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Dr. Sujana

Gynaecologist, Hyderabad

Dr. Sujana Gynaecologist, Hyderabad
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Sujana
Dr. Sujana is a popular Gynaecologist in Begumpet, Hyderabad. Doctor is currently practising at Homeocare International in Begumpet, Hyderabad. Save your time and book an appointment online with Dr. Sujana on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 38 years of experience on Lybrate.com. You can find Gynaecologists online in Hyderabad 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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Homeocare International

Ashoka Bhoopal Chambers Begumpet, S.P. Road, Landmark: Opp to Anand Theater, HyderabadHyderabad Get Directions
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My sister is pregnant, what are tips that she would follow to give birth to active, brilliant, color baby.

MS - Obstetrics and Gynaecology
Gynaecologist, Ludhiana
Hi, character of baby depends on genes he/she get from parents but whatever mother eats & does also affects her baby. So mother must take care of her health both physical as well as mental. She must have healthy diet, sound sleep, stress free life, a disciplined cheerful life, do regular light exercise and meditation so har child will devlop good habits in the womb. Also she should take prenatal medicaction prescribed by her doctor, these are a great help for baby's development.
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I am 3 months pregnant and I have lot of pain in my lower back. What should I do? And please suggest a diet plan.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 3 months pregnant and I have lot of pain in my lower back. What should I do? And please suggest a diet plan.
YOur back pain is due to wrong posture and take good posture in sitting and lying and do mild exercises for the back
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My wife's delivery done on april. But belly of my wife still in swelling position. What to do. How the breasts can be done normal size shape and attractive. Please guide.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
My wife's delivery done on april. But belly of my wife still in swelling position. What to do. How the breasts can be...
it is because of lack of exercise and improper diet.advice her to take small meal at a time.do light exercise and morning walk regularly.weak belt around abdomen for reduce belly fat.she can wear fit bras for maintain breast size proper.
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Save a Knocked Out Tooth!

BDS, Certification In Oral Implantology
Dentist, Ghaziabad
Save a Knocked Out Tooth!

More than 5 million teeth are knocked out every year in children and adults. With proper emergency action, a tooth that has been knocked out of its socket can be successfully replanted and last for years. It is important to see a dentist as soon as possible after the tooth is knocked out. Quick action will increase the likelihood of saving the tooth.

Saving a Knocked Out Tooth:
1. Pick up tooth by the crown (the chewing surface) not the root:
Locate the tooth immediately; do not leave it at the site of the accident. The tooth should be handled carefully touch only the crown to minimize injury to the root.

2. If dirty, gently rinse tooth with water:

  • Do not use soap or chemicals
  • Do not scrub the tooth
  • Do not dry the tooth
  • Do not wrap it in a tissue or cloth

3. Reposition tooth in socket immediately, if possible:
The sooner the tooth is replaced, the greater the likelihood it will survive. To reinsert, carefully push the tooth into the socket with fingers, or position above the socket and close mouth slowly. Hold the tooth in place with fingers or by gently biting down on it.

4. Keep tooth moist at all times:
The tooth must not be left outside the mouth to dry. If it cannot be replaced in the socket, put it in one of the following:

  • Emergency tooth preservation kit
  • Milk
  • Mouth (next to cheek)
  • Regular tap water is not recommended for long term storage because the root surface cells do not tolerate water for long periods of time.

5. See a dentist within 30 minutes:
Bring the tooth to a dentist as soon as possible, ideally, within 30 minutes. However, it is possible to save the tooth even if it has been outside the mouth for an hour or more.

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Hello Dr. I just want to ask if female had sex on her 3rd day of period and after sex she is not bleeding on 4th day she gets pregnant or not what are the possible chances pls reply thanks and regards.

MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
Hello Dr. I just want to ask if female had sex on her 3rd day of period and after sex she is not bleeding on 4th day ...
Dear lybrate-user, Having intercourse during the time of menstrual cycle does not increase the chances of pregnancy if she has a regular cycle lasting for 28-35 days. If she has a short cycle (bleeds every 21 days), there might be a possibility that she ovulates (releasing of egg which is responsible for pregnancy) early and this does pose a risk of pregnancy. In the later case suggest to take an ipill within 72 hours of intercourse. Stoppage of bleeding after intercourse does not carry any significance in relation to her pregnancy chances. Hope this helps:):)
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Usg report says that polycystic ovary with low volume. And prevoid residual urine 75mul whereas post void residual urine 105 mul. What is the reason for such urinary retention? Can STD is one of the cause? Though sex for only two times and with condom can their still be risk of STD?

