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Published on: Jul 14, 2021
1 minute read
By: Raj Dwivedi

Telemedicine, COVID-19 And Liver Diseases

For liver diseases, there have been successful experiences with the use of different modalities of telemedicine [i.e. asynchronous telemedicine (analysis of patient's data by a single physician or multidisciplinary team), synchronous real-time patient management and tele-education]
Our Telemedicine program showed successful results as the sustained virologic responses achieved by those patients treated in primary care settings under the expert guidance.
Currently, this type of care is considered a vital tool for the goal of global elimination of HCV infection.In addition to HCV management, telemedicine offers opportunities for a better management of patients with chronic liver diseases by increasing their access to tertiary care, thus improving efficiency of healthcare delivery at reasonable cost .
We forsee expansion of telemedicine into other areas of hepatology is desirable and hold potential for improving management of pre- and post-liver transplant patients, patients with hepatocellular carcinoma (HCC) and patients with both compensated and decompensated cirrhosis.
It is important to note that in liver transplant setting existing data suggest that use of telemedicine may expedite evaluation and listing of patients referred to liver transplant centers and could improve outcomes (hospital readmissions, and quality of life) after liver transplantation.
In the case of HCC, telemedicine aslo offers the possibility of multidisciplinary evaluation in virtual tumor boards leading to tailored and more effective treatments . Finally, in cirrhosis, telemedicine may enhance self-care and facilitate HCC surveillance eventually preventing readmissions in recently hospitalized patients.
With the onset of COVID-19 pandemic everyone has forced the implementation of telemedicine actions for many liver patients.
Major international societies have released recommendations encouraging the use of remote care to manage patients with all liver diseases, particularly liver transplant patients.
However, the crisis will seriously impact cirrhosis care with social distancing and isolation causing major delays in elective procedures and routine care with potential overwhelm of medical centers managing postponed and potentially decompensated patients in the upcoming months.
Developing robust telemedicine programs and revamping remote care initiatives in hepatology will be critical during COVID times. The next challenge will be how to integrate telemedicine into routine clinical care beyond the COVID-19 pandemic.

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Dairy-Free Options for All: A Comprehensive SecondMedic Guide for India

Dairy consumption has long been a part of Indian dietary culture, but rising awareness of digestive health, metabolic concerns, acne, inflammation and lactose intolerance has encouraged many individuals to explore dairy-free alternatives. India is experiencing a significant shift toward plant-based nutrition as people prioritise preventive health, gut comfort and personalised dietary choices.

SecondMedic’s nutrition experts emphasise evidence-based, dairy-free patterns that support digestion, hormonal balance, metabolic stability and overall wellbeing. This guide explores the best dairy-free options in India, their health benefits and how they integrate into daily preventive care.

Why Dairy-Free Eating Is Growing in India

1. Rising Lactose Intolerance

According to ICMR Digestive Health Trends, a high percentage of Indian adults experience lactose intolerance due to decreased lactase enzyme activity.

Common symptoms include:

Bloating
Gas
Acidity
Diarrhoea
Skin flare-ups

Dairy-free alternatives eliminate these discomforts.

2. Skin & Hormonal Concerns

Dairy may influence acne, PCOS symptoms and inflammation in certain individuals.

3. Improved Digestibility

Many plant-based options are easier on the gut and reduce inflammation.

4. Increasing Nutrition Awareness

NFHS-5 highlights micronutrient deficiencies-including Vitamin D and B12-leading people to choose fortified dairy-free alternatives.

Popular Dairy-Free Options in India

1. Almond Milk

Rich in Vitamin E and naturally low in calories.
Ideal for smoothies, coffee and cereal.

2. Soy Milk

High in protein and often fortified with calcium.
Great for cooking and baking.

3. Oat Milk

Creamy texture, high in soluble fibre.
Excellent for lattes and desserts.

4. Coconut Milk

Rich flavour, suitable for Indian curries and smoothies.

5. Nut-Based Yoghurt

Cashew and almond curds have become widely available.
Probiotic varieties support gut health.

6. Tofu & Plant-Based Paneer

Excellent protein source for vegetarians.

7. Lactose-Free Dairy

For those who prefer traditional taste without digestive discomfort.

Nutritional Benefits of Dairy-Free Options

1. Reduced Inflammation

Studies in Lancet Public Health show improved gut comfort among individuals switching to dairy-free diets.

2. Hormonal Balance

Plant-based alternatives help regulate insulin, estrogen and androgen patterns-especially valuable for PCOS and thyroid care.

3. Weight Management

Lower calorie load and better digestibility support metabolic health.

4. Allergy-Friendly Choice

A safe option for individuals sensitive to casein or whey proteins.

How to Build a Balanced Dairy-Free Diet

Ensure calcium intake:

Choose fortified plant milks.

Include plant proteins:

Tofu, dals, nuts and seeds.

Add healthy fats:

Ground flaxseed, chia and almonds.

Combine traditional and modern options:

Oat milk chai, tofu tikka, nut curd raita.

SecondMedic’s AI nutrition scoring helps evaluate vitamin density and carbohydrate load for optimal choices.

Dairy-Free Meal Examples

Breakfast

• Oats cooked with almond milk
• Fruit + chia seeds + nuts

Lunch

• Millet khichdi with tofu
• Vegetable salad with tahini dressing

Snack

• Coconut yoghurt with berries

Dinner

• Stir-fry vegetables with tofu
• Whole-grain roti + plant-based curd

Conclusion

Dairy-free options provide flexible, nutritious and preventive pathways for individuals across India. Whether motivated by digestive comfort, metabolic health, ethical choices or personal preference, dairy-free alternatives support long-term wellness. SecondMedic helps individuals evaluate and incorporate dairy-free nutrition through expert consultations, AI-based analysis and personalised dietary planning.

References

• ICMR Digestive Health & Lactose Intolerance Study
• National Family Health Survey (NFHS-5) - Nutrition & Dietary Patterns
• NITI Aayog - Plant-Based Nutrition & Preventive Wellness Framework
• WHO Guidelines on Healthy Dietary Alternatives
• Lancet Public Health - Dairy-Free Diets & Inflammation Research
• Statista India Plant-Based Food Market Analysis
• EY-FICCI Food Innovation & Health Trends Report

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