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Dr. Istahkhar

Endocrinologist, Hyderabad

150 at clinic
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Dr. Istahkhar Endocrinologist, Hyderabad
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
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Dr. Istahkhar is a trusted Endocrinologist in Toli Chowki, Hyderabad. Doctor is currently associated with Relief Hospitals in Toli Chowki, Hyderabad. Book an appointment online with Dr. Istahkhar on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 26 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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H K Plaza Toli Chowki Cross Roads, Toli Chowki, Landmark:Opp Ruman Hotel, HyderabadHyderabad Get Directions
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Should I see a Fertility Specialist?

Fellowship in Reproductive Medicine, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Ghaziabad
Should I see a Fertility Specialist?

Should I see a fertility specialist?


 

Perhaps you've been under a lot of stress lately. Or, maybe your partner is always traveling during the right time. If you hear yourself making excuses month after month for seemingly unexplained infertility, then it might be time to sit down with a fertility specialist to uncover the root cause of the problem.


 

What many men and women don't realize is that early diagnosis is key. Many times, if a problem is diagnosed, it can take months to treat and suddenly there you are, almost a year later, starting to try all over again.


 

The solution? don't wait. Here, we've narrowed down 4 signs that it's time to pick up the phone or hop online - to make an appointment for a fertility consultation asap. But as a general rule, if you are even asking yourself this question, the answer is yes.


 

1. You've been trying and trying, and trying


 

Trying to conceive with no luck can be incredibly frustrating, but the fact is that 1 in 8 couples struggle with infertility. Experts agree that women over the age of 35 should wait no more than 6 months of trying before seeing a specialist. That wait extends to just one year for the under 35 crowd. It's also a good idea for your partner to join you and not just to hold your hand: studies show that male partners contribute to over 40 percent of infertility cases.


 

2. You have a pre-existing condition


 

There are a number of health conditions that can have a huge impact on a woman's fertility and while some of these may have been diagnosed as early on as childhood, others are silent and can go completely undetected. From uterus abnormalities and hormonal imbalances to endometriosis and polycystic ovarian syndrome (pcos), the sooner these issues are brought to light and treated, the better your chances for a happy, healthy baby.


 

3. You've had more than one miscarriage


 

Many women have multiple miscarriages and go on to have perfectly normal pregnancies. However, this can also indicate that chromosomal abnormalities, hormonal issues or even structural issues in the cervix or uterine lining are at play. Fortunately, most of these conditions are treatable, but only after a proper examination can the diagnosis be made.


 

4. You've had irregular or absent periods


 

There is certainly no shortage of potential reasons for why you may be experiencing menstrual irregularity. Diabetes, irritable bowel syndrome and increased exercise are all common causes. Many are surprised to learn that over-exercising and weight loss can actually cause you to have no period (amenorrhea) whatsoever. The ever present relationship between stress and infertility can wreak havoc on regular periods, too.

By taking notes on any and all symptoms you may be experiencing and discussing them with a fertility specialist, you'll be able to diagnose your own personal reason even sooner.

4 people found this helpful

Dear sir I am suffering from hypothyroidism I am facing body pain weakness cramping on my body like that what I do for better relief how many problem I will facing in future if I am not caring my self properly. Please suggest me what I do.

MS - ENT
ENT Specialist,
Dear sir I am suffering from hypothyroidism I am facing body pain weakness cramping on my body like that what I do fo...
Hypothyroid patients generally suffer from calcium vit d3 deficiency. Pls check levels n consult me i'll suggest medication. Follow balanced diet as your known hypothyroid.
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Is there any such medicine which can cure long diabetes disease without much physical activity?

C.S.C, D.C.H, M.B.B.S
General Physician,
Is there any such medicine which can cure long diabetes disease without much physical activity?
No diabetes can be well controlled with diet, exercise and medicines and insulin. Ask me with reports of fbs, 2 hr ppbs and hba1c.
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Conceiving or Fertility Problem

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Play video

Hello, I am DR Vaishali Sharma. I am practising as a consultant Gynaecologist in South Delhi.

