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Dr. Vaman Khadilkar

Endocrinologist, Mumbai

Dr. Vaman Khadilkar Endocrinologist, Mumbai
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Vaman Khadilkar
Dr. Vaman Khadilkar is an experienced Endocrinologist in Mumbai, Mumbai. You can meet Dr. Vaman Khadilkar personally at Bombay Hospital & Medical Research Centre in Mumbai, Mumbai. Book an appointment online with Dr. Vaman Khadilkar on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 40 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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Diabetes: At A Glance

MD - Medicine, MBBS
General Physician, Gurgaon
Diabetes: At A Glance

Diabetes is one of the most common problems that are caused by obesity, unhealthy and inactive lifestyle. It is a metabolic disorder in which the body is unable to store and use energy from food. Being physically inactive and eating unhealthy food are primary causes of diabetes. It is a long term condition, which causes high or unstable blood sugar levels in the body.

When a patient suffers from low blood sugar it is called Hypoglycemia and if the blood sugar levels are too high, it is called Hyperglycemia. Both are extremely harmful for a patient.

Type 1 and Type 2 and Gestational Diabetes:

Type 1

In Type 1 diabetes, the body does not produce insulin. The condition has no known cure and is usually hereditary in nature. Approximately 10% of those suffering from diabetes have Type 1 diabetes. Patients with Type 1 diabetes have to take regular medication, including insulin injections as well as take care of their diet.

Type 2

Type 2 diabetes happens when the body does not produce enough insulin for its proper functioning. 90% of all diabetic people suffer from Type 2 diabetes. It is usually caused by poor lifestyle choices, like physical inactivity and unhealthy food habits. The disease lasts a lifetime and is usually progressive in nature, but can be managed by taking regular medication, choosing an active lifestyle and maintaining proper body weight.

Gestational Diabetes

Diabetes during pregnancy is known as gestational diabetes. This has to be managed by taking medication or in extreme cases insulin shots. If undetected or untreated, gestational diabetes increases complications during childbirth, and causes unusual weight gain in the baby. However, gestational diabetes usually ends after the baby is born and women can go back to their normal lifestyle and eating habits post delivery.

Symptoms of Diabetes

  1. Frequent urination
  2. Extreme hunger or thirst
  3. Weight loss
  4. Problems with vision
  5. Tingling or numbness of the extremities.
  6. Unexplained fatigue
  7. Dry skin
  8. Cuts or sores that heal slowly
  9. High number of infections

Who is at greatest risk for developing diabetes?

People who:

  1. are 45 or over
  2. are overweight
  3. are habitually physically inactive
  4. have previously been identified as having IFG (impaired fasting glucose) or IGT (impaired glucose tolerance)
  5. have a family history of diabetes
  6. are members of certain ethnic groups (including Asian American, African American, Hispanic American, and Native American)
  7. have had gestational diabetes or have given birth to a child weighing more than 9 pounds
  8. have elevated blood pressure
  9. have an HDL cholesterol level (the good cholesterol) below 35 mg/dl and/or a triglyceride level above 250 mg/dl
  10. have polycystic ovary syndrome
  11. have a history of vascular disease

What is pre-diabetes?

Pre-diabetes is a condition of elevated blood glucose level that has not yet reached a diabetic level. Along with insulin resistance, pre-diabetes causes no symptoms. An individual may be pre-diabetic for years without knowing it. Pre-diabetes increases your risk of developing Type 2 diabetes and heart disease. Weight loss and exercise may halt the onset of diabetes from pre-diabetes by returning blood glucose levels to a normal range.

