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Dr. Shashank.R.Joshi

Endocrinologist, Mumbai

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Dr. Shashank.R.Joshi Endocrinologist, Mumbai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Shashank.R.Joshi
Dr. Shashank.R.Joshi is a renowned Endocrinologist in Bandra West, Mumbai. You can visit him at Dr. Shashank.R.Joshi@Lilavati Hospital and Research Centre in Bandra West, Mumbai. Save your time and book an appointment online with Dr. Shashank.R.Joshi on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 30 years of experience on Lybrate.com. You can find Endocrinologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Awards and Recognitions
Award of Padma Shri
International Clinician Award, received at the 21st American Association of Clinical Endocrinologists (AACE) Annual Scientific and Clinical Congress, Philadelphia
Professional Memberships
Indian Academy of Diabetes
Association of Physicians of India (API)

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Lilavati Hospital and Research Centre

#A - 791, Bandra Reclamation Landmark : Opposite Mumbai Educational TrustMumbai Get Directions
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I am a diabetic person (using Ameril M1 Fort (one for morning one for night ) and recently I got stone in the kidney kindly advice me.

BHMS
Homeopath,
I am a diabetic person (using Ameril M1 Fort (one for morning one for night ) and recently I got stone in the kidney ...
Dear lybrate user, a kidney stone is mainly formed due to the accumulation of the minerals present in urine. Such accumulation occurs mainly due to low intake of fluids. Continuous low fluid intake results in the deposits of the minerals over the stone & eventually leads to an increase in the size of the stone. Formation of stone leads to pain along the kidney region. If the size of the kidney stone is below 3 mm then it is possible to get rid of it without any surgery. Take homoeopathic mother tincture berberis vulgaris q, 30 drops, thrice daily, after meals, in a cup of water for 15 days. The stone will be expelled through urine in between the span of 15 days of medication. But if the size of the stone is more than 3 mm then you should surely go for surgery.
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I have suffering from february; 2014 to december, 2014 with hepatities now I feel some improvement and take medicine heptrol-400mg. At present I have been suffering from diabetic. So what I will do?

M B B S, M. D (Internal Medicine)
General Physician, Nellore
What form of hepatitis are you having. You said till december, 2014. Are you saying it was cured? how long are you diabetic?
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According to Diabetic that is 1st Stage to control on them what should be eaten in diet or not?

MBBS, MD
Endocrinologist, Delhi
According to Diabetic that is 1st Stage to control on them what should be eaten in diet or not?
Diabetic patients should avoid sugar, jagary,honey, sweets,sweet fruits like banana, mangoe,grapes, cheeku,dates etc. Do regular exercise, walk,yoga. Take your medicine (if you taking) as per advice of your physician. Regularly check your blood sugar.
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Hello doctor. I am married (33 yrs) n I am hvg uric acid (now it is in control) . After my second delivery time I got thyroid. Due to hyper thyroid I hd taken ayurvedic medicine till one yr. Now my course had completed. Before 2 months ago. N it is in control n doctor advised me not to take any medicine n m not taking any medicine. But now I hv joined gym to reduce weight n I hv reduced 7 kg. Now problem is that I want to lose more due to heavy thigh back n tummy. But it isn't going on. Kindly Help me in this matter. N provide diet chart if needed.

PDDM, MHA, MBBS
General Physician, Nashik
Hello doctor. I am married (33 yrs) n I am hvg uric acid (now it is in control) . After my second delivery time I got...
In order to reduce your weight, it is necessary for diet modifications and lifestyle changes. Your diet should be high in fiber, which includes complex carbohydrate foods and low in fat. Include more of raw fruits and vegetables in the diet; avoid saturated fats and oily fried food stuffs. Keep yourself much hydrated; take at least 3-4 liters of water every day. If you are a rice eater, then restrict on rice to one meal day a day. Have whole grams, green leafy vegetables at least twice a week. Never skip your breakfast, because it kick starts your metabolism. For the day. To start the day, eat a healthy breakfast with all essential nutrients. Try to avoid oily fried foods like vada, poori etc and also chutney made out of coconut or groundnut, instead choose sambar or onion / tomato / mint / Coriander chutney. You can have idli or dosa or Chapati with chutney made from onion or tomato or coriander without coconut or you can have it with sambar or any vegetable preparation. Take green tea without sugar as a mid-morning snack along with some hi-fiber or any wheat biscuits. Green tea helps in fat preventing fat deposits in the body and also aids in weight loss. For lunch, restrict on rice, take three Roti without oil, with vegetables and dhal along with a glass of Skimmed Buttermilk. Include salads on a regular basis to increase the fiber content in the diet and avoid sweets, pappad, pickles which are high in calories. During evening, have a very light snack like boiled corn or any fruit or a katori of sprouts or two slices of wheat bread sandwich or boiled Rajma or Channa with salt. Have an early dinner before 8 pm, avoid rice and any preparations made from rice during this time, have either roti made with wheat flour or jowar flour without oil, or any preparation made out of ragi or Broken wheat along with vegetables and dhal, include salads also. Bedtime - a fruit or a glass of skimmed milk or buttermilk can be taken. Fruits like Banana, Seethaphal, Sapota, Avocado, Watermelon, Mango and all Root vegetables (except radish, turnip, carrot) are to be avoided in the diet. There should be a gap of 1.5 hrs- 2 hrs time intervals before you go to bed, after dinner. Keep yourself much hydrated; take at least 3-4 liters of water every day. Along with diet modifications, a minimum 45 minutes brisk walk for 6 days in a week is recommended. Include 'Warm-up' and 'cool-down ‘periods, before and after the exercise regimen. Forty-five minutes per day of moderate intensity physical activity provide many health benefits. Hope I answered your query. Regards.
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Sir if I drink too many pepsi and eat sweets and toffees regularly then I not have diabetes please ensure me if I be a diabetes patient or not. Thank you.

