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Medical World Dr Rana Sanjay, Dr Rana S P Singh, Patna (2025)

24/10/2025

🧐What you eat affects your mental health?
👉The link between food and mood
The connection between nutrition and mental health runs two ways. The foods we eat can affect our mental health. And our mental health can affect what kinds of food we eat. Studies show that participants who eat more fruits and vegetables report better mental health. And those who are clinically depressed—and eat more vegetables—reduce their symptoms of depression.

A healthy diet of fruits, vegetables, whole grains, nuts, and seeds provides more vitamins and minerals, healthy fats, and fiber. This can reduce inflammation and help the way your brain works to lessen symptoms of depression. When you stick to a diet of nutrient-rich foods, you’re setting yourself up for fewer mood swings and an improved ability to focus.
🧐Vital nutrients and foods that have them
So, what should you eat to keep you feeling your best? Here’s a quick look at some of them:
. Eat plant-based foods like beans. Or nutrient-dense carbs like whole grains. These are full of fiber which helps your body absorb glucose (food sugars) more slowly. That helps you avoid sugar spikes and crashes.
. Choose foods higher in antioxidants like berries and leafy green vegetables. Eat foods with Omega-3 fatty acids like salmon and black chia seeds. These help fight inflammation and support your overall physical and mental wellbeing.
. Find foods with folate like leafy greens, lentils and cantaloupes. Folate is a type of B vitamin that helps produce dopamine without the surge and crash linked to foods high in sugar.
D. Eat foods like salmon, tuna, eggs yolks and vitamin-fortified milk and orange juice. These are good sources of vitamin D which helps produce serotonin. That’s a chemical that carries messages between nerve cells in the brain and throughout your body.
. Load up on natural sources of magnesium. Try cacao nibs, almonds, cashews, spinach and other dark leafy greens, bananas, and beans. This mineral is vital to the food-mood connection. A lack of it can add to symptoms of anxiety and depression.
🧐Strategies that can improve your diet and mood
If it’s tricky for you to remember just which foods have the right nutrients, try a mix of these strategies:

Embrace the colors of nature: Include a variety of bright red, green, orange, yellow, and purple fruits and vegetables in your meals. They are full of vitamins, minerals, and antioxidants that may help with your mood.

Eat nutrient-dense snacks: Nuts, seeds, and dark chocolate are great options with a mix of healthy fats, protein, and antioxidants. These can help you manage hunger, improve your mood and support your brain function.

Limit processed foods and sugary drinks: These offer little nutritional value and can lead to mood swings and energy crashes. Instead, focus on whole, unprocessed foods that can provide the nutrients your body and mind need.

Watch your caffeine and alcohol intake: While a small amount of caffeine or alcohol can be enjoyable, too much can negatively affect your mood and sleep. Be mindful of your caffeine intake, especially in the afternoon and evening. It can disrupt your usual sleep cycle.

Stay hydrated throughout the day: Drinking enough water each day (about 64 ounces) is important for your overall health. Staying hydrated helps your brain work properly. It can improve your mood and energy levels. If it’s hard for you to drink plain water, consider adding a splash of 100% fruit juice for some extra flavor.

👌Bottom line: You can eat a diet that helps your mood and mental health. Embrace the power of healthy food and enjoy a healthier, happier you.

😊How do I naturally boost my mood?
🦁🩺Renowned Dr Rana SP Singh senior physician and diabetologist Patna Said -Lifestyle habits
Prioritize sleep: Aim for good quality sleep to help your mood.
👌Exercise regularly: Physical activity releases endorphins, which are natural mood lifters. Even a 30-minute walk or a quick burst of exercise can help.
👌Eat a healthy diet: Focus on whole grains, lean protein, fruits, vegetables, and nuts. Include foods rich in omega-3 fatty acids, like salmon, and foods with tryptophan, such as eggs and spinach, which can help produce serotonin.
👌Spend time in nature: Being outdoors and in natural environments can help calm the brain and lower stress hormones.
Mental and social well-being

👌Connect with others: Talk to a friend or family member, or get involved in community activities. Social connections are a powerful mood booster.
👌Practice gratitude: Regularly write down things you are thankful for. This can help offset feelings of stress.
👌Mindfulness and meditation: Practice mindfulness to stay present, or try a short meditation to reduce stress.
👌Challenge negative thoughts: Actively work to identify and challenge unhelpful thoughts that bring you down.
Quick mood-boosting actions
👌Listen to music: Put on an upbeat playlist or listen to songs that bring you joy.
👌Engage in hobbies: Spend time on creative activities like drawing, writing, or playing an instrument.
👌Perform random acts of kindness: Helping others can generate feelings of happiness and fulfillment.
👌Smile: Even forcing a smile can trick your brain into feeling happier.
👌Look at old photos: Reminisce about happy memories by looking through old pictures.

