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Dr. Thomos Koshy

Endocrinologist, Mumbai

Dr. Thomos Koshy Endocrinologist, Mumbai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Thomos Koshy
Dr. Thomos Koshy is one of the best Endocrinologists in Mulund West, Mumbai. You can meet Dr. Thomos Koshy personally at Holy Trinity Hospital in Mulund West, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Thomos Koshy on

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I am 43 years old. I am a diabetic patient. I take glycomet gb 1, &2 before lunch, dinner. But no effective my level 240 please advice.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello best is to change over to long acting analogue insulin like backlog (glaring) this along with tablets will give very good control. Start with 6 units before break fast monitor sugar levels daily and increase insulin by 2 units every alternate day. The company reps will guide you (biocon)
2 people found this helpful
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I have a bit high uric acid (about 7.2). I take complete care regarding food items and take medicine (goutcheck 40) regularly. But still I am suffering from my joint pains and swelling.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
The best treatment of Gout consists of restoring the balance of Vata(Air element) and detoxifying the blood..High protein diet should be avoided in cases of increased uric acid...take maha rasnadi kwath 2-2 tsf twice a day....take maha yograj guggul 1-1 twice a day....kaishor guggul and chandraprabha vati 1-1 twice a day...avoid junk food....fermented food...spicy pranayama early morning...avoid alcohol consumption...consult me in private for more details
1 person found this helpful
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Good been ng am vinod my question was is at an early age I was suffering from diabetes could you suggest me precautions and necessary steps to overcome it.

General Physician, Cuttack
1.Do regular aerobic exercise for 1 hour daily (brisk walking,jogging,running,swimming,cycling etc) 2.Reduce weight if overweight 3Control diet a)Avoid sweets, sugar/honey, milk, 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, 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 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 6.Consult diabetologist for advice and treatment
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I'm diabetics rather chronic ,but no harm with cuts and injuries,started at 35 now I'm 49.Now i experience sex problems , no erection even at the time of orgasm.Takes gluco norm PG 2 morning and night and have fasting sugar around 175, advice me whether I should start insulin.

Vaidya Visharad
Ayurveda, Narnaul
Dear, Diabetes is often called the silent killer. Diabetes, is a metabolic disease in which sugar does not get metabolized properly in the body. This means that the blood sugar levels continue to be high, threatening the normal functioning of the body. According to Ayurveda There are 20 forms of Diabetes : 4 are due to Vata, 6 result from Pitta, and 10 are caused by Kapha. But Diabetes (MADHUMEHA) is.Mainly kapha dosha disease. Poorly managed diabetes can lead to a host of long-term complications like :- Heart attacks, Strokes, Blindness, Nerve damage, Amputation of Limb. Impotency in men.Visit us at www.Malhotraayurveda.Com
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My mother is suffering from hypothyroidism. What we should take care to get rid of it?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
hypothyroidism is a thyroxine deficiency disorder, so it needs regular (daily) supplement of thyroxine hormone. There is no cure for this, she has to be treated for her life time. Otherwise there can be serious complications.
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I am 48 years old, and have allergic Rhinitis, for which I take septilin My sugar level is normal- it's 109. But, I feel fatigued and drowsy for a little while, and I end up taking a nap. I want to feel active and energetic, but don't know why I feel lethargic, moody and irritable at times. Please advise.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
Dear lybrate-user take pure natural whole cow colostrum Reimmugen capsules. These will modulate and boost immunity. Very good option for allergy. Regards.
1 person found this helpful
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My fasting blood sugar is 294 Post prandial blood sugar 398 This the first time my blood sugar level is at this level. So now am I diabetic. And what to do noe.

Endocrinologist, Srinagar
Avoid sugar fruit juices, fried food and junk food. Exercise regularly. Start tablet galvusmet 1000 twice a day and retest after one month if you are newly detected.
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Sir/mam, It's been 2 months and my periods hasn't happened yet. It has happened many times that my period is missed of delayed. I am a virgin, and I am having thyroid. I am also getting fat. What should do? I am taking" Primolut N" for having periods.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
You are probably suffering from PCOS. To diagnose this you will need a Pelvic USG and a hormonal assay done. Treatment will depend on these reports.
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I am 29 years old, married, I have no children since 3 years, suffering with thyroid problem& I am using 25 mcg eltroxin tablets every day! wht is the solution to my problem!

