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Dr. S. Varalakshmi  - Dermatologist, Chennai

Dr. S. Varalakshmi

MBBS, DDVL.

Dermatologist, Chennai

20 Years Experience
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Dr. S. Varalakshmi MBBS, DDVL. Dermatologist, Chennai
20 Years Experience
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. S. Varalakshmi
Dr. S. Varalakshmi is an experienced Dermatologist in Tambaram West, Chennai. She has over 20 years of experience as a Dermatologist. She is a qualified MBBS, DDVL. . You can meet Dr. S. Varalakshmi personally at Dr. S. Varalakshmi Clinic in Tambaram West, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. S. Varalakshmi on Lybrate.com.

Lybrate.com has a number of highly qualified Dermatologists in India. You will find Dermatologists with more than 30 years of experience on Lybrate.com. You can find Dermatologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Stanley Medical College & Hospital , Chennai - 1997
DDVL. - Madras Medical College, Chennai - 2006
Languages spoken
English
Awards and Recognitions
Indian Medical Association Tambaram branch. doctors day celebration.doctors awards
Professional Memberships
Tamilnadu Medical Council
Indian Association of Dermatologists Venereologists and Leprologists (IADVL)
Society executive member ladies in dermatology

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Dr. S. Varalakshmi Clinic

Shanmugam Road, Tambaram West, Land Mark: Near Vasanth Co.Chennai Get Directions
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How Homeopathy is Helpful in Treating Skin Diseases?

P. G. Hom (London), Post Graduate Diploma in Counselling (PGDC, 1st class, CU), BHMS, Att. Cert. of ACH (London), Att. Cert. of B.A.M.I (Kolkata), C.S.D (Mumbai), D.N.H.E
Homeopath, Kolkata
How Homeopathy is Helpful in Treating Skin Diseases?

There are various kinds of skin diseases such as eczema, allergic dermatitis, vitiligo, psoriasis, herpes which cause rashes along with violent itching, which becomes worse by scratching. It occurs as a result of getting rid of some poison in the system, either congenital or acquired. Skin problems can be local or can spread throughout the body. These occur due to infection, heat, immune system disorder, allergies due to elastic, rubber products, detergents, dust, etc., food allergies, menstruation, hereditary issues and many other factors. Homeopathy has proved very effective in such skin diseases, as it cures the basic cause of the same by studying not only the skin type, but also the genetic and immune system factors of the patient.

Following are some useful homeopathic medicines for skin diseases: 

  1. Rhus Toxicodendron: This is very helpful for eczema where the skin is covered with numerous vesicular eruptions accompanied by violent itching, swelling, tingling, etc. which increase during night time and cold weather.
  2. Graphites: These treat common skin problems like dry and itchy skin, cracked corners of eyes and mouth, scruffy eruptions on the scalp, face, bends of joints, between fingers and behind the ears.
  3. Pulsatilla: Mostly a remedy for female related skin issues such as rashes due to profuse or scanty menses, gastric or uterine problems, nettle rashes and also acne which increase during winter.
  4. Sepia: This is the best medicine for herpes, which cures symptoms like dry skin at first, followed by release of moist discharge leading to brownish, liver or yellow spots. It is also helpful for eczema and psoriasis.
  5. Sulphur: The exact skin remedy for soreness and itching in the folds of the skin, roughness, coarseness and burning sensation due to washing. It is also useful for itching in the scalp, hair fall, deficient growth of nails, acne, psoriasis and eczema.
  6. Nitricum Acidum: This medicine is useful for treating ulcers in mouth, tongue or genital tracts that bleed easily and other physical irritabilities.
  7. Thuja Occidentalis: Effective for warts, acne, scaly patches and age spots.

Above all, it is mandatory to visit a homeopathic doctor before intake of the medicines mentioned above.

3118 people found this helpful

Many homeopathic doctor says homeopathic have best treatment for hair grey falling But I am not satisfied for them I used sbl five phos and other medicine for eating last 7 month hair oil arnica Montana jaborandi and as well as also use shampoo arnica under doctor permission but not getting good result How can you say homeopathic medicine is good.Please tell.