🦁LION DR RANA SANJAY PRATAP SINGH alias Dr Rana SP Singh senior physician and diabetologist Patna Bihar 🇮🇳 India
🦺DC 👉 FIRST AID EDUCATION AND EMERGENCY RELIEF ⚡ LIONS CLUB INTERNATIONAL DISTRICT 322E
#बिहार

23/10/2025

🧐Eating after 10pm what it does to your metabolism?
👉Eating after 10p.m. can negatively affect your metabolism by interfering with your body's natural circadian rhythm, leading to lower insulin sensitivity, disrupted sleep, and a tendency to store fat. While total daily calories are the main factor for weight gain, the timing of food consumption can influence metabolic health by promoting higher blood sugar levels and reduced fat-burning efficiency.
Effects of eating late
🫵Insulin sensitivity: Your body's ability to process sugar is less efficient at night, which can lead to higher blood sugar levels after a late meal and, with consistency, may increase the risk for pre-diabetes.
Hormonal disruption: Eating at night can spike insulin when your body should be making melatonin to promote sleep and regeneration.
🫵Sleep quality: Eating too close to bedtime can lead to poor sleep due to digestive discomfort, which can in turn slow your metabolism, increase hunger hormones, and make weight loss more difficult the next day.
🫵Fat storage: Research suggests that eating later in the day may trigger metabolic changes that encourage weight gain and fat storage, partly due to disruptions in the body's circadian rhythm.
Digestive discomfort: Your digestive system slows down at night, so heavy meals can cause discomfort, bloating, and poor digestion.

🧐Eating late at night and going to sleep can disrupt digestion, lead to discomfort like heartburn and indigestion, and negatively impact sleep quality. It can also contribute to weight gain and may affect blood sugar and hormone levels over time. Experts generally recommend waiting at least two to three hours after eating to go to bed.
Digestive issues
🫵Acid reflux and heartburn: Lying down after eating allows stomach acid to flow back into the esophagus, causing a burning sensation.
Indigestion and bloating: Your digestive system has to work harder while you're lying down, which can lead to discomfort, fullness, and bloating.
🫵Disrupted gut health: Digestion continues into the night, which can prevent the gut from getting the rest it needs, potentially affecting gut health.
Poor sleep quality
🫵Difficulty falling and staying asleep: The digestive process increases metabolic rate and body temperature, which can interfere with your ability to fall into a deep, restful sleep.
🫵More awakenings: Eating within three hours of bedtime has been linked to a higher chance of waking up during the night.
🫵Lower sleep efficiency: Late-night eating can decrease sleep efficiency and reduce the amount of deep and REM sleep you get.
Long-term health effects
🫵Weight gain: Eating late at night, especially large or high-fat meals, is associated with weight gain because your body's calorie-burning efficiency decreases at rest.
🫵Blood sugar and insulin resistance: Eating late can lead to higher blood sugar levels and negatively affect insulin sensitivity, which can be problematic for individuals managing blood sugar.
🫵Hormonal imbalances: Consistent late-night eating can disrupt hormonal balance, potentially affecting appetite regulation.
What to do instead
🫵Give your body time to digest: Wait at least two to three hours after a solid meal before lying down.
Opt for light snacks: If you must eat, choose something light and low in fat and sugar.
Stay upright: If you do eat close to bedtime, try to stay upright for at least 30 minutes before going to sleep.

👌Key takeaway
The total number of calories you consume versus the number you burn is the most important factor for weight gain or loss. However, eating late at night can contribute to a state of metabolic disruption through its impact on sleep, insulin response, and the body's natural daily rhythms, making it a habit associated with weight gain and other health issues.

