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Dr. Raghunandan

Dermatologist, Hyderabad

300 at clinic
Dr. Raghunandan Dermatologist, Hyderabad
300 at clinic
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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. Raghunandan
Dr. Raghunandan is a renowned Dermatologist in Miyapur, Hyderabad. Doctor is currently practising at Health First Multispeciality Clinic in Miyapur, Hyderabad. Book an appointment online with Dr. Raghunandan on Lybrate.com.

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Health First Multispeciality Clinic

Shop no- 6&7,Hemadurga Plaza,Hafizpet road, Miyapur,Landmark:Adjacent to Icici bank, HyderabadHyderabad Get Directions
300 at clinic
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I'm suffering from rashes on my skin and also getting bumps, what should I do to cure my problem?

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
I'm suffering from rashes on my skin and also getting bumps, what should I do to cure my problem?
With all its moisturizing action, aloe vera is one of the most effective skin soothing agents. When you rub the gel over an itchy spot, it helps reduce the skin irritation in that area and provides quick relief from itching. Just break a leaf from the plant, cut it lengthwise using a knife and using a spoon, scoop out the jelly-like substance inside. Apply a little of this gel to the itchy area and leave it on for a few minutes.
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Chemical Peel and the Pathology Behind It

Diploma in Dermatology, MD, MBBS
Dermatologist, Delhi
Chemical Peel and the Pathology Behind It

Chemical peeling is a medical procedure which includes application of a chemical agent to the skin, causing controlled destruction of the epidermis, with or without the dermis, leading to exfoliation and removal of superficial lesions, followed by regeneration of new epidermal and dermal tissues. In simple words chemical peeling or chemical rejuvenation is procedure where a chemical agent or combination of agents of defined strength are applied the skin causing a controlled destruction of layers of the skin. This is followed by regeneration and remodeling leading to improvement of texture and surface abnormalities. It is a safe, effective and affordable option for improving skin ageing and imperfections.

Skin is considered the largest organ of the body and has many different functions. The skin is divided in two main regions, the epidermis and the dermis. The dermis is attached to an underlying hypodermis also called subcutaneous connective tissue.

Epidermis: It is the most superficial layer of the skin. The first barrier of protection from the invasion of foreign substances. The epidermis is divided into four layers – stratum corneum, stratum granulosum, stratum spinosum and stratum basalis(basal layer).

Dermis: It is composed of fibroblasts which are responsible for secreting collagen, elastin and ground substance that gives support and elasticity to skin. It supplies the epidermis with nutrients and has its role in thermoregulation. The dermis is subdivided into two zones, upper papillary and lower reticular layer.

Classification of peels according to histological depth

  1. Very superficial peel – Exfoliation of the stratum cormeum, without any epidermal necrosis.
  2. Superficial peel – Destruction of the full epidermis, up to the basal layer
  3. Medium peel – Destruction of the epidermis, papillary dermis and upto the upper one third of the reticular dermis.
  4. Deep peel – Necrosis of the entire epidermis and papillary dermis with inflammation extending to the mid reticular dermis.

Classification of chemical peeling agents

Very superficial Peel:

  • Glycolic Acid 30-50% applied for 1-2 minutes
  • TCA* 10% applied as one coat
  • Jessner’s solution 1-3 coats

Superficial Peel:

  • Glycolic acid 50-70% applied for 2-10 mins (depending on the type and thickness of the skin)
  • TCA 10-30%
  • Jessner’s solution 4-10 coats
  • Very superficial and superficial Peels are the mildest form and often called, “the lunchtime peel.” These peels break down corneocyte adhesion, causing dead skin cells to shed off to reveal the fresh, healthy underlying skin. These peels address minor skin irregularities like discoloration, acne, surface scarring, fine lines, and sun spots.

Medium Peel:

  • Glycolic acid 70% applied for 3-30 mins (depending on the type and thickness of the skin)
  • TCA 35-50%
  • Glycolic Acid 70% plus TCA 35%
  • Jessner’s solution plus TCA 35%

Deep Peel:

  • Phenol 88%
  • Baker Gordon phenol formula
  • Medium and deep peels increase the collagen and glycosaminoglycans content, cause collagen remodeling and increase dermal thickness to improve the clinical appearance of the skin with reduced wrinkles, skin tightening and pigmentary dyschromia.

