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Dr. Gupta Vishal

Endocrinologist, Mumbai

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Dr. Gupta Vishal Endocrinologist, Mumbai
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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. Gupta Vishal
Dr. Gupta Vishal is a popular Endocrinologist in Mumbai, Mumbai. He is currently associated with Jaslok Hospital & Research Centre in Mumbai, Mumbai. Book an appointment online with Dr. Gupta Vishal and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Endocrinologists in India. You will find Endocrinologists with more than 42 years of experience on Lybrate.com. Find the best Endocrinologists online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Jaslok Hospital & Research Centre

#15 - Dr. Deshmukh Marg, Road No - 2, 2nd Floor, Pedder Road. Landmark: Near Safiya College, MumbaiMumbai Get Directions
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In the last one month I have lost 6-8 kgs, my diabetes level was 120 about a month back. Do I need to check it again. My eye sight is also affected due to that. Can you pl suggest what is the problem and how can I put on weight. Thanks Ramesh Mehta Age 54, weight 51 as on 20/6/17.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
In the last one month I have lost 6-8 kgs, my diabetes level was 120 about a month back. Do I need to check it again....
Take diabeto powder 1 gm twice a day basant kusumakar ras swarn yukta 125 mg BD gudmar kshar 500 mg bd and do contact with ultrasound report and blood report s. Bilirubin.
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I have uric acid problem and 3.5 mm stone in my right kidney and excess calcium in body what diet plan should I follow to make the limit of uric acid and calcium stable in my body.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
I have uric acid problem and 3.5 mm stone in my right kidney and excess calcium in body what diet plan should I follo...
Uric acid builds up when the body makes too much of it or fails to excrete it. It is a waste product resulting from the metabolism of food. The level of uric acid in your blood can become elevated if your body produces too much or if it doesn't efficiently dispose of it. It is very important to keep your diet in check to avoid food that increases the Uric Acid content in the body. Symptoms of uric acid · Excruciating pain in the foot or big toe. · Difficulty walking. · Waking up from sleep due to foot pain. · Occasionally feeling pain in the knee and ankle. · Limited ability to move. · Persistent itching around the big toe joint. · Gritty accumulations of uric acid crystals called tophi that appear on the joints near the elbows, knees, fingers and toes. Foods You Should Eat If You Are A High Uric Acid Patient Diet Tips for High Uric Acid Patients • Lower fat intake as excess fat reduces normal excretion of uric acid. • Liberal fluid intake to keep the urine dilute. • Restriction or elimination of alcohol. Rajmah Via Shutterstock What to avoid • Shell fishes, red meat, minced meat, meat extracts, organ meats, fishes (sardine, roe, makeral). • Whole pulses (masur, rajmah, chana, chole etc.). Other dals are allowed. • Vegetables and fruits - green peas, spinach, french beans, brinjal, cauliflower, mushroom, chickoo, custard apple. Diet rules • Use less salt while cooking. Avoid adding salt while cooking rice or in chapatti dough. • Use adjuncts like tomato, vinegar, cocum, amchur, lime juice, curd, pepper powder to make the food cooked with less salt palatable. • Remove the salt shaker from the table. • Avoid salted nuts/biscuits, papads, pickles, chutneys. • Avoid excess consumption of processed and preserved foods; eg. Bakery products. • Caution - Do not overdo on salt substitutes as that might cause an electrolyte imbalance. Tomatoes Recommended Foods 1. Fresh cherries, strawberries, blueberries and other red-blue berries. 2. Bananas. 3. Celery. 4. Tomatoes. 5. Vegetables including cabbage and parsley. 6. Foods high in bromelain (pineapple). 7. Foods high in vitamin C (red cabbage, red bell peppers, tangerines, mandarins, oranges, potatoes) 8. Low-fat dairy products. 9. Complex carbohydrates (breads, cereals). 10. Chocolate, cocoa. 11. Coffee, tea.">Hello- Diet Tips for High Uric Acid Patients • Lower fat intake as excess fat reduces normal excretion of uric acid. • Liberal fluid intake to keep the urine dilute. • Restriction or elimination of alcohol. What to avoid • Shell fishes, red meat, minced meat, meat extracts, organ meats, fishes (sardine, roe, makeral). • Whole pulses (masur, rajmah, chana, chole etc.). Other dals are allowed. • Vegetables and fruits - green peas, spinach, french beans, brinjal, cauliflower, mushroom, chickoo, custard apple.
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I am taking Thyroxine sodium 100 mcg 1 tablet daily for thyroid, no tested again Which results: Total triiodothyronine T3: 1.17 Total thyroxine :10.50 Thyroid Stimulating hormones: 6.57 (0.35-5.50) So my question is :should I continue the same dose or increase or decrease my dose, please reply. Thanks in advance.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. Please let me know the age of the patient plus are there any symptoms present related to hypothyroidism? Unless those details are known, it is difficult to say whether dose needs to be increased. Usually when on treatment TSh should be maintained around 3 to4 mU/L, particularly in adults. In older people a slightly higher level of TSH does not really matter. In fact it offers certain protection. So please answer my questions. Thanks.
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My mother is a sugar patient. My question is how to control the sugar without eating medicines?

