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Ans: Increase physical activity to atleast 30 to 60 min a day for atleast 5 days in a week with not more than 2 days gap.
Modify diet and reduce carbohydrate and reduce portions. eat a lot of vegetables and salads. Avoid refined flour or packaged food items. recheck after 3 months and also get HbA1C done.

Best,
Dr Chandrakant Lahariya
Centre for Health: The Specialty practice,
Safdarjung Enclave, New Delhi

Ans: You partly know the answer to your question.
Since you are on high protein diet, some of this is impact of that protein supplement.
However, whenever taking any supplement, please discuss with a physician or health care providers. In India, supplements are not that well regulated and there have been reports of harmful content in those supplements.

Best
Dr Chandrakant Lahariya
Centre for Health: The Specialty practice,
Safdarjung Enclave, New Delhi

Ans: The single reading has limited value. Please do BP charting atleast twice in a day for next 10 days.
Are you on any anti hypertensive medication?

Get lipid profile and kidney profile done.

Consult a physician along with Bp charting and basic lab tests.

Best,

Dr Chandrakant Lahariya
Centre for Health: The Specialty practice,
Safdarjung Enclave, New Delhi

Ans: Please get comprehensive health check up done with detailed blood reports. Also, please get urine albumin creatinine ratio done which is more specific and early marker of kidney functions.

I need to know various lab and other parameters before I can advise on medications. However, unless your Triglyceride levels are beyound 1000, your dont need F component of Rosuvas.

For all the conditions, the lifestyle modifications- diet and physical activity will help.

Best,
Dr Chandrakant Lahariya
Centre for Health: The Specialty practice,
Safdarjung Enclave, New Delhi

Ans: As I have responded as part of other queries, normally, creatinine is in the range of 0.7 to 1.4 in healthy individuals with some increase over period of time/age. Your creatinine parameters are going beyound that range. Since I dont know your age, it is not possible for me to estimate your GFR. However, that value itself is an indicator your kidney functions are compromised.

It would be useful if you get Urine Albumin Creatinine Ratio (UACR) done and which will provide additional information about albuminuria etc.

Effective control of blood pressure would ensure that you can halt deterioration in kidney function. One consultation with Nephrologist will be useful.

Best,

Dr Chandrakant Lahariya
Centre for Health: The Specialty practice,
Safdarjung Enclave, New Delhi

Ans: Long standing- specially uncontrolled hypertension- has risk of development of kidney disease. Considering you have hypertension for last 40 years, it is not surprising that early sign of kidney disease have started appearing.
Normally, creatinine is in in range of 0.7 to 1.4 in healthy individuals with some increase over period of time/age. Your creatinine parameters are going beyound that range and your EGFR is around 49. That essentially mean your kidney functions are compromised and this would be classified as Chronic Kidney Disease stage 3a.
It would be useful if you get Urine Albumin Creatinine Ratio (UACR) done and which will provide additional information about albuminuria etc.

Effective control of blood pressure would ensure that you can halt deterioration in kidney function. One consultation with Nephrologist will be useful.

Best,

Dr Chandrakant Lahariya
Centre for Health: The Specialty practice,
Safdarjung Enclave, New Delhi

Ans: I would like to know your age and other health condition. Not sure if you are on treatment for diabetes or it is just one off reading.

Are you taking any medicine from traditional system of medicines?

It would be presumptuous for me to jump on conclusion based upon single parameter. Please share detailed report and information about your health. specially KFT; blood sugar parameters etc.

Best,
Dr Chandrakant Lahariya
Centre for Health: The Specialty practice,
Safdarjung Enclave, New Delhi

Ans: With the creatinine value shared by you, Your eGFR- a parameter of kidney function- is 40. That means you have Chronic Kidney Diseases and since you have diabetes, The Diabetic Nephropathy.

Your focus should not be only on creatinine but effective sugar control as well. Your shared blood sugar levels indicate about uncontrolled diabetes, which is worsening kidney condition.

Please consult a physician/diabetologist as well as schedule one consultation with a nephrologist as well. There is need for giving this some urgent attention.

Dr Chandrakant Lahariya
Centre for Health: The Specialty practice,
Safdarjung Enclave, New Delhi

Ans: Hi,

I think you have goals to move to the USA and settle there. Many graduates from fields like dentistry, pharmacy, or public health pursue opportunities in the USA. After completing their studies, they can find jobs related to public health or continue in their core subjects.

However, I don’t understand why you are choosing to study public health after becoming a doctor in Ayurveda. I feel it may be a waste of time and money. Moreover, the Indian medicine system is not practiced in the US, which is probably why it has not been included in the SHOPHAS (this is my understanding).

So, please plan accordingly.