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Dr Hemalata

Dr Hemalata Arora  | Answer  |Ask -

General Physician - Answered on Jun 08, 2023

Dr Hemalata Arora is a senior consultant who practises internal medicine at Mumbai’s Nanavati Max Super Speciality Hospital.
In a career spanning over 24 years, she has focused on managing infectious diseases, critical illnesses and lifestyle disorders.
Dr Arora completed her MBBS and MD from the King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College in Mumbai.
She is ECFMG certified, accredited by the American Board of Internal Medicine, Diplomate of the National Board and a DNB faculty.
She was honoured with the Paul Bunn award for her promising performance in the field of infectious diseases at SUNY Upstate Medical University, New York.... more
Asked by Anonymous - Jun 07, 2023Hindi
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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 HbA1c was 6.30 which I brought it down to 5.80 by following a diet plan 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 intake but very limited quantity and that too once in 5-7 days. Now my HbA1c is 6.10. Is it okay or should I stop sugar intake totally ? I also found that TSH was 5.59. This is the first time that it is so high. Normally it has always been between 4.0 - 4.50 . My doctor has prescribed Thyrox 25 mcg. I'm not very keen to start on Thyrox as once started, it has to be taken for lifetime, which I am not willing to at this moment since I feel that it is not high. I do feel very tired and fatigued the entire day and especially when I wake up in the mornings. I have completed 3 months on Vit B12 (Meganeuron OD Plus). Do you feel that I shoud take Thyrox 25 mcg or not ? Just for information during the past 10 months, my FBS is between 98 to 108 and PPBS is between 110 to 140. I am not taking any medicine for sugar control. My cholesterol is between 140 to 180. Could you please revert back to all my queries ? Thank you

Ans: Hello.
1. Regarding sugars and Hba1c: 6.1 is quite fine, however in the long run it’s better to avoid sugar as much as possible.
2. Regarding Thyroid : it would be ok to not take thyroid medicine right away as the TSH is not that high. I suspect the doctor may have advised it as a trial to see if the fatigue improves with the medication. Instead you may want to take a thyroid vitamin and do some yoga and neck exercises to stimulate the thyroid.
3. Regarding the fatigue: it likely needs further evaluation wrt sleep quality, vitamins, mental health factors etc .
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 Hemalata

Dr Hemalata Arora  | Answer  |Ask -

General Physician - Answered on Jun 02, 2023

Asked by Anonymous - May 31, 2023Hindi
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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: Hello. With your height and weight, your BMI is 26.8. This is on the higher side. I would recommend the following:
1. Continue Febutaz 40 alt day
2. Diet and exercise to reduce your weight to 80-82 Kg, which will give you a BMI of 23-24 which is ideal. This reduction will also help maintain your HbA1C.
3. Take supplements of B12 which may be low due to your pure vegetarian diet. This deficiency may be causing your tingling pain.

..Read more

Dr Hemalata

Dr Hemalata Arora  | Answer  |Ask -

General Physician - Answered on Jun 09, 2023

Asked by Anonymous - Jun 07, 2023Hindi
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Health
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 HbA1c was 6.30 which I brought it down to 5.80 by following a diet plan 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 intake but very limited quantity and that too once in 5-7 days. Now my HbA1c is 6.10. Is it okay or should I stop sugar intake totally ? I also found that TSH was 5.59. This is the first time that it is so high. Normally it has always been between 4.0 - 4.50 . My doctor has prescribed Thyrox 25 mcg. I'm not very keen to start on Thyrox as once started, it has to be taken for lifetime, which I am not willing to at this moment since I feel that it is not high. I do feel very tired and fatigued the entire day and especially when I wake up in the mornings. I have completed 3 months on Vit B12 (Meganeuron OD Plus). Do you feel that I shoud take Thyrox 25 mcg or not ? Just for information during the past 10 months, my FBS is between 98 to 108 and PPBS is between 110 to 140. I am not taking any medicine for sugar control. My cholesterol is between 140 to 180. Could you please revert back to all my queries ? Thank you
Ans: Hello.
1. For the HBa1c and sugars: what you are doing is quite right and keeping the sugar intake to bare minimum to zero is ideal. You should also reduce refined carbs like maida and potatoes, reduce milk consumption, reduce cereals like rice, wheat, etc. Instead increase veggies, salads, nuts and seeds. This will allow you to stay off medications for a long time.
2. Regarding the thyroid, at this level generally medication is not required but your doctor has likely suggested it as a trial to see if your fatigue is taken care of by it. I would suggest taking it for a few months and seeing.
3. Regarding the fatigue, while you are taking the thyroid medications, it may also be prudent to get a further evaluation to see if there are any sleep related, chronic immune related or mental health related factors that may also be playing a part.
All the best