🦁Lion DR RANA SANJAY PRATAP SINGH + Dr Rana SP Singh senior physician and diabetologist Patna Bihar 🇮🇳 India )
🦺DC 👉FIRST AID EDUCATION AND EMERGENCY RELIEF ⚡LIONS CLUB INTERNATIONAL DISTRICT 322E
#बिहार

21/10/2025

🩺 मेरी आर्टिकल 👉प्री-डायबिटीज़ ( ) पर विस्तृत जानकारी👌 दैनिक जागरण में प्रकाशित हुआ 🙏
🔹 परिचय (Introduction)
#प्री-डायबिटीज़ वह स्थिति है जब रक्त में शुगर का स्तर सामान्य से अधिक होता है लेकिन इतना अधिक नहीं कि उसे डायबिटीज़ कहा जाए।
यह टाइप 2 डायबिटीज़, हृदय रोग (Heart Disease) और स्ट्रोक (Stroke) के लिए चेतावनी संकेत है।
अच्छी बात यह है कि — यह रिवर्स (ठीक) किया जा सकता है यदि समय पर पहचान कर जीवनशैली बदली जाए।
🔹 रक्त शर्करा स्तर के मानक (Diagnostic Criteria)

जांच का प्रकार सामान्य प्री-डायबिटीज़ डायबिटीज़

फास्टिंग ब्लड शुगर (FBS) < 100 mg/dL 100–125 mg/dL ≥ 126 mg/dL
HbA1c < 5.7% 5.7–6.4% ≥ 6.5%
OGTT (2 घंटे बाद ग्लूकोज) < 140 mg/dL 140–199 mg/dL ≥ 200 mg/dL
🔹 मुख्य कारण (Causes / Risk Factors)

1. अधिक वजन / मोटापा (Obesity)
2. शारीरिक निष्क्रियता (Sedentary lifestyle)
3. परिवार में डायबिटीज़ का इतिहास
4. उच्च रक्तचाप या कोलेस्ट्रॉल असंतुलन
5. 40 वर्ष से अधिक आयु
6. गर्भावधि मधुमेह (Gestational Diabetes) का इतिहास
7. PCOS (Polycystic O***y Syndrome) वाली महिलाएँ

🔹 लक्षण (Symptoms)
अक्सर कोई स्पष्ट लक्षण नहीं होते, परंतु कभी-कभी ये संकेत मिल सकते हैं —
लगातार थकान
भूख और प्यास अधिक लगना
वजन बढ़ना (खासकर पेट के आस-पास)
त्वचा पर काले धब्बे (Acanthosis Nigricans)
धीरे-धीरे घाव भरना
🔹 जांच (Tests)
फास्टिंग ब्लड शुगर
HbA1c टेस्ट (पिछले 3 महीनों की औसत शुगर बताता है)
Oral Glucose Tolerance Test (OGTT)
लिपिड प्रोफाइल, बीपी, BMI, कमर की माप (Waist Circumference)

🔹 जटिलताएँ (Complications)
यदि समय पर नियंत्रण न किया जाए तो प्री-डायबिटीज़ आगे चलकर बन सकती है:
टाइप 2 डायबिटीज़
हृदय रोग
स्ट्रोक
किडनी और नसों की समस्याएँ

🔹 उपचार और नियंत्रण (Treatment & Management)
प्री-डायबिटीज़ का मुख्य उपचार जीवनशैली में परिवर्तन (Lifestyle Modification) है:
🍎 1. आहार (Diet):

चीनी, मीठे पेय, जंक फूड, और मैदा कम करें।
साबुत अनाज, दालें, हरी सब्जियाँ, फल, मेवे शामिल करें।
रात का खाना हल्का और जल्दी खाएँ।
दिन में 2–3 बार कम मात्रा में भोजन करें।

🏃‍♂️ 2. व्यायाम (Exercise):

रोज़ाना कम से कम 30–45 मिनट तेज़ चाल से पैदल चलें।
योग, प्राणायाम, और स्ट्रेचिंग उपयोगी हैं।
सप्ताह में 5 दिन सक्रिय रहें।

⚖️ 3. वजन नियंत्रण (Weight Management):

कुल वजन का 5–7% घटाने से डायबिटीज़ का खतरा 50% तक घटता है।

🚭 4. धूम्रपान और शराब से परहेज।
💊 5. दवाएँ (In Some Cases):
यदि जीवनशैली से नियंत्रण न हो तो डॉक्टर डायबिटीज़ मेडिसिन दवा या इन्सूलिन सुझा सकते हैं ( GLP1 विशेष रूप से मोटे, युवा या उच्च जोखिम वाले व्यक्तियों में)।
🔹 रोकथाम (Prevention Tips)

नियमित शुगर जांच कराते रहें।
तनाव कम करें और नींद पूरी लें।
पौष्टिक संतुलित भोजन करें।
रोज़मर्रा की गतिविधियों में सक्रिय रहें।
🔹 निष्कर्ष (Conclusion)
👉 प्री-डायबिटीज़ एक चेतावनी है, सजा नहीं।
समय रहते आहार, व्यायाम और स्वस्थ जीवनशैली अपनाकर आप इसे पूरी तरह रोक या उलट सकते हैं।
यह सही समय है — “Act before Diabetes attacks.”

