Dr. Sandhya S. Kulkarni

💔💔💔💔💔💔💔 Read this eye opener article in Deccan Heralds.....Sunday Story today... Its so disgusting that "Medicine " has become such a huge & lucrative business for some! I really dont understand why DPCO ..cannot control prices of all drugs that enter the market . Why do we have to pay such inflated bills ? Some prices are a more than a 1000 times the base line prices! Unimaginable profits....WHY & WHO suffers? The Common man! & Why should he? As a Doctor itself definitely understand the pain of my patients! I now understand why almost every Dr has his own pharmacy & own "brand" of medicine ( in India) (Plz exclude me! I have Never fallen in this trap & i never will.. I believe the patient has Freedom to buy wherever n whenever he wants!) Also 16% to the retailer pharmacy! I didnt even know this! Thats also Huge!! Wake up people! Every home buys medicines.. Why should you pay so much? when people make business and luxury out of your sickness! I have heard people sell their properties homes and take huge loans when their loved ones are in hospitals! I now understand...this is....thanks to the 1000% inflated prices that people pay Raise your voices.... Let there be sensible drug pricing!! Let the Common n sick ones not suffer ! Sickness should NEVER be a lucrative business! Beware of Hospital Pharmacies & your Drs Pharmacies.. Keep your eyes and intellect open...Think ,compare ,checkout & then only buy!

CAN MEDICAL DOCTORS TALK ABOUT NUTRITION? Can they suggest changes & Advice Therapeutic Nutrition??? YES!! Yes - both medically and legally. A registered medical practitioner can provide dietary and nutritional advice as part of patient care. This is especially relevant in conditions such as diabetes, obesity, hypertension, fatty liver disease and cardiovascular disease, where food and lifestyle are integral to treatment. Nutrition is also part of MBBS education. Under the NMC competency-based curriculum, Community Medicine includes the assessment of nutritional status, nutrition-related disorders and nutritional education. Competency CM5.4 specifically requires an MBBS student to learn how to: “Plan and recommend a suitable diet for individuals and families.” Therefore, nutrition in medical education is not limited to memorising nutrients or deficiency diseases—it also includes recommending appropriate diets. I personally have visited various slums in and around Mumbai with the task of prescribing diets to pregnant women, Children Elderly & Family as a whole! Indian law separately recognises dietitians and nutritionists as Nutrition Science Professionals under the National Commission for Allied and Healthcare Professions Act, 2021. However, this does not prohibit a registered medical practitioner from discussing nutrition or incorporating dietary advice into medical care. There is no NMC rule stating that a doctor cannot advise patients about food and nutrition. Nor is a separate nutrition degree a legal prerequisite for every dietary discussion conducted as part of medical practice. Registered medical practitioners can provide nutritional and dietary advice as part of medical care. Their medical registration permits medical practice, while their training determines the depth and quality of the advice. This field is not reserved only for nutritionists & or people who claim they are one (without knowing medical/ human science or even Basic Biology...)& tell Drs should only Prescribe ( As any Dr would heed their unscrupulous statement) Thats called quackery!

When I as a Dr, do my duty diligently to save pain, effort ,money,limb & life of a patien,I put my heart & soul into my job! This is Not Time pass as many so called Non medico Dr 's Dr think!! This is a young man of 26 whom I have been looking after since the past 19 years! Yes he came to me in Diabetic Keto Acidosis as a boy of 7! I have supported & sponsored his insulin since then. Born in a very poor family ,this boy got educated and now is working and earning reasonably well! At the age of 7 he learnt how to take insulin, monitor sugars and what to eat and maintain himself well. He came today for a regular follow up & said he had a small wound on his foot! On closer examination .... It was a surprise! From the wound on the foot I removed almost a whole stapler pin! That was not a time pass for sure! Serious job..!! Limb saving & Life saving! Non medicos wont ever understand the consequences otherwise!

