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Dr. Ravindra  Chhajed  - Diabetologist, Pune

Dr. Ravindra Chhajed

89 (337 ratings)
MBBS, FCPS - Medicine, DNB - General Medicine (I)

Diabetologist, Pune

23 Years Experience  ·  400 - 500 at clinic  ·  ₹350 online
Dr. Ravindra Chhajed 89% (337 ratings) MBBS, FCPS - Medicine, DNB - General Medicine (I) Diabetologist, Pune
23 Years Experience  ·  400 - 500 at clinic  ·  ₹350 online
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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Ravindra Chhajed
Dr. Ravindra Chhajed is an experienced Diabetologist in Bibwewadi, Pune. He has helped numerous patients in his 23 years of experience as a Diabetologist. He studied and completed MBBS, FCPS - Medicine, DNB - General Medicine (I) . You can meet Dr. Ravindra Chhajed personally at Harsh Hospital in Bibwewadi, Pune. Book an appointment online with Dr. Ravindra Chhajed on Lybrate.com.

Find numerous Diabetologists in India from the comfort of your home on Lybrate.com. You will find Diabetologists with more than 44 years of experience on Lybrate.com. Find the best Diabetologists online in Pune. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Nashik District Maratha Vidya Prasarak, Nasik - 1996
FCPS - Medicine - King Edward Memorial (KEM) - 2001
DNB - General Medicine (I) - King Edward Memorial (KEM) - 2002
Languages spoken
English
Hindi
Professional Memberships
Association of Physicians of India
Cardiological Society of India (CSI)
Maharastra Medical Council

Location

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Harsh Hospital

3rd Floor, A Todkar Garden, New Bibwewadi Kondhwa Road, Landmark : Above South Indian BankPune Get Directions
  4.5  (337 ratings)
400 at clinic
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Ruby Hall Clinic

No.59/6, Azad Nagar, Landmark : Near Kedari Petrol PumpPune Get Directions
  4.5  (337 ratings)
500 at clinic
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"Caring" 4 reviews "Very helpful" 37 reviews "Well-reasoned" 9 reviews "Inspiring" 1 review "Sensible" 2 reviews "knowledgeable" 17 reviews "Helped me impr..." 2 reviews "Saved my life" 1 review "Professional" 1 review "Thorough" 2 reviews "Prompt" 2 reviews "Practical" 2 reviews

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Weight and Metabolism - How Your Hormones Play A Role?

MBBS, FCPS - Medicine, DNB - General Medicine (I)
Diabetologist, Pune
Weight and Metabolism - How Your Hormones Play A Role?

Weight management concerns itself with the type of foods that you eat and the daily exercises that you perform. However, you may find it interesting to learn that the hormones have a far greater role to play where your weight and the kinds of foods that you enjoy are concerned. In the following article, you can find more information on the same. Insulin is a hormone that is related to your weight. If the blood-sugar levels are heightened, then insulin is released from the pancreas. Then, the hormone causes a fall in the blood-sugar levels by facilitating the absorption of the sugars by the tissues. If you consume a carbohydrate-rich diet, your body releases more insulin. Now, if you do not utilize the sugars that are stored in the tissues, your body starts to amass what actually, should be converted into energy. Hence, you can conclude that insulin is antilipolytic in nature, which means that it disrupts the fat breakdown process. As a result, you should consider reducing your intake of carbohydrates for losing weight. Additionally, thyroid hormones affect your metabolism. An underactive thyroid gland releases lesser quantities of the thyroid-related hormones.

Consequently, your metabolism rate falls and you feel fatigued as well. A lack of thyroid hormones can make you feel sluggish, slow down the digestion rate, and give birth to bowel-related problems such as constipation. A reduction in the metabolism rate causes weight gain and a rise in the cholesterol levels. Therefore, you should take measures to treat thyroid-linked issues and increase the consumption of thyroid-healthy foods for an efficient metabolism rate.

