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Dr Kulin R Shah

  4.5  (1044 ratings)

Endocrinologist Clinic

C/O Ruby Hospital Laxmi Shopping Centre 1st Floor Next To New Post Office Near Ghatkopar Railway Station Hirachand Desai Marg Ghatkopar West Mumbai - 400086 Mumbai
1 Doctor · ₹1200 · 7 Reviews
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Dr Kulin R Shah   4.5  (1044 ratings) Endocrinologist Clinic C/O Ruby Hospital Laxmi Shopping Centre 1st Floor Next To New Post Office Near Ghatkopar Railway Station Hirachand Desai Marg Ghatkopar West Mumbai - 400086 Mumbai
1 Doctor · ₹1200 · 7 Reviews
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Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care....more
Our mission is to blend state-of-the-art medical technology & research with a dedication to patient welfare & healing to provide you with the best possible health care.
More about Dr Kulin R Shah
Dr Kulin R Shah is known for housing experienced Endocrinologists. Dr. Kulin R Shah, a well-reputed Endocrinologist, practices in Mumbai. Visit this medical health centre for Endocrinologists recommended by 47 patients.

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MON-SAT
05:00 PM - 07:00 PM

Location

C/O Ruby Hospital Laxmi Shopping Centre 1st Floor Next To New Post Office Near Ghatkopar Railway Station Hirachand Desai Marg Ghatkopar West Mumbai - 400086
Ghatkopar West Mumbai, Maharashtra - 400086
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Doctor in Dr Kulin R Shah

Dr. Kulin R Shah

Diploma in Diabetology, MBBS
Endocrinologist
89%  (1044 ratings)
21 Years experience
1200 at clinic
₹650 online
Unavailable today
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"Professional" 4 reviews "Prompt" 6 reviews "Well-reasoned" 9 reviews "Helped me impr..." 1 review "Nurturing" 1 review "Practical" 3 reviews "Thorough" 4 reviews "knowledgeable" 36 reviews "Sensible" 4 reviews "Caring" 6 reviews "Very helpful" 38 reviews "Saved my life" 2 reviews "Inspiring" 3 reviews

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Polycystic Ovarian Disease!

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
Polycystic Ovarian Disease!

Polycystic ovarian disease - It is a common female endocrine disorder occurring in reproductive age group from 15 to 45 years. It affects 1 in every 5 women. Insulin resistance is central to the pathogenesis of pcos and indians are known to have high prevalence of insulin resistence

Three main features of pcos:

  • Irregular periods - Which means ovaries don’t regularly release eggs (ovulation)

 

  • Excess androgen - High levels of male hormone in your body which may cause physical signs such as excess facial or body hair

 

  • Polycystic ovaries - Your ovaries become enlarged and contains many fluid filled sacs which surround the egg (follicle)


If you have atleast two of these features you may be diagnosed of pcos

Signs and symptoms:

  • Irregular or no periods
  • Difficulty getting pregnant
  • Excessive hair growth on face, chest, back
  • Weight gain
  • Hairloss from the scalp
  • Oily skin or acne

Pcos is associated with an increased risk of developing metabolic problems like -

  • Type 2 diabetes
  • Hypertension
  • High cholesterol 
  • Heart disease
  • High uric acid


What causes pcos?
Exact cause is not known, it may have a multifactorial cause like insulin resistance, hormonal imbalance, genetics

Resistance to insulin - Insulin is a hormone produced by the pancreas to control the amount of sugar in the blood. It helps to move glucose from blood to the cells where it is broken down to produce energy.
Insulin resistance means body’s tissues are resistance to the effects of insulin. The body therefore has to produce extra insulin to compensate.
High levels of insulin cause ovaries to produce too much testosterone, which interferes with the development of the follicles and prevents normal ovulation.
Insulin resistance can also lead to weight gain which can make pcos symptoms worse, because having excess fat causes the body to produce even more insulin

Hormone imbalance - Many women with pcos are found to have an imbalance in certain hormones that includes increased estrogen, decreased fsh, decreased progesterone, increased lh, increased testosterone, low levels of shbg, raised levels of prolactin. The exact reason is why these hormonal changes occur is not known. It’s been suggested that problem may start in the ovary itself, in other glands that produce these hormones or in the part of the brain that controls their production. The changes may also be caused by the resistance to insulin

Genetics - Sometimes pcos runs in families. 

Diagnosis -

  • Hormonal evaluation
  • Ultrasound scan
  • Blood test to screen for diabetes and cholesterol


Treatment -
Pcos can’t be cured but the symptoms can be managed

Life style changes

  • In overweight women by losing excess weight by exercise and healthy balanced diet
  • Medication
  • For irregular periods contraceptive pills to induce regular periods or induce period every 3-4 mnths to reduce long term risk of developing endometrial cancer
  • Fertility problems:
  • Short course of ovulation induction medication. If no response then ivf
  • Metformin

Thyroid Disorders!

