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Dr. Shefali.M.Gokhale

MBBS

Nuclear Medicine Physician, Pune

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Dr. Shefali.M.Gokhale MBBS Nuclear Medicine Physician, Pune
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
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Dr. Shefali.M.Gokhale is an experienced Nuclear Medicine Physician in Koregaon Park, Pune. Doctor is a qualified MBBS . You can consult Dr. Shefali.M.Gokhale at Inlaks and Budhrani Hospital in Koregaon Park, Pune. You can book an instant appointment online with Dr. Shefali.M.Gokhale on Lybrate.com.

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Inlaks and Budhrani Hospital

#7- 9, Koregaon Park. Landmark: Next Rajini Ashram, PunePune Get Directions
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Inlaks and Budhrani Hospital

#7- 9, Koregaon Park. Landmark: Next Rajini Ashram.Pune Get Directions
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I am23 years old male suffering from hypothyroidism. What are the things one should do or not do in hypothyroidism?

PDDM, MHA, MBBS
General Physician, Nashik
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
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I had Hypothyroid from 2007. I was in medication of medicine name'Thyronorm', I recovered after medication till 6 months same year. I had my blood test this year in January, the level of TSH was normal but when I got my Blood test report for this month the level of my TSH decreased drastically leading to increase in my T3 and T4. I thought this is my exam stress or depression unknown of the checkup. I feel more of breathlessness, mood swings, hunger, thirst, anxious, body pain and low muscle density of contraction. Can you please confirm what is my health problem, Is it Hyperthyroidism?

MS - ENT,MBBS
Ear-Nose-Throat (ENT) Specialist, Kolkata
First: medicines are mandatory.  Otherwise you might have weight gain, muscle ache, sleep and anxiety issues as well as reproductive  and cardiac issues later. You need to get an USG neck done  and an FNAC USG guided of thyroid gland. FT3/FT4/TSH  If you have already done these tests Share on Lybrate I can help you better. Any history of alcohol  intake /fatty food /sugary food How much exercise do you get done every day? Ideally you should be doing a good mix of cardio, weights and crossfit  exercises to keep you healthy Together  with a balanced diet with optimum  healthy fat protein and carbs.  Avoid  deep fried fatty food and fast food. No soft drinks /sugary drinks. I am outlining  food you should avoid or restrict in Hypothyroidism. It's important  you maintain  your body weight exercise regularly. Weight gain increases thyroid hormone requirements.  Avoid cruciferous   group of veggies  like cabbage and broccoli. Avoid soya bean in all forms. No soya, nugget, chunk, tofu or milk. Limit their intake: Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland. Limiting your intake to 5 ounces a day appears to have no adverse effect on thyroid function. Decrease gluten  intake from processed  food. Always try whole grain varieties of cereals which is rich in fibres and help improve  bowels (Take your thyroid replacement  medicine several hours before or several hours after food rich in fibres. Otherwise problem  with absorption  of hormone. 20 to 35 gram of fibres daily from all sources. Avoid excessive fatty (deep fried) and sugary food as hypothyroidism  causes your metabolism  to slow down &weight gain. Avoid highly salted food, chips, pickles, sauces as they Contain  large amount of sodium. Hypothyroidism  puts you at risk of high BP and excess sodium in salt aggravates Coffee  in excess. And coffee with thyroid hormone  replacement  can prevent absorption.  Alcohol. It is toxic to thyroid gland and prevents  hormone production and absorption. The problems of hypothyroidism  gets better with medicines, diet and exercise.  You will start  Better as the levels of your hormone normalises.  Initially  you need to do the TSH test every 6 weeks till normal TSH then every 3 months Sometimes due to stress levels, diet sleep habit changes our through gland gers stressed too. During Eltroxin use this us monitored to avoid iatrogenic hyperthyroidism. Kindly share your recent and last TFT report Diet /EXERCISE/Medicines/Sleep/meditation: 5 pillars of health needed to live the healthiest Hope this helps Let me know.  Take care
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My sister is suffering from thyroid I think. She is getting fatty day by day. Although she is doing dieting also but still no she does not able to loose weight. Is there any solution?

