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Dr. Vijay.K.Panikar

MBBS

Endocrinologist, Mumbai

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Dr. Vijay.K.Panikar MBBS Endocrinologist, Mumbai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Vijay.K.Panikar
Dr. Vijay.K.Panikar is one of the best Endocrinologists in Bandra West, Mumbai. He is a qualified MBBS . You can visit him at Dr. Vijay.K.Panikar@Lilavati Hospital and Research Centre in Bandra West, Mumbai. Save your time and book an appointment online with Dr. Vijay.K.Panikar on Lybrate.com.

Find numerous Endocrinologists in India from the comfort of your home on Lybrate.com. You will find Endocrinologists with more than 28 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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Lilavati Hospital and Research Centre

#A - 791, Bandra Reclamation Landmark : Opposite Mumbai Educational TrustMumbai Get Directions
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I am suffering from hypothyroidism. Recent test showed tsh as 17.25. Endocrinologist put me on thyrox 50 mcg. My hairs are becoming white. Is it due to thyroid? please tell any solution.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering from hypothyroidism. Recent test showed tsh as 17.25. Endocrinologist put me on thyrox 50 mcg. My hair...
you can use cap. vit.E 400 mg once a day for white hair. 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.
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Hello, my father is 45 years old. And he is bank employe, he has diabetes, day by day he is getting week and he do not have any kind of bad habit. Can any one suggest any energetic drink for my father to stay fit and active. Thank you.

Advanced Aesthetics
Ayurveda, Gulbarga
Hello, my father is 45 years old. And he is bank employe, he has diabetes, day by day he is getting week and he do no...
1. health-ok sachet daily 1packet with 200ml of water... its mankind product and safe... for 1month regularly.. 2. ashwagandha churna 1spoon with milk 2times a day... its regular for 3months...
1 person found this helpful
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What is the difference between novamix 30 human 30 insulin both are same or not price differs which one is best.

DNB (Medicine), MBBS
General Physician, Delhi
What is the difference between novamix 30 human 30 insulin both are same or not price differs 
which one is best.
Hi, basically novo mix is a newer insulin analogue with a mix of 30% short acting and 70% long acting insulin. On the other hand human mixyard is a conventional insulin. The difference is in their properties and effectivity.
4 people found this helpful
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I have type 2 diabetes. My fasting is regulating as 250 approx. what should i do ?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have type 2 diabetes. My fasting is regulating as 250 approx. what should i do ?
Mr. Lybrate-user, fasting 250 mg us very high, signifies there is uncontrolled diabetes. You need to be on appropriate drug treatment either oral or insulin injection, when in control fastin should be 100 mg, pp 150 to 160 mg and hba1c% <7. Plus you have to take restricted diet and do daily one hous exercise.
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Due to hypothyroidism I am gaining weight. My TSH level is 7.23. How can I manage my weight? Please briefly suggest me some routine diet plan to maintain my weight and thyroid level.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Due to hypothyroidism I am gaining weight. My TSH level is 7.23. How can I manage my weight? Please briefly suggest m...
lybrate-user, Thanks for the query. If I remember correctly, yesterday only I had answered your query about appropriate control of hypothyroidism. In uncontrolled hypothyroidism where TSH value is more than the prescribed limit, weight gain along with all other symptoms of the disease tend to reappear. With a TSH value of 7.23 mU/L, your efforts to reduce weight are unlikely to be successful. So first thing is to bring that number down to 3 mU/L, by increasing the dosage of thyroxine being taken now. Then take a balanced diet that provides calories based on your ideal body weight, plus reduce about 500 calories from that and continue that diet with regular exercise for over 1 hour. That can help in reducing the weight. Thanks.
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I am suffering from diabetes from last 4 years. At present my diabetes level is 150 fasting. I am taking GLYCOMATE 500 daily twice. I want to reduce my sugar level what will I do?

