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72 Year Old Facing Giddiness and Weakness After Prostate Cancer Treatment: Seeking Advice?

Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1074 Answers  |Ask -

General Physician - Answered on Aug 05, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
Asked by Anonymous - Jan 26, 2024Hindi
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I am and 72 plus old weighing about 67kg,two years before it was predicted that iam having throat cancer in the early stage and i had 35 times radiation and 7 chemotherapy continuously. It was good and i was gaining weight, minimum 7to 8 km walking, exercise and day to daily works at home, driving scooter etc .But three months before i had urinary problem then i had regular blood tests. When i noticed the creatine was little high and the doctor advised to go for scanning and noticed that prostate gland size was bigger and after all the tests it was prostate cancer and i had radiation treatment about one month before. At present iam in rest. But at present iam facing giddiness while walking, i feel week too. Presently, iam under medicine of Reclimate OD 30 ,Dilzem sr 90, olmezest 20,Novastat 10mg, Silofast 8,and Ativan 1mg. What is my condition. What is to be done on further. Please answer.

Ans: What you have gone through is radiation
You need to detoxify and live a life to nullify the impact of free radicals
Living with nature, balanced nutrition and positive attitude towards life is needed
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1074 Answers  |Ask -

General Physician - Answered on Jun 14, 2024

Asked by Anonymous - May 21, 2024Hindi
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I am 81 yrs, suffering from prostate cancer since last 6/7 months. I had earlier multiple health issues like Type 2 Diabetes (2yrs), Alzheimer's, Parkinsons plus, I have also heart issues with two stents inserted in 2014. I follow a very sedate lifestyle with walking for 45-55 mts + physical exercise 30 mts almost each day. I have been able to contain Alzheimer's and Parkinson's to almost 85-90% level and check Diabetes with food habits and walking to almost 70-75% level. . From 212 FPBS t has come down to 111 and PPBS currently is 78. I am focusing on prostate cancer. I wish to give some data for your reference: PSA- Total- from 4.14 it has come down to 1.89 Testosterone- from 585 it has come down to 0.660 reading of 20/05/24 I am strictly following my Urologists instructions so far. I am under his treatment for last 6/7 months. But he advices me to go in for MRI based Radiation therapy at HYD. I am extremely averse to any type of radiation therapy as the cells apparently are in sleeping mode with hormonal therapies but once I go in for radiation even if 85% cells die the balance surviving cells will attack my system vigorously and age will not be able to withstand their attack. Can I continue with hormonal therapies? Your advice please
Ans: You are absolutely right Radiotherapy has its own set back of affecting the normal cells too decreasing the overall vitality
So I suggest look into Naturopathy in addressing this issue along with lifestyle modification
Please have a positive attitude as Prostate Cancer relatively has better outcome after being treated with the hormonal therapy.

..Read more

Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1074 Answers  |Ask -

General Physician - Answered on Aug 09, 2024

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Doctor I am 61 year male retired and my gall bladder was removed in 2016 and that time i was having slight fatty liver but no pain or discomfort any where other than severe constipation . However , since than I was taking Pan D daily morning . But suddenly 1 and half year back I had severe coughing which continued till last month and local physician prescribed antibiotics and cough syrups and foracourt 200 but coughing did not go . All my chest xray and sputum test came negative . Coughing was more severe when I lie down on bed and was not able to take turn to left side as it was worst coughing that time. i was not able to sleep and severe anxiety , palpitation , dry throat , excessive sweating , all of a sudden feeling cold or hot etc were there . Then I consulted the surgeon who operated the gall bladder he asked for LFT and sonography of upper abdoman . Everything came fine including fasting sugar and HB except SGPT and SGOT levels are high SGPT 200 and SGOT 85 . After this doctor prescribed Veloz IT cap in the morning empty stomach and Obetohep 5mg after lunch both for 2 months and Reflux fort syrup for 7 days along with Anxozap 15mg. Also asked to take no fat meal , fruits , and as I am vegetarian all leafy vegetables , very low sugar and salt . I have followed sincerely and I am walking at least 6000 steps daily. I left smoking for more than 2 months now . I am non alcoholic . Since then situation has improved a bit but not fully . In these conditions it is very difficult to travel to other place as I need to go what should I do will this ever be all right and I can resume my normal food . Please suggest best possible way out .
Ans: Travel with the sensitivity to your body's inner clock.
If you are aligned with your inner biological clock and have discipline in your food, sleep and Activity, I suppose you can travel

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Ramalingam

Ramalingam Kalirajan  |6336 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Sep 19, 2024

