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SPOT Hospital

Multi-speciality Hospital (General Surgeon, Orthopedist & more)

New Number 36, Old Number 16, Dr. Ambedkar Road Landmark : Near Samiyar Madam Bus Stop Chennai
3 Doctors · ₹0 - 500
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SPOT Hospital Multi-speciality Hospital (General Surgeon, Orthopedist & more) New Number 36, Old Number 16, Dr. Ambedkar Road Landmark : Near Samiyar Madam Bus Stop Chennai
3 Doctors · ₹0 - 500
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Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well....more
Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.
More about SPOT Hospital
SPOT Hospital is known for housing experienced Orthopedists. Dr. S Ramesh Babu., a well-reputed Orthopedist, practices in Chennai. Visit this medical health centre for Orthopedists recommended by 86 patients.

Timings

MON-SUN
10:00 AM - 05:00 PM

Location

New Number 36, Old Number 16, Dr. Ambedkar Road Landmark : Near Samiyar Madam Bus Stop
Kodambakkam Chennai, Tamil Nadu - 600024
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Doctors in SPOT Hospital

Dr. S Ramesh Babu.

MBBS, Diploma in Orthopaedics, MS - Orthopaedics
Orthopedist
36 Years experience
Available today
11:30 AM - 02:00 PM

Dr. Ajay Narasimhan

MBBS, MS - General Surgery, MCh - Cardio Thoracic Surgery
General Surgeon
8 Years experience
500 at clinic
Available today
10:00 AM - 05:00 PM

Dr. P Durai

Post Graduate Diploma in Diabetology (PGDD), MBBS
Endocrinologist
34 Years experience
200 at clinic
Unavailable today
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Erectile Dysfunction Due To Diabetes - How Counselling Can Help?

MBBS, Fellowship in Diabetes, PGDM Reproductive and Child Health , CCMH, ACMDC (Diabetes and Cardiovascular Disease )
Diabetologist, Thane
Erectile Dysfunction Due To Diabetes - How Counselling Can Help?

Diabetic men usually are prone to suffering from erectile dysfunction, i.e., they are unable to maintain an erection while having sex. If you are suffering from diabetes for a long time, your nerves and blood vessel might get damaged. That will cause you to suffer from erectile dysfunction. Almost 35% to 75% diabetic men suffer from erectile dysfunction. This situation becomes more serious with age.

Causes

It involves various factors like impairment in the nerves, blood vessels, and also cause problems in proper muscle functioning. You need healthy blood vessels, nerves, as well as healthy male hormones and sexual desire to get an erection. Diabetes damages the nerves and blood vessels responsible for an erection. So even if you have the required amount of hormones and the desire, you might not be able to get a proper erection.

Treatment

If you are suffering from diabetes, and have a condition of erectile dysfunction, then the most common treatment for you is Sildenafil. Other medications, which you can take are tadalafil, avanafil, and vardenafil. But keep in mind that if you have any heart problems, then you should refrain from taking any of these medicines as they will further complicate situations for you. Consult your doctor in this case to know which will be the best treatment for you to cure erectile dysfunction. Other treatment methods are as follows:

1. Intracavernous injection therapy

2. Vacuum erection devices

3. Venous constriction device

4. Intraurethral therapy

5. Penile prostheses

The dosage of these medicines depends upon weight of the patient as well as presence or absence of other co-morbid conditions like hypertension, dyslipidemia, cardiac problems, kidney/liver diseases, etc. Prescription of these medicines also depends on the other medications that the patient is taking as these ED medicines have a lot of adverse drug-interactions. Hence, one must always consult a doctor before starting these medications.

The Role of Counselling for Treating Erectile Dysfunction

Erectile dysfunction can be caused by psychological factors and once a man experiences erectile dysfunction it can have a major impact on their emotional well-being. A man may feel a loss of manhood, a loss of confidence, low self-esteem, angry and depressed and it may also affect his relationship or sexual encounters. Therefore, counselling is a crucial part of treatment in order to address these issues.
Does psychosexual counselling work?

Psychosexual counselling is most effective when a man's sexual partner is willing to be part of the treatment. Studies have shown that for men with stress-related ED, when the partner is involved in the therapy, the problem is resolved 50%-70% of the time. When the man must go through counselling alone, the results are less successful.

