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Dr. Somil Mithaliya

Endocrinologist, Mumbai

800 at clinic
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Dr. Somil Mithaliya Endocrinologist, Mumbai
800 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Somil Mithaliya
Dr. Somil Mithaliya is an experienced Endocrinologist in Kurla West, Mumbai. You can meet Dr. Somil Mithaliya personally at Kohinoor Hospital in Kurla West, Mumbai. Save your time and book an appointment online with Dr. Somil Mithaliya on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 28 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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Kohinoor Hospital

Kohinoor Hospital, Kohinoor City, Kirol Road, Kurla West, Landmark: Off Lbs Road, MumbaiMumbai Get Directions
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My husband suffered high levels in fsh hormone like 26 is it of problem of infertility.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
It is also essential for men to have normal levels of the FSH hormone. An imbalance of this hormone in men can contribute to infertility. For men, FSH controls sperm production which is of course essential to fertility. Typically, a man’s follicle-stimulating hormone levels should be between 5 and 15 IU/L. High levels of FSH in a male could indicate that the testicles are not functioning properly, or may have been damaged by some condition. They can also indicate the presence of Klinefelter syndrome, a genetic disorder that causes the presence of too many X chromosomes in the male. So get semen analysis done, and consult with some good infertility specialist.
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I am taking medication for diabetes, glycomet 0.5 and cetapin r 400, it is for around past 8 months. For past 2-3 months, I am noticing lack of focus and concentration, lack of memory. Is this normal or just my delusion, what shall I do?

PDDM, MHA, MBBS
General Physician, Nashik
I am taking medication for diabetes, glycomet 0.5 and cetapin r 400, it is for around past 8 months.
For past 2-3 mon...
I have read your query and understood your concerns. Lack of concentration can be a part of anxiety, depression and lots of stress. If you are having any persistent stress in your life then it needs to be addressed first. Relaxation therapy like yoga and meditation will help you a lot. Following are some tips to increase your mood and concentration: - engage in your hobbies - play indoor games with your children like carrom, chess, puzzle games etc. - play sudoku and solve crossword puzzles - talk to friends and go for outing whenever you are free - keep distance from alcohol and other drugs - make a schedule of activities to perform as per priority and follow the schedule - if you are forgetting appointments or meeting then make use of application for reminder - become social person if you are not - if your mind is distracted somewhere start counting backwards from 100. By the time you reach 50, you shall find yourself relieved. - keep yourself updated about current political affairs - take help from friends - take a good night sleep of at least 8 hours.
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I am type 1 insulin dependent diabetic taking injections every day for last 10 years. Recently I read about insulin pens which look less intimidating. How are they different from injections and are they better or worse?

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
I am type 1 insulin dependent diabetic taking injections every day for last 10 years. Recently I read about insulin p...
There are many types of insulinis. Most of them are available in pen. If you are type 1, you would benefit from buying a permanent insulin pen. You would only have to change the cartridges when the insulin gets over inside. Most companies have helplines in place to assist taking of the injections.
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Doctor I having problems off diabetes so doctor what can I eat and not eat to daily scheduled doctor can I eat sum sweet pleas replay and give me solutions.

PDDM, MHA, MBBS
General Physician, Nashik
Doctor I having problems off diabetes so doctor what can I eat and not eat to daily scheduled doctor can I eat sum sw...
Here is a sample diet to help you understand the diet. Early Morning: Green tea ( sugar less) Breakfast: non fried preparations/ whole wheat bread/ vegetable poha, upma, etc. / idli sambhar etc. Mid-Morning: Fruits ( avoid the carbohydrate rich fruits like grapes, banana, custard apple and watermelon) Lunch: 2 dry chapatti + sabji 1 katori + dal or skimmed curd – 1 katori + salad 1 katori Evening Snacks: Tea / Coffee sugarless + high fiber bis. OR Sprouts 1 katori Dinner: 2 chapatti + vegetable 1 katori + skimmed buttermilk 1 glass + salad 1 katori.
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Weight gain precedes the onset of diabetes

C.S.C, D.C.H, M.B.B.S
General Physician,
Weight gain precedes the onset of diabetes
Weight gain after age 18 years in women and after age 20 years in men also increases the risk of type 2 diabetes.

The Nurses’ Health Study, compared women with stable weight (those who gained or lost <5 kg) after the age of 18 years to women who gained weight. Those who had gained 5–8 kg had a relative risk of diabetes of 1.9; this risk increased to 2.7 for women who gained 8–11 kg.
Similar findings were noted in men in the Health Professionals Study.

Thus, the excess risk for diabetes with even modest weight gain is substantial.