BHMS
Homeopath, Faridabad
Many homeopathic doctor says homeopathic have best treatment for hair grey falling But I am not satisfied for them
I ...
Hi, dear homoeopathic medicines are really an effective treatment for premature greying of hair, but the grey hair can't be turned black back again! rather it prevents further greying of your rest of the remaining black hair. Also, need to rule out any underlying medical causes (get blood tested for hemoglobin, total iron binding capacity, serum ferritin (s. Ferritin), serum calcium (s. Ca), serum iron (s. Iron), vitamin b12, and vitamin d3 and tft done). And remember, it's not a magic wand which will show you results quickly.
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Hello sir. I had used. Deodorants since few years. But now I got allergic reaction. If I use that on my direct skin. But not I stopped using it on my skin. Now I have itchy on my under arm. I got wound then while I'm scratching there. So please give a good suggestion for this.

MBBS
General Physician, Cuttack
Hello sir. I had used. Deodorants since few years. But now I got allergic reaction. If I use that on my direct skin. ...
You have developed allergy to certain ingredients of de odorant. Try using less sensitive deodorant like nivea or ayurvedic deodorant.
1 person found this helpful
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I am 19 year old boy I want even skin tone in my face please suggest any cream or ointment ...and also I want to get rid of dark patches

BHMS
Homeopath, Faridabad
I am 19 year old boy I want even skin tone in my face please suggest any cream or ointment ...and also I want to get ...
Believe me, if you are happy from inside and taking nutritious, healthy food and daily yoga or some kind of exercises, it will be automatically reflected on your face. Yes, the colour which is inherited from your parents/ ancestors, cannot be changed, but you can try to get glow on your face!! Daily Regime: Apart from these, you do follow CTMP, i.e., cleansing, toning, moisturising and protection (apply liberally sunscreen with SPF-30 – a thick layer of Bakson's Suncare cream may be, 20-30 minutes before going out daily and repeat it's application after every 3-4hrs.) after washing your face daily; use the products as per your skin type. This will change the skin texture and skin tone. In case you do have tanning, apply honey with a dash of lime on your face. Eat right and healthy that too on time, relieve your stress/ tensions, sleep well, stop smoking, as this restricts blood flow to your face and leaves you with a greyish complexion. lead a healthy lifestyle! Apart from this, avoid anger, anxiety, fear which increases stress hormone in the body and subsequently makes your complexion darker! (Hormonal imbalances also plays a major role). If the dull and dark skin tone is due to any underlying ailment or diseases, need to look into the matter. Diet: -Increase your Vitamin C intake (lemon,orange,gooseberry,etc.Fruits/juices, strawberries, sweet peppers, tomatoes, cantaloupe, and green peas). - Eat more Vitamin A (nonfat milk, oysters, and egg yolks, carrots, watermelon, papaya, tomatoes, or other dark colored produce) . If you feel your skin is weak or not tight enough, that usually suggests a lack of Vitamin A. Medicine: You can also use homoeopathic cream - Medicynth's Whitch Hazel daily at night. Home remedies: Apply fresh-squeezed lemon juice to your entire face and neck. Leave it on for 10 minutes and then wash it off with lukewarm water. After this, rub cucumber slices on your skin to soften and moisturize it. Do this daily or every other day. Another option is squeeze the juice of one-half lemon and mix one to two tablespoons of raw honey in it. Apply it on your face, leave it on for 15 to 20 minutes and then rinse it off. To exfoliate your skin, mix two teaspoons each of lemon juice and sugar. Apply the mixture on your face, neck and hands. Scrub in a circular motion and leave it on for 10 minutes. Then rinse it off with lukewarm water. Follow this remedy once a week to enjoy glowing skin. Mix one tablespoon of turmeric powder with enough pineapple juice to make a paste. Apply the paste to your face and neck. Leave it on until the paste dries completely. Then wash it off with lukewarm water. Follow this remedy two or three times a week to reduce the appearance of spots on skin.
2 people found this helpful
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I'm a male. My facial and hands skin is darker than my other body parts. It's clearly visible when I take my shirt off. The skin on neck and face is totally different from the skin on chest. My concern is. How to get even tone skin? Is there any drug or natural remedies available for it?