Psychosexual counselling is unlikely to work if a man drops out of treatment after just one or two sessions.

Sometimes, several sessions of psychosexual counselling can be helpful if a man is due to receive medical or surgical treatment for ED. A counsellor can help guide a couple towards agreeing on treatment, or help them improve their sexual communication and lovemaking skills. A man may benefit from counselling on his own regarding how to talk to his partner about penile injections or a vacuum constriction device, which are both treatments for ED.

Stretch Marks - 5 Ways To Treat Them!

MBBS, MD - Dermatology, Venereology & Leprosy
Dermatologist, Thanjavur
Stretch Marks - 5 Ways To Treat Them!

Stretch marks cannot be treated easily. Though there are many treatments that can help in the removal of stretch marks, but you got to choose the right one that suits your preference and is affordable as well. These marks need to be thoroughly diagnosed in order to detect the mark type and then only the correct treatment procedure can be chosen without any confusion. Choose the safest treatment option that can help you to get success in a natural manner.

Treatments available for removing stretch marks:

  1. Topical options: These options are the most favourable ones as they gives you guaranteed results. It is advised to only choose verified topical solutions, which are also some of the most prominent ones which include moisturizers, Retin-A, glycolic acid, vitamin-E oil, egg oil and several others. These solutions are to be applied directly over the targeted areas in order to get desirable results. This should be followed for at least 6 months in order to get expected results.
  2. Supplemental options: You can also start taking organic supplements that are highly enriched with vitamin E. These supplements are now available in form of pills that have to be taken at least twice every day. If you use oral supplements together with topical applications, the stretch marks will slowly fade in a short span of time.
  3. Natural options: There are many home remedies that can offer you outstanding results in treating stretch marks. Essential oils are the most highlighting examples that can cater you greater benefits in this regard. Other probable remedies are sugar, potato juice, water, aloe vera, olive oil, lemon juice, castor oil, cocoa butter, alfalfa leaves, egg whites, apricots, lemon and glycerine.
  4. Laser options: These options are now treated as one of the most powerful solutions that can offer speedy results. In fact, the researchers have said that these options are the most reliable and convenient of all, and they can provide immediate effects. Old stretch-marks can be well treated by laser resurfacing while the new ones can be treated by vascular laser.
  5. Surgical options: These options can be chosen for extreme cases. If you fail to implement post-surgical caring tips, these options may have certain side-effects. But you will get highly customized effects as a result of the same. These options are chosen only by few people as they are comparatively expensive.

Laparoscopy - Know Its Truth!

MS - General Surgery, DNB - General Surgery, AFIH
General Surgeon, Navi Mumbai
Laparoscopy - Know Its Truth!

A widely used surgical procedure, laparoscopy involves the insertion of certain surgical instruments, small tubes and video cameras in your abdomen through small incisions and cuts. This procedure is used to diagnose a number of ailments such as ovarian cysts, endometriosis, and pelvic inflammatory diseases to name a few. Even though laparoscopy is a very popular form of surgery, there are quite a few myths associated with it, which are:

1. Myth: The images taken through a laparoscope are of poor quality

This is not true. In fact, the visuals obtained through a laparoscope are clearer and much more accurate when compared to those obtained via an open surgery. The visuals of a video laparoscopy provide a detailed magnification of even those parts of the area that are inaccessible by the human eye.

2. Myth: If you've undergone multiple abdominal surgeries in the past, you can't opt for a laparoscopy

The truth is that you can go for a laparoscopy even if you've gone through multiple surgeries previously, irrespective of the location or size of the previous incisions. This is done through the use of a special instrument, called a microlaparscope that enables safe entry into the abdomen of the patient.

3. Myth: If you have large fibroids and ovarian cysts, you can't have them removed through a laparoscopy

False. Even though the incisions made by a laparoscopy are really small, they still allow the safe removal of large abdominal structures by the use of certain devices. For example, a cylindrical tool known as morcellator can be inserted through a laparoscopic incision and be used to remove large fibroids and ovarian cysts.

4. Myth: If you're overweight or underweight, you can't undergo a laparoscopy

No matter if you're obese or too thin, you can still undergo a laparoscopy as the tools used for this surgical procedure are available in different lengths and sizes, and can be adjusted as per the body type of the patient before the incision is made.