4604 people found this helpful

I have uric acid problems what medicine I should take and what food I should take.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
A high uric acid level can be caused when your body either produces too much uric acid or your kidneys don't eliminate uric acid rapidly enough. A high uric acid level may cause increasingly frequent attacks of gout, or it may never cause problems. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease, but it's often unclear whether this is a direct cause or merely an early warning sign of these conditions. Factors that may cause a high uric acid level in your blood include: Diuretic medications (water pills),Drinking too much alcohol,Genetics (inherited tendencies),hypothyroidism (underactive thyroid),Immune-suppressing drugs,Niacin, or vitamin B-3, obesity,psoriasis, Purine-rich diet — organ meat, game meat, anchovies, herring, gravy, dried beans, driedpeas, mushrooms and other foods Renal insufficiency — inability of the kidneys to filter waste Tumor lysis syndrome — a rapid release of cells into the blood caused by certain cancers or by chemotherapy for those cancers,Also, you may be monitored for high uric acid levels when undergoing chemotherapy or radiation treatment for cancer. Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Ulracet sos for pain in joints.
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My mother has just entered into early diabetic condition from being a pre-diabetic. She is suffering from extreme weakness with rise in temp during weather change. Her latest sugar level reading while fasting is 130 & after meal is 165. Please suggest what should be her best diet and further remedy for control?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
In general, most cases of fatigue \weakness may be attributed to three areas: lifestyle factors, medical conditions or psychological problems. A thorough assessment is needed in all three factors to get to the actual cause of weakness. I being a both a registered dietitian and doctor have been successfully helping patients with their problems through a holistic approach using customized therapeutic diet and medications. Do reply back for private consultation.
1 person found this helpful
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I am 64 years old diabetic. I get irritation in my both ears quite frequently. I use ear drops to control. Is it related to diabetes?

D.N.B, D.L.O
Ear-Nose-Throat (ENT) Specialist, Bangalore
I am 64 years old diabetic. I get irritation in my both ears quite frequently. I use ear drops to control. Is it rela...
Hello Mr. Lybrate-user it's not that diabetics get more of irritati in ears. Certain conditions take time to heal in diabetics if uncontrolled. Nothing to worry you can use few drops of oil into the ears when lot of itching in ears. But avoid using ear buds usage. Take care.
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My sister is suffering from sugar. Her fasting sugar is 200-250. We have no any family member who is suffering from sugar. She is only 19.

MD - General Medicine, MBBS
General Physician, Kolkata
My sister is suffering from sugar. Her fasting sugar is 200-250. We have no any family member who is suffering from s...
Type 1 diabetes can be absent in the family. It usually gets diagnosed during an episode of illness like fever etc. Start diet therapy and exercise. Test serum c-peptide. If it comes out to be low, then she may be requiring lifelong insulin therapy. It may sound very shocking to you, but I assure you it is manageable and there is absolutely no complication of long term insulin therapy. But first test fasting and 2 hour post meal blood glucose, hba1c and c peptide. You can contact me with the reports.
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I recently take a all blood and urine checkup. And the result says that I have high triglycerides and uric acid. I am also checked this in my age of 19. The result was also same. Here I am giving the details of test result. Blood sugar fasting-110mg/dl Blood sugar 2hr pp- 130mg/dl Total Cholesterol- 201mg/dl Triglycerides- 309mg/dl Hdl- 30mg/dl Ldl- 133mg/dl Vldl- 38mg/dl S. Uric acid- 9.6mg/dl Sir I am feeling always tired. My stamina become low. And increase sweating. Please give me solution to reduce this things and suggest me a proper diet plan.

MBBS, MD - General Medicine
Endocrinologist, Faridabad
You have impaired fasting glucose tolerance, high triglycerides, morbid obseity bmi 42 and you have metabolic syndrome. Stop smoking and alcohol if being consumed. Reduce fat intake and refuce caloric intake by 500 calories a day do brisk walking for 45 minutes a day take fresh gren vegetsbles and juicy fruits.
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I am 40 years aged. I am diabetic since 13 year. Now my body become too weak, how to regain my body healthy ?

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
First go for hba1c test. Also do urine test. Renal function test also you must do. Send reports will provide you some medicine.
1 person found this helpful
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I had been tested for vitamin d and Tsh levels approx 3months back. My vitamin d levels were less than 10 and Tsh levels were 5 (normal range as per lab: 4.9) Since then I have been suffering from muscle pain and cramps during mensuration. This time I faced a lot of neck pain during mensuration. Notes: I have taken vitamin d supplements but no medicine for thyroid.