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
Sir if I drink too many pepsi and eat sweets and toffees regularly then I not have diabetes please ensure me if I be ...
Lybrate-user when you know that it is bad for your health then why do you want to do that. See anything done in moderation is not harmful but excess is definitely harmful. No one can ensure that you will not have diabetes. You have to take care of yourself. Remember an age old saying" it's not like that diabetes runs in family, it is more that no one runs in the family" hope this clears my point. So do exercise daily.
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I am 24 years old have papillary thyroid carcinoma undergo total thyroidectomy some lymph gland metastasis found in so is there any cure chances? what should be best treatment methods?

MS - ENT
ENT Specialist, Bangalore
I  am 24 years old have papillary thyroid carcinoma undergo total thyroidectomy some lymph gland metastasis found in ...
Papillary carcinoma is very curable. If there are secondaries after total thyroidectomy you need to undergo functional neck dissection followed by radio iodine ablation therapy. You need to be under constant follow. Results are excellent and you can expect normal life span.
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Actually I wanted to confirm whether my neck pain is related to hypothyroidism as it is there in mensuration more. And also. I was diagnosed with stiffness in neck coz I was having left shoulder and arm pain along with the neck pain.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
Actually I wanted to confirm whether my neck pain is related to hypothyroidism as it is there in mensuration more.
An...
Hypothyroidism as such does not cause any neck pain. Ordinarily it is due to stffening around soft tissue of neck called Cervical spondylosis resulting in pain in neck sometimes radiating to shoulders, upper arms and shoulder blade or back of head
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How thyroid can be controlled without taking medicine. What are the Symptoms of thyroid hyper activities.

C.S.C, D.C.H, M.B.B.S
General Physician,
Some common signs include: Feeling nervous, anxious, or irritable. Experiencing mood swings. Feeling very tired or weak. Sensitivity to heat. An enlarged thyroid (goiter). ... Losing weight suddenly with no known cause. Fast or irregular heartbeat or palpitations (pounding in your heart) Hyperthyroidism creates excess thyroid hormone. Since the thyroid gland produces hormones that regulate the body's metabolism, not surprisingly, the disease increases the body's normal metabolic functions. ... Goiter (an enlarged thyroid gland) is another way hyperthyroidism affects the body.
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My try glyceride is high 280 and uric acid also border line 7 and hemoglobin 11, please advice me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My try glyceride is high 280 and uric acid also border line 7 and hemoglobin 11, please advice me.
Homoeopathic medicine *allium sativa q (dr reckeweg) drink 10 drop in 20 ml fresh water twice daily. *cholestrinum 3x (dr reckeweg) chew 2 tabs twice daily. *report after 3months with latest blood reports of your lipid profile.
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Sir my wife is having sugar for last 4 years, since last year she is taking insulin, I just want to know is there any way to stop taking insulin in future?

