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Ganesham Diabetes & Children Clinic

Endocrinologist Clinic

Ganesham Diabetes & Children Clinic, Aatharva residency, Baner Road, Pune,Landmark:Above Pancharatna super shoppe, opposite Dominos, Pune Pune
1 Doctor · ₹300
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Ganesham Diabetes & Children Clinic Endocrinologist Clinic Ganesham Diabetes & Children Clinic, Aatharva residency, Baner Road, Pune,Landmark:Above Pancharatna super shoppe, opposite Dominos, Pune Pune
1 Doctor · ₹300
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Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well....more
Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.
More about Ganesham Diabetes & Children Clinic
Ganesham Diabetes & Children Clinic is known for housing experienced Endocrinologists. Dr. Abhay Mali, a well-reputed Endocrinologist, practices in Pune. Visit this medical health centre for Endocrinologists recommended by 108 patients.

Timings

TUE-SAT
10:00 AM - 01:00 PM
WED-SAT
05:00 PM - 08:30 PM

Location

Ganesham Diabetes & Children Clinic, Aatharva residency, Baner Road, Pune,Landmark:Above Pancharatna super shoppe, opposite Dominos, Pune
Baner Pune, Maharashtra
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Doctor

Dr. Abhay Mali

MBBS, Diploma in Diabetology
Endocrinologist
11 Years experience
300 at clinic
Available today
05:00 PM - 08:30 PM
10:00 AM - 01:00 PM
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I am a known case of thyroiditis detected in the year 2015 but wasn't on any medication as TSH Profile was WNL, though I took thyrovol supplement for 3 months when my TSH was fluctuating sometimes high and sometimes low. I had spontaneous conception. During pregnancy I had low TSH and was started on tab eltroxin 50. My post pregnancy TSH aftr 2 months of delivery was 0.01 and after 4 months it has com to 0.18 (2_4. 2) with T3 4.09 (0.6-1.7) and T4 0.77 (0.34-4.25) though I had continued tab eltroxin 25 till now. What should I do now as my TSH is still below normal range. M having severe hair fall, lack of appetite, and irritability, I feel sleepless sometimes.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
lybrate-user, Thanks for the query. You are being treated with thyroxine means the condition is hypothyroidism. When a person is on treatment for that with levothyroxine TSH should be maintained <3 mU/L, to be free from all the symptoms. But 0.18 mU/L is bit too low. So you need to reduce the dose to 12.5 mcg per day. Then check TSH again after 6 weeks, to see if desired level is achieved. Thanks.
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Hello Doctor, What all tests should I conduct for my Father aged 60 Diabetic to avoid the tiredness and Weaknesses. He always reports Tiredness and Weaknesses in Body. If possible also prescribe some medicines which would be beneficial for him. thank you.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello Doctor, What all tests should I conduct for my Father aged 60 Diabetic to avoid the tiredness and Weaknesses.
H...
Mr. lybrate-user, Thanks for the query. Tiredness, weakness are symptoms suggesting that his diabetes is not well controlled. First thing is to achieve strict blood glucose control with fasting < 100 mg, PP 160 to 170 mg & HbA1c% <7. If this is achieved, his general health will definitely improve. Only other to be seen is his hemoglobin to see if he has anemia. Thanks.
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Which sugar level can affect diabetic complications in long term or short term in diabetic patients.

DM - Endocrinology
Endocrinologist, Ahmedabad
Which sugar level can affect diabetic complications in long term or short term in diabetic patients.
Fasting sugar level above 126 and PPBS level above 200 And HbA1c level more than 6.5% can lead to long term complications.
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I just got diagnosed sugar fasting-147 and after eating food-273. I am very worried and tensed that everyone is saying now I have to take medicines for whole life. But I don't want so. Is there any other way to cure this as I started walk, exercise, started taking healthy food cut carbs and fats. Give me solution please.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I just got diagnosed sugar fasting-147 and after eating food-273. I am very worried and tensed that everyone is sayin...
lybrate-user, Thanks for the query. Fasting blood glucose level 147 mg & PP 273 mg, both confirm that you have diabetes (T2). Diet control and exercise do help in controlling blood glucose levels, but once diabetes is confirmed, then there is absolutely no option but to start medication with out any further delay. Lifestyle modification withexercise, diet control and weight management are useful in pre-diabetes, to prevent progression to diabetes. But once it is confirmed, unfortunately there is no other option. So please start proper medication and also take restricted diet and exercise daily for 1 hour. With this you will be able to live an almost normal life. Thanks.
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Hi Doctor, Could you suggest which homeopathy medicine I shall take for gout. My Uric Acid level is 8.2.

