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Dr. Keshiwala

Cardiologist, Mumbai

Dr. Keshiwala Cardiologist, Mumbai
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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. Keshiwala
Dr. Keshiwala is one of the best Cardiologists in Mumbai, Mumbai. You can consult Dr. Keshiwala at Saifee Hospital-Girgoan in Mumbai, Mumbai. Book an appointment online with Dr. Keshiwala and consult privately on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 26 years of experience on Lybrate.com. You can find Cardiologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Saifee Hospital-Girgoan

15/17, Maharshi Karve Rd, Girgaon, MumbaiMumbai Get Directions
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My wife aged 61 years is suffering from Anemia and my doctor after referring to blood report confirms she is thalassemia minor patient. Is there any medicine available for this diagnose. She is also suffering from type II diabetes and hypertension.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
Patients are encouraged to avoid high iron and iron supplementation. Encouraged to drink any kind of tea with meals which decreases iron absorption foods to avoid prunes, watermelon, leafy veggies, cornflakes, 100% bran follow small meal pattern including good fiber rich foods and cut down on intake of salt.
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In April I had been for endoscopy every thing is normal, in July there is slightly pain in left chest, I had been for ECG it's normal, now a days I am getting pain in liver side last 2 months, I had been for ultrasonic scan reports are normal, but little bit pain is there in liver side do the needful doctor.

M.S. (proctology)
Proctologist, Navi Mumbai
I think you are having symptoms related acid peptic diseases like hyperacidity if every thing is normal then not to worry because liltebit stress also causes above symptoms increase Water intake specially after 1_1/2 after good it helpful proper digestion.
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I am 48 years old I am suffering for diabetic and blood pressure please Advise medicine.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Having diabetes makes high blood pressure and other heart and circulation problems more likely, because diabetes damages arteries and makes them targets for hardening (atherosclerosis). Atherosclerosis can cause high blood pressure, which if not treated, can lead to blood vessel damage, stroke, heart failure, heart attack, or kidney failure. You can consult me in private for detailed treatment which is available in biochemic system of medicine depending upon symptomatically. Eatng lots of garlic. If you cant have it get it homeopathically allium sativum (biochemic) nat phos 30x, avoid all types of fats and red meat.
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I get these aches near heart after I do gym. Is it something serious. Do I have a heart problem.?