BAMS
Ayurveda, Ambala
I'm a male. My facial and hands skin is darker than my other body parts. It's clearly visible when I take my shirt of...
Follow these important tips to get fair colour of skin * avoid to go in strong sunlight and if you have to go in sunlight then cover your face & exposed parts of body before going in sunlight. * Use sunscreen having SPF 15 on face especially in summer and spring season. * Take vitamin -E rich foods like dry fruits, egg and fish as you like. You can take cord liver oil capsule daily. * Take more anti oxidant foods like fruits (Apple, grapes, melon) and citrus fruits. * Make paste of Papaya and apply this paste on face & exposed body parts and leave it for 15 minutes. It brightens the skin and lower melanin content. For fair skin: • Apply one teaspoon Besan with one teaspoon of curd and a pinch of haldi (turmeric) mix it with water then apply for 15 minutes then rinse off it with water Once a week. • Drink 2-3 liters of water everyday to get hydrated & glowing skin. • Mash half banana mix it with 1/2 teaspoon of lemon juice and half teaspoon of sandalwood powder mix it well and make smooth paste apply it for 10 minutes then rinse off with water.
1 person found this helpful
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I have dark brown spots on m entire cheeks and face. With acne eruption. Wana get rid of it. My skin is oily + sensitive.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Please go for below given homoeo medicines glowcare drops (lords) 10 drops in 1 spoon fresh water 3 times a day whitening cream (biovalley) apply at night suncare cream (bakson) apply before going in sunlight drink daily 6-8 glass extra water 2 glass milk daily green vegetables nd salad daily.
5 people found this helpful
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Please, suggest me any cream or face wash to my face to become fairer .My face is becoming day by day black and my forehead became very tanned. I have a severe sweaty body and I'll get all sweat dropped on my face from my head. After doing face wash or bathing my face look a little brighter but within a 2-3 hours it becomes as usual. Please suggest me something which works efficiently.

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Mumbai
Please, suggest me any cream or face wash to my face to become fairer .My face is becoming day by day black and my fo...
There are many reasons why your skin would turn dark. Sun tan, overweight, pigmentation disorders like acanthosis or melasma, nutritional deficiency etc are some conditions. Unless someone examines you, we cannot know the cause. Unless we find out the cause it is difficult and pointless to treat. Please call me or send photos with detailed history using online consult option for proper treatment. Use a good sunscreen and start exercising. Take lots of fruits and green vegetables in your diet.
2 people found this helpful
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My face is so oily and I want oil free skin and glow on my face so what can I do for it.

BHMS
Homeopath, Faridabad
My face is so oily and I want oil free skin and glow on my face so what can I do for it.
Hi. There are four main factors which causes acne: Oil production Dead skin cells Clogged pores Bacteria Factors that may worsen the acne: Androgen hormones, certain medications (drugs containing corticosteroids, androgens or lithium can worsen acne), dietary factors, including dairy products and carbohydrate-rich foods — such as bread, bagels and chips — may trigger acne and Stress can make acne worse. Management: Wash your face with Bakson's Facewash (wash your face with warm water only) and followed by CTMP, i.e., cleansing, toning, moisturising and protection (apply liberally Sunscreen Gel with SPF-30) after washing your face daily. Home-made remedies: - Take 1 tbsp of fuller's earth (multani mitti) + a dash of lime + bit of rosewater – apply this on your face till it gets dried up, then rinse it off. - Take 1 tsp of Alum (or fitkari), make it slightly wet with water and apply this on your wet face, spread it well; let it dry and rinse it off. Alum remove your excessive moisture or oil and it also tightens the skin's tonicity. Medication: You can take homoeopathic medicines – Berberis Aquefolium Q/ 10 drops in 1/2 cup of water/ thrice a day (and for local application as well) and Kali Brom. 200/ thrice a day – for 20 days. Also, use Bakson’s Apricot scrub 1-2times a week on the area.
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I'm having skin peeling and leaving black spots on the face (forehead and cheeks). Not having any allergies. Could you please suggest me how to resolve this problem.

