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Dr. Shashank.R.Joshi

Endocrinologist, Mumbai

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Dr. Shashank.R.Joshi Endocrinologist, Mumbai
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Personal Statement

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 26 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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Me thyroid ki patient hu muje rat me nind nahi aati he aur pura din sone ka man hota he lekin din me bhi nind nahi aati he aur mera weight bhi jyada he to kya karu?Please tell.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Lybrate-user, if hypothyroidism is not in control then various symptoms keep disturbing, plus weight gain also continues. So it is essential o bring tsh level down to 3 to 4 milli units/l. Then all symptoms will disappear plus efforts to control weight also will be successful. Thanks.
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I am 26 years old now. I am suffering from Hypothyroid. Earlier my TSH Level was 7.43 and then 3.73 and now it is 6.42 but I have not taken any medicine now. Earlier I took thyronorm 50 mg. I am 89 kg. What should I do now. Can I cure it naturally?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
I am 26 years old now. I am suffering from Hypothyroid. Earlier my TSH Level was 7.43 and then 3.73 and now it is 6.4...
Why did you stop medication? you are over weight also. So I suggest you to change your life style 1. No alcohol (if do) 2. Reduce weight 3. No smoking (if do) 4. Diet- a no fatty / sugary food. No fried/ no junk/ no processed food b. More fruits c. No cauliflower/ cabbage/ broccoli/ no radish/ mustard seed d. No coffee/ tea e. No soya bean 5. Deep breathing exercise do for 15 days and give feed back.
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I have hypothyroidism, taking 50 mg thyrox, I got it 10 years back, I am going to 6 months once check up TSH is 3.2,dr told it's normal, but I am worried I may have chances of getting thyroid cancer? Is it true? I am normal in lifestyle. Weight also normal .59 kgs.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
I have hypothyroidism, taking 50 mg thyrox, I got it 10 years back, I am going to 6 months once check up TSH is 3.2,d...
Thyroid is a hormonal organ. Hormones are signals in our body which effect various vital processes of the body. You can link them to traffic lights for the smooth and safe flow of traffic in the body. Unfortunately due to several known and unknown reasons, some hormonal organs like thyroid start to underperform or over perform leading to hypo or hyper function respectively. When we prescribe medicine for hypothyroid patients - we just provide supplementation of deficient hormone in the body. Hypothyroidism and Thyroid cancer are two very things and should not be related as such. We currently have no medicine to cure the thyroid gland - we just have medicine to fulfil the hormone that was supposed to be manufactured by the thyroid gland. Since the requirement is daily - that is why the medicine is given daily. Since the requirement is lifelong- thats why the medicine is lifelong!
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How to reduce fatigue and diabetes which my relative has for around 10 years? She also has pressure problem.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
How to reduce fatigue and diabetes which my relative has for around 10 years? She also has pressure problem.
avoid stress, go for walk daily. take green veg., digestive food, multivitamin,mineral foods,mineral water,fruits juice,take protein diet,amino acid foods. you can go for tests vit.B12, vit.D. mineral , amino acid.cbc. You can take cap. Revital once a day after meal. Eat green veg. More fiber foods. Avoid fatty foods,junk foos,oily meal, drink plenty of water.take digestive meal . Syp. Aristozyme 10 ml thrice a day. Take tab. Charcol at night. Syp . Livoluk 10 ml at night. tests for constipation.. stool c/s, Examination of the rectum and lower, or sigmoid, colon (sigmoidoscopy) Examination of the rectum and entire colon (colonoscopy). An X-ray of the rectum during defecation (defecography). Avoid smoking/alcohol if you take.
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I am suffering from diabetes. I take medicine in daily life and my blood sugar level is maintained. I also take medicine of pain in heart. By taking medicine My heart and diabetes condition is stable. But after every two days my stomach ran and going bathroom many times a day. Is there any problem Related to liver ? What is the problem sir?

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
I am suffering from diabetes. I take medicine in daily life and my blood sugar level is maintained. I also take medic...
It might be related to long duration of your diabetes. You can try taking a tablespoon of methi seeds at bedtime. To be swallowed whole with a glass of water.
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I am 38 years old l am having thyroid problem past 2yrs and l am taking 100mg thyroid sodium tablets daily 1 month before my clinical laboratory report shows serum TSH (ECLIA) 17.140 # and serum FREE T3 (ECLIA) 2.86 pg/ mL and serum FT4 (ECLIA) 0.94 ng /dL my Question is what type of thyroid l am having weather hypothyroidism or hyperthyroidism and l am taking thyroxine tablets is it correct or wrong tablet if wrong means please suggest tablets to be taken please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 38 years old l am having thyroid problem past 2yrs and l am taking 100mg thyroid sodium tablets daily  1 month b...
your tsh level is 17.140 it means you have hypothyroidism. thyroxine is good medicine in this. 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.
2 people found this helpful
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MBBS, MD - General Medicine
General Physician, Ahmedabad
For patients of type 2 diabetes, it is necessary to go for ophthalmic (eye) examination with fundoscopy at the time of diagnosis and every 1-2 years thereafter. Keeping sugar well in control helps to prevent the complications of diabetes/delays the onset of complications.
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I am 41 years old male. I have autoimmune thyroid disease from last 5 months. What to do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Autoimmune thyroiditis can lead to reduced function of thyroid gland (hypothyroidism), in such case thyroxine hormone has to be given daily for lifetime. Tsh, t3, t4 should be tested every 6 weeks to adjust the dosage of thyroxine till it is stabilised. So you have to start on thyroxine tablets dose depending on weight and tsh levels.
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Cupping therapy in High blood pressure

