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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 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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#A - 791, Bandra Reclamation Landmark : Opposite Mumbai Educational TrustMumbai Get Directions
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I am 44 years old male. I have diabetes and high pressure. Both tablets are on going and are under control. Since last 1 month I have developed itching on my full body. And small red pimples like is visible every where on my body. It started in My fore arms and on my buttocks. Now its on my hands, legs, lower back, stomach and my testicles also. It is itching very badly. Doctor had given me 7 days course. But it did not help. I applied candid powder. But no use. Please help.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
I am 44 years old male. I have diabetes and high pressure. Both tablets are on going and are under control. Since las...
Hello With all its moisturizing action, aloe vera is one of the most effective skin soothing agents. When you rub the gel over an itchy spot, it helps reduce the skin irritation in that area and provides quick relief from itching. Just break a leaf from the plant, cut it lengthwise using a knife and using a spoon, scoop out the jelly-like substance inside. Apply a little of this gel to the itchy area and leave it on for a few minutes.
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What is the cure for follicular carcinoma of thyroid after total thyroidectomy of a female of 57 years. What is the %age of prognosis and what are the precautions taken. What are the effects of no intake of Thyroxine until radioactive iodine is administered and is the iodine therapy the only remedy for it. Any suggestions in this regard are solicited. Thanks

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
As thyroid been removed thyroxine will continue life long. Radi iodine will continue for some time and then stop depending upon what your oncologist has prescribed. Radio iodine is to kill any residual thyroid cellsin body to decrease chances of reappearance of cancer and so os must.
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I have been on carbimazole from 2 months. My initial readings were tsh <0.001 t3= 3.8, t4=20.9. Now after 2 months my readings are tsh=0.01, t3=1.5, t4=9.2 I am still on carbimazole 20 my in a day. However problem is m planning to conceive. Will these medication cause abnormal mentally challenged baby. Or will it affect my baby.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have been on carbimazole from 2 months. My initial readings were tsh <0.001 t3= 3.8, t4=20.9.
Now after 2 months my...
hyperthyroidism before pregnancy means through pregnancy there is antithyroid treatment on. Carbimazole crosses the placental barrier, hence can affect the development of thyroid gland in fetus causing hypothyroidism. So propylthiouracil is preferred as it does not cross the placental barrier. However, there are possible side effects of these drugs affecting the pregnancy. Usually antithyroid drugs are given for 12 to 18 months and stopped. That could be one option when hyperthyroidism is completely controlled.
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I am 28 years female. I am trying to get pregnant from 2 years back. And I am also having hypothyroidism problem but it is normal range. My menstruation cycle is 30 days, I just want to ask the reason of not getting pregnant.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 28 years female. I am trying to get pregnant from 2 years back. And I am also having hypothyroidism problem but ...
Shikhaji, Please let me know the latest TSH levels and the dose of thyronorm being taken. Ideally TSH levels should be around 2 milli units/ml. If every thing is normal that is your TSH levels, monthly menstrual cycle, ovulation and the sperm count of your husband, then pregnancy is a possible. But there can be many other factors which influence in getting conceived. So it is better if you consult a competent gynecologist who should be able to give correct guidance. This is not a situation which online consultation can be of much help.
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5 Major Causes Of Infertility In Women

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
5 Major Causes Of Infertility In Women
Common causes of infertility in Women

Fertility in women can be affected because of various external or internal reasons. It is good to understand the problems since this fast becoming a very common problem.

The causing factors usually include -

1. Ovulation problems - One reason for female infertility is when eggs don't mature in the ovaries. This is known as ovulation problems. Possible symptoms of this are absent or irregular periods and the possible solution is keeping a check on body weight, taking fertility drugs and/or having IVF.

2. Uterus problem - There are tissues, known as endometrial tissues which form the lining of the uterus. When they grow outside the uterus, it is called endometriosis and can be a reason for infertility. While some women have no symptoms of this, some have painful periods. Fertility drugs, ivf and surgery to remove the tissue are its possible solutions.

3. Pcos - Pcos or Polycystic Ovarian Syndrome is of late one of the most common reasons of female infertility. It is characterised by unpredictable ovarian patterns and hormonal imbalances. Possible symptoms are acne, obesity, irregular periods, and excessive hair growth. Weight loss, changes in lifestyle, injected fertility drugs, ivf and ovarian drilling are its possible solutions.

4. Damaged fallopian tubes - Some women have blocked or damaged fallopian tubes which prevent the sperm from getting to the egg. This situation leads to stds and pelvic inflammatory diseases. There are no symptoms as such and the methods of solution are surgery to open the tubes and if that is not possible, to remove the tubes and try ivf.

5. Unidentified reasons - There are many unexplained fertility problems where none of the above mentioned problems exist. In such situations, fertility drugs - with or without artificial insemination or ivf are advised.

