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Hello, thanks for the query. The. Glucose levels & hba1c% show you have excellent control. I could not get any clear information what medications you are taking. Glycinorm is metformin but no strength is mentioned. The tablet name or ingredient is not clear. So please come back with specific details plus your height & weight as well as day physical activity. Then I will be able to guide. Thanks.

no.. treatment depends on the grade..Acne or pimples... Due to hormonal changes..Oily skin causes it...Common in adolescent age...May occur in adults also.. Food like Oily foods, ice cream, chocolate and sweets increase it.. Treatment depends on the grade of pimples or acne..So, please send photos by direct online consultation as it's a must to see which grade of pimples or acne for accurate diagnosis and treatment.

Quit habits strictly. Seems like you have oral submucous fibrosis (osmf). Kindly consult an oral & maxillo facial surgeon in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. You may need conservative or surgical management for mouth opening depending upon the stage of osmf. Advise full mouth opening, ballooning exercise & side to side movement of the jaw. Wrap 25 to 30 ice-cream sticks, make a bundle, put it between upper & lower front teeth for 15 minutes thrice a day increase 1 sticks each day. As for now advice t.sm fibre-30nos, once a day for a month, c. Becosules 5 cap (enriched with vitamin a, vitamin b & vitamin e specifically), for five days in the morning after meals. Advance procedures can be done with laser. You may consult me in person.

Perhaps I have to repeat myself: don't ever self-medicate. These doses that you are taking and changing frequently must be approved or prescribed by the psychiatrist for your own safety and to gain the full benefits of the medicines. Clonil is an excellent prescription but you must adhere to the doctor's prescription. Ocd is a fear-based condition and for some reason, you have not been dealing with a childhood fear which has now developed into these repetitive adaptations to seem to need it for normal functioning. The behavior will then become based on magical thinking and certain rituals will become necessary to do normal things making you believe that either the frequency or the ritual is important to its success. This of course is a fallacy but there will come a time that even if told the truth, your belief will defy any logic and you will continue behaving like that even if it cripples you in your daily routines. It only appears as though some other force is behind these behaviors and that you are compelled to act in this fashion. That is obviously not true but no one can convince you of anything different. The obsession is a repeating thought pattern with no meaningful outcome, and the compulsiveness is the need to act on those obsessions also in a repeated behavior pattern as though you just cannot help yourself. This is all driven by fear and when you are frustrated with it, you will escalate anger over it. Doubt, insecurity, uncertainty, and lack of firm memory will all plague you and increase stress. There are certain behavioral techniques to be implemented and if they work you may get out of this condition rather easily. If that does not work as desired, then medication has to be introduced, and in combination with counseling much work can be achieved.