BHMS
Homeopath, Kolkata
Hi Doctor, Could you suggest which homeopathy medicine I shall take for gout. My Uric Acid level is 8.2.
Gout is an inflammatory condition of the joint .Gout results in an inflammation of the joint. This is due deposition of uric acid crystals in the joint spaces and or in the connective tissue of the joints. It is a very painful condition causing swelling redness heat pain and stiffness of the joint. Deposits of uric acid, called tophi can appear as lumps under the skin around the joints. Gout mainly affects the big toe but it can affect other joints like gout instep, ankles, heels, knees, wrists, fingers, and elbows Increased uric acid is not a disease and by itself is not dangerous. However, if excess uric acid levels lead to formation of crystals between the joints, gout can develop. In some individuals excess levels also lead to formation of kidney stones. Please remember not all who have high levels of uric acid, develop gout. Homoeopathic medicines can be a big boon for all those who suffer from high uric acid. These medicines work by reducing the uric acid? S overproduction by the body and accelerating the removal of this waste product from through the kidneys. Homoeopathic medicine Benzoic acid, Pulsatilla, lycopodium and Urtica Urens lead the homoeopathic table in curing the increased levels of uric acid. Another medicine that requires a special mention is Berberis Vulgaris. It is used when kidney stones form due to high levels of uric acid. Gout is also very effectively treated by homoeopathy. Ledum pal, colchicum, Benzoic Acid, Bryonia and Formica Rufa are very effective in treating gout. One big advantage that homoeopathy offers in the treatment of high uric acid is that once treated the relapse will not occur. This is also subjected to the condition that diet and Alcohol and weight are well controlled.
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Infertility And Its Impact On Mental Health!

MSc, PGDGC, M.Phil - Psychology
Psychologist, Chennai
Infertility And Its Impact On Mental Health!

For women, less than thirty five years of age, infertility is characterised as the powerlessness to conceive a child after one year of unprotected sex. For women matured thirty five to forty years, it is characterised as a failure to conceive after six months of unprotected sex. For women beyond forty years of age, it is the failure to conceive after three months of unprotected sex. Infertility is also, the powerlessness to conceive a pregnancy to term, for example, in cases of unfortunate miscarriage.

The reason for infertility is the problem on both genders; thirty percent is male related barrenness and 30 thirty percent is female related barrenness. However, it is not just a physical problem. Infertility can affect a woman’s mental health. This is how that is possible:

  1. Medicine reactions: Medications and hormones used to treat infertility may bring about many types of mental reactions. For instance, the engineered oestrogen clomiphene citrate (Clomid, Serophene), most of the time recommended because it enhances ovulation and increases the sperm creation. However, it may bring about nervousness, rest intrusions, mood swings, and crankiness women. These reactions have not yet been recorded in men. Other fertility medicines may bring about sorrow, madness, and irritation and concentration issues.
  2. Cash stress: Only a very few states and countries provide insurance for infertility treatment. Expenses of infertility medications are very high. For patients who do not have insurance, the scope or the way to pay for treatment, not having the capacity to acquire treatment may add to the feeling of helplessness and misery. Indeed, even patients with the insurance plan may find that copayments or restrictions on the plan mean they should pay huge sums out of their own pockets.
  3. Decisions and results: Overall, infertility medications help only some of the patients and they get to be parents. The mental health of those who cannot deteriorate because of their thought of getting older day by day. Patients who learn they are to end up being parents might be excited, additionally should figure out how to change in accordance with new patterns and ways, both during pregnancy and after pregnancy. Women who have endured various premature deliveries, for instance, are probably going to feel restless about whether they will have the capacity to convey to full term or not. More established couples might argue about whether to experience pre-birth testing, for example, amniocentesis.
  4. Sexual desires: Infertility can also influence a person’s sexual self-esteem, learning, and execution. Many couples have intercourse as an approach to relax. At the point when sex is interrupted with disappointment and dissatisfaction, couples may lose their passionate association. The weight to perform or to have sex because of infertility medications can disengage partners and separate couples. Fertility medicines additionally make sex less stressful, as it gets to be distinctly centred around fertility instead of entertainment.
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I am a diabetic n under insulin n am facing very difficulty in maintaining a balanced level for my sugar level. It is always going very high or very low. please suggest what to do?