BHMS
Homeopath,
Dear Lybrate User, you may have come across a number of gimmicking advertisement of medicines which claim to decrease body weight in a very short time. Don’t fall prey for such advertisement because the excess weight would not be shredded until each & every underlying cause of being overweight is diagnosed & treated. Normally 1 kg of fat occupies thrice the volume than that of 1 kg of muscle. That’s why accumulation of fat makes a person so bulky whereas body-builders have a shredded physique although most of the body-builders are overweight according to the BMI index. So it is evident that to lose the excess weight you have to get rid of the excess fat in your body. Now the basic role behind the process of accumulation of fat in human body is played by Metabolism. Metabolism is the set of life-sustaining chemical transformations within the cells of living organisms. The three main purposes of metabolism are the conversion of food/fuel to energy to run cellular processes, the conversion of food/fuel to building blocks for proteins, lipids, nucleic acids, and some carbohydrates, and the elimination of nitrogenous wastes. In order to lose the excess fat you need to increase your rate of metabolism. First of all you need to rule out the possibility of the presence of any hormonal disturbance that may be affecting your sister's metabolism. Just conduct a total Thyroid profile test of all her blood. If the reports are within normal limits then she should proceed further to increase your metabolism. If you find any abnormalities in the report you should immediately consult a doctor.
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Hello Doctor, I have cereliac disease. so is there us any medicine available for this or not. Please help me.

BHMS
Homeopath, Sindhudurg
There is no specific medicine in allopathy. As it is caused on account of allergy from wheat, the patient has to stop eating wheat, barley, oats, as they contain gluten. Instead, he has to eat alternative food. This will start curing villi of the damaged parts of body and within 24months celiac is cured and the person becomes normal. To cure the weakness in the body, medicines for vitamins, protein, calcium is given to the patient. What should not be eaten: wheat, wheat flour, fine flour, puri, semolina, barley, oats, samosa, mathari, patties, bread, porridge, millet, chocolate, jalebi, burfi, born vita, custard powder, toffee, sauce, curry powder, boost, gulab jamun, protein powder, biscuit, readymade corn flakes. What to eat: rice, chiwda, murmura, arrowroot, sago, maize, jawar, millet, flour of water chestnut, flour of kuttu, flour of potato, milk and milk made products, (butter, ghee,); fresh meat, fish, eggs, all kinds of pulses, fruits, and vegetables, tea, coffee, honey, rosgulla, home made gram flour things, idli, dosa, sambhar, pop-corn, roasted gram, rice noodles, petha etc.
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My glucose level is controlled by yoga. 85 and 100. By breathing yoga spo is increased to 98. By reducing fat in stomach and hip hp1ac is 5.9.s.creatine is 1.2.doing thyroid yoga metabolism is improving. Am I need any medicine for my diabetic.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Diabetes is diagnosed when fasting glucose is 126 mg and above, PP 200 mg and above& HbA1c%6.5% and above. Since your readings are much below the prescribed criteria, there is no diabetes and hence, no treatment is needed. Continue your present life style. Thanks.
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I am 25 year old girl having thyroid and also hormone test has gone down to 6. Please advise.