If you have any problem in conceiving naturally, then when to consult a gynaecologist. You should know that if your age is below 30-35 years then you can try naturally for one year. But if you are coming close to 35 years then I think that 6 months of natural conception is enough because you should not waste much time after the age of 35 years.

What are the options to increase the chance of pregnancy?

  • The best thing is that you should go for Pre- conceptional counselling. But if you are not doing so then you should know that the best chance of conception is during the mid cycle, that is, if you have a cycle of 28-30 days then the best time for pregnancy is 10-16 days after your cycle. The number of days we are calculating here are from the 1st day of the cycle. So, this is the best time from which you can calculate naturally.
  • The other thing is the kit that is available in the market to know what is the time of Ovulation, that is when the egg is released. So, these are the very commonly available in the market. YOu should use them from the 10th day of the cycle and then you have to use them daily, preferably in the afternoon period and you have to do the urine test yourself. If you find the two dark lines on it, that means you will be ovulating.
  • Then if you find that you will not be able to conceive from these methods then you should go the nearby gynaecologist. She may advise you basic investigation from basic workup. For example a blood test, semen analysis and so on. And if the basic investigation area coming normal, then you are advised to have medicines. These medicines are roughly for 5 days. This is called Ovulation Induction. They basically increase the chances of ovulation and egg release. So, this thing you can try for 3-4 months but this has to be done under the guidance of Gynaecologist. We advise them to take 5 tablets during their periods. We call them from the 9th day of their cycle and perform an ultrasound to see whether the eggs are formed or not. Once the eggs are there and the appreciable size of 18mm is attained, then we give the injection to release the eggs. After this, we tell the patients that this is an appropriate time to try the conception. This way if the couple is not able to conceive within 6-8 months, then we advise them to go for either the injections, which will help in the formation of eggs.
  • Or we advise them to go for IUI (Intrauterine Insemination). One most important point is that before suggesting IUI to the patient, the tubal testing is a must. That is usually advised HSG and SSG. In this way, we show that both the tubes are patent. In case there is a problem in semen or there is some problem with the male like the premature ejaculation or difficulty in performing. In such cases, we advise the patient to visit an endocrinologist. And the final option we give them is IUI. Through this, 50% of the patients are able to conceive in 6 months and another 50% of the patients are able to conceive in another 6 months. The cumulative success rate is come out to be around 75%.
  • In case the patient is not able to conceive after injections and IUI then we usually advise them to go for Laparoscopy treatment. This is a diagnostic and therapeutic option because, in this, the woman has to get admitted to the hospital and we directly look through the Laparoscope, that is camera through which we are able to know if the tubes are blocked, any difference in the location, a relationship between the ovaries and the tubes. In this way, we are able to detect and correct it. It is a painless procedure and the woman has to admit in the hospital for 8 hours. THis is minor operation in which 2-3 stitches are there. BUt this is mandatory before proceeding further. After doing laparoscopy we are going to tell patients that the tubes are open and you can continue with the Ovulation induction and IUI. In that way, you will have the chances of pregnancy. And even after the Laparoscopic surgery, the tubes are blocked, then we suggest our patients for the IVF that is the test tube baby. If the tubes are blocked then IUI will not be helpful.
  • IVF surgery is also advisable when the female partner is close to the age of 40 or so. After the age of 35 years, the quality of the eggs in the female ovary will decline sharply. So, sometimes the IVF is suggested directly to the patients in case ovarian reserves are poor.
  • In case IVF test tube baby is advisable, then we have lot many options.

So, if you want to take an appointment, you can visit me at Asian clinic in GK-1 or you can consult me through Lybrate for the audio and the video call consultations.

2 people found this helpful

My frasting blood sugar is 213 and please blood sugar is 265. What medicine is require for me?