..Read more

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Asked by Anonymous - Dec 08, 2025Hindi
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Hi i am 40M. would request your help to understand what should be the corpus required for retirement as i want to get retired in next 3-5yrs. currently my take home is 2.3L monthly & my wife also works but leaving the job in next 2-3 months. we have a daughter 10yrs, currently i stay on rent and total monthly expense is 1.1L month. once i will retire we will shift in our own parental flat, where hopefully there will be no rent. current Investments 1. 50L in REC bonds getting matured in 2029 2. 42L in stocks 3. 17L in MF 4. 16L FD 5. 15L in PPF 6. 1.3L SIP monthly i do My Wife Investments 1. 30L corpus 2. flat with current value 40L and we get rental of 10K monthly. Please guide what should be the retirement corpus required combined to retire, assuming i need 75L for my daughter post grad and marriage and we would be requiring 75K monthly for our expenses after retiring
Ans: You have explained your income, goals, current assets, and future plans with great clarity. Your early planning spirit is strong. This gives a very good base. You can reach a peaceful retirement with smart steps in the next few years.

» Your Current Position

You are 40 years old. You plan to retire in 3 to 5 years. You earn Rs 2.3 lakh per month. Your wife also works but will stop working soon. You have one daughter aged 10. Your current monthly cost is around Rs 1.1 lakh. This cost will reduce after retirement because you will shift to your parental flat.

Your investment base is already good. You have saved in bonds, stocks, mutual funds, PPF, FD, and SIP. Your wife also has her own savings and rental income from a flat. All these create a good starting point.

This early base helps you plan stronger. It also gives room for more shaping. You are on the right road.

» Your Family Goals

You need Rs 75 lakh for your daughter’s higher education and marriage.

You want Rs 75,000 per month for family living after retirement.

You want to retire in 3 to 5 years.

You will shift to your parental flat after retirement.

You will have rental income of Rs 10,000 from your wife’s flat.

These goals are clear. They give direction. They allow a strong plan.

» Your Present Investments

Your investments include:

Rs 50 lakh in REC bonds maturing in 2029.

Rs 42 lakh in stocks.

Rs 17 lakh in mutual funds.

Rs 16 lakh in fixed deposits.

Rs 15 lakh in PPF.

Rs 1.3 lakh as monthly SIP.

Your wife holds:

Rs 30 lakh corpus.

A flat worth Rs 40 lakh with rent of Rs 10,000 each month.

Your combined net worth is healthy. This gives good power to build your retirement fund in the coming years.

» Understanding Your Expense Need After Retirement

You expect Rs 75,000 per month after retirement. This includes all basic needs. You will not have rent. That reduces cost. This assumption looks fair today.

Your cost will rise with inflation. So you must plan for rising needs. A strong retirement corpus must support rising cost for 40 to 45 years because you are retiring early.

An early retirement needs a large buffer. So you need safety along with growth. Your plan must include growth assets and safety assets.

» How Much Monthly Income You Will Need Later

Rs 75,000 per month is Rs 9 lakh per year. In future years, this cost can rise. If we assume steady rise, your future cost will be much higher.