Reason behind chemical peeling:

  • Wound healing process is an important reason for rejuvenation. The phases of wound healing after chemical exfoliation are apparent:
  • Inflammatory phase (1-5 days) – This phase is evident after peeling as erythma and swelling on the skin
  • Proliferative phase (2-21 days) – In superficial peels, the basement membrane is intact, hence normal epidermis is restored in 2 to 3 days. In medium to deep peels, wound is below basement membrane and re-epithelialization takes time.
  • Remodeling phase (3 weeks to 2 years) – collagen remodeling is the main reason that chemical peels cause rejuvenation and reduce wrinkles.

Indications for peels:

1. Pigmentary disorders

  • Resistant melasma
  • Pigmented cosmetic dermatitis
  • Freckles
  • Lentigines
  • Post inflammatory hyperpigmentation

2. Acne

  • Comedonal acne
  • Post acne scars
  • Acne cosmetic
  • Acne excoriee

3. Cosmetic

  • Photoageing
  • Fine wrinkling
  • Skin glow and rejuvenation
  • Oily to rough skin
  • Actinic keratosis

4. Miscellaneous

  • Keratosis pilaris
  • Macular amyloidosis
  • Dilated pores
  • Seborrheic keratoses

Contraindications

  • Active bacterial, viral and fungal infection and open wounds
  • Oral isotretinoin use within the past three months
  • Pregnancy and breast feeding
  • History of keloid formation
  • History of taking oral contraceptive and photosensitive drugs
  • Unrealistic patient expectation
  • Uncooperative patient, eg. Patient is careless about sun exposure or application of medicine
  • For medium depth and deep peels, history of abnormal scarring, atrophic skin and isotretinoin use in the last six months.

How to choose a patient:

A patient should be chosen depending upon 4P’s:

P – Pathology

P – Point of depth required

P – Patients skin

P – Previous peeling agents

Newer peels:

Many peels like mandelic acid, kojic acid, lactic acid, citric acid and many more have been introduced in the market which are also available in combination. These peels are not only more skin friendly but also more patient friendly. They have buffering agents like licorice extract and willow bark extract to minimize irritation to skin and antioxidants to infuse the skin with restorative nutrients. The change in the skin often occurs at cellular level and are not apparent to the naked hence making it more popular amongst busy patients who are seeking effective treatments quickly with little or no downtime.

Benefits of chemical peels:

The skin becomes noticeably smoother and rejuvenated.

  • It reduces pigmentation, improves dull and uneven skin tone, reduces signs of photoagaeing, acne and enlarged pores.
  • Removes dead and damaged skin cells and improves skin texture
  • Helps in removal of tan
  • Skin becomes brighter and more vivid because chemical peels not only cause re-epithelialization of the epidermis but also collagen remodeling.

Pre peel and post peel precautions:

  • Patient has to be motivated enough to get multiple sittings of the peel ( 4-8, depending on the indication and type of peel) every 2-3 weekly to get the desired result.
  • Patient should not wax, bleach, scrub, shave(the same day) or get any other aesthetic procedure like microdermabrasion, ipl, derma-roller one day before the chemical peel procedure. A gap of at least 7 days before and after the peel should be maintained.
  • Patient should use a mild soap/ non soap cleanser after the peel
  • Broad spectrum sunscreen and moisturizer should be used liberally, at least 2-3 times a day and sun exposure should be avoided.
  • Patient should be strictly prohibited from scratching, picking or scrubbing the skin.

Take home message:

Chemical peeling is a simple office procedure for the treatment of acne, pigmentation, skin rejuvenation and photo ageing. These are not one time procedures but require 6-8 sessions and maintenance peels to achieve maximum improvement and prevent recurrences. The newer peels are safer and effective. If you wish to discuss about any specific problem, you can consult a Dermatologist.

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Anti-Aging Treatments

MBBS, MD - Dermatology, DNB
Dermatologist, Mumbai
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Different techniques for Anti-aging treatment

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I have been suffer from a kind of disease know as scabies from last two year which leads to a kind of ratchs on my body which irritate me alot and I also do lots of medicine but it will not get cured. Give me the proper suggestion.