C.S.C, D.C.H, M.B.B.S
General Physician,
Usg report says that polycystic ovary with low volume.
And prevoid residual urine 75mul whereas post void residual ur...
There is no risk if you had sex with condom and urinary retention is due to uterus pressing on the bladder neck and is not a serious issue and is common . Not due to STD as you asked
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Hi, I am 24 year old girl and got married 9 months ago. I have more bleeding these days. Before marriage my period cycle was 35- 40 days and also bleeding was happening for 4-5 days. But after marriage also same late cycle continues and now last 3 months bleeding continues for 10- 15 days. Last month, my period started 12 Jan and it is still bleeding more and more. I have been diagnosed by one gynecologist also. She scanned me and told bleeding will stop after 2-3 days, it stopped after two days but again after 2 more days it started bleeding and it is more and more. I am very scared. Please suggest what to do. Thanks.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hi,
I am 24 year old girl and got married 9 months ago. I have more bleeding these days. Before marriage my period cy...
This condition of Prolonged bleeding is called Menorrhagia, also known as abnormal uterine bleeding (AUB, and it is a menstrual period that is abnormal in its quantity, timing, or duration of bleeding. In some cases, the cause of heavy menstrual bleeding is unknown, but a number of conditions may cause menorrhagia. Common causes include:--------- •Hormone imbalance. In a normal menstrual cycle, a balance between the hormones estrogen and progesterone regulates the buildup of the lining of the uterus (endometrium), which is shed during menstruation. If a hormone imbalance occurs, the endometrium develops in excess and eventually sheds by way of heavy menstrual bleeding.------------ •Dysfunction of the ovaries. If your ovaries don't release an egg (ovulate) during a menstrual cycle (anovulation), your body doesn't produce the hormone progesterone, as it would during a normal menstrual cycle. This leads to hormone imbalance and may result in menorrhagia.------------ •Uterine fibroids. These noncancerous (benign) tumors of the uterus appear during your childbearing years. Uterine fibroids may cause heavier than normal or prolonged menstrual bleeding.---------------- •Polyps. Small, benign growths on the lining of the uterus (uterine polyps) may cause heavy or prolonged menstrual bleeding. Polyps of the uterus most commonly occur in women of reproductive age as the result of high hormone levels.-------- •Intrauterine device (IUD). Menorrhagia is a well-known side effect of using a nonhormonal intrauterine device for birth control. When an IUD is the cause of excessive menstrual bleeding, you may need to remove it.----------- •Pregnancy complications. A single, heavy, late period may be due to a miscarriage. If bleeding occurs at the usual time of menstruation, however, miscarriage is unlikely to be the cause. An ectopic pregnancy — implantation of a fertilized egg within the fallopian tube instead of the uterus — also may cause menorrhagia.----------- •Cancer. Rarely, uterine cancer, ovarian cancer and cervical cancer can cause excessive menstrual bleeding.---------- •Inherited bleeding disorders. Some blood coagulation disorders — such as von Willebrand's disease, a condition in which an important blood-clotting factor is deficient or impaired — can cause abnormal menstrual bleeding.---------- •Medications. Certain drugs, including anti-inflammatory medications and anticoagulants, can contribute to heavy or prolonged menstrual bleeding.------------- •Other medical conditions. A number of other medical conditions, including pelvic inflammatory disease (PID), thyroid problems, endometriosis, and liver or kidney disease, may be associated with menorrhagia.------------ So, Rekha your Gynae is the better judge and discuss with her all the possibilities or discuss with me in detail regarding your problem----Myself is a homoeopath and I will surely help you in this regard---------------
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I had unprotected sex. Following it up I took unwanted 72 within half an hour sex. After two days again I took the unwanted 72 pill. 3 days before my period was due I had a little bit bleeding which lasted for 3 days. It was not at all heavy like a period bleed. The colour of bleed was deep red and brown. Nor was there any cramps like I usually have. After it ended I took the pregnancy test it came out negative. I took the test again after 5 days and still it came negative. Am really worried. Its been a week I haven't got period and the tests are coming negative. What could this be?

MBBS, Diploma in Cardiac Emergencies in General Practice
General Physician,
I had unprotected sex. Following it up I took unwanted 72 within half an hour sex. After two days again I took the un...
It can be a case of hormone imbalance in your system. The medications like unwanted 72 have high doses of synthetic progestin, Levonorgestrel (hormone). The side effects of this medicine include the irregular menstrual bleeding that you are having. Don't worry. Get a ultrasound done if in doubt.
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New DM Drugs

Homeopath,
New DM Drugs

New path to blood sugar control

Most dm drugs make pancrea to increase insulin other act on liver other act on body cell

To date, two of these new drugs have been approved by the u. S. Food and drug administration for treating type 2 diabetes. The first, canagliflozin (invokana®), was cleared last march; the second, dapagliflozin (farxiga®), was approved just this week.