DNHE, Fellowship in Cardiac Rehabilitation, BHMS
Homeopath,
My mother is a sugar patient. My question is how to control the sugar without eating medicines?
Hi, thanks for your query. Try to avoid eating simple carbohydrates, as much as possible. However, since carbs are required for body to function, do take complex carbs (in the forms of oats) as well as a lot of vegetables that do not increase sugar levels (such as okra, egg plant, cabbage, cauliflower etc). A series of studies have shown that vitamin d levels are connected to insulin sensitivity and blood glucose levels. At least 30 minutes a day in the sunshine (without a sunscreen) would be helpful, and a daily multivitamin that includes a minimum of 400 iu of vitamin d would be highly recommended. One gram (slightly less than a half teaspoon) of cinnamon per day was given to 60 volunteers with type 2 diabetes studies have shown that 200 mg daily of alpha lipoic acid (ala) can help reduce the kidney and nerve damage often seen in diabetes please do not eat the following. Bread, cookies, rice, pasta, sweet drinks etc.
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Sir I'm 34 years male. My recent Thyroid test shows TSH 7.55, T3-100, T4-9.1. Plus I have hair loss issue, no other major health issues like fatigue etc. Do I need to start thyroxine tablets now? I'm a bit worried as I've heard that this medicine need to be taken life long.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir I'm 34 years male. My recent Thyroid test shows TSH 7.55, T3-100, T4-9.1. Plus I have hair loss issue, no other m...
Mr. lybrate-user, Thanks for the query. TSH 7.55 mU/L, is considered as sub-clinical hypothyroidism. Usually it is not requiring any treatment. However, if a person has any troublesome symptoms related to hypothyroidism, then treatment is given. As regards taking the tablet for life time, if a person develops hypothyroidism, which means deficiency of the essential hormone thyroxine, which is needed for day to day functioning of almost all the metabolic functions of the body, so it has to be supplemented for the life. There is no option. Thanks.
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My wife is 45 years old and suffering from diabetes for last five years and period is irregular for last two years, weight is increasing besides diet control. Please advice any thing which is helpful to regulate period and decrease weight.