MD (U), Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Delhi
Cupping therapy in High blood pressure
Hypertension is very common, that needs a lifelong management once diagnosed. All adults should know their blood pressure; regular monitoring can reduce the risk of having heart disease, stroke, kidney failure and blood vessel problems. Though anti-hypertensive medications and lifestyle changes are effective to bring down the blood pressure, some natural remedies help control the blood pressure more efficiently.
Cupping is an ancient treatment remedy that has been used for many centuries in many parts of the world for high blood pressure (hypertension) treatment. In the middle east, wet cupping" hijama" is still a popular treatment. Wet cupping is the process of using a vacuum at different points on the body in order to gather the blood in that area. Then apply few superficial incisions (small, light scratches using a razor) on those areas, followed by repeating the vacuum on the same areas in order to remove'harmful' blood which lies just beneath the surface of the skin.

I am 29 yrs male and I have tsh value 8.85 which is higher than normal value (0.35-5.50). But my t3 and t4 values are normal. Should I contact to doctor?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 29 yrs male and I have tsh value 8.85 which is higher than normal value (0.35-5.50). But my t3 and t4 values are...
you can take tab. thyroxine 75mcg before meal in morning. 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 iron medicines. Avoid bad habits . Avoid stress. Some Relax during work. 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, go for walk. avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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I am not hypothyroid but the latest TSH level was 7.2. My T3 & T4 are at normal levels. MY TPO is also within normal limits. I know that coffee is bad for thyroid functioning, but is it ok if I have one cup of tea a day or on alternate days?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am not hypothyroid but the latest TSH level was 7.2. My T3 & T4 are at normal levels. MY TPO is also within normal ...
lybrate-user, Thanks for the query. With TSH of 7.2 mU/L, you have sub-clinical hypothyroidism. In this condition usually no treatment is advised. However, if there are any troublesome symptoms then some patients are treated with thyroxine. You can take both coffee or tea, in moderate quantity. There is no harm in that. Thanks.
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I have hypothyroidism take medicine 100 electrocine I have no childrens thats effected 4 pregnancy.Please tell.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have hypothyroidism take medicine 100 electrocine I have no childrens thats effected 4 pregnancy.Please tell.
Hi, if you are on treatment for hypothyroidism, then tsh levels should be around 3 to 4 milli units / l and if you want to get conception then tsh levels should be 0.1 to 2.0 milli units/l and through out pregnancy again the levels have to be around 2 milli units only. If tsh levels go higher, fetal growth is affected, miscarriages may occur, over all pregnancy out comes are bad. So please keep that in mind and then plan for pregnancy. Thanks for the question.
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Hi, I am diabetic and 40 years old. What are the regular test I should keep in touch. Please advise.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Hi, I am diabetic and 40 years old.  What are the regular test I should keep in touch.  Please advise.
Blood sugar daily or once week. Hba1c every three months, lipids every year, renal function test every year, liver function test every year. Eye check up every year.
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Hello My name is Hemal, and I am suffering from diabetic from last 5 years, so please advice me to cure my diabetic. Thank you.

MBBS
General Physician, Allahabad
Hello
My name is Hemal, and I am suffering from diabetic from last 5 years, so please advice me to cure my diabetic.
...
No permanent solution for diabetes you have not given your blood sugar levels which is very important for further advice.
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I want to know that if sugar level is 200 then how I control it. Give me some tips of food habits and daily routine work.

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
I want to know that if sugar level is 200 then how I control it. Give me some tips of food habits and daily routine w...
You have to take regular medicine for your raised sugar level and regular sugar monitoring. Do regular yoga and exercise. Avoid carbohydrate rich diet e.g. Potato, wheat, sugar, rice etc. Salads, roasted green gram, butter milk, mixed flour chappati, these are certain food items good for you.
1 person found this helpful
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I am diabetic. My triglycerides are not in range inspite of taking regular allopathic medicine. Is there any permanent treatment in homeopathy?