Both drugs are so-called sglt2 inhibitors that act by blocking the kidneys’ reabsorption of sugar, or glucose. The result is that more glucose is released in the urine and the patient’s blood glucose level goes down — a major goal of diabetes treatment.

Most other available drugs for diabetes work by targeting the liver, pancreas or gut to improve insulin sensitivity, reduce insulin resistance or stimulate insulin secretion. In contrast, sglt2 inhibitors work completely independent of insulin.

The two new medications, which are taken by mouth in pill form, are approved for use as stand-alone drug therapy, in addition to changes in diet and increased exercise, or in combination with other drugs for diabetes. Their approvals were based on multiple clinical studies — nine for canagliflozin and 16 for dapagliflozin — showing that they effectively lowered hemoglobin a1c, a measure of average blood sugar level over the previous three months.

A surprise effect on the waistline
An added benefit is that sglt2 inhibitors are associated with modest weight loss. For instance, patients shed from 2.8 percent to 5.7 percent of body weight in clinical studies of canagliflozin.

“The weight loss is an appealing side effect of sglt2 inhibitors, especially in the growing population of obese individuals with type 2 diabetes,” says cleveland clinic endocrinologist mary vouyiouklis, md. “aside from metformin, which occasionally results in modest weight loss, other oral drugs used to treat type 2 diabetes are weight-neutral or can cause weight gain.”

Safety profile: keeping an eye on heart effects
Another potential benefit is also a potential adverse effect: the fact that sglt2 inhibitors have a mild diuretic effect (i. E, tend to increase urination). This results in lowering of blood pressure, which can be good for some patients who have high blood pressure but can also cause lightheadedness, dizziness or even fainting in other individuals. Dr. Vouyiouklis says caution is needed before these drugs are started in any patients at particular risk of the latter effects, such as the elderly or patients taking diuretics or multiple drugs for blood pressure.

The drugs’ other most common side effects in clinical trials — genital yeast infections and urinary tract infections — are also related to the fact that they act via the kidneys. Both drugs posed a low risk of hypoglycemia, the dangerously low blood sugar episodes associated with some diabetes therapies.

However, the new drugs were found to modestly increase levels of ldl (“bad”) cholesterol, which could be a concern because patients with diabetes are already at increased risk of heart disease. The potential for increased rates of heart attack, stroke and other cardiac events is being specifically monitored in large ongoing studies of both canagliflozin and dapagliflozin, but full results are not expected for several years.

Ongoing bladder safety scrutiny with dapagliflozin
Additionally, patients taking dapagliflozin in clinical trials showed a small increase in bladder cancer diagnoses compared with control patients. In fact, dapagliflozin was rejected for approval by the fda two years ago because of concerns over bladder cancer and liver toxicity.

The agency’s concerns about these risks were eased by additional data from dapagliflozin’s manufacturer this time around, but the drug’s approval included a requirement that it be studied for bladder cancer risk in patients in ongoing trials as well as in new animal studies looking specifically at effects on the bladder.

Canagliflozin does not appear to be associated with bladder cancer or liver toxicity, the fda concluded.

More agents in the pipeline
Several other sglt2 inhibitors may soon be available as well. One of them, empagliflozin, is in late-stage studies, and the fda is expected to decide on its approval by the end of march.

Who should get these drugs, and when?
Dr. Vouyiouklis says obese patients with type 2 diabetes and normal kidney function stand to benefit most from sglt2 inhibitors. In general, these drugs seem to be best tolerated by patients with normal kidney function and less well tolerated by those with moderate kidney disease (they should not be used by patients with severe kidney disease). They are not approved for use by pregnant women, patients under 18 or individuals with type 1 diabetes.

“Although sglt2 inhibitors are approved for use as single drug therapy, metformin remains my choice for first-line oral therapy,” says Dr. Vouyiouklis. “Because sglt2 inhibitors are relatively new and their long-term effects are not yet known, I prefer to reserve them for use as add-on therapy. I believe they will be a useful addition, especially in obese patients who are seeking to lose weight.”