P.G.Diploma in dietetics and applied nutrition
Dietitian/Nutritionist, Mumbai
I am suffering from diabetes from last 4 years. At present my diabetes level is 150 fasting. I am taking GLYCOMATE 50...
Hi controlling the diet and walks is the best way to stay off the medicines. Include fibre rich foods, complex carbohydrates, more vegetables and protein rich foods. Walking daily will help the body utilise insulin in a better way thanks.
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My mom suffering from diabetics. Please give me the solution how she can control diabetics?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mom suffering from diabetics. Please give me the solution how she can control diabetics?
Mr. Lybrate-user, to control diabetes following things have to be done: start treatment with appropriate drugs, take a restricted diet, giving exact calories based on ideal body weight, blood sugar levels and extent of exercise done daily. So she has to be put on appropriate drugs first.
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I am a 68 year old thyroid ca patient. If I upload I131 THERAPY scans during past 6 years can you tell me if there was uptake and where? How I upload the scan?

C.S.C, D.C.H, M.B.B.S
General Physician,
You can go the same hospital and ask for scan to clear your doubt. The radio uptake is by thyroid gland.
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I am 45 I have diabetes I have legs pain muscles pains my father is also diabetic past 8 years my legs have pains. What should i do?

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
I am 45 I have diabetes I have legs pain muscles pains my father is also diabetic past 8 years my legs have pains. Wh...
leg pain could be because of many reasons. you need to provide detail information about your medical history.
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Can you suggest me the fruits a diabetic should avoid. Are nuts useful for diabetics?

MBBS, CCEBDM
Diabetologist, Bangalore
Can you suggest me the fruits a diabetic should avoid. Are nuts useful for diabetics?
Hi Diabetics need to avoid mango, chikku, banana, custard apple, grapes, canned fruits. However with very good control of diabetes these fruits can be had occasionally. Nuts like almonds(2-3 a day) and walnuts(1 a day) are good for diabetics.
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I am 48 years old female suffering from diabetes since sep 15. I have been taking glycomet 500 but diabetes has increase from 135 to 152 (fasting) 235 from 238 (PP). MY HB1C is 8.1. I am walking daily but not in morning since I am working and do not get time for morning walk. Can I eat moongali. Coffee can be taken or not.

DNHE, BPTh/BPT, weight management specialist
Physiotherapist, Kolkata
I am 48 years old female suffering from diabetes since sep 15. I have been taking glycomet 500 but diabetes has incre...
Well, one simple thing to do is have methi water in the morning. Soak 1 tsp of methi seeds in a glass of water and next day strain the seeds and have water only, this helps to control sugar. Besides to keep glycosylated hb under control have food items like brown rice, whole grains, avoid refined flour etc. Yes peanuts can be had in moderation.
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I am of 50 age. Having diabetes, high bp, having dust allergy. Eating medicines since last 15 years. Now a days my foot ankle is swelling. What are these symtoms. Cant reduce my weight. Suggest me how to reduce my weight ?

MD - Pathology, MBBS
Pathologist, Ahmedabad
Reduction of weight is not an overnight procedure. There cannot be a fix formula. To suggest you consult dietitian, good physician, get some basic reports and then only suggestion can be made.
5 people found this helpful
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Thyroid Surgery - Why Should You Go For It?

MS - General Surgery, MBBS
General Surgeon, Delhi
Thyroid Surgery - Why Should You Go For It?

Thyroid is a small butterfly shaped gland, which is present at the lower frontal region of the neck, right beneath the voice box. It produces hormones which regulate metabolism (the breakdown of food by the body to convert it into energy). It even plays a pivotal role in boosting organ functions as well as in helping the body to sustain heat. However, too much of hormone production by the thyroid gland might yield structural problems, for instance, growth of nodules (abnormal tissue growth) or cysts (non-cancerous sac-like structures containing fluid) and swelling. Hence, a thyroid surgery is a must once these problems occur. The surgery, administered with general anesthesia, eliminates the thyroid gland either wholly or partially.

