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Dr. Thomos Koshy

Endocrinologist, Mumbai

at clinic
Dr. Thomos Koshy Endocrinologist, Mumbai
at clinic  ·  ₹ online
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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 Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 43 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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1st Floor, Heritage Building , J N Road,Mulund West, Landmark: Apna Bajar & Near Rymonds ShowRoom, MumbaiMumbai Get Directions
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My son has hair loss problem. He was suffered from fever and food poisening last 6 weeks back. And his wbc and platelet count also decreased. Now he is suffering from hair loss. 2 days back he take his tsh report. It is 6.1 pl sugget is it thyriod problem or any weekness.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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My son has hair loss problem. He was suffered from fever and food poisening last 6 weeks back. And his wbc and platel...
Hi , you have not given full details, let me know- 1. Since how long your son has this problem? 2. Was it only after fever and food poisoning? or even earlier? 3. Does he have dry skin and dandruff? 4. Is it hereditary in your family? we have good homoeo treatment-the treatment is very much dependent on age and detailed description of complaints- you may opt for private consultation giving detailed information. In the meanwhile, please let your son start taking the following medicines-. 1. Natrum mur 6x----4 tabs twice daily 2. Calcaria fluor 6x---- 4 tabs twice daily 3. Acid phos 200----one dose (6 to 8 pills) in 2 days. (these medicines are easily available in any homoeopathic medical shop) report progress after 1 month with full details

I am 67 yrs. Old. I got checked blood sugar, one month back. Fasting 138 and pp 204. My wt. Is 76 kgs. Pl. Advise me what precautions should I take? And also medicines.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist
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I am 67 yrs. Old. I got checked blood sugar, one month back. Fasting 138 and pp 204. My wt. Is 76 kgs. Pl. Advise me ...
Pl do the following strictly. 1. No alcohol 2. No smoking 3 diet- a. No ghee / butter, take small quantity of mix of veg oil- mustard, til, ground nut olive oil b. No sugar, no potato, no rice c. Take green leafy vegetables. Fruits like guava, anar, water melon papaya d. Avoid constipation - take syp lactulose 3 spoon at night if required e. Take plenty of water during day and take 2/3 glasses of warm water first thing in the morning even before rinsing your mouth f. No tea /coffee 4. Physical activity- minimum 30 mts brisk walk in the morning 5.6- 8 hrs of sound sleep at night 6. Deep breathing exercise for 10 mts daily 7. Meditation for min 10 mts daily 8. Donot lie down immediately after meals. 9 raise your head while sleeping have patience try above, for medicines contact on private chat. You can contact any time for further guidance good luck.

MD - General Medicine
General Physician
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diabetes and blood pressure are controllable disease,not curable.So,u will be beneficiary only and only if u r monitoring them at regular intervals. .

My uncle is suffering from diabetes and blood pressure from 2 years. What are the Basic Steps or precaution to be taken in his health matter, What is your suggestion?

MBBS
General Physician
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My uncle is suffering from diabetes and blood pressure from 2 years. What are the Basic Steps or precaution to be tak...
He has to go for regular exercise,weight and diet control,take less of salt,avoid sweets, carbohydrate. He has to monitor Bp and blood sugar. Consult doctor

I am 39 years old diabetes patient. Fasting blood glucose is 233 and pp its 339. I am taking glimiprex 1/500 twice before breakfast & before dinner. Please help to reduce my diabetes as we are trying for a baby & she is unable to conceive.

MBBS, MD - Internal Medicine
General Physician
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I am 39 years old diabetes patient. Fasting blood glucose is 233 and pp its 339. I am taking glimiprex 1/500 twice be...
Diabetes treatment goals fasting blood sugar- between 70 and 130 mg/dl post parandial blood sugar- less than 180 mg/dl hba1c? less than 7. Diabetes is a systematic disease that effects almost all organs of the body. It is usually of two types type 1 is when there is no insulin in the body and the only treatment is insulin. Type 2 is usually due to resistance to the action of insulin and there are many treatment options. Besides treatment, equally important are diet and exercise. Treatment option would depend on the type of diabetes, a newly diagnosed diabetic person has to undergo tests like fasting blood sugar levels hba1c levels full blood count, liver function test, kidney function test, ecg, lipid profile, urine test, and few others to determine whether any complications are there or not and to identify any contraindications to any of the medications. Please get back with the above said results and your age, pulse bp and weight for a proper treatment regimen.