So the retirement corpus must be designed to:

Give monthly income.

Beat inflation.

Support you for 40 to 45 years.

Protect your family even in market down cycles.

Allow flexibility if your needs change.

A strong retirement fund must support both safety and long-term growth.

» How Much Corpus You Should Target

A safe target is a large and flexible corpus that can support long years without running out of money. For early retirement, the usual thumb rule suggests a very high number. This is because you need income for many decades.

You need a corpus big enough to produce rising income. You also need a cushion for unexpected health costs, lifestyle shocks, and inflation changes.

Your target retirement corpus should be in a strong range. For your needs of Rs 75,000 per month and for goals like daughter’s education and marriage, you should aim for a combined retirement readiness corpus in the higher bracket.

A safe range for your family would be a very large number crossing multiple crores. This large range gives you:

Income safety.

Inflation protection.

Peace during market cycles.

Comfort in long life.

Room for daughter’s future.

Strong backup for health.

You are already on the way due to your existing assets. You will reach close to this range with systematic building over the next 3 to 5 years.

» Why You Need This Larger Corpus

You will retire early. That means more years of living from your corpus. Your corpus must not fall early. It must grow even after retirement. It must give monthly income and long-term family protection.

This is only possible when the corpus is strong and well-structured. A weak corpus creates stress. A strong corpus creates freedom.

Also, your daughter’s future cost must be kept aside. This must be parked in a separate fund. This must not touch your retirement money.

A strong corpus makes these two worlds separate and safe.

» Your Existing Assets and Their Strength

You already have good diversification:

Bonds give safety.

Stocks give growth.

Mutual funds give managed growth.

FD gives stability.

PPF gives tax-free long-term savings.

This blend is already a good start. But you need to make the blend more structured for early retirement.

Your Rs 1.3 lakh monthly SIP is also strong. It builds your future fast. You should continue.

Your wife’s rental income is small but steady. This adds strength.

Your combined financial base can reach your retirement target if you refine your allocation now.

» Your Daughter’s Future Fund Need

You need Rs 75 lakh for your daughter’s education and marriage. You should keep this goal separate from your retirement goal.

Your current SIP and future allocations should create a dedicated fund for this goal. A long-term fund can grow well when managed actively.

Do not mix this fund with your retirement needs. Mixing leads to shortage in old age. Always keep this corpus ring-fenced.

» A Strong Asset Mix For Your Retirement Path

A balanced mix is needed. You need growth assets to beat inflation. You also need stable assets for income.

You must avoid index funds because they do not give flexibility. Index funds follow a fixed index. They cannot make active changes in different markets. They cannot move to better stocks when markets change. They force you to stay in weak sectors for long. They also do not help you in down cycles because they cannot protect you by shifting to safer options. This can hurt retirement planning.

Actively managed funds are better because:

They give active asset selection.

They give scope for better returns.

They give flexibility to change sectors.

They give downside management.

They give access to a skilled fund manager.

They support long-term planning more safely.

Direct plans also carry risk. Direct plans do not give guidance. They do not give behavioural support. They do not give market timing help. They do not give portfolio shaping. They leave all the judgement to you. One mistake can cost years of wealth.

Regular plans with guidance from a Certified Financial Planner help you shape decisions. They help you remain disciplined. They help you avoid panic. They help you decide allocation changes at the right time. This saves wealth in long-term.

» How Your Investment Journey Should Grow in the Next 3–5 Years

Continue your SIP.

Increase SIP when your income rises.

Shift part of your stock holding into planned long-term mutual funds to reduce concentration risk.

Build a defined daughter’s education fund.

Keep a part of your REC bond maturity amount for long-term.

Avoid locking too much into fixed deposits for long periods.

Build a safety fund for one year of expenses.

This will create a full structure.

» Your Rental Income Role

Your rental income of Rs 10,000 per month is small but steady. Over time it will rise. This income will support your monthly cash flow after retirement.

