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Dr. Chandalia Shaival Hemraj

Endocrinologist, Mumbai

1500 at clinic
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Dr. Chandalia Shaival Hemraj Endocrinologist, Mumbai
1500 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Chandalia Shaival Hemraj
Dr. Chandalia Shaival Hemraj is a renowned Endocrinologist in Nariman Point, Mumbai. He is currently associated with Lady Ratan Tata Medical in Nariman Point, Mumbai. Save your time and book an appointment online with Dr. Chandalia Shaival Hemraj on Lybrate.com.

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Lady Ratan Tata Medical

103/104, Maharshi Karve Road, Nariman Point,Landmark:Near Koprage Telephone Exchange, MumbaiMumbai Get Directions
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I have high TSH count have gained weight of around 35kG in last 2 years. Below are the count T3 - 0.90 T4 - 5.8 TSH - 8.04 Please advice medication for the same. I am not so keen on taking the medicine looking for natural recovery.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have high TSH count have gained weight of around 35kG in last 2 years. Below are the count T3 - 0.90
T4 - 5.8
TSH -...
Take punarnavadi mandoor and kanchnar guggul 1-1 tab twice a day...if TSH level is high then you have to take thyroxin tab depending on your condition....
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I am 62 year old, I have diabetes and ckd with highpertension from 2013. Pl suggest me diet, pl send me personalised answer.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 62 year old, I have diabetes and ckd with highpertension from 2013. Pl suggest me diet, pl send me personalised ...
With high blood pressure you want to have a diet low in sodium and fat. you should eat more low-fat protein sources, whole grains, and plenty of fruits and vegetables.
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Please help me out with gap of time between ayurvedic tablet and allopathic tablets. Need specific gap for 1) thyroid tab eltroxin 112.5 mcg and gandhak rasayan tablet + mahamanjashthadi Kadha. 2) bp tablets betatrop + enam 5 and gandhak rasayan tablet + mahamanjashthadi Kadha.My Age 77 yrs. Thanks.

Homeopath, Hyderabad
Please help me out with gap of time between ayurvedic tablet and allopathic tablets. Need specific gap for 1) thyroid...
Hello Eltroxin tablet must be taken on empty stomach at the start of day followed later by any other medication Give a gap of an hour before taking g any other system of medicines alternately.
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I am suffering from diabetes for last two years which medicine I take for joint pain problem.

MD (Panchkarma), PGD Yog Science, Bachelor of Ayurveda, Medicine and Surgery (BAMS), CPARK (Kerala)
Ayurveda, Haldwani
I am suffering from diabetes for last two years which medicine I take for joint pain problem.
Are you taking any medications for diabetes? if no, then uncontrolled diabetes also causes joint pain. It should be controlled first. Regarding joint pain, this occurs due to various reasons, like osteoarthritis, rheumatoid arthritis or gout. Get yourself diagnosed first then only take medicine. Some common remedies are:- if you are having pain with stiffness, then take 1. Singhnaad guggulu 4 tab bd along with hot water 2. Castor oil 20 ml with hot water at night. If pain along with burning sensation:- 1. Kaishore guggulu 4 tab bd 2. Mix satva giloy 5gms plus suranjaan 10gms and take 1/4 tsf two times a day if only pain, then apply some oil and massage followed by hot fomentation. Get well soon.
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Sugar level not being controlled . Varying between 187 to 256 PP and 154 to 167 fasting. HbA1c was 8.3% as on 23.2.15 and fasting blood sugar was 156mg/dL. Taking one tablet of Glysiphage 500mg and Glimer 1mg just after one grass of food at lunch time. Please advise