बहुत अच्छा निर्णय 👏 — क्योंकि प्री-डायबिटीज़ में सही आहार और नियमित व्यायाम ही असली दवा हैं।
नीचे आपको एक संतुलित डाइट चार्ट और योग–व्यायाम रूटीन दिया गया है, जो रक्त शर्करा को नियंत्रित करने, वजन घटाने और इंसुलिन सेंसिटिविटी सुधारने में मदद करेगा।

🥗 प्री-डायबिटीज़ के लिए डाइट चार्ट
🌅 सुबह उठते ही (6:00–6:30 AM)

1 गिलास गुनगुना पानी + आधा नींबू

या 1 गिलास मेथी दाना पानी (1 चम्मच मेथी रातभर भिगोकर)

🍵 सुबह का नाश्ता (7:30–8:30 AM)

✅ विकल्प:
1. ओट्स या दलिया (1 कटोरी) + सब्जियाँ
2. अंकुरित मूँग/चना सलाद (1 कटोरी)
3. 2 अंडे का सफेद भाग + 1 स्लाइस मल्टीग्रेन ब्रेड
4. 1 गिलास टोंड दूध (बिना चीनी)

🛑 न खाएँ: परांठा, ब्रेड-बटर, मिठाई, जूस, या मैदा की चीज़ें

-🍎 मिड मॉर्निंग (10:30–11:00 AM)
1 फल (सेब / अमरूद / पपीता / नाशपाती)
5–6 बादाम या 2 अखरोट

🍛 दोपहर का भोजन (1:00–2:00 PM)
✅ विकल्प:
1 कटोरी ब्राउन राइस या 2 चपाती (बिना घी)
दाल/चना/राजमा — 1 कटोरी
हरी सब्ज़ी — 1 कटोरी
सलाद: खीरा, टमाटर, मूली, गाजर
छाछ या दही (बिना मीठा)

🛑 परहेज करें: सफेद चावल, तला भोजन, मिठाई, शीतल पेय

☕ शाम का नाश्ता (5:00–6:00 PM)

1 कप ग्रीन टी या ब्लैक कॉफी (बिना चीनी)
भुना चना / स्प्राउट्स / सूप
यदि भूख लगे तो 1 छोटा फ्रूट स्लाइस

🌙 रात का भोजन (8:00–8:30 PM)

✅ विकल्प:

1–2 रोटी (मल्टीग्रेन)
हल्की सब्जी + दाल / सूप
सलाद
सोने से पहले 1 कप गुनगुना पानी या हल्दी दूध (बिना चीनी)

🕖 रात का खाना सोने से कम से कम 2 घंटे पहले खाएँ।

🧘‍♀️ योग व व्यायाम रूटीन (30–45 मिनट/दिन)
🔸 सुबह
5 मिनट — वॉर्मअप (चलना, स्ट्रेचिंग)
15–20 मिनट — तेज़ चाल से पैदल चलना / साइक्लिंग / हल्का जॉगिंग
10–15 मिनट — योग आसन:
सूर्य नमस्कार (3–5 चक्र)

भुजंगासन (Cobra Pose)
पवनमुक्तासन (Gas-relief pose)
धनुरासन (Bow pose)
अर्धमत्स्येन्द्रासन (Spinal twist)
शवासन (Relaxation pose)

🔸 श्वसन / प्राणायाम (5–10 मिनट)
अनुलोम–विलोम – 5 मिनट
कपालभाति – 2 मिनट
भ्रामरी – 1 मिनट

🔸 सप्ताह में 5 दिन नियमित करें।

⚖️ जीवनशैली के अतिरिक्त सुझाव
तनाव कम रखें — ध्यान, संगीत, या टहलना अपनाएँ।
नींद पूरी करें (7–8 घंटे)।
धूम्रपान और शराब से दूर रहें।
हर 3–6 महीने में शुगर और HbA1c जांच करवाएँ।
आपके लिए बिल्कुल व्यक्तिगत (customized) प्री-डायबिटीज़ डाइट और योग–व्यायाम प्लान बनाने के लिए मुझे या डाइटीशियन कुछ छोटी जानकारी चाहिए — ताकि यह पूरी तरह आपकी जरूरतों के अनुरूप हो 👇
कृपया बताएं:

1. 🧍‍♂️ आपकी उम्र:

2. ⚖️ वजन (किलो में):

3. 📏 ऊँचाई (से.मी. या फीट में):

4. 💼 पेशा / दैनिक गतिविधि स्तर:
(जैसे – ऑफिस जॉब, शिक्षक, डॉक्टर, गृहिणी, रिटायर्ड, आदि)

5. 🍱 आपका सामान्य भोजन प्रकार:
(शुद्ध शाकाहारी / अंडा-शाकाहारी / मांसाहारी)

6. 🕒 आपका भोजन समय लगभग क्या रहता है?

7. 💊 क्या कोई दवा या अन्य बीमारी है? (जैसे बीपी, थायरॉयड, फैटी लिवर आदि)

इन सात सवालों के जवाब मिलते ही मैं आपका डेली डाइट चार्ट + एक्सरसाइज़ और योग शेड्यूल तैयार कर दूँगा। इसके लिए मेरे क्लिनिक में आ सकते हैं।

🦁🩺लायन डॉ राणा संजय प्रताप सिंह उर्फ डाॅ राणा एस पी सिंह वरिष्ठ फिजिशियन और डायबिटीज़ विशेषज्ञ पटना बिहार
🦺डिस्ट्रिक्ट चेयरपर्सन👉 फर्स्ट एड एजुकेशन एंड इमरजेंसी रिलिफ 🪔लायन्स क्लब इंटरनेशनल डिस्ट्रिक्ट 322E
#स्वास्थ्य #बिहार #भारतीय #विश्व

17/10/2025

🧐Is Obesity a Disease or a Behavioral Abnormality? Did the AMA Get It Right?
👉Obesity has long stood at the crossroads of medicine, behavior, and society. In 2013, the American Medical Association (AMA) officially recognized obesity as a disease, sparking debate among clinicians, policymakers, and the public. This declaration aimed to reshape perceptions—shifting from moral judgment to medical understanding—but also raised complex questions: Is obesity truly a disease, or a behavioral abnormality with physiological consequences?

👌Medically, obesity is characterized by excessive accumulation of body fat that impairs health.

Diagnostic Criteria:

BMI ≥ 30 kg/m² (World Health Organization standard).

More advanced assessments include waist circumference, body fat percentage, and metabolic parameters (insulin resistance, lipid profile, inflammatory markers).

👉Pathophysiology:
Obesity results from a chronic energy imbalance—calories consumed exceed calories expended—interacting with genetic, neuroendocrine, metabolic, behavioral, and environmental factors.

The AMA’s Position (2013)classified obesity as a disease state that:
Impairs normal body function,
Increases morbidity and mortality, and
Warrants medical intervention and insurance coverage.
👍This recognition sought to reduce stigma, encourage medical research, and improve access to treatment (including pharmacotherapy, bariatric surgery, and nutritional counseling).

Renowned Dr Rana Sanjay Pratap Singh alias Dr Rana SP Singh senior physician Patna Bihar India Said -The Medical Perspective: Why Obesity Qualifies as a Disease

1. Physiological Dysregulation:
Obesity involves alterations in hormonal signals (leptin, ghrelin, insulin) and neurobiological pathways that regulate appetite and energy expenditure.
The body often “defends” a higher weight set point, making sustained weight loss biologically difficult.

2. Genetic and Epigenetic Influences:
More than 100 genes influence body weight regulation. Epigenetic changes from early life exposures (maternal obesity, nutrition, stress) further predispose individuals.

3. Associated Comorbidities:
Obesity directly contributes to type 2 diabetes, hypertension, dyslipidemia, coronary heart disease, sleep apnea, osteoarthritis, and certain cancers—fulfilling the definition of a chronic disease with systemic impact.

4. Response to Treatment:
Like other chronic diseases, obesity requires long-term management, not short-term willpower. Relapse after weight loss parallels remission-relapse patterns seen in hypertension or depression.

👌The Behavioral Argument: Why It May Be a Disorder of Choice or Lifestyle

Critics argue that obesity differs from diseases like cancer or infection because:

It often stems from modifiable behaviors—overeating, sedentary lifestyle, poor diet quality.

Environmental and cultural influences (food availability, marketing, socioeconomic status) play a dominant role.