Hello, My wife is 25ys old and she is pregnant for 5 weeks. During tests done 15 days ago, She is found to have low iron and binding saturation. Everything else is normal without any thyroid and diabetes. When Should she undergo tests again? What diet should be followed on a daily basis?

DFM, FID, MBBS
General Physician
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Iron is a mineral that makes up an important part of hemoglobin, the substance in blood that carries oxygen throughout the body. Iron also carries oxygen in muscles, helping them function properly. In addition, iron helps increase your resistance to stress and disease. The body absorbs iron more efficiently during pregnancy. Therefore it is important to consume more iron while you are pregnant to ensure that you and your baby are getting enough oxygen. Iron will also help you avoid symptoms of tiredness, weakness, irritability, and depression. How much iron should I consume during pregnancy? following a balanced diet and including foods high in iron can help ensure that you are consuming enough iron throughout your pregnancy. In addition, the following guidelines will help: 1. The u. S. Recommended daily allowance (usrda) for iron is 30 milligrams (mg) per day for pregnant and lactating (breastfeeding) women. 2. Eating at least three servings of iron-rich foods a day will help ensure that you are getting 30 mg. Of iron in your daily diet. Please refer to the chart below for a list of iron-rich foods. One of the best ways to get iron into your diet is to eat a highly fortified breakfast cereal, such as total, which has 18 mg of iron. Note that iron intake is not equal to iron absorption. Absorption of iron into the body is greatest with meat sources of iron. 3. The best sources of iron include enriched grain products; lean meat, poultry, and fish; and leafy green vegetables. Please refer to the chart below for a list of iron sources. Should I take an iron supplement? talk to your health care provider about an iron supplement. The national academy of sciences recommends that all pregnant women following a balanced diet take an iron supplement providing 30 mg. Of iron during the second and third trimesters of pregnancy. Your doctor might increase this dose if you become anemic. Iron deficiency anemia is a condition in which the size and number of red blood cells are reduced. This condition might result from inadequate intake of iron or from blood loss. Sources of iron meat & seafood lean beef chicken clams crab egg yolk fish lamb liver oysters pork sardines shrimp turkey veal fruits all berries apricots dried fruits including prunes, raisins and apricots grapes grapefruit oranges plums prune juice watermelon legumes dry and peas lentils soybeans breads & cereals enriched rice and pasta soft pretzel whole grain and enriched or fortified breads and cereals vegetables black-eyed peas broccoli brussels sprouts collard and turnip greens lima beans sweet potatoes spinach other foods molasses peanuts peanut butter pine nuts pumpkin or squash seeds other facts about iron vitamin c helps your body use iron. It is important to include sources of vitamin c along with foods containing iron and iron supplements. Foods high in vitamin c include orange juice, grapefruit juice, green peppers, broccoli, melon, strawberries, and cabbage. Caffeine can inhibit the absorption of iron. Try to consume iron supplements and foods high in iron at least one to three hours before or after drinking or eating foods containing caffeine. In general, caffeine is found in coffee, tea, colas, and chocolate products. Caffeine-free colas and many medicines also contain caffeine. Iron is lost in cooking some foods. To retain iron, cook foods in a minimal amount of water and for the shortest possible time. Also, cooking in cast iron pots can add up to 80 percent more iron to foods. Constipation is a common side effect of taking iron supplements. To help relieve constipation, slowly increase the fiber in your diet by including whole grain breads, cereals, fruits, and vegetables. Drinking at least eight cups of fluids daily and increasing moderate exercise (as recommended by your physician) can also help you avoid constipation.

My father have diabetes, which food is better for him to eat or which food not?

MBBS
General Physician
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My father have diabetes, which food is better for him to eat or which food not?
green vegetables, salad and limited diet. avoid sgar and its product. it will help. welcome for further help.