Moreover, if you are stressed or have high blood insulin levels, the adrenal glands release the cortisol hormone. This hormone is responsible for the breakdown of muscle-related tissues into sugar via the liver. Also, the chemical causes a rush of glucose in the body. As a consequence, the body releases higher insulin amounts; consequently, you become resistant to insulin. Meanwhile, cortisol also causes fat storage by making the body think that they will be needed. The abdominal fat cells have more cortisol receptors and can result in greater fat storage in the portion.

You can also suffer from obesity if there are less of leptin hormones in the body. This is because the leptin hormone, which is released by the fat cells, informs the body when full and signals it to not eat anymore. In the event of a fall in the leptin levels, you will not know when to stop eating. Furthermore, you can become resistant to the hormone if you forcefully feed yourself after your appetite is satiated.

Likewise, the serotonin hormone also transmits messages to the brain when you are full. The hormone is a neurotransmitter that contains amino acids and is found in protein sources. As a result of low serotonin levels, you can suffer from lethargy, weight gain, depression and your tendency to gorge on carbohydrate-rich foods may heighten. Also, your brain gets the message to eat more because of starvation and you tend to eat more and put on weight.

You should also bear in mind that an imbalance between the estrogen and progesterone levels can give rise to an imbalance in the hormonal levels. Consequently, your body stores more fat and you gain more weight.

Therefore, the consumption of foods that bring about a healthy balance between these 2 hormones is recommended. Wheat-based and soy-based foods are beneficial to incorporate into the diet for the desired results.
In the above-mentioned text, you can see how hormones can affect your weight and metabolism. Only by adding healthier food options in your diet, you can have a healthy balance between the hormonal levels and improve your overall health.

4747 people found this helpful

Tips To Maintain Optimum Hormonal Regulation!

MBBS, FCPS - Medicine, DNB - General Medicine (I)
Diabetologist, Pune
Tips To Maintain Optimum Hormonal Regulation!

Hormones do everything in your body. They determine almost everything — from growth, mood, and behavior to digestion and fertility. Your hormones are responsible for ensuring that you function properly and stay healthy. 

For some people, whatever exercise and diet they follow, they struggle to lose weight. Do you wonder why? The answer is hormones. There are many hormones that control your metabolism and hunger and decide whether to store or burn body fat. The fact is that they actually have the capability to make you gain or lose fat. However, the good news is, hormonal imbalances can be regulated with simple lifestyle changes and exercises.

Ways To Achieve Hormonal Balances:

The endocrine system is a complex system that we will probably never completely understand, but there are some basic things you can do to boost your body’s ability to create and balance hormones. Some of the techniques to maintain optimum hormonal regulation include the following:

  1. Eat healthy fats: Our bodies need a variety of healthy fats to keep hormones balanced. Without fats as the building blocks, hormone production stalls and the body begins to malfunction. When our diet is lacking fatty acids, the body fails to absorb certain key vitamins and minerals for hormone production as well.
  2. Eat enough protein at every meal: Consuming an adequate amount of protein is extremely important. Dietary protein provides essential amino acids that your body can’t make on its own and they must be consumed every day in order to maintain muscle, bone, and skin health. In addition, protein influences the release of hormones that control appetite and food intake.
  3. Eat a balanced diet: Diet is one of the best ways to influence a healthy balance in your lifestyle. Be sure to include a variety of whole grains, leafy greens, and an unlimited amount of veggies, fresh fruits, proteins, legumes, nuts, and seeds in your daily diet. These foods provide vitamins, minerals, necessary fatty acids, and protein, which are all needed for a healthy endocrine system.
  4. Exercise regularly: According to fitness experts, the right level of cortisol is necessary to increase your body’s metabolism of glucose. Therefore, to balance the hormones and get better results, a regular exercise is a must.
  5. Learn to manage stress: Stress can create a havoc on your hormones. Today, stress is usually triggered by people’s busy, often overwhelming lifestyle. Try to devote at least 10 to 15 minutes per day to stress-reducing activities to maintain your hormones at a correct level.
  6. Skip the junk: Sugar, alcohol, and even excess caffeine are all bad for the endocrine system. They weaken the blood, liver, and the adrenal glands and as a result, can lead to disrupted hormone function. The body needs real fresh food, which it automatically knows how to process whereas junk food products only confuse it and your body hormones at the same time.
  7. Prioritize sleep: Without adequate sleep, hormones will surely not be in balance. While you are sleeping, your body is extremely active removing toxins, recharging the mind, and creating hormones. Skipping your sleep schedule even for one night can have a tremendous impact on hormones.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5153 people found this helpful

Neuroendocrine Tumor - All You Need To Know About Its Treatment!