I do pregnancy urine test. I got negative result. Bt, I have some symptoms to be pregnant. What should I do?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I do pregnancy urine test. I got negative result. Bt, I have some symptoms to be pregnant. What should I do?
Hello, if pregnancy is ruled out then these are pms symptoms indicating that you may have your menses in next few days.
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I have PCOD problem and sometime my periods delay for 15 days and some time delay for 1 month what can I do.

MBBS
General Physician, Cuttack
I have PCOD problem and sometime my periods delay for 15 days and some time delay for 1 month what can I do.
1.In PCOS (polycystic ovarian syndrome )many small cysts appear in ovary-causing hormonal imbalance and .there is production of excess Testosterone.Omega 3 Fatty acid reducece excess Testosterone and can be used in the treatment 2.They secrete more androgen 3.The symptoms are weight gain,acne, decreased ovulation, irregular period, infertility, depression, extra facial and body hair, hair loss from scalp, insulin resistance causing Diabetes. 4.it is genetically inherited,runs in families 5.it can be diagnosed by pelvic laparoscopy/vaginal ultrasound. 6.Treatment-surgery/anti androgen therapy 7.consult gynecologist for advice and treatment
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HelloDoctor, I am one year married and we don't won't baby right now. But last night when we having sex by mistake condom broke and in morning my mens start my husband insist me taking i-pill. Before 7month I already take i-pill. Second time taking i-pill is safe or any problem in future when I want conceive? Taking i-pill during period is safe or not?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
HelloDoctor, I am one year married and we don't won't baby right now. But last night when we having sex by mistake co...
As you already had menses after having sex, there is no need to take i-pill as with the yesterday's act, you can not get pregnant. There is no harm in taking i-pill as it is very safe, but now it is not needed.
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Hello. Had a d and c on March 3rd. 2017.as the baby had alobar holoprosencephaly. Recent usg showed anterior wall fibroid of 2.5×2.3 cms. My Gynaec suggested to wait for 6 months for next baby? Please enlighten me about the future pregnancy. As I am very much worried about my next pregnancy and the child? How should we wait to try for the next one?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hello. Had a d and c on March 3rd. 2017.as the baby had alobar holoprosencephaly. Recent usg showed anterior wall fib...
Yes definitely you should wait for minimum 3 to 6 mths ,in order to strengthen your uterus and build your vital parameters adequately for a healthy pregnancy, you would also need a treatment for fibroid and maintain your harmonal balance along with ovarian reserves, should you need any assistance or advice for this you may get back to us.
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Hello mam my age is 25 I am girl and my weight is around 70 kg my breast is lifted down my body shape is not good because of it. please suggest me simple exercise or home remedies.

DRCH, BHMS
Homeopath, Bareilly
Hello mam my age is 25 I am girl and my weight is around 70 kg my breast is lifted down my body shape is not good bec...
Massage your breast in circular motion from down to up with olive oil, spend 15 minutes on each breast. Do exercise to strengthen your pectoral muscles. Take high protien diet.
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Having continuous pain in my lower abdomen. Im 18 weeks pregnant. No blood spotting just the pain. That why im worried. Is it something very serious. My Dr. said its normal if no spotting. Because the pain is continuous im getting really worried. Now its been more than a week.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Having continuous pain in my lower abdomen. Im 18 weeks pregnant. No blood spotting just the pain. That why im worrie...
It is called as round ligament pain. It occurs because your ligaments gets stretched by growing uterus, and with brisk movement or getting up it produces pain. If pain is severe one can take tab. Crocin or parcetamol for pain relief. In the meantime it is better to have per vaginal examination by a gynecologist to check whether you are not going in labor. Also it is poosible urine infection which will be associated with burning and increased frequency of urination, which needs to be evaluated with urine test and antibiotic is needed to cure.
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My wife is not interesting in doing sex with me. She does sex only once a month and told me that you don't know how to seduce me. What should I do?

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
My wife is not interesting in doing sex with me. She does sex only once a month and told me that you don't know how t...
You both may be having different ideas and fatancies about sexual relationship. It is also possible that your urge is stronger than hers. But to learn more about it talk to a counsellor or a sexologist. Sexual satisfaction is very important for a marriage to sustain. Any dissatisfaction of sexual needs will complicate the relation further. Kindly seek professional help at the earliest.
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Infertility - Causes And Treatment

MICOG, DRM, Royal College of Obstetricians and Gynaecologists (MRCOG), DNB, MD, MBBS
IVF Specialist, Delhi
Infertility - Causes And Treatment

Infertility is a condition wherein a woman does not get pregnant in spite of having unprotected intercourse over a period of a year or even more. An abnormal menstrual cycle that is either too short or too long, irregular or even scanty can be an indication of a lack of ovulation, which in turn, is another factor behind female infertility.

