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Medicine
Balya medicines like Ashwagandha, Shatavari will be helpful in this case. Sir you can give Balya Kalpa with Milk empty stomach at morning to this patient or Tab Symsa 1BD.
Balya medicines like Ashwagandha, Shatavari will be helpful in this case. Sir you can give Balya Kalpa with Milk empty stomach at morning to this patient or Tab Symsa 1BD.
See lessSodium excertion in HTN pts
IMPACT OF DAYTIME SODIUM EXCRETION IN HYPERTENSIVE PATIENTS Absence of Nocturnal dipping and higher systolic blood pressure during night time are associated with target organ damage. High sodium intake also measured by Sodium excretion, significantly impacts the night time Blood Pressure and is seenRead more
IMPACT OF DAYTIME SODIUM EXCRETION IN HYPERTENSIVE PATIENTS
Absence of Nocturnal dipping and higher systolic blood pressure during night time are associated with target organ damage.
High sodium intake also measured by Sodium excretion, significantly impacts the night time Blood Pressure and is seen as reduced Nocturnal dipping and higher systolic blood pressure on Ambulatory Blood pressure Monitoring.
This has been established in clinical studies. Sharing two such study links :
Hence it is highly important to take efforts to reduce the overall sodium consumption in Hypertensive patients and in those that are at a risk of developing Hypertension.
Patients should also be advised to refrain from holding urine urges during daytime due to work or social hinderances, as this will also in turn increase the night time blood pressure, according to findings of the above study.
Using GoBipi diet kit is a healthy way to ensure reduction or optimum Sodium consumption for these kind of patients.
See lessMCT
hi doctor , you can go for snehapana before MCT , you can use pyloin ghruta for abhyantar snhapana , it can be given in increasing quantity 30 ml morning at 6 am day one , then till you find samyak sneha lakshana keep on increasing dose by 30 ml , one you find sneha in stool you should stop . pleaseRead more
hi doctor ,
you can go for snehapana before MCT ,
you can use pyloin ghruta for abhyantar snhapana ,
it can be given in increasing quantity
30 ml morning at 6 am day one , then till you find samyak sneha lakshana keep on increasing dose by 30 ml ,
one you find sneha in stool you should stop .
please take care of time of hunger after snehapana .
strictly inform patient not to eat any thing until he gets strong hunger .
See lessMCT
hi doctor , you can go for snehapana before MCT , you can use pyloin ghruta for abhyantar snhapana , it can be given in increasing quantity 30 ml morning at 6 am day one , then till you find samyak sneha lakshana keep on increasing dose by 30 ml , one you find sneha in stool you should stop . pleaseRead more
hi doctor ,
you can go for snehapana before MCT ,
you can use pyloin ghruta for abhyantar snhapana ,
it can be given in increasing quantity
30 ml morning at 6 am day one , then till you find samyak sneha lakshana keep on increasing dose by 30 ml ,
one you find sneha in stool you should stop .
please take care of time of hunger after snehapana .
strictly inform patient not to eat any thing until he gets strong hunger .
See lessHow to get YES from Patient?
To know what to do to get YES from Patient, click below link - Meeting Recording: https://madhavbaug.zoom.us/rec/share/Ht-Go6CiiD2fmczpG-QIw-CZs1iFICKBzz9qoZImWfT2amciqYAFdhQL9ieu7YuH.LMOshXj5TLmhbNRR
To know what to do to get YES from Patient, click below link –
Meeting Recording:
See lesshttps://madhavbaug.zoom.us/rec/share/Ht-Go6CiiD2fmczpG-QIw-CZs1iFICKBzz9qoZImWfT2amciqYAFdhQL9ieu7YuH.LMOshXj5TLmhbNRR
Cabbage in salad should not be allowed in Swathyam diet box, for TMP pts
Hello doc, In relation of effect of Cruciferous Vegatables and Funtioning of thyroid Glands here are some transcripts form various studies which should help us plan our approach.. 1. Very high intakes of cruciferous vegetables, such as cabbage and turnips, have been found to cause hypothyroidism (inRead more
Hello doc,
In relation of effect of Cruciferous Vegatables and Funtioning of thyroid Glands here are some transcripts form various studies which should help us plan our approach..
1. Very high intakes of cruciferous vegetables, such as cabbage and turnips, have been found to cause hypothyroidism (insufficient production of thyroid hormones) in animals (54).
-Two mechanisms can potentially explain this effect. The hydrolysis of progoitrin, found in cruciferous vegetables , may yield a compound known as goitrin, which may interfere with thyroid hormone synthesis. The hydrolysis of another class of glucosinolates, known as indole glucosinolates, results in the release of thiocyanate ions that can compete with iodine for uptake by the thyroid gland (55).
2. However, increased exposure to thiocyanate ions from cruciferous vegetable consumption does not appear to increase the riskof hypothyroidism unless accompanied by iodine deficiency. One study in humans found that the consumption of 150 g/day (5 oz/day) of cooked Brussels sprouts (another cruciferous )for four weeks had no adverse effects on thyroid function (56).
