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36 Year Old Woman with Low AMH Seeks Fertility Advice and Weight Management Strategies

Dr Nandita

Dr Nandita Palshetkar  |44 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Nov 27, 2024

Dr Nandita Palshetkar is the medical director of Bloom IVF.
She is a pioneer in ICSI, laser hatching, spindle view, oocyte and embryo freezing, IMSI, in vivo vaginal culture, metabolomics, embryoscope and spindle check technologies.
With over 30 years of experience, Dr Nandita is managing 10 centres across India.
She has written over 100 papers, edited 25 books and given over 1,000 lectures and speeches.
She has also won several prestigious awards, including the Dronacharya Award (2021), the Bharat Gaurav Award at the House of Commons in London (2014) and the Inspiring Gynaecologists of India (2018) to name a few.
Dr Nandita completed her MBBS from Grant Medical College and Sir J J Hospital, Mumbai, and her MD in obstetrics and gynaecology from Mumbai University."... more
Asked by Anonymous - Nov 15, 2024Hindi
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Hello Doctor, I am 36 year old and will be turning 37 in next april. I am married for last 5 years. I wanted to have kids. But last form 2 years i am not keep my health up and also because of husband hetic job schedule we are not to able plan. I undergone some test Vitamin D is 20, Thyroid is 7 .25 and AMH is 1.69. AMH test was conducted un 2023. My current weight is 69kg. I taken 2 months medicine for vitamin D . One vitamin d tablet daily and one syrup once in a week for 8 weeks. I am also taking thyroxin 50 mg daily. I have took folic acid medicine for 2 months. Doctor is said i have very less time to conceive due to less AMH level. But i have more concern that is my weight. I am not happy with my weight. I want to know first i should try to for baby or first i should loss some weight. I am in delima. Its is giving me lot of stress.

Ans: Hello noted
Since you are 36 years and gonna turn 37
Amh is 1.67
And weight 69
So, considering your age and amh being 1.67 one year back, we need to repeat your AMH. Amh is supposed to reduce with age, it means the egg forming capacity of the ovary diminishes with age.
So, you need to focus of conception. At the same time, you can do exercises and dietary changes to reduce your weight
Let both happen hand in hand
And yes, correction of vitamin D, tsh is needed
Have nutritious food, antioxidants, proteins in your diet
Have supplements which help in improving the quality of eggs.
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  | Answer  |Ask -

General Physician - Answered on Jun 12, 2024

Asked by Anonymous - May 22, 2024Hindi
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I am a 28 year old female. I am 162 cm tall. I got married last year (2023). My husband lives abroad. He visits India for 2 months or sometimes 1 month in a span of year. Since I got married, I got barely 3 months to live with my husband. In that time, we tried to conceive as my husband is very eager for having children. I had one or two acnes around my periods but after my marriage, I started getting severe acne all over my face and no where else on my body. I consulted Dermatologist for this issue. Her treatment wasn’t of any help to me. Somehow, with my mother’s home remedies like cinnamon and cumin seeds water I got rid of those stubborn acne to some extent. I still get acne on my face but in moderation, I continually consume that drink daily. My weight was around 59 kg at the time of my marriage but it has been increasing by 1kg since September 2023. Now as of today my weight is 69kg. I consulted gynaecologist for my issues with conceivement I have been diagnosed with Thyroid and hormonal imbalance. I rarely slept at night time. But I get good amount of sleep after 4 AM, I sleep all over the morning and wake up around Noontime. My Gynaecologist told me to get sleep at night time and wake up early in the morning. I have been doing that since many days now, sleeping at 12 or 1 AM and waking up at 9-9:30 AM daily. The main issue is, she told me to lose weight about 8-10 kg in order to conceive naturally. I am unable to shed my weight, provided I am taking thyroid medication daily in the morning. It’s been a month now my weight is steadily stuck at 68 kg. I waver back and forth with grams around that 68 kg, thats it. My ir-resistant body fat has become a matter of great concern for me now. No matter how much I exercise it has no effect on my body weight. What should I eat or do to lose my weight faster and easier with thyroid and insulin resistance ?
Ans: Body Constituition has a lot to do with genetic inheritance too. For your height your weight up to 62 kg is acceptable limit of your ideal weight. So shaking of 5-6 kg is very much achievable.
Main point to touch is early dinner. Have dinner by 6 pm and no more Carb, protein and fat after that time. And your dinner meal should not have any animal protein. Just by doing this and exercising through brisk walks 30mts a day five days a week will make a big change. The problem what we face these days is late night dinners, eating snacks late night. Just address that