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
Thyroid Disorders!

The thyroid gland is a butterfly-shaped organ located on the front side of the neck. The function of the thyroid gland is to make 2 thyroid hormones- t4 & t3. These hormones have an effect on nearly all the cells of the body. They are necessary for the efficient functioning of each & every cell of the body.

 The thyroid hormones have to be in perfect balance for the efficient functioning of the body systems. Too little or too much thyroid hormone can have a various deleterious effect on the body.

Hypothyroidism - this condition is characterized by insufficient or low production of thyroid hormones. This can lead to various symptoms like –

  • Unexplained weight gain
  • Tiredness & easy fatiguability
  • Excessive sleepiness
  • Hoarse voice
  • Swellings on legs & feet
  • Hair loss
  • Constipation
  • Loss of memory

Causes of hypothyroidism

  • Autoimmune thyroid disorder (most common)
  • Congenital (from childhood)
  • Drug-induced
  • Removal of thyroid gland (surgery)
  • Absence of thyroid gland
  • Disorder of pituitary gland
  • Exposure to excess iodine

Who is at risk of hypothyroidism?
 

  • Women older than 35 yrs
  • Having other autoimmune diseases
  • Hereditary or family history of thyroid disorders
  • Having treatment with radioactive iodine or antithyroid medications
  • Had thyroid surgery
  • Pregnancy

Untreated hypothyroidism affects liver, kidneys, intestines, brain, heart, reproductive system (infertility, repeated abortions)

What conditions are associated with hypothyroidism?
Conditions like diabetes, hypertension, high cholesterol levels, anaemia, depression, other autoimmune diseases.

Hypothyroidism & pregnancy

Pregnancy-related hormones lead to decrease in thyroid hormone levels. Few reports suggests that up to 14% of pregnant women may have hypothyroidism. Untreated hypothyroidism in pregnancy can cause the following health problems in -
Mother-

  • High blood pressure
  • Anemia
  • Postpartum bleeding
  • Congestive heart failure
  • Foetus
  • Stillbirth
  • Growth retardation
  • Congenital anomalies
  • Premature birth
  • Placental abnormalities

Child-

  • Low birth weight
  • Low iq

Monitoring-
Monitoring has to be done during all the 3 trimesters of pregnancy. Take the advice of a thyroid specialist as pregnancy is a very delicate issue wherein the health of mother & baby, both, is involved.
 

Hyperthyroidism- it is a condition characterized by excess production of the thyroid hormones. It is a more serious condition than hypothyroidism as it has more adverse effects on the body. Also, the treatment can be tricky & complicated at times. Hence, a consultation with a thyroid specialist is a must. 

Signs & symptoms-

  • Rapid heartbeat
  • Nervousness or anxiety
  • Hand tremors
  • Mood swings
  • Fatigue or muscle weakness
  • Trouble with sleeping
  • Weight loss
  • Loose motions/ increased stool frequency.

What are the adverse effects of untreated hyperthyroidism?

  • Heart problems (rapid heart rate, heart failure)
  • Brittle bones/osteoporosis
  • Eye problems (exophthalmos)
  • Red swollen skin.

A sudden intensification of the symptoms of hyperthyroidism (thyroid storm) could lead to fever, rapid pulse & even acutely disturbed state of mind.

Care to be taken by persons with thyroid problems-

  • Consult a thyroid specialist if you have any of the symptoms mentioned above.
  • Take medications as advised by the doctor.
  • Do not skip medicines
  • Do not change/ stop medications without the advice of the doctor.
  • If the symptoms persist or return, consult your doctor.
  • Follow a healthy & nutritious diet.
4 people found this helpful

Diabetes Reversal And Prevention!

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
Diabetes Reversal And Prevention!

Diabetes reversal & prevention 

India is the 2nd diabetes capital of the world only next to china. India currently represents 49% of the world's diabetes burden with an estimated 7.2 crore cases in 2017 which is expected to increase to 13.4 crores by 2015. More than diabetes, are the prediabetes cases estimated to be roughly about 10% of the population. This is a huge burden on the health economics of the country.

Since diabetes is associated with complications of heart, brain, liver, kidneys, eyes, blood vessels etc, it is imperative to control the sugars in order to prevent them. Currently, the treatment is limited to oral medications & insulin injections but no cure has been suggested. With this view in mind, an idea of diabetes reversal & prevention was born.