The "normal" range (or negative test result) for rheumatoid factor is less than 14 iu/ml. Any result with values 14 iu/ml or above is considered abnormally high, elevated, or positive. Treatmentthere is no cure for rheumatoid arthritis. But clinical studies indicate that remission of symptoms is more likely when treatment begins early with medications known as disease-modifying antirheumatic drugs (dmards). Medicationsthe types of medications recommended by your doctor will depend on the severity of your symptoms and how long you've had rheumatoid arthritis. •nsaids. Nonsteroidal anti-inflammatory drugs (nsaids) can relieve pain and reduce inflammation. Over-the-counter nsaids include ibuprofen (advil, motrin ib) and naproxen sodium (aleve). Stronger nsaids are available by prescription. Side effects may include stomach irritation, heart problems and kidney damage. •steroids. Corticosteroid medications, such as prednisone, reduce inflammation and pain and slow joint damage. Side effects may include thinning of bones, weight gain and diabetes. Doctors often prescribe a corticosteroid to relieve acute symptoms, with the goal of gradually tapering off the medication. •disease-modifying antirheumatic drugs (dmards). These drugs can slow the progression of rheumatoid arthritis and save the joints and other tissues from permanent damage. Common dmards include methotrexate (trexall, otrexup, others), leflunomide (arava), hydroxychloroquine (plaquenil) and sulfasalazine (azulfidine). Side effects vary but may include liver damage, bone marrow suppression and severe lung infections. •biologic agents. Also known as biologic response modifiers, this newer class of dmards includes abatacept (orencia), adalimumab (humira), anakinra (kineret), baricitinib (olumiant), certolizumab (cimzia), etanercept (enbrel), golimumab (simponi), infliximab (remicade), rituximab (rituxan), sarilumab (kevzara), tocilizumab (actemra) and tofacitinib (xeljanz). These drugs can target parts of the immune system that trigger inflammation that causes joint and tissue damage. These types of drugs also increase the risk of infections. In people with rheumatoid arthritis, higher doses of tofacitinib can increase the risk of blood clots in the lungs. Biologic dmards are usually most effective when paired with a nonbiologic dmard, such as methotrexate. Therapy your doctor may send you to a physical or occupational therapist who can teach you exercises to help keep your joints flexible. The therapist may also suggest new ways to do daily tasks, which will be easier on your joints. For example, you may want to pick up an object using your forearms. Assistive devices can make it easier to avoid stressing your painful joints. For instance, a kitchen knife equipped with a hand grip helps protect your finger and wrist joints. Certain tools, such as buttonhooks, can make it easier to get dressed. Catalogs and medical supply stores are good places to look for ideas. Active treatments for rheumatoid arthritis •flexibility and strengthening exercises improve your range of motion and help you build muscle strength. Yoga and pilates are flexibility and strengthening exercises. •low-impact aerobic exercise is gentle but effective at helping you manage rheumatoid arthritis symptoms. Light walking is an example of this type of exercise. Your physical therapist will let you know how often to do these exercises. For example, you may need to do a few specific exercises 3 times a day, or your physical therapist may recommend a routine that incorporates 30 minutes of low-impact aerobic exercise a day and 30 minutes of strengthening exercises every other day.If your pain is more in the proximal joints, ie.in the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is rheumatic arthritis. Wear elbow brace and wrist brace which will make her to feel warm and that will make the joints become firm. Hot water fermentation will helpknee cap will also help to prevent the damaged cartilagesif your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is rheumatic arthritis. If your proximal joints (ie. Shoulder, hip & knee has pain) then you can pour hot (warm) water in that area to reduce the inflammation. If you have pain in the distal joints ie. Wrist, fingers, ankle, toes then you can wear either elbow brace or wrist brace which will help you to feel warm and very protective. An also immerse the distal joints in the hot water tub which will help you to reduce the pain. Knee pain during driving or watching movie. It might due to lack of movements in the knee while the joints are immobilized during driving and while watching movies. It is important that you need to have movements in and around the knee so that the blood flow will not be disturbed.

1.no alcohol 2. Reduce body weight 3. No smoking/ tobacco/drugs/ avoid pollution 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice. Less salt. 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water 10 maintain oral hygiene medicine can not be advised for open question ,for medicine and further advise contact on private consults good luck.

Herpes can spread ,according to events you told. You can do herpes test of vour partner ,3 weeks after exposure, to confirm infection.

Tretinoin is widely used for reducing acne, whiteheads & blackheads. It a great anti-aging active. Helps in reducing fine lines, wrinkles and with skin texture as well. Remember while using tretinoin, start with lowest percentage and use it only twice week initially with a good ceramide and niacinamide based moisturizer. Use only pea size (less is more with tretinoin) better to get in touch with your doctor in order to decide what concentration would suit your skin and which for of retinol should you go for. Note: tretinoin should be used with doctor's prescription only.

Do you have dandruff problem also. Regularly wash your hair with mild shampoo. 1. Vitamin for hair loss.(a, b and c) 2. Enrich diet with protein. 3. Do warm coconut oil massage. Take coconut oil and heat it up so that it is warm, but not too hot. Massage your scalp with this hot oil for a few minutes. 4. Avoid brushing wet hair. 5. Keep yourself hydrated. 6. Put on a shower cap for an hour then shampoo your hair. It helps to stop hair loss and promote hair growth. 7. Avoid hairstyles that pull on the hairline. 8. Ditch hair tools that use high heat. 9. Be wary of chemical processing. 10. Drink water to hydrate your body. U can mix arnica q and jaborandi q equal quantity. Apply on scalp with the help of cotton. Wash hair next day. Do it twice a week homeopathy is a very effective for this problem n has very encouraging results. Consult online for medicine n further details.

It all depend on the basis of lifestyle and other factored too. You can share lifestyle and daily routine activity of the person. Every person is different. So diet also will vary on the basis of that only.