Why do you need surgery?

  1. The presence of tumors or nodules on one’s thyroid gland is one of the reasons why one should go for the surgery. Although most of the nodules are benign, few can be pre-cancerous or cancerous too. Also, those benign nodules can spell trouble, if they expand in size, thus obstructing the throat. They can be problematic as well if they cause the thyroid gland to overproduce hormones, giving rise to a condition known as hyperthyroidism.
  2. Hyperthyroidism can be corrected through surgery. It is often an outcome of Grave’s disease, an autoimmune disorder wherein the body misidentifies the thyroid gland as a foreign body, thereby creating antibodies to combat it. The thyroid gland gets inflamed in the process, resulting in the overproduction of hormones.
  3. Another reason is the enlargement or swelling up of the thyroid gland, termed as goiter. Similar to large nodules, goiter too can clog the throat, thus interfering with one’s breathing, speaking and eating.

Types of Surgery

  1. Lobectomy: This procedure calls for partial removal of the lobes when a nodule or an inflammation affects just half of the thyroid gland.
  2. Subtotal Thyroidectomy: Here, a small proportion of the thyroid tissue is left behind even after the elimination of the thyroid gland.
  3. Total Thyroidectomy: Through this procedure, the entire thyroid gland is taken out along with the thyroid tissue. If you wish to discuss about any specific problem, you can consult an endocrinologist.
3340 people found this helpful

PREVENT COMPLICATIONS OF DIABETES

MBBS & Post Graduate course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
PREVENT COMPLICATIONS OF DIABETES
Annual eye, kidney and nerve check up is necessary in all diabetic patients to prevent the complications.
2 people found this helpful

I am suffering from peripheral diabetic neuropathy and hypertension. Suggested evion 600 capsules and vitamin D 3. Advise D3 of 1000 ki or 2000 or 5000, which is most sites.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I am suffering from peripheral diabetic neuropathy and hypertension. Suggested evion 600 capsules and vitamin D 3. Ad...
DEAR WE SHOULD TAKE VIT D3 LIKE THIS= CAP. DWELL aq 1 WEEKLY FOR 2 MONTH FOLLOWED BY BIMONTHLY FOR 2 MONTH FOLLOWED MONTHLY FOREEVER. ALSO TAKE TAB. CCM (CALCIUM CITRATE MALEATE) DAILY ONE WITH MEAL.
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If msala oats increases sugar level i am eating for 3 months and my sugar increase from 110 to 160.Help me in this regard

MBBS, DNB (General Medicine)
General Physician, Delhi
No oats are healthy food , you can include in your regular diet , it will not increase your sugar level
1 person found this helpful
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What are the symptoms of diabetes and how we take insulin IBM sugriv level is 600.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What are the symptoms of diabetes and how we take insulin IBM sugriv level is 600.
Lybrate-user, diabetes invariably does not produce any symptoms, hence many persons do not come to know that they have diabetes. When fully developed usually observed symptoms include excess thirst, excess hunger, excess urination, unexplained tiredness and weight loss. The second part of the question is not clear. Is it saying sugar levels is 600 mg, so how much insulin one has to take? before deciding on that one has to look at whether the patient has any insulin secretion at all. A c- peptide assay has to be done. 600 mg sugar is very high and it may lead to diabetic ketoacidosis if the patient has t1 dm or may lead to hyper osmolar hypertonic state (in elderly patients). Dose of insulin has to be slowly increased by observing glucose reduction over a period. So difficult to give exact dose. But if some one has such a high level, hospitalisation may needed.
12 people found this helpful
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Can I Eat Rice If I Have Diabetes?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Can I Eat Rice If I Have Diabetes?

