Recipes from the practice
Explore signature recipes shared by Dr Tarang, plus more everyday vegetarian ideas.
Browse recipesThe rest of the site is organised by what you arrive holding — a symptom, a diagnosis, a report, a seat in a session. This page is organised by subject instead. Pick the area your question sits in and you will find all four together: what people notice first, what it gets called, which tests are used to look at it, and the session that walks through the whole thing.
Each page appears once, under the area it belongs to.

Acidity, reflux, bloating and bowel habit.
What you notice, and what it can point to.
A burning that climbs up after dinner, a sour taste at night, an antacid kept in every bag. Here is what daily acidity usually turns out to be, the small set of features that mean it needs looking at sooner, and what is worth doing before you change anything.
Read thisBloating is one of the most common reasons people first walk into a gut clinic — and one of the most commonly dismissed. Here is what it usually turns out to be, and the small number of features that mean it should be looked at sooner.
Read thisLoose stools that keep returning — urgent mornings, an unreliable stomach before travel or meetings, the toilet checked before every outing. Here is what recurring looseness usually turns out to be, and the features that mean it needs assessment rather than another home remedy.
Read thisRecurring abdominal pain is one of the hardest symptoms to describe and one of the easiest to dismiss. Here is how doctors think about where the pain is, what it usually turns out to be, and the features that mean it needs seeing today rather than next month.
Read thisWhat it is, how it is tested, and what changes it.
Most people call it acidity and treat it with a sachet. The real problem is usually a valve opening at the wrong moment — and that changes what works.
Read thisDaily is not the standard — comfortable and complete is. Constipation has real subtypes, and the one most often missed does not respond to more fibre at all.
Read thisA gut that is structurally normal but behaving differently. IBS is a positive diagnosis made on a recognisable pattern — not a label applied when tests come back clear.
Read thisConstant throat clearing, a lump sensation, a tired voice — and no heartburn at all. Silent reflux is missed for years, and also diagnosed where it is absent.
Read thisDoctor-led teaching on the whole picture, with live questions.
Weight, blood sugar and insulin resistance.
What you notice, and what it can point to.
You have changed what you eat, you are walking most days, and the scale has not moved in months. That is a common and genuinely frustrating position — and it usually has a physiological explanation rather than a motivational one.
Read thisHunger that returns an hour after a full meal is not a lack of discipline — it is a signal about how your body is handling glucose, protein, sleep and stress. Here is what that pattern usually points to, and what is worth checking.
Read thisThe pull toward something sweet after dinner, or at four in the afternoon, is one of the most self-blamed symptoms there is. It is usually a predictable response to how the day was built — and occasionally a signal worth testing.
Read thisWhat it is, how it is tested, and what changes it.
Years before a sugar report turns abnormal, the body is already working harder to keep it normal. This page is about that mechanism — how insulin resistance develops, what fasting insulin and HOMA-IR measure, and why South Asian bodies reach it sooner.
Read thisAn HbA1c between 5.7% and 6.4% is not diabetes, and it is not nothing. It is the window in which the outcome is still genuinely open.
Read thisMore people live with type 2 diabetes in India than almost anywhere on earth, and most were handed a number and a prescription rather than an explanation. What the diagnosis means, and where real control comes from.
Read thisBody weight is regulated by biology, not willpower alone. What drives it in Indian bodies and Indian kitchens, what is worth measuring, and what makes a change hold.
Read thisWhat the numbers on the printout actually measure.
The two numbers that show insulin resistance years before glucose moves. What HOMA-IR is calculated from, why the printed reference range is misleadingly wide, and how far to trust a single reading.
Covers: Fasting insulin, Fasting plasma glucose, HOMA-IR, Triglyceride to HDL ratio, HbA1c
Read thisHbA1c estimates your average blood glucose over roughly three months. Here is how to read the number, what shifts it that has nothing to do with sugar, and what a borderline result should prompt.
Covers: HbA1c, Estimated average glucose, Fasting plasma glucose
Read thisTotal cholesterol, LDL, HDL, triglycerides and non-HDL. Why the target depends on your risk rather than on the printed range, and why South Asians are assessed differently.
Covers: Total cholesterol, LDL cholesterol, HDL cholesterol, Triglycerides, Non-HDL cholesterol
Read thisDoctor-led teaching on the whole picture, with live questions.
A doctor-led session on why weight is harder to keep off than to lose, what the physiology is actually doing, and how to build an approach that survives contact with an ordinary Indian week.
Read thisA session for anyone who has a folder of blood tests they cannot read. We go through the panels that matter, line by line, so your own reports stop being a mystery.
Read thisFatty liver and abnormal liver tests.
What it is, how it is tested, and what changes it.
An SGPT of 68 on a routine report is one of the commonest reasons people go looking for answers at midnight. What these enzymes measure, what raises them in India, and how a raised value is worked out.
Read thisFat stored inside liver cells is one of the most common findings on an Indian ultrasound report — and one of the most reversible. Here is what it means, what it does not mean, and what actually changes it.
Read thisWhat the numbers on the printout actually measure.