BAMS
General Physician, Delhi
Get hba1c levels checked & inform for the time being take cap diabeat 2 cap twice daily before meal. Then inform me with reports.
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Sir I have problem of uric acid and my uric acid level is 9.8% and I have joint pain in my wrist I have tried many ayurvedic medicines but no use please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Sir I have problem of uric acid and my uric acid level is 9.8% and I have joint pain in my wrist I have tried many ay...
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.
4 people found this helpful
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Hi, Meri ma ko sugar hai kabhi kabhi 400 bhi ho jaati jai koi upaay bataye. Please advise.

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
Hi, Meri ma ko sugar hai kabhi kabhi 400 bhi ho jaati jai koi upaay bataye. Please advise.
Hello rahul, 400 is above peak level. She should really take fiber and protein supplement and eat less carbohydrates and fats.
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Hi sir, I am 42 year old male diagnosed hypothyroid. What precaution should I take?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi sir, I am 42 year old male diagnosed hypothyroid. What precaution should I take?
Take diet for hypothyroidism:- 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 few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and reduce weight also.
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Dear sir I am diabetic last two years my gf 179 or pp 270. I am taking medicine glyciphage G-1. Please suggest to how control over this. Thanks a lot Raj.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dear sir
I am diabetic last two years my gf 179 or pp 270.
I am taking medicine glyciphage G-1. Please suggest to how...
Mr. lybrate-user, To control blood glucose following things should be observed: 1) Take appropriate medications, as prescribed regularly without missing a single dose, 2) Take a restricted diet that gives exact calories based on ideal body weight, extent of daily exercise and blood glucose levels. 3) Try and maintain near normal weight (60 kgs), by regular exercise and diet, 4) Avoid sweets, deep fried foods, junk foods, pastries, other bakery items, 5) Consume more of green leafy vegetables, salads and permitted fruits (100 g a day) 6) Take small meals 4 to 5 times a day, total intake has to be within the recommended quantity. Ideally FBS should be closer to 100 mg, PP 150 to 160 mg & HbA1c%<6.8, for achieving very good control. Thanks.
4 people found this helpful
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I am suffering hyper thyroid. Since 2009. And now I am taking neo mercazole tablets 5 mg. Per day. Give me permanent remedy.

DM - Endocrinology
Endocrinologist, Hyderabad
Surprise to see that you are still taking this medicine. This can be cured permanently. Please review with your recent report.
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Hello. Meri skin baht hi dry ho gyi g glow bhi nhi raha m 40 years old. Thyroid bhi h abhi low ho gya tha0.8 ab normal h 1.50 me kya karu skin k liye drynees , pigmention and glow k liye please help me Dr.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Hello. Meri skin baht hi dry ho gyi g glow bhi nhi raha m 40 years old. Thyroid bhi h abhi low ho gya tha0.8 ab norma...
Apply moisturising cream daily twice a day. Take vitamin a daily for six months. Use glycerine soap like pears for bath.
2 people found this helpful
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My mother age 82 years having oedema over lower limbs since 1 year she also complains breathless in mornnig she is mild hyper tenssive with diabtes.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
My mother age 82 years having oedema over lower limbs since 1 year she also complains breathless in mornnig she is mi...
what is she taking for htn..if nothing ..then it is a manifestation of uncontrolled bp...otherwise kidney function tests are required to be done
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How Obesity Can Put You At Risk of Diabetes?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
How Obesity Can Put You At Risk of Diabetes?

Diabetes is a complex group of diseases with a variety of causes. People with diabetes have high blood glucose, also called high blood sugar or hyperglycemia.

Diabetes is a disorder of metabolism, the way the body uses digested food for energy. The digestive tract breaks down carbohydrates, sugars and starches found in many foods, into glucose, a form of sugar that enters the bloodstream. Diabetes develops when the body doesn't make enough insulin or is not able to use insulin effectively, or both.

The two main types of diabetes are:

Type 1 Diabetes: Type 1 diabetes typically occurs in children and young adults, though it can appear at any age. In the past, type 1 diabetes was called juvenile diabetes or insulin-dependent diabetes mellitus. Heredity plays an important part in determining who is likely to develop type 1 diabetes. Genes are passed down from biological parent to child.