DHMS (Hons.)
Homeopath, Patna
I'm having skin peeling and leaving black spots on the face (forehead and cheeks). Not having any allergies. Could yo...
Hello, Lybrate user, Pimples, acne,shedding under eyes, oily skin, Tenning ,dryness of skin, black heads & wrinkles cause due to irregular life style, insomnia.junk food, stress,anxiety but taking d natural recourse will ,carry away the tresses making your skin sebum free and soothing. No cream can moisturise nor repair your skin to get your complexion, fairer. * Tk, plenty of water free from contaminants to eliminate toxins &'regulate your metabolism to absorb protein, vitamins, minerals, energy & other important substance, essential to upkeep ,repair & energise the body, hydrating your skin. * Go, for meditation to reduce your stress and to nourish your cells, tissues and whole body to allow your skin to b fresh, non oily & glowing. * Tk your meal easily digestible, non-oily, non-irritant, simple,on time. * Tk, apples,cheese, carrots,papaya, rajama,soyabeen, spinach,almond, walnuts to enjoy wellness. Tk homoe medicines: @ Berb. Aqua Q-10 drops, thrice with little water. * ensure sound sleep at least for 7/8 hrs in d night. * Avoid, junk food, caffiene,dust, scorching sun, fried,spicy intake, cookies, pizza & burger. Your feedback will highly b appreciated for further, follow up. Tk,care.
3 people found this helpful
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I have something like pimples on my head? They Are Many in no. What It Could Be? after having prescribed medicine they were reduced but when I stopped having it they came Back Again!

Advanced Aesthetics
Ayurveda, Gulbarga
I have something like pimples on my head? 
They Are Many in no. 
What It Could Be?
after having prescribed medicine 
...
Its due to o Irregular meal timings o Excess starch, sugar, oil and fat consumption o Constipation o Irregular bowel movement Symptoms to look for: ? Whiteheads ? Blackheads ? Pimples ? Red and itchy rashes Natural home remedy using garlic: 1. Garlic contains allicin, which is a natural antibiotic 2. Take 2-3 garlic cloves 3. Crush them to make a paste 4. Apply this paste on the affected parts of the skin 5. For sensitive skin, mix yogurt in the garlic paste before applying Natural home remedy using garlic: 1. Consume three cloves of garlic everyday for 1 month Natural home remedy using coriander leaves and turmeric powder: 1. Take a handful of washed coriander leaves 2. Crush them finely 3. Place the paste on a sieve and press to extract the juice 4. Add a pinch of turmeric powder 5. Mix well 6. Apply this mixture on the face every night
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My hair is falling always and I want to stop it so give me any solutions that can help me.

Vaidya Visharad
Sexologist, Narnaul
My hair is falling always and I want to stop it so give me any solutions that can help me.
Protein - hair is made up mostly of protein so a protein rich diet is necessary. But not if your main source of protein is a large steak. In fact, eating large quantities of meat as americans do can be counterproductive. A steak will increase testosterone levels, and this has been linked to hair loss. Eggs are an excellent source of protein (see link below on how to boil the perfect egg). Also add nuts, seeds, beans and fish. Other good choices are organic soy foods, and hemp foods. I can add too that the korean diet has little or no meat on a daily basis.
2 people found this helpful
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Hi Doctor, I had total thyroidectomy a month ago parathyroids were preserved, I am using 1000 mg of Calcium supplement with vitamin3, I started feeling something crawling under my skin on legs slight tightness on face what could be the reason? Do I need to get any blood test checked?