PDDM, MHA, MBBS
General Physician, Nashik
Please mention her recent bsl reports and ongoing treatment and revert back to me for further assistance.
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I am 64 years old. I am Suffering from Uric acid (10.5) & leg's joint pain. Please help.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am  64 years old. I am Suffering from Uric acid (10.5) & leg's joint pain. Please help.
your uric acid level is very high..pl. take tab. zyloric 200 mg 1od aftyer meal.Drink at least 8-10 glasses of water every day. Drinking water at intervals keeps your body hydrated so that uric acid crystals do not form at all. A healthy intake of water can help flush excess uric acid out of the body. Increase your consumption of antioxidant-rich foods like cherries, blueberries, blackberries, grapes and pineapples. They prevent inflammation of the joints and help in the excretion of uric acid. Try apple cider vinegar. Not only is it known to lower uric acid levels, but it also helps to reduce arthritic pain, even when used as a topical application. Stay away from foods that can cause gout or trigger inflammation. These include beans, mushrooms, meat and fish like salmon, mackerel, sardines and crab. Although patients with gout are advised to limit alcohol intake, the best option would be to eliminate it completely. Alcohol not only increases the risk of gout it also increases the severity of symptoms.
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Am conceived with 6 weeks as of last week. But my sugar test shows that 153 during fasting. Doctor advised to take insulin to continue till delivery. Afternoon 2 unit and night 2 unit. Please confirm is it necessary to get insulin till delivery or can I use natural medicine like diet control or to take "Aavaram Poo" extraction or taking amala juice to control sugar level? Kindly advise how to get further.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Am conceived with 6 weeks as of last week.
But my sugar test shows that 153 during fasting.
Doctor advised to take in...
Hello, Thanks for the query. During pregnancy, it is very essential to maintain blood glucose in a very narrow range like 90 to 120 mg all through out the day. If high glucose occurs it has multiple consequences to the growing fetus like affecting it growth, a large baby may occur causing difficulty in delivery. Plus there can be very bad out comes of the pregnancy. To avoid all that it is absolutely essential to maintain glucose levels as mentioned above. Therefore, Insulin will be essential. Only diet control is unlikely to benefit. So please follow the doctor's advise. Also keep checking the glucose levels regularly. Thanks.
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I AM 26 YR OLD LADY. SUFFERING FROM THYROID. USING MEDICINE SINCE 2 YEAR. HOW CAN I CHECK MY THYROID. NOW I AM SUFFERING FROM KNEE JOINT PAIN. PLEASE SUGGEST THE MEDICINE.

M.P.T-Ortho, Bachelor of physiotherapy
Physiotherapist,
I AM 26 YR OLD LADY. SUFFERING FROM THYROID. USING MEDICINE SINCE 2 YEAR. HOW CAN I CHECK MY THYROID. NOW I AM SUFFER...
You can check simple tsh blood test for thyroid. Do some knee exercises. Avoid prolong standing and sitting. For short time you can take any anti inflammatory and analgesic. Otherwise you can consult me.
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I am 22years old unmarried iam suuffering from hypo thyroidism Ht.4'11,Wt.63kg how to control my weight and how to take healthy diet and what is the healthy diet

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Indore
Hi, Good that you r concern abt your fitness. You are over wt. By approx. 15 kgs. With hypothyroidism it is little bit hard to lose wt. Without supervision of a dietician. You have to increase ur exercise and reduce excess calorie containing foods to lose wt. For a proper healthy diet plan you can consult me to achieve your target.
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Hlo doc! My ppbs is 78 mg/dl. Am I hypoglycemic. Is hypoglycemic condition considered as diabetics.

DHMS (Hons.)
Homeopath, Patna
Hlo doc! My ppbs is 78 mg/dl. Am I hypoglycemic. Is hypoglycemic condition considered as diabetics.
Hello, Hypoglycemia is the condition of a diabitc person, non-diabetic hypoglycemia, is a rare condition, so you may not be a diabetic with 78 ppbs. Monitor your sugar levels, regularly, please. Tk, care.
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Hi, My father is suffering with chronic kidney disease stage-5. Currently he is running on dialysis. He is having bp and diabetes from last 16 yrs. Some doctors suggested kidney transplantation and some not to have. From last 5 months he is running on dialysis. We took decision of running dialysis itself. Is it correct or else we have done any mistake? With the dialysis can he survive well? Thanks for responding in advance.

Diploma In Anesthesiologist, MBBS
Anesthesiologist, Jamshedpur
Hi,
My father is suffering with chronic kidney disease stage-5. Currently he is running on dialysis. He is having bp ...
I stage 5 CKD renal transplant is only option. Better a good nephrologist will guide u. He will need regular dialysis. Dialysis has its own side effects but you have no other options left with u. Proper control of blood sugar and hypertension. Be Healthy Be happy.
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I am 44years old male. I have done my blood sugar test and got following result. Fasting _ 121 and pp _161. Do I need to start medicine. Pls let me know it can be control by diet. Thanks.

