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Dr. Naresh Alreja

MBBS, DOMS, FCPS

Ophthalmologist, Mumbai

20 Years Experience  ·  500 at clinic
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Dr. Naresh Alreja MBBS, DOMS, FCPS Ophthalmologist, Mumbai
20 Years Experience  ·  500 at clinic
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Naresh Alreja
Dr. Naresh Alreja is a popular Ophthalmologist in Wadala, Mumbai. He has had many happy patients in his 20 years of journey as a Ophthalmologist. He has completed MBBS, DOMS, FCPS . He is currently associated with Kiran Eye Care in Wadala, Mumbai. Book an appointment online with Dr. Naresh Alreja and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Ophthalmologists in India. You will find Ophthalmologists with more than 29 years of experience on Lybrate.com. Find the best Ophthalmologists online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MBBS - conwest Jain Clinic, - 1997
DOMS - Conwest Jain College, Mumbai, - 1999
FCPS - Grant Medical College, JJ group of Hospitals Mumbai, - 2001
Languages spoken
English
Hindi

Location

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Kiran Eye Care

Jyoti Vihar CO.OP Hou. Society,plot no 43-45, Landmark: Near Hariyali Restro & At The Foot of Wadala Bridge, MumbaiMumbai Get Directions
500 at clinic
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My mother is 70 years old .She complaint regarding her left eye. After OCT ,doctor said that she is suffering from Macular Degeneration. Please advise me the treatment and the proper place of treatment.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
My mother is 70 years old .She complaint regarding her left eye. After OCT ,doctor said that she is suffering from Ma...
Hello Theatment depend son condition of macula. If there is wet AMD then injection avastin is required. Please send me your medical records so that i may guide you better
1 person found this helpful
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How to increase eye power. Which food increase eye power. How to protect eye by sun.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
How to increase eye power. Which food increase eye power. How to protect eye by sun.
Diet for EYESIGHT Lutein and zeaxanthin are both important nutrients for eye health,6 as both of them are found in high concentrations in your macula—the small central part of your retina responsible for detailed central vision. More specifically, lutein is also found in your macular pigment – known for helping to protect your central vision and aid in blue light absorption—and zeaxanthin is found in your retina.Estimated daily dose of lutein is 10 mg per day, and at 2 mg/day for zeaxanthin. Both lutein and zeaxanthin are primarily found in green leafy vegetables, although zeaxanthin is far scarcer than lutein. Kale and spinach are two of the most lutein-rich foods, but you'll also find it in carrots, squash, and other orange and yellow fruits and vegetables. Both lutein and zeaxanthin are carotenoids called xanthophylls, which give plants and vegetables their yellow-orange color, and the name "lutein" comes from the Latin word "luteus," which means "yellow." If you remember this, it may help you pick out vegetables that are likely to contain higher amounts of these two nutrients. Egg yolk is another source of both lutein and zeaxanthin that is well absorbed by your body Most of the dark green leafy vegetables, previously recommended for a higher intake of lutein and zeaxanthin, have 15-47 percent of lutein, but a very low content (0-3 percent) of zeaxanthin. study shows that fruits and vegetables of various colors can be consumed to increase dietary intake of lutein and zeaxanthi It is also important to note that lutein is an oil-soluble nutrient, so if you eat the vegetables without some oil or butter your body can't absorb the lutein. Adding a little bit of healthy fat, such as olive oil, coconut oil, or raw organic butter, will maximize your lutein absorption. Lutein content in food Food Mg / serving Orange ( Raw) 0.2/1 large Egg 0.2/1 large Spinach (cooked) 20.4 / 1 cup Papaya(Raw) 0.3/1 large Turnip greens (cooked) 12.2 / 1 cup Green peas (cooked) 4.1 / 1 cup Spinach (raw) 3.7 / 1 cup Corn (cooked) 1.5 / 1 cup Broccoli (raw) 1.3 / 1 cup Broccoli (cooked) 0.8 / 1/2 cup Green beans (cooked) 0.9 / 1 cup
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Two weeks back my brother-in-law lost 90% vision of his right eye. 3 striods injections given but in vain. VEP & MRI done and optic neuritis diagnosed. Othlo doctor said there is no problem in the eye & Neuro doctor advised for plasma or IV1g treatment which very costly and not surety of vision recovery. Kindly advise.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Two weeks back my brother-in-law lost 90% vision of his right eye. 3 striods injections given but in vain. VEP & MRI ...
Hello I am sorry for his loss but your doctor is right Neurologist will treat the condition If there is no improvement with IVMP then chances of visual recovery are very poor. IVMP helps is faster recovery I would recommend you to follow instructions of your doctor.
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I have red eyes for last 4 days what should I do in this condition please tell me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have red eyes for last 4 days what should I do in this condition please tell me.
Homoeopathic medicine EUPHRASIA 30 ( Dr Reckeweg) Drink 2 drops direct on tongue every 2-3 hrly CINERARIA /EUPHRASIA EYEDROPS ( SBL ) pour into eyes 1-2 drops 3 times daily
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Hello Doctor. I have problem with my eyes. For every 1 hour some white dust like particles are formed at the corner of my eyes. Visited doctors but not cured. What could be the problem. How can I stop my eyes discharging the dust like particles. I have specs for eyesight. But I use them only when at office when I work on systems. Is that one of the reasons? Pls suggest me something on this.