Asked by Anonymous - Sep 18, 2024Hindi
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Sir my son in 2009 invested in Mutual fund rs.5000/- and again rs.5000/- another in 2011 total rs.10,000/- with Reliance mutuval funds later this company changed in the name of Nippon India private limite. My son at the of investments he had Old PAN no. Later on job purpose gone abroad and settled. He came in 2019 and submitted redeem his units say 2250 units currenly valued rs. 50,000 above . His application was rejected at first Old PAN Card not surrendered so he surrendered same with original attached with NRE status PAN and submitted agiain who they says You have to link his Aadhar card. He is not in a position to obtain this because he may get citizenship. I referred to SEBI and RBI to intervene but no response from them Please guide me how to redeem and get my son’s investments which I require for my ailing age of 78. Thanks in advance If you require his PAN no surrendered and obtained new NRE status PAN no.
Ans: Since your son cannot link his Aadhaar due to his NRI status, the best approach would be to reach out directly to Nippon India Mutual Fund and explain the situation. You can request the redemption process based on his NRI PAN and KYC status without Aadhaar linking.

Here's what you can do:

Contact Nippon India: Explain that your son is an NRI and cannot obtain an Aadhaar card. Request guidance for an NRI-specific redemption process.

Submit an NRI KYC Update: Ensure that your son's new PAN and NRI status are updated in the KYC records with the fund house. This can be done via the KYC Registration Agency (KRA) or CAMS for mutual funds.

Alternative Contact: If there is no response from the fund house, consider contacting AMFI or SEBI again, providing all necessary documents.

These steps should help you resolve the issue and redeem the units without requiring Aadhaar linkage.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

...Read more

Ramalingam

Ramalingam Kalirajan  |6336 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Sep 19, 2024

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Hello sir, With your earlier suggestion to achieve 5Cr for retirement and my 3yr old son's education, I'm planning the following monthly investment ( apart from current Parag, Nippon and Mirae investment of 10L+ 10L in PPF): Son's Parag: 8 My Parag:10 Mirae nifty ev & new age:30 Quant Infra:15 Nifty500 Manufacturing:10 Small cap:10 Mid cap:10 NPS vatsalaya:5(giving 25L) Term plan of 3Cr:8K Monthly in-hand savings:15k Plz suggest if I'm over diversifying & suggestion for small and mid cap fund
Ans: You have a good balance between long-term goals, such as retirement and your son's education, with monthly investments across multiple funds.

Investing Rs 15,000 of monthly savings alongside current investments and having Rs 10 lakh each in Parag and PPF is commendable. This shows discipline in securing your financial future.

Portfolio Overview
Let’s assess the diversification of your portfolio:

Son's Parag: Rs 8,000/month
This could be a good long-term investment for your child's future.

Your Parag: Rs 10,000/month
This adds value to your retirement goal.

Mirae Nifty EV & New Age: Rs 30,000/month
Investing Rs 30,000 in a thematic fund is a bold move. However, ensure this is for the long-term, as sector-specific funds can be volatile.

Quant Infra: Rs 15,000/month
Infrastructure is a good bet for growth in India. However, similar to thematic funds, it can be cyclical.

Nifty500 Manufacturing: Rs 10,000/month
Manufacturing is an essential part of India’s growth story. Still, its performance can depend on broader economic factors.

Small Cap: Rs 10,000/month
Small caps provide high growth potential but come with higher volatility. Keep a horizon of at least 7-10 years.

Mid Cap: Rs 10,000/month
Mid-cap investments are good for growth, but they too require a longer horizon.

NPS Vatsalaya: Rs 5,000/month
A good addition for retirement, as it provides long-term benefits and pension security.

Term Plan of Rs 3 crore: Rs 8,000 premium
This is a necessary expense to ensure your family’s financial security in your absence.

Assessing Over-Diversification
While diversification reduces risk, too much of it can dilute returns. Your portfolio seems slightly over-diversified.

Consider reducing thematic exposure (Mirae Nifty EV & Quant Infra) as they make up a large portion of your investments.

It might be more beneficial to concentrate on core funds like small caps, mid caps, large caps, and a flexi-cap fund for diversification across market caps without the risks of being overly thematic.

Small Cap and Mid Cap Suggestions
For small cap funds, consider selecting ones with a consistent performance history and a good track record in handling market volatility.

For mid cap funds, those that have shown steady growth across different market conditions will be a safer bet for building long-term wealth.

Instead of focusing on individual scheme names, select funds with a solid investment team, strong processes, and consistent performance.

Direct vs Regular Funds
Switching to Direct Funds might seem like a good idea due to the lower expense ratio. However, this shift means losing the valuable guidance of a Certified Financial Planner (CFP) who can help you optimize your investments over time.

By sticking with Regular Funds through a professional MFD (Mutual Fund Distributor), you get personalized advice, monitoring of your investments, and support with tax-saving strategies. Regular funds also provide better handholding, which is crucial in volatile times.

