Brief Answer: Need further investigations Detailed Answer: Dear friend, Welcome to Health Care Magic You need more investigations... Discuss with the doctor treating you now and plan further ________________________________________________________ - Gastroenterologist for gastric problems / Upper GI endoscopy is necessary - Rheumatologist for joint pains – Spondylitis and rheumatoid arthritis need evaluation - Cardiologist / TMT – Treadmill exercise ECG (may be with thallium isotope) – is necessary to evaluate ischemia (reduced blood flow -Coronary Artery Disease) / at times Holter is done to evaluate arrhythmia... ______________________________________________________________ Keep your weight to normal / even a little less Quit smoking, if you are a smoker Stop alcohol and meat! Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week. Isometric exercise (like bull worker) is bad. Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / Indian sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil. _____________________________________________________________ Do regular EXERCISE – say fast walking or jogging - 30 minutes a day / at least 5 days in a week. Isometric exercise (like bull worker) is not good. A treadmill is helpful ____________________________________________________________ The treating doctor can coordinate and suggest further based on his assessment of the situation. Good luck Take care Wishing all well God bless

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