You can use this for utilities or health insurance premiums. This gives a cushion.

» Your Emergency Buffer

You should keep at least one year of essential cost in a safe place. This can be in a liquid account or short-term fund. This protects you in shocks.

Since you plan early retirement, a strong buffer is important. It gives peace even in low months.

» A Structured Retirement Approach

A complete retirement plan for you should include:

A clear monthly income plan after retirement.

A corpus that can grow and protect.

A rising income system that matches inflation.

A separate daughter’s future fund.

A health cover plan for your family.

A tax-efficient withdrawal plan.

A market cycle plan to protect you in tough times.

This holistic approach keeps your family strong for decades.

» What You Should Build by Retirement Year

Your aim should be to reach a strong multi-crore range in investments before retirement. You already hold a large amount. You will add more in the next 3 to 5 years through SIP, stock growth, bond maturity, and disciplined saving.

Once you reach your target range, you can start the shifting process:

Move a part to stable assets.

Keep a part in long-term growth assets.

Create a monthly income strategy.

Keep a reserve bucket.

Keep a child future bucket.

Keep a long-term growth bucket.

This structure protects you in all market conditions.

» Final Insights

Your financial journey is already strong. You have a good income. You have saved well. You have multiple asset types. You have a clear timeline. And you have clear goals. This foundation is solid.

In the next 3 to 5 years, your focus should be on growing your combined corpus to a strong multi-crore range, keeping a separate fund for your daughter, reducing risk in unplanned assets, and building a stable long-term structure.

With the present path and a disciplined structure, you can retire peacefully and support your family with confidence for many decades.

Best Regards,

K. Ramalingam, MBA, CFP,
Chief Financial Planner,
www.holisticinvestment.in

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

...Read more

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Hello my name is saket, I monthly salary is 43k and my saving is zero. My Rent is 15 k and 10 k i send to my parents. How can i save money and investments.
Ans: 1. Your Current Monthly Numbers

Salary: Rs 43,000

Rent: Rs 15,000

Support to parents: Rs 10,000

Left with: Rs 18,000 for food, travel, bills, and savings

You have very little room, but saving is still possible if done smartly.

2. First Step: Build a Small Emergency Buffer

You must build Rs 10,000 to Rs 20,000 emergency money.
This protects you from taking loans for small issues.

How to build it:

Save Rs 3,000 to Rs 5,000 every month in a simple bank savings account

Do this for the next few months

Don’t touch it unless truly needed

3. Create a Mini Budget (Very Simple One)

Try this split from the remaining Rs 18,000:

Daily living (food + transport): Rs 10,000 – 11,000

Personal expenses (phone, internet, basics): Rs 3,000 – 4,000

Savings + investments: Rs 3,000 – 5,000

If this feels difficult, reduce food/transport costs by small adjustments.

4. Where to Invest Once You Have Emergency Money

(For minors: This is general education. For actual investing, get guidance from a trusted adult or family member.)

After you build emergency money, start small monthly investing.

You can begin with:

Rs 1,000 to Rs 2,000 SIP in a simple, diversified equity fund

Increase the SIP whenever salary increases or expenses reduce

Avoid complicated products.
Keep it simple.
Focus on consistency.

5. Easy Practical Ways to Increase Saving

These small moves help a lot:

Avoid food delivery

Use public transport as much as possible

Reduce subscriptions you don’t use

Fix a daily expense limit

Keep a separate bank account only for savings

Even Rs 200 saved daily = Rs 6,000 monthly.

6. Increase Income Slowly

Try small income boosters:

Weekend tutoring

Freelancing

Part-time projects

Selling old gadgets

Learning new skills for future salary growth

Even Rs 3,000 extra income changes your savings life.

7. Build the Habit First

The amount doesn’t matter in the beginning.
The habit matters more.

Even saving Rs 500 every month is better than zero.
Once salary grows, you will already know how to save.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

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

...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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