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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 Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 37 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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I am 32 old male. Every day after coming from office I am feeling tired and unable to concentrate on any work. I am not diabetic. Kindly suggest home medicine.

M.Sc - Applied Psychology, MS - Counselling and Psychotherapy
Psychologist,
I am 32 old male. Every day after coming from office I am feeling tired and unable to concentrate on any work. I am n...
Hello lybrate user, there can be many reasons to it. E. G. You may be spending a lot of time in travelling to office changing modes of transportation e. G bus, rickshaw, taxi and so on. Secondly it may also be due to mental exertion which people experience in office due to work and spend time overthinking. When you overthink your body uses up glucose and this drains the body of the energy. You may replace it temporarily with some sweets and fast food, but still your mind has got into the habit of overthinking and that will not stop. Hence stop overthinking. Relax. Try not to run your imagination. This will help in long run. Or else consult any psychologist for further help.
1 person found this helpful
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My mother is been suffering from hypothyroidism from last 20 years. Is this disease curable?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My mother is been suffering from hypothyroidism from last 20 years. Is this disease curable?
it is control by medicines and life style, diet. take iodine -rich meals, banana, intake at least 8 glass of water in day. eat more fiber rich foods, coconut oil, green tea, tyrosine -rich foods, low fat milk, avoid soya - products, go for walk daily, do exercises---yoga. It can reduced over weight.
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I am a patient of hypothyroidism. My TSH in September was 7.2 and my endocrinologist started 112.5 MCG Thyronorm. After two months I felt extreme weakness, loss of appetite, loss of libido and TSH was 1.24. But I continued with 112.5 mg Thyronorm. In March this year I again had same bad symptoms and I stopped Thyronorm for month but in April my TSH was 19.2. I again started 100 mg Thyronorm on my own and in May 27 my TSH was 3.71 but I still have scary symptoms of weakness, loss of appetite, loss of libido. I would like to understand are these symptoms because of overdose or side effect of Thyronorm. Some doctors hve suggested same. My weight is 85 kg I also have some tests done 1. Total & free Testosterone: values are 260 and 5 resp. Pl let me know r these low values. Do I need prolactin, cortisol tests 2. LH & FSH are normal 3. LFT, Lipid profile are normal. Sodium is 145, calcium is 9.2 4. Hbaic 6.4, ABG 137, fasting glucose 107, pap 97 TSH 3.71. Currently I am taking 75 mg Thyronorm 5. Vitamin B12 423. I am also taking Nervup 1 of 6/ Vitamin D3: 4.2 taking Tayo 60k I also take Amodep 5 mg and bp is 135/92 I also get palpitations sometimes. Please let me know my symptoms of extreme weakness, loss of appetite and libido are because of side effects of Thyronorm. If yes how to correct Also suggest medicine for appetite and libido.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
I am a patient of hypothyroidism. My TSH in September was 7.2 and my endocrinologist started 112.5 MCG Thyronorm. Aft...
The direct evidence for controlled hypothyroidism is a normal report of tsh which shows that it is within range. If the tsh is higher than the upper range then the dose will be increased and if the tsh is lower than the lower range then the dose will decreased. If the tsh is within range then you have controlled hypothyroid state and the dose will be carried on as such. Now that you are taking a dose of 100mcg and your TSH is within range - you have to just monitor yourself. Initially every 6weeks and then if the TSH remains within range then after every 3 months.
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My brother having high sugar level in his blood cells. So can it cause tha blood cancer.

MBBS
General Physician, Mumbai
My brother having high sugar level in his blood cells. So can it cause tha blood cancer.
In a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet and blood cancer perse will not be caused by high sugar levels.
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I am suffering from sugar. I am taking insulin from few year. I want to what I do so that I can leave insulin. Please say me in brief.

MBBS
General Physician, Jalgaon
I am suffering from sugar. I am taking insulin from few year. I want to what I do so that I can leave insulin. Please...
As per your age 17 yrs It seems to be type 1 diabetes It is very difficult or say just impossible to leave insulin, pl don't try it.
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Sir, I have thyroid problem since 5 years. These many I don't have any problem with thyroid. But now a days I have menstrual cycle problems. Please suggest me a doctor.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, If you have hypothyroidism and if it is well controlled, then there will be no menstrual problems. The very fact that you have menstrual problems, means hypothyroidism is not in control. On treatment TSh should be between 3 to 4 mU/L. Since you have not mentioned about the thyroxine dose being taken or current TSH level no comment related to that can be made. If you are willing then I can help, provided all the details are made available. Thanks.
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Hi I decreased my intake of sugar and salt, due to that fact I feel dizzy sometimes why this happens is it lower the blood pressure or something else?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I decreased my intake of sugar and salt, due to that fact I feel dizzy sometimes why this happens is it lower the ...
lybrate-user, Canyou clarify what you mean by" I decreased intake of sugar & salt" Because if you talk only added sugar or sweets that one eats contains GLUCOSE, then it is wrong. All the food that we consume like wheat flour, jowar flour, bajra flour, rice, potato, bananas, bread, pastries other bakery items etc everything get converted to GLUCOSE in the body after digestion. Secondly actual salt intake should not exceed 2 to 3 grams a day. But every food preparation made at home, processed marketed or packaged food contains a large quantity of Sodium Chloride (table salt). Therefore, one can hardly reduce the intake unless there is very strict diet control with severe calorie restriction. Plus by reducing salt intake blood pressure does not go down. By salt restriction rise in pressure can be reduced. Thanks.
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Whether brown sugar can be taken by diabetic patients as a sweetener & what are the side effects of sugar free drops available in market.?