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
I am a diabetic n under insulin n am facing very difficulty in maintaining a balanced level for my sugar level. It is...
Check your fasting, PP and pre-dinner levels if possible. Alternatively, there is something called continuous monitoring of glucose which can provide good idea about your fluctuations. The medicines will need to be changed and insulin must be adjusted. Follow a healthy lifestyle, exercise regularly and avoid sugar in any form
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Dear Lybrate I am a diabetic n under insulin control. I just want to know dat I take insulin 25 ml twice a day what will happen if take d dosage to 200 ml at one shot. What will b end result please answer.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dear Lybrate I am a diabetic n under insulin control. I just want to know dat I take insulin 25 ml twice a day what w...
Mr. lybrate-user, Thanks for the query. Insulin dose decided on the basis of blood glucose level both fasting and after food. Plus there are different types of insulins, it is not which one you are using. There are rapid acting and long acting insulins plus combination of both. It is given in units per dose, not as ml. Taking excess insulin is not advised. It causes hypoglycemia. Thanks.
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I had hypothyroidism since few years so was taking 100 mg tablet since my pregnancy and did not get tested after delivery. So got my thyroid test done. T3=1.18 T4=10.4 and TSH is 0.03. I recently lost 13 kilos thru diet and exercise. Also my tsh levels were 6.4 before my pregnancy. Do I need to adjust my dosage?

Advance BHRT Certification, Fellowship in BHRT & Longevity Medicine, Fellowship in Endocrinology, MBBS
Endocrinologist, Bangalore
I had hypothyroidism since few years so was taking 100 mg tablet since my pregnancy and did not get tested after deli...
If you are clinically doing well and there is no increase in resting heart rate, don't be in a hurry to decrease dose of Thyroid meds. Check your free T3 levels and discuss the same with your treating doctor. He/she will decide about dose modulation.
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Have got blood sugar examined. Fasting 98 and pp 176. Does it mean I have diabetes? Medicines required? If yes please prescribe.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Have got blood sugar examined. Fasting 98 and pp 176. Does it mean I have diabetes? Medicines required? If yes please...
Mr. lybrate-user, Thanks for the query. Blood glucose fasting 98 mg is normal. However, PP 176 mg, shows that you have pre-diabetes state. If proper care is not taken like food restriction, regular exercise and weight control, then you will progress to diabetes. Presently no medication is needed. Only adapting a healthy lifestyle. Thanks.
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Is omitting sugar completely, not harmful for the body? Also, same for oil omitting from your food, is it not harmful? Esp. For all the joints etc.

MBBS, MS (Gen. Surgery), M.Ch - Cardio Thoracic and Vascular Surgery, DNB (CTS)
Cardiologist, Noida
Is omitting sugar completely, not harmful for the body? Also, same for oil omitting from your food, is it not harmful...
Yes you are right. But if you Are not taking sugar from our side .all your diet carbohydrates are getting converted into surgery .so don't afraid. We don't advice fat free diet .we say it low fat diet. And olive oil and rice bran oil are good.
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Can Homeopathy Cure Infertility in Females?

MD - Homeopathy, BHMS
Homeopath, Surat
Can Homeopathy Cure Infertility in Females?

For a married couple, having a child is the next step to completing the family picture. However, for various reasons, some attributed to the male and some to the female, this picture remains incomplete.
Talking to a doctor is one of the best starting points. There could be deep-rooted causes for this issue, and homeopathy aims in treating the root cause and not just infertility. A good homeopath will ask you numerous questions to find out associated symptoms, family history, etc., and then arrive at a remedy that would work best for you. This is a highly customised therapy and so self-medication based on a friend or family member’s recommendation is best avoided.

Infertility in females is often caused by the following reasons:

  1. Irregular menstruation
  2. Hormonal imbalance
  3. Advancing age
  4. Emotional stress
  5. Obesity
  6. Excessive smoking
  7. Alcohol consumption
  8. Sexually transmitted diseases (Chlamydia, gonorrhoea)
  9. Structural abnormalities in the pelvic area including fibroids, pelvic adhesions, blocked fallopian tubes, etc.
  10. Endometriosis
  11. Polycystic Ovarian Syndrome (PCOS)
  12. Pelvic Inflammatory disease
  13. Thyroid disorders
  14. Diabetes

With more and more women coming out in the open to discuss, researchers have started working towards identifying the problem and working towards the treatment. The success rate of homeopathy in treating infertility is also on the rise. As with any medical condition, homeopathy treats not just the problem or symptom at hand, but the person holistically. Read on to know some of the common homeopathic remedies, but make sure you have a detailed discussion with your doctor to identify what would work best for you. Self-medication is best avoided.