Diabetes mellitus is a group of diseases where the body does not adequately produce insulin, use insulin properly, or both. Insulin plays a crucial role in allowing blood sugar into the cells to be used for energy. There are two main types: type 1 and type 2 diabetes.
A woman running in the park with her dog
Staying healthy by exercising and eating well is recommended for people with diabetes.

People with diabetes have abnormally high levels of blood sugar. This can damage many organs in the body if left untreated. The national institute of diabetes and digestive and kidney diseases recommend the following steps to manage diabetes:

 Make healthy choices in eating
 Engage in regular physical activity or exercise
 Take medications, if required.

Healthy eating is important in keeping blood sugar levels at a healthy level. The healthy range is 80 to 130 mg/dl before meals or below 180 mg/dl after meals, according to the american diabetes association.

People with type 1 diabetes require insulin. Various insulin delivery systems and protocols are used to manage blood sugar both between and at meal times.

People with type 2 diabetes often manage their condition with diet and exercise, and with medications as needed to keep blood sugar within the target range. These medications vary in how they work.

People with diabetes will have different treatment plans, and they will respond to food, exercise, and medication differently.

It is important to consult with a doctor to get individualized recommendations on target blood sugar levels, medications, diet, and exercise.
How do carbohydrates affect diabetes?

Carbohydrates are an important source of energy for the body. Carbohydrates are found in foods that have starches and natural or added sugars. Examples are grains, vegetables and legumes, fruit, dairy products, and sweets.

Carbohydrates are broken down by the digestive system into sugar. When the digested sugar enters the blood, the body produces a hormone called insulin. Insulin helps the sugar enter cells. Once the cells absorb the sugar, blood sugar levels fall.

People with diabetes have an impaired ability to produce insulin, use insulin, or both.

People with type 1 diabetes cannot produce insulin, so they take insulin to make sure the cells can get the sugar they need for energy.

People with type 2 diabetes are often insulin resistant. They also often have difficulty producing enough insulin to keep their blood sugar in the normal range.
Counting carbohydrates

Carbohydrate counting is a way of keeping track of the carbohydrates in the daily diet. A person with diabetes who uses carbohydrate counting to manage their diet sets an amount of carbohydrate to eat for meals and snacks.
Foods containing carbohydrates
Bread, pasta, rice, and potatoes are all sources of carbohydrates.

The american diabetes association suggest a target of about 45 to 60 grams of carbohydrate per meal. This recommendation may vary depending on other factors such as gender, weight goals, and blood sugar target goals.

The three different types of carbohydrates are starch, sugar, and fiber.

Starches are complex carbohydrates found in starchy vegetables such as peas, potatoes, and corn. Beans and whole grains are also complex carbohydrates.

Fiber comes from plants and cannot be digested. Fiber is found in foods such as vegetables, fruit, whole grains, legumes, and nuts.

Unlike other carbohydrates, fiber does not raise blood sugar, and it can help to slow the digestion of meals. This helps to minimize spikes in blood sugar. It is recommended to eat between 20 to 35 grams of fiber per day.

Sugar is a carbohydrate. It is generally absorbed into the body more quickly. There are natural sugars found in milk and fruit. There may also be added sugars in canned fruits, baked goods, and processed foods.

There are also carbohydrates in non-starchy vegetables such as lettuce, peppers, cucumber, mushrooms, and many others. There are fewer carbohydrates in these foods because they have a high water content. For example, a half cup of cucumber has around 2 grams of carbohydrate.

The type and amount of carbohydrate will affect post-meal blood sugar levels.

Foods that digest more slowly, such as those with a lot of fiber, and those eaten as a mixed meal, digest more slowly. They can help to prevent post-meal spikes in blood sugar. Large amounts of carbohydrates eaten at one time will raise blood sugar more than smaller amounts.
Is eating rice healthy with diabetes?

High-carbohydrate foods like grains, cereals, pasta, rice, and starchy vegetables are not forbidden, but they should be eaten in moderation.