DNB (Endocrinology), MD - General Medicine, MBBS
Endocrinologist, Ludhiana
I am 44years old male. I have done my blood sugar test and got following result. Fasting _ 121 and pp _161. Do I need...
You are a prediabetic. You have to be careful about your lifestyle. You may or may not need a medicine, will depend on the control of sugar on lifestyle modification. You should see your doctor for further treatment.
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I m suffering from thyroid from two years. I m putting on my weight, what should I do.

fellowship in diabetes, Professional Training in Mind Body Medicine, MS, MBBS
Dietitian/Nutritionist, Ahmedabad
I m suffering from thyroid from two years. I m putting on my weight, what should I do.
It is always challenging to lose weight with thyroid disorder. Most people who are fat are made to feel that it is because you lack will power, you are lethargic and a weak person. But that is definitely not true. It is your your hormones which have made you fat and keeping you fat. Unless we make correct diagnosis and and create a diet and lifestyle plan to correct that hormonal abnormalities you will not be able to lose weight for long term. Most diet fails because they are low calorie and low fat. Instead of correcting metabolism, they make you feel low energy or makes you feel excessively hungry. To achieve weightloss - think long term. Weight loss achieved over short term, always comes back. There is a general approach and a specific approach as per individual patients metabolic profile. Try this general approach (see below) for 4 weeks. If this works then continue. If this is not enough then revert for further assessment and customised approach. With customised lifestyle modification approaches, people over 100-150 kg are also losing weight for long term. 1. Do not eat anything sugary or sweet. Zero sweetness in diet. 2. Eat plenty of salad in lunch and dinner along with other foods. 3. Do not drink any liquid calorie like cola or fruit juices. 4. Go for brisk walks or jogging for 45 minutes every day. Best wishes.
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Sir few months before, simply I tested my blood, and my uric level was normal 5.7 but after one month again I did one more blood test that time my uric acid level was 9.3 but I didn't have any body pain. Doctor prescribed me fubic 40 mg medicine, I took that medicine only for one week. For 22 days like that I avoid high protein diet, again after 22 days I have did one more test that time my uric acid level is 5.7,but yesterday I again tested it increasing to 6.9.¹.so itcan be curable forever? And moreover I am a vegetarian. .how long I have to maintain my diet. Almost been two months I am in depression bcz of this. So many people told me later on it will affect me or something on the other. Please help me sir.

MBBS, MD - Internal Medicine
General Physician, Ghaziabad
Sir few months before, simply I tested my blood, and my uric level was normal 5.7 but after one month again I did one...
Patients with increased uric acid and no symptoms usually do not require therapy until they develop kidney stones or joint problems, the possibility of which is low if you are asymptotic with such high uric acid. You will have to follow a lifestyle where you should avoid alcohol, peas, beans, rajma chola. Many times excess and strenuous exercise may lead to increased uric acid levels. Avoid that. Take plenty water and get physician consultation at least 6 monthly.
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Hello doctor my mother is suffering from lots of problem though she is a thyroid patient and recently she did checkup and found some problem like increase cholesterol level vitamin b12 increases iron is low backache problem. So please tell me the remedy to get rid from these problems. Please doctor I want my mother will be fit. Please help me doctor.

MS - Orthopaedics, MBBS
Orthopedist, Pune
Hello doctor my mother is suffering from lots of problem though she is a thyroid patient and recently she did checkup...
Hello lybrate user, back pain that is associated with day time sedentary jobs like computer professional s are associated with paraspinal muscle spasms. The best way to tackle this sort of pain is to do well spaced stretching exercises of the back, back extension exercises, using hot water bags to provide relief and avoiding stooping posture while sitting. Posture also plays a very important part in back pain, always maintain a straight posture while sitting. While getting up from the bed try to first go on your left or right side of the body and get up side ways. Avoid cruntches or sit-ups: they may increase the pressure on your back and may predispose to slip disc. Always maintain a healthy lifestyle in terms of regular brisk walking, meditation, eating healthy. P. S: try to avoid pain killers (analgesics) as much as possible as many are associated with side effects that you may not be aware of. Stay healthy. Stay happy god bless you.
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I am 26 year old male getting a perspiration with out any physical activity. Even some times rest time also. I dont have any thyroid. Used a many anti perspirants but there is no positive results.