In conclusion eating cruciferous vegetables should not impact your patients thyroid functions until unless they are also suffering from Iodine deficiency or are eating very large quantities of Uncooked Criciferous vegetables. As Rahul sir shared cooking the Cruciferous veggies in this case further alleviates the risk.
why should we add cricuferous to our patients diet,
well apart from the obvious benefit of calories vs satiety, high fiber content here are some other points to consider..
few observational Studies have specifically examined the potential benefits of cruciferous vegetable consumption. In the Shanghai Health Study (mean follow-up, 10.2 years) which included a total of 134,796 Chinese adults, participants in the highest versus low level of cruciferous vegetable intakes had a 22% reduced risk of all cause-mortality and a 31% reduced risk of CVD-related mortality (26). A case-control study conducted in 2,042 subjects (ages, <75 years) who survived a first acute myocardial infarction (MI), and matched healthy controls with no CVD history found that the individuals in the highest versus lowest quantity of cruciferous vegetable intakes (6 times/week versus <1 time/week) had 27% lower odds of MI .
Analysis of data from two 12-week Randomised control trial in 130 participants with mild or moderate CVD risk found that the consumption of 400 g/week of high-glucosinolate broccoli resulted in a significant reduction in LDL- Cholestrol concentration in Plasma.
High intakes of cruciferous vegetables have been associated with lower risk of bladder, breast, colorectal, endometrial, gastric, lung, ovarian, pancreatic, prostate, and renal cancer.
Conclusion : We should definitely include Cruciferous vegetables in our patients diet. In case of Hypothyroid patients instruction should be to take cooked / streamed cabbage only and limit it to certain extent by adding other option to the salads.
See lessWeight
Dr Ameya, Weight reduction is indicator of Catabolism>Anabolism. this can happened in various NCDs and Infectious diseases. NCDs Uncontrolled DM Anorexia Nervosa Depression COPD Cancer IBS Hyperthyroidism. Thyroxin Overdose. CHF Chronic Alcoholism Chronic Gastritis GERD Infectious Pathology. HIVRead more
Dr Ameya,
Weight reduction is indicator of Catabolism>Anabolism. this can happened in various NCDs and Infectious diseases.
NCDs
Infectious Pathology.
Unusual Conditions
- Recently started Diet Practice.
- Shifted to new place new cook/cooking methods
- Adapted healthy lifestyle(Cycling, running, swimming etc)
- Bankrupt.
See lessPreload
Hello Dr. Sanila, You have a very appropriate question. A very logical one. You are absolutely right that we aim to improve the preload by Snehan process which can create pressure on the heart. There are two types of Heart failure. Low Preload or End Diastolic Volume High Preload or End Diastolic VoRead more
Hello Dr. Sanila,
You have a very appropriate question. A very logical one.
You are absolutely right that we aim to improve the preload by Snehan process which can create pressure on the heart.
There are two types of Heart failure.
In the first category, Snehan will rectify the problem by improving the EDV and reversing failure.
In the second category, patients should be first given Mutra or Purisha Virechan to reduce the EDV or can be planned for 24 hour NBM or Langhana before you take the patients for these procedures.
If Snehan is performed in these High EDV high Preload patients blindly, it might create a load on the heart. But this is also kept in check by the next process called Swedan which helps in reducing the EDV or Preload.
Now let us understand the same in figures. This preload can be assessed on the ECHO by a parameter called EDV, End diastolic volume. Normally it should be ranging from 80 to 120 ml. Patients with high NT pro BNP and grade Grade 4 Failure in CHF have a very high EDV, may be above 180 or 200. Such patients are first to be given Mutra or Purisha virechan to lower the EDV significantly before taking him for any procedure. 24 hour NBM or Langhan can also be an effective procedure to reduce the EDV. Swedan also helps to control this EDV to a significant level.
Snehan does increase the EDV to a certain level transiently. This procedure is to be performed for patients who have normal EDV or till 180 to 200 ml. Usually Swedan, a process to control the raised EDV is to be performed post Snehan. If Swedan is not performed post snehan the raised EDV can create a pressure on heart in case of High EDV heart failure. In low EDV failure, Snehan will rectify the problem by improving the EDV.
I hope i have tried to answer your question. If any more doubts, please feel free to ask more questions.
See lessCabbage in salad should not be allowed in Swathyam diet box, for TMP pts
Dr Akshata, You are right, raw cabbage and cruciferous vegetables can reduce iodine absorption, but simple steaming till full cooked can be reduce goitrogen by 1/3rd and boiling Vegetable for 30 min can reduce 90% of goitrogen. Hence raw cabbage is not advisable for Hypothyroid and subclinical HypoRead more
Dr Akshata,
You are right, raw cabbage and cruciferous vegetables can reduce iodine absorption, but simple steaming till full cooked can be reduce goitrogen by 1/3rd and boiling Vegetable for 30 min can reduce 90% of goitrogen.
Hence raw cabbage is not advisable for Hypothyroid and subclinical Hypothyroid patients.
See lesslow BMI Dm patient losing weight
Dear Dr Priti, T2DM progressing towards sarcopenia is one of the common complications of T2DM, Here we are planning to provide product that improve skeletal muscle growth. I request you to contact me on 09561043299 so that we can plan this intervention in your Low BMI Patient.
Dear Dr Priti,
T2DM progressing towards sarcopenia is one of the common complications of T2DM, Here we are planning to provide product that improve skeletal muscle growth. I request you to contact me on 09561043299 so that we can plan this intervention in your Low BMI Patient.
See less