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46-Year-Old Wife Diagnosed with Fibroids, Kidney Stones and Fatty Liver: Diet and Lifestyle Advice?

Komal

Komal Jethmalani  |359 Answers  |Ask -

Dietician, Diabetes Expert - Answered on Oct 16, 2024

Komal Jethmalani is a practising dietician and nutritionist with over 26 years of experience.
She specialises in weight loss and diabetes management.
Jethmalani has completed her MSc in food and nutrition from SNDT University and trained at Jaslok Hospital.
She is a NDEP-certified diabetes educator.... more
Sunil Question by Sunil on Oct 02, 2024Hindi
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Hi Komal, My wife aged 46 years old got her USG abdomen and pelvis done yesterday. Following is the summary of her reports: 1]Enlarged bulky uterus with multiple uterine fibroids. 2] Right renal calculus 7 x 5 mm in lower calyx 3] Grade 1 fatty lever. Kindly suggest diet and lifestyle changes for her.

Ans: I'm sorry to hear about your wife's health concerns. Lifestyle modifications include moderate protein intake from legumes, nuts, tofu, etc. and increasing fiber intake by including fruits and vegetables. Limit consumption of red meat and processed meats. Opt for whole grains like brown rice, quinoa, and whole wheat bread. Limit caffeine and alcohol. Drink plenty of water, aiming for 2-3 liters per day. Reduce intake of foods high in oxalates, such as spinach, beets, and nuts. Ensure adequate calcium intake through diet, but avoid excessive supplements. Cut back on salty foods to prevent stone formation Avoid fried foods, processed foods, and foods high in unhealthy fats. Exercise regularly and aim for muscle gain.
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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Asked by Anonymous - Sep 25, 2024Hindi
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Hi mam.I am 42 years old healthy female.mam can snoring be cured through yoga.if yes plz suggest some yogasan.
Ans: Yes, snoring can sometimes be reduced through yoga, as it helps improve breathing and strengthen muscles around the throat and nasal passages. Here are some yoga practices that can help alleviate snoring:

1. Bhramari Pranayama (Bee Breathing)
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Milind

Milind Vadjikar  |434 Answers  |Ask -

Insurance, Stocks, MF, PF Expert - Answered on Oct 16, 2024

Asked by Anonymous - Oct 15, 2024Hindi
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Hi, we are a family of 3 from Mumbai, me and my wife are 40 years old and 10 years old daughter. Our monthly take home salary is 4.25 lac put together. And also get yearly bonus of around 15 lac. Hopefully a 10 percent increase in next financial year. We have following investments, assets and expenses: 1. around 60 lac in MF in the form of SIP with total monthly investment of 90k in funds like PPFAS (2 SIPs 10k each in flexi cap fund,one in my name and other in my daughters name), Axis (5 SIPs of me and my wifes put together total 50k in Mid cap, small cap and focused fund), Kotak flexi cap - SIP of 15k and 5k in UTI nifty 50 index fund. 2. PPF and Sukanya- would be around 70lac. Total 4 accounts with investment of 6 lac per annum. 3. We have recently purcahsed house worth 3.5cr with an emi of 1.55 lac per month(home loan for around 23 years). Used our PF for our own contribution here. Balance PF amount left around 12 lac. 4. Expenses- rent of 70k, which will be saved now as we moved to our house. Education and other loan emi of 70 k is going on, which will be paid off in december. And our monthly expenses would be around 1 lac. So, need to understand how much is required if we want to retire at 50 max and how to achieve the same?
Ans: Hello;

Firstly if you are the guardian for the PPF account in the name of your minor child then the yearly contribution to your own PPF account and the minor account of your child for which you are the guardian cannot exceed 1.5 L in a financial year cumulatively (75 K each max).

Keep this in mind to avoid refund without interest by the bank later.

The current monthly expenses of around 1 L will be 1.8 L after 10 years considering 6% inflation.

After getting rid of 70 K rent+ 70 K education loan EMI, I would recommend you to enhance monthly sip to 1.25 K per month. The bonus amount of 15 L also should go into MF investments to achieve retirement target in 10 years.

Any increase in income should have commensurate increase in monthly sip to ensure target fulfillment in 10 years.

The 12.5x3=37.5 K monthly investments in PPF and SSY should continue for kids higher education, marriage financial goals.

After 10 years your monthly sips+ lumpsum may reach a corpus of around 6 Cr. Also your existing MF corpus of 60 L may grow into a sum of around 2 Cr. So total corpus for retirement is 8 Cr. (A modest return of 13% is assumed from pure equity mutual fund schemes)

You should use 2 Cr + pf balance to pre close outstanding home loan. The balance 6 Cr corpus you may use to buy an immediate annuity from a life insurance company and you may expect monthly payment of 2.1 L(post tax).[ 6% annuity rate considered)

Hope you both have adequate term life insurance cover(upt 60 age) with suitable riders and adequate personal healthcare cover apart from any group health policy from the company.

Happy Investing!!

You may follow us on X at @mars_invest for updates.

*Investments in mutual funds are subject to market risks. Please read all scheme related documents carefully before investing.