Weight gain precedes the onset of diabetes. Among Pima Indians (a group with a particularly high incidence of type 2 Diabetes), body weight gradually increased 30 kg (from 60 kg to 90 kg) in the years preceding the diagnosis of diabetes.
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Sir, my fasting sugar is 220 n HbA1cis 9.0 as per days thyro lab reports, pl let me know medicine you preferred to minimize this results.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir, my fasting sugar is 220 n HbA1cis 9.0 as per days thyro lab reports, pl let me know medicine you preferred to mi...
Mr. lybrate-user, Thanks for the query. If you have fasting blood glucose 200 mg and HbA1c% 9, then your diabetes is totally uncontrolled. Ideally fasting glucose should be < 100 mg, PP 150 to 160 mg & HbA1c% <6.8. It appears you need to change or up grade the present medication in order to control blood glucose and reduce possibility of developing long term complications associated a almost every single system. Another thing I notice is that your BMI is 26.78 kgs/M2 (normal <23 kgs/M2), showing over weight, which also is a contributory factor for high blood glucose. In this communication we are only allowed to give general guidelines but no prescriptions. Therefore, it is better if you come in a private conversation with all the necessary details, then I will be able to guide. Thanks.
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Hi 50 mcg thyronorm I checked my TSH it comes 5.5 whereas average range is .22-4.7.Do I need to increase my dosage if yes then how much or can I take 50 mcg one day and 75 mcg on alternate day?

BHMS, M.D.
Homeopath, Pune
Hi  50 mcg thyronorm I checked my TSH it comes 5.5 whereas average range is .22-4.7.Do I need to increase my dosage i...
Hello lybrate user, Take homeopathic treatment along with thyronorm(synthetic hormone) for   hypothyroidism to ensure good results.it is safe,natural and holistic way of treatment. natural homeopathy medicines like calce, natrum, etc.; are highly effective for hypothyroidism. In chronic cases, homeopathic medicine are selected individually on the basis of thorough details of patient like medical history, routine, causes, temperament etc..; such well selected remedy naturally improves the thyroid gland, balance thyroid hormones level naturally and gives complete relief and cure. Message back for online homeopathic consultation. 
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My wife's thyroid level has been increased high and it is 6.7 what should she do.?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My wife's thyroid level has been increased high and it is 6.7 what should she do.?
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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Thyroid - Can it Prevent You from Getting Pregnant?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Agra
Thyroid - Can it Prevent You from Getting Pregnant?

The human body works as directed by the various hormones released by the endocrine system. These hormones are essential for coordination of various body functions. From the height a person achieves to the metabolic reactions in the body to the reproductive cycle to the stress levels a person can handle, all are hormone controlled.

Pregnancy is another critical, complicated phase that a woman goes through. It is one of the most awaited phases in a woman’s life; however, it is not very simple either. The above-noted hormones play a major role in this pregnancy, as the baby is dependent on the mother for its initial supply of hormones until it can start producing its own hormones. If the baby does not receive the require amounts, there could be various detrimental effects during development and post birth.

Hypothyroidism or an underactive thyroid is extremely common in women and there are multiple theories about how hypothyroidism can affect a woman’s chances of getting pregnant. While the correlation between hypothyroidism and pregnancy are quite well researched, a strong connection stating hypothyroid women being not able to be pregnant is yet to be proven.

The following are some correlations between hypothyroidism and pregnancy.

Increased chance of miscarriage: Women with reduced thyroid functions have double the chances of having a miscarriage. Women suffering from thyroid are at a risk of recurrent miscarriages during the first trimester. The chances of miscarriages during the second trimester are also about 40% higher in hypothyroid women. These women are also at a risk of:

  1. Premature labour
  2. Low birth weight
  3. Increased chances of stillbirth
  4. Maternal anemia
  5. Postpartum hemorrhage
  6. Developmental defects and/or delays in the newborn
  7. Placental abruption
  8. High blood pressure

One of the reasons identified for infertility in women is hypothyroidism. This range varies from 1% to 40% and so remains to be proven still. In addition, the hypothyroid mother will have a set of symptoms to live through, which may be further complicated given the pregnancy. Thyroid replacement should be religiously done and monitored to ensure TSH levels are at the optimal required levels (2.5 to 3 mIU/L) during the entire duration of pregnancy.

If you have the following, be sure to go through a comprehensive thyroid screening before and during pregnancy.

  1. Family history of thyroid
  2. History of thyroid dysfunction or goitre or thyroid antibodies
  3. Clinical signs and symptoms suggestive of hypothyroidism
  4. History of repeated miscarriages
  5. History of head and neck radiation
  6. Family/personal history of autoimmune disorders

While it still remains to be proven that hypothyroidism per se can stop a woman from being pregnant, there are definitely effects of hypothyroidism on the developing child and the mother. A comprehensive screening and close monitoring through pregnancy are extremely essential. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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My uncle has a high sugar level of 460 in regular and in fasting 250 .what should he do?