SLE, Fellowship In Diabetology, Diploma In Psychology Mental Health And Illness, PLAB (MANCHESTOR, UK), FAGE, MBBS
General Physician, Bangalore
Thanks for your query. There are many thyroid test such as total t4, free t4, t3 and tsh levels. I assume you are talking about free t4. In that case your levels are low. But I need to know levels of tsh as well to advice any medicine for you. Please feel free to ask a private question if you have any doubt.
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Hi. I am sampath. I am suffering from thyroid problem. My tsh is 7. How much dose can be use for thyroid. This is hypothyroid. What can I do for cure thyroid. Please suggest me.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, hypothyroidism is a thyroxine deficiency disorder, hence replacement of the hormone has to continue for life time. There is no cure. Dose has to be decided on the basis of body weight, t4 and tsh levels at the time of diagnosis.
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I am 33 years old married women. I did some test for post pregnancy.in blood test thyroid problem deducted. My THS is 6.54.Doctor give me thyronorm 100 mcg. In ultrasound test of whole abdomen. All part is normal. They give opinion in report Fatty liver grade 3. I am very tense because of I am not very fatty. But my abdomen side some fat shows. I don't have diabetes.

B H M S, MD
Homeopath, Thrissur
Fatty liver is the deposition of excessive fat in the liver and it may be asymptomatic mostly. usually there is no treatment for the same except making some dietary modifications and excercise which may relieve it. Homoeopathy offers good solution for the same . Its done after identifying the cause of this condition by studying the body and the mind of the patient which is genetically determined. if you are interested opt for a homoeopathic consultation. usually fatty livers wont cause a problem but some cases may go for liver damage and cirrhosis
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I am a 47 years old and have thyroid. I have bags under my eyes and also what looks like cholesterol deposits under my eye - is this a cholesterol issue , a derma issue or a endocrinology issue ? How do I deal with it.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Lybrate-user, by saying" I have thyroid" are you referring to hypothyroidism? if so then, in case of uncontrolled hypothyroidism there may be a swelling of the face and lower eyelids and legs and feet. If in good control then tsh values are between 3 to 4 milli units/l. As regards some deposits under the eye, cholesterol is not seen any where in the body like that. It can only be detected by measuring lipid levels of the blood. Your problem may be something else. You may talk to your local doctor and then decide whom to consult. Your bmi is 25 kgs/m2, which shows being over weight, so regular exercise and diet control are required. Thanks.
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I am hypothyroid I want permanent solution I am depressed with use of eltroxin. Can you pls subscribe me permanent solution.

MBBS, MD
Endocrinologist, Delhi
There is nothing like permanent treatment of hypothyroid .In this problem thyroid gland secretes less than normal thyroid hormone and that you have to take in the form of pill. Accept the problem and be happy. Get your TSH test done regularly and adjust the requirement of Eltroxin under the supervision of you doctor. Depression may be part of hypothyroidism also and becomes alright with proper control.
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What are the symptoms of Thyroid disease and is there any correlation between thyroid and increasing heart beat rate. What are the precautions.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, in hyperthyroidism heart rate goes up, also there may be palpitation. In hypothyroidism there is slower heart rate. Hyperthyroidism and hypothyroidism both have different symptoms. So please clarify which particular disease are you referring. Precautions are again different. However, it is good to use iodinated salt, exercise regularly and check thyroid homone levels periodically.
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Sir/madam, my wife is pregnant present 5 months completed. Recently thyroid test completed report levels are TRIIODOTHYRONINE (T3) 185 THYROXINE (T4) 12.6 THYROID STIMULATING HORMONE (TSH) 5.83 SHE FACED ANY PROBLEMS please ADVICE ME I'M WAITING FOR YOUR KINDLY REPLY.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, Thyroid test should have been done before getting pregnant, According to American Thyroid Association ideally TSH levels should be below 2 mU/L before getting pregnant. During pregnancy levels should be maintained as follows: 1st trimester 0.1 to 2 mU/L, 2nd Trimester 0.3 to 3 mU/L & 3rd 0.3 to 3.1 mU/L. This is absolutely essential because fetal development is affected if the level is higher. The current level is very high. Your gynecologist should have mentioned this to in her briefing. Anyway, if you are not on thyroxine, please start treatment right away. Thanks.
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I am 35 years old I am suffering from hypothyrodism . Can you advice me how to reduce my weight?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
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.
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Hi I have thyroid problem my thyroid is always tsh 4.5 to 7.2 but I want to be balanced so which type of foods have so much iodin? and how to balance my thyroid problem all time but without medicine?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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Health Tip - Understanding Thyroid Cancer

