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 Obesity / Overweight

What is Obesity: Weight gain i.e. overweight is common in urban population & it is equally common in child, adult, male & female. Obesity is defined when body mass index. If there is excess fat in abdominal area i.e. visceral adiposity also known as central adiposity as more dangerous. 

Harmful consequences due to obesity: In long run it may lead to diabetes, heart problem, blood pressure, joint pain, fatigue, psychological consequences as depression, anxiety, social avoidance behavior & many more consequences.

Causes of obesity: The various causes of obesity are: 

1) Hormone Disorders: 

Thyroid Disorder: Primary and secondary Hypothyroidism
Pituitary Disorder: Pan-hypopituitarism
Growth hormone deficiency
Laron Dwarf
Kallman's syndrome
Cushing's disease 

Leptin Deficiency: is a important cause of obesity

Adrenal disorder: Cushing's syndrome

Ovarian disorder: Polycystic ovarian syndrome 
Chromosomal Syndrome: Turner's syndrome

Testicular disorder:
 Hypogonadism, klienfelter's syndrome, noonan's syndrome

1)Hyerinsulinemia
2) Insulin Resistance Syndrome
3) Syndrome X Disease
4) Idiopathic obesity 
5) Hypoythalamic Obesity : Beckwith-Wiedemann syndrome, Trauma, Inflamation - meningitis, encephalitis, Tuberculosis, syphilis, Infilitration, Sarcoidosis, histiocytosis X, Tumours - craniopharyngioma, astrocyome, astrocytome, Leukaemic leucodystrophy 

6) Drug Induced : Sulphonylurea, Insulin, Oestrogen, Contraceptive pill, Corticosteroid, Cyproheptadine, Sodium valproate, Nonselective beta adrenergic blockade, Phenothiazines, Psychotropic Drugs & many more drugs when taken for sufficient period of time.

7) Increased Fat Forming Tendency:
8) Chronic Alcohol Use
9) Gene Disorder Leading to Obesity: Prader-Willi Syndrome, Laurance - Moon Biedl Syndrome, Astrom Syndrome, DIDMOND Syndrome, Cohen Syndrome, Carpenter Syndrome, Morgagni-Stewart-Morel Syndrome.

10) Lifestyle Disorders 

Investigations & Diagnosis

We take detail history & examine the patient first and after that only relevant test are done to find out the cause for obesity. For this we do following tests:
Hormone test: as Thyroid (Free T4, Free T3, TSH), Insulin, Cortisol (am & pm), Growth hormones, FSH, LH, Testosterone, Estradiol, IGF-1, IGFBP-3, genital hormones etc. 

Bio-chemical test: Lipid profile,Serum protein, SGPT 
Gene Tests
Ultrasonography
Radiological tests

Treatment: Once the cause of overweight is found then it can be treated effectively. Various drugs are available which decreases fat formation in body & also promotes more & more decrease of fat, leading to gradual reduction of body weight. 

1) Drug treatment: various treatments are: 

Antiobesity drugs: There are four types of medicines are available for obesity.There are many drugs which prevent absorption of fat & glucose from intestine into body so that some of these fats in food passes in stool. There are many other drugs which are non-absorbable food which give fullness of tummy but does not have caloric value. There are some mechanical devices also are used to loose weight. There are certain other drugs which helps in burning of body fat in producing calories, so that patient loses weight fast. These drugs have no side effects as widely thought, so that these can be sued safely. These drugs are as follows: 

a) Sibutramin hydroclhloride: This is one of the very effective drug for obesity. This medicine decrease fat formation in the body, decreases appetite as well as enhances helps in burning of preexisting fat. In various scientific studies it has been found to be free of any significant side effect. But because it is a new drug thus it should be used under medical supervision. We have treated thousands of patients with very good response. The beauty of this drug is weight lost remains there even after stopping drug.
 