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Latest Questions
Ramalingam

Ramalingam Kalirajan  |7615 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jan 23, 2025

Asked by Anonymous - Jan 23, 2025Hindi
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Hi sir Am 39 years ,working and I have an mutual fund portfolio of 42 L investment in large ,middle and small cap funds, I want to retire by 2030 with an corpus of 2cr. Currently am planning to invest lump sump 15 lakh. Is it possible to achive the target? Can you give me the advice
Ans: Assessing Your Current Portfolio
Your mutual fund portfolio of Rs 42 lakh across large, mid, and small-cap funds is a great start.

Diversification across these categories provides a balance of stability, growth, and potential higher returns.

However, reviewing your portfolio periodically is critical to ensure alignment with your financial goals.

Large-cap funds offer stability but grow slower, while small and mid-caps have higher potential with more risk.

With Rs 42 lakh already invested, consistent growth over the next seven years will matter.

Evaluating Your Retirement Goal
You aim to accumulate Rs 2 crore by 2030.
This implies that your investments must grow at an appropriate rate annually.
Considering your lump sum investment plan of Rs 15 lakh, your overall corpus will increase substantially.
However, achieving Rs 2 crore will depend on market performance and consistent fund review.
Insights on Your Investment Plan
Investing Rs 15 lakh in one go is strategic but requires careful fund selection.

Actively managed mutual funds can help you generate better returns over the years.

Avoid index funds, as they offer limited potential to outperform the market.

Actively managed funds, guided by a certified financial planner, help align your portfolio with your goals.

Direct funds may seem cost-effective, but they lack professional advice.

Regular funds, through an MFD with CFP credentials, provide guidance and periodic review.

Tax Implications
Equity mutual funds’ LTCG above Rs 1.25 lakh is taxed at 12.5%.
STCG is taxed at 20%. For debt funds, both STCG and LTCG follow your income tax slab.
Considering these tax rules, strategically plan redemptions closer to retirement.
Steps to Achieve Your Target
Step 1: Review and Realign Your Portfolio
Check if your current funds align with your goal and risk appetite.
Ensure a balance between large, mid, and small-cap funds for growth and stability.
Allocate a portion to flexi-cap or balanced advantage funds for risk-adjusted returns.
Step 2: Invest the Lump Sum Strategically
Avoid investing Rs 15 lakh in one fund or at one time.
Consider systematic transfer plans (STP) for gradual investment into equity funds.
This approach helps manage market volatility and ensures disciplined investing.
Step 3: Focus on Actively Managed Funds
Actively managed funds, guided by professionals, outperform market indices.
Avoid index funds due to their limited scope for alpha generation.
Regular funds with expert advice can ensure proper asset allocation and rebalancing.
Step 4: Increase SIP Contributions
If feasible, start additional SIPs to boost your corpus steadily.
SIPs instill disciplined investing and benefit from rupee cost averaging.
Step 5: Reinvest Dividends
Opt for a growth option instead of dividend payouts in mutual funds.
This reinvests earnings, accelerating your portfolio growth.
Step 6: Monitor Your Portfolio
Periodically review your portfolio's performance and rebalance when needed.
Ensure your investments align with your risk profile and market conditions.
Managing Risks
Your portfolio should be diversified across sectors and fund categories.
Avoid over-concentration in any single fund or asset class.
Rebalancing is crucial to ensure your portfolio stays aligned with your risk tolerance.
Retirement Planning Beyond Investments
Inflation Consideration
Account for inflation, which can erode your purchasing power.
Choose funds that can generate inflation-beating returns consistently.
Contingency Fund
Maintain a contingency fund equal to 6-12 months of expenses.
This protects your long-term investments during emergencies.
Health Insurance
Ensure you have adequate health insurance coverage for unforeseen medical expenses.
This avoids depleting your investment corpus for healthcare needs.
Retirement Expenses
Identify your post-retirement expenses, considering inflation and lifestyle needs.
Plan to cover essential and discretionary expenses without financial strain.
Final Insights
Your Rs 42 lakh mutual fund portfolio and Rs 15 lakh lump sum investment have potential.
Strategic planning, disciplined investing, and periodic review are vital for success.
Focus on actively managed funds and avoid direct funds for professional guidance.
With consistent effort, achieving Rs 2 crore by 2030 is realistic.
Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment

...Read more

Ramalingam

Ramalingam Kalirajan  |7615 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jan 23, 2025

Asked by Anonymous - Jan 23, 2025Hindi
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I want to create a corpus of 1 cr in next 10 years. I am doing a sip of 10k from last 5 years. What should i do and how much should i save now monthly and in what options?
Ans: You aim to accumulate Rs. 1 crore in 10 years. Achieving this requires a disciplined savings strategy and optimal investments. Your current SIP of Rs. 10,000 per month for the past 5 years is a great start. However, adjustments are necessary to reach your goal. Let’s create a step-by-step plan.

Understanding Your Current SIP Contributions
Current Progress

Your existing SIPs have built a decent corpus over 5 years.
Equity mutual funds provide growth, especially if the portfolio is well-diversified.
Impact of Time

Compounding needs both time and sufficient contributions.
To achieve Rs. 1 crore in 10 years, you’ll need to increase your SIP contributions.
How Much to Save Monthly
Additional SIP Contributions Needed
Review your target and adjust your SIP contributions.
Based on current market trends, increasing SIP to Rs. 20,000-25,000 monthly could help.
This will ensure you stay on track to meet your goal in the next 10 years.
Investment Options to Consider
Actively Managed Equity Mutual Funds

Actively managed funds offer better growth potential than index funds.
Fund managers help optimise returns by navigating market opportunities.
Diversify across large-cap, mid-cap, and small-cap funds for balanced growth.
Avoid Index Funds for Higher Returns

Index funds follow the market and may not outperform actively managed funds.
Actively managed funds provide a better opportunity for long-term wealth creation.
Hybrid Funds for Stability

Hybrid funds balance equity and debt exposure, reducing volatility.
Allocate a small portion to hybrid funds to stabilise the portfolio.
Systematic Investments Over Lump Sums

Continue SIPs as they help average out market volatility.
Avoid lump-sum investments unless the market shows a significant correction.
Tax-Efficient Investing
Minimise Tax Liabilities

Equity mutual funds offer better post-tax returns compared to debt funds.
Long-term capital gains (LTCG) tax of 12.5% applies only if gains exceed Rs. 1.25 lakh.
Avoid Frequent Redemptions

Keep investments for the long term to minimise short-term capital gains tax of 20%.
Regularly Review Your Investments
Monitor Portfolio Performance

Review your mutual fund portfolio annually.
Ensure funds are consistently outperforming their benchmarks.
Rebalance Periodically

Adjust equity and debt allocations as needed.
Maintain a higher equity allocation for the next 6-8 years, reducing it closer to the goal.
Emergency Fund and Insurance
Maintain an Emergency Fund

Ensure you have 6-12 months of expenses in liquid assets.
This protects your investments during unforeseen financial needs.
Adequate Insurance Coverage

Review your term insurance to ensure it matches your financial responsibilities.
Consider health insurance coverage to avoid medical emergencies impacting investments.
Avoid Common Pitfalls
Avoid Direct Mutual Funds

Direct funds lack personalised guidance.
Invest through a Certified Financial Planner (CFP) who can provide tailored advice.
Stay Consistent

Avoid stopping SIPs during market downturns.
SIPs benefit from market corrections by purchasing more units at lower prices.
Don’t Time the Market

Focus on long-term growth rather than trying to predict short-term market movements.
Final Insights
Reaching Rs. 1 crore in 10 years is achievable with disciplined savings and smart investments. Increase your SIP contributions to Rs. 20,000-25,000 monthly, focusing on actively managed funds. Review your portfolio regularly, rebalance when needed, and maintain financial safeguards like an emergency fund and insurance. These steps will ensure you meet your goal confidently and efficiently.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment

...Read more

Ramalingam

Ramalingam Kalirajan  |7615 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jan 23, 2025