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
Hello Doctor. I have problem with my eyes. For every 1 hour some white dust like particles are formed at the corner o...
Take johnsons buds dip it in slightly hot water and clean your eye lid margins with that looking into a mirror twice a day for computer use: so take frequent breaks while you are working every 20-25 mins take break to look away from screen blink more frequently' level of screen should be below the level of eyes ac should not blow directly on your face. Also get your eyes checked for any spectacle power.
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I having a pain in eye from last 2 days and also irritating. Give me suggestion what should I do?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
I having a pain in eye from last 2 days and also irritating.
Give me suggestion what should I do?
Measures include 1. Work under proper light. 2. Blink a lot. 3. Cold compresses 4. Use good lubricating eyedrop 5. Use goggles when in sunlight.
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Hi I am mahi solanki and my problem is how to long time watch a mobail is my eyes in normal tear?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Hi I am mahi solanki and my problem is how to long time watch a mobail is my eyes in normal tear?
Hello Prolonged working on laptop/TV/mobile can cause computer vision syndrome. Computer vision syndrome is a condition resulting from focusing the eyes on a computer or other display device for, uninterrupted periods of time. Some symptoms of cvs include a. Headaches b blurred vision c. Neck pain d redness in the eyes e. Eye strain f dry eyes sometimes watery eyes these symptoms can be further aggravated by improper lighting conditions. Measures to reduce this include 1. Work under proper light. 2. Blink a lot. 3. Cold compresses 4. Use good lubricating eyedrop
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जब मै पढ़ने के लिए बैठता हूं तो आँख और सर दोनो दर्द होने लगता है | मुझको क्या करना चाहिए?

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
जब मै पढ़ने के लिए बैठता हूं तो आँख और सर दोनो दर्द होने लगता है | मुझको क्या करना चाहिए?
Take frequent breaks while studying and dip a handkerchief in cold water and keep it over closed eyes for 2 minutes during breaks, you will feel better. Also get your eyes checked for any spectacle number.
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I have yellow eyes what should I do to whiten them and I do not have jaundice or any other disease.

DNB Ophtalmology, MS - Ophthalmology, MBBS, Fellowship in Medical Retina, Fellowship in IOL & Cataract Microsurgery
Ophthalmologist, Delhi
I have yellow eyes
what should I do to whiten them and I do not have jaundice or any other disease.
Jaundice can readily be ruled out by giving blood sample at laboratory for liver function tests. Yellow cooler is usually due to pigmentation. And nothing can be done to lighten it.
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I'm 21 years old female had head ache paining from right eyebrow to head. I can't face sun my eyes gets so small if I go to sun.