SGPT, SGOT, bilirubin, albumin, ALP. What each line on an LFT is actually measuring, and why a single raised enzyme is a reason to look again rather than to panic.
Covers: SGPT (ALT), SGOT (AST), Total bilirubin, Serum albumin, Alkaline phosphatase (ALP)
Read thisGrade 1, 2 and 3 fatty liver, and the other measurements printed alongside them. What the grade describes, what it cannot tell you, and why the scarring question matters far more than the number.
Covers: Liver span (right lobe, craniocaudal), Portal vein diameter, Spleen length, Common bile duct diameter, Gallbladder wall thickness
Read thisDoctor-led teaching on the whole picture, with live questions.
Thyroid, PCOS and menopause.
What you notice, and what it can point to.
Cycles that arrive late, early, or not at all are dismissed as normal far too often. A cycle is a monthly report on several hormone systems at once — here is what an irregular one usually reflects, and what is worth checking.
Read thisLying awake at one in the morning, or waking at four and giving up by five, is exhausting in a way that is hard to convey. Here is what disrupted sleep usually reflects, what makes it worth investigating, and what genuinely helps.
Read thisThe eating is the same, the routine is the same, and the clothes have stopped fitting anyway. Weight that arrives without a change in habits is a clinical finding rather than a lapse — and it has a short, checkable list of explanations.
Read thisWhat it is, how it is tested, and what changes it.
The years around the last period change more than the calendar. What is actually happening, which symptoms go unreported in Indian consultations, and what the evidence says about treating them.
Read thisPCOS is a metabolic and endocrine condition, not a verdict on how hard you have tried. What the diagnosis means, what the scan does and does not show, and what genuinely changes it.
Read thisAround one in ten Indian adults has a thyroid disorder, and a good number of those reports are misread. What the gland does, what the numbers mean, and when a raised TSH warrants treatment rather than a repeat.
Read thisWhat the numbers on the printout actually measure.
Doctor-led teaching on the whole picture, with live questions.
A doctor-led session on perimenopause and menopause — what is actually happening, why the symptoms are so much broader than hot flushes, and what the evidence supports for the years that follow.
Read thisA doctor-led session on polycystic ovary syndrome as a metabolic condition rather than only a gynaecological one — what is driving it, what the tests describe, and what genuinely changes the picture.
Read thisA doctor-led session on the small gland that gets blamed for a great deal. What TSH, T3 and T4 actually describe, what a borderline result means, and how to tell thyroid symptoms from everything else.
Read thisIron, vitamin B12 and vitamin D.
What you notice, and what it can point to.
Losing the word you wanted, rereading the same line four times, walking into a room and forgetting why. Brain fog is not a diagnosis, but it is a real and describable experience — and it has a short list of checkable explanations.
Read thisTiredness that sleep does not fix is one of the most common reasons people come in, and one of the most often waved away. Here is the short list of things that explain most of it, the signs that need attention sooner, and the tests worth doing first.
Read thisHair on the pillow, in the comb, in the drain — hair fall is frequently treated as a cosmetic problem when it is often a nutritional or hormonal one. Here is what heavy shedding usually reflects, and what is worth testing before spending on treatments.
Read thisWhat it is, how it is tested, and what changes it.
Iron stores fall long before haemoglobin does, which is why tiredness can arrive months before a report calls you anaemic. Finding the reason behind it matters as much as correcting the number.
Read thisOne of India's most common nutritional deficiencies, and one of the few where nerve damage can begin before the blood count changes at all. How B12 is absorbed explains almost everything about who becomes deficient.
Read thisIndia has abundant sunshine and widespread vitamin D deficiency at the same time. Understanding why explains what genuinely needs treating — bone pain, muscle weakness, osteomalacia — and which claims made for this vitamin the evidence does not support.
Read thisWhat the numbers on the printout actually measure.
Ferritin measures your iron stores — and falls long before haemoglobin does. Why low ferritin with a normal haemoglobin is a real finding, why inflammation can hide it, and what a raised ferritin does and does not indicate.
Covers: Ferritin, Haemoglobin, Transferrin saturation, Serum iron, Total iron binding capacity (TIBC)
Read thisSerum B12, and the grey zone between deficient and normal. Why deficiency is so common in India, what homocysteine and MMA add, and why a borderline value is a question rather than an answer.
Covers: Vitamin B12 (serum), Homocysteine, Methylmalonic acid (MMA), Serum folate, Mean corpuscular volume (MCV)
Read this25-hydroxy vitamin D, the number almost everyone in India gets flagged on. What the thresholds mean, why deficiency is so widespread in a sunny country, and what the result is actually read alongside.
Covers: 25-hydroxy vitamin D, Serum calcium (total), Serum phosphate, Alkaline phosphatase (ALP), Parathyroid hormone (PTH, intact)
Read thisEach collection also has its own index, listed the way that collection is normally read. And if you are not sure where your question belongs, the guided route asks a few questions and points you at a starting page.
In your kitchen
Explore signature recipes shared by Dr Tarang, plus more everyday vegetarian ideas.
Browse recipesFive illustrative menus for fatty liver, reflux, PCOS, thyroid care and weight management.
Explore sample meal plans