MBBS
General Physician, Mumbai
We can call it as due to hyperhydroses and I will suggest you to wear cotton clothes and drink a minimum of three litres of water per day and use an air conditioner at home and at work place.
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I am 30 yrs old single woman. I have hypothyroidism. I am on medication (currently on thyronorm 100mcg) for last 11-12 yrs. I have irregular periods & it lasts for 2-3 days. I was diagnosed with pcos & was given metformin 500. Currently I am not taking metformin. Can you suggest me what should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 30 yrs old single woman. I have hypothyroidism. I am on medication (currently on thyronorm 100mcg) for last 11-1...
Go for walk daily . Avoid stress. Some Relax during work. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take 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. 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,
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Infertility Treatment - 4 Parameters To Consider

MBBS, DGO
Gynaecologist, Gurgaon
Infertility Treatment - 4 Parameters To Consider

The inability to conceive after indulging in unprotected sex is known as infertility. It can also be referred to the biological incapability of a male to cause the conception or a woman being unable to carry the pregnancy for full term. Research has shown that female problems contribute to over half of all the infertility cases while a majority of the other causes include sperm disorders.

Treatment of infertility depends on:

  1. Cause of Infertility
  2. Duration of Infertility
  3. Age of both partners
  4. Personal preferences

Causes:
Causes of infertility in women include:
1. Ovulation disorders: This is regarded as the most common cause of infertility in women. The disorders can be caused due to the following

2. Problems in fallopian tubes or uterus: Abnormalities in the uterus or fallopian tubes render the woman incapable of conceiving naturally. This might be due to:

3. Medications: There is a possibility that treatment will cure infertility. Examples include NSAIDs (non-steroidal anti-inflammatory drugs), Chemotherapy and Radiotherapy.
Treatment of infertility might involve a significant amount of psychological, physical, temporal and financial commitments.
In men, treatment is done to treat lack of healthy sperm or general sexual problems. The treatments include:

  1. Medications
  2. Surgery
  3. Change in lifestyle
  4. Sperm retrieval

Even though it is possible to restore fertility in women using only one or two therapies, a number of treatments might be required before conception is possible. Some of these treatments include:

  1. Intrauterine insemination (IUI)
  2. Stimulation of ovulation with fertility drugs
  3. Surgery to restore fertility

In situations where pregnancy does not happen spontaneously, Assisted Reproductive Technology (ART) can be used by couples to achieve pregnancy. It is a form of fertility treatment which involves the handling of sperm and egg. The entire ART team consists of psychologists, physicians, embryologists, nurses and lab technicians.

One common ART technique is In vitro fertilization (IVF). It is a process where an egg and sperms are manually combined in a laboratory dish, followed by transfer of embryo to the uterus. Some aspects involved in an IVF cycle are:

  1. Intracytoplasmic sperm injection (ICSI)
  2. Assisted hatching
  3. Donor eggs or sperm
  4. Gestational carrier

Some complications that may occur during the treatment of infertility are:

  1. Multiple pregnancy
  2. Ovarian hyperstimulation syndrome (OHSS)

If you wish to discuss about any specific problem, you can consult a Gynaecologist.

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I am a 20 year male having hypothyroidism. What should I do to look my personality good?

PDDM, MHA, MBBS
General Physician, Nashik
I am a 20 year male having hypothyroidism. What should I do to look my personality good?
You must exercise daily for at least 30 minutes, maintain your ideal body weight, follow a good diet, sleep properly, drink water throughout the day to keep your body hydrated, avoid alcohol and stop smoking if you do.
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