MBBS
General Physician, Mumbai
I'm 21 years old female had head ache paining from right eyebrow to head. I can't face sun my eyes gets so small if I...
For pain take tablet paracetamol 650 mg and Take a flow of steam (of plain water only ) over the forehead through a crescent steam inhaler, eight hourly
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician, Gorakhpur
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

14 people found this helpful

I am 69 years old and have pulling sensation under my right eye. This causes to close my eye involuntary now and then. However, when I relax, the sensation stops for a while and starts again.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
I am 69 years old and have pulling sensation under my right eye. This causes to close my eye involuntary now and then...
Hello your symptoms are suggestive of myokymia most common cause being tension kindly observe it may resolve on its own without treatment if it persists, kindly consult local ophthalmologist.
1 person found this helpful
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My right eye vision is not clear n sharpness is not coming during seeing any object. What I suppose to do. Tennis ball hit that eye 15 days back and some drops help me to reduce redness but vision is not perfect yet. What to do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My right eye vision is not clear n sharpness is not coming during seeing any object. What I suppose to do. Tennis bal...
Homoeopathic medicine ARNICA MONTANA Q ( DR REckeweg) Drink 10 drops in 20 ml fresh water 3 times daily for 15 days.
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I have problem in my eyes I cannot able to see blackboard what should I do for this?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
I have problem in my eyes I cannot able to see blackboard what should I do for this?
hello dear...for weak sight u should consult local eye surgeon and get ur eyesight checked. use glasses for proper vision if required...other options are contact lens and lasik laser (after age of 18)
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Jab m jyada mobile ya computer use karta hoon to meri aankho me pani aane lagta hai.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Jab m jyada mobile ya computer use karta hoon to meri aankho me pani aane lagta hai.
The solution for this problem is its reduced usage and while using computor/mobile use in proper light. There is nothing more effective than controlling usage to reduce and negate the effects. You can also reduce the intensity of the computor /mobile screen by attaching a filter or by getting an eye-friendly screen. Above all, one must try to reduce the amount of computor /mobile usage or take frequent breaks.---------------- homoeopathic medicine-------------------- cinelube eye drops (hapdco) pour 2 drops 3 times daily.
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My mothers age is 75 and she is having eye caterer problem and she cant walk. How can I take her?like firstly for tests and again for opration.

MBBS, MS - Ophthalmology
Ophthalmologist, Delhi
You can yourself help her upto the car, by which she can reach the hospital. She will first be evaluated for cataract and number is calculated for lens to inserted. Then directly visit on the day of operation.
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MD - Ophthalmology, MBBS
Ophthalmologist, Delhi
Sun glasses are not necessary in all cases but certain professions & special needs have exception. Consult your eye specialist for expert advice.
2 people found this helpful

Sir I have floater and flash in both eyes since 15 days and I go for retina examined but there is no problem. So should I worried about retina detachment in future.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Sir I have floater and flash in both eyes since 15 days and I go for retina examined but there is no problem. So shou...
Hello in eye we have 2 segments: anterior and posterior. In posterior segment we have a gel called vitreous this vitreous is made of collagen fibres. In some people, these collagen fibres gets meshed up and they start floating in vitreous gel when light enters the eye, these meshed collagen fibres cast a shadow on retina which is seen as floaters by patient. There is no treatment for this just avoid seeing them these are entirely normal consult ophthalmologist if these suddenly increase in number This is a provisional diagnosis. Consult your ophthalmologist for detailed examination.
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My age is 36 years old and not married. I am using minoxidil 5% for last 8 months. Earlier it showed significant effect and hair fall stopped and saw few hair growth, but for last 2 months, suddenly more hair fall and hair fall even from roots now. Not seeing any positive effect. So what I should do? Should I stop this minoxidil 5% permanently? Because I do not want to loss more hairs. My middle scalp is showing as bald. Please suggest. If any good solution apart from this, without any single medicines with full head of hair permanently. Please suggest.

BHMS
Homeopath, Chennai
My age is 36 years old and not married. I am using minoxidil 5% for last 8 months. Earlier it showed significant effe...
Dear lybrate user it is the secondary action of the medicine as every action has an equal and opposite reaction our body reacts same to physiological doses of medicine but in homoeopathy we give dynamic doses of medicine which are similar to your symptoms thus removing this hair fall tendency naturally but one thing I advice you take classical treatment only where single doses of medicine will be given to you do not use any shampoo or perfumed oils use shika powder and coconut oil only also eat healthy diet more in proteins vegetables and whole fruits exercise daily.
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