M.B.B.S
General Physician, Trivandrum
Depends on blood sugar levels. She needs to stick onto the prescribed dosage at prescribed intervals strictly. How much is her sugar level at present?
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I am a 47 years female with hypothyroidism (Since 10 years), diabetes (since 3 years) and hypertension. hypothyroidism is due to hashimoto where antibodies are present and presently taking Selenium supplement to reduce antibodies. Taking Eltroxin 125 mcg daily as thyroid replacement. My Diabetes is as such well controlled, my last HbA1c was 6.3% which has increased from 6.1% and I found that my PPBS stays higher especially after breakfast. It goes beyond 200 mg/dl. Sometimes even around 290! I have discovered that same thing if I eat in lunch, PPBS is less around 140-150 or sometimes even less than 120 mg/dl. PPBS after dinner is between the two ranges. I.e. Around 160-180. My main question is whether it is advisable to eliminate wheat and rice completely from the diet to reduce PPBS levels? It is difficult to do that since it is our staple diet and is contained in all items. I am taking Metformin 1 g morning and evening and skip taking Metformin when I avoid dinner. I am also taking Diabecon DS tablet which is shown to reduce FBS and PPBS levels considerably because I confirmed it by stopping it for about 10 days, though I was taking Metformin, my FBS and PPBS levels shoots up like anything. Once I started taking Diabecon DS again, both FBS and PPBS levels reduced considerably. My last fasting insulin was 9.93 and fasting glucose 100 mg/dl gave 1.33 as Insulin resistance and 90% Beta cell function by Homa 2 calculator as found on internet which is widely used to measure IR. Now, people who advocate Low Carbohydrate High Fat diet on diabetes forum, says residual circulating insulin should be reduced for which you need to lower your carbohydrate intake. I was told that fasting insulin should be <5 and if Blood sugar control is difficult with this value, it can be <7 but not more than that as more insulin causes more fat storage and ultimately pancreas are whipped to secrete insulin by some drugs. I was taking Glycomet GP-1 forte once in the morning but was getting hypoglycemia since 6 months due to glimepiride in it which was increasing insulin levels, so stopped taking it and now not getting any hype episodes. It is known from various research sites on internet that Gymnema extract (Meshashringi, Gurmar) is very effective in reducing FBS and PPBS levels, but increase insulin levels. So, is it advisable to take Gymnema extract (Ayurvedic medicine) which helps a lot in reducing FBS and PPBS levels? I am taking Arkamin for hypertension once in the morning. So, my question is, is it necessary to reduce carbohydrate intake to 20% which comes to around 100g of carbs each day? People say, since we diabetics cannot process carbs efficiently, we need to reduce it's consumption to around 100g or less for good diabetic control. What should be ideal PPBS level after meals? And What should be fasting insulin level?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
I am a 47 years female with hypothyroidism (Since 10 years), diabetes (since 3 years) and hypertension. hypothyroidis...
U be on simple metformin 1gm twice daily start exercise for half an hour which your not doing just changing tab and using as you like upon your logical decision is wrong only exercise and weight loss can help you :)
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Can you suggest me the fruits a diabetic should avoid. Are nuts useful for diabetics?

MBBS, CCEBDM
Diabetologist, Bangalore
Can you suggest me the fruits a diabetic should avoid. Are nuts useful for diabetics?
Hi Diabetics need to avoid mango, chikku, banana, custard apple, grapes, canned fruits. However with very good control of diabetes these fruits can be had occasionally. Nuts like almonds(2-3 a day) and walnuts(1 a day) are good for diabetics.
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My father age is 69 years old, For past 3 years he is taking tablet for dietetics, Now his sugar level has been increased a lot but he is not taking that much sugar too, Before food 215 mg, after food 330 some what. I do not know how to reduce his sugar level without going for insulin. Please advice me, what action can be taken. Whether he needs to take any test, if yes please tell me the test report names so that I will check near by lab. He is taking Amedop AT tablet for BP too. He got stoke in the year 2000. Because of that his left side function is not good. Please provide your response as soon as possible.

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
My father age is 69 years old, For past 3 years he is taking tablet for dietetics, Now his sugar level has been incre...
Dear lybrate-user, while your concern for using insulin is valid, but it seems you are putting him at risk associated with uncontrolled diabetes. You have to understand that at some point oral meds will be insufficient to controll blood sugar hence insulin is needed which is most effective way. Uncontrolled blood sugar can lead to too many longterm complications like stroke, heart attack, loss of vision, leg ulcer etc. My advice would be to follow your physician advice even if it means starting insulin.
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My mother is 46 years old, she has come to know that she is suffering from thyroid. please give me suggestion what to eat and what not to eat and other tips.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, by saying" she is suffering from thyroid" are referring to hypothyroidism? because thyroid is a normal gland present is all of us, which produces hormone thyroxine. So please clarify that. If she has hypothyroidism, then she has to avoid soy beans, soy containing products, cabbage, cauliflower, broccoli, radish, peanuts, mustard and coffee. She should use whole grain flour for roti and chapati, avoid maida and products made of that. Should consume more of green leafy vegetables, salads and fruits. Should exercise daily for 1 hour and take a restricted diet. Thanks.
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My wife is facing some issues, 1. No period are coming since 5 month, we checked from doctor. Doctor suggest some tests, 1. Thyroid - Normal, 2. TSH- 1.830, 3. HB- 09.8 4. S. Protactinium - 8.87 5. Sugar - Fasting - 98 and post-postprandial - 120 6. Pregnancy Test - Negative Doctor Prescribe her - Yamini LS and Feronia-XT. Taking mechanic but no results are coming. Her age is 36, Pls. Help What to do in cause.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
My wife is facing some issues, 1. No period are coming since 5 month, we checked from doctor. Doctor suggest some tes...
Only after completing Yamini LS she will get withdrawal bleeding after few days of stopping the tablet.Please wait and see.If not getting periods for two weeks after stopping the medicine consult your doctor again
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Hello doctor my mother is suffering from diabeties and high bp problem. Please suggest me the diet chart along with the medicine.