BAMS
Ayurveda, Ambala
* Neck pain occurs due to wrong posture or due to strain on your neck muscle . Check your posture , do not bend your neck excessively and when you work on your laptop or computer after half hour of working move your neck slowly in clockwise and anticlockwise direction . * Do neck massage with lukewarm mustard oil . * Do not take pillow of high hight during sleeping Or avoid to take pillow . * In diet vegetable protein of cereal , B complex supplements and half teaspoon of haldi in a cup of milk for seven days will give you enough relief.
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I am 53 years old diabetic and bp. Everything is normal condition. I am using Vita e gold everyday twice. My dysfunction is not improved .kindly suggest me .what to do. My sex life is very poor. Help me please.

M.D. (Ayurveda )
Ayurveda, Patiala
I am 53 years old diabetic and bp. Everything is normal condition. I am using Vita e gold everyday twice. My dysfunct...
kindly take arogyawardhini vati, 2 tabs twice a day after meals with luke warm water. Take Tab, neo of charaka pharma, 2 tabs twice a day, 1 hr after meals with luke warm milk. do massage of the organ, with mahadhanvantaram oil, daily. continue the regime for 2 months. It will take time, but will bear results for sure. good luck
1 person found this helpful

My mother is suffering from uric acid problem. Can you please tell me how to get rid off by this. Using home remedies.

C.S.C, D.C.H, M.B.B.S
General Physician,
My mother is suffering from uric acid problem. Can you please tell me how to get rid off by this. Using home remedies.
You should tell the uric acid level to guide you completely. Apple cider vinegar, cherries, lemon juice, olive oil and drinking plenty of water helps optimize uric acid filtering. It helps dilute the uric acid and stimulates the kidneys to eliminate excess amounts from the body through urine.
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मैं डाइबिटिक पेसेंट हूँ मेरा सुगर लेबल पिछले 3 वर्षो मे लगभग 200 से 300 तक रहता है मुझे सेक्सऊवल कमजोरी रहती है मेरे वजह पत्नी भी परेसान रहती है

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
मैं डाइबिटिक पेसेंट हूँ मेरा सुगर लेबल पिछले 3 वर्षो मे लगभग 200 से 300 तक रहता है मुझे सेक्सऊवल कमजोरी रहती है मेरे ...
Diabetes agar control me na raha to impotence honeki sambhavana hamesha hoti hai. Isliye pahale aap ko blood sugar levels ko kabu me lana hoga. Usake saath kisi sexologist doctor se milke salah leni hogi. Because you have a very badly controlled diabete for such a long time. Sometimes sildenafil tablets do help. But better to consult a specialist for this.
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Diet for DM HTN

Homeopath,
Diet for DM HTN

Diet plan for DM and HTN


 Food should be distributed into small frequent feeds. The days requirement should be well distributed between the different meals. Skipping a meal or fasting is not really advisable. 

As far as possible, the patient should maintain ideal body weight. Considering the height, weight, activity, age and sex of the individual the days calorie requirement can be calculated. Of the total calories 55-65% should come from cho's 15-20% from protein and the remaining 15-20% from fats. 

General instructions to be followed:

Different cereals contain almost the same amount of cho and so the quantity of cereal consumed should be noted rather than the type consumed. 

Whole grain cereals are better, preferred for their fibre content and satiety value.

Rice gruel if consumed, should be done so by discarding the rice water, and adding hot water. 

When consuming wheat porridge, it is better to have it with pulses than using coconut milk in it. 

Include whole pulses in the diet, soya products help to reduce cholesterol. Sprouted pulses are more nutrious. 

Fish can be included in the diet, in the curry form. Fried fish is the best avoided. Shell fishes like prawns, lobsters etc should be avoided. 

Poultry (without skin) can be used occasionally. Beef, pork, mutton, liver etc should be avoided by cardiac patients. Trim off excess fat (if any) before cooking. 

Egg yolk has to be avoided by individuals with hyperlipidemia. 

Milk and its products need not to be used more than 400 ml/ day. Use skimmed milk whenever possible, otherwise cream has to be removed before consumption. 

Root vegetable like tapioca, yam, potato, colocasia etc are better avoided and if used, should be in moderation instead of cereals.

Include more vegetables (esp. Raw salads and green leafy vegetables) in your diet, as it is rich in fibre which in turn helps to reduce blood sugar and cholesterol levels. Raw salads with sprouted pulses enhances the nutrient composition. 