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Health Tip - Understanding Thyroid Cancer

Health News - Understanding Thyroid Cancer

 

The thyroid is a butterfly shaped gland at the base of the throat near the windpipe. It produces hormones that help control heart rate blood pressure body temperature and weight. The most common symptom is a neck lump or nodule. If the tumour is large it may cause other symptoms which includes neck or facial pain shortness of breath difficulty in swallowing cough unrelated to cold hoarseness or voice change, having any of these symptoms doesn't mean it is cancer. But if one or more of them is noticed for more than two weeks then a doctor must be seen and an immediate health screening is a must

 

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My body weight is Put on everyday, but I have no thyroid problems, how to lose weight, & what should be my whole day diet? please help.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
You have to make effort to lose wt gradually over a period of time. This reduction will be more permanent. *Take protein rich food --- seeds, pulses, nuts, Also fruits, vegetables, greens and reduce cereals. *Green tea is also good. *Take lemon juice and honey in warm water in the early morning, empty stomach. *Avoid sweets, cakes, creams, fried foods, processed food and junk food. * Maintain food timings * Don’t miss breakfast. *Avoid heavy dinners and late night meals. *Avoid stimulants, aerated drinks sweetish juices, etc. And maintain good food habits. * Drink lots of water and keep hydrated. Avoid sugary soft drinks * Have adequate, timely, good night sleep *Even with desk job, you can spend morning and evening time for work out *Have vigorous physical exercise to improve absorption and blood circulation. Games like basketball, volley ball and stretch exercises like pull ups, cycling will be helpful.
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1) I often get severe back pain, please advice what could be the reason? 2) what are the symptoms of thyroid. Pls help?

MSPT (Master of Physical Therapy), Certified Yoga Trainer
Physiotherapist, Vadodara
1) there can be many reasons for your back pain most common can be work over load or strain. Exact reason can be known only after knowing the nature and extent of your pain. The best treatment till that is rest, avoid straineous activities and do light exercises under supervision. 2) thyroid can be hyper or hypo and symptoms differ accordingly.
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Sir my TSH is 0.04. So what I have problem and how it can be controlled. And my AST/SGOT is 336 and ALT/SGPT is 527 what I have do.

MBBS
General Physician, Bangalore
Is it 0.04 or 0.4? If 0.4, its normal. If 0.04, you might be having hyperthyroidism and in hyperthyroidism liver enzymes tend to go high. Controlling thyroid overactivity will calm the liver too. Please see your GP. Get your cardiac status checked too. Keep an observation of the symptoms that you could be having like yellowish discolouration of the skin mainly the white part of eye. Any distension of abdomen. Too high pulse rate or bp or feeling your own heart beat is not normal. For now, decrease your iodine intake which comes from salt, egg, milk and milk products etc. Eat a lot of cabbage, cauliflower, broccoli, spinach etc. Take multivitamin supplements especially vitamin B and D. Also try to take omega 3 fatty acids and minerals like zinc as much as possible. Wish you good health.
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Hello, I am suffering from the condition called as hypothyroid please is there any solution to cure it or do I have to take tabs of thyroxine for years to come. please help.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
The answer is homoeopathy. I do not force you for it but I will advise you to give it a try so as to get rid of life long medicines and that too with side effects. Although you may find it difficult to take regular doses of homoeo medicines daily as compared to one tablet of allopathic medicine that you are taking but the end with homoeopathic medicines is always fruitful and moreover you will be relieved of life long medicines and will be fully treated in 2-3 years depending upon your thyroid levels and amount of effort that you are putting in, if you get the right treatment in the hands of a right homoeo doctor----------so choice is yours whether to go with life long homoeopathic medicines and its side effects or homoeopathic medicines for 2-3 years without any side effects------------
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