Can IVF Solve All Your Infertility Woes?

MBBS, DGO, MD - Obstetrics & Gynaecology
IVF Specialist, Navi Mumbai
Can IVF Solve All Your Infertility Woes?

Not being able to get pregnant can be an agonizing experience. The fertility of an individual can be affected by a host of physical and mental factors. The effectiveness of a fertility treatment is enhanced by several folds if there is an accurate diagnosis of the underlying cause of infertility. The In Vitro Fertilization (IVF) that first made its presence felt in 1978 (the first child born through IVF was on 25 July 1978) has been a revolution and is still continuing to change lives of millions of couples dealing with infertility issues.

When we talk about IVF, a question that often comes to our mind is whether IVF is the solution to all infertility problems? To answer this question, one needs to have a proper understanding of the IVF procedure. The IVF procedure essentially comprises of following things

  • Stimulation of the ovary and development of the follicles involves a series of tests and ultrasounds to closely monitor the ovulation process, including the quality and quantity of eggs released along with the hormonal balance.
  • In some instances, medications or hormones may be needed to ensure that the ovaries are stimulated enough to ensure proper development of the follicles (sacs filled with fluids where maturation of eggs take place) along with the release of two or more eggs during each cycle.
    • Retrieval of the eggs: This step involves isolation of the eggs or the oocyte from the follicular fluid into a culture media and finally into an incubator.
    • Fertilization: With the retrieval of the eggs, the sperm samples (from the partner or a donor) are also collected to facilitate the fertilization process (the chosen active sperm may be injected into the egg or mixed with it).
    • Transfer of the embryo: From the embryos resulting from fertilization, a doctor selects the healthiest one and transfer it into the uterus of the recipient woman for implantation to take place.
  • Following the implantation of the embryo, many women get pregnant within a few days or weeks. However, a pregnancy test can also result in disappointment for some.The failure of IVF treatment in some patients can be attributed to
    • The embryo not being healthy enough to undergo the implantation
    • Problems or severe damages to the uterine cavity.
    • Abnormalities with the egg or the sperm (can be chromosomal or genetic aberrations).

Can IVF solve all infertility problems?
Having a clearer understanding of the IVF procedure, one can state that IVF does come as a ray of hope, especially for

In unfortunate cases, where IVF fails to produce the desired result, there are other fertility treatments available such as Intrauterine insemination, Gamete or Zygote Intrafallopian Transfer, Intracytoplasmic sperm injections, to put an end to the infertility problems.

Types Of Arthritis And Its Treatment!

MS - Orthopaedics, D.Ortho
Orthopedist, Pune
Types Of Arthritis And Its Treatment!

If you are suffering from arthritis, it is important for you to know about how it affects your knee and other joints. Arthritis is a chronic, systematic inflammatory disease which damages your joints and connective tissues. Your knee is commonly affected by arthritis and there are three primary types of arthritis that occur in the knees. They include osteoarthritis, rheumatoid arthritis and post-traumatic arthritis.

Types of arthritis 
The different types of arthritis affecting the knees occur due to different reasons. Osteoarthritis is a progressive condition, which wears away the joint cartilage over time. Rheumatoid arthritis is an inflammatory condition, which may occur at any age. Post-traumatic arthritis occurs after an injury is inflicted to the knee and may occur several years after a ligament injury or knee fracture.

Major symptoms

  1. Arthritis pain may occur all of a sudden but develops slowly. In the early stages, the pain is observed in the morning after you have been inactive over the night. Pain is likely when you want to move around. Pain may be experienced even when immobile.
  2. Periodic inflammation is a common symptom of arthritis of the knee. This happens because of the formation of bone spurs or excess fluids in your knee. The swelling gets pronounced after being inactive for a long period. The skin on your knee may look red and feel warm while you touch it. This may lead to chronic inflammation, which is very difficult to manage.

Treatment
There are several ways of treating knee arthritis. The mode of treatment depends on the severity and cause of knee arthritis. NSAIDS or nonsteroidal anti-inflammatory drugs are commonly prescribed for dealing with arthritis pain temporarily. Other medicines used for knee arthritis treatment are as follows:

  1. Analgesics, which help in pain reduction act as good alternatives to NSAIDS.
  2. Corticosteroids are used for reducing inflammation.
  3. Certain DMARDs or disease-modifying antirheumatic drugs are used.