BHMS
Homeopath,
I am diabetic. My triglycerides are not in range inspite of taking regular allopathic medicine.
Is there any permanen...
Scientists have observed that aterovastin is of no help. They said taking aterovastin in cholesterol is waste of time even they said it increses the risk of heart attack. Its our fallacy the pherma companies suppresses this kind of research result for their benefits. Soo you come across the truth. Only by proper homeopathic treatment your blood cholesterol and triglycerides will b lower. We have soo mny medicines to lower this thing. U need to avoid the fatty food. Use oil 750 ml per head per month.in which 3 part will b musturd oil 2 part will b rice bran or soya oil. Walk everyday for 40-45 mins briskly it is very much essential. Soo you can contact me through Lybrate for your treatment purposes.
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I am 50 no diabetes wt. Is 90 ht. Is 5.11" I suffer ED and take many medicines by doctors as a homoeopathic, Ayurveda but no improvement. I take some time Suhagra 100 better result but then suffer headache. Please solve my problem.

MBBS,MD(medicine), PGDS(sexology), Fellowship in sexual medicines
Sexologist, Jaipur
I am 50 no diabetes wt. Is 90 ht. Is 5.11" I suffer ED and take many medicines by doctors as a homoeopathic, Ayurveda...
Suhagra has many side effects on heart, kidney and penis muscles as well. Due to past history of various factors of, stress, diabetes, age etc. Causes weakness in muscles and nerves of penis causes decrease blood circulation which decrease erection sensation also and can worst your sexual life and married life if not treated. Erectile dysfunction should be cured as soon as possible in right age before it gets worse and affects your physical sexual life in future. You can have proper one time complete treatment by us and can consult back for that. The special blend of herbal and natural precious medicines with allopathic medicines directly provided by us, will boost your long lasting erections, and sustained elongating tightness to regain your sexual power back. Results start within days.
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I am 37 year male I have suffering last 7 years in sugar problem please solution this problem.

BHMS
Homeopath,
I am 37 year male I have suffering last 7 years in sugar problem please solution this problem.
Dear lybrate-user, one of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Muscle cells utilise the glucose molecules to release energy by breaking down those glucose molecules. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. The failure of utilisation of the glucose molecules by the muscle cells results in production of less energy than normal condition. This is externally manifested as the fatigue & tiredness of the patient. This excess amount of blood sugar compels the kidney to function more than normal level in order to excrete the blood sugar molecules through urine. As a result the patient suffers from frequent urination. This abnormal condition is clinically known as diabetes mellitus. Once a patient is diagnosed with diabetes he has to take regular medicine to keep his blood sugar level within normal limits. However, the patient does not need to take medicine unless his/her post. Prandial blood sugar level reaches 200. If post. Prandial blood sugar level reaches 200 then patient can take homoeopathic mother tincture gymnema sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Along with intake of medicines the patient need to walk at least 1 hour daily without any interval. In order to decrease the intake of carbohydrate in diet the patient should avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.
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My mother is suffering from diabetes last 5 years. Diabetes are out of control. Please suggest a better treatment.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother is suffering from diabetes last 5 years. Diabetes are out of control. Please suggest a better treatment.
Lybrate-user, to suggest any treatment first you should inform follwing thing: curren fasting and pp levels, hba1c%, dietary habits and extent of daily exercise being done and present treatment with dosage. Based on those details I can give suggestions. It is better if you come in a private conversation. For ideal sugar control fasting sugar should be around 100 mg, pp 150 to 160 mg and hba1c%<7. Thanks for the question.
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I am diabetic 26 years old. Hba1c 7.5 .how long I will use metformin ?will I use it throughout my life?

MBBS, PG Diploma In Emergency Trauma Care, Fellowship in Diabetes
General Physician, Delhi
I am diabetic 26 years old. Hba1c 7.5 .how long I will use metformin ?will I use it throughout my life?
The treatment of diabetes is not that simple. There are many classes of diabetic drugs. It depends on extent of diabetes and complications to decide medicine for the diabetic person. Dosages are also decided upon depending on your acute and chronic sugar levels, fasting sugar levels, post prandial sugar levels, urine sugar levels, urine microalbumin levels, urea and creatinine levels. So, a complete diabetic profile needs to be done to reach for the best drugs and proper dosages. Here is the list of tests, please get them done and follow up with me. I will do the best and give you a proper treatment. 1. Hba1c. 2. Sugar - fasting and pp. 3. Urine - routine and microscopy. 4. Urine microalbumin. 5. Urea and creatinine. 6. Lipid profile. Follow up with the reports. I will set up a wonderful treatment plan to control your sugar levels. Additionally I will also make a customised dietary plan for you to take care of your sugar levels naturally.
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