MBBS, M.S, M. Ch, F.I.A.C.S
Cardiologist, Chennai
Hello doctor my mother is suffering from diabeties and high bp problem. Please suggest me the diet chart along with t...
It is wrong to prescribe medicine without examining. Blood glucose, hba1c, lipid profile. Blood urea, serum creatinine. Salt less than 2grams per day. Exercise anti diabetic drugs, antihypertensive drugs, low carb diet. Eg morning 8a. M tea without sugar 9a. M three iddlis with sambar 11a. M whole wheat grain sandwich with cucumber 1p. M one cup rice sambar, vegetables, butter milk 5p. M snacks like sandwiches 9p. M two chapattis with curry take papaya fruit. Avoid mangoes, bananas and suppotas.
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I am having period irregular due to thyroid. Having tablet for thyroid prescribed by doctor. Any option that make my period regular.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am having period irregular due to thyroid. Having tablet for thyroid prescribed by doctor. Any option that make my ...
due thyroid irregular period may occurs .for it you can take..tab. ovral-L X 21 DAYS..WAIT FOR 7 DAYS AND START AGAIN FROM 6 TH DAY OF MENSES..TILL 3 CYCLE OF MENSES.. SYP. AMYCORDIAL 15 ML TDS AFTER MEAL..REGULAR FOR 3 CYCLE OF MENSES.Lifestyle changes. Some women have changes in their period because they exercise too much. Reducing the frequency and intensity of your workouts may help your period return to normal. Stress leads to many body changes, including irregular periods. Relaxation techniques and counseling may be helpful. Extreme changes in your weight can affect your periods. Weight gain can interfere with the body's ability to ovulate, which controls your menstrual cycle. Losing weight may help resolve irregular periods. Extreme sudden weight loss can also lead to infrequent or irregular periods. Hormone therapy (HT). An irregular menstrual cycle is often due to a lack or imbalance of certain hormones in the body. Birth control pills (oral contraceptives) often containing the hormones estrogen and progesterone are commonly prescribed to help control irregular periods. A hormone medication called progestin can also help trigger periods in women who do not get them. Other hormone treatments may be prescribed to women with irregular periods who are having difficulty getting pregnant. Surgery. Sometimes, scarring or structural problems in the uterus (womb) or fallopian tubes may lead to irregular periods. Surgery may be done to correct any structural problems or birth defects, particularly in women who want to have children. It may also be done to remove severe scar tissue (adhesions) in the reproductive tract.
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I'm 23 years male. I always have cough problem. I think it maybe thyroid. Can you please tell me symptoms of thyroid?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I'm 23 years male. I always have cough problem. I think it maybe thyroid. Can you please tell me symptoms of thyroid?
IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. 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. flax oil, 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, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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Hai sir. My wife is suffering from hyperthyroidism she is 38 kgs. How she can gain the weight.

PDDM, MHA, MBBS
General Physician, Nashik
Follow the following tips:- · Pay attention to your health and food intake. · To increase your appetite, have a glass of lime water or 1 cardamom (elaichi) before your meal. · Have minimum 4 meals in a day. · Drink 1 glass of milk twice a day. · Try to enjoy your meals and gradually increase the quantity you eat every time. · A balance diet should have all essential nutrients in it. Breakfast is the most important meal of the day. It should include combination of Both Carbohydrates and Proteins for e.g. Oats with Milk or Poha/ Upma with a glass of milk. If you do not like milk have 1-2 egg whites in the morning along with your breakfast. · You need to focus on your protein intake: Increase your protein intake e.g. Milk, dairy products- cheese, paneer, lentils (dals), nuts (soya, peanuts, dry fruits ), pulses e.g. Rajma, chole, kidney beans etc. Sprouts. If you are a non-vegetarian, then you can have proteins by also eating eggs, chicken, fish. Make sure you are including at least 2 serving of any of these in your daily meal. · Lunch and dinner again should be a combination of Proteins, Carbohydrates and Fats which could have dal, roti, sabji/chicken, salad. · Please do have minimum 4 almonds or a small bowl of peanuts every day. · Please ensure that you drink at least 3 litres of water every day.
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