FICS, FCCP (USA), DNB (General Surgery), MS - General Surgery, MBBS
General Surgeon, Delhi
Hi Doctor, I had total thyroidectomy a month ago parathyroids were preserved, I am using 1000 mg of Calcium supplemen...
I guess total thrroidectomy must be done for possibly papillary/folllicular tumor. Besides taking calcium and Vit D3, youhave forgotten to mention how much thyroxin you are on not as an replacement and also it suppressiv tumor growth. You need to be on follow up periodicalllylike any other tumor eisewhere but these lesiions are compatible with normal life span
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I have boils problems after sex. Size of boils is small. Boils persist on back, neck, bump and also on internal parts. Please suggest how to reduce.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have boils problems after sex. Size of boils is small. Boils persist on back, neck, bump and also on internal parts...
take pranacharya allergin capsule twice a day...take panchnimbadi churna with water twice a day....take panchtikta ghrit guggul and arogya vardhini vati with warm water...take pranacharya charm vikarasav 2-2 tsf with water twice a day....apply marichyadi oil on affected part.....take these medicines in supervision of a good ayurvedic doctor
1 person found this helpful
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Hello sir my sisters face very black head, pimple. Ance. please take medicine for my sister.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hello sir my sisters face very black head, pimple. Ance. please take medicine for my sister.
Homoeopathic treatment------------------ topi berberis cream (wilmar schwabe india) apply during daytime---------------- berberis aquifolium 30 (dr reckeweg) drink 2 drops in 1 spoon water /direct on tongue, 3 times daily------------------------------- aquiplus cream (hapdco) apply thick coat on face at night------------------- cleano face wash (lords) wash face with this face wash before applying creams---------------- 6-8 glass water daily 2 glasss milk daily avoid fast food, junk food, fried food, chocklates, dry fruits, ketchups, cold drinks take nutritious diet nd exercise regularily.
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I have a callus growth under my feet. It doesn't pain at all and I don't even feel it. How long can I postpone the removal of the callus before it can cause me problem?

MBBS
General Physician, Cuttack
I have a callus growth under my feet. It doesn't pain at all and I don't even feel it.
How long can I postpone the re...
1Use pumice stone to rub off dead skin after a bath/or applying moisturising cream 2.Apply corn cap for few days and then try to rub off the corn gently with pumice stone 3. If no relief it has to be removed by chemical cauterization. Consult skin specialist 4. Wear properly fitted shoes and cotton socks instead of synthetic which may irritate skin.
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Cleanser toner moisturize scrub for combination skin. Suggest the brand. Thank you.

BHMS
Homeopath, Faridabad
Cleanser toner moisturize scrub for combination skin. Suggest the brand. Thank you.
Hi, You can try Amway's Attitude/ Orifalme/ Avon/ Patanjali/ Bakson/ Lotus herbals and many more brands are available in the market. Try to use herbal one which will suit your skin type.
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How to prevent hairfall? Which daily shampoo is actually useful? What food strengthens the roots of hair?

BHMS
Homeopath, Faridabad
How to prevent hairfall? Which daily shampoo is actually useful? What food strengthens the roots of hair?
Hi. It's normal to loose up to 100 hair per day, and in most people, those hairs grow back. But many men -- and some women -- lose hair as they grow older. You can also lose your hair if you have certain diseases, such as thyroid problems, diabetes, or lupus. If you take certain medicines or have chemotherapy for cancer, you may also lose your hair. Other causes are stress, a low protein diet, a family history, use of bore water, or nutritional deficiencies. Need to rule out any causative factor or underlying medical condition. Management: Take diet rich in protein like non-veg., eggs (it's loaded with essential nutrients such as proteins, Vitamin B12, iron, zinc and Omega 6 fatty acids in large amounts and biotin) , different pulses & legumes, sprouts, nuts (sp. walnuts and almonds); iron-rich food like green vegetables, dates, carrots, prunes, green peas; also oats, shrimp, take flaxseeds, sunflower seeds, sesame seeds, green tea, soyabean, fruits, salads, etc. Take low-fat dairy products (they also contain whey and casein, two high-quality protein sources) Take proper 6-9hrs of sound sleep. Give up the habit of smoking and excessive alcohol intake. Avoid junk food and any kind of beverages (tea, coffee, aerated drinks, cold drinks, etc.) Avoid canned/ tinned food or food that contains preservatives (eat fresh ones). Avoid use of hard water to wash the head rather use boiled water for head wash. Avoid use of harsh hair colour, hair treatment like rebonding, straightening, perming, etc. Avoid vigorous exercises or any supplements provided by the gym! Cover your head with scarf or cap while stepping outside. Use Rose wood/ any wooden hair comb to brush your hair. Regular exercising is also one of the important point, but should be done under some good, qualified yoga teacher or instructor for proper guidance; it also releases the stress/ tension in the mind and the body and keeps you FIT and YOUNG!! Medication: Take homoeopathic Rx - Schwabe's Wiesbaden 200 & Alfalfa Tonic twice a day for 1 month and revert. Also, use Schwabe's Arnica shampoo and Hair Growth oil regularly as per the condition of your scalp (minimum 3 times a week). After shampooing, use Bakson's Arnica Hair conditioner as well after every head wash. Apart from this, take Follihair tablets (multivitamin) - 1 tab. daily once for 1 month. Investigations advised: Get your blood tested for (empty stomach) - CBC, S. Iron, S. Folic acid, S. Ferritin, S. Calcium, S. Vitamin D3, S. Vitamin B12. If there is any family history of Thyroid dysfunction, get Thyroid function test done as well.
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Sir give me natural ways for my hair. My hair is white and want to black my hair I don't eat non- vegetarian things and don't eat milk and curd from childhood and now from 1 year and eat all these things and I am very weak also.