BHMS
Homeopath, Delhi
My uncle has a high sugar level of 460 in regular and in fasting 250 .what should he do?
Yout uncle can go fot homeopathic treatment for sugar management. Should not remain empty stomach for very long. He should eat every 2-3 hours .can have small portion meals. Control on sweets, potatoes, rice control on carb. Have a proper diet chart to follow and morning eve walk.
1 person found this helpful
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I got diabetes age of 30 is it avoided if taken care? Please give your suggestions. Thank you.

MBBS, MD - Medicine
General Physician, Delhi
I got diabetes age of 30 is it avoided if taken care? Please give your suggestions.
Thank you.
1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3control diet a) avoid sweets, sugar/honey, milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, carrot, tomato, j legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, sapota, seethaphal jack fruit, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, jack fruit, sweet potato, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly
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I urine a lot. Have done all the required checks for gall bladder, diabetic and others. All the tests r good. But if I drink water (I drink 2 litres) I urine every 15 minutes. Kindly advice.

MD - General Medicine, MBBS
General Physician, Faridabad
I urine a lot. Have done all the required checks for gall bladder, diabetic and others. All the tests r good. But if ...
Serum electrolyte, urine routine, urine osmolarity, urinary sodium and urinary potassium. Get these tests done.
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Can a diabetic patient consume Luke warm water with lemon and honey (since honey is sweet).

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Can a diabetic patient consume Luke warm water with lemon and honey (since honey is sweet).
Mr. lybrate-user, Honey contains mainly or only sucrose (as in sugar), plus it has some vitamins and a few anti-oxidants. But since it is sucrose, it will increase blood glucose level almost immediately. It will depend upon the quantity taken. Thanks.
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Sir, my weight loss 3 months. My sugar level Passing 88 and after meal 122. Please any suggestions.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir, my weight loss 3 months. My sugar level Passing 88 and after meal 122. Please any suggestions.
Mr. lybrate-user, The mentioned blood glucose levels are absolutely normal. Therefore, weight loss is unlikely to be related to blood glucose. There may be other reasons, which may have to be investigated. Thanks.
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Is there permanent treatment in homeopathy for irregular periods and thyroid? Please advice.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Vadodara
Is there permanent treatment in homeopathy for irregular periods and thyroid? Please advice.
Yes homeopathy can cure both of these problems from root without side effects if you take the medications regularly and for long term as per your problem as advised by doctor.
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Sir my TSH is 0.04. So what I have problem and how it can be controlled. And my AST/SGOT is 336 and ALT/SGPT is 527 what I have do.

MBBS
General Physician, Bangalore
Sir my TSH is 0.04. So what I have problem and how it can be controlled. And my AST/SGOT is 336 and ALT/SGPT is 527 w...
Is it 0.04 or 0.4? If 0.4, its normal. If 0.04, you might be having hyperthyroidism and in hyperthyroidism liver enzymes tend to go high. Controlling thyroid overactivity will calm the liver too. Please see your GP. Get your cardiac status checked too. Keep an observation of the symptoms that you could be having like yellowish discolouration of the skin mainly the white part of eye. Any distension of abdomen. Too high pulse rate or bp or feeling your own heart beat is not normal. For now, decrease your iodine intake which comes from salt, egg, milk and milk products etc. Eat a lot of cabbage, cauliflower, broccoli, spinach etc. Take multivitamin supplements especially vitamin B and D. Also try to take omega 3 fatty acids and minerals like zinc as much as possible. Wish you good health.
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Can a diabetic patient control his sugar level without doing a proper workout or yoga daily?

MSc
Dietitian/Nutritionist, Hyderabad
Can a diabetic patient control his sugar level without doing a proper workout or yoga daily?
There are several means to gain control over your diabetes. Few of them as below: 1. Eating at regular intervals 2. Avoiding foods high in processed and invisible sugar 3. Good sleep hygiene 4. Consistent workouts to be able to give you specific guidelines, we would need to gain a deeper insight into your lifestyle and work with you in greater proximity. Do let me know if you're keen and we could take this prospect forward. Meanwhile,
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Please let me know where can I get ashwagandha in bangalore and how much can be consumed daily for a women with TSH 8.6 and when is the best time to consume the same.

C.S.C, D.C.H, M.B.B.S
General Physician,
Please let me know where can I get ashwagandha in bangalore and how much can be consumed daily for a women with TSH 8...
It is available in ayurveda pharmacy and one teaspoon twice daily can be taken .But it has no effect of TSH and it need to be controlled with medication
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Will a person with Type 2 diabetes under control end up with the need for insulin?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Will a person with Type 2 diabetes under control end up with the need for insulin?
Hello, When T2 diabetes goes on for very long time say 25 to 30 years or longer, then because of persistent hyperglycemia and lipotoxicity beta cells get affected and. Over the years cell mass is lost and most of the T2 patients end up on insulin in later years of their life. Thanks.
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