  1. In women with reduced sexual drive, Agnus and Sepia are widely used. The vaginal is extremely dry which could be painful during sex. There is also a bearing down sensation of the uterus in these women.
  2. In women with reduced menstruation, Pulsatilla and Sepia are widely used. The periods are never on the expected date, and when they occur, the flow is quite scanty and suppressed. Pulsatilla is also used when ovarian cysts are present. Sepia is useful in women that are prone to miscarriages.
  3. In women with excessive menstruation, Calcarea and Aletris are widely used. The periods happen before time, is too long with profuse bleeding. This excessive bleeding also causes anaemia, weakness, and fatigue. These women might also have frequent abortions.
  4. In women who have experienced a miscarriage in their third month earlier, with uterine and ovarian inflammation, Sabina is used.
  5. In women who are not able to retain sperms, Natrum carb is useful. There could be an offensive smelling vaginal discharge which is also very irritating and itching.

These are just some of the common remedies, but there are more, and each patient would require different therapy based on associated symptoms.

2 people found this helpful

My age is 32 years and have son of 3 years. I have done HbA1C test. Score is 10.2 and random sugar is 292. My height is 5'4" and weight is 67 kg. Please guide.

BAMS
Ayurveda, Bangalore
My age is 32 years and have son of 3 years. I have done HbA1C test. Score is 10.2 and random sugar is 292. My height ...
Hi, Your blood reports confirm that you are diabetic. Avoid intake of high carbohydrate diet, sweets, oil fried food, sugar in your diet. Walk 1 hour daily. Consult a good diabetologist for further treatment.
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My mother was suffering from pain in the left leg since 1 year. She is a diabetic. She suffered a massive heart attack and collapsed in the hospital after a day of admission. She was 88 years old. Angioplasty was suggested but due to her age it was deferred. Please let me know if the leg pain would have been a pad or dvt which caused the acute MI. Her lipids were within normal a month back before her death. If pci was done would she be saved.

MBBS, Craniosacral Balancing, Quantum Touch, Visceral manipulation
Pain Management Specialist, Panchkula
My mother was suffering from pain in the left leg since 1 year. She is a diabetic. She suffered a massive heart attac...
Every rule don't apply to everyone. Sometimes despite of all test, procedure & even medicine we are helpless. So pray to God to give the peace to departed soul. Take care of yourself.
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Respected doctors this is dhandapani age 56 had mi last year instead one drug eliminated stent taking medicines 1.razel gold 20 mg 2. Gemer1 mg for sugar 3.thyronorm 50 mg and starpress xl 20 mg these medicines were proscribed last weak my problems is from yesterday evening feeling mouth drying too much my sugars are normal my hb1ac is 6.4 what might be the cause for dryness in mouth.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
Respected doctors this is dhandapani age 56 had mi last year instead one drug eliminated stent taking medicines 1.raz...
dry mouth is a side-effect of Starpress xl which is metoprolol and it is not going to harm you. But it is a very good medicine for your heart, so should continue your medicine, if it bothers you too much you can ask your doctor to change the XL version to a simple version. So nothing to panic or worry.
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Hello sir, I am 31 years old man. BP, Sugar & urine R/M are normal. Before 3 months I had got creatinine @1.22 (0.7-1.17) but after taking NEERI KFT @1 month by guide of ayurveda doctors, I got 0.98 (0.7-1.17). Now I have check serum creatinine@1.5 (0.7-1.4). Is it any big problem in future & whats the reason of increase creatinine again to again? Please Suggest me for my safely life.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Hello sir, I am 31 years old man. BP, Sugar & urine R/M are normal. Before 3 months I had got creatinine @1.22 (0.7-1...
1. Shift to vegetarian diet. 2. Drink 2 cups of green tea daily 3. Eat more fruits and vegetables. 4. Reduce exercise, increase water intake.
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Pre-Diabetes - Know The Importance of Portion Control!

Non-invasive Cardiology
Cardiologist, Thane
Pre-Diabetes - Know The Importance of Portion Control!

Pre-diabetes is a serious medical condition which puts you at higher risk for getting type 2 diabetes. But, there are a number of things that you can do, changes that you can make like avoiding certain foods, controlling the portions of your meal and the number of hours you exercise in a week that will help you prevent type 2 diabetes.

Without pulling any punches, let us say this very clearly that any healthy changes that you make during pre-diabetes will save you from an extremely serious disease called diabetes which kills due to various complications.

Type 2 Diabetes and Pre-Diabetes

  • What happens when you have type 2 diabetes is that your body does not produce enough insulin, the hormone that metabolizes sugar or is not able to use it properly. Your blood sugar therefore, shoots up alarmingly causing all the diabetes symptoms we already know of.
  • Pre-diabetes is a condition when your fasting blood sugar level is above normal. It is diagnosed through a blood test after you have fasted overnight.
  • Normal fasting sugar is 60 to 99 milligrams per deciliter and in pre-diabetes, it is 100 to 125 mg/dl, whereas diabetes sugar is 126 mg/dl or higher on 2 occasions.
  • If you have pre-diabetes, your doctor will counsel you about developing a lifestyle plan to reduce your risk of getting type 2 diabetes.
  • Most recommendations hover around losing 5-10 percent of your body weight if you are obese, more exercise and control of your portion size.