I am suffering from diabetes last four years but no effect of medicine. When I take then it is in control when I dropped it I feel weakness how I control it. Is it compulsory to continue medicine.

PDDM, MHA, MBBS
General Physician
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Please mention your recent bsl reports and ongoing treatment and revert back to me for further assistance.

I am 55 wt 74 kg ht 160 cm diabetic since 2010 january, now on galvus met (50+500) twice & amaryl 1 mg twice a day before meal. But my fasting sugar remains between 170--180. Glycoselated hb unsatisfactory. Please guide me.

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist
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Continue the medication, have small meals, take cabbage, cauliflower, methi seeds, karela juice and do not skip exercise/walking.

I am type 2 diabetic.My weight was 118 kgs. And I used to take 100 I.U. Insulin.Today after dieting my wt. Is 110kgs. Yet Ineed 75 i.U. Of insulin.Why is this so?Also at what weight will I can go off insulin.

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Ayurvedic treatment will help you for DM. Your insulin will never stop unless your sugar is in control . Do HbA1c regularly for every 3 months. Check your kidney function test. Then start ayurveda Medicine.

Hi doctor, I am a sugar patient. My fasting range is 142. Want to know can I eat orange, papaya, watermelon and egg. Can drink milk and take tea with sugar free. If can take tea with sugar then how many times in a day.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hi doctor, I am a sugar patient. My fasting range is 142. Want to know can I eat orange, papaya, watermelon and egg. ...
Mr. Lybrate-user, if you have diabetes then taking direct sugar is really not good. Because direct sugar increases blood sugar levels almost immediately. Persistent hyperglycemia is not good as it affects all the vital organs like eyes (retina), kidneys, nerve fibers, small and large blood vessels, coronary arteries and lower limbs. Your fasting should be around 100 mg, pp should be 150 to 160 mg /100 ml. Hba1c% <6.8. If you maintain sugar levels as mentioned then can consume about 100 g of fruits (all those mentioned are allowed). Apart from drugs good sugar control through drugs, exercise and diet restriction also are equally important. Sugar free can be used as substitue thanks for the question.

I am 33 year old and I have diabetes. Is there any permanent cure for this problem?

Advanced Aesthetics
Ayurveda
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No permanent treatment its controllable. You start ayurvedic treatment madhumardan churna and hyponidd tab regularly. Any queries inform me.

İ am suffering from diabetes type 2 since last four years. My fasting sugar level was 169 in last week, it goes further high some time. What precaıtionary measures in diet and medication should İ take to maintain my blood sugar level. İ take a tablet of metformin and glyclazide one time only. Shoıld I increase dose of medicine. Please guide me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician
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İ am suffering from diabetes type 2 since last four years. My fasting sugar level was 169 in last week, it goes furth...
No ,first try these tips before escalating dose of medicines 1-Losing Extra Weight: helps lower your blood pressure and cholesterol too. waist of more than 80 cm in women & 90 cm in man are at risk 2- Constant and regular food timings :improves metabolic activity and helps reducing weight. 3- Split meals and eat in moderate amount 4- No long Gaps and skipping of meals:-Never miss out breakfast. 5- No overeating:-Never eat in a bulk on one time Remember to eat food slowly & chew well. 6- Proper Exercise and work outs: regular brisk walking for 30 min. five times a week is best .Cycling, swimming, dancing can also be done. Do not eat right away after a workout . 7-constant and regular timings for medication 8-Avoid fried foods ,meat,fats and sweets.  9- Take high-fibre and complex carbohydrates:-like oats and include high-fiber carbohydrates like wheat bran, flaxseed and methi seeds to your wheat flour .Add whole grain foods in your diet. Avoid white bread, pasta, pizza , candies, and snacks . 10-Drink enough fluids:-Keep your body well hydrated.  11.Fresh vegetables and fruits: .Include sprouts in the diet as they are easily digestible

