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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 31 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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Hi. I am on Eltroxin 25 mg since 6 months. My TSH now is 5.90. Am I supposed to change my medication?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hi. I am on Eltroxin 25 mg since 6 months. My TSH now is 5.90. Am I supposed to change my medication?
Mr. Lybrate-user, when on treatment tsh levels should be brought down to 3 to 4 milli units / l for complete relief from all symptoms. At 5.90 milli units/l many symptoms may be still remain. It is necessary to increase the dose by bout 12.5 mcg per day. Then check tsh after 6 weeks to see if that has been beneficial. Thanks.

How to reduce sugar?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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How to reduce sugar?
To reduce blood sugar you have to take anti diabetic drugs, exercise more than 1 h daily, avoid sweets, sugar and excess eating. Taking prescribed medicines is very important.

I am 60 year old lady diabetic hypertension and hypothyrodism. Complaints under control under medication of melmet sr500 1-0-1 tenormin 50mg 1-0-0 b active1-0-0 atocor 10mg 1-0-0 my problem is I sleep from 00.00hrs to 11.30am. Is there any remedy for this ?

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I am 60 year old lady diabetic hypertension and hypothyrodism. Complaints under control under medication of melmet sr...
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. get relax from or during work. at night forget all stress.avoid it. bath at night before bed. take dinner on time.take salaad in dinner,fiber meal, low fatty/oily foods. green veg.,take low diet at dinner. massage you head and body. it reduced stress of whole day. take 1 glass of water before bed. THESE acitvity may be reduced stress and you can sleep proper way.

My age is 25. I got to know about 5 years back that I have diabetes. In my family history there was noon diabetic neither frm my nani side nor frm dadi side, yes my taaya and bua have diabetes but they were also diagnosed after 60 years of their ages. I do not know how dib. happened me, I did not took medicines before bt as my sugr levels wr inc. Evry yr, now frm lst six mths I am taking ozomet pg 2 half daily. Or sometimes half in mrng, hlf night. But otherwise I do not tke mch prction eating swts or rice, aloo. I wnt to kniw can with medicine I cn take ocasonly swts. Or swts cn affect evn taking ocsionly?

CDIABT, MBBS
Endocrinologist
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My age is 25. I got to know about 5 years back that I have diabetes. In my family history there was noon diabetic nei...
For diabetes follow a diet low in carbohydrate, low in fat and high in fiber. Avoid bakery products. Avoid too much rice and potato. Avoid fried stuff. Avoid chocolate, cakes, ice cream, soft drinks and fruit juices. Occassionaly you can have sweets but remember that whenever you have sweets on that day you should reduce the quantity of other foods item. Eat lots of vegetables. Walk for at least 30 minutes a day for 5 days in a week. Medicine and insulin will work better if you follow diet and exercise.

Whats the diet for thyroid increased patient.

MD - Internal Medicine, MBBS
Endocrinologist
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Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take 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. 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,

My fasting blood sugar is220 mg, glimer2 and cetapinxr 500 mg both twice daily are of no use, recommend other drugs, age 52,taking diabetic diet, exercise.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist
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My fasting blood sugar is220 mg, glimer2 and cetapinxr 500 mg both twice daily are of no use, recommend other drugs, ...
Instead of cetapin take Galvusmet 1000 twice a day after meals. Continue glimer 2 twice a day before meals. Repeat test after one month.

Is there any new medicine is available to control diabetic ?

Vaidya Visharad
Ayurveda
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Dear, 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

Hi I am 40 yr old dibatic type 2 for last 4 months. I am taking tab. Metadose ipr 500 one time. How to control dibatic? what shoud I have to eat & what to avoid or minmise? is yoga is benificial for dibatc?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hi I am 40 yr old dibatic type 2 for last 4 months. I am taking tab. Metadose ipr 500 one time. How to control dibati...
To guide I need some critical info like weight, height, waist circumference, fasting and pp sugar levels, hba1c % with that info I can guide better. However, few things which should be followed are- avoid sweets, direct sugar, deep fried foods, fruits like banana, mango, chikkoos, grapes, exercise for more than 1 h every day. Eat more green salads and can consume fruits like apple, orange, water melon, pear and guava (peru)

I.m diabetic, I smoke and drink, I use insulin and tablets for liver problem. And I watch porn and masturbate. From past 4 months I have found that my penis is not erecting properly. I was unable to have sex with my virgin girl. Can I use viagra while sex. If I can how many tab I can take in a day. Im going to meet her again. Please help me with it.