In India being a Doctor itself is difficult( its the most difficult if you belong to General Category!) !Being an allopathic one is even more ! Yet non medicos think .... They are the biggest Drs! There is a popular Hindi saying... Tum karo to Ram Leela ...Hum kare to Character Dhila!!😉🤣🤣🤣(meaning if i say it..I am a loose character..but if you say the same you are akin to God!) Many doctors other than surgeons, anaesthesiologists and radiologists save lives every single day: Just a few days to to day examples •General physicians / Internal Medicine specialists: Severe malaria, typhoid, dengue, sepsis, pneumonia and poisoning •Emergency physicians: Heart attacks, strokes, trauma, anaphylaxis and cardiac arrest •Intensivists: Critically ill patients requiring ICU care and ventilation •Obstetricians: Eclampsia, severe bleeding, obstructed labour and other maternal emergencies •Paediatricians / Neonatologists: Premature babies, neonatal sepsis and childhood infections •Cardiologists: Heart attacks, dangerous arrhythmias and heart failure •Neurologists: Stroke, status epilepticus and neurological emergencies A cardiologist a Nephrologist & various other superspecialsts need to be Physicians first & then move towards & onwards... •Pulmonologists: Respiratory failure, severe asthma and pulmonary embolism •Nephrologists: Kidney failure, severe electrolyte disturbances and dialysis emergencies •Psychiatrists: Suicide prevention and severe psychiatric emergencies * Haematologists: Blood disoreders ,haematological malignancies ,clotting disorders etc *Gastroenterologists: Peptic ,duodenal ulcers varices ,gallbladder stones & many other issues! There are many many others Drs who save lives without even thinking of diets!Because only a Dr understands how precious every life is! For others it could be just Time pass!

Thank you @shashiiyengar MetabolicHealth India, @NutritionNetwrk for giving me an opportunity to be a faculty in low carb vegeterian course..a wonderful course for vegeterians! Well No copypaste videos have been used in my presentation.. I myself am a vegeterian n follow low carb..my journey to low carb veg diet was a difficult one after having gone through various diets including veganism from untrained people! Which only ruined me & worsened my health! Women's health is given less importance in India! At every stage of life ,a woman's nutritional requirements are different from that of a male of a similar age and stature! Most dont know or practise this! For writing my part of the course i read every Indian study and collected a robust data read it, studied analysed it & then applied it! Saw beautiful changes in my patients & i have clearly cited them.. So basically I am Not at all a copy paste person borrowing things from here & there.! All my colleagues i am sure have intensely studied and brought out their experiences in the low carb vegeterian course! Myself being an MD Dr from a reputed Institute ( well i stood 1st on the list of PG seats for 2 successive years! I took a Paediatric seat first & then resigned & went for Medicine still maintaing rank 1 in the subsequent year!) with more than 25 years of clinical experience am thrilled to be a part of this community & would never boast of my accolades..because Vidya Vinayena Shobate as the Sanskrit saying goes...Knowledgeable should be Humble !

Some patients make you feel good! But their health and happiness makes you feel even better! His HbA1c came down from 13.4 to 6.1% btw Stabilising Retinopathy..preventing injections and retinal detachment has been our greatest victory! The message is too long hence copy pasting it! With a few Screenshots! *My 20-Year Diabetes Journey — Why the Right Doctor Matters* My name is *Rajashekar Patil*, I am 48 years old and a working professional. I would like to share my 20-year journey with diabetes and, more importantly, how finding the right doctor can make a life-changing difference. I have been living with diabetes for nearly two decades. Throughout these years, I was continuously on medications, including insulin and tablets. I followed a strict sugar-free diet and made regular efforts to stay active through walking and workouts. Despite all these efforts, my blood sugar levels remained very high, often around *300 mg/dL*. For almost 20 years, I struggled with the condition under the guidance and treatment of different doctors, but unfortunately, I did not experience the improvement I was hoping for. Over time, my health and quality of life were significantly affected. I experienced *weight loss, body pain, irregular hunger and other health complications*. Eventually, my diabetes contributed to a serious eye complication. I suffered a *vitreous hemorrhage* and had to undergo *vitrectomy surgery*. It was during the course of my eye treatment that I was introduced to *Dr. Sandhya Kulkarni, Diabetologist*. This introduction became a major turning point in my life. From the very beginning, Dr. Sandhya Kulkarni took a different and comprehensive approach. Rather than simply continuing medications, she first asked me to undergo various medical tests to understand my body's metabolism and overall condition. Based on the results, she designed a new treatment plan along with a *proper diet plan, structured schedule and suitable workout routine*. I have now completed *six months under Dr. Sandhya Kulkarni's consultation and guidance*, and the difference has been remarkable. My blood sugar levels, which were once around 300, have now come down to approximately *120–130 mg/dL*. Many of the health issues and diabetes-related problems that I had been struggling with have also improved significantly. My eyes are also currently in the process of recovery. After spending nearly 20 years struggling with diabetes, I have finally started feeling like I am *getting my healthy life back*. I am sincerely thankful to *Dr. Sandhya Kulkarni* for her expertise, personalized approach, continuous guidance, support and encouragement throughout these past six months. My journey has taught me an important lesson: *Managing diabetes is not only about taking medicines. Understanding your body, following the right lifestyle and, most importantly, having the right doctor who understands your individual needs can make a tremendous difference*. I am sharing my experience with the hope that it may encourage other people living with diabetes not to lose hope. If your diabetes is not under control despite your best efforts, it may be worth discussing your situation with a qualified diabetologist and seeking a personalized treatment approach. *Thank you, Dr. Sandhya Kulkarni, for helping me take an important step towards a healthier life*.