Me a male of 35 years. Height: 181 cms Weight: 73 Kgs Pls advise what all should be in my diet to avoid diabetes, high bp, high cholesterol. I am a non vegetarian.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Me a male of 35 years.
Height: 181 cms
Weight: 73 Kgs
Pls advise what all should be in my diet to avoid diabetes, hig...
Mr. lybrate-user, To avoid diabetes one should have an active life, with regular exercise of over 1 hour, maintaining normal weight and taking a balanced diet that provides exact calories as needed based on ideal body weight. One should avoid too much of sweets, no extra sugar, no deep fried foods, junk foods, no pastries and bakery items, avoid sweetened aerated drinks, fructose corn syrup containing foods, no highly processed foods. Plus refrain from alcohol and smoking. In case of nonvegetarian diet avoid red meat. Skinned chicken, fish, eggs without yellow are good. Consume more of green leafy vegetables and fruits. Reduce salt intake to avoid increase in blood pressure. Thanks.

(1) Is the pre-dinner dose of Insulin to be injected always half of the pre-breakfast dose?(2) Insulin can be injected in any convenient and accessible location of the body?

B.Sc.- Food & Nutrition, M.Sc- Food Science & Nutrition, NET (LS)
Dietitian/Nutritionist
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(1) Is the pre-dinner dose of Insulin to be injected always half of the pre-breakfast dose?(2) Insulin can be injecte...
Pre dinner dose of insulin will depend on carb content of dinner. Insulin can be injected in 4 areas: abdomen, thigh, arm, buttock.

My wife underwent Anti-Mullerian hormone test which results 7.27 ng/ml indicating predictive PCOS/Ovarian hyperstimulation syndrome, is she suffering from both or one ? She also did Mantoux test which results positive 10 or more . Due to these in future would infertility arise if yes what are possible medications. please help.

Advanced Infertility, MIS TRAINING, FICMCH, PGDS, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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My wife underwent Anti-Mullerian hormone test which results 7.27 ng/ml indicating predictive PCOS/Ovarian hyperstimul...
Hello lybrate-user, high amh level is predictive of pcos in your case. Ohss or ovarian hyperstimulation is a treatment related adverse effect which is seen in patients undergoing ovarian stimulation with hormones. Get a tvs for detecting pcos and fsh & lh done on day 2 of your menstrual cycle. Pcos can have effect on fertility. But is treatable. Montoux test has not got much clinical significance.

What is Calcarea carbonica? Can I take it as I am having hypothyroid and weight is gaining. What dosage will be better?

BHMS
Homeopath
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What is Calcarea carbonica? Can I take it as I am having hypothyroid and weight is gaining. What dosage will be better?
Hi lybrate-user calcarea card is a homoeopathic medicine. It can be used for people gaining weight but only if the symptoms match. If some doctor has prescribed you then you can take calcarea carbonica 200 1 dose only. Thyroidinum 1x is the medicine specifically for hypothyroid in homoeopathy.

I am gaining wight due to thyroid and sugar. I am having pcod. By taking medicines and doing exercise i'm unable to reduce my weight. please suggest me what to do? I can not take meal 4-6 times because of going to office.

MD - Medicine
Endocrinologist
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I am gaining wight due to thyroid and sugar. I am having pcod. By taking medicines and doing exercise i'm unable to r...
Need to start exercise schedule and must take healthy food. Hypothyroidism and pcod are reasons for high weight. Must control both of them.

Neurologist
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Hand tremors can be due to hyperthyroidism.

I am 55 years and female, hypothyroid. Can I include gram flour in chapati to cut down gluten? which nuts to include for fiber intake & can they be taken in morning after 1 hour of thyroid medicine.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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I am 55 years and female, hypothyroid. Can I include gram flour in chapati to cut down gluten? which nuts to include ...
In hypothyroidism it is good to consume whole grain flour made bread (chapatis). Gram flour is good enough. Nuts which are good in hypothyroidism are brazil nut, macadamia & hazelnut. Peanut (ground nut to be avoided). Fresh fruits and green vegetables are good. (to restrict use of cabbage, cauliflower, broccoli). Whole grain cereal foods mus be taken several hours after taking the medication. Tha gap between medicine and chapati has to be more than 3 - 4 hrs.
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