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The weight loss and weight gain industry is not regulated in India. It is up to you to choose a safe and trustworthy weight management program. Here are some "red flags" that may tell you that a program does not meet your health needs:
- Promises fast weight-loss (more than one kilogram (two pounds) per week).
- Recommends a very low calorie diet plan (below 800 calories) per day) without medical supervision.
- Tries to make you dependent on their company by selling you products such as foods or supplements rather than teaching you how to make good choices from regular grocery store food.
- Does not encourage long term realistic lifestyle changes, including regular exercise and a healthy diet that suits your lifestyle and health.
- Employs salespeople who act as "counselors", but are only trained on the program and the company’s products and not on healthy approaches to help you change your behaviour to help you lose weight.
- Requires you to sign a long term, expensive contract.
- Pressures you to sign up right away by offering a "special price".
- Does not tell you about risks that may go along with weight loss or their specific program (for example: if you have diabetes and take prescription medication, it may affect you differently after you lose weight).
- Promotes weight loss aids like starch blockers, fat-burners, herbs, supplements or amino acids that have not been scientifically proven to have any health benefits. Talk to a dietitian or other health professional to find out this information.
- Does not offer support or follow-up to help you lose weight and keep it off.
In general, if it sounds too good or too easy to be true, it probably is.
Hello Sir/Madam, I am 28 years 3 months old married women. My period comes in 30 to 31 days and in september I got my period on 15 sept but in October I got it on 22nd Oct after taking 3 vitamins pills. In November I missed my period so I checked up my pregnancy test, which showed +ve result. So we went to Gynaecologist, as per Ultrasound reports it shows 5 week 6 days pregnancy. We are not prepare for this & we have not planned for this now, So I wanted to get it abort. Is it safe for me and will it effect my future pregnancy. Kindly advice the best.
Diabetic retinopathy is an eye problem that affects the retina of the eye and causes total and irreparable blindness. It usually occurs after 15 to 20 years of diabetes. Poorer the control earlier is the onset. Association of hypertension and increased blood cholesterol make the condition more serious.
In initial stages, there may not be any visual symptoms. Some patients may get macular edema marked with a decrease in the vision without exhibiting diabetic retinopathy.
Here is some important aspect of the disease that you should know:
Symptoms as the condition progress: you might experience blurred or fluctuating vision, impaired color vision, spots or dark strings floating in your vision, dark or empty areas in your vision and an even significant decrease in vision which is not corrected with glasses. Diabetes can cause early cataract formation (diabetic cataract) in the eye.
Causes: In an uncontrolled diabetic patient, the blood supply to the retina is decreased due to vascular constriction, in due course of time. This causes anoxia which promotes new vessel formation which may leak causing macular edema and or exudates. The newly formed vessels are fragile, can cause small projections (aneurysms) or may bleed. This all happens in the most sensitive central part of the retina (macula) thereby affecting vision to varying degree.
Advanced diabetic retinopathy: more edema, exudates, and hemorrhages occur. The newly formed vessels may profusely bleed in the cavity of the eye, seriously affecting vision. In due course of time, retinal fibrosis occurs which may cause retinal detachment and total blindness. Few eyes may develop an increase in intraocular pressure (glaucoma) at any stage of the disease, causing blindness even without advanced diabetic retinopathy.
When does the risk increase: longer the duration, higher the incidence. If you have an uncontrolled blood sugar ideally evaluated by hb1ac (glycosylated HB) test, hypertension and increased cholesterol. Pregnancy too increases the risk. Ethnicity plays an important role. More prevalent in native Americans, Hispanics and Africans and now some studies highlight incidence in southeast Asia, including Indians.
When should you consult ophthalmologist: once you are declared diabetic, you must consult an ophthalmologist. Thereafter as per his advice every one or two years or even early if your control is poor or if your parents suffered from advanced diabetic retinopathy. If you are pregnant, eye examination may be needed frequently. Remember, proper control of risk factors and timely examination and intervention can prevent you from becoming blind. A Recent introduction of oct evaluation & intravitreal therapy has significantly helped patients with diabetic retinopathy.