Portion size control for pre-diabetics

  • You will be advised to cut your calorie intake by 250 to 500 hundred calories per day if you are overweight.
  • Certain foods which are basically carbohydrates will go off your plate forever. Carbohydrates are high glycemic index foods as they convert to sugar very fast in the body and trigger insulin.
  • This means sweets, rice, cookies, pasta, chips, desserts, tortillas and even a few fruits which are high in sugar like Litchis and mangoes have to be excised from your pre-diabetes diet plan.
  • And, so should sodas, cold drinks, smoothies, fruit juices alcohol, tea and coffee with sugar…
  • Remember, proper serving size is crucial to preventing full-blown diabetes.
  • Let’s take a look at how you can do this as a pre-diabetic-

Essentially, portion control for pre-diabetics is geared towards managing

  • Calorie intake, especially important for those carrying extra body weight
  • Carbohydrate intake

Managing calorie intake

  • Pre-diabetics should keep the calories from carbs to the minimum. They should get their maximum calories from proteins and fats.
  • Which means their plates should have more lean meats and eggs, less fats and minimum amounts of carbs, like wheat.
  • This has a number of benefits for blood glucose control. Eating more fat and protein-based foods will limit the uptake of sugar from your bloodstream. Fat is insulin-neutral and so are proteins. This means they don’t trigger insulin.
  • Since an increased waist size is associated with decreased sensitivity to insulin, keeping your calories down by eating moderate portions of food is the best way to stop progression to full-blown diabetes.

Managing carbohydrate intake

  • Pre-diabetes means that your body doesn’t tolerate carbohydrates. Think of it like this, in a meal, having half a banana is all your body can tolerate in terms of carbs.
  • Use can also use the plate method which involves dividing up your plate into sections for different food groups. It helps you to keep control of portion sizes as well as helping you to enjoy a well balanced diet. If you wish to discuss about any specific problem, you can ask a free question.
1 person found this helpful

I'm pregnant of 1 month 20 days. I've done Thyroid test and it shows my thyroid levels TSH as 4.42. Should I use thyroid tablets or its normal please let me know,

MBBS, MD
Endocrinologist, Delhi
I'm pregnant of 1 month 20 days. I've done Thyroid test and it shows my thyroid levels TSH as 4.42. Should I use thyr...
My openion is to keep TSH below 3 for which you should take thyroid hormone because it is also required for mental and physical development of foetus. Consult your obstetrician also.
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Sir, I am a 26 years old person from Assam and I am a High BP Patient and taking OMEN CT20 since 1 year. Recently on 14 Sept/17, I have been prescribed for Rosuvastatin Tab 10 mg for increasing my TRIGLYCERIDES as 186 H. And my Cholesterol Total is 131 and LDL is 84 and HDL is 37.2 mg/dl. Sir my question to you are 1.I should take the medicine or not? 2.If I take the medicine now then whether I should be continued for long term or can I stop after coming in normal position. 3. I have read from Google that Rosuvastatin may increase Sugar level in blood. Is it True? As of now my Sugar is 107. Please reply me Please Sir.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
Sir, I am a 26 years old person from Assam and I am a High BP Patient and taking OMEN CT20 since 1 year. Recently on ...
your lipid profile is normal .No need to take medicene.Triglyceride is little high but is not of much concern.Triglyceride warrants treatment only if it crosses 250.Moreover rosvastatin is not a drug for lowering triglycerides .you can lower triglyceride by cutting oil in food and walking for half hour.
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Hi I'm 37 years old I hv hypothyroidism for which I tke eltroxin (Mon to Thurs) 100 mcg & (Fri to Sun )125 mcg & my Tsh levels 1.15, T3 1.03, T4 15.90 these days I always fell like spinning in my head so I checked my Bp level it keep fluctuating sometimes 130/90,125/85 120/88 like so on please can you give me any suggestions bcoz we r planning for ivf treatment as we don't hv kids.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi I'm 37 years old I hv hypothyroidism for which I tke eltroxin (Mon to Thurs) 100 mcg & (Fri to Sun )125 mcg & my T...
lybrate-user, Thanks for the query. For IVF your TSH level is quite right. There is no need to worry. Even the BP readings are very much normal.(diastolic should ideally be <80 mm Hg). That is unlikely to cause any symptom. Thanks.
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