MBBS & Post Graduate Course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Do regular exercise and diet increase the dose of glysiphage to 1000 mg as your levels are very high and needs to be controlled.
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Helo sir. My mom was suffering from thyroid from the past 30 year & nowadays the thyroid is not stimulating properly. What we want to do sir?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Thanks for the query. In your information there is no mention about actual hormone levels including TSH. Unless those details are given, there is no way to give any opinion. Plus also mention about what is the treatment or the drug being taken with dosage. Then only I will be able to guide. Thanks.
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Sir confusion is there in consuming diabetic food. I am diabetic since 6 years. My blood sugar level will not cross110 /190/200 maximum 230. Wt food shall I consume in my daily routine. Plse help me to control my sugar level. I am taking glycomet gp2 two tablets daily. Morning one night one.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir confusion is there in consuming diabetic food. I am diabetic since 6 years. My blood sugar level will not cross11...
lybrate-user, It would be better if you were to mention current fasting, PP levels and HbA1c%, rather than giving some random numbers. Most important is to have a HbA1c% <6.8, for excellent control. There is no" diabetic food" The diet has to be balanced like every one, but one should avoid sweets, deep fried food, junk foods, pastries, items made of maida, sweetened aerated drinks (colas), fructose corn syrup containing foods and highly processed food. Should consume more of green leafy vegetables, salads and permitted fruits about 100 g a day. Total caloric intake has to match the need based on your actual caloric need based on ideal body weight and extent of daily exercise. Thanks.
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I am diabetic last 9 year's taken insulin two times.My fasting never came normal what can l do?

PDDM, MHA, MBBS
General Physician, Nashik
Please mention your recent bsl reports and ongoing treatment and revert back to me for further assistance.
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I am a diabetic patient. I think type 2 diabetic. Taking tab. Regularly. But walking, I could not maintain properly. Is it will affect my health. But I am pure veg. Maintaining diat. Please give me advice.

MBBS
General Physician,
Holistic approach towards diet & lifestyle required. If you able to strictly maintain some special herb diet then there is a possibility you may get rid of medicine after a certain period but things depend on your will.
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My wife is diabetic and presently on insulin morning 21u and evening 17u along with one oral tablet in afternoon. She has recently started taking BGR 34one tablet twice (morning /evening. Please advise me if BGR34 will be effective or other medicine which would help to reduce insulin dose thanks.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife is diabetic and presently on insulin morning 21u and evening 17u
along with one oral tablet in afternoon. She...
Hello, Insulin is the best treatment for diabetes. It helps in better blood glucose control. About BGR 34, a so called combination of some herbal medicines based on ancient literature, without any new research. Plus it was tried only on few lab rats, where its efficacy was said to be 67%, which is just like a placebo. No human studies, no clinical trials, so best is to avoid it. Thanks.
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My Age 38 diabetic patient. Wants to conceive baby. I have 8 years old daughter. One year ago I have miscarriage. 8 week pregnancy. So what you have to suggest me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
My   Age 38 diabetic patient. Wants to conceive baby. I have 8 years old daughter. One year ago I have miscarriage. 8...
First get ur thyroid hormone levels examined along with cause for recurrent abortion like apla antibodies ...torch test etc before conceiving..... That will decide what treatment to take ...ur Diabetic medications needs to be changed while u r planning... Revert with reports
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I am 74 years old and suffering from diabets since 10 years and it type -2. I am using galvas met 2 tablets a day and one tablet of glycipage 500 mg. As galvas met is costly will you kindly suggest any other alternative tablet to keep my blood sugar level in normal sir? you may also suggest homeopathic /ayurvda medicines also. Now after taking above tablets my blood sugar level in fasting is 130. Please advice.

MD - Consultant Physician
General Physician, Jaipur
You can use other medicine like guconorm g2. But you will have to check blood sugar regularly for sometime after starting this medicine to make sure it is lowering down sugar. It is comparatively cheap medicine than galvas met.
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I am 35 years old and a diabetic. My fore hands and fore feet are getting numb some times. I work in night shifts and have hand and leg pains. Is this due to diabetes or some thing else. What should I do for better health. To whom should I concern.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 35 years old and a diabetic. My fore hands and fore feet are getting numb some times. I work in night shifts and...
Mr. lybrate-user, If diabetes is present for long time (a few years), and if not well controlled then it affects peripheral nerves causing numbness and pain. This usually happens in feet and toes. Sometimes there may be burning sensation also. Strict blood glucose control is the first requirement and some vitamin preparations may help. Thanks.
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I'm diabetic patient I'm not using medicine is any problem for me I'm only 26 years old.