Certain injections that are used for helping with knee arthritis. They include:

  1. Hyaluronic acid supplements, which ease the pain and inflammation by lubricating your knee joints.
  2. Corticosteroid injections also soothe inflammation and pain.

You may also require a surgery for dealing with knee arthritis when other modes of treatment fail. The most common surgeries are as follows:

  1. Total joint replacement, where your knee is replaced with a prosthetic made of metal, plastic or ceramic.
  2. Osteotomy, where the knee bones are modified for controlling pressure and damage in the knees.
  3. Arthroscopy, where an incision is made in the knee for removing damaged parts.

It is recommended for you to consult a doctor, if you experience any symptom of knee arthritis. Early treatment will prevent the condition from worsening.

Articular Cartilage Injury - Know Its Causes and Treatment Options!

M S Ortho, D - Ortho, MBBS Bachelor of Medicine and Bachelor of Surgery
Orthopedist, Mumbai
Articular Cartilage Injury - Know Its Causes and Treatment Options!

What is Articular Cartilage Injury? 
Cartilage is an important structural unit of the body. It is present in places like the joints, the spine, the end of ribs, in the bronchial tubes, and the ear and the nose. Cartilages are firm, but flexible tissues. There are many types of cartilages found in the body. Among them articular cartilages are the ones that are present on the surface of the bones. As the name suggests articular cartilages exist to render articulation to the bones and retain their lubrication. Complexities arise when these cartilages are damaged, behind which many causes can play an active role. For example, a sport injury can damage the cartilages around the knees. Other causes include the twisting of the Anterior cruciate ligament and a progressive knee injury. Articular Cartilage Injury can also be an isolated event. 

Since there are no blood vessels in the cartilages, it takes quite long for them to heal. Symptoms Pain and inflammation of the knee Locking of the knee Generation of noises when the knee is moved 

Treatment 
The best treatment option for damaged cartilages is RICE therapy if the injury is not too severe. rice can be broken down into Rest, Ice, Compression and Elevation. 

  1. Rest: One needs to rest the affected area in order to prevent further injury. However, Rest does not indicate complete immobility. One needs to put as much strain as is within one’s capacity. 
  2. Ice: Ice must be applied on the affected area every 15 minutes following injury for at least 48 hours. Ice works as a vasoconstrictor, as well as a pain reliever. 
  3. Compression: The next step is wrapping a bandage around the affected area. But it is to be remembered that the compression must not be too tight. Compression reduces inflammation and it also safeguards the joint from injury. Professional help might be sought to properly bandage the area. 
  4. Elevation: After the area has been bound well, the leg has to be raised to prevent the fluid from accumulating in the affected area. The leg must remain in that position for as long as the doctor recommends. 
  5. Ibuprofen or pain killers might be prescribed to the patient. 

For severe cases, interventional methods like osteochondritis dissecans surgery might be attempted. The objective of this surgery is to attach the detached fragment. Another surgery that works to restore the damaged cartilage is marrow stem cell transplant whereby the stem cell is implanted in the cartilage defect. Multiple arthroscopic modalities of treatment are now available for cartilage repair which are customised according to the specific condition.

Know More About Permanent Tattoo Removal!

M. Ch. (Plastic Surgery)
Dermatologist, Pune
Know More About Permanent Tattoo Removal!

A tattoo has a strong emotional association with the person having it. Commonly it is the loved ones name, idols, quotes or just anything that a person feels connected to. However, over time, it may happen that the tattoo may not hold the same relevance as it used to once upon a time. It could also lose its aesthetic appeal it once held. Whatever the reason, the tattoo needs to go. While tattoos were considered something permanent, there are now ways to remove it.

While the earlier methods were crude including removing the tattooed skin and grafting new skin, sanding the area, or dermabrasion; but today with the use of laser, the process has become much simpler and convenient. Laser is now the most widely used method of removing the tattoo.

A thorough evaluation to see the extent of the tattoo, in terms of depth, size and colors, is done before planning its removal. The type, strength and sessions of lasers will depend on these factors.

During the removal, the tattooed area is focused with a handheld device that emits laser light of the desired frequency and strength. This removes the colored pigments of the tattoo without affecting the surrounding skin. Different wavelengths of light are used to remove different pigments, which get broken down. These pigments are then washed out from the body as wastes.