MBBS, FCPS - Medicine, DNB - General Medicine (I)
Diabetologist, Pune
Neuroendocrine Tumor - All You Need To Know About Its Treatment!

There are several hormones that are secreted by our bodies and they can be defined as chemicals that control the different bodily functions. At times, the cells that secrete the hormones develop tumors. Some areas where these tumors are known to arise include lungs, stomach, pancreas, glands, or intestines.

If you are diagnosed with a neuroendocrine tumor, it is important to learn whether they are benign or cancerous. Neuroendocrine tumors (NETs) are neoplasms that may result from the cells of the nervous and the endocrine system. If the cells are cancerous, they can spread throughout the body. Also, they release their own hormones and you may experience the associated symptoms. On the other hand, the benign tumors do not shift from their place of origin.

However, you should note that the growth of a neuroendocrine tumor takes place at a sluggish rate; sometimes, they could take years to grow. Normally, the medical experts will advise their removal or administer varied treatments for their shrinkage. Also, some therapies to alleviate the symptoms can be practiced.

NETs are categorized into varied groups depending on their area of growth or the hormones they secrete. The different types of NETs include Carcinoid (intestinal), Pancreatic, Insulinomas, Glucagonomas, Somatostatinomas, VIPomas, Medullary, and Pheochromocytoma. The medical professionals have not been able to ascertain the exact cause for NETs as yet. However, they opine that certain illnesses that run in a family are responsible for these growths. For ascertaining whether a person has developed NETs, a medical diagnosis is required. Mostly, the patients do not display symptoms and the disorder is detected fortuitously.

There are various treatments available for NETs, including drugs, chemotherapy, radiation therapy, and surgery. The patients are treated depending on the type of NETs they are affected by. Also, the doctors will try to establish whether the growths are cancerous, and have spread to other parts of the body prior to treating the patients.

Treatment Methods:

The following are some of the treatment options available for NETs:

  1. Surgery: Surgical methods are employed by the doctors for removing the tumors; predominantly, if the tumors are not cancerous or have not spread to the different parts of the body. Some surgeries that are performed by the doctors as a part of the treatment of NETs include cryosurgery and radiofrequency ablation.
  2. Hormonal therapy: If the doctors find it suitable, they will treat you with hormone therapy when NETs are detected in your body. In this case, they will inject hormonal drugs for preventing the cells from producing hormones or to shrink the tumor.
  3. Radiation: As a part of radiation therapy, the doctors will subject the tumor site to high radiation X-rays for eliminating the cancerous cells. If cancer has spread or the specialists are not able to reach the tumors, then this treatment method is known to be effective.
  4. Chemotherapy: You may be prescribed chemotherapy drugs for killing the cancerous cells, at times, after being diagnosed with NETs. However, they give birth to certain ill-effects and it is always better to adhere to your doctor’s suggestions to be on the safer side.
  5. Embolization Procedures: In specific cases where the NETs have spread to the liver, the doctors will aim to obstruct the blood flow that provides nourishment to the cells. Embolization therapy is performed in such cases.

When recovering from NETs, you must make sure to consume a balanced diet to keep the body nourished and heightening the body’s ability to counter the illnesses. Eating protein-rich foods such as beans, eggs, cheese, and fish are recommended. Also, avoid the intake of fatty foods, sugar-filled beverages, and sweets.

5598 people found this helpful

Adrenal Insufficiency - What Causes It?

MBBS, FCPS - Medicine, DNB - General Medicine (I)
Diabetologist, Pune
Adrenal Insufficiency - What Causes It?