Labeling obesity as a disease may diminish personal responsibility and over-medicalize lifestyle issues.

However, emerging neuroscience blurs this distinction: reward system dysregulation, stress eating, and food addiction-like behaviors share features with other recognized disorders of impulse and control.

👉Bridging the Divide: A Dual-Model Understanding

Modern medicine increasingly views obesity as a biopsychosocial disease—a condition where biological predisposition, psychological factors, and social environment interact dynamically.

Biological core: Genetic susceptibility, endocrine imbalance, metabolic adaptations.

Behavioral layer: Eating patterns, physical inactivity, sleep hygiene.

Social context: Urbanization, income, education, food deserts, cultural norms.

Thus, obesity is both a disease and a behavioral abnormality—not one or the other.

🧐Did the AMA Get It Right?
👉From a public health and clinical perspective, yes—the AMA’s stance was forward-thinking. It:

Encouraged comprehensive treatment approaches rather than moral blame.
Expanded insurance coverage for multidisciplinary care.
Boosted research funding into metabolic and behavioral obesity science.

Yet, the challenge remains to balance medicalization with empowerment—treating obesity as a disease without removing accountability or oversimplifying complexity.

👌Conclusion

Obesity cannot be confined to a single category—it is a chronic, relapsing, multifactorial disease with behavioral underpinnings. Recognizing it as a disease legitimizes treatment and reduces stigma, while understanding its behavioral roots ensures prevention and personal engagement remain central.

In essence, the AMA got it right—but the conversation must continue to evolve, blending medical science, behavioral psychology, and social reform to address one of the most pressing global health challenges of our time.

🧐Is it possible to cure obesity?
👉Obesity cannot be "cured" in the sense of a one-time fix, as it is a complex chronic disease that requires lifelong management, but it can be effectively treated and managed through a combination of strategies. Treatment typically involves a multifaceted approach including lifestyle changes like a healthy diet and regular exercise, and potentially weight-loss medication or surgery, especially for more severe cases. The goal is to reduce associated health risks and improve quality of life, often through a combination of these methods.
👌Lifestyle changes
🥗Diet: Reducing calorie intake and adopting healthier eating habits is a cornerstone of treatment. This can involve
Creating a calorie deficit, often by reducing daily intake by around 600 calories.
Choosing nutrient-dense foods like fruits, vegetables, and whole grains.
Limiting processed foods, fast food, sugary drinks, and excessive fat and salt.
🏃Exercise: Regular physical activity is crucial for weight loss and maintenance.
Start with moderate-intensity exercises and gradually increase the intensity as you are able.
Medical interventions
💊🦯Medication: When lifestyle changes aren't enough, a doctor may prescribe weight-loss medications. These are often used in conjunction with lifestyle changes to help manage weight long-term.
🦯 , known by its generic name tirzepatide, is FDA-approved for treating type 2 diabetes but not specifically for obesity. However, it is the same active ingredient as Zepbound, which is FDA-approved for chronic weight management. Tirzepatide is often used off-label for obesity with positive weight loss results.
🧐How works for weight loss
👉The active ingredient, tirzepatide, is a dual agonist that mimics two natural gut hormones, GIP (glucose-dependent insulinotropic polypeptide) and GLP-1 (glucagon-like peptide-1). The dual action of tirzepatide helps manage weight in several ways:
It regulates appetite and leads to reduced food intake.
It slows gastric emptying, which makes you feel full for longer periods after eating.
It helps balance blood sugar and insulin levels, which is particularly beneficial for those with prediabetes or type 2 diabetes.
🧐Will I experience a certain amount of weight loss each week with Mounjaro? How quickly will I lose weight on Mounjaro?
👉There isn’t a specific amount of weight loss that’s expected each week with Mounjaro. Weight loss occurs with this drug, and how quickly weight loss occurs can differ for each person who uses it.
To learn more about what to expect when using for weight loss, talk with your doctor. They can advise you on how soon you may see results with Mounjaro.
🧐What is the usual dosage for Mounjaro?
👉To start, your doctor will typically prescribe a low dosage of . For example, a likely starting dosage is 2.5 milligrams (mg) injected once weekly for 4 weeks. Then, your doctor will likely increase your Mounjaro dose by 2.5 mg every 4 weeks until they reach a dose that helps with weight loss.

