope this helps Let me know.  Take care
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My wife age 27 years have thyroid problem slightly more TSH 4.06 range (. 4 to 4 Uiu/ml). Not having period for last two months since 14 November. Ultra sound and pregnancy test is negative. What are the possible causes of this problem. She is not ready to take regestrone or other pills to force mc.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife age 27 years have thyroid problem slightly more TSH 4.06 range (. 4 to 4 Uiu/ml). Not having period for last ...
Mr Arif, If she wants to become pregnant then TSH levels should be closer to 2 mill units/ ml. That is possible only taking thyroxine tablets is a prescribed dose and checking TSH levels periodically to see if there needs to be any increase in thyroxine dosage.
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I am suffering from diabetes and feel back ache when ride motorcycle and very weak in sexually. Please advise me.

MBBS, MCCEE, Fellowship in Sexual Medicine
Sexologist, Jaipur
I am suffering from diabetes and feel back ache when ride motorcycle and very weak in sexually. Please advise me.
Firstly and foremost is control of diabetes in normal range. Sexual functions & other things will improve when will when sugar is under control. Do go for one hour of brisk walking in the morning and evening and that will help you to tone yourself and reduce sugars. Relax and follow instructions.
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I am a diabetic since 3 months, sugar level is on higher side .now since I am on medication sugar level is controlled around 116-120 on average of last 16 random check I did. Also I have problem of less sperm motility as well ,suggest me foods that can improve my sperm quality and motility and same time is not bad for my sugar level. please suggest fruits like sweet potatoes, watermelon, avocado, sesame seeds (sesame seeds oil), and strawberries I may take or not? please guide.

MD - Internal Medicine, MBBS
General Physician, Delhi
I am a diabetic since 3 months, sugar level is on higher side .now since I am on medication sugar level is controlled...
Since you are worried about sperm I think you need to find cause for low motility. Get yourself checked by someone having experience in male infertility or urologist. Control your sugar and don't smoke. Rule out local cause by check. All fruits you have asked can be taken but not more than 200-250 grams. Seasame seeds in small amount can be taken. Sweet potato can be taken occasionally as it is rich in fibre so good for diabetes but take only one small helping.
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Hi sir I do not have hormonal balance and thyroid. I have consulted to gynecologist also but then also problem has not cured. What should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi sir I do not have hormonal balance and thyroid. I have consulted to gynecologist also but then also problem has no...
IT seems that you are suffering from irregular menses..you should be test urine pregnancy first..if it is negative...you can take tab. ovral - l for 21 days and then waiit for 7 days. and again start it for next 21 days till 3 months.
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Can diabetic patient take lemon with honey in warm water daily morning? Please clarify. Thanks.

MD - Alternate Medicine, PGDIP.IN GERIATRIC CARE, Post Graduate Diploma in Holistic Healthcare
Ayurveda, Balasore
Can diabetic patient take lemon with honey in warm water daily morning? Please clarify. Thanks.
Dear lybrate-user, you are not advised to take honey with warm water. Honey contains 70 calories 10 time sugar. As a diabetic patient carry on your medicines and have physical exercise 30 minutes morning. Take 100% safe ayurveda drugs to control your sugar level. Be attentive to your daily foods. Ok.
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