MBBS, MD Obs & Gynae, FNB Reproductive Medicine
Gynaecologist, Jalandhar
Treated thyroid problem is unlikely to cause infertility. u need to investigate further to find out the problem.
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I am 53 female my sugar level random checking about 250 I am taking medicine pl. Suggest homeopathic or ayurved medicine.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Madam, with random blood sugar level of 250 mg, your present treatment is definitely not adequate, you need to look at increasing the dosage or adding a newer drug. Plus consider restricted diet and regular exercise. As regards other branches of medical practices for treating a severe diabetes, there is not going to be any benefit. Those drugs can be used only once a good sugar control is achieved, justas additional supportive therapy. In the world today other than oral antidiabetic drugs and insulin there is virtually no treatment available. So please look at these facts. Further choice is yours. With regards.
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I am a diabetic since last 18yrmy HB1Ac is between 7 to 7.4. Can iIsafely have BGR 34. My question is to an ayurveda Dr.

Diploma in Diabetology, MBBS
Endocrinologist, Mumbai
This should be taken in addition to your normal medications. You can try & check your sugars after 2-3 weeks to see if it is helping you...
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Infertility in Women - Factors that Put You at Risk

Gynaecologist, Delhi
Infertility in Women - Factors that Put You at Risk

Infertility is the incapability of a couple to conceive after indulging in unprotected sex multiple times over a long period. It can also be referred to as the biological inability of a man to cause conception or a woman to conceive as well as being unable to carry the pregnancy for the whole duration. Research has shown that female problems contribute to over half of all the infertility cases.


Causes of infertility in include:

  1. Ovulation Disorders – This is regarded as the most common cause of infertility in women. The disorders can be caused due to conditions like PCOS (polycystic ovary syndrome), Premature ovarian failure, poor quality of eggs, overactive or underactive thyroid gland and chronic conditions like cancer or AIDS.

  2. Problems in fallopian tubes or uterus – Abnormalities in the uterus or fallopian tubes render the woman incapable of conceiving naturally. This might be due to conditions like Endometriosis, previous sterilization treatments or surgeries to correct past problems.

  3. Medications or Treatments – There is a possibility of some treatments affecting infertility. Examples include NSAIDs (non-steroidal anti-inflammatory drugs), Chemotherapy and Radiotherapy.


Usually, the initial steps for diagnosing infertility involve a review of the complete medical history of the patients as well as a physical exam. Post this check-up, some diagnostic tests are conducted for infertility. This might include-

  1. Blood and Urine tests: For checking hormone levels.

  2. Pap smear:For checking the health of your cervix.

  3. X-ray: For outlining the internal shape of the uterus so that blockages in fallopian tubes can be identified.

Risk Factors:

  1. Age – Increasing age tends to lower the quality as well as the quantity of a woman's eggs

  2. Smoking – Besides damaging your cervix and fallopian tubes, smoking increases your risk of miscarriage. It is also believed to deplete your eggs at a premature stage, thereby reducing your chances of pregnancy.

  3. Weight – Normal ovulation is hindered by being overweight or even significantly underweight. This is because lower levels of BMI (body mass index) reduces the frequency of ovulation, reducing the chances of pregnancy.

  4. Sexual history – Sexually transmitted diseases like gonorrhea and Chlamydia can cause damage to the fallopian tubes, resulting in infertility.


Even though it is possible to restore fertility in women using only one or two therapies, a number of treatments might be required before conception is possible. Some of these treatments include:

  1. Intrauterine insemination (IUI): deliberately introducing sperm into the uterus of a woman for achieving pregnancy.

  2. Stimulating ovulation with fertility drugs.

  3. Surgery to restore fertility.

In situations where pregnancy does not happen spontaneously, Assisted Reproductive Technology (ART) can be used by couples to achieve a pregnancy. It is any form of fertility treatment which involves the handling of sperm and egg. The entire ART team consists of psychologists, physicians, embryologists, nurses and lab technicians.

One common ART technique is In vitro fertilization (IVF). It is a process where an egg and sperm are manually combined in a laboratory dish, followed by transfer of embryo to the uterus.

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Hlo I have my grand mother she suffered from thyroid disease from 1 year. She was go many doctors but is not completely fit please give me some medicine which she has fit .she lose also our body power .plx that is most kindness if you r help her.