Your exact dosage will depend on how well the drug works to help you lose weight. If you have questions about your Mounjaro dosage, talk with your doctor.
🧐Who is Mounjaro prescribed for?
👉Your doctor will decide whether it’s safe for you to use Mounjaro for weight loss. A doctor may prescribe Mounjaro off-label for weight loss in adults with either:

a body mass index (BMI) of 30 or higher (obesity), or
a BMI of 27 or higher (which is considered overweight) and at least one health condition related to weight, such as high blood pressure, high cholesterol, or obstructive sleep apnea
This is because tirzepatide (the active drug in Mounjaro) was shown to help with weight loss in adults meeting either of these qualifications in studies.

Mounjaro is prescribed along with exercise and a balanced diet, which can help with weight management.

🔪Surgery: Bariatric surgery can be an option for those with a BMI of 35 or higher, or a lower BMI if obesity-related health problems exist. This involves procedures that alter the digestive system to help you lose weight.
👍Long-term management
Behavioral changes: Adapting lifelong healthy habits is essential for long-term success.
Professional guidance: Working with a healthcare professional is vital to develop a personalized plan. This may include dietary or nutritional counseling, behavioral programs, and managing potential complications.
Continuous effort: Even after weight loss, managing obesity requires ongoing commitment, as hormones can increase appetite and a relapse is possible.

🦁🩺Lion DR RANA SANJAY PRATAP SINGH alias Dr Rana SP Singh senior physician and diabetologist Patna Bihar 🇮🇳 India 🪷🙏
🦺DC 👉FIRST AID EDUCATION AND EMERGENCY RELIEF⚡ LIONS CLUB INTERNATIONAL DISTRICT 322E

12/10/2025

12th October Sunday 2025. Venue: Hotel Chanakya, Patna Bihar

🤔Recent advertisement in gestational diabetes mellitus management?
👉 is a condition which is seen in 7% of pregnancies and have potential risks for both mother and fetus. Despite its importance, there is not any golden standard approaches to the diagnosis and management of the disease. The aim of this review was to investigate the advances in the diagnosis and management of gestational diabetes in recent years.
🤔Diagnosis
👉If you're at average risk of gestational diabetes, you'll likely have a screening test for gestational diabetes during the second trimester. That test often happens between 24 and 28 weeks of pregnancy.

If you're at high risk of diabetes, you may have the screening test earlier in pregnancy. Some pregnant people at high risk for gestational diabetes have the test during their first prenatal visit.

Factors that could put you at high risk of gestational diabetes include being overweight or obese before pregnancy; having a parent or sibling with diabetes; or having had gestational diabetes during an earlier pregnancy.

🔬🌡️🧪Tests for gestational diabetes
Screening tests for gestational diabetes most often include:

Initial glucose challenge test. You drink a syrupy glucose solution. One hour later, you have a blood test to measure your blood sugar level. A blood sugar level of 190 milligrams per deciliter (mg/dL), or 10.6 millimoles per liter (mmol/L), means you have gestational diabetes.

A blood sugar level below 140 mg/dL (7.8 mmol/L) usually is thought to be within the standard range on a glucose challenge test. But this may vary by clinic or lab.

If your blood sugar level is higher than expected, you'll need another glucose tolerance test to find out if you have gestational diabetes.

Follow-up glucose tolerance testing. This test is like the first test. But the sweet drink has even more sugar. Your blood sugar is checked every hour for three hours. If two of the blood sugar readings are higher than expected, that means you have gestational diabetes.
More Information
Glucose challenge test
Glucose tolerance test
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💊🦯Treatment
Treatment for gestational diabetes includes:

Lifestyle changes.
Blood sugar monitoring.
Medicine, if needed.
Keeping your blood sugar level in a good range helps keep you and your baby healthy. It also may help you avoid some problems during pregnancy and delivery.

Lifestyle changes
Your lifestyle is an important part of keeping your blood sugar in a healthy range. Because your body is working hard to support your growing baby, it's not a good idea to lose weight during pregnancy. But your healthcare professional can help you set weight gain goals based on your weight before pregnancy.

Healthy lifestyle choices include:

Healthy diet. A healthy diet focuses on foods that are high in nutrition and fiber and low in fat and calories. It includes fruits, vegetables, whole grains and lean protein. A healthy diet limits refined carbohydrates. These include white bread, white rice and sweets.

A registered dietitian or a certified diabetes care and education specialist can help you with meal planning. Those plans usually are based on a pregnant person's weight, pregnancy weight gain goals and blood sugar level. The amount of exercise you get, foods you like to eat and your budget also should be part of the planning.