Money
Hello Sir/Madam, My age is 31,I got married in 2021, and I have a one-year-old son. I work as a digital marketing professional, earning ?80,000 per month. I have a home loan of ?20.30 lakhs that started in 2020. I am currently paying an EMI of ?18,000 per month, and since last year, I have been paying an additional ?4,000 per month. I am also planning to make a ?1 lakh prepayment from next year, for which I am saving ?5,000 per month to close it earlier. For investments, I have been doing an SIP of ?5,000 per month for the last two years, which I increased to ?10,000 last year for my retirement planning. Additionally, I have a ?50 lakh term insurance policy and am currently building an emergency fund. I believe I am managing my investment journey well, except for the house. Could you please suggest some points to enhance this journey?
Ans: At the age of 31, you are on a solid financial footing with a clear understanding of your goals. You're actively managing your finances, including taking steps toward early repayment of your home loan, building an emergency fund, and investing for retirement. These actions show discipline and foresight, which are key to long-term financial success.

Let's review your current financial situation and suggest some enhancements to improve your financial journey.

Strengths of Your Current Financial Plan
Income and Savings

Earning Rs. 80,000 per month is a strong base for savings and investments.
You're already contributing Rs. 10,000 per month towards your retirement through SIPs.
Saving Rs. 5,000 monthly for prepayment of your home loan is a prudent approach.
Home Loan Repayment Strategy

You have an active strategy to reduce your home loan faster by paying an additional Rs. 4,000 per month.
The Rs. 1 lakh prepayment plan from next year will significantly reduce your interest burden.
Insurance Coverage

You have a Rs. 50 lakh term insurance policy.
This coverage ensures your family's financial security in case of an untimely event.
Investment for Retirement

Your SIP investments are steadily growing, and increasing your SIP from Rs. 5,000 to Rs. 10,000 is a great move.
The goal of building wealth for retirement is well-defined.
Areas for Improvement
While your current strategy is strong, there are a few areas where you can make adjustments for greater efficiency and financial strength.

1. Home Loan Prepayment Strategy
Evaluate Loan Prepayment Impact

You're saving Rs. 5,000 a month for a Rs. 1 lakh prepayment. This will help reduce the principal, but it’s important to assess the long-term benefits.
Consider reallocating some funds from your emergency fund or monthly savings into a lump-sum prepayment, as this will reduce the overall interest burden faster.
A quicker reduction of principal can result in significant savings on interest payments over time.
Opt for a Balance Between Loan Prepayment and Investments

Prioritize investments for long-term growth, especially equity-based funds, to take advantage of compounding.
Ensure that prepayment does not come at the cost of your investment goals, particularly for retirement.
Reassess Interest Rates

If your home loan interest rate is high, consider refinancing to a lower rate, if possible.
This can save you money on interest and reduce your overall financial burden.
2. Investment Strategy for Retirement
Review Asset Allocation

While you are investing in SIPs for retirement, it is essential to regularly assess your asset allocation.
Diversify across equity funds, debt funds, and hybrid funds to ensure balanced growth.
Since you are young, maintaining a higher allocation towards equity will offer greater growth potential. However, ensure you periodically reduce equity exposure as you approach retirement age.
Active Mutual Funds vs Direct Plans

You mentioned your SIPs; I recommend you invest through a Mutual Fund Distributor (MFD) with a Certified Financial Planner (CFP) credential rather than opting for direct plans.
While direct plans save on commissions, they may lack the ongoing advice and portfolio adjustments that an MFD offers, particularly as your financial situation evolves.
Investing through an MFD with CFP certification can provide professional guidance on asset allocation, tax-efficient strategies, and portfolio rebalancing.
Plan for Systematic Withdrawal Plans (SWPs)

As you build your retirement corpus, consider shifting towards a Systematic Withdrawal Plan (SWP) to convert your lump sum investment into a regular income post-retirement.
This option offers flexibility and ensures a steady income stream while maintaining the growth potential of your invested corpus.
3. Emergency Fund Management
Adequate Emergency Fund Size

You're in the process of building an emergency fund, which is essential.
Ensure that your emergency fund covers at least 6-12 months of living expenses, including your EMI payments.
Invest this fund in liquid or ultra-short-term debt funds, which provide better returns than a savings account, yet offer easy access when needed.
Reassess Emergency Fund Allocations