DNB, MD - Dermatology, MBBS
Dermatologist, Delhi
Scabies is a disease caused by a mite and is transmitted from one person to another by close contact. If it is not getting cured over such a long period then the chances are you are not treating it properly. For the treatment to be successful all your close contacts (family members or roommates living together) should be treated simultaneously and all the clothes, linen, towels etc (clothes that have been worn/ used) should be washed.
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Hi sir has you said for fairness apply bio valley (whitening cream) but it has no impact on ma skin. I look more dull comparatively to before. I'm worried please help me out.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hi sir has you said for fairness apply bio valley (whitening cream) but it has no impact on ma skin. I look more dull...
Dont worry at all.Use the complete set of medicines that I have prescribed for Fair and glowing skin.I am ending the precription once again. HOMOEOPATHIC TREATMENT AUCARE COMPLEXION DROPS ( WOLFE DIETRI) Drink 20 drops in 20 ml fresh water 3 times daily. WHITENING CREAM ( BIOVALLEY)Apply in circular fashion in morning nd at night WHITENING SOAP ( BIOVALLEY ) Wassh face with this face wash before applying whitening cream SUNCARE CREAM ( BAKSON ) Apply 30 minutes before going outsside nd again reapply after 3-4 hrss after washing with whitening soap PAPAYA PACK ( BAKSON) Daily apply on face directly in evening when u think u r not going outsside now nd wash face after it is dry. FERRUM SIP SYRUP ( SBL) 2 spoons twice daily DIET Daily Cucumber in salad 1 apple /200 gm papaya/500 gm watermelon daily Consume Lots of water daily 2 glass milk daily HOME REMEDY Prepare a paste of Multani mitti + 1 spoon Turmeric powder +10 drops Lime nd add Raw milk to prepare a paste nd apply thi paste twice in a week
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I am losing hair and dendraf my head. I have a any types shampoos and medicine uses but not positive result. Please help me.

BAMS
Ayurveda, Ambala
I am losing hair and dendraf my head. I have a any types shampoos and medicine uses but not positive result. Please h...
For prevention of hair loss follow these instructions: •Take proper sleep of 6 - 7 hours. Do meditation to destress yourself. You can do Pranayams or take long deep breaths whlie closing your eyes I a peaceful environment for at least 8-10 minutes. • Add protein containing items in your foods for healthy hair growth such as take a bowl of cereal daily and a glass of milk or 100 gm cheese or 1-2 eggs.. • To reduce hairfall and whitening of hairs, Practice Yogasana like Shirshasana and Sarwangasana only under the guidance of Expert. • you can use mahabhringraj oil and apply it 3 times in a week massage your scalp for 10 to 15 minutes daily. • Avoid the excess use of products such as hair colours or shampoo. * Take Vitamin-E rich foods like dry fruits (Almonds, Pista etc) daily. * You can take Vitamnin E supplement (100 mg capsiles) daily and tab. Boitin only under the supervision of nearest physician. * Apply the egg yolk to the scalp atleast once a week. It gives nourishment to hair root and enhances hair growth. Lastly, The last step is crucial as it seals in the nourishment. Try making this mask at home. In a bowl, mix two eggs, honey and some coconut oil. Leave the mask on for 20 minutes, then rinse with a mild shampoo. For relief from dandruff: Apply curd on the scalp for atleast 15 min twice in a week and sit in sunlight.
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I usually get white patches on my face after showering and its looks like my skin is cracking, fines line can be easily seen Help me, can I apply any moisturizing cream? Suggest me any if?

BHMS
Homeopath, Rajkot
I usually get white patches on my face after showering and its looks like my skin is cracking, fines line can be easi...
White patches on face after bathing are mostly fungal infection. It is mostly pitariasis alba. If it looks dry then moisturizing cream will help.
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How much water I should drink in this winter season because I am suffering from itchiness since very long time atleat one year?

MBBS, PVD, DNB (Dermatology)
Dermatologist, Ahmedabad
How much water I should drink in this winter season because I am suffering from itchiness since very long time atleat...
Greetings .adequate water intake is very important to maintain functionin of body systems. Atleast 2-3 litres of water per day if necessary. Itching in body can be due to various reasons. Better is to visit Dermatologist in person to find reason and treat accordingly.
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Hi doctors please koi bta skte ho jo hair loss mei regrowth pp therapy hoti h uska kya cost or chargr and uska results kya raheta hai please tell.

DHMS (Hons.)
Homeopath, Patna
Hi doctors please koi bta skte ho jo hair loss mei regrowth pp therapy hoti h uska kya cost or chargr and uska result...
Hello, Lybrate user. I being a homoeopath have no idea In this field, You can find it out on net, please. Tk care.
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I am just 19 years old boy I am uncomfortable due to more hormone. More hair in my face and oily skin. How can I reduce this problem?

BHMS
Homeopath, Faridabad
I am just 19 years old boy I am 
uncomfortable due to more hormone.
More hair in my face and oily skin. How can I red...
Hi, we can cure acne, but can only stop further growth of hair on face. 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. Use 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, Kali Brom. 200/ thrice a day and Thuja 1M/ once a week for 1month.
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Hiiii hello sir I have loss my hair if there any issue what should plzzz tell me the solution?