Type 2 Diabetes: Type 2 diabetes develops most often in middle-aged and older people who are also overweight or obese. The disease, once rare in youth, is becoming more common in overweight and obese children and adolescents. Type 2 diabetes is caused by a combination of factors, including insulin resistance, a condition in which the body's muscle, fat, and liver cells do not use insulin effectively.

Physical Inactivity, Obesity, and Diabetes

Physical inactivity and obesity are strongly associated with the development of type 2 diabetes. People who are genetically susceptible to type 2 diabetes are more vulnerable when these risk factors are present. About 80 percent of people with type 2 diabetes are overweight or obese.

An imbalance between caloric intake and physical activity can lead to obesity, which causes insulin resistance and is common in people with type 2 diabetes. Central obesity, in which a person has excess abdominal fat, is a major risk factor not only for insulin resistance and type 2 diabetes but also for heart and blood vessel disease, also called cardiovascular disease (CVD). This excess belly fat produces hormones and other substances that can cause harmful, chronic effects in the body such as damage to blood vessels.

So, measuring your waist is a quick way of assessing your diabetes risk. This is a measure of abdominal obesity, which is a particularly high-risk form of obesity. Women have a higher risk of developing type 2 diabetes if their waist measures 80cm (31.5 inches) or more. Asian men with a waist size of 89cm (35 inches) or more have a higher risk, as do white or black men with a waist size of 94cm (37 inches) or more.

Simple Steps to Lower Your Risk

Making a few lifestyle changes can dramatically lower the chances of developing type 2 diabetes. The same changes can also lower the chances of developing heart disease and other life taking cancers.

  1. Control your weight: Being overweight increases the chances of developing type 2 diabetes seven-fold. Being obese makes you 20 to 40 times more likely to develop diabetes than someone with a healthy weight. Losing weight can help if your weight is above the healthy-weight range. Check your BMI. Losing 7 to 10 percent of your current weight can cut your chances of developing type 2 diabetes in half.
  2. Get moving and turn off the television: Inactivity promotes type 2 diabetes. Working your muscles more often and making them work harder improves their ability to use insulin and absorb glucose. This puts less stress on your insulin-making cells.
  3. Tune up your diet: Four dietary changes can have a big impact on the risk of type 2 diabetes:
    • Choose whole grains and whole grain products over highly processed carbohydrates.
    • Skip the sugary drinks, and choose water, coffee, or tea instead.
    • Choose good fats instead of bad fats.
    • Limit red meat and avoid processed meat; choose nuts, whole grains, poultry, or fish instead.

If you are already suffering from diabetes, then do take a walk everyday and adopt healthy eating habits. Along with that relieve your stress and take proper doses of insulin or medications as prescribed by your doctor. If you wish to discuss about any specific problem, you can consult a General Physician.

3729 people found this helpful

My Mom is not able to see properly from left eye. After further diagnosis one of the doctor conclude that the eye side is down as nerves become dead (Not sure in technical / medical language) due to diabetes. But Mom never had diabetes . Also suggested to take one injection but not guarantee of recovery of eye side. Kindly suggest.