Homeopath, Navi Mumbai
I understand your concern about your grand mother. As thyroid is a lifestyle disease, we can not achieve great results without changing our lifestyle. She need a medicine which gives her power which is lost because of this disease. So we need to analyse her situation properly. In homeopathy we give personalize touch to the treatment. We do not give same medicines to all thyroid patients. So please consult a skilled homeopath. She will be definitely benefited without any side effects.
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I am 18 years female. I usually get very lethargic and hav excessive urination and extreme thirst. I fear that I may have diabetes. So what should I do?+

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
Rather than fear diabetes, please go and find out if you really have it. Get your blood tested. Do the following tests: FBS, 2 hour PPBS & HbA1c.
1 person found this helpful
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Hello doctor; my problem is that I was recently detected high diabetes during my medical exam, since I work abroad. My sugar level fasting 160/253 pp plasma glucose. My age is 41 years height 5'9" weight 99 kgs. My doctor advised tab glimsave m2. But is not helping mi out as I wave to clear medicals asap. Kindly advise thank you.

Ayurveda, Ujjain
You take noni syrup 10 ml in a glass of normal water stair well consume 5 minutes after 30 minutes take meals mor/eve continue your medicine check your sugar if reduce than reduce your medicine accordingly.
2 people found this helpful
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Sir. Give me a solution for Loo's a Wait. Sir, Give me a solution to minimize sugar. Sir, Give me a solution to Loo's a fat. Sir, Give me a solution to give a long height.

Doctor of Naturopathy & Natural Medicines, DM - Clinical Haematology
Dietitian/Nutritionist, Agra
start drinking gau ark (cows urine empty stomach in morning) all researches has proved that cows urine has all 18 micro nutrients which helps being away from all diseases. more than 18 crore people in india are drinking it, go to patanjali store and buy it. cow is a miraculous animal.
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I am siya my sister has suffered from diabetics she age only 22 please tell me doctor what should I do.

M.Sc - Dietitics / Nutrition
You need to take a diabetic diet. Do exercise. Eat more vegetables. Do not eat sugar. Avoid high glycemic foods.

I am having a diabetes. What should I do to control this problem? And please give me a diet chart.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
Dear lybrate user, *factors that are often responsible for causing diabetes are excessive intake of foods which are difficult to digest, such as fried foods, creams, etc. Lack of exercise, mental stress and strain, excessive sleep, overeating and consequent obesity, excessive intake of sugar and refined carbohydrates, overloading of proteins and fats can also lead to diabetes. Hereditary factors also play role in causing diabetes. *dry the leaves of mango tree and grind to a powder. Mix 1 teaspoon dry powder in a glass of water and drink it daily to reduce high blood sugar levels. *take 2 teaspoons of bitter gourd (karela) juice once a day. One can also increase its use as a cooked vegetable. *start doing some light exercise, such as brisk walking. Build up to a brisk walk of 30-40 minutes in the morning and again in the evening. *avoid sleeping in the daytime *use garlic, onion, bitter gourd, spinach, raw banana, and black plum.
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I'm 71 Years old. I am diabetic. My latest Hba1c level is 6. My total cholesterol is81. HDL is39. LDL is 32. I'm taking 1 tension 40, Rosufit 20, and metlor tablets daily. In view of low cholesterol level, do you advise me to take Rosufit?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, looking at the levels mentioned you have too low lipids, so there is no need to take rosufit tablets. Thanks.
2 people found this helpful
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I have consulted doctor for hair loss she given vitamin tablets ad suggested some test. In that every thing low vitamin D, vitamin, B3, B7 and Iron and I got to know I have hypothyroid. She given tablet for vitamin D, B and iron and also suggested to consult for thyroid. He suggested to take thyroxine and take vitamin tablets also. I am taking those tablets since 20 days still my hair is falling too much, and can I eat flax seeds or powder daily as they are contain omega 3, selenium? Please tell me why because I have thyroid so I am in confusion to take some food.

DNB (Dermatology), Fellowship in Dermatological Laser Surgery, Fellowship In Cosmetic Dermatology, Diploma in Venerology & Dermatology (DVD), MBBS
Dermatologist, Mumbai
Hi lybrate-user, please send all your blood reports so that I can give you correct prescription and dietary advice. Also use 5% mx solution 1ml twice daily for hair fall. It takes 3 months for hair fall to stop if all your deficiencies are corrected. Take care.
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