3 months Internship of Dietitics/Nutrition, PG diploma in Dietitics/Nutrition, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Moradabad
I'm diabetic patient I'm not using medicine is any problem for me I'm only 26 years old.
No its not problem if you have your normal diebetic ratio. You can control your diebetes by healthy diet and any workout. But always remember that your diebetic ratio should not be up and down. If it is then medicine is important for you.
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Hypothyroidism : What you should know?

MS - Obstetrics and Gynaecology, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Thane
Hypothyroidism : What you should know?

Hypothyroidism has become a common ailment among people in India nowadays. Women are major victims of Hypothyroidism, as pregnancy and menopause put them at higher risk. Lack of nutrition, lack of exercise and stress play a huge role in Thyroid disorders especially hypothyroidism. 

1. What is Thyroid Gland?
1. The Thyroid Gland is a butterfly-shaped gland which is situated below your Adam's apple.
2. Thyroid Gland secrets several hormones, collectively called as Thyroid hormones. 
3. The main hormones are T4 (Thyroxine) and T3 (Tri-iodothyronine). Anterior Pituitary gland secrets TSH (Thyroid Stimulating Hormone) to stimulate Thyroid Gland to produce T4 and T3.
4. T4 is considered as precursor of T3. Many enzymes, Iodine, Tyrosine, Amino Acids, Vitamins and Minerals are essential for conversion of T4 into T3.

2. What are the functions of Thyroid hormone?
1. To act as catalyst for maintenance of metabolism
2. Regulation of proteins, carbohydrates, fat, calcium and phosphorus metabolism
3. Acceleration of energy production 
4. Necessary for normal growth and maturation
5. To help foetal development and development in first few months after birth

3. What is Hypothyroidism (Underactive Thyroid)?
1. Hypothyroidism is one of the most common disorders of endocrine glands
2. It occurs due to hypo functioning of Thyroid Gland resulting into deficiency of Thyroid hormones and increase in TSH

4. What are causes of Hypothyroidism?
1. Iodine Deficiency 
2. Hashimoto's Thyroiditis 
3. Damage to Pituitary Gland 
4. Congenital Thyroid defects
5. Stress 
6. Pregnancy 

5. What are signs and symptoms?
1. Weight gain
2. Swelling all over body 
3. Constipation 
4. Hair loss 
5. Fatigue 
6. Dry skin 
7. Feeling cold 
8. Irregular menses 
9. Heavy Menstrual bleeding 
10. Impaired fertility
11. Shortness of breath 
12. Hoarse voice 
13. Poor memory 
14. Lack of concentration 
15. Mood swings
16. Carpal Tunnel syndrome 

6. What are management strategies?
Nutrition
1. Thyroid Gland gets its support from nutrients like Amino acids, Iodine, unprocessed carbohydrates and vitamin B, C and E. 
2. Improve intake of Iodine. Some Iodine rich foods are carrot, milk, banana, strawberry, whole grains, etc.
3. Improve intake of proteins; Good sources of protein are egg, milk, cereals and pulses, etc.
4. To improve intake of vitamin B, C and E, have green leafy vegetables, Amla, Guava, Citrus fruits, sprouts, etc.
5. Hypothyroidism causes low vitamin D levels. So, vitamin D supplements can help in this condition. Walking in morning sunlight for 10-15 minutes is good source of vitamin D.
6. Avoid raw Gobi and peanuts.
7. Avoid biscuits, cakes, alcohol and chocolates.

