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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Aortic Valve Replacement. Taken Metformin. On Mediterranean Diet. Help

Okay, thank! Husband and I moved from D.C. area to OCean View, DE. We need a reputable cardiologist for my husband. He had aortic valve replacement at age 60 and I want him to find a very competent doctor in the Sussex County DE area. Also, we are looking for a internist who can help with me maintain a good A1c and takes metformin and eating a good Mediterranean diet. Thank you Dr. Samuel
Thu, 3 Oct 2013
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Internal Medicine Specialist 's  Response
Dear Dr. Sameul,

I am Dr. (Col) R Karanwal, M.D. (Internal Medicine), Consultant Physician, for your assistance.

Thanks for reposing your faith in me and post your query on this website. I fully appreciate your concerns.

Firstly, good control of HbA1c (
Metformin is a good and effective drug. But I can't help you till the above-mentioned information is provided.

Please feel free to revert back to me in case of further clarifications, if any.

I am sure that you will benefit from the advice.

May I assure you that I am always available for your assistance. My endeavor would always be to give you a sound medical advice, to the best of my knowledge and vast experience.

HAVE A NICE DAY AND A SPEEDY RECOVERY.

Fond Regards,

Dr.(Col) R Karanwal
MBBS; M.D. (Internal Medicine)
Consultant Physician


(PLEASE NOTE :- My opinion/advice is based SOLELY on the details provided by you.)
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Aortic Valve Replacement. Taken Metformin. On Mediterranean Diet. Help

Dear Dr. Sameul, I am Dr. (Col) R Karanwal, M.D. (Internal Medicine), Consultant Physician, for your assistance. Thanks for reposing your faith in me and post your query on this website. I fully appreciate your concerns. Firstly, good control of HbA1c ( Metformin is a good and effective drug. But I can t help you till the above-mentioned information is provided. Please feel free to revert back to me in case of further clarifications, if any. I am sure that you will benefit from the advice. May I assure you that I am always available for your assistance. My endeavor would always be to give you a sound medical advice, to the best of my knowledge and vast experience. HAVE A NICE DAY AND A SPEEDY RECOVERY. Fond Regards, Dr.(Col) R Karanwal MBBS; M.D. (Internal Medicine) Consultant Physician (PLEASE NOTE :- My opinion/advice is based SOLELY on the details provided by you.)