DM - Cardiology, MD - Internal Medicine, MBBS
Cardiologist, Delhi
Doesn't look like heart problem . Normally muscle aches can be there . Try tab crocin / consult once with a doc so that he can see you physically
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I have cholesterol how can I reduce without use of English medicines. If I use medicine it decreases cholesterol levels but it reaches high levels again after stops use medicine. So I request you to tell me permanent solution.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
this is fact that when take medicines of high cholesterol it reduced and when stopped it again increases. if don't want English medicines. You can control cholesterol / hdl / ldl/ t.g. By using following flax oil, omega-3 fatty meal or cap., take . green veg., whole grain foods, spicy foods, Use GARLIC in foods daily ,. Cod liver oil. Low sugar foods, low calories foods. Change own life style . do meditation,yoga, Go walk daily in morning and evening, do any one physically activity daily i.e. play any game., Avoid fast foods, oily foods, alcohol,smoking, fatty foods, non-veg., avoid stress, take plenty of water in day time. one important that is take 1 glass of water before bed at night. Because it protect from heart fail during sleep at night.
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Hi I am affected by death illness I fear in some time the heart attack will come to me like that on that time I can't able to conce. on my studies and also in my work So how do I forget it please help me.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Hi there How to Stop Worrying Self-Help Strategies for Relief from Anxieties, Worries, and Fears Self-Help for Anxiety Relief Worrying can be helpful when it spurs you to take action and solve a problem. But if you’re preoccupied with “what ifs” and worst-case scenarios, worry becomes a problem. Unrelenting doubts and fears can be paralyzing. They can sap your emotional energy, send your anxiety levels soaring, and interfere with your daily life. But chronic worrying is a mental habit that can be broken. You can train your brain to stay calm and look at life from a more positive perspective. Why is it so hard to stop worrying? No one likes the way constant worrying makes you feel, so why is it so difficult to stop? The answer lies in the beliefs—both negative and positive—you have about worrying. On the negative side, you may believe that your constant worrying is going to spiral completely out of control, drive you crazy, or damage your health. On the positive side, you may believe that your worrying helps you avoid bad things, prepare for the worst, or come up with solutions. You may even believe that worrying shows you’re a caring and conscientious person. Negative beliefs, or worrying about worrying, add to your anxiety and keep it going (much in the same way worrying about getting to sleep often keeps you awake). But positive beliefs about worrying can be even more damaging. It’s tough to break the worry habit if you believe that your worrying protects you. In order to stop worry and anxiety for good, you must give up your belief that worrying serves a positive purpose. Once you realize that worrying is the problem, not the solution, you can regain control of your worried mind. Worry and anxiety self-help tip #1: Create a worry period It’s tough to be productive in your daily life when anxiety and worry are dominating your thoughts. But what can you do? Telling yourself to stop worrying doesn’t work—at least not for long. You can distract yourself for a moment, but you can’t banish anxious thoughts for good. In fact, trying to do so often makes them stronger and more persistent. You can test this out for yourself. Close your eyes and picture a pink elephant. Once you can see itin your mind, stop thinking about it. Whatever you do, for the next 60 seconds, don’t think about pink elephants! How did you do? Did thoughts of pink elephants keep popping in your brain? Why trying to stop anxious thoughts doesn’t work “Thought stopping” backfires because it forces you to pay extra attention to the very thought you want to avoid. You always have to be watching for it, and this very emphasis makes it seem even more important. But that doesn’t mean there’s nothing you can do to control worry. You just need a different approach. This is where the strategy of postponing worrying comes in. Rather than trying to stop or get rid of an anxious thought, give yourself permission to have it, but put off dwelling on it until later. Learn to postpone worrying Create a “worry period.” Choose a set time and place for worrying. It should be the same every day (e.g. In the living room from 5: 00 to 5: 20 p.m.) and early enough that it won’t make you anxious right before bedtime. During your worry period, you’re allowed to worry about whatever’s on your mind. The rest of the day, however, is a worry-free zone. Postpone your worry. If an anxious thought or worry comes into your head during the day, make a brief note of it and then continue about your day. Remind yourself that you’ll have time to think about it later, so there’s no need to worry about it right now. Go over your “worry list” during the worry period. If the thoughts you wrote down are still bothering you, allow yourself to worry about them, but only for the amount of time you’ve specified for your worry period. If they don’t seem important any more, cut your worry period short and enjoy the rest of your day. Postponing worrying is effective because it breaks the habit of dwelling on worries when you’ve got other things to do, yet there’s no struggle to suppress the thought or judge it. You simply save it for later. And as you develop the ability to postpone your anxious thoughts, you’ll start to realize that you have more control than you think. Worry and anxiety self-help tip #2: Ask yourself if the problem is solvable Research shows that while you’re worrying, you temporarily feel less anxious. Running over the problem in your head distracts you from your emotions and makes you feel like you’re getting something accomplished. But worrying and problem solving are two very different things. Problem solving involves evaluating a situation, coming up with concrete steps for dealing with it, and then putting the plan into action. Worrying, on the other hand, rarely leads to solutions. No matter how much time you spend dwelling on worst-case scenarios, you’re no more prepared to deal with them should they actually happen. Distinguish between solvable and unsolvable worries If a worry pops into your head, start by asking yourself whether the problem is something you can actually solve. The following questions can help: Is the problem something you’re currently facing, rather than an imaginary what-if? If the problem is an imaginary what-if, how likely is it to happen? Is your concern realistic? Can you do something about the problem or prepare for it, or is it out of your control? Productive, solvable worries are those you can take action on right away. For example, if you’re worried about your bills, you could call your creditors to see about flexible payment options. Unproductive, unsolvable worries are those for which there is no corresponding action. “What if I get cancer someday?” or “What if my kid gets into an accident?” If the worry is solvable, start brainstorming. Make a list of all the possible solutions you can think of. Try not to get too hung up on finding the perfect solution. Focus on the things you have the power to change, rather than the circumstances or realities beyond your control. After you’ve evaluated your options, make a plan of action. Once you have a plan and start doing something about the problem, you’ll feel much less worried. Dealing with unsolvable worries But what if the worry isn’t something you can solve? If you’re a chronic worrier, the vast majority of your anxious thoughts probably fall in this camp. In such cases, it’s important to tune into your emotions. As previously mentioned, worrying helps you avoid unpleasant emotions. Worrying keeps you in your head, thinking about how to solve problems rather than allowing yourself to feel the underlying emotions. But you can’t worry your emotions away. While you’re worrying, your feelings are temporarily suppressed, but as soon as you stop, they bounce back. And then, you start worrying about your feelings: “What’s wrong with me? I shouldn’t feel this way!” The only way out of this vicious cycle is by learning to embrace your feelings. This may seem scary at first because of negative beliefs you have about emotions. For example, you may believe that you should always be rational and in