Hello Doctor, I am 59 yrs old, 90 kgs, height 6'1", a pure vegetarian. Mine is basically a sitting job. Last July, while doing a routine check up, I found out that my Uric Acid had shot up to 7.60. In fact, my toenails started coming off. My doctor then advised me to take Febutaz40 everyday for 3 months after which Uric Acid came down to 4.30. He then asked me to stop for 1 month and it again shot up to 7.50. He has now asked me to take 1 tablet every alternate day, now my Uric Acid count is 5.70. Should I start taking it everyday or continue taking alternate day, as is now ? Last July, my HbA1c was 6.30 which I brought it down to 5.80 by changing my diet and walking exercise. I had stopped sugar intake totally for 6 months after which my HbA1c was down to 5.80. Now I have started on sugar but very limited quantity and that too once-twice a week. Now my HbA1c is 6.10. Is it okay or should I stop sugar intake totally ? During the past 10 months, My FBS is between 101 to 105 and Post Prandial Blood sugar is between 110 to 140. I am not taking any medicine for sugar control. For the past 1 month, I have a tingling pain in my feet, particularly the toes and the portion below the ankle. Even the fingers of my hand is also aching. What could be the possible cause of this? Does it have to do with the Uric Acid Problem ? My cholesterol is between 140 to 180. Could you please revert back to all my queries ? Thank you

Ans: Hi Sir,

It's great to hear that your daughter is pursuing a Bachelor of Pharmacy (B.Pharm). There are many opportunities available after completing a B.Pharm, with starting salaries ranging from 2.0 LPA to 8.0 LPA. Her career path will largely depend on her interests in the field she wants to pursue after her undergraduate studies.

If she is interested in marketing, she can achieve great heights without pursuing a postgraduate degree. However, if she decides to continue her education, she might consider an MBA later, which could allow her to join a product team that combines both science and management skills. Opportunities in the product department can be quite fascinating.

Encourage her to complete her undergraduate studies first, and then she can make a more informed decision about her future. If you have any further questions, feel free to reach out to REDIFF GURU.

Ans: Hi Sravanthi,

It's great to hear that you have six years of experience in Quality Control (QC). As you know, QC roles are generally onsite, unlike IT roles that can often be done remotely. Given your expertise in QC, you have the option to transition to Quality Assurance (QA), Regulatory Affairs (RA), or the Validation team, but we need to assess the feasibility of such a shift. While it is uncommon, it is possible to find roles in RA, such as preparing and submitting documents, pharmacovigilance, or medical scribing. However, since these are not your areas of expertise, if you choose to pursue them, you may be considered a fresher in those fields.

You also mentioned that need to work long hours. Even with work from home (WFH), you will likely face similar challenges; once you log in, you cannot skip the tasks assigned to you. Being at home may hinder your ability to care for your children, creating additional difficulties.

If you are financially stable, you might consider quitting your current job to find other opportunities or to take care of your family. If not, you will need to weigh your options carefully.

My recommendation is to prefer onsite work rather than WFH.

On a lighter note, there are many advantages to onsite work that can actually save you money—such as reduced electricity bills, food expenses, and travel costs. Compared to WFH, where you may incur higher electricity costs due to using AC and your computer, along with food expenses for snacks and meals.

Logically speaking, as a working woman, if your maid were asking for a WFH arrangement, how would you respond?

As an additional suggestion, you might consider applying for government jobs as a Junior or Senior Analyst in your state’s Drug Testing Lab within the Drugs Control Department.

Ultimately, I recommend that you continue in your current field and potentially explore opportunities in a different company or industry that offers a higher salary. Alternatively, you could also consider transitioning to QA, but ideally in an onsite position.

All the best.

Ans: Hi Naushad,

In response to your query, you should have received your all the year mark sheets (including final year). Please note that obtaining your degree certificate can be a time-consuming process. Therefore, I recommend that you apply for a provisional certificate from your university first. Once you have the provisional certificate, you can proceed to apply for your pharmacist registration by logging into the state PCI (Pharmacy Council of India) portal.

Here is a list of the required documents for B.Pharm registration:

1) Transfer Certificate
2) SSLC (Secondary School Leaving Certificate) and HSC (Higher Secondary Certificate) mark sheets
3) Course cum Conduct Certificate
4) B.Pharm Provisional Certificate or Degree Certificate
5) Mark sheets for all four years of B.Pharm

Please note: Registration is determined by the location of the institution where you completed your course, not by your hometown or native place. If both your institution and your hometown are in the same state, there should be no issues. However, if your institution is located in a different state from your hometown, you will need to process your application through the state PCI where your institution is situated.
All the best.
Feel free to reach out if you have any further questions.

Ans: Hello Sumukh,

Unfortunately, no. Ankle exercises alone will not be sufficient. They should be part of a comprehensive fitness plan that includes aerobic exercises, resistance training, and flexibility exercises, along with a balanced diet and medical supervision if necessary. A calorie deficit, combined with these types of exercises, will help regulate blood sugar levels effectively.

Ans: Dear Mr. Surana,
Thank you for your query. If your doctor has recommended a total knee replacement, it is likely based on the severity of your condition as indicated by the X-ray and your ongoing pain. However, you may still explore conservative options before deciding on surgery. I suggest consulting a physiotherapist for a comprehensive rehabilitation program. Physiotherapy can help strengthen the muscles around the knee, improve joint stability, and potentially reduce pain.
That said, your age and weight also play an important role in determining the best course of action. If you are overweight, weight management can significantly reduce stress on the knee joint and alleviate symptoms. Lifestyle changes, such as a tailored exercise regimen and a healthy diet, can also be beneficial.