Causes:

  1. Ovulation disorders are characterized by either a lack of ovulation or irregular and infrequent ovulation. These are a major cause of infertility. This may be due to defects in the regulation of the reproductive hormones by the pituitary gland or the hypothalamus (brain center responsible for producing some of the most essential hormones required by the body). Malfunctioning of the ovary is another cause in itself. Polycystic ovarian syndrome, premature failure of the ovaries (a condition wherein a woman’s ovaries fail to function properly even before she is 40 years old), hypothalamic dysfunction (a dysfunction of the hypothalamus) and excessive production of prolactin (a hormone that stimulates milk production among women after childbirth) by the pituitary gland are some of the factors responsible for the occurrence of such a disorder.

  2. Damaged fallopian tubes do not allow the sperms to fuse properly with the egg. They might also prevent the fertilized egg from entering into the uterus. This condition may be caused due to pelvic inflammatory diseases (a group of infections of the reproductive organs in women), an infection in the fallopian tubes or the uterus caused due to various Sexually Transmitted Diseases, any abdominal surgery or surgery of the pelvic region and pelvic tuberculosis.

  3. Endometriosis, wherein the tissue that usually grows in the uterus, starts growing outside it, is another factor responsible for infertility.

  4. Several cervical or uterine disorders, such as tumors, inflammation within the uterus, uterine abnormalities, a cervical narrowing or the inability of the cervix to produce mucous for the sperm to travel to the uterus, are likely to impact fertility by obstructing implantation or enhancing the chances of miscarriage.

  5. 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.

Treatments:

Fertility drugs can be used to regulate and induce ovulation. But they carry with them certain risks and therefore you should consult your physician prior to consumption. Few examples of these drugs are Clomiphene Citrate, Gonadotropins, Metformin, Letrozole and Bromocriptine.

  1. Surgical procedures can be recommended to correct reproductive abnormalities and restore fertility. A laparoscopic surgery or a tubal ligation reversal surgery (a surgery that unites one’s fallopian tubes again in order to enable the woman to have a baby) can be advised by the doctor.

  2. Reproductive assistance by Intrauterine insemination (a process that involves putting sperms inside a woman’s uterus in order to help her conceive) and Assisted reproductive technology (consisting of IVF and surrogacy). If you wish to discuss about any specific problem, you can consult a gynaecologist.
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Dear sir, my wife now pregnant from last 2week, bt at present time I dont want to baby because I am job less, so please give me solution about abortion.

MBBS
General Physician, Faridabad
Dear sir, my wife now pregnant from last 2week, bt at present time I dont want to baby because I am job less, so plea...
i will advise you , not to go for abortion, continue the pregnancy orgo for it, it will helpwelcome.
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Hi I'm sonam I got itching in vagina it's so painful while the process of urine. Is it for the heat or what. Suggest me from home made solutions.

MBBS
General Physician, Chandigarh
It could be some type of fungal infection please don't ignore it and consult a gynaecologist immediately to get checked and treated.
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IS "LOW FAT" A Healthy Choice" ?

M.Sc - Dietitics / Nutrition (Delhi University)
Dietitian/Nutritionist, Panipat
IS "LOW FAT" A Healthy Choice" ?
The Truth behind Low Fat Food Products!


“Now -a -days there been a boom in low fat products like fat free desserts, low fat biscuits, calorie counted ready meals. But while our shopping baskets are full bursting with this guilt free foods, our waist lines keep getting bigger.
Find the reason given below:
We all need some fat in our diet, not least because it makes our food palatable and tasty but is essential for our body, In low fat products altering the oil used for producing low fat foods, manufacturers also found they had to increase the amount of sugar in their products so we continued to enjoy their taste and texture.
All of this meant that the typical low fat product tended to be high in carbs, might contain trans fat which are really bad for our heart and at the end of the day had a very similar calorie count to the original product.Infact when we eat foods high in carbs especially white refined ones, our bodies digest them more quickly, this can lead to blood sugar swings and cravings making it more difficult to control our overall calorie intake-which means that second or third ‘low fat’ biscuit starts to look very tempting!
A DIET TOO HIGH IN THESE REFINED CARBOHYDRATES & SUGARS CAN BE AS UNHEALTHY AS A HIGH FAT DIET BECAUSE IT INCREASES THE RISK OF DIABETES, HEART DISEASES AND CAUSES HIGH CHOLESTEROL LEVELS.
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