DNB Ophtalmology, MS - Ophthalmology, MBBS, Fellowship in Medical Retina, Fellowship in IOL & Cataract Microsurgery
Ophthalmologist, Delhi
My Mom is not able to see properly from left eye. After further diagnosis one of the doctor conclude that the eye sid...
Your mom seems to have some disease pathology involving back of the eye. Either her retina or optic nerve. Since she has been advised an intra-ocular injection, it is likely she has some disease affecting her retinal blood vessels. The visual recovery depends upon the status of the central retina- known as macula. This is best evaluated by a test called the oct and a retinal or fundus angiography. I will be better able to help if you can share her reports. Also important is to find thee systemic cause in the body which predisposed to the eye disease. It can be hight sugar. Hight blood pressure. High cholesterol or triglycerides in body. Kidney dysfunction etc. A examination by physician is hence also important.
1 person found this helpful
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My father-in-law expired on 26.06. 2014 due to multi -organ failure. One insurance agency in his name and myself work to procure business. But after his demise I didn't disclose the fact to the insurance company & I continue till date every time fearing that the matter could be divulged and I could be in danger. From this fear I have lost everything I have been loosing wt from 73 kg to 57 kg, I have lost confidence, I have lost my conjugal life & I am afraid of hampering my job as I am an employee of insurance co. I am suffering from amnesia and loss of appetite. I am a diabetic patient n used to take insulin human mixtard 30/70 14 units a day. I was arrested by akd in 2010 august n after 13 dialysis my kidney reversed n started functioning and presently under care of Dr. Lalit k agarwal. I want to come down my tension for that I usually intake tab. Stressnil. 25 a day. Pl suggest me the way to become normal and to return to my normal conjugal life as I have been suffering from erectile problem for the last one year or so. My regular medicines are human mixtard 30/70 14 units bbf, lipicuretg, minipress xl 2.5, stressnil 0.25, shelcal 500, autrin, a to z vitamin, nurokind d3, serta-50 & 9pm eyedrop as for glocoma for which 5% vission has been lost. Apart from this I have cataract in rt. Eye and lumber spondylosis for which I am using belt at office hrs. I am 57 yr old n ex-athlete & 1st divn. Cricket player. I have married in 1992 and only daughter of 21 yrs along with my wife. I blatantly want to be cured and also return to my normal life. I want to get relief from the tension hence you are earnestly requested to please guide me and to prescribe what to do to get well.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear, you must be able to distinguish between mental disease and mental disorder. Your problem is a mental disorder. Not a mental disease. These mental disorders are usually treated with a combination of medicines and other means like awareness, meditation, psychotherapy techniques, life style changes etc. I think two or three counseling sessions and psycho therapy techniques should solve her problem. Let me know if she is willing to undergo counseling sessions and tailor made psycho therapy through mobile. Take care.
5 people found this helpful
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Hi mam I have done my thyroid test but I am not sure either I have thyroid or not I am mentioning my observed result pls tell me I am free of thyroid or I Have which is mention below T3 - 135: T4 - 6.0: TSH - 1.2 these my result after blood test pls help me.

BHMS
Homeopath, Faridabad
Hello, you are suffering with Hyperthyroidism .So you should consult an endocrinologist.You can also take Homoeopathic medicine Thyroidinum 6x , 2 tabs twice daily along with the allopathic medicine for Hyperthyroidism.
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Sir, i'm suffering from hypothyroidism and overweight i.E. 78.9 kgs. Now my legs are swelling, sometimes even face also swelling. Swelling is not responding for tab. Lasix. I'm taking 75 mcg of thyronarm daily. Please suggest remedy for my ailment.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Sir, i'm suffering from hypothyroidism and overweight i.E. 78.9 kgs. Now my legs are swelling, sometimes even face al...
In hypothyroidism:-- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time.
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My father got thyroid. We had test from Lab and they said THCL is 179. Something. But the doctor said that they have not did proper report. I want to know is it possible thcl 179.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr Tasveer, Is he on treatment for hypothyroidism? If yes what is the dose being taken? Secondly the level mentioned by you of 179 is of what, plus there is no mention of any unit. So difficult to comment. If you have any doubt please get the test repeated, that will clarify the situation. Are you referring to TSH (thyroid stimulating hormone)?
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Hello, I am 24 years. I have diabetes from 2 years. If I get marry, does it spread to my wife and children.

Phd - Complementary & Alternative Medicine
Dietitian/Nutritionist, Mumbai
Hello, I am 24 years. I have diabetes from 2 years. If I get marry, does it spread to my wife and children.
Yes it is hereditary.There are 50% chances that it may pass on to your children but not to your wife
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