Fruits are restricted for diabetics and preferably should be consumed as such than having it in the form of juice. Select low calorie fruits from exchange list. 

Cardiac and hypertensive patients can take 3-4 servings of fruits. Whenever possible consume fruits with edible skins eg. Apple. Guava etc. 

Use of coconut and its products must be minimized. 

Cardiac patients need not restrict the intake of tender coconut water, whereas diabetes can only use it occasionally. 

It is better to avoid nuts like badam, peanuts, cashew nuts etc. But occasionally can be used in restricted amounts instead of some other food items so that the calories remain unchanged. 

Sugar and sweet should be avoided by diabetic patients. Low calorie sweeteners can be used in moderation as substitutes for sugar, honey, sweets etc. Cardiac and hypertensive patients should minimize their intake of sugar and sweets. 

Garlic, curry leaves, fenugreek seeds cluster beans, oatbran etc have blood sugar and cholesterol loosing efforts. Ginger, foods in rich with vit- e and b carotene reduces the risk of cardiac diseases. 

Alcohol intake injurious to health, 1 ml of alcohol contains 7 calories. Alcohol can cause hypoglyemia and can increase triglycerides which can be harmful for the heart. 

Cooking oil used should be minimized and may be restricted to 10-15 ml/day. (2-3 tsp). Use cooking methods that require little or no fat. Hidden fat in bakery products and snacks should also be taken into account. 

Preferably use a combination of cooking oils like sesame. Ground nut, sunflower, rice bran, corn oil etc. Use of coconut and palm oil should be maintained at minimum levels. 

Dinner should be enjoyed two hours before retiring. At bed time either diluted milk of fruit can be consumed. 

Include foods from all the different food groups and thus consume a balanced diet. 

Regular exercise is most useful but physical strain after a meal should be avoided. 

Free foods (can be included liberally)


 Thin buttermilk, unsweetened lime juice, jeera water, fenugreek water, raw vegetable salads made of low calorie vegetables, plain clear soups etc. 

Foods to be used in moderation.

Cereals, pulses, dhals, egg white, fish, chicken (skinned) milk and milk products, fruits, coconut, oil etc. 

Foods to be avoided by diabetics. 

Sugar, honey, jaggery, glucose and sweets of all varieties like cake, pastries, jams, jelly, sweetened drinks etc. 

Roots and tubers like potato, tapioca, yam etc

Butter, ghee, dalda and fried preparations. 

Horlicks, bournvita, boost etc

Fruits like jackfruit, banana, mango, sapota etc. 

Dry fruits and nuts

Barley water, rice water etc. 

Cholesterol rich foods (to be avoided by cardiac patients)

Whole milk and milk products

Egg yolk

Shellfishes like prawn, crab, lobster etc. 

Organ meats like kidney, liver, brain etc. 

Chicken, duck with skin. 

Sweet like pastries, ice creams etc. 

Butter, ghee, dalda, coconut oil, palmoil

Fried foods like vada, chips, pappads, samosa etc. 

Alcoholic drinks, creams soups etc. 

Fiber rich foods

Whole wheat, parboiled, sago, oats etc. 

Pulses

Fenugreek and sesame foods

Vegetables and fruits (with skin)

Fresh coconut etc. 

Sodium rich foods (to be avoided by hypertensive patients)

Salt (avoid extra salt in food and table)

Baking powder, baking soda, ajinomoto etc

Bakery products like biscuits, cakes, pastries, chocolates, bread, bun etc. 

Salted chips, nuts, popcorn etc

Pappads, pickles, dried fish etc

Canned and salt preserved foods

Sauces, soup cubes

Sausages, lobsters, meat and yeast extracts

Carbonated beverages

Readymade foods like cornflakes, noodles, fast foods etc.

Proprietary drinks eg. Horlicks, complan, bournvita etc

1 person found this helpful

Sir, I have taken 2 nos. 80mg Glycinorm M80 tablets before breakfast in a day. My fasting blood Sugar Test shows 148 reading and non-fasting blood sugar test reading is 198. Please help me to control the diabetes with the help of diet chart and if changes in daily tablet is required please suggest the Tablet Name. Ajay Kumar Jain Hisar, Haryana India Mobile:- 91-8572859284.