B.H.M.S
Homeopath
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I.m diabetic, I smoke and drink, I use insulin and tablets for liver problem. And I watch porn and masturbate. From p...
1. Acid phos 30 tke one drop thrice daily for ne month 2. You are on right way. Go a head and achiev the goal of life. 3. If you want help contact imediatly with a homoeopath physician for taking case or contact with me. I person.

Hello I am (male) from Bangalore I have diabetes at low level suffering from overweight. Loss of sex pls inform what I do any good suggestion? Pls.

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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Hello I am (male) from Bangalore I have diabetes at low level suffering from overweight. Loss of sex pls inform what ...
Mr. Lybrate-user, primarily diabetes should be in control. Meaning fasting closer to 100mg, pp 150 to 160 mg and hba1c% <7 (ideally 6.8%). These things are necessary to have absolutely healthy life. Your ideal body weight should be 60 kgs, with a bmi of 35.71 you are having grade 2 obesity. So it necessary for you to consider weight reduction at least 5 to 8 % of present weight. That it self will improve overall condition.

M having thyroid since 1 year gained 15 kg weight m under homeopathy treatment for thyroid now my TSH is 9, I want to conceive want to reduce my weight.

MD - Medicine
Endocrinologist
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M having thyroid since 1 year gained 15 kg weight m under homeopathy treatment for thyroid now my TSH is 9, I want to...
Do start thyroid hormones under guidance of doctor. Must control thyroid levels to be pregnant. Walking and regular diet with thyroid supplement will help you reduce your weight.

Hello Sir, I have been suffering from severe ache in left heel. I couldn't walk for a few steps when I get out from bed in the morning. I have been taking pain killers and applying volini, hot and cold packs. But the ache is aggravating rather than diminishing. I do suspect either Plantar or Heel spur. please guide me further. Does diabetes have such symptoms only in one leg?

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist
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Hello Sir, I have been suffering from severe ache in left heel. I couldn't walk for a few steps when I get out from b...
Try few home remedies for heel pain rest - avoid running or standing for long periods, or walking on hard surfaces. Avoid activities that may stress the heels. Ice - place an ice-pack on the affected area for about 15 minutes. Do not place bare ice directly onto skin. Footwear - proper-fitting shoes that provide good support are crucial. Athletes should be particularly fussy about the shoes they use when practicing or competing - sports shoes need to be replaced at specific intervals (ask your trainer). Foot supports - wedges and heel cups can help relieve symptoms. If these doesn't help please see a physiotherapist who can teach you exercises which stretch the plantar fascia and achilles tendon, as well as strengthening the lower leg muscles, resulting in better stabilization of the ankle and heel. You may also be taught how to apply athletic taping, which gives the bottom of the foot better support. Prevention of heel pain involves reducing the stress on that part of the body. Tips include: barefeet - when on hard ground make sure you are wearing shoes. Bodyweight - if you are overweight there is more stress on the heels when you walk or run. Try to lose weight. Footwear - footwear that has material which can absorb some of the stress placed on the heel may help protect it. Examples include heel pads. Make sure your shoes fit properly and do not have worn down heels or soles. If you notice a link between a particular pair of shoes and heel pain, stop wearing them. Rest - if you are especially susceptible to heel pain, try to spend more time resting and less time on your feet. It is best to discuss this point with a specialized health care professional. Sports - warm up properly before engaging in activities that may place lots of stress on the heels. Make sure you have proper sports shoes for your task. Best wishes.

What should we eat if person (vegetarian) has both sugar and uric acid? Age: 47 Sugar: 136 Uric acid: 7.6.

Diploma in Diabetology, MBBS
General Physician
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What should we eat if person (vegetarian) has both sugar and uric acid?
Age: 47
Sugar: 136
Uric acid: 7.6.
Maintain ibw take balance d diet walk daily avoid sugary items fat food take high fibre low calorie food plenty vegetables and fruits in 2 / 3 servings for uric acid restrict protein.

I am a blood sugar patient and taken insulin in 2 times daily with one metformin tab (Citapin XR 500mg). Even though, it was not controlled. Although I am running restricted life. Please. Give your opinion.