Depending on the size and colors used in the tattoo, more than one sitting may be required. For large ones, up to 6 to 8 months may be required for complete removal. A minimum of 4 weeks gap is required between two sittings, allowing sufficient time for the skin to heal.

Professional vs Amateur Tattoos

Professional applied tattoos penetrate deeper into the skin at uniform levels which can make it easier to treat, but not always, as the ink is usually more dense. Amateur tattoos are often applied with an uneven hand which can make the removal challenging but overall they are easier to remove.

Risks and Side Effects

There are a handful of symptoms you might see post-treatment. Among them are blisters, swelling, raising of the tattoo, pinpoint bleeding, redness, and/or temporary darkening. Not to worry, though. These are common and usually subside within one to two weeks. If they don't, talk to your doctor.

  1. The way getting tattoo caused some pain, the removal will also cause some pain. Topical or local anaesthesia is used to make it comfortable.
  2. Not just the tattoo pigment but also some of the natural skin pigment is lost, so the skin can become lighter or darker than the surrounding skin.
  3. In some cases, there could be some scarring. The scar will get better and can be treated after tattoo laser sessions.

So, if you thought a tattoo is forever, it is not so. Go ahead and plan for its removal, of course after understanding what it entails. If there is any tattoo on your body which you no longer like, meet your dermatologist for consultation and then laser to make that undesired ink fade!!

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Can You Be a Candidate for Laparoscopic Cholecystectomy?

MBBS, MS - General Surgery
General Surgeon, Lucknow
Can You Be a Candidate for Laparoscopic Cholecystectomy?

What is Laparoscopic Gallbladder Removal Surgery (Laparoscopic Cholecystectomy)?

Gallbladder removal is one of the most commonly performed surgical procedures. Gallbladder removal surgery is usually performed with minimally invasive techniques and the medical name for this procedure is Laparoscopic Cholecystectomy or Laparoscopic Gallbladder Removal.

The gallbladder is a pear-shaped organ that rests beneath the right side of the liver. Its main purpose is to collect and concentrate a digestive liquid (bile) produced by the liver. Bile is released from the gallbladder after eating, aiding digestion. Bile travels through narrow tubular channels (bile ducts) into the small intestine. Removal of the gallbladder is not associated with any impairment of digestion in most people.

What Causes Gallbladder Problems?

Gallbladder problems are usually caused by the presence of gallstones which are usually small and hard, consisting primarily of cholesterol and bile salts that form in the gallbladder or in the bile duct.

It is uncertain why some people form gallstones but risk factors include being female, prior pregnancy, age over 40 years and being overweight. Gallstones are also more common as you get older and some people may have a family history of gallstones. There is no known means to prevent gallstones.

These stones may block the flow of bile out of the gallbladder, causing it to swell and resulting in sharp abdominal pain, vomiting, indigestion and, occasionally, fever. If the gallstone blocks the common bile duct, jaundice (a yellowing of the skin) can occur.

Diagnosing 

  1. Ultrasound is most commonly used to find gallstones.
  2. In a few more complex cases, other X-ray test such as a CT scan or a gallbladder nuclear medicine scan may be used to evaluate gallbladder disease.

Gallstones do not go away on their own. Some can be temporarily managed by making dietary adjustments, such as reducing fat intake. This treatment has a low, short-term success rate. Symptoms will eventually continue unless the gallbladder is removed. Treatments to break up or dissolve gallstones are largely unsuccessful.

Surgical removal of the gallbladder is the time-honored and safest treatment of gallbladder disease.

What are the Advantages of Performing Laparoscopic Gallbladder Removal?

  1. Rather than a five to seven inch incision, the operation requires only four small openings in the abdomen.
  2. Patients usually have minimal post-operative pain.
  3. Patients usually experience faster recovery than open gallbladder surgery patients.
  4. Most patients go home the same day of the surgery and enjoy a quicker return to normal activities.

Are you a Candidate?

Although there are many advantages to laparoscopic gallbladder removal (cholecystectomy), the procedure may not be appropriate for some patients who have severe complicated gallbladder disease or previous upper abdominal surgery. A thorough medical evaluation by your personal physician, in consultation with a surgeon trained in laparoscopy, can determine if laparoscopic gallbladder removal (cholecystectomy) is an appropriate procedure for you.
 