BAMS
Ayurveda, Ambala
Hiiii hello sir I have loss my hair if there any issue what should plzzz tell me the solution?
To Prevent hair loss follow these instructions and methods: • Take proper sleep of 6 - 7 hours. Do long breathing pranayams for 10 minutes daily to destress yourself. • You can apply amla powder, Make the paste of amla powder with water and apply it for 15 minutes once in week in afternoon and rinse it. • Do sarvangasan daily for 5 minutes do it under the supervision of yoga expert. • Avoid use of excess hair products such as hair colours and try to use mild shampoo. • Add protein containing items in your foods such as take a bowl of cereal daily, and a glass of milk also. • Eat healthy fruits and green leafy vegetables daily. • you can use Mahabhringraj oil and apply it 3 times in a week massage your scalp for 10 to 15 minutes daily. You can massage daily with oil it increase blood circulation and enhance hair growth. •In a bowl, mix two eggs, honey and some coconut oil. You can also use olive oil instead of coconut oil. Apply it on your scalp and leave it for 20 minutes, then rinse with a mild shampoo.
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I m 21yr old and having many spot mark on my face due to pimples. Which medicine I could use. please Tell me.

BHMS
Homeopath, Delhi
I m 21yr old and having many spot mark on my face due to pimples. Which medicine I could use. please Tell me.
Take homoeopathic medicines 1.Berberis Aquifolium Q (10 drops in little water) thrice a day for a week 2.Kali Brom 30 (4 drops in little water) twice a day for a week and revert. along with the medicines, also take the following self-care steps: *clean your skin gently with a mild face wash removing all dirt or make-up. Wash many times a day with plain water. *try not to squeeze, scratch, pick, or rub the pimples, it can lead to scarring and skin infections. *avoid touching your face with your hands or fingers. *make a habit of 8-10 glasses of water in a day. *avoid stress and anger. *avoid harsh skin products.
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Can I take vitamin supplement for the growth of beard (hair growth? Will it have any side effects.

C.S.C, D.C.H, M.B.B.S
General Physician,
Can I take vitamin supplement for the growth of beard (hair growth? Will it have any side effects.
vitamin supplement for the growth of beard will not cause any side effects as vitamins are essential for our body
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I have hair fall problem. I try lots of method. Recent I do PRP but still my hair is thin and some bald area. Now I want to plantation. Is Bangalore is good for hair plantation? If yes then suggest doctor.

Vaidya Visharad
Ayurveda, Narnaul
I have hair fall problem. I try lots of method. Recent I do PRP but still my hair is thin and some bald area. Now I w...
Say no to chemical treatment of hair. Chemical treatments like relaxers do make curly hair look longer, though they drastically slow down the growth of men’s hair.
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I am 19 but I have beard problem. How can I overcome it. Pls help him because this is a laughing topics for my friends.

BHMS
Homeopath, Faridabad
I am 19 but I have beard problem. How can I overcome it. Pls help him because this is a laughing topics for my friends.
Hello you want to grow your beard then follow the below;- You should take a homeopathic tincture called Arnica Montana and mix 1 tsp in 1/2 cup of water and apply upon the face on the beard and the mustache area with a cotton swab. Then use the razor movement technique. Take Sulphur 200, 5 drops once in a week. Take pituitarinum 1x, 1 tablet daily for 15 days. Repeat the process every third day . Revert me after 1 month.
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My boyfriend is suffering from delusions of persecution & is on treatment for substance induced psychotic disorder since an year now. He's not abusing any substance now & he's not scared of people anymore but his delusion on me has not gone away still. He thinks i've drugged him & i'm the cause of all his suffering. He's uncomfortable meeting me. This illness has ripped our relationship apart. He stays in mumbai & I had to leave mumbai because he was totally scared of me. I'm in kolkata. Now the problem is he can't stay with me but can't be away too. He talks to me everyday & we have a platonic relationship. The intensity of his delusion isn't as strong as before though. My question is'will he never realize his delusions? is there any hope? he's suffering from psoriasis too now. How can I contribute in his wellbeing?