Intresting case! How we get scared! Much ado about NOTHING A 57 year old woman presented to clinic visibly shaken along with her husband who was anxious too! Her chief complaint: She has passed red coloured urine since morning! She has no featuress/o UTI,no fever no psin n was absolutely normal.She had no h/ o over exercising or any exactitude excess physical activity. She had collected her urine sample n it indeed looked red! By the time she saw me, She has checked her insurance Listed urologists & Nephrologists to visit Thought of appointment for further investigations Checked her assets and thought of her children...what would they after her? She had thought of making a will And she ... Also thought ..no one could do anything if she was seriously sick and she had to face it alone.. She accepted that she was attempting to gather courage to stay happily ..in whatever time was left! I was baffled!. Her examination showed she was fine. Her basic urine examination was Normal ..no Hematuria! What was I dealing with? Confused me: No such episodes earlier no painkillers taken no bleeding episodes..Nothing was conclusive! I wanted to get to the bottom of this before i could refer her to a battery of investigations! A detailed history revealed: And that was the diagnosis! MUCH ADO ABOUT NOTHING! She had consumed 2 red dragon fruits prior evening! The red pigment of dragon fruit can be ex reted in Urine & stool in some! Absolutely! The interesting part is that red dragon-fruit pigment is not completely destroyed by digestion, and a fraction can be absorbed into the bloodstream. 🩷 What happens to the pigment? Red/pink dragon fruit → betalains (mainly betacyanins) 1. In the stomach Betalains encounter acidic gastric conditions. They are relatively stable compared with many plant pigments, so some pigment survives gastric digestion. 2. In the small intestine A proportion of betalains remains intact or is converted into smaller betalain-derived compounds. These compounds can cross the intestinal barrier and enter the circulation. Absorption varies considerably between individuals. 3. In the liver The absorbed compounds undergo metabolism, including oxidation/conjugation. Importantly, not everything is extensively metabolised into colourless compounds. 4. The kidneys filter the circulating compounds Some intact betalain and/or coloured metabolites are eliminated through the kidneys. Because these compounds are water-soluble, they can appear in urine as pink, red or reddish-purple urine. 🧻 And why does the stool become red? This is actually even simpler: Not all the pigment gets absorbed. A significant amount remains in the intestinal contents → passes through the colon → gives the stool a pink/red/maroon colour. So: Dragon fruit 🩷 → betalains → partial digestion → partial intestinal absorption → blood → kidney → urine 🩷 while Unabsorbed betalains → intestine → stool 🩷 One fascinating point The phenomenon is called beeturia-like pigmenturia—similar to what happens with beetroot. It does not necessarily mean the pigment is completely unchanged; both intact pigment and metabolites may contribute to the colour. And the amount of red urine can vary enormously depending on quantity eaten, intestinal absorption, gut microbiota, gastric/intestinal conditions and individual metabolism. That was such a relief! Very often we tend to go extremes leaving simple things behind! Both of us had a hearty laugh...Case to remember indeed! ( Her urine cleared up by noon!)

Heartfelt gratitude to Shashikant Iyengarji & every single person who made this conference a great success! There was so much learning! Thank you all who stood strong and tall! Great team work great hosts and guests! Way to go!

I’m conference-ready! Are you? 😊 The 4th Metabolic Health Conference begins today! Visit the conference portal, head to the Selfie Corner, create your conference selfie and share it with us. 📸🌍 METABOLIC HEALTH CRISIS: Where India Went Wrong - and How to Fix It 📅 August 21–23, 2026 🌍 100% Virtual 🎟️ Free to attend 🌐 Open to attendees worldwide Brought to you by Metabolic Health India® Registration link in the pinned post.

The most happening event of August is almost here.. 21 22 23 August... Online FREE Register👇 live.imagicahealth.com/mhc20…

12th August...World Elephant Day! Theme of this year :Bringing the world together to help elephants." When visits were allowed, I had a wonderful experience at Sakrebailu...ElephantSanctuary ,Shivamogga Karnataka ! Elephants: the most intelligent n loving animals! If you get a chance observe elephants from close quarters...they teach you a lot!❤️❤️❤️