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3751 people found this helpful

diabetic double risk of parkinsonism

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
diabetic double risk  of parkinsonism
Diabetes more than doubles the risk of developing Parkinson's disease while metformin therapy protects against that risk, according to research published in the publication Parkinsonism and Related Disorders.

Parkinson's disease is a disorder of the brain that leads to tremors and difficulty with walking, movement and coordination. It most often develops in people age 50 or older and is one of the most common nervous system disorders of the elderly, according to the National Institutes of Health. There is no known cure.

The major 12-year study in Taiwan found that while diabetes increases the risk of Parkinson's 2.2 fold, including metformin in the therapy negates that risk.

“An exciting aspect of the finding is that metformin seems to be working to protect the brain against neurodegeneration which contributes to Parkinsonism. This means it may also be considered a relevant therapy for the prevention of dementia as well,” said Mark Wahlqvist, professor at the National Health Research Institutes in Taiwan and lead author of the study.

Metformin is the first-line medication for patients with type 2 diabetes. This affordable and commonly prescribed oral drug lowers blood glucose levels by decreasing the amount of glucose produced by the liver and enhancing insulin action. It's a type of biguanide drug used since the 1950s with a relatively safe record.

Researchers also found that use of sulfonylurea drugs, a common treatment for diabetes, further increases the risk by about 57 percent.

Sylfonylureas are a category of oral medications that stimulate the beta cells of the pancreas to release more insulin, according to the American Diabetes Association. Sylfonylurea drugs have been in use since the 1950s and include glipizide, glyburide, glimepiride and chlorpropamide.

Researchers theorize that metformin may re-set the regulation of energy metabolism in the brain cells. They suspect that exercise and diet may have the same energy regulating effect.

The study does not examine the mechanism behind metformin's protective effect on the brain. Researchers say that additional research is needed in this area.

Past research has shown that metformin reduces cardiovascular mortality and several cancers, including those of the large bowel, liver and pancreas.
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Sir, I am 52 years old and a patient of diabeties since long. I am on insuline, which keep me in a constant state but I am facing some side effects like sexual disorder/lack of the same and pain in bones. Please suggest me the correct remedies for the same.

CCMTD, CCEBDM, C.Diabetology, American Diabetes Association, DOMS, MBBS
Endocrinologist, Mumbai
Dear you need complete evaluation regarding your sexual problem and bone pain besides controlling your blood sugar levels. You can consult with me regarding further management.
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I have to know yesterday lam in sugar when I will tested for sugar result was positive this is after meal 188mg. Now what I do for control the sugar. Please tell me of some medicine control the symptoms.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have to know yesterday lam in sugar when I will tested for sugar result was positive this is after meal 188mg. Now ...
Mr. Lybrate-user, after food blood sugar level of 188 mg, means" impaired glucose tolerance" (igt), which is called as pre diabetic state. This mean any time soon you may develop diabetes. At this stage usually no drug treatment is recommended. However, I suggest that you should get a complete diabetes profile done. That is get fasting, pp sugar and hba1c% tested. That will give a clearer picture then we will be able to decide whether there is any need for treatment. T2 diabetes even though a hereditary disease, it is also a preventable condition, provided one controls weight (bmi <23 kg/m2), (your bmi is 27.77kg/m2), takes balnced restricted diet, avoids too much sweets, deep fried foods, junk foods, sweetened aerated drinks, fructose corn syrup containing foods and refrains from smoking and alcohol. Therefore, now start exercising daily for 1 hour and try to reduce your weight to about 71 kgs. (bmi 23kg/m2).
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I am suffering from hypothyroidism for 4 years. Only increase of tsh level 5.54 but today's my report is. 05. I didn't take any medicine, so I request you pls suggest best opinion. What should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering from hypothyroidism for 4 years. Only increase of tsh level 5.54 but today's my report is. 05.
I didn'...
your are suffering from hypothyroidism you should be low dosage of your medicines..you can take tab. thyronorm 25 mcg 1bbf.also for your gastro problems you can cap. pantop dsr 1bbf with it.. and take green veg.Foods to Eat Nutrient-rich foods that improve your health may also benefit your thyroid gland, including: Antioxidant-rich fruits and vegetables: 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, but ask your doctor beforehand.
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M.D (HOMEOPATHY), MBA (Healthcare)
Homeopath, Gulbarga
Cauliflower should be avoided for lifetime who have hypothyroidism.
5 people found this helpful

I am type-1 diabetic since 1997. Present age is 33 years. Daily taking insulin. Any remedy/permanent cure for without insulin?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am type-1 diabetic since 1997. Present age is 33 years. Daily taking insulin. Any remedy/permanent cure for without...
t1 dm is because of total absence of insulin production by the pancreatic beta cells. Therefore, only remedy is to take insulin injection for life time. There no remedy other this.
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I was on 50 mcg Thyronorm for 3 months and my current TSH is 6.94. It was 0.01 three months ago when I was on a 75 mcg course. Now what dosage should I switch to at 6.94? Back to 75 mcg? Or some other dosage pattern?