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Usually drug-induced psychosis fortunately has a two-year duration and will subside on its own. It is good he is on treatment though which will make it easier. Even the geographical distance between you two will give him the space and time to work on the issues since he is blaming you for his self-induced condition. He needs counseling to sort out his distortion with your involvement and come to terms with his contribution and the addiction. Most addicts have a problem accepting the seriousness of their problem and use denial to blame other people and factors for their plight. He needs to sort this out first. You just have to be assuring to him and talk like normal and that you are not guilty of any wrong doing. There is no point in getting into a slanging match while denying it. If that happens, just keep quiet and say that it is up to him to believe you or not. I also think that if he does not work or resolve his problem, you may have to take a call about the future of this relationship from your side at least. You may go about it as gently as possible but the hard reality is that there is something wrong to begin with and unless that is worked up on and dealt with, with some guarantees that that will not recur as a permanent problem in the future, you could be looking at letting him go. If you still want to pursue the relationship, please get involved in his recovery to understand the implications and the extent he has resolved the addiction problem and the psychosis. Sometimes the chemical could have induced an underlying predisposition to the psychosis. Then it is a different situation all together. You must also work on why you were attracted to such a personality, and if that moots some serious work, please do so for your own good, whether you make it with him or not.
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I m only 18 years old and starting to have 2-3 grey hairs. What is the reason this and how to get rid of this premature greying of hair?

BAMS
Ayurveda, Ambala
I m only 18 years old and starting to have 2-3 grey hairs. What is the reason this and how to get rid of this prematu...
These are the causes of greying of hair: • improper Diet (Malnutrition) • Due to other skin diseases (Dandruff, Leucoderma etc) • Stress • Due to medicines • Use of chemical products (hair gel, colours) • Due to pollution For prevention from greying of hairs follow these instructions: • Do not take stress and take proper sleep of 6 - 7 hours. Do meditation or long breathing pranayams for 10 minutes daily to destress yourself. • You can apply amla powder, Make the paste of amla powder with water and apply it for 15 minutes once in week in afternoon and rinse it. • Avoid use of excess hair products such as hair colours and try to use mild shampoo. • Add protein containing items in your foods such as take a bowl of cereal daily, and a glass of milk also. You can eat cheese or soya protein. • Eat healthy fruits and green leafy vegetables daily. • you can use mahabhringraj oil and apply it 3 times in a week massage your scalp for 10 to 15 minutes daily. You can massage daily with oil it increase blood circulation and prevent hair from greying. • Avoid the use of products such as hair colours or excessive shampoo. •In a bowl, mix two eggs, honey and some coconut oil. You can also use olive oil instead of coconut oil. Apply it on your scalp and leave it for 20 minutes, then rinse with a mild shampoo.
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Dear Sir, May name is Karan, I am 25 years old & hail from ASR. From last 4-5 years hair fall is going on and I have consult from doctor they advised me himalaya protein shampoo for hair fall, also before get sleep with in gap 1-2 days I have massage with olive oil and in morning I bath daily from Himalayan shampoo so please advice me" is it ok to use daily shampoo otherwise not so please share me some other option"

BHMS
Homeopath, Sindhudurg
Dear Sir, May name is Karan, I am 25 years old & hail from ASR. From last 4-5 years hair fall is going on and I have ...
It is normal to lose about 30-80 strands of hair in a day. The common reasons behind hair fall are lack of essential nutrients in the body, improper and unhealthy dietary habits, hormonal imbalance, certain medications, dandruff, alopecia and other scalp disorders, stress and tension etc. Natural oils such as coconut, olive, jojoba, almond etc. Can be used to massage the scalp for countering hair fall. Gently massage the scalp prior to head bath twice a week. Use shampoo twice per week. Also check hemoglobin for anaemia and thyroid status with serum tsh. Have more proteins and trace minerals like copper, zinc, selenium in diet. Start taking a hair nutrition supplement. Keep stress away with regular exercise, yoga, meditation. Get the underlying scalp condition like dandruff treated.
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My dry skin and raf skin hai mayri face per glow nhi hai so pleaseaap mujy mayry face kay liy kuch tipes batay taki mayri skin fare or glowing ho Jaye

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
My dry skin and raf skin hai mayri face per glow nhi hai so pleaseaap mujy mayry face kay liy kuch tipes batay taki m...
Use tea tree face wash and toner twice daily. Use aha glow face wash daily use sunscreen with spf 30 daily. Use natural face pack of multani mitti and lemon 2 times a week. You can also use apple cider vinegar with mother for 5 mins after washing your face and splash it clean with water. Most important is diet- do not eat junk, eat more vegetables and fruits especially with vitamin c.
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I am 22years old, and loosing hairs daily, and white hairs coming out, and feeling anxious. Used many dye, but finding no sound result. What should I do now?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
I am 22years old, and loosing hairs daily, and white hairs coming out, and feeling anxious. Used many dye, but findin...
Please take following medicine:- afl 30 / 5 drops in little water thrice a day for one month. Inform after one month with feedback.
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