The major cause of diabetes is genetic or hereditary & the other most important cause is obesity & erratic lifestyle. If we consider the genetic factor, then the chances of developing diabetes in the offspring is to the tune of 30-35% if one parent is diabetic. It increases to 80- 85% if both the parents are diabetic. Sadly, this is a nonmodifiable risk. But the modifiable risk is to improve the lifestyle & eating habits. With our fast paced life & increasing western influence on our traditional culture, we are becoming more & more susceptible to an epidemic of life style health disorders like diabetes, high blood pressure, high cholesterol, auto immune diseases like thyroid problems, heart problems etc 

With increasing spending power & easy access to food, our traditional insulin resistant body has given way to develop obesity & diabetes in alarming proportions. The normal traditional food has been replaced by fast foods & packaged foods with artificial colours, flavour, preservatives & refined white flour products. Add to it, our weak digestive system and it creates a perfect ground for developing diabetes. Most of our type 2 diabetics have insulin resistance. This means, the insulin in our body is not functioning properly. This creates a load on the pancreas to produce more & more insulin to maintain our blood sugar levels in the normal range. When this is no longer possible, sugar rises & diabetes develops.

What is diabetes reversal?

A unique programme devised by Dr. Kulin shah. It addresses the unmet needs of a diabetic person. It dwells on the concept of lifestyle modifications under medical supervision. The whole programme is customized to suit the needs of a diabetic person. 

It involves many dedicated diabetes consultations along with diet & exercise counselling spread over a period of 12 months along with continuous contact support for diabetes & related issues. A proper history taking & full examination followed by a complete screening for diabetes complications is carried out. Appropriate blood pathology is advised & depending on the results, a customized plan is developed to ensure a gradual reduction in the medication dose till the person is off the medication, with the sugars under control. Continuous motivation & reinforcements are provided through daily contact.

This programme helps the person to not only stop the medications, but also to reduce the risk of developing complications remarkably thereby improving the quality of life.

Who is at risk for developing diabetes?

Prediabetics or person with borderline diabetes.

Person with a family history of diabetes

Person with obesity

Person with hypertension, heart problems

Person with high cholesterol levels

Person with mental stress

Gestational diabetes

These people are screened to assess their risk of developing diabetes. A proper examination with appropriate blood tests is carried out to find out whether they are prone to develop diabetes.



 

3 people found this helpful

Sir I am 34 year old, I have diabetes since last 2 years. I am taking glimestar m2 tab daily one. Is it good for me. Kindly suggest me what to do for a healthy life with diabetes. My glucose level normally around 139 to 150 FBS. PPBS 160 to 190.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
Sir I am 34 year old, I have diabetes since last 2 years. I am taking glimestar m2 tab daily one. Is it good for me.
...
Take Glimestar M1 twice a day 30 minutes before breakfast and dinner. Check your sugar after a week & see. Continue your diet and exercise.
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Greetings Doctors! My wife was diagnosed with Hyperthyroidism two years back. We have been taking allopathy since last 24 months and she has been on. "Neomercazole" tabs. Last visit our doctors suggested to decrease the dosage and slowly withdraw the medicine. But still she has been experiencing few syomtoms. We were referred to Nuclear medicine department and now we were given few glimpses of further treatment which may include Radio Iodine treatment. We are yet to complete the family (kids). We have also tried homeopathy parallel. But in vain. Please suggest what we should do ?

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
This is little tricky. If you want to opt for radio active iodine treatment, then you need to wait for 6- 12 months post treatment to plan a child. Also, you have to make sure, that preconception TSH of your wife is normal before planning a child. Or else you can opt for surgery to remove Thyroid gland partly or fully as the case may be & replace the Thyroid dose of required & plan your family.
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Hi, I am 46 year old. At this age my sexual ability decreased slightly. I am also diabetic. Just I started taking deviry Shilajit gold capsules daily. I am feeling not much satisfied as it is not becoming hard and finishing in short time. Can I use manforce 50 tablets once in 20 days or so. Is it preferable.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
Hi, I am 46 year old. At this age my sexual ability decreased slightly. I am also diabetic. Just I started taking dev...
If you have a proper blood circulation in your penis, Manforce 50 shall be of help. Make sure to know that this tablet can lower your blood pressure dramatically hence do not combine it with heart or BP lowering medications like nitrates or so. Also, Headache is one common side effect, hence you can take paracetamol for the same.
2 people found this helpful
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Could anyone tell how to control thyroid for my Mother naturally which has effected last month.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
You need to take medication for Thyroid as it is a lifelong disorder. However, you can reduce the dose by following a Vegan diet with lots of fresh green leafy vegetables, fruits and nuts in natural form & avoid everything which is in processed form.
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