MBBS, DGO (cal)
General Physician
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Control of Diabetes is a is therapy done by a combined and serious team consisting of The Patient and the physician. Physician advises. Unless the recipient, I mean the patient seriously asks Physician is also can not give you the fullest. Its a psychological bond which is above all a professional advice only. Your uncontrolled diabetes may due to either your non compliance to the advice of physician or incompetent advice of the physician. I have no reason to believe the second part of the statement. I may believe at this juncture to stick to the following part and retest your BS fter 15 days. If you see any improvement, go back to your doctor and listen list him and follow his advice. If he is not giving your satisfactory attention, I know you know what to do. A patent always choose he physician not the physician choose his patient. He may love him with empathy. 1) Brisk Walking 5 Km daily - whether over weight or not, of course if it is not contraindicated by your treating physician. 2) Keep your Body Mass Index within 24 Kg / Meter Square of your body surface area, that is your healthy weight - by exercise and dietary management. 3) Diets - STOP the following - Sweet, Sugar, Potato, Fried substances, Starchy foods, Sweet drinks, Canned juices, Ice creams, Processed juice of any type. Butter, Cheese Avoid rice (if at all never more than one leveled Tea Plateful / day) Normal or high protein. Low fat. High fibre - Leafy vegetables + Vegetables (particularly less starchy and coloured one, which contains more antioxidants) 4) Meditation for 20 mins daily Hope its OK for the time being.

I am taking thyroid tablets for past four months. What is the best vegetarian diet for hypothyroid inorder to improve proper functioning of my thyroid gland.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I am taking thyroid tablets for past four months. What  is the best vegetarian diet for hypothyroid inorder to improv...
Take diet for hypothyroidism:- 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 few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and reduce weight also.

I m 39 yrs, female, 54kgs, 164cms, was feeling uneasy, went for thyroid test. Reports are TSH 0.11, T3-5.56, T4-21.11. please advice.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician
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I m 39 yrs, female, 54kgs, 164cms, was feeling uneasy, went for thyroid test. Reports are TSH 0.11, T3-5.56, T4-21.11...
u have hyperthyroidism...u need to take noniodised salt first... there are certain medications to control it but theses are not over the counter drugs,, u have to consult privately for that

Hi, I have thyroid problem, my Tsh level is higher. and also I miss my periods because of thyroid. I want to ask is it very serious problem during in pregnancy. Now I am not pregnant. I just want to know that is baby is fine if we take treatment for thyroid? Please give suggestions. Or is this disease is for lifetime?

MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology), DMAS, MBBS
Gynaecologist
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Hi, I have thyroid problem, my Tsh level is higher. and also I miss my periods because of thyroid. I want to ask is i...
hi priya ur thyroid levels should be normal before starting a pregnancy. and if u r taking medications for same before pregnancy, u ll hv to continue it throughout pregnancy n after delivery as well.. There s no harm to the baby If ur thyroid levels r well in limits with medications. baby can get affected only if thyroid levels go very high or very low keep getting ur TSH levels checked at frequent intervals..

Have diabetes from last 7 to 8 years I was being diagnosed my problem is that I am under weight my height is 6 feet and weight is 67 kg and take medicine and want to increase my weight how would I and on the same time I become more thinner what type of diabetes do I have and what is the cure?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician
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Have diabetes from last 7 to 8 years I was being diagnosed my problem is that I am under weight my height is 6 feet a...
dear gestational diabetes occurs only in women during gestation..if u re losing weight and diabetes not in control then probably u might be having LADA-latent autoimmune diabetes of adult....it requires confirmation by some investigations and treatment is insulin treatment

I am a diabetic since last year. I am too fat. I tried home medication but nothing worked. Prescribe some medicine for normal daily life.

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. Dr. Surbhi agrawal consultant physician and diabetologist and wellness expert

I am 34 years married male. I got thyroid testing recently and its showing 9. Please tell me what should I do. I need to take medicine. Do I have thyroid problem.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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I am 34 years married male. I got thyroid testing recently and its showing 9. Please tell me what should I do. I need...
If your TSH levels indicate 9 then surely you are suffering from HYPOTHYROIDISM.and for this I will recommend you to start homoeopathic treatment.consult me
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