Once your fund reaches the target, consider rebalancing the amount, based on your current lifestyle and expenses.
As your income increases over time, you might need to adjust the size of the emergency fund accordingly.
4. Insurance and Financial Security
Review Insurance Coverage

Your Rs. 50 lakh term insurance is a good start, but it's important to evaluate whether it adequately covers your family's future needs.
As your income and responsibilities grow, you may want to consider increasing the coverage to ensure your family's financial security in case of any unforeseen events.
Consider Health Insurance

In addition to life insurance, health insurance is a critical aspect of financial security.
Ensure that you have adequate health insurance coverage for yourself and your family, especially considering the rising healthcare costs.
Look for comprehensive family floater plans or top-up policies that provide extensive coverage.
5. Tax Efficiency and Retirement Planning
Tax Planning for SIPs and Prepayments

When investing for retirement, be mindful of the tax implications.
Equity-based funds are subject to long-term capital gains (LTCG) tax, but the tax rate is lower than debt funds.
Debt funds are taxed as per the income tax slab, so a balanced approach to equity and debt investments will help optimize your taxes.
Utilize Tax-Saving Instruments

Continue investing in tax-saving instruments like PPF, NPS, or tax-saving fixed deposits under Section 80C.
NPS also offers additional tax benefits, and it would complement your retirement planning well.
6. Long-Term Financial Goals Beyond Retirement
Child’s Education Fund

With a young son, his education is likely to be a major financial goal in the coming years.
Begin investing in child-focused funds, which will ensure that the education corpus grows in line with inflation.
Plan for his higher education expenses early to ensure that you can comfortably meet his needs when the time arrives.
Increase SIP Contributions

As your income grows, increase your SIP contributions over time.
Aim to contribute a larger portion towards retirement savings, taking advantage of compounding.
Final Insights
Your financial journey is already on a good track. By enhancing your loan repayment strategy, optimizing your investments for retirement, ensuring tax efficiency, and safeguarding your family’s health and future, you will build a strong and resilient financial foundation. Focus on regular reviews of your asset allocation, increasing your SIP contributions, and balancing debt repayment with long-term investment goals.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment

...Read more

Patrick

Patrick Dsouza  |942 Answers  |Ask -

CAT, XAT, CMAT, CET Expert - Answered on Jan 23, 2025

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While writing this message, I am very shameful and guilty ???? about my marks to share with you sir.my Cat score 50%ile Xat: 35%ile Snap:40%ile Nmat:198 marks ???????????????????? I am Requesting ????????????????????????you an advice sir! I graduated in 2024 May in b.com! These exams were my first attempt. Now I am 22yrs old. At Present I am not doing any job, didn't have any course. at home there is a lot of pressure to join any b school. With these scores I don't get any colleges . I want to do an MBA in best b school. Sir how was SDA Bocconi? Will get I get with my nmat score? Should I apply for it?Sir with lot of pressure I am requesting you to give me a guidance ???????? will I join any b-school? If yes Name some best colleges with my scores? (Or) I am fresher will I search and do a job along with cat 2025 prep? Sir by seeing these scores :( If I prepare for cat this year will I crack? I want to give cat this year with very efficient and indepth practice by seeing these scores. Sir I am thinking that I want to give CUET PG to get best university seat to do an MBA like in BHU,JNU...so that I can prepare for cat 2025. How will be the career from doing MBA from Central universities.is there any problem doing MBA along with cat precisely? Is this good thing.? Or will I change my plan? If I prepare for this year. What about GAP year? How should I cover this Sir?? this is very important question. Pls sir ???????? i need suppport from you! As I discussed with my family about job. We have a small Tea business. I will help my parents and study. Present At home family condition is bad(parents health). we have a Brother,He is our family well wisher, behalf of his guidance i started to prepare for this exam and scored very bad. Now he is saying to prepare again for this year with lot of commitment and hard work. But He and my family is saying Not to do Job, work at Tea business and prepare for this year very hardly. Is this good decision.? Will it cover GAP year like doing family business? Thank you ???????? sir
Ans: SDA Bocconi may not accept 198 nmat score, but they have their own test if you want to try. With 198 NMAT, can try for IBS (ICFAI) and other colleges that accept the scores. Can also write ATMA, and MAT that will be held in Feb March so that you have more options to apply to. About repeating a year you can decide once this years cycle for admission is complete.

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