Disadvantages of DIY Platforms
Platforms like MF Central or Zerodha may look attractive for their lower fees, but they have their drawbacks:

Complexity: Managing your portfolio without professional help can be complicated, especially when it comes to tracking performance, rebalancing, or adjusting investments based on changing goals.

Lack of Tax Optimization: Without professional guidance, you may not optimize for taxes, potentially losing out on gains.

No Personalized Advice: Unlike a Certified Financial Planner, DIY platforms will not provide you with tailored advice for your financial goals, leaving you to manage everything yourself.

Long-Term Return Expectations
Your current mutual funds are performing well, but you must be prepared for market volatility. While returns can be 20% in short-term spurts, a more realistic long-term average would be around 12-15%. This will help in planning more effectively for your goals like your son’s education and your retirement corpus of Rs 5 crore.

Final Insights
Your disciplined approach and allocation to mutual funds and NPS are excellent for long-term wealth building. However, fine-tuning your portfolio for better efficiency and consolidation will enhance your returns.

Review the Thematic Funds: Consider reducing your exposure to thematic funds like EV, infrastructure, and manufacturing. These sectors can be volatile and may require active monitoring.

Stick with Regular Funds through an MFD: While direct funds may seem appealing, sticking with regular funds and leveraging the expertise of a Certified Financial Planner ensures you won’t miss out on personalized advice and tax optimization.

Focus on Core Funds: Keep a balanced allocation towards small-cap, mid-cap, and large-cap funds to ensure you cover different market cycles and benefit from market growth.

Adjusting for Volatility: Remember that 20% returns might not be sustainable over the long term. It's safe to plan for 12-15% average returns for your financial goals.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

...Read more

Ramalingam

Ramalingam Kalirajan  |6336 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Sep 19, 2024

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I have ~40L in my portfolio and all my MF`s are Regular funds since I have been investing thru ICICIDirect. Now I want to start investing into Direct funds since I realize that Direct funds have lower Expense ratio. So I want to invest thru MFcentral or Zeroda. Now, my quesiton is: Is it a good idea to cancel my existing MF`s (not redeeming) in ICICIDirect and start new direct SIP`s ? Will I be loosing compounding effect of my existing regular MF`s? I dont want to redeem the SIP`s since it will incurr large LTCG taxes
Ans: It may seem tempting to switch to Direct Funds for the lower expense ratio, but there are key factors to consider before making the switch.

Here are a few points in favor of continuing with Regular Funds through a Certified Financial Planner (CFP) or a professional Mutual Fund Distributor (MFD):

Value of Professional Advice
A professional MFD or CFP adds value by offering timely advice, portfolio reviews, and strategic changes based on market conditions and your financial goals. They help you stay focused on long-term plans and avoid emotional decisions.

Platforms like MF Central or Zerodha do not offer personalized advice. You’re left managing the complexities of your portfolio alone, which can be overwhelming and risky, especially during volatile markets.

Disadvantages of Direct Platforms
MF Central and Zerodha are DIY (Do-It-Yourself) platforms. While the lower expense ratio seems appealing, managing the portfolio on your own requires time, expertise, and market insight. Any wrong move could cost you more than you save in expense ratio.

MF Central is not user-friendly and does not offer real-time support for managing SIPs, rebalancing, or tracking your overall portfolio’s health.

Zerodha is a trading platform, but it doesn’t come with personalized advice. It lacks the long-term relationship benefits that an MFD or CFP provides, including goal-based planning and tax-efficient strategies.

Compounding Effect & Tax Implications
Cancelling your existing SIPs and switching to direct funds will not directly affect the compounding of your current investments. However, starting new SIPs in Direct Plans could lead to a disjointed investment strategy. You may also lose out on expert guidance that helps optimize the compounding effect through proper fund selection and market timing.

Switching to direct funds might seem cost-effective in the short run but could result in higher LTCG (Long Term Capital Gains) taxes if you later decide to rebalance your portfolio on your own without professional help.

Avoid Disruption
Switching platforms might disrupt your current portfolio management process like consolidated reports and capital gains tracking, which helps during tax filings. On DIY platforms, you will have to manage all of this yourself.

If you are not satisfied with ICICIDirect's services, you can always switch to another professional MFD or Certified Financial Planner (CFP). A good MFD will still provide the benefits of seamless portfolio management, including consolidated reports, capital gains tracking, and regular reviews, which are critical during tax filings and for keeping your investments aligned with your goals.

Final Thought
Instead of switching to direct plans, continue with Regular Plans through a professional MFD or CFP. The personalized advice you receive will often outweigh the slight difference in expense ratio. Regular reviews, goal setting, and rebalancing help ensure your portfolio remains aligned with your long-term objectives.

Making hasty decisions based on expense ratio alone can lead to missed opportunities and higher risks in the long run.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

...Read more

DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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