DM - Endocrinology, MD Medicine
Endocrinologist, Faridabad
I was on 50 mcg Thyronorm for 3 months and my current TSH is 6.94. It was 0.01 three months ago when I was on a 75 mc...
Dose depends on body weight and tsh depends on compliance to drug and correct dose. You should continue as thyronorm 50 ug daily monday to friday and 100 ug on saturday and sundays. But take medicines regularly empty stomach maintain 45 minutes gap between medicine and breakfast.
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My father was a diabetic patient and he is using insulin as a medicine, what are the remedies to keep the level of diabetics low and is there any necessity for tests.

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
My father was a diabetic patient and he is using insulin as a medicine, what are the remedies to keep the level of di...
Dear lybrate user with the limited amount of information provided it appears that you are concerned about your fathers diabetic status. It could had been better had you provided us with fasting sugars, hba1c status along with complete medication list for better understanding of his situation. He appears to be insulin deficient so will need that for now. Regular exercise, diet and medication as advised is the key to successful treatment of diabetes. He will also need test on regular basis for management of his condition. Hope this solves your query. Any more concern then kindly feel free to revert.
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Hello, My mom (age 76) went for TSH test today. This is her first Tsh test which came 5.47. She is suffering from high bp taking telsartan 20 for d same. Please suggest what shd be done for tsh. Thanks?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, My mom (age 76) went for TSH test today. This is her first Tsh test which came 5.47. She is suffering from hig...
lybrate-user, TSH 5.47 mU/L is with in normal limits. Hence, there is no need to worry about it. No treatment is needed. Thanks.
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I have been advised to reduce protein intake. I am diabetic. What diet should I follow? Please suggest.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
I have been advised to reduce protein intake. I am diabetic. What diet should I follow? Please suggest.
Hello, There is a calculation to reduce a protein quantity from a diet, which are based on various pre disposing factors. Please consult a qualified nutritionist /dietitian.
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How to control sugar and what was the things tht she do not eat who cntrl her sugar.

Diploma in Diabetology, MBBS
General Physician, Warangal
How to control sugar and what was the things tht she do not eat who cntrl her sugar.
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 update with report s.
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Hello doctors My mom has some problems. Like paining in her body like in joints every part of body joints and she get tired very fast even can't walk too much. She has thyroid problem taking 25 number tablets is there any serious problem for pains in body are it's just side effect of thyroid sometimes her half body pain we are really confused about this problem even can't sleep in night . Thank you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello doctors
My mom has some problems.
Like paining in her body like in joints every part of body joints and she get...
Hello, the problem of joint pains could be due to uncontrolled hypothyroidism. She is on treatment with 25 mcg thyroxine, that may not be adequate. Please get a tsh level test done and report the same. When hypothyroidism is in good control tsh should be between 3 to 4 mu/l. In that case most of the symptoms go away. So please do that test, and come back. Thanks.
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I am 31 year old female and having thyroid from last 1 year and my weight is increased very much but from last 2 months whenever sweat comes from body it is very foul smelling, after using deodorant it gets controlled but after some time again it is smelling very bad please tell me a solution as early as possible.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Mix three teaspoons of lemon juice, one teaspoon of honey, and one-half teaspoon of black pepper powder in one cup of water. If you use freshly ground black pepper, then just add one-quarter teaspoon. Drink it in the morning on an empty stomach. Do this daily for at least three months. .take pranacharya medohar rasayn twice a day. Medohar guggul 2-2 twice a day. And pranacharya slim capsule 1-1 twice a day. .avoid junk food. Oily food. Fermented food. Alcohol consumption. Sugar.milk products and sweets. Take oats and cereals more. And do pranayama early in the morning and walk for atleast 45 minutes a day. And do exercises. Do not sleep immediately after taking meal.
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I am 67 years old. Often got hypoglycemia due to excess dose of insulin. What are the side effects ?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 67 years old. Often got hypoglycemia due to excess dose of insulin. What are the side effects ?
one way to reduce chances of hypoglycemia with insulin injection is to do a constant self monitoring of blood glucose particularly fasting, just before lunch, post lunch and early morning (3 am). If hypoglycemic episodes are predictable you can alter or adjust insulin dosage as well as food intake. That should help in preventing hypoglycemic episodes. But please remember there is no medication other than insulin in proper control of blood sugar. Hence my request to you is do not shift away from insulin. With a close association with your doctor get a proper dosage titration and control the sugar levels.
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I am 46 years old working women I am suffering from sugar since last 4 month now a day It's fasting 137 and after lunch 187 what should I do?

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I am 46 years old working women I am suffering from sugar since last 4 month now a day It's fasting 137 and after lun...
Your sugar readings are high and you may require to increase your current medications. Please consult any diabetologist with your present medicines and investigation reports.
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