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My BP is fluctuating on Telma 40 - what can I do?

Dr Chandrakant

Dr Chandrakant Lahariya  | Answer  |Ask -

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 15, 2024

Dr Chandrakant Lahariya is a diabetologist, an infectious diseases and public health specialist and a vaccine expert.
The Delhi-based senior physician also has over 20 years of experience in hypertension, thyroid disorders and respiratory illnesses.
An expert on common health issues and the preventive aspects of medicine, he has co-authored the book, Till We Win: India's Fight Against The Covid-19 Pandemic.
Dr Chandrakant completed his MBBS from the Maulana Azad Medical College, New Delhi, and his MD from the Lady Hardinge Medical College, New Delhi.
He has a DNB (National Board of Examination, 2009) certification and a diploma in vaccinology from Institut Pasteur, Paris.... more
Sishir Question by Sishir on Jul 24, 2024Hindi
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I was taking Telma 40 AM for three months as advised by my Dr. During that time my BP dropped to 90/60 during the day time also. So my Dr. reduced the dose and advised me to take Telma 40. After starting Telma 40 and daily monitoring, my BP has gone up to 130/100 in the morning time after getting up. I have done all the necessary tests and all the reports are fine. What would be the best suggestion for me to do? Kindly advise.

Ans: Shishir,
Your age and other comorbidities/health issues you may have are not clear to me. How much you weigh and your height etc are not known).
However, please remember that anti-hypertensive medications are always supportive to lifestyle modification. Please do following:
1. Get a comprehensive blood test done which should include lipid profile, kidney function test and thyroid profile etc.
2. Ensure your weight is within normal range: for male, ideal weight is height in cm- 100 . for example, if you are 170 cm then your weight should be 170-100 or 70 kg. Thus enusre you have weight in normal range.
3. Do lifestyle modifications. eat healthy- fruits and vegetables, reduce salt in diet and walk at least 30 min per day for atleast 5 days a week. No more than 2 days of break.
4. Monitor BP twice in a day and prepare a chart for 10 days.

Based upon this information, a personalised lifestyle modification can be done.

With this information, and for your routine check up, visit your physician on regular basis.
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 - Feb 07, 2026Hindi
Money
Hello Sir, Good Morning. Is it advisable to buy gold jewellery for my Son's marriage in the next 8 years at current market price of approx Rs.14000 per gram. The plan is to buy around 100 grams to be given to the prospective bride at the time of marriage, which is as per our practice. If I deposit money to a gold jeweller, who will credit equivalent gold weight as per today's value and after 11 months we can buy jewellery without wastage, making charges and gst. Kindly advice. Thanks
Ans: Your planning for your son’s marriage well in advance is thoughtful and practical. It shows responsibility and care for family traditions. Planning 8 years ahead gives you good flexibility and control.

» Purpose clarity and time horizon
– The objective is very clear: buying around 100 grams of gold jewellery for marriage after 8 years
– This is not a short-term need, so timing and structure matter more than current gold price
– Gold here is a requirement asset, not just an investment, so risk control is important

» Buying gold at current price – assessment
– Buying all 100 grams today at around Rs.14000 per gram locks your price, but also locks your capital
– Gold prices move in cycles; they do not rise in a straight line
– Over 8 years, gold can give protection against inflation, but short- to medium-term corrections are common
– Putting a large amount at one price level reduces flexibility and increases timing risk

» Jeweller gold deposit / gold savings plan – evaluation
– Monthly deposit plans with jewellers are mainly designed for jewellery purchase, not pure wealth creation
– Benefits you rightly noticed:

No wastage charges

No making charges

No GST on jewellery value
– Key risks and limitations to be aware of:

You are fully dependent on the jeweller’s business stability for 11 months

Your money is not regulated like financial products

You cannot easily exit or switch if your plan changes
– These plans work well for near-term purchases, but for an 8-year goal, repeating such plans many times increases counterparty risk

» Price risk vs goal certainty
– Your real risk is not price volatility alone, but availability of gold at the time of marriage
– The goal needs certainty of value and timely availability
– A staggered and disciplined approach reduces regret from buying at market highs

» Smarter way to structure the 8-year plan
– Avoid buying the full 100 grams immediately
– Spread accumulation over time to reduce price risk
– Use a mix of:

Financial gold-linked options for long-term accumulation

Physical jewellery purchase only closer to the marriage date
– This keeps liquidity, improves transparency, and avoids storage and purity worries

» Jewellery purchase timing insight
– Jewellery designs, preferences of the bride, and family choices can change over 8 years
– Buying finished jewellery too early limits flexibility
– It is usually better to convert accumulated value into jewellery in the last 12–18 months

» Risk management and safety points
– Avoid keeping large sums with a single jeweller repeatedly over many years
– Avoid emotional decisions driven by headlines about gold prices
– Keep documentation, purity standards, and exit options clear

» Tax and cost perspective
– When gold is used as jewellery for marriage, taxation is not the primary concern
– Hidden costs like storage, insurance, and loss risk matter more than headline price

» Finally
– Your intention is correct, and starting early gives you strength
– Buying some gold gradually is sensible, but avoid locking the entire requirement at one price today
– Jeweller deposit schemes can be used selectively, closer to purchase time, not as a long-term parking option
– A phased, balanced approach gives cost control, safety, and peace of mind for a very important family milestone

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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