If conservative measures don’t provide sufficient relief, total knee replacement may be the best option for living a pain-free life. It’s natural to be concerned about side effects, but modern surgical techniques and post-operative care have made the procedure highly effective and safe. Discuss all your concerns with your doctor and physiotherapist to make an informed decision.
Wishing you the best,

Ans: Hello Shenaa,

Following a proper diet and walking 5 km daily is a positive start, but it alone may not be enough to reverse the condition. To effectively manage and potentially improve it, focus on creating a calorie deficit, following a low-carbohydrate diet, and incorporating regular exercise. Along with walking, adding resistance training can enhance metabolic health and yield better results.

It’s also essential to seek guidance from a physiotherapist to develop a safe and effective exercise plan and consult a nutritionist for a tailored diet strategy. A combination of these efforts will help you achieve your goals more efficiently.

Ans: Dear Mr. Srinivas,

Thank you for your query. Weight reduction is a gradual process that requires consistent effort and a balanced approach. It is advisable to consult a physiotherapist and a nutritionist to guide you through this journey. Focus on a high-protein, low-carbohydrate diet to support weight loss while maintaining muscle mass. Ensure your meals are nutritious and create a calorie deficit.

For exercise, start with low-impact aerobic activities such as walking, cycling, or swimming, as these can burn calories without putting pressure on your hernia. Incorporate gentle core-strengthening exercises like pelvic tilts and side planks to build core stability without straining the affected area. If suitable, include short bursts of high-intensity workouts or moderate-intensity, long-duration activities such as brisk walking or light jogging to enhance endurance and fat loss. Additionally, light resistance training can help maintain muscle mass, but avoid exercises that strain your abdominal muscles or involve heavy lifting.

Always consult a physiotherapist before starting any exercise program to ensure it is safe and appropriate for your condition. Wishing you success in your weight loss journey and a smooth recovery.

Ans: Hello Mr. Prashant,

Thank you for your query. Physiotherapy is generally recommended for 12-15 consecutive days to achieve lasting relief. After completing the sessions, it is important to continue regular exercises, including core strengthening, back strengthening, back extension, and aerobic activities. Additionally, avoid prolonged sitting without breaks. This approach can help alleviate your symptoms and effectively manage your condition over time. Wishing you a speedy recovery.

Ans: Restarting your life after financial setbacks is possible with a disciplined approach. Settling your debts with banks and NBFCs requires a strategic plan, negotiation, and commitment. Here's a 360-degree approach to help you resolve your situation:

Assess Your Current Financial Position
List All Debts: Create a detailed list of all outstanding loans and debts, including principal, interest, and penalties.

Identify Income Sources: Calculate your monthly income and any other sources of funds.

Evaluate Essential Expenses: Identify non-negotiable expenses such as rent, food, utilities, and transport.

Determine Negotiable Debts: Focus on debts with higher interest rates or legal implications.

Negotiating with Lenders
Possibility of Settling at 70% Waiver
Banks and NBFCs Are Open to Negotiation: They prefer recovering some amount rather than declaring a loan as non-performing.

Settlement Terms Vary: Each lender may have unique policies. Some might agree to 70% waiver, but others may not.

Present Your Case Transparently: Show proof of your financial hardship. Explain your inability to pay in full.

Request a One-Time Settlement (OTS): Offer to pay a lump sum of the waived-off amount to close the debt.

Steps to Negotiate Effectively
Reach Out to the Right Department: Contact the collections or recovery department of your lender.

Seek Professional Help: A certified financial planner or debt resolution expert can negotiate on your behalf.

Prepare a Settlement Plan: Propose a realistic amount you can pay. Mention the sources for this payment.

Ask for Written Confirmation: Ensure the lender provides a formal agreement on the waived-off amount.

Negotiate for Reduced Interest and Penalties: Request removal of penalties and reduction of interest rates.

Managing Your Financial Obligations
Repayment Strategy
Prioritise High-Interest Loans: Focus on clearing loans with higher interest rates first.

Consolidate Debts: Consider consolidating multiple loans into one with a lower interest rate.

Use Liquid Assets Wisely: If you have savings or assets, use them to reduce your debt burden.

Building a Fresh Financial Foundation
Avoid Gambling and High-Risk Activities
Adopt Healthy Habits: Seek professional help if gambling is an addiction. Join support groups like Gamblers Anonymous.

Focus on Financial Literacy: Learn to manage your money effectively through courses or books.

Create a Budget and Emergency Fund
Track Income and Expenses: Use apps or spreadsheets to monitor your financial activity.

Save for Emergencies: Set aside 3–6 months of expenses as a safety net.

Restart Investments Gradually
Start with SIPs: Begin investing small amounts in mutual funds. Avoid direct stock trading initially.

Build a Retirement Corpus: Plan for long-term financial security systematically.

Final Insights
Rebuilding your life after a financial setback takes effort but is achievable. Focus on negotiating your debts transparently and settling them systematically. Learn from past mistakes and adopt disciplined financial habits. Restart your journey with renewed confidence and a commitment to avoid risky behaviours. Seek professional guidance when needed to make informed decisions.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

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