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Dr Shakeeb Ahmed Khan  |115 Answers  |Ask -

Physiotherapist - Answered on Oct 16, 2024

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No pain at start but after walking for 100 meters right knee suffers extreme pain and go on increasing for next 300 to 400 meters but goes out slowly when walking continued. What is this?
Ans: Dear Mr. Dilip Kumar . Thank you for your query. It sounds like you are experiencing intermittent knee pain that worsens after walking about 100 meters, intensifies for the next few hundred meters, and then gradually subsides as you continue. Pain associated with walking in the knee can occur for various reasons, and without knowing your age and medical history, it's essential to consider a few common possibilities. It could be due to osteoarthritis, especially in older adults, where the wear and tear of knee joint cartilage causes pain that may decrease after warming up. Another possibility is patellar tendinitis, involving inflammation of the tendon connecting the kneecap to the shinbone, which causes pain during walking. Iliotibial Band Syndrome (ITBS) might also be a factor, especially if the pain is on the outside of the knee. In some cases, pain that starts with walking and improves gradually could point to vascular issues, such as claudication, or a past meniscal injury or ligament strain affecting the knee's stability.

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Physiotherapist - Answered on Oct 16, 2024

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What are prospects of doing masters in Physiotherapy in India as compared to doing from a foreign country
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Ramalingam

Ramalingam Kalirajan  |6647 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Oct 16, 2024

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I am 51 years old. I can invest 1 lakh per month. I have already invested 10 lkhs in mutual fund, 20 lakhs in share market, 18 lakhs in post office MIS. At presentaly I am based at Hisar Haryana. I want to purchase independent 3 bhk flat/villa in Mysore, Karnatka. My retirement is on 31-4-2034. Please guide me.
Ans: At 51, with retirement planned in 2034, it’s important to structure your finances to secure both long-term growth and post-retirement stability. Your current investments are well-diversified, but I will address each area in more depth and help you evaluate your approach further.

Mutual Fund Investments
You have already invested Rs 10 lakhs in mutual funds, which is a great start. I suggest you continue focusing on actively managed funds. Actively managed funds can outperform index funds over time, especially when selected carefully by a Certified Financial Planner (CFP).

Disadvantages of index funds include:

Limited flexibility: They mimic the index, offering no opportunity to outperform the market.

Poor in volatile markets: Actively managed funds can be better in volatile times, as fund managers have the flexibility to adjust strategies.

With Rs 1 lakh per month to invest, consider adding diversified equity mutual funds, hybrid funds, or international funds to your portfolio.

Direct vs. Regular Funds
If you are currently investing in direct mutual funds, I recommend considering switching to regular funds. While direct funds have lower expense ratios, regular funds give you access to the expertise and advice of a Mutual Fund Distributor (MFD) with CFP credentials. Having professional guidance ensures that your investments align with your goals and changing market conditions. A certified planner can optimize your portfolio for the best long-term results.

Stock Market Exposure
Your Rs 20 lakhs in the stock market represents a high-risk portion of your portfolio. It’s good for growth, but I would advise you to review and balance this investment carefully. Stocks can be volatile, and as you approach retirement, you may want to gradually reduce exposure to direct equities and shift toward more stable options like mutual funds or debt funds.

Post Office MIS
Your Rs 18 lakhs in Post Office MIS is a safe, fixed-income investment. It’s a good choice for steady returns, especially for those looking for a risk-averse portion of their portfolio. However, I would suggest exploring options that offer inflation-beating returns. The returns from the MIS may not be enough to keep pace with inflation, which is crucial for retirement planning.

Real Estate Purchase
You mentioned purchasing a 3 BHK flat or villa in Mysore, Karnataka. Real estate is not an ideal investment for everyone. It is an illiquid asset and may not provide the best returns compared to financial instruments like mutual funds or stocks.

Here are some disadvantages of real estate as an investment:

Illiquidity: You can't sell quickly if you need funds.

High maintenance costs: Owning property involves additional costs, including maintenance, taxes, and potential repairs.

Market dependency: Real estate markets can be unpredictable, and appreciation may not always meet expectations.

If your goal is to buy the house for personal use post-retirement, ensure you’re comfortable with the potential financial outlay and that it aligns with your overall retirement goals. Real estate shouldn’t make up a significant portion of your retirement corpus if you are looking for long-term financial growth.

Retirement Planning
You have 10 years until retirement, and it's the perfect time to optimize your savings and investments. Here’s a balanced strategy to help you meet your retirement goals:

Continue your monthly SIPs: With Rs 1 lakh per month available for investment, I recommend allocating a significant portion to diversified mutual funds for long-term growth.

Build a retirement corpus: Given your timeline, aim to build a large enough corpus to sustain your post-retirement lifestyle. You should look to invest in a mix of equity mutual funds, hybrid funds, and debt funds to balance growth and stability.

Consider adding debt funds: As retirement approaches, you should start shifting some investments from equities to debt funds to reduce risk.

Health Insurance: Ensure you have adequate health insurance coverage that can support you and your family during your retirement years.

Taxation on Mutual Fund Gains
It’s also important to consider the taxation of your mutual fund investments as they grow. Under the current rules:

Long-term capital gains (LTCG) on equity mutual funds above Rs 1.25 lakh are taxed at 12.5%.

Short-term capital gains (STCG) on equity funds are taxed at 20%.

For debt funds, both LTCG and STCG are taxed according to your income tax slab.

Planning ahead with a Certified Financial Planner can help you minimize taxes on your retirement withdrawals.

Final Insights
To sum up:

Continue investing Rs 1 lakh per month in actively managed mutual funds for long-term growth.

Review your stock market exposure and ensure you gradually reduce risk as you near retirement.

Post Office MIS provides safe returns but consider other investment avenues that outpace inflation.

Think carefully about the real estate purchase, and consider its role in your overall retirement planning. Real estate shouldn’t form the bulk of your retirement corpus.

Consult a Certified Financial Planner (CFP) to review your investment strategy regularly and make adjustments as you approach retirement. They can help you build a retirement corpus that meets your goals and secures your future.

Best Regards,

K. Ramalingam, MBA, CFP

Chief Financial Planner

www.holisticinvestment.in

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

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