Dr. Mayur Mehta

Tsh 4.3 milli units/ml is higher than upper limit (range 0.4 to 4.0mu/ml). Therefore, it is most likely you have the thyroxine deficiency. This condition can ead to a multiple of symptoms including hair loss. Hence, immediatley treatment with replacing of thyroid hormone has to be started, dosage can be decided on your weight and tsh levels. Please come up with a private question so that drug therapy can written by l me.

Surprise to see that you are still taking this medicine. This can be cured permanently. Please review with your recent report.

Hello, Thanks for the query. I have gone through the details given, TSH 121.88 is too high, suggesting totally uncontrolled hypothyroidism. Looking at that value, 50 mcg of thyroxine appears very much inadequate. There is no clear mention of the patients age, weight and height, for suggesting the right dosage. When one is on adequate dose of thyroxine, TSh is maintained between 3 to 4 mU/L, and all the symptoms are in good control. Thanks.

Hello, Thanks for the query. Your fasting glucose very high, but PP is very good. That does not show clearly whether you have diabetes. Please check your HbA1c% or /and get an OralGlucose Tolerance Test (OGTT) done, to confirm the diagnosis. Then only treatment can be suggested. There are quite a few economical brands, but there is a need for getting the diagnosis correct. Thanks.

Yes you need to tale multivitamin .Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil) 2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.

Yes it is peripheral neuropathy. Please tightly control blood sugar and blood pressure. Take lot of salad ,green vegetables and salad. Tab. Tycovit mp (pregabalin + methylcobalmin) daily one will help you.

Dear lybrate-user, normal uric acid level in blood should be between 6 to 6.5. There is no need to worry because there is not so much increase uric acid. It will be recover after taking suitable medication. Problems creating due to increase uric acid level like small and large joints pain, inflammation around joints, low grade fever etc. Thanks.

If hypo or hyper thyroidism, then see an endocrinologist. If swelling only then see a cancer or head and neck surgeon.

Please get your fresh reports, fbs, pp, hba1c and get back to me. You shall be fine I can assure. I have an experience in diabetes since, 6 years.

You should take acupressure treatment and take biochemic kali phos 200x + calc phos200x 4 tab each thrice a day with warm water and take it 5 days and inform me private online.