PGC Diabetology, MBBS
General Physician, Hyderabad
Whether brown sugar can be taken by diabetic patients as a sweetener & what are the side effects of sugar free drops ...
Brown sugar is not helpful. You can use 'Sugar free natura' as sugar substitute. What is your fasting blood glucose level? Consult in private on Lybrate or personally with information about your main complains, lifestyle, lab results and diet for detailed advice.
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since 2000 I am a sugar patient I am taking insulin but my glucose level is fasting 150 and pp not less than 250 what I do please advice me.

C.S.C, D.C.H, M.B.B.S
General Physician,
Diabetes affects all organs in the body? eyes, kidneys, nerves, reproductive system all are affected, infact, from from toe to hair. It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (self-monitoring of blood glucose? smbg). Though difficult, this can be done by a glucometer and keep a record. Get an idea of fasting sugar (fbs) and 2 hours after food (ppbs) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ insulin will be needed.
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I am 20 years old, I have small doubt about thyroid please suggest me about thyroid and its symptoms.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 20 years old, I have small doubt about thyroid please suggest me about thyroid and its symptoms.
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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My mother is suffering from diabetes since 25 years and now is also undergoing depression, having medicines for both . Sometimes she feels severe discomfort, feels restless, tingling in the shoulders and neck, feels very low and sad. Though she is in good physical health why is she suffering this?

Diploma in Child Health (DCH), MBBS
General Physician, Bangalore
My mother is suffering from diabetes since 25 years and now is also undergoing depression, having medicines for both ...
Sir, is her diabetes under control. Let her do yoga, breathing exercises, meditation. Go for walks. Let her chat with friends and relatives. Real thing will come out.
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If i am diagnosed with pre-diabetes can you eat right and exercise enough for it to go away?

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
If i am  diagnosed with pre-diabetes can you eat right and exercise enough for it to go away?
Eating right and exercise along with positive life style changes is fundamental to management of pre-diabetes, but may not be enough. A more comprehesive approach involves specific treatment to improve insulin sensitivity and balancing of metabolic parameters that includes homones and vitamin optimization.
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Hello, I want to ask something for my mother. She is a diabetic patient. And currently in reports we saw her sugar level increased. What can b done to control sugar level. Even her lever has swollen. Please tell me what can we do. Her age is 48.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
Hello, I want to ask something for my mother. She is a diabetic patient. And currently in reports we saw her sugar le...
No details about blood sugar and reports regarding liver which may not be related to diabetes. Her ideal weight should be 76 Kg. Proper diet as advised, Light exercise like walking for 40 minutes daily, propr medication as advised. Regular monitoring of blood sugar, review by treating doctor, and follow up is the approach. She should get reports of blood sugar. 1. Fasting 2. 2 hours after lunch and 3. just before dinner. Also HbA1c . Meet a physician or a diabetologist for proper assessment and advice. Weight has to be brought down
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I am a diebetic type 2 patient since last one yr. My sugar fasting 120-130 and pp 100-110. May I include mango in my diet.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello your sugar levels seem to be normal particularly the pp level. Are you taking any treatment for this condition? if you are on treatment then eating mango on regular basis is out of question. You may eat one piece or so.
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Always from my eyes water will be oozing out. Why this happens and what medicine should I try. My age is 65 years and suffering with diabetes from the last 25 years. Pl help TQ Raju.

Diploma in Diabetology, MBBS
General Physician, Warangal
Always from my eyes water will be oozing out. Why this happens and what medicine should I try. My age is 65 years and...
Maintain ibw take balance d diet avoid sugary items fat food lead stress free life take plenty vegetables and fruits in 2 / 3 servings take high fibre low calorie food check tsh level.
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I am suffering frm diabetes for 18 years.i am 48 years. i am taking gluco red forte twice a day. I am suffering from increased heartbeat suddenly or when i do some heavy work... is it normal??

MBBS, CCEBDM
Diabetologist, Bangalore
I am suffering frm diabetes for 18 years.i am 48 years. i am taking gluco red forte twice a day. I am suffering from ...
Hi Common causes of increase in heart rate could be stress, anxiety, exercise, Low blood sugar, intake of alcohol or caffeine and anemia. If in case you notice breathing difficulty, chest pain, giddiness or fainting episodes you need to consult a doctor.
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My mom is having spondylitis. She is suffering from heavy pain in her whole body mainly her left side. It is likely to have pain in her bones. She is having thyroid as well thats why she is taking ccm & calcirol.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hot fomentation x twice daily. Neck exercises. Neck stretching. Postural correction. Shoulder shrugs. Core strengthening exercises. Take frequent breaks at work use cervical pillow. Use back support. Self massage the back of neck.
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Hi dr, can you please what is the maximum dose can thyroxine be raised. Even my mother take 150 mcg. There are still hypothyroidism symptoms after total thyroidectomy.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi dr, can you please what is the maximum dose can thyroxine be raised. Even my mother take 150 mcg. There are still ...
Upto 200 - 300 dose is given but it is based on each patient and she needs to be examined and then the dose is started.
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