control, that your feelings should always make sense, or that you shouldn’t feel certain emotions, such as fear or anger. The truth is that emotions—like life—are messy. They don’t always make sense and they’re not always pleasant. But as long as you can accept your feelings as part of being human, you’ll be able to experience them without becoming overwhelmed and learn how to use them to your advantage. The following tips will help you find a better balance between your intellect and your emotions. Worry and anxiety self-help tip #3: Challenge anxious thoughts If you suffer from chronic anxiety and worries, chances are you look at the world in ways that make it seem more dangerous than it really is. For example, you may overestimate the possibility that things will turn out badly, jump immediately to worst-case scenarios, or treat every negative thought as if it were fact. You may also discredit your own ability to handle life’s problems, assuming you’ll fall apart at the first sign of trouble. These irrational, pessimistic attitudes are known as cognitive distortions. Although cognitive distortions aren’t based on reality, they’re not easy to give up. Often, they’re part of a lifelong pattern of thinking that’s become so automatic you’re not even completely aware of it. In order to break these bad thinking habits and stop the worry and anxiety they bring, you must retrain your brain. Start by identifying the frightening thought, being as detailed as possible about what scares or worries you. Then, instead of viewing your thoughts as facts, treat them as hypotheses you’re testing out. As you examine and challenge your worries and fears, you’ll develop a more balanced perspective. Stop worrying by questioning the anxious thought What’s the evidence that the thought is true? That it’s not true? Is there a more positive, realistic way of looking at the situation? What’s the probability that what I’m scared of will actually happen? If the probability is low, what are some more likely outcomes? Is the thought helpful? How will worrying about it help me and how will it hurt me? What would I say to a friend who had this worry? Cognitive Distortions that Add to Anxiety, Worry, and Stress All-or-nothing thinking – Looking at things in black-or-white categories, with no middle ground. “If I fall short of perfection, I’m a total failure.” Overgeneralization – Generalizing from a single negative experience, expecting it to hold true forever. “I didn’t get hired for the job. I’ll never get any job.” The mental filter – Focusing on the negatives while filtering out all the positives. Noticing the one thing that went wrong, rather than all the things that went right. Diminishing the positive – Coming up with reasons why positive events don’t count. “I did well on the presentation, but that was just dumb luck.” Jumping to conclusions – Making negative interpretations without actual evidence. You act like a mind reader, “I can tell she secretly hates me.” Or a fortune teller, “I just know something terrible is going to happen.” Catastrophizing – Expecting the worst-case scenario to happen. “The pilot said we’re in for some turbulence. The plane’s going to crash!” Emotional reasoning – Believing that the way you feel reflects reality. “I feel frightened right now. That must mean I’m in real physical danger.” 'Shoulds’ and ‘should-nots’ – Holding yourself to a strict list of what you should and shouldn’t do and beating yourself up if you break any of the rules Labeling – Labeling yourself based on mistakes and perceived shortcomings. “I’m a failure; an idiot; a loser.” Personalization – Assuming responsibility for things that are outside your control. “It’s my fault my son got in an accident. I should have warned him to drive carefully in the rain.” Worry and anxiety self-help tip #4: Accept uncertainty The inability to tolerate uncertainty plays a huge role in anxiety and worry. Chronic worriers can’t stand doubt or unpredictability. They need to know with 100 percent certainty what’s going to happen. Worrying is seen as a way to predict what the future has in store—a way to prevent unpleasant surprises and control the outcome. The problem is, it doesn’t work. Thinking about all the things that could go wrong doesn’t make life any more predictable. You may feel safer when you’re worrying, but it’s just an illusion. Focusing on worst-case scenarios won’t keep bad things from happening. It will only keep you from enjoying the good things you have in the present. So if you want to stop worrying, start by tackling your need for certainty and immediate answers. Challenging intolerance of uncertainty: The key to anxiety relief Ask yourself the following questions and write down your responses. See if you can come to an understanding of the disadvantages and problems of being intolerant of uncertainty. Is it possible to be certain about everything in life? What are the advantages of requiring certainty, versus the disadvantages? Or, how is needing certainty in life helpful and unhelpful? Do you tend to predict bad things will happen just because they are uncertain? Is this a reasonable thing to do? What is the likelihood of positive or neutral outcomes? Is it possible to live with the small chance that something negative may happen, given its likelihood is very low? Adapted from: Accepting Uncertainty, Centre for Clinical Interventions Worry and anxiety self-help tip # 5: Be aware of how others affect you How you feel is affected by the company you keep, whether you’re aware of it or not. Studies show that emotions are contagious. We quickly “catch” moods from other people—even from strangers who never speak a word (e.g. The terrified woman sitting by you on the plane; the fuming man in the checkout line). The people you spend a lot of time with have an even greater impact on your mental state. Keep a worry diary. You may not be aware of how people or situations are affecting you. Maybe this is the way it’s always been in your family, or you’ve been dealing with the stress so long that it feels normal. Try keeping a worry diary for a week or so. Every time you start to worry, jot down the thought and what triggered it. Over time, you’ll start to see patterns. Spend less time with people who make you anxious. Is there someone in your life who drags you down or always seems to leave you feeling stressed? Think about cutting back on the time you spend with that person or establish healthier relationship boundaries. For example, you might set certain topics off-limits, if you know that talking about them with that person makes you anxious. Choose your confidantes carefully. Know who to talk to about situations that make you anxious. Some people will help you gain perspective, while others will feed into your worries, doubts, and fears. Worry and anxiety self-help tip #6: Practice mindfulness Man meditating Worrying is usually focused on the future—on what might happen and what you’ll do about it. The centuries-old practice of mindfulness can help you break free of your worries by bringing your attention back to the present. In contrast to the previous techniques of challenging your anxious thoughts or postponing them to a worry period, this strategy is based on observing and then letting them go. Together, they can help you identify where your thinking is causing problems, while helping you get in touch with your emotions. Acknowledge and observe your anxious thoughts and feelings. Don’t try to ignore, fight, or control them like you usually would. Instead, simply observe them as if from an outsider’s perspective, without reacting or judging. Let your worries go. Notice that when you don’t try to control the anxious thoughts that pop up, they soon pass, like clouds moving across the sky. It’s only when you engage your worries that you get stuck. Stay focused on the present. Pay attention to the way your body feels, the rhythm of your breathing, your ever-changing emotions, and the thoughts that drift across your mind. If you find yourself getting stuck on a particular thought, bring your attention back to the present moment. Using mindfulness meditation to stay focused on the present is a simple concept, but it takes practice to reap the benefits. At first, you’ll probably find that your mind keeps wandering back to your worries. Try not to get frustrated. Each time you draw your focus back to the present, you’re reinforcing a new mental habit that will help you break free of the negative worry cycle. I hope this helps. Take care
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Am getting chest pain monthly once, I can't feel good at that time. I just want to die at that time, please suggest me to became cure.