Adrenal insufficiency is a condition in which the adrenal glands of the patient do not produce sufficient amount of steroid hormones. It mostly affects the production of cortisol but in some cases, the production of aldosterone may also be reduced. At times, dysfunction of the hypothalamus or the pituitary gland can also cause adrenal insufficiency because the hormones produced by these two glands help in regulating the functions performed by hormones secreted by the adrenal gland. These steroid hormones play an important role in bodily functions such as metabolism, immunity development, salt/water balance, sexual development and others. So, when these hormones are not produced in adequate amount, the individual experiences specific problems and thus, treatment for adrenal insufficiency becomes necessary.

Causes: Adrenal insufficiency can be caused by many reasons. Sudden withdrawal of long-term corticosteroid therapy, adrenoleukodystrophy, stress in people who already suffer from chronic adrenal insufficiency, craniopharyngioma, and Waterhouse-Friderichsen syndrome are responsible for adrenal insufficiency. In some cases, Addison's disease and congenital adrenal hyperplasia also surface in the form of adrenal insufficiency.

Adrenal insufficiency can be categorized into three sections based on the ways through which they affect the adrenal gland and cause the low production of cortisol and other steroid hormones.

  1. The first is adrenal dysgenesis in which the gland has not formed properly in the patient.
  2. The second is impaired steroidogenesis in which the gland is not able to produce cortisol due to biochemical inefficiency
  3. The third is adrenal destruction in which the gland gets damaged because of some disease.

Symptoms:

The symptoms of adrenal insufficiency manifest in the form of dehydration, weight loss, weakness, low blood pressure, muscle pain, hypoglycemia (low blood sugar) vomiting, diarrhea, craving for salt or salty food, change in mood, kidney failure, and shock. These symptoms are a result of hormonal deficiency caused by adrenal insufficiency and if not taken seriously, they can affect the patient seriously.

Diagnosis and Treatment: Adrenal insufficiency can be diagnosed with the help of adrenocorticotropic hormone (ACTH) stimulation test, which examines the functioning of the adrenal gland. A CT scan of the adrenal gland can also detect structural abnormalities in it. An MRI scan of the pituitary gland is also recommended in some cases as this gland also plays a secondary role in adrenal insufficiency. Adrenal insufficiency can be treated by giving the patient hormonal therapy. The hormones are given in the form of medications. Since cortisol inadequacy is the primary effect of adrenal insufficiency, it is supplemented with the help of medicines such as hydrocortisone (Cortef), prednisone (Deltasone), prednisolone (Delta-Cortef), methylprednisolone (Medrol) and dexamethasone (Decadron).

In cases of severe adrenal insufficiency, the patient is given intravenous fluids and intravenous steroids, which can give relief from the discomforting symptoms. Where the patient is found to be suffering from mineralocorticoid deficiency (low aldosterone), fludrocortisone acetate is given to balance the sodium and potassium imbalance. It should be remembered that the adrenal gland performs vital functions in the body and if it is deficient, then the body is bound to suffer. So, the patient should go for immediate diagnosis and follow the treatment therapy prescribed by the doctor. In case you have a concern or query you can always consult an expert & get answers to your questions!

4702 people found this helpful

Management of Male Hormonal Issues!

MBBS, FCPS - Medicine, DNB - General Medicine (I)
Diabetologist, Pune
Management of Male Hormonal Issues!

Similar to menopause in women which pertains to hormonal imbalances; men experience andropause that is characterized by irregularities in the hormonal levels. Several bodily functions are managed by hormones that can be described as chemical compounds. Some hormones that regulate the body functions in the male population are estrogen, insulin, cortisol, testosterone, and thyroid-related hormones. A hormonal imbalance in men is a part of the aging process.

Research studies indicate that there is a fall of nearly one percent in a male’s hormonal levels every year after they cross the age of 30 years. In men, different hormones control the physical male attributes such as sex organs, facial hair, and the testes. Also, the chemicals are responsible for the release of sperm in the testes and have a bearing on the man’s sexual libido. Male hormones are, also, known for restoring bone health, uplifting the mood, and boosting mental agility.

In short, where the overall health of the males is concerned, hormones play a major role. As a male, if you are suffering from hormonal imbalance, the possibility of ailing from weight gain, tiredness mood imbalances, hot flashes, and hair loss remains high. However, you can control the hormonal imbalance by making some changes to your diet and lifestyle. Natural cures are favored by a significant percentage of the population because they do not give birth to ill-effects, are inexpensive treatment methods, and serve as effective cures. Some home remedies for hormone-linked imbalances in men are studied in the following details.

  1. Body Exertion: It is imperative for you to take measures to lose weight when ailing from hormonal imbalance because the fat quantity in your body affects the testosterone levels. The higher the amount of fat, greater is the drop in the testosterone levels. This is because fats have a role to play in the conversion of testosterone to estrogen. For this reason, you are advised to follow a regular exercise regime as part of your fat loss efforts. Additionally, you can benefit via exercises because they help to enhance the mood and improves sleep patterns.
  2. Calcium Intake: The intake of calcium-rich foods is recommended if a male suffers from hormonal imbalance. This helps reduce the susceptibility of suffering from bone-linked diseases. Males should note that as a result of low testosterone levels, your bones could become weak; and calcium is needed for their strengthening. Therefore, they can benefit by adding calcium sources to their diet. Cheese, the dark green-colored variety of vegetables, milk, broccoli, almonds, kale, and soybeans can help to keep the body nourished with calcium.
  3. Body Detoxification: As a part of their hormonal imbalance recovery measures, males should, also, consider detoxifying the body to get rid of the inner toxic waste. This, in turn, improves the body’s ability to counter disorders and improves the overall well-being. Some foods that are recommended for detoxifying the body include the cruciferous vegetables such as kale, cabbages, collards, and broccoli. Also, other foods such as apple, ginger, milk thistle herb, banana, pomegranate, rosemary, grapes, avocado, cherries, and oranges can be added to the dietary regime for their detoxification benefits. Moreover, there are several detoxification courses that are deemed effective and you can ask your nutritionist for more details on the same.

On a concluding note, you must know that stress-relieving techniques are worth practicing for bringing about a healthy balance between the hormonal levels. Meditation techniques, deep breathing, and yoga poses are ideal for reducing stress in the body and men with hormonal imbalance sure should consider practicing these methods.

5350 people found this helpful

Hypopituitarism - Know The Causes and Symptoms!

MBBS, FCPS - Medicine, DNB - General Medicine (I)
Diabetologist, Pune
Hypopituitarism - Know The Causes and Symptoms!

The pituitary gland is a small, pea-sized attached to the base of the brain. It controls growth, functioning and development of other hormonal glands. Deficit of one or more pituitary hormones is a state of Hypopituitarism. This clinical term is used by endocrinologists to mean that one or more pituitary glands are deficient. In hypopituitarism, the pituitary gland does not produce the normal amounts of hormones.

Causes-

Hypopituitarism has the following causes—

  1. Brain tumours

  2. Sarcoidosis (A lung disorder)

  3. Tumours in the pituitary gland

  4. Hemochromatosis (Too much iron in the body)

  5. Tumours in hypothalamus (Controls the production of hormones)

  6. Histiocytosis X (A rare autoimmune disease where the immune cells damage the organs)

  7. Tuberculosis

  8. Stroke

  9. Sheehan syndrome (Excessive blood loss during childbirth)

  10. Lymphocytic hypophysitis (An inflammation in the pituitary gland)

  11. Radiation treatments like chemotherapy

Symptoms-

Symptoms depend on which hormones is not being produced.

  • Adrenocorticotropic Hormone (ACH): Lack of ACH affects the adrenal glands (endocrine glands producing hormones) and cortisol (steroid hormone). Symptoms include—

    • Fatigue

    • Low sodium levels

    • Loss of weight

    • Pale skin

  • Thyroid-stimulating Hormone (TSH): Deficient TSH mostly affects the thyroid (produces growth-regulating hormones) gland. The symptoms are—

    • Fatigue

    • Weight gain

    • Skin dryness

    • Sensitivity to cold

    • Constipation

  • Luteinizing hormone (LH): Low luteinizing hormone in women affects their ovaries and ovulation. Symptoms include-

In men, lack of LH affects their testes and sperm production. Symptoms include-

  • Follicle-stimulating hormone (FSH): This hormone affects men and women the same way the luteinizing hormone does. Thus the symptoms are the same.

  • Growth Hormone: In children, the growth hormone affects their bone, fat and muscle. They have the following symptoms—

    • Lack of height

    • Increase in body fat

    • Abnormal peak bone mass (bone tissue present after the skeleton matures)

In adults, the whole body is affected. Body fat increases while muscle and bone mass decreases.

  • Prolactin: Prolactin deficiency only affects women. The prolactin hormone gets the production of milk started after childbirth. Lack of prolactin thus affects breastfeeding.

  • Antidiuretic Hormone (ADH): The kidneys are affected by lack of ADH. Symptoms include—

  • Oxytocin: Lactation and childbirth are affected by lack of oxytocin.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4570 people found this helpful

This Is What Happens When You Suffer From Hormonal Imbalances

MBBS, FCPS - Medicine, DNB - General Medicine (I)
Diabetologist, Pune
This Is What Happens When You Suffer From Hormonal Imbalances

Every woman likes to look into the mirror and find not an extra strand of hair on her face, be it the upper lip or near the ears. While it is not uncommon for women to have hair on these and other areas, most women resort to multiple ways to get rid of this. The pattern of this unnecessary hair growth is very similar to the pattern seen in males normally.

This condition of excessive hair growth is known as hirsutism and can be caused by multiple causes, as listed below.

  1. Genetic or racial: While the European women have a more clean face that is free of hair, the Mediterranean and Indian women are highly likely to have more facial hair growth. There is also a strong family history relation, and it is hereditary.
  2. Androgens (testosterone): This is a male hormone, essential for the development of male sexual characters. Though it is present in very minute amounts in all women, in some, there could be higher than these minimal levels, leading to minor masculine characters, facial hair being one of them.
  3. Hormonal imbalances: There are multiple hormonal issues which can manifest as increased facial hair growth. The two most common ones include polycystic ovarian syndrome (PCOS) and adrenal conditions including tumours, Cushing's syndrome, and hyperplasia. In all these cases, there is increased amount of androgens, leading to excessive facial hair.
  4. Medication side effect: Some medications like testosterone, cyclosporine, anabolic steroids, and Minoxidil also lead to increased amounts of facial hair in women. Some other medications used to treat migraines, seizures, schizophrenia, and hypertension can also cause hirsutism. This is indirectly due to increased levels of male hormones in the system, producing these effects.
  5. Birth control pills: These also affect the hormone levels and lead to increased facial hair.
  6. Obesity: Most women with facial hair are also on the heavier side, and most people have a reduction in hair once weight is managed.

Treatment: The underlying cause should be treated for controlling hair growth. If there is an inducing medication, an alternative should be looked at. While hormone levels can be altered, in most cases, not much can be done. These need to be dealt with using one of the following methods - depilatory creams, waxing, plucking, shaving, laser reduction, electrolysis, and weight loss.

When reading through the above, it is obvious that a lot of causes for hirsutism point towards hormones. This also helps identify hormonal abnormalities in the earlier stages. This helps to identify hormonal disorders in their earlier stages, which are managed with lesser complications. The next time you feel there is more hair on your chin or cheeks, get your hormone levels checked.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4236 people found this helpful

My age is 30 yrs/female. My t3 is 103, t4-8.17 & tsh - 2.65. My weight is 92 kgs. Taking thyronorm 100 mcg tablets. Feeling laziness most of the time. please suggest.

MBBS, FCPS - Medicine, DNB - General Medicine (I)
Diabetologist, Pune
This may be because of your inactive lifestyle. Diet modification, motivation and daily exercises would definitely improve your health conditions.
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