Swelling Tumor - How Homeopathy Can Help Treat It?

BHMS
Homeopath, Indore
Swelling Tumor - How Homeopathy Can Help Treat It?

Lipoma can be clearly understood as that fat tumour – like protrusion on your hands, which disappears when we put a finger on it. This is a very benign tumour that occurs in the body. It is caused due to the accumulation of fat cells. In most cases, these tumours are painless, although, these might be pain causing too.

Furthermore, the most common parts of the body where this growth develops are the hands, shoulders, neck and upper limbs. Lipoma can be treated with the help of homeopathic medicines. In case you find a lipoma growth anywhere in your body, the best option is to seek professional help. Some of the common homeopathic treatments that can cure lipoma are:

  1. Calcarea Carb: This is the best medicine to treat lipoma in those who are overweight. A few symptoms and tests need to be performed on the patient before administering this medicine. The three parameters which are assessed before prescribing this medicine are excessive sweating through the head, sensitivity to cold air and special eating habits like craving for a particular kind of food. Apart from these three parameters, which are the main ones to be checked, it is also seen if the patient suffers from constipation and acidity. If these symptoms match with that of the patient, then Calcarea Carb is prescribed for treating lipomas.

  2. Sulphur: The next in line to treat lipoma would be sulphur. In fact, sulphur and Calcarea Carb are mostly at par with each other. However, it remains to be seen which medicine suits who depending on the constitutional make of the person. Those patients with high intake of sweets in their diet, excessive sweating, sensitivity towards heat and dislike towards bathing are the best candidates for administering Sulphur for treating lipoma.

  3. Belladonna: Though lipoma is usually painless, at times it can be painful too. In such situations, the pain is aggravated on touching the lump. Belladonna not only helps in subsiding the pain but also in dissolving the lump fully.

  4. Thuja: This helps in dissolving any fatty lumps developing anywhere in the body. In case the patient suffers from high cholesterol, then this is the best medicine to be administered.

Lipoma is a very common condition, which develops in people due to the formation of a fatty lump. It is a condition which needs to be treated immediately, but with effective treatments, it can completely disappear.

5 Reasons To Avoid Sugar!

BSc - Dietitics / Nutrition, P.G.In Dietitics
Dietitian/Nutritionist, Mumbai
5 Reasons To Avoid Sugar!

Simple sugar is also known as monosaccharide, is the basic unit of carbohydrates. The simplest forms of sugar are usually colourless and crystalline and exist in forms of glucose, fructose and galactose. Simple sugar is deemed to be a major concern according to all health nutritionists.

Here are five reasons why you should avoid them:

  1. Sugar is the biggest cause of obesity: Sugar present in all kinds of junk food is considered to be the biggest cause of obesity as fructose easily converts into fat inside your body. Consuming too much sugar can put too much pressure on your liver as it is responsible for converting fructose into fat. Large amounts of sugar are directly converted into fat, thus, putting you at a very high risk of becoming obese.
  2. Increases risks of contracting heart diseases: Consuming too much sugar throughout the day causes a hike in your insulin levels which can further affect your nervous system. An excess of sugar in your blood stream also causes your blood pressure to rise which makes you more likely to get a heart stroke. Thus, to avoid cardiac problems at a young age, you must cut down your sugar intake.
  3. Weakens immune system: Sugar is a major reason for inflammation which affects the central immune system adversely. With an excess intake of sugar, the body becomes less effective in dealing with infection and common cold because phagocytes (white blood cells) cannot do their job properly of engulfing dangerous bacteria. Thus, you should aim at boosting your immune system by cutting down on sugar completely.
  4. Sugar can make you age faster: The sugar content in your body creates molecules known as AGEs (Advanced glycation end products) which attack the fibres in elastin and collagen (the building blocks of the cells on your skin). A study also proved that consuming too much sugar can result in acne as the collagen in your skin weakens. Thus, to maintain youthful looking skin for longer, you should remove sugar from your diet completely.
  5. Sugar can be addictive: Most people who consume too much sugar get addicted to it. According to a study, the addiction to sugar is very similar to addiction to tobacco and drugs. You might start craving sugar and depending on it to change your mood more often than required.
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