BHMS
Homeopath, Faridabad
Hello, chest pain may be because of heart problems, lung problems, gastrointestinal problems, anxiety or panic attack. So please mention few more symptoms associated with it so that I can diagnose the cause and suggest you the medication accordingly. Take care.
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I hav chest pain nd sometimes unable to take my breath during pain. Can I knw the reason nd my pblm.

MBBS
General Physician, Mumbai
For pain take tablet paracetamol 650 mg and it can be due to muscular pain which needs to be evaluated after clinical examination
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How to get 5 cm chest expecting for police job. Any exercise or food. And I have 83 cm chest how to get 86 cm in 2months. Hight.21 years old male, 5.5 hight.

MBBS, cc USG
General Physician, Gurgaon
For this consult good gym trainer and take protein rich food I am giving you few examples of protein rich food from vegetarian sources spouts all dals milk soybean wheat lentils peanut butter hemp seed almonds sunflower seeds cheese.
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I have a chest tightness so where could be the the cause for that? I have CT scan report for chest it says followings Patchy fibrosis strands are noted in apical and posterior segments of right upper lobe with minimal traction of bronchiectasis and right apical pleural thickening Small patchy subpleural fibrosis strands r noted in apicoposterior segment of left upper lobe Thickening of bilateral inferior pulmonary ligaments with focal pleurodiaphragmatic adhesions.