b) Orlistat: This is a new class of drug for obesity. This medicine decreases absorption of fat & other weight increasing substances from intestine into blood. Thus even if person eats fatty food his weight does not increase. In various scientific studies it has been found to be free of any significant side effect. But because it is a new drug thus it should be used under medical supervision. We have treated thousands of patients with very good response. The beauty of this drug is weight lost remains there even after stopping drug.

c) Newer Medicines for Weight Loss: There are two very new therspies for weight loss has been invented. These are:

*beta 3 adrenergic receptor agonists & RecLeptin 
*Recombinant Leptin suplimentation in various studies has shown dramatic loss of weight.
d) Phendimetrazine, 
e) Diethylpropion, 
f) Phentermine, 
g) Phentermin hcl
h) Metformin
i) Benzphetamines,
j) Herbal drugs 
k) Tablets which decrease fat forming tendencies
l) Tablets which increases fat burning tendencies
n) Fenfluramine

2) Behavioral therapy:
Along with medicines we do behavior modification therapy by which patient starts avoiding fatty & sweet foods & healthy eating habit is encouraged. 
3) Liposuction 
4) Exercise 
5) Localized fat dissolving devices 
6) Special food supplements 
7) Obesity reducing machines 
8) Food pyramid

Surgery for obesity:

When obesity become too much with many complications then one of the treatment options can be surgery. These surgical treatment are very effective for permanent cure of obesity. We have certain experts which are specialized in obesity surgery. 
Gastric Banding
Laproscopic surgery
Gastric bypass surgery
Vertically banded gastroplasty
Scopinaro bypass

For consultation & treatment (by appointment / or online) click How to Consult Us
 

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Male Hormone Disorder

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We get patients from all major cities in India & Abroad . In the following cities all the facilities for investigation & treatments including medicines are available as Delhi (North, South, East, Central, West, New Delhi), Ghaziabad, Faridabad, Noida, Gurgaon, Meerut, Saharanpur, Dehradun, Ferozepur , Aurangabad, Manesar, Rewari, Pataudi, Rohtak, Bahadurgarh,Bombay,  Bhiwani, Karnal, Panipat , Ambala, Ludhiana, Amritsar, Batala, Gurdaspur, Jalandhar, Patiala, Chandigarh, Calcutta,  Ferozepur Simla, Manali, Jammu, Udhampur, Poonch, Rajouri, Srinagar, Kargil, Aligarh, Mathura, Etawah, Lucknow, Kanpur, Allahabad, Varanasi, Kashi, Faizabad, Bareilly, Moradabad, Rampur., Dehradun, Uttarkashi, Meerut, Sitapur, Mathura,  Madras, Pilibhit, Nainital, Almora, Agra, Ferozabad, Jhansi, Alwar, Jaipur, Dausa, Ajmer, Beawar, Pali, Bhilwara, Chittorgarh, Kota, Dholpur, Churu, Ratangarh, Sikar, Bikaner, Jodhpur, Jalore, Rajkot, Porbandar, Jamnagar, Dwarka, Junagadh, Surendranagar, Bhav Nagar, Ambala, Ahmedabad, Gandhi Nagar, Godhra, Vadodara, Surat, Bilmora, Navasari, Mumbai, Sonapur, Kalbadevi, Girgaon, Dadar, Mahim, Dharavi, Juhu, Andheri, Kurla, Sahar, Pune, Thane, Palghar, Panaji, Panvel, Solapur, Pandharpur, Ahmednagar, Satara, Kolhapur, Ichalkaranji, Kalyan, Nasik, Dhule, Bhir, Nagpur, Bhandara, Amraoti, Khandwa, Indore, Ujjain, Ratlam, Mandsaur, Bhopal, Vidisha, Sagar, Guna, Shivpuri, Gwalior, Jabalpur, Bhilai, Raipur, Hyderabad, Zahirabad, Suryapet, Guntakal, Chittoor, Tirupati, Tirumala, Nandyal Vijayawada, Guntur, Goa,  Tenali, Nellore, Visakhapatnam, Vellore, Bangalore, Banglore, Ulsoor, Mysore, Srirangapatna, Hassan, Mangalore, Udupi, Manipal, Davanagere, Shimoga, Dharwad, Hubli, Bellary, Hospet, Bijapur, Belgaum, Chennai, Chengalpattu, Pondicherry, Tiruvannamalai, Kumbakonam, Thanjavur, Tiruchirappalli, Palani, Madurai, Sivakasi, Tirunelveli, Ambasamudram, Tenkasi, Nagercoil, Kanchipuram, Salem, Erode, Tirupur, Coimbatore, Pollachi, Kanyakumari, Ernakulam, Trivandrum, Calicut, Kottayam, Calcutta, Howrah, Purulia, Darjeeling, Siliguri, Gangtok, Bhubaneswar, Puri, Rourkela, Guwahati, Shillong, Imphal, Kohima, Agartala, Patna, Gaya, Bokaro, Jamshedpur, Ranchi, Madhubani.