Rice is a high-carbohydrate grain, but it can be incorporated into meals in appropriate amounts.

One-third of a cup of rice has 15 grams of carbohydrate. That accounts for one-fourth to one-third of the amount of carbohydrate recommended for a single meal, if the target is 45-60 grams of carbohydrate per meal.

Meals that also include healthy proteins and fats can help to slow the impact of the rice on blood sugar levels.
Are some types of rice healthier than others?

Some grains are better than others for managing diabetes.

A scale called the" glycemic index" measures how quickly food is digested into sugar and absorbed in the blood. High glycemic foods raise blood sugar faster and should be eaten in limited portions, or eaten with lower glycemic index foods.

White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.

Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.

Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.

Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.

Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.
Tips for preparing rice

Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.
A bowl of brown rice
Brown rice may have a lower glycemic index than white rice.

Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.

The instructions are as follows:

 Bring rice and water to a boil in an uncovered pot
 Cover the pot and simmer for about 20 minutes
 Turn off heat and let the covered pot sit for at least 10 minutes.

Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.

Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.

Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.
Nutritious and delicious alternatives to rice

Because rice is high in carbohydrates, it should be accompanied by other foods.

Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.

Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.

Many foods can serve as substitutes for rice.

Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.
Recipes for rice substitutes

A number of recipes are available for rice substitutes. Here are two examples:
1. Cauliflower" rice"

Ingredients:

 Oil
 Onions
 Cauliflower
 Lemon
 Seasoning.

Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.

Season to taste with salt, pepper, lemon juice, and herbs.

Full recipe from the food network.
2. Cilantro lime quinoa

Ingredients:

 Canola oil
 Onion
 Garlic
 Quinoa
 Low-sodium chicken broth
 Juice of limes
 Fresh cilantro.

Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.

24 people found this helpful

Musli powder extra is a pill or powder, if taken is it disastrous in terms of side effect, will it not affect my fertility as I am planning for pregnancy of my wife soon n suffering from erectile dysfunction, please suggest.

MD Gynaecology, MBBS
Gynaecologist, Ahmedabad
Musli powder extra is a pill or powder, if taken is it disastrous in terms of side effect, will it not affect my fert...
Musli is a propreitary ayurvedic preparation supposedly treating erectile dysfuntion. Being an allopathic doctor, my knowledge of ayurveda is limited, but one thing is certain that if the product is purely herbal without high heavy metal content, there would not be any side effects.
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I am 42 years old diabetic with controlled sugar level. I HV developed white vitiligo type patches on my callus and inner side of the foreskin started two years ago. Tried tab flucan 150 weekly three weeks and miconazole 2% gel. No significant change seen. please advice.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Dermatology
Ayurveda, Faridabad
I am 42 years old diabetic with controlled sugar level. I HV developed white vitiligo type patches on my callus and i...
Vitiligo is a genetic disorder trigger by indigestion and stressful conditions. There was always confusion in patients mind regarding choosing right treatment approach for vitiligo. Allopathy can give quick results but is not very safe for long term uses if steroids are used. Homeopathic is safe but very slow and in most of cases it can not stop the spread of disease i. E old patches shows some recovery but new white patches continue to come even when we are using homeopathy. If one think about using ayurveda there is no good vaidya who is expertise in vitiligo. At our clinic we have integrated external allopathic applications with internal ayurvedic medication to give fast and long lasting results. Ayurvedic herbal medicines are used to purify blood and stop the spread of disease and external application are capable of quickly start regimentation. With a expertise in treating thousands of patients in past years. Kayakalp global is leading skin clinic in india to treat vitiligo. For detail replies regarding 1. Causes of vitiligo 2. Is it genetic or can it spread to next generation 3. Causes of spread of disease after it remains stable for some years 4. Should we use homeopathy, allopathy or ayurveda. You can contact clinic for details via lybtate. You can send pictures of vitiligo effected parts. We will review your case and will guide you best possible treatment and time frame required.
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