Diploma in Tuberculosis and Chest Diseases (DTCD), MBBS
Pulmonologist, Delhi
You previously had Tuberculosis which is healed now but left residual scarring. It has made your lungs weak and may be the cause of tightness. Otherwise there could be fresh infection or inflammation
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My question is blood pressure high. How to control and symton define. Heart attack symptoms define.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
High blood pressure may present as headache or vertigo ...that needs treatment depending on the bp reading and age Heart attack may present with chest pain,profuse sweating ,palpitations, ghabrahat etc with feeling of impending doom...
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My age is 29 yrs & my upper position of chest is paining from few days, I am sales person & from last 5 days it has been paining slightly. I am in sales profile & field for 6 years. Kindly suggest what to do.

MBBS, cc USG
General Physician, Gurgaon
Hello, CHEST PAIN in your case may be due to 1.acidity. 2. severe anxiety 3. muscular problem A. You can take Tablet Pantocid(if no drug allergy) 40 mg one tablet before food for 3 days B. Local application of Volini gel 1% twice a day for 2-3 day you should go for BP check along with Base line ECG and review with report I am giving you some health tips to avoid acidity 1.Take small frequent meal kindly take 5-6 small meal in whole day 2.Take 6-8 glass of water in a day 4. Moderate physical activity regularly 5.avoid excessive tea, coffee 6. Do Not postpone Breakfast consult Physician for Further Management
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I got my heart surgery. Often I am feeling trouble to take breath. Could you suggest me wt I should do?

BHMS
Homeopath, Faridabad
Hello, Take homoeopathic Heart Tonic by Schwabe Essentia Aurea /10-20 drops should be taken 3 times a day before meals. Let me know about your condition after 10 days. Take Care.
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Hi doctor, I had a question about the readings I got on two separate echocardiogram reports which I took in a gap of about 5 months. Every thing in all the reports is normal. However my LVID in the most recent report has increased significantly, I'm not sure if I should be worried about this. Also I must mention that, the most recent echo report with the increased parameters was taken just a little while after a maximal stress test. Where my heart rate reached 190bpm. The stress test was normal. The older reports were taken at rest. I'm a 23 year old boy, normal weight, 5'11' Could the stress test have increased the left ventricular chamber size? I'm quite worried. My doctor says the report is fine, but he did not look at the previous report. Also, all three reports were taken by different lab technicians. Measurement 01/03/16 21/10/15 31/8/2010 Ao (ed) 2.7cm 2.7cm 3.0cm LA (es) 3.3cm 3.5cm 3.2cm LVID (ed) 4.9cm 4.2cm 4.4cm LVID (es) 3.1cm 2.4cm 2.4cm IVS (ed/es) 0.9cm 0.9cm 0.8cm LVPW (ed/es) 0.9cm 0.9cm 0.8cm EF 67% 62% 76%

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Function of heart is >70% ,stress test is normal. ECG report is not the Only criteria of a heart disease. It is the most basic test , if it shows no changes about heart disease and person is suffering other tests are done, like in your case and All is Well. Reports are normal , take preventive care about food,exercise,stress and other factors like high BP that lead to heart disease.
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What is better medicine for heart attack what is if comes to mild heart attack. If comes at a sudden what should we do. Is There any medicine.

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
If someone develops sudden chest pain or breathlessness or by any other symptom one thinks it could be heart attack it is better to take him to nearby hospital and get him diagnosed and treated, any delay because of ignorance, or self treatment or self diagnosis can be fatal. Any medicine should be given after medical check up only.
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I have detected by high cholesterol, how can I reduce the cholesterol level in blood. By medicines or by home remedies.?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hello dear High cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. garlic,. Take anti cholesterol medicines .
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My bp is 115 /82 BP , anxiety disordern & chest pain & body weakness I go to my doctor it's like 120 over 70 and he said now it's fine and he says it is due to anxiety disorder but it's fine at his or her office only at home it goes high what do you recommend.

MBBS, DPM
Psychiatrist, Bangalore
Dear lybrate-user. Please don't worry about BP. Both 115/82 and 120/70 are within normal levels. BP will change if you record it while sitting or lying down, or checking for the second time, after climbing stairs, or thinking/talking about some critical event or after yoga/exercise/games, while resting, or tablets/food that you have taken, etc. You can take psychological therapy for your anxiety disorder from a psychiatrist or clinical psychologist, instead of checking and worrying about BP at the age of 23 yrs.
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Diploma in Diet and Nutrition, BHMS
Homeopath, Mumbai
Buddha says:
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