MBBS
General Physician, Chandigarh
Sir,
I have taken 2 nos. 80mg Glycinorm M80 tablets before breakfast in a day. My fasting blood Sugar Test shows 148 ...
For change in medicine you should consult an endocrinologist and get thoroughly investigated to start it eat more fresh vegetables and fruits salads soups less carbohydrates and more proteins also a handful of nuts every day drink plenty of water cut down on all sugar products carbohydrates excessive tea and coffee and avoid alcohol and smoking or any type of drugs use.
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I am 47 years old female. I have hypothyroidism from 4 years. On tablet of thyofit 25 mg. Now my tsh is8.35. Gaining weight.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 47 years old female. I have hypothyroidism from 4 years. On tablet of thyofit 25 mg. Now my tsh is8.35. Gaining ...
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 iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. 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 can help, take tab. thyroxine 75mcg.
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I am suffering for hypothyroidism, fatty lever and pancreas, hot flashes on face, having hiccups 4-6 times daily. Fybromyalgia. Pls help for recovery.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering for hypothyroidism, fatty lever and pancreas, hot flashes on face, having hiccups 4-6 times daily. Fyb...
TAKE TAB. THYRONORM 75MCG , TAB, PERINORM 5MG FOR HICCUP., SYP. ARISTOZYME 10 ML THRICE A DAY, TAB. LIV-52 1TAB. TWICE A DAY. AVOID OILY, SPICY, JUNK,FATTY FOODS.
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Meri Dadi ko thyroid hai to is problem ka acha ilaj or kya khana chie kya krna chie or Ve thyronorm 25 mcg naam ki golia khati h. Mera swaal h ki unko kya khane ka plan chie jo healthy ho or kch tips is problem se jaldi cure krne ke liye.

PDDM, MHA, MBBS
General Physician, Nashik
She must eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
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Hi sir good evening what are the symptoms of diabetics I have grade 2 nonalcoholic fatty liver is that it is diabetic and I have jaundice hemoglobin is 6 is this is symptoms for diabetics.

BHMS
Homeopath, Secunderabad
Hi sir good evening what are the symptoms of diabetics I have grade 2 nonalcoholic fatty liver is that it is diabetic...
In case of diabetes the body does not produce sufficient insulin hormone (type 2 diabetes) that is required to regulate the sugar levels. (insulin is required by the cells to use glucose /sugar ). Due to this condition the sugar levels rise in the body as it is not utilised normally. We give medicines that stimulate the pancreas to produce insulin and help the body to remain normal. Please discuss your health problems with your doctor so that you can manage it properly. You can update the reports here (and what the doctor has diagnosed and line the of treatment advised). It can be explained accordingly. Please followup regularly. Do adapt a healthy lifestyle and avoid all bad habits to protect your health. You can also take Homeopathy along with your current treatment as it can support your immune system in a natural way without any side-effects.
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I am 58 years old & suffering from diabetics, my tests for diabetic & creatinine is within the range. But nowadays my leg feet is swelling when I am returning back from my office duty ny travelling for 2 & half hours in train & bus.

Bachelor of physiotherapy, Masters in physiotherapy
Physiotherapist, Mohali
I am 58 years old & suffering from diabetics, my tests for diabetic & creatinine is within the range. But nowadays my...
Hello Mr Arun. Thank you for your question. In diabetes swelling of feet do occur. This is due to retention of fluid. Do some ankle foot exercises. Don't sit for long time. Do some walk after 30 minutes of sitting. Clean and moisturize your foot daily. I hope this will help you.
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I am a diabetes patients and I have been suffering from jaundice should I eat dal? Please advise.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am a diabetes patients and I have been suffering from jaundice should I eat dal? Please advise.
Mr. Lybrate-user, there is no restriction in eating dal (pulses) as it provides a good quantity of proteins. Even if you have jaundice there is no such restriction. Probably only restriction is to avoid alcohol completely. Moderate protein intake is necessary. Only thing is please maintain your blood sugar levels in good control.
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I am 28 years old and suffer from thyroid so I want to know that its affect pregnancy?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello if you are on thyroxine and in control then pregnancy will be no problem. But you have to periodically check tsh and hormone levels.
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