Staying active. Regular physical activity plays a key role in every wellness plan before, during and after pregnancy. Exercise lowers your blood sugar. And regular exercise can help ease some common discomforts of pregnancy. These might include back pain, muscle cramps, swelling, constipation and sleep problems.

With your healthcare professional's OK, try to do 30 minutes of moderate exercise most days of the week. If you haven't been active before, start slowly and build up little by little. Walking, cycling and swimming are good choices during pregnancy. Everyday activities such as housework and gardening also count.

Blood sugar monitoring
While you're pregnant, your healthcare team may ask you to check your blood sugar level four or more times a day. Most people need to do that first thing in the morning and after meals. This is to make sure your blood sugar stays within a healthy range.

💊🦯Medicines
If diet and exercise aren't enough to keep your blood sugar in a healthy range, you may need insulin shots to lower your blood sugar. A small number of people with gestational diabetes need insulin to reach their blood sugar goals.

Some healthcare professionals prescribe medicine taken by mouth to manage blood sugar levels. Others believe that more research is needed to make sure those types of medicines are as safe and work as well as insulin shots for gestational diabetes.

Watching your baby closely
Throughout your pregnancy, your healthcare professional may check your baby with ultrasounds or other tests. If you don't go into labor by your due date, your healthcare professional may start labor. This is called inducing labor. Delivering after your due date could raise the risk of health problems for you and your baby. In some situations, the healthcare team may suggest inducing labor before a pregnancy due date.

👌Follow-up after delivery
Your healthcare professional checks your blood sugar after delivery and again in 6 to 12 weeks. This is to make sure that your blood sugar has returned to the standard range. If your blood sugar level is back in that range, you'll need to have your diabetes risk checked at least every three years.

If tests show that you have prediabetes, talk with your healthcare professional about steps you can take to help prevent it from turning into type 2 diabetes. If test results show you have type 2 diabetes, work with your healthcare team to make a plan to control it.

🫵Request an appointment
More Information
Labor induction
Clinical trials
Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.

Coping and support
It can be stressful to know you have a condition that may affect your baby. The steps that help control blood sugar, such as healthy eating and exercising, may help relieve stress too. They also can nourish your baby and help prevent type 2 diabetes in the future.

It also may ease your stress to learn more about gestational diabetes. Talk to your healthcare team or read books and articles about this condition. You may find a support group for people with gestational diabetes helpful. Ask your healthcare team for guidance.

🧐Preparing for your appointment
You'll likely find out you have gestational diabetes from routine screening test during your pregnancy. Your healthcare professional may refer you to other health professionals who specialize in diabetes. These might include an endocrinologist, a certified diabetes care and education specialist, and a registered dietitian.

You may want to ask a family member or friend to go to your appointment with you to help remember all the information you get.

Here's some information to help you get ready for your appointment.

What you can do
When you make the appointment, ask if you need to fast before lab tests or if you need to do anything else to prepare. Make a list of:

Any symptoms you have. Include those that might not seem linked to gestational diabetes.
Key personal information, including major stresses or recent life changes other than being pregnant.
All medicines, vitamins or supplements you take, including the doses and how often you take them.

👍Questions to ask your healthcare professional.
🙏Some basic questions to ask include:

🤔What can I do to help control my condition?
👉Can you suggest a registered dietitian or certified diabetes care and education specialist who can help me plan meals, create an exercise program and learn ways to cope?
Will I need medicine to control my blood sugar?
For what symptoms should I seek medical attention?
Are there brochures or other printed materials I can take? What websites do you recommend?
What to expect from your doctor
Your healthcare professional might have questions for you, including:

Have you been more thirsty than usual or urinated more than usual? If so, when did these symptoms start? How often do you have them?
Do you have a parent or sibling who has diabetes?
Have you been pregnant before? Did you have gestational diabetes during your earlier pregnancies?
Did you have other problems in earlier pregnancies?
If you have other children, how much did each weigh at birth?

🦁🩺Lion DR RANA SANJAY PRATAP SINGH( Dr Rana SP Singh senior physician and diabetologist Patna Bihar 🇮🇳 India 🪷 )
🦺DC👉 FIRST AID EDUCATION AND EMERGENCY RELIEF⚡ LIONS CLUB INTERNATIONAL DISTRICT 322E
🦺 DIABETES CHAIRPERSON 👉 LIONS CLUB OF PATLIPUTRA ASTHA

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