Exercise
1. As hypothyroidism puts you at risk of increasing triglycerides, exercise is a must.
2. Cycling and swimming are good options for cardiovascular exercise.
3. Tadasana, Sarvangasana, Halasana, Matsyasana, Ushtrasana, Bhujangasana, Dhanurasana, Suryanamaskara: These poses are beneficial in prevention and management of hypothyroidism.
4. Yogasana and Pranayam learned from an experienced teacher are always helpful.
5. Eating Right, Avoiding stress, working out properly and sleeping peacefully are the basis to maintain thyroid hormones at a normal level. 

What are the Ayurvedic Aspects?
1. Although hypothyroidism is not described in classical Ayurvedic text, based on its clinical presentations, its pathogenesis can be understood
2. According to pathogenesis, Hypothyroidism occurs because of the predominance of vitiated Vata and Kapha dosha. Therefore Panchakarma especially Vaman or Virechan according to Prakruti and Basti are necessary to relieve the disease completely and to avoid further progression and complications of disease
3. "Prevention is better than cure". By following healthy regimen like DINACHARYA, RUTUCHARYA (seasonal regimen), hypothyroidism can be prevented?
4. Proper diet and lifestyle ensure proper digestion. Proper digestion can be created by intake of Digestive spices like cinnamon, cardamom, turmeric, ginger, fennel etc
5. Herbs like Guduchi, Licorice, Asparagus are good for inflammatory and autoimmune Thyroid disease
6. Herbs like Ashwagandha, Punarnava, Gokshur, Guggul, Kanchanar, Brahmi etc are good for proper functioning of Thyroid Gland
7. Ayurvedic treatment tries to heal the root Imbalance in hypothyroidism rather than treating symptoms. If you wish to discuss about any specific problem, you can consult an ayurveda.

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Respected doctors kind please advise me ki agar thyroid ho to calcium supplement lene chaheye ki nhi? Kya calcium supplement lene se thyroid badta hai? Kyu ki mera thyroid 4 month phele 9.3 ml tha or main thyroix25 tablets le rhe hu but fir bhi mera thyroid ab bad ki 13. 2ho gya hai. Is ke ilawa main ashokarist or ashwaghandharist bhi daily do time lete hu. Kindly advise me ki in me se kise dwai ka koi role to nhi thyroid ko increase karne me.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
There are 2 issues here. Either your Thyroid tablet dose is inadequate or if you are taking your Thyroid & calcium tablets together then it will reduce the effect of your Thyroid tablet. Make sure that your calcium is taken in the afternoon or evening so that it does not interfere with your Thyroid tablet absorption. This is also the case with iron. So make sure that all these tablets are taken at different times to avoid any interference in absorption.
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I am 65 years and suffering from diabetics from last 8 years. Taking medicines for above.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 65 years and suffering from diabetics from last 8 years. Taking medicines for above.
It is good if you are taking appropriate treatment for diabetes and if it is well controlled, then it is appreciable. But looking at your height and weight it is clear that you are having grade 1 obesity with a BMI of 32 .85 kgs/M2. Your ideal body weight should be 60 kgs. Hence you are carrying 32 kgs extra weight. That it self is a major contributor for high blood glucose. Hence, weight reduction is absolutely imperative. Thanks.
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I am 27. My father and grandpa are Diabetic patients. I am over weight of 10 kgs as per BMI. Is there any chance to get diabetes?

MD - Pathology, MBBS
Pathologist, Ahmedabad
Yes, genetic roll in diabetec patients is definately there. Plus you are obese. Do you smoke, consume alcohol, high blood pressure? if associated risk factors are present then you have all chances. Genetic roll cannot be avoided but can be delayed by changing life style, food habit etc.
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Hi, I am 32 years old not married. I have some irregular period problems. I discus some doctors. I have no hormonal problem no thyroid. But one problem seems that is cysts. My doc its prescribe to me krimson medicine one douse daily 6mnts. please help me.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Lucknow
Hi, I am 32 years old not married. I have some irregular period problems. I discus some doctors. I have no hormonal p...
This is the right medicine if you have polycystic ovarian disease and is taken for 21 days every month.
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