M.D. Toxicology & MJ, Certified Dermatologist , Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bhopal
Sir give me natural ways for my hair. My hair is white and want to black my hair I don't eat non- vegetarian things a...
Weakness is also one of the cause of hair whitening. Be aware about your food habits, you can use following remedies 1 Amalki Rasaayan 1 tsf BID with worm water 2 prepare a oil coconut oil 100 ml+ Daalchini powder 10 gms+ lemon juice 1/2 cup+ camphor 2gms boil it on low flame IP to 1/2 hour use this oil 3 Tims a week contact privately for effective management.
1 person found this helpful
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My hair fall is gradually increasing day by day. what should I do to decrease my hair fall or not to loose hair? Please help me.

BHMS
Homeopath, Sindhudurg
My hair fall is gradually increasing day by day. what should I do to decrease my hair fall or not to loose hair? Plea...
Homoeopathy is a safe and gentle way of treating the problem of hair fall without any side-effects. It removes the chronicity of the problem so that hair fall does not recur again. It promotes the overall health of the patient. Homeopathic treatment for hair loss is a whole body approach, which is safe and gentle and eradicates the problem of hair fall from the roots. It not only prevents and treats hair fall, but also give you healthy and thick hair.
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I'm 46 years old. My hair is falling day by day when I used to comb my hair. I used indulekha. Right now I'm neelabringaadhi oil. No Result. I have sugar, tension, pressure too. What is the solution for hair falling. Please answer as soon as possible. For my hairfall.

DHMS (Hons.)
Homeopath, Patna
I'm 46 years old. My hair is falling day by day when I used to comb my hair. I used indulekha. Right now I'm neelabri...
Hello, Hair greying ,Hair loss, dandruff & dryness of hair. Cause due to chronic illness, stress, anxiety, sinusitis, medicinal aggravation, acidity, indigestion, sluggishness of liver, excessive consumption of alcohol, nicotine, junk food, physical emotional stress, inherited factors. Most of d. Cases r influenced with stress & anxiety. Please, carry on d under noted norms to check hair loss./greying & splitting hair/ dandruff U need, calcium sodium, phosphorus,zinc, selenium ,Proteins to check hair loss & greying hairs.         ⁃       *.Tk, plenty of water ,free from contaminants to eliminate toxins, regulate metabolism and to moisten your scalp, preventing constipation.         ⁃       *Go for meditation to reduce stress, anxiety,to nourish cells, tissues including hair -follicles to allow growing healthy and shining hairs.         ⁃       *Tk, protein ,enzymes ,vitamins rich diet on time.         ⁃       * Tk, apples, carrots, cheese, papaya, grapes, ripened mangoes, milk, ginger, garlics,onion, almonds, walnuts, spinach, fish,nuts, regularly         ⁃       *Take, homoeo medicines which acts gently & rapidly without any adverse effect, there of. @ wieabaden30-6 pills, thrice. @ JaborandyQ-20 drops, with 20 drops of water, amply on scalp, twice/ day. Avoid, caffeine, nicotine,alcohol, junk food, exposure to dust, scorching Sun. *Use, protein shampoo, *Massage with olive oil, wkly U, may go for a complete package to check hair-loss & greying hair. Your feedback will highly  b appreciated for further, follow up. Tk,   care.
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