We also get patients from following major cities of the world as Aalborg, Abadan, Abidian, Abudhabi, Abuja, Acapulco, Addis,  Ababa, Adelaide, Agadir, Agana, Ahvaz, Akueryai, Al Ain, Al Khobar, Alaska, Aleppo, Alexandria,       Alexandroupolis, Algiers, AlicanteAll, Areas, All Parts, All parts, Alma-Ata, Almada, AlofiAmatitlan, Ambato, Amman, Amsterdam, Andorra, Andrup, Ankara, AntanarivoAntigua, Antwerp, Apia, Aqaba, Areqioca, Arusha, Ashghabat, Asmara, Assab, Assuncion, Atbara, Athens, Auckland, Augra  Do Heroism Bacolod, Badalona, Baghdad, Baku, Bamako, Bander seribegaw, Bangkok, Barcelona, Barranquilla, Basseterre, Bedzin, Beijing, Belfast, Belgrade, Belize, Bengui, Benha, Benina, Bergen, Berlin, Bern, Bethlehem, Bhutan, Bimini, Birmingham, Bisho, Bissau, Bizerta, Bobo Dioulasso, Bogra, Bonaire, Bonn, Boras, Brasilia, Bratislava, Brazov, Brazzavila, Bremen, Bridgetown, Brisbane, Bristol, charest, Budape  st Buenos Aires, Bujumbura, Bulawayo, Bundung, Burgas, Buzau, Caacupe, Cairo, Cali, Canberra, Cap Haitien, Cape Town, Carecas, Castries, Cebu, Chengdu, Chicago, Chiclayo, chittagong, Christchurch, Christmas Island, CocosKeeling Island, Cologne, Colombu, Conakry, Conception, Contonou, Copenhagen Cordaba,  Cork, Coroval, Corprivertion, Craiova, Cuenca, Cumana, Curacao, Dacca, Dakar, Damascus, Damman, Dangregia, Dar Es Salaam, Defeera, Derbrecen, Dewaniya, Diego Suarez, Diriamba, Djibouti, Doha, Dramman, Dubai, Dublin, Durban, Dushanbe, Dusseldort, El Salvador, Entebbe, Erevan, Equitorial Guinea, Fade N'Gorma, Falun, Faroe Islands, Fes, Franarantsoa, Frankfurt, Freeport, Freetown, French Guiana, Frunze.Ft de France, Fujairah,  Gaborone, Garbrovo, Genda, Geneva, George Town, Georgetown, Ghent, Gibraltar, Glasgow, Gonaives, Gondomar, Granada Grand Beirut, Graz,Guadalajara, Guautemala City, Guayaquil, Gyongyas, Hajja, Hamar, Hamburg, Hamilton, Havana, Halsinki, Ho Chi Milk City, Hodeidah, Homs, HongKong, Honiara, Honolulu, Houston, Hyvinkaa, Ibadan, Ikeja, Incheon, Industira, Invercargill, Isfahan, Islamabad, Island tuvalu, Istanbul, Jakarta, Janawa, Jeddah, Jerusalam, Jimma, Jinia, Johannesburg, Jaba, Kaduna, Kampala, Kaoshiung, Karachi, Karor, Kathmandu, Khartoum, Khon Kean, Khulna, Kiev, Kigalibad, Kingston, Kingstown, Kismayo, kitwe, Kobe, Kolding, Kosice, Koudougou, Kowloon, Kristianstav, Kula Belait, Kuala Lumpur, Kuantan, Kumasi, Kuwait, Kyoto, La Paz, Lady Ville, Lea, Lagos, Lahore, Lahti, Larissa, Las Palmas, Lattaquieh, Leeds, Leipzig, Librevilla, Lima, Limassol, Linden, Lisbon, Liverpool, Ljubl-iana, Lome, London, Los Angeles, Luanda, Lubumbashi, Lugazi, Lungi, Lusaka, Luxembourg, Macao, Madani, Madrid, Majuro, Maldonado, Male, Malmo, Managua, Manama, Mancheter, Manila, Mansoure, Manta, Maputo, Maracay, Marrakech, Maseru, Mashad, Mayotte, Mbabane, Mbale, Medan, Medlin, Melbourne, Mendoza, Mexico city, Miami, Micronesia, Milano, Misrata, Mmabatho, Mogadiscio, Mombassa, Monrovia, MonteCarlo, Monterrey, Monte-video, Montreal, Moscow, Mosule, Mulanje, Mumbai, Muscat, Mutare, Mwanza, Nabeul, Naestved, Nagozi, Nairobi, Najat, Nanjing, Nassau, Nastriya, Nazareth, Ndjamena, New Amsterdam, New-York, Niamey, Nicosia, Norrkoping, Nottingham, Nouakehott, Noumea, Nukualofa, Oklahoma City, Omdurman, Oradea, Orodtheab, Oruro, Osaka, Oslo, Ostrava, Ottawa, Ouagadougu, Oulu, Panama-City, Paralimni, Paramaribo, Paris, Paysandu, Perth, peshawar, Philadelphia, Pingtung, Piraeus, Piura, Pl Villa, Plazen, Plovdiv, Plymouth, Poneloya, Port Au Prince, PortSaid, Port-Sudan, Potosi, Prague, Praia, Pretoria, Pt Lousi, Pt of Spain, Pt.Stanley, Pte Apitre, Pusan, pyongyang, Rabat, Ramalla, Rarstonga, Rawalpindi, Reykyavik, Riga,Rio De Janeiro, Riyadh, Road Town, Rodriquez Islands, Rome, Rosario, Roseau, Rota, Rotterdam, Rzeszow, Saba, Sabh, Sailburg, Salta, Samoa-American, San Francisco, San Jose, San Marcos, San Marino, San pablo, Sandnes, San-Jaun, Sanna, Senta Cruz(Graciosa), Santa Cruz, Santiago, Santo Doming, Sao Paulo, SaoTome Island, Semarang, Seoul, Serrekunda, Sert, Sfax, Shangai, Shariah, Singapore, Skopie, Sofia, Sopot, ST.Denis, St.Georges, St.Helena, St.Johns, St.Pitterbuze, Stockholm, Strydom Airport, Stuttgart, Suphanburi, Suva, Sydney, Szekesfehervar, Taegu, Taichung, Tainan, Taipei, Taiz, Tallinn, Tamatave, Tampere, Tanga, Tashkent, Tavira, Tbilisi, Tegucigalpa, Tehran, Tel-Aviv, Tema, Temburong, Teneriffe, The Hague, The Valley, Thessaloniki, Thohoyandou, Thomwood, Thonbiri, Thyolo, Timisoara, Tirane, Titograde, Tokyo, Toronto, Tripoli, Tsumeb, Tunisi, Turks Caicos, Tutong, Ulan-Batar, Vaduz, Valetta, Valparasio, Vancouver, Vatican City, Victoria, Victoria Falls, Vienna, Vientiana, Vigo, VilaDOporto, Villa Nueva, Villarica, Vilua, Vina Del Mar, Volgagrad, W.Berlin, Wallis & Futuna Island, Warsaw, Washington Dc, Wellington, Windhoele, Yaounde, Yaren, Yokohama, Yundum, Zagreb, Zahle, Zurich.

At these places all the facilities for investigation & treatments are available.

At our center / centre / clinic / clinics / hospital / hospitals doctors are dedicated for latest & scientific treatment of these diseases.

Chlamydia Pneumoniae, IgM antibody 1400, Filaria antigen (Wuchereria Bancrofti) 700, Giardia antiggen Stool 450, IHA for Amoebiasis 590, Mycoplasma pneumoniae antibody 880, Taenia Sdium (Cysticercus) - IgG, serum 950, Toxoplasma, Avidity test, serum 660,

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Male Hormone Disorder

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Osteoporosis, senile vertebral, Osteoporosis circumscripta, Paget disease bone, Osteoprogenitor cells, determined, Osteoprogentor cells, determined, osteoprotegerin (OPG), Osteoprotegerin ligand (OPGL), Osteoclast differentiating factor lymph-node organogenesis, lymphocyte development, osteoclastogenesis, Osteoprotegerin ligand (OPGL) receptor, Osteoprotegein ligand (OPGL) receptor, Osteroprotegeirin/osteoclastogenesis inhibitory factor (OCIF), Osteosarcoma adenohypohysial, Paget disease bone , thyroid, Osteosclerosis fluorosis, renal osteodystrophy, Osteostatin, sites action , Oster, Harry, Otitis externa malignant (necrotizing), diabetes, Otolaryngology, endocrinopathy , Otospondylomegaepiphseal dysplasis (OSMED), genetics , Ouabain effects endocrine function values, endogenous, Ovarian ablation adverse effects side effects , breast cancer treatment, adjuvant, methods , Ovarian cancer BRCA1 gene , clear cell, paraneoplastic (ectopic) secretion PTH with, contraception , endogenous factors , hormone replacement therapy , hyperdrenocorticism (Cushing disease, Cushing syndrome), infertility treatment , oral contraceptives , paraneoplastic syndromes with, pathogenesis , hormone , animal models , risk factors , small cell(s) contraception , endometriosis , with gonadotropin-independent precocious puberty, irregular bleeding, postmenopausal women, premature thelarche, genital function, Ovarian development, Ovarian dysgenesis, chromosomal abnormalities , hypergonadotropic, respiratory effects , Ovarian failure alcoholic females, amenrrhea, versus chronic anovulation, high serum FSH levels , autoimmune, classification , premature, diagnosis therapy , inherited enzymatic defects , primary amenorrhea, primary amenorrhea, primary amenorrhea , presumptive. 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Obesity definition , determination , Oviduct. Fallopian tubes egg retrieval by, embrotransport , ad infertility, preimplantation development, Ovatestis, true hermaphroditism, Ovaral, hirsutism, Ovrette,. Norgestrel Ovulation, assessment , infertility, basal body temperature , confirmation , defects , detection , gonadotropins , hypothalamic-pituitary axis , mechanisms , melatonin , ovary choice , pelvic pain during postpartum resumption , regulation , Ovulation induction, anorexic patient, cancer, clomiphene citrate , dopamine agonists , exogenous gonadotropins , luteal phase dysfunction, polycystic ovary syndrome, pulsatile gonadotropin-releasing hormone , rescue phenomenon , tamoxifen , Ovulatory phase, menstrual cycle, characteristics , Oxacillin. Penicillins effects endocrine function values, Oxalate gastrointestinal overabsorption , metabolic overproduction , reference values , urinary, measurement , patient with nephrolithiasis, urinary excretion , excessive. Hyperoxaluria Oxalic acid, vitamin C , Oxaloacetic transaminase, plasma / serum level , hypothyroidism, Oxandrin. Oxandrolone Oxandrolone (Oxandrin), Anabooc steroids actions , adverse effects side effects , dosage administration , indication , preparations , therapy with delayed puberty, familial delayed puberty, endocrinologic side effects , indications , wasting syndrome, short stature, Oxaprozin. Nonsteroidal anti-inflammatory drugs Oxazepam. Benzodiazepine(s) effects endocrine function values, 18-Oxidase, gene , mutations , Oxilorphan, vasopressin secretion, OX40 ligand, biologic response , 22-Oxocalcitriol hyperparathyroidism renal failure, renal osteodystrophy, 5-Oxoproline, overproduction , Oxybutynin, effects endocrine function values, Oxycodone. Narcotic analgesics, 18-Oxycortisol, actions , Oxygen consumption anorexia nervosa, critical illness, definition , hyperthyroidism, measurement energy expenditure , muscle, tissue, erythropoiesis, Oxygen debt, definitions , Oxygen free radicals critical illness, leukocyte function diabetes, therapeutic potential diabetes, therapeutic potential , Oxygen uptake, basal, thyroid function , Oxymetazoline, effects endocrine function values, Oxymetholone (Anadrol-50),. Anabolic steroids, actions , adverse effects side effects , anemia, dosage administration , indications preparations , Oxymorphone. Narcotic analgesics Oxyntomodulin, Oxyphenbutazone, effects endocrine function values, Oxyphenisatin, effects endocrine function values, Oxyphil cells, parathyroid, adenoma, Oxypurinol, structure , Oxypurinol, structure , Oxytetracycline. Tetracycline as vivo marker bone formation, oxytocin (endogenous) actions , anorexia nervosa, antidiuretic effect , central nervous system effects , clearance , deficiency , diffuse neuroendocrine system, distribution , Oxytocin (continued) effects endocrine function values, embryo, fetal, gene , genitourinary system, hypothalamo-neurohypophysial system, lactation, learning, myometrial activity, neurophysin associated with biding between, structure , parturition plasma / serum level , pregnancy, posterior pituitary, precursor , prohormone gene , structure , reference values, , release, norepinephrine , secretion , cytokines , regulation , structure , suckling , synthesis , inuterine involution, uterine sensitivity Oxytocin (Pitocin, Syntocinon) actions , adverse effects side effects , dosage administration , indications , preparations , Oxytocin family, Oxytocin receptor(s) lymphocytes, myometrial, parturitions, Oysco. Calcium carbonate Oystercal. Calcium carbonate Oyster Shell calcium. Calcium carbonate p21, activation , by somatostatin receptor, p53. p53 tumor suppressor gene P450c22. Cholesterol side-chain cleavase enzyme PACAP. Pituitary adenylate cyclase-activating peptide, Pachydermoperistitis, pachydermopeirostosis, Pachymeningitis cervicalis circumscripta, Pachytene stage, meiosis Paclitaxel anaplastic thyroid cancer, effects endocrine function values, PAF. Platelet-activating factor Paget disease bone, bone biopsy , cardiovascular complications , central nervous system decompensation , clinical presentation , collagen-related bone resorption markers , dental/orofacial abnormalities , diagnosis , defferential diagnosis , elderly, epidemiology etiology , familial aggregation , neurologic complications , ocular manifestations , osteocalcin levels , osteolysis caused by, otolaryngologic considerations , pathology , procollagen type I propeptide levels , radiographic findings , serum bone sialoprotein levels , serum Y-carboxyglutamic acid , serum tartrate-resistant acid phosphatase levels , surgical intervention , treatment , agents , indications , salmon aclcitonin , urinary excerine hydroxyproline glycosides , viral agents , Paget diseaseof nipple Pain. Bone pain back juvenile osteoporosis,, osteoporosis, breast, chest wall, Hashimoto thyroiditis, chronic, diabetic.

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