Kamala Lakshmi

Haage sumne!

When Forgetfulness is Not Just Stress As a neurologist, I often see young adults who come to me worried about memory lapses or irritability. Many times, these are brushed aside as stress-related, especially in today’s fast-paced world. But sometimes, the story is different. One such patient was a 33-year-old IT professional who came with a 3–4 year history of forgetfulness and irritability. He had no major medical problems, but these subtle changes were affecting both his work and family life. His relatives felt he was simply “stressed out.” On further questioning, I learned that he was a strict vegetarian. That detail raised my suspicion. I ordered a set of tests, including an active Vitamin B12 (holotranscobalamin) level. The result was striking- just 10 pmol/L (normal >70). This was severe Vitamin B12 deficiency. Why it mattered Vitamin B12 is crucial for brain and nerve function. Deficiency can present with neuropsychiatric symptoms-forgetfulness, irritability, mood changes, depression, or poor concentration, sometimes even without anemia or obvious nerve damage. In his case, years of vegetarian diet without supplementation had led to a silent depletion of this essential nutrient. Management and Outcome He was started on intramuscular Vitamin B12 injections, followed by a maintenance regimen. Alongside, I advised him to include dairy products and fortified foods in his diet. Over the next few weeks, there was a noticeable improvement in his mood. Over months, his memory and concentration improved significantly, and his family remarked that “he was back to his usual self.” What can we Learn from this? This case is a reminder that Vitamin B12 deficiency is extremely common in India, especially among vegetarians, and often goes unrecognized. Because its symptoms overlap with “stress” or psychiatric issues, many patients are misdiagnosed or remain untreated for years. The good news: a simple blood test and timely treatment can completely reverse the condition if caught early. ✅Take-Home Messages For the General Public 1. Persistent forgetfulness, irritability, or fatiguemay not just be stress. Seek medical advice. 2. Vegetarians and vegans are at higher risk of B12 deficiency. Fortified foods or supplements are often necessary. 3. Early treatment prevents irreversible brain and nerve damage. For Junior Doctors 1. Always consider Vitamin B12 deficiency in patients with neuropsychiatric symptoms, even if CBC is normal. 2. Remember: Absence of anemia does not rule out deficiency. 3. Active B12 (HoloTC), serum B12, or homocysteine/MMA can help confirm diagnosis. 4. Prompt supplementation (parenteral in severe cases) is safe, inexpensive, and often life-changing. Dr Sudhir Kumar MD DM 06-10-2025

A simple prescription to live a healthier life in India. - Consume 100 g protein - Eat 30 g fibre daily - Stop watching news channels - Belly fat is a massive red flag - Even 1 drop of alcohol is harmful - Whey protein is safe for you - Green tea is harmful - Creatine is safe for healthy individuals - Hitting the gym is your responsibility - Eating high protein diet is a must - Building muscle >> losing weight - Running on Indian streets is stupid - Never argue with UP/HR thar drivers - Smoking and alcohol will kill you - Government wants you to be fat - Never argue with society uncle on food - Home food is not always healthy - Air quality in India is a joke

#corianderseeds #terracedgarden #gardening

@abandopa Interested to join

I am trying to build a WhatsApp Community for MedTech startups and ecosystem enablers. If you are one of these brave Indians, will you be kind enough to share your WhatsApp contact with me? I will take the responsibility of ensuring that it remains a strictly professional group.

Ayurveda aided lifestyle and behavioural modifications like VegaUdiranaDharana Krama from Charaka Samhita(Regulatory guidelines, practices on urges and habits) are most helpful in this regard.. #lifestyle#diabetes#hypertension#stress#mentalhealth#integrativemedicine#healthcare

Triglyceride-Glucose (TyG) index: An important early marker for several serious diseases How is TyG calculated? The values of triglyceride (Ty) and glucose (G) are obtained in fasting state. TyG Index=log 10(Triglycerides×Glucose/2) Use the calculator below to find out TyG optimaldx.com/calculators/ty… How to interpret the TyG index? The lower the TyG index, the better it is. A normal TyG index is generally considered to be below 8.0; with a higher value indicating increased insulin resistance and potential health risks associated with metabolic syndrome and cardiovascular disease. A TyG index cut-off of 4.5 correlates well with insulin resistance. LIst of conditions/diseases associated with high TyG Index 1. Insulin resistance 2. Type 2 diabetes 3. Gestational diabetes 4. Hypertension 5. Heart failure 6. Atrial fibrillation 7. Coronary artery disease 8. Ischemic stroke 9. Cognitive impairment 10. Dementia 11. Non alcoholic fatty liver disease 12. Chronic kidney disease 13. Contrast-induced nephropathy Take home message Triglyceride Glucose index (TyG index) is a simple biomarker that can predict the future risk of several diseases months to years in advance. Reference: doi.org/10.1186/s12933…

@NIMHANS_BLR @globalpmh @iawmh Please change the date in the poster.. From 2024 to 2025

Reservation for grad, post-grad, jobs & even promotion-how much upliftment is enough? Time to bring changes to Reservation system- 1. #OneFamilyOneReservation 2. #OneTimeReservation- use either for studies or jobs 3. Sunset clause- Reservation should end after specific period

@venom1s Not good to husbands or father's either bro

Indian Gen Z girls are a menace. - No jobs - No skills - Not religious - Have a past - High body count - Dance on Insta reels - Addicted to clout - Not fit to be good wives - Not fit to be moms - Hate family members - Educated but unemployed - Can’t cook or do house chores Marrying them is a waste of time.

Matching genetics Horoscopes are matched before arranged marriages. More useful would be to match medical and mental health histories of individuals and families. You need a genetic counsellor more than you need an astrologer. Of course, you can have both. Every one has a right to his/her illnesses and many of us (including the mental health professionals), have something or the other but the idea is to avoid clustering of certain genes.

Today's lunch!

@IndiaBioscience Can students from ayurveda apply?

We are excited to announce 'Write On—2023', the science writing competition by IndiaBioscience! 🧬🔬✍️ More information👇 bit.ly/WriteOn2023

TDU is hiring! We have an exciting opportunity for an Ayurveda Trainer & Curriculum Developer at our Panchakarma Therapist training unit, previously part of CCHCR&E. facebook.com/photo?fbid=177… TDU-The University of Trans-disciplinary Health Sciences and Technology #AyurvedaTrainer

2023 is half over!

Many thanks sir 🙏 Atleast after a month, some teachers are taking the right step towards understanding and discussing this issue. Dear @ncism_india time to rethink about the MES!

Dear NCISM, Continue MD (Manovigyan Evam Manasa Roga) PG Courses. Save Manasa Roga Specialist from extinction. #ContinueMDmanasaroga @ncism_india @moayush @vaidyakotecha

@moayush #continueMDmanasaroga

With the #OceanRingofYoga, the Indian Navy spreads the message of peace and tranquillity across extended neighbours. Watch the video to experience this special feature of #InternationalDayofYoga2023 #IDY2023 #IDYArctictoAntartica #YogaforVasudhaivaKutumbakam #HarAnganYoga

Dear NCISM, #ContinueMDmanasaroga @ncism_india @moayush @vaidyakotecha