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Dr. Ramila

Gynaecologist, Mumbai

500 at clinic
Dr. Ramila Gynaecologist, Mumbai
500 at clinic
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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. Ramila
Dr. Ramila is an experienced Gynaecologist in Ghatkopar East, Mumbai. She is currently associated with Dewang Nursing Home in Ghatkopar East, Mumbai. Save your time and book an appointment online with Dr. Ramila on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 41 years of experience on Lybrate.com. You can find Gynaecologists 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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Dewang Nursing Home

2nd Floor Bhaveshwar Market, M G Road, Ghatkopar East. Landmark:Next To Gandhi Market & Pooja Hotel, MumbaiMumbai Get Directions
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Healthy relationships for a healthy mind

D.P.M(psychiatry) [Diploma in Psychological medicine] , MBBS
Psychiatrist, Jalna
Healthy relationships for a healthy mind
Healthy relationships for a healthy mind:-
68 people found this helpful

Hi i am 9th month pregnant now. My wght was 58 kgs nd my age was 23. During my 9th month scanning I got to know that there was a less quantity of liquid in my body which was useful to normal delivery. So what should I do now?

MD - Obstetrtics & Gynaecology
Gynaecologist, Chandigarh
you should take 1.cap hermin forte once a day 2. arginine sachet 1 in half glass of water daily 3 apart from routine iron , calcium n protein powder supplements which i suppose you must be already taking. 4. drink lots of water .. 5.when u lie down or sleep, try lying down in ur left lateral position.. what was the estimated fetal weight in the scan and gestational age ? is ur bp normal ? depending upon these factors u should get and usg with doppler studies which would determine if there is any compromise to the baby in the form of uteroplacental /fetoplacental insufficiency. you also need to take care of movements of the baby .. atleast 10 movements in 12 hours if any query, kindly contact.
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Can I Eat Rice If I Have Diabetes?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Can I Eat Rice If I Have Diabetes?

Diabetes mellitus is a group of diseases where the body does not adequately produce insulin, use insulin properly, or both. Insulin plays a crucial role in allowing blood sugar into the cells to be used for energy. There are two main types: type 1 and type 2 diabetes.
A woman running in the park with her dog
Staying healthy by exercising and eating well is recommended for people with diabetes.

People with diabetes have abnormally high levels of blood sugar. This can damage many organs in the body if left untreated. The national institute of diabetes and digestive and kidney diseases recommend the following steps to manage diabetes:

 Make healthy choices in eating
 Engage in regular physical activity or exercise
 Take medications, if required.

Healthy eating is important in keeping blood sugar levels at a healthy level. The healthy range is 80 to 130 mg/dl before meals or below 180 mg/dl after meals, according to the american diabetes association.

People with type 1 diabetes require insulin. Various insulin delivery systems and protocols are used to manage blood sugar both between and at meal times.

People with type 2 diabetes often manage their condition with diet and exercise, and with medications as needed to keep blood sugar within the target range. These medications vary in how they work.

People with diabetes will have different treatment plans, and they will respond to food, exercise, and medication differently.

It is important to consult with a doctor to get individualized recommendations on target blood sugar levels, medications, diet, and exercise.
How do carbohydrates affect diabetes?

Carbohydrates are an important source of energy for the body. Carbohydrates are found in foods that have starches and natural or added sugars. Examples are grains, vegetables and legumes, fruit, dairy products, and sweets.

Carbohydrates are broken down by the digestive system into sugar. When the digested sugar enters the blood, the body produces a hormone called insulin. Insulin helps the sugar enter cells. Once the cells absorb the sugar, blood sugar levels fall.

People with diabetes have an impaired ability to produce insulin, use insulin, or both.

People with type 1 diabetes cannot produce insulin, so they take insulin to make sure the cells can get the sugar they need for energy.

People with type 2 diabetes are often insulin resistant. They also often have difficulty producing enough insulin to keep their blood sugar in the normal range.
Counting carbohydrates

Carbohydrate counting is a way of keeping track of the carbohydrates in the daily diet. A person with diabetes who uses carbohydrate counting to manage their diet sets an amount of carbohydrate to eat for meals and snacks.
Foods containing carbohydrates
Bread, pasta, rice, and potatoes are all sources of carbohydrates.

The american diabetes association suggest a target of about 45 to 60 grams of carbohydrate per meal. This recommendation may vary depending on other factors such as gender, weight goals, and blood sugar target goals.

The three different types of carbohydrates are starch, sugar, and fiber.

Starches are complex carbohydrates found in starchy vegetables such as peas, potatoes, and corn. Beans and whole grains are also complex carbohydrates.

Fiber comes from plants and cannot be digested. Fiber is found in foods such as vegetables, fruit, whole grains, legumes, and nuts.

Unlike other carbohydrates, fiber does not raise blood sugar, and it can help to slow the digestion of meals. This helps to minimize spikes in blood sugar. It is recommended to eat between 20 to 35 grams of fiber per day.

Sugar is a carbohydrate. It is generally absorbed into the body more quickly. There are natural sugars found in milk and fruit. There may also be added sugars in canned fruits, baked goods, and processed foods.

There are also carbohydrates in non-starchy vegetables such as lettuce, peppers, cucumber, mushrooms, and many others. There are fewer carbohydrates in these foods because they have a high water content. For example, a half cup of cucumber has around 2 grams of carbohydrate.

The type and amount of carbohydrate will affect post-meal blood sugar levels.

Foods that digest more slowly, such as those with a lot of fiber, and those eaten as a mixed meal, digest more slowly. They can help to prevent post-meal spikes in blood sugar. Large amounts of carbohydrates eaten at one time will raise blood sugar more than smaller amounts.
Is eating rice healthy with diabetes?

High-carbohydrate foods like grains, cereals, pasta, rice, and starchy vegetables are not forbidden, but they should be eaten in moderation.

Rice is a high-carbohydrate grain, but it can be incorporated into meals in appropriate amounts.

One-third of a cup of rice has 15 grams of carbohydrate. That accounts for one-fourth to one-third of the amount of carbohydrate recommended for a single meal, if the target is 45-60 grams of carbohydrate per meal.

Meals that also include healthy proteins and fats can help to slow the impact of the rice on blood sugar levels.
Are some types of rice healthier than others?

Some grains are better than others for managing diabetes.

A scale called the" glycemic index" measures how quickly food is digested into sugar and absorbed in the blood. High glycemic foods raise blood sugar faster and should be eaten in limited portions, or eaten with lower glycemic index foods.

White rice is more processed and it has a higher glycemic index than brown rice, although the index of brown rice can vary with type and brand.

Different varieties of rice have different glycemic indexes. Some long grain rice varieties, converted rice, and basmati rice varieties are lower on the gi scale than white rice.

Puffed rice cereal and rice cakes are sometimes thought of as diet foods, but they have a high glycemic index and they are not ideal for healthy meals.

Foods that are high in fiber offer many health benefits. They help with blood sugar control, they promote bowel health, and they may lower cholesterol.

Whole grains have more fiber than other grains. It is important to check the label to check the fiber content.
Tips for preparing rice

Some brