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Dr. Sanjay Agarwal

Endocrinologist, Pune

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Dr. Sanjay Agarwal Endocrinologist, Pune
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Sanjay Agarwal
Dr. Sanjay Agarwal is one of the best Endocrinologists in Sangamvadi, Pune. You can meet Dr. Sanjay Agarwal personally at Ruby Hall Clinic in Sangamvadi, Pune. Book an appointment online with Dr. Sanjay Agarwal on Lybrate.com.

Lybrate.com has a number of highly qualified Endocrinologists in India. You will find Endocrinologists with more than 31 years of experience on Lybrate.com. You can find Endocrinologists online in Pune 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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Ruby Hall Clinic

40, Sangamvadi, Sasoon Road. Landmark: Near By Dhole Patil Path, Pune Get Directions
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I am 24 years old suffering from disease a kind of obesity am 54 yrs I think I have thyroid but not sure I dnt find any symptoms of thyroid I have a bit menstrual problem I get my periods regularly but bleeding will remain only for two day I eat very less but my weight is increasing day by day. Firstly want to reduce my weight please give any solution.

FASNC, Dip. CBNC, DRM, MBBS
Nuclear Medicine Physician, Lucknow
I am 24 years old suffering from disease a kind of obesity am 54 yrs I think I have thyroid but not sure 
I dnt find ...
Thyroid has nothing to do with weight gain! moreover, don't presume, get your thyroid profile tested, if you really have thyroid. It can be cured by medicines! 1.
3 people found this helpful
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Dear sir mujhe thyriod ki problem hai meri thyriod test report mei tsh high aaya hai sir mujhe thik hone k liye kya karna chahiye.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Nidhiji, What is the TSH level? If the level is above 10 milli units/ml, then it is confirmed hypothyroidism, if level is between 5 to 10 milli units/ml then it is subclinical condition. Plus do you experience any symptoms related to it? Please answer these queries. If confirmed hypothyroidism is there then treatment with thyroxine has to be started. Dosage will depend upon your body weight and TSH levels.
2 people found this helpful
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I am suffering from kee pain since last so many years. Dr. has diagnosed gout. Uric acid is normal in between 4 to 5 fig. Taking febutaz 40 mg daily since last one year. X ray shows normal joint space. I ve taken joint supplements also for one year. Still no improvement in pain.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
I am suffering from kee pain since last so many years. Dr. has diagnosed gout. Uric acid is normal in between 4 to 5 ...
Contact with Ra factor report till then take vatari avleh 5 gm twice a day vrihad vat chintamani ras 125 mg twice a day.
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Dear Dr. Sir / Dr. Ma'am, I have TSH - 8.85, T3- Normal & T4- Normal. Please suggest which medicine I have to take. Thanks & Regards, Swati.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Dear Dr. Sir / Dr. Ma'am,
I have TSH - 8.85, T3- Normal & T4- Normal.
Please suggest which medicine I have to tak...
Take diet for hypothyroidism:- 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 few foods in hypothroidism i. E. Caffeine products tea, coffee, tabcco, alcohol / wine, kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take some relax during work. Proper follow up you can feel better and reduce weight also. Take treatment for hypothyroidism:- tab. Thyroxine is used in hypothyroidism. And dose are according to level of thyroid for life time. Do tests thyroid profile every 3 to 6 months. And consult doctor regular on time.
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I am 37 years old male recently diagnosed with diabetes. I don't want to move to allopathy as it has side affects. Is there an ayurvedic medicine to cure diabetes or keep it under control?

Advanced Aesthetics
Ayurveda, Gulbarga
I am 37 years old male recently diagnosed with diabetes. I don't want to move to allopathy as it has side affects. Is...
Take both ayurvedic and allopathic treatment no any side effects of medicenes that control your sugar level normally.
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I am 57 yrs old and when tested for uric acid in blood count was 8.7, is it possible to bring this level down to safe level by controlling food intake and other methods, kindly elaborate.

MBBS
General Physician, Mumbai
As of now we need to take medication to reduce the level and for maintaining it we need to control our dietary intake
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BHMS, MD - Homeopathy
Homeopath, Chennai
Calcium Supplements Interfere with Thyroid treatment

Diets rich in soy and high fiber can interfere with levothyroxine absorption. Medications and supplements also can reduce absorption. These include:

calcium supplements
iron supplements
cholestyramine
aluminum hydroxide (present in some antacids)
1 person found this helpful

Diabetes & Kidney Problems - Know The Complications!

Interventional Nephrology, DM - Nephrology, MD - General Medicine, MBBS
Nephrologist, Bangalore
Diabetes & Kidney Problems - Know The Complications!

At a point when our bodies process the protein we eat, the procedure creates waste products. In kidneys, millions of tiny blood vessels act as filters since they have even tinier holes in them. As blood flows through these vessels, little molecules such as waste items may press through the gaps. These waste items turn out to be a part of the urine. Helpful substances, such as protein and red blood cells are too enormous to go through the gaps in the filter and stay in the blood.

Diabetes and kidneys: Diabetes can harm the kidneys. Abnormal amounts of glucose make the kidneys filter a lot of blood. After a couple of years, they begin to spill and helpful protein is thereby, lost in urine. Having low protein levels in the urine is called micro albuminuria.

Medication: When kidney disease is analyzed on time, during micro albuminuria, a few medications may keep kidney disease from getting worse. Having elevated levels of protein in the urine is called macro albuminuria. When kidney disease is looked up some other time during macro albuminuria, end-stage renal disease (ESRD) usually follows.

Causes: Strain on the organs may cause the kidneys to lose their filtering capacity. Waste items then begin to develop in the blood. Finally, the kidneys start to fail. This failure, ESRD, is intense. A patient with ESRD needs a kidney transplant or a blood filtration by a machine (dialysis).

Other complications: Individuals with diabetes will probably have other kidney-related issues such as bladder infections and nerve damages in the bladder.

Preventing complications: Not everybody with diabetes goes through a kidney diseases Elements that can impact kidney disease improvement include genetics, blood-sugar control and blood pressure. The more a person keeps diabetes and blood pressure under control, the lower the chances of getting a kidney disease.

Keeping your glucose level high can counteract diabetic kidney problems. Research has demonstrated that blood glucose control diminishes the danger of micro albuminuria by 33%. For individuals who suffer from micro albuminuria have now a reduced danger of advancing to macro albuminuria. Different studies have recommended that blood glucose control can reverse micro albuminuria.

Treatment: Essential treatments for kidney infection include control of blood glucose and blood pressure. Blood pressure dramatically affects the rate at which the condition progresses. Indeed, even a gentle increase in blood pressure can rapidly aggravate a kidney infection. Four approaches to bring down your blood pressure are:

  1. Shedding pounds
  2. Eating less salt
  3. Maintaining a strategic distance from liquor and tobacco
  4. Exercising regularly

A low-protein diet can decrease the amount of lost protein in the urine and increase the protein levels in the blood. Never begin a low-protein diet without talking to your physician or nephrologist.

3956 people found this helpful

Having menses for past 10 days and its not stopping. Suggest me some medicine to stop it. I am having thyroid. For past 2 months I didn't took medicine but now am taking it. Thyronorm 100mg. The intensity of blood is not decreasing.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Having menses for past 10 days and its not stopping. Suggest me some medicine to stop it. I am having thyroid. For pa...
Control thyroid. Immediately consult doctor as you may need drugs to stop bleeding and also some investigations to find out the cause.
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Dr. My mother has been suffering from joint pain and muscle pain if she sits somewhere more than a hour then it becomes very difficult for her to get up yesterday I got her sugar and uric acid reports what I am sending you in picture please tell me that does her these reports and pain in joints has any concern.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Dr. My mother has been suffering from joint pain and muscle pain if she sits somewhere more than a hour then it becom...
Lybrate-user, madam, looking at her height and weight it is clear that she has (bmi 51.94kg/m2) morbid obesity, which is the main reason for her problems with joints and joint pain. Unless the weight is reduced joint pain will not go away. She may have to look the option of bariatric surgery, which can help in reduction weight.
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My mother is 75 years old and suffering from diabetes since last 35 years. Recently she has been steadily losing weight and has lost quite a bit of appetite. Her sugar levels keep fluctuating though taking regular medications. Her TSH is 5.6 but T3 T4 levels are normal. What could be the probable diagnosis?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother is 75 years old and suffering from diabetes since last 35 years. Recently she has been steadily losing weig...
Hello, Thanks for the query. Uncontrolled diabetes is the main reason for loosing weight and developing weakness. So it absolutely important to achieve a good blood glucose conrol. Ideally fasting glucose should be < 100 mg, PP around 170 to 180 mg & HbA1c% <7. Or close to 7. Then only weight can be controlled. Thanks.
1 person found this helpful
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Sir my age is 40+ and is diabetic patient since 11 years. I always weakness should I go for neurobion or other medication?

MBBS & Post Graduate Course in Diabetology, Fellow of Academy of General Education (FAGE), CCEBDM
Endocrinologist, Bangalore
Sir my age is 40+ and is diabetic patient since 11 years. I always weakness should I go for neurobion or other medica...
You can take b complex tablets, however check your blood sugar levels regularly i. E during different times of the day, morning, afternoon, evening as the weakness may be due to hypoglycemia aswell. Exercise regularly and take care of your diabetic diet as prescribed.
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I think I'm suffering from diabetes. What are the symptoms of diabetes? When I got a wound on my body it takes a lot of time to recover. So what should I do now?

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I think I'm suffering from diabetes. What are the symptoms of diabetes?
When I got a wound on my body it takes a lot ...
Symptoms includes: weight loss increased hunger excessive urination increased thirst. Burr vision weakness muscle pain and bodyache slow wound healing. Get your blood test done including fbs, ppbs, hba1c.
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Why do not you try to findout the root cause of diabetes and find the correct therapy and help the human community. Like TB, LEPROSY,CHOLERA, PLAGUE,SMALL POX MALARIA FILARIA etc. These diseases also have symptoms ravaging the community since centuries but the then Scientists investigated ,found the root cause, medicine and cured !BUT NOW DOCTORS ARE INTERESTED IN MAKING MONEY OVER BLOWING AND SCARING PEOPLE WITH SO CALLED DANGEROUS SIDE EFFECTS OF DIABETES WHICH OCCURS IN ALL AGING PROCESS. EVEN WITHOUT DIABETES. HIGH TIME YOU START FREE treatment FOR ALL DIABETICS LIKE TB, LEPROSY,AIDS. Etc. Now there is no institution in the world in diabetic research area.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Why do not you try to findout the root cause of diabetes and find the correct therapy and help the human community. L...
Mr. lybrate-user, You are right that there should be more research in the field of diabetes, and it is happening. The only difference between various diseases which you have mentioned and diabetes is that those are all infections some caused by bacteria and some by viruses. Infections can be cured by using drugs like antibiotics and anti -virals. Plus vaccination so that our body makes antibodies against the invading organism and fights them. But diabetes, hypertension, hypothyroidism, hyperthyroidism are part of non-communicable diseases. Some of them particularly diabetes and hypertension are directly linked with the lifestyle a person follows. T1 diabetes is is an autoimmune disease where our own immune cells produce antibodies against Beta cells which secrete Insulin, destroying them. This leads to diabetes which has to be treated only with insulin injection that too for the whole life. In 1921 Insulin was discovered, which is now helping us save life of scores of diabetic patients. T2 diabetes is increasing mainly because of increasing excess eating, taking in of lot of junk foods, inactivity, indulgence in alcohol and smoking. There is continuous research going on to find out how the patients can be helped. It wrong to say that doctors are not interested in curing the disease and want to make money. Enough efforts are being made. Infact increasing awareness about the disease and change in life style will help us in redcucing diabetes. Thanks.
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C.S.C, D.C.H, M.B.B.S
General Physician,
HbA1c alone is sufficient as a marker of good diabetes control
Chronic hyperglycemia is captured by A1c but not by FPG (even when repeated twice).
Microangiopathic complications (retinopathy) are associated with A1c as strongly as with FPG.
A1c is better related to cardiovascular disease than FPG.
Fasting is not needed for A1c assessment.
No acute perturbations (e.G, stress, diet, exercise, smoking) affect A1c.
A1c has a greater preanalytical stability than blood glucose.
A1c has an analytical variability not inferior to blood glucose.
Standardization of A1c assay is not inferior to blood glucose assay.
Biological variability of A1C is lower than FPG and 2-h OGTT PG.
Individual susceptibility to protein glycation might be caught by A1c.
A1c can be used concomitantly for diagnosing and initiating diabetes monitoring
Natural history of T2DM in Asia
******************************************
Diabetes is a global epidemic which is out of control, but worse in Asian countries.
It is a huge and growing problem and costs to the society are high and escalating.
Five countries from Asia figure in the top 10 and account for most cases of diabetes globally.
Asian countries share similar risk factors.
There is an association between economic growth and diabetes.
Rapid urbanization and modernization obesogenic environment i.E. Physical inactivity, psychosocial stress and abundance of food
Asians are prone to developing diabetes at a lower level of obesity.
Diabetes has the potential to negatively impact economy and may bankrupt healthcare systems.
Cost effective interventions in healthy living and diet decrease the burden of diabetes and save on healthcare costs and lost productivity.
There has been a dramatic rise in the number of diabetic population in Korea: economic growth, greater exposure to risk factors (lifestyle and diet), demographic changes (childhood obesity, aging population).
Hypertriglyceridemia: The most difficult lipid disorder to evaluate and treat
-----------------------------------------------------------------------------------------------------
Hypertriglyceridemia is the most difficult lipid disorder to evaluate and treat. Hypertriglyceridemic disorder in adults is not a single gene. We do not know if TGs by themselves are an atherogenic risk or is it because of the company they keep.
The intra-individual biological variability (diurnal and monthly) of lipids make it more difficult to define hypertriglyceridemia.
TGs are inversely associated with HDL-C, if high HDL-C levels, almost always TGs are low.
Dietary treatment of severe hypertriglyceridemia: <5%, no alcohol, discontinue all TG-lowering drugs, monitor TG q 3 days until levels are below 1000, then restart treatment.
Fibrates do not reduce the CHD events in high risk patient groups. What impact hypertriglyceridemia has on CHD outcomes is not yet clear.
Lower fasting TG to less than 500 mg/dL; this will reduce the risk of pancreatitis.
Follow the current guideline recommendations to lower LDL-C.
The real value of Apo-B is in patients who do not have raised LDL-C (<100 mg/dL). In such patients it can be very informative and should be taken as an indicator of CVD risk.
Plasma apoB and the other cholesterol indexes are complementary rather than competitive indexes of atherosclerotic risk (Am J Cardiol. 2003 May 15;91(10):1173).
Baseline TGs are determinants of the response to bezafibrate (BIP trial).
Omega-3 fatty acids are beneficial in reducing CV risk (JELIS; Lancet 2007), especially in patients with high TG and low HDL-C (Atherosclerosis. 2008).
If fasting TG is >200 mg/dL and HDL-C <35 mg/dL, consider a fibrate or omega-3 fatty acid.
4 people found this helpful

You have not replied my question Whether Diabetic patients can drink honey, lemon, with water in the morning.

BHMS
Homeopath,
You have not replied my question
Whether Diabetic patients can drink honey, lemon, with water in the morning.
Dear lybrate user, lemon & water has nothing to do with the blood sugar level. But in case of honey you need take it in limited amount. First of all you need to be clear that the honey which you are using is free from added sugar or saccharine. To check this just keep the honey in the deep fridger of your refrigerator for 24 hours. If you notice that the honey has solidified after 24 hours of cooling then immediately discard it. Real honey which does not contain added sugar or saccharine won't get solidified even after cooling for 24 hours. Do not take such honey which contains added sugar or saccharine now from your stated information I can conclude that you are going to take honey & lemon juice mixed water in the morning to get rid of excess fat. Kindly remember that honey will help to get you more fat more fat if you take it with cold water if you are willing to lose weight then I would advise you to squeeze a lemon and mix it juice in a cup of lukewarm water & add one teaspoon of honey in that water & drink it early morning in empty stomach.
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Burning sensation in both foot. I think it may be diabetes. I have not yet checked my blood sugar level. Is it normal? Or I should check up? Any advice.

BHMS
Homeopath, Delhi
Burning sensation in both foot. I think it may be diabetes. I have not yet checked my blood sugar level. Is it normal...
Hello Prabhu burning sensation in both foot can be normal....but still u should get blood sugar levels checked....after that u can consult me privately..as I have solution for your complaint...
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I am 38 years female, suffering from left ventricular blockage, and hypo thyroidism, and suffering left leg swelling and pain in leg and I can'ot sit on floor.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 38 years female, suffering from left ventricular blockage, and hypo thyroidism, and suffering left leg swelling ...
Hello dear High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines . IN HYPOTHYROIDISM:--- Deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving ' THYROXINE ' tablets. And dose are according to level of thyroid for life time. Avoid iron medicines. Avoid bad habits . Avoid stress. Some Relax during work.go walk daily.avoid oily foods,junk foods. Do Tests T3,T4,TSH EVERY 3 TO 6 MONTHS. Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement can help,
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My wife, 52, is over weight. She has thyroid problems and is diabetic. Her diet is very less but she has the tendency to put on weight. There is a medicine ' called Razor Slim in the market which claims to be safe and promises reduction . My question is whether it is safe for her?

MSc
Dietitian/Nutritionist, Hyderabad
My wife, 52, is over weight. She has thyroid problems and is diabetic. Her diet is very less but she has the tendency...
Hi lybrate-user tips for weight loss eat fresh vegetables daily. Avoid having sugar completely. Eat whole wheat bread instead of white bread; avoid everything made from white flour and make whole wheat bread, chapattis and brown rice a way of life. Do not skip a meal and eat three meals a day. Drink plenty of water to eliminate the toxins from the system. Limit your fat intake to 2-3 teaspoons a day. Increase the fiber intake as it provides a sense of fullness and also prevents hunger pangs. Take antioxidants for protecting the body against the toxins released during weight loss. Exercise catalyzes your efforts to lose weight and even regular walking for thirty minutes can give you the benefits of an aerobics exercise. To improve the metabolism, try increasing the duration, frequency, intensity of your daily workout. Remember that maintaining the ideal weight is a lifetime commitment and not a short-term affair. Firmly believe that the pleasure of being trim and healthy is far better than the pleasure of eating unwisely.
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