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What are the potential negative effects of long-term ketogenic diet?
Query: Hello doctor, Why ketogenic diet should not be done long term? Why it is not a good idea to follow a ketogenic diet for the long term and what are the potential negative effects on the body by following a ketogenic diet for the long term? Please comment. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to the icliniq.com. The opinion regarding keto diet varies from many studies. The ketogenic diet or low carbohydrate diet is helpful in weight reduction and should be done under trained nutritionist guidance. Self keto diet experience is not advisable. Although it is useful, the lon... Read Full »
What are the alternatives for tablet Amitriptyline to induce sleep?
Query: Hi doctor,I am a 49-year-old female with a height of 164 cm and a weight of 97 kgs. Ten years back, I had a gastric bypass, so I lost up to 50 kgs. But now I have gained 30 kg. I have been concerned about my weight for the past 25 years. I do not have co-morbidities but have a congenital issue on my... Read Full »
Answer: Hi,Welcome back to icliniq.com.Your condition requires a multi-systemic approach. First, we should identify the secondary cause of unhealthy weight. From the reports attached (attachment removed to protect the patient's identity), you have elevated serum ferritin and C-reactive protein. Are you suff... Read Full »
Why am I getting a worst smell in my breath and urine after following ketogenic diet for celiac?
Query: Hi doctor, I am 23 years old male with a weight of 64 kilograms and a height of 5 feet. I am taking medications such as Propranolol 80 mg, Amphetamine XR 25 mg, Carisoprodol 350 mg, and Clonidine 0.2 mg. I am taking supplements with 1 gram of Quercetin or 200 milligrams of Bromelain twice daily and... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for writing and I understand your concern. I would recommend continuing the same diet followed currently because everything seems to be under control. As you are facing some smell in your breath and urine, then I would recommend you to do biochemistry of blood... Read Full »
How to get rid of my constant bloating with excessive gas production?
Query: Hi doctor, I have bloating and constant gas release by burping with heartburn that gives me a heart attack feeling before. I even had anxiety and panic attacks. Whenever I had bloating, I feel my heartbeat. Now, I went into a keto diet and eating a super enzyme supplement, and it is going well. M... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand you must be worried about your recent onset of stomach upset. If your endoscopy is normal, it is indeed reassuring that nothing wrong with the stomach structure. Meaning there is no ulcer, redness, which are otherwise common causes of this type of... Read Full »
How can ketone level be decreased in a diabetic patient?
Query: Hello doctor, I am a diabetes patient. My sugar level in fasting is above 350 and I checked ketone in urine, it was found to be 4+. My height is 170 cm approximately and weight check found 62 kg. What can I do for ketone? Read Full »
Answer: Hello, Welcome to icliniq.com. Ketones usually develop more often in T1 diabetes. Especially when there is no adequate insulin and glucose levels are higher than 300 to 350 mg. It is necessary to take adequate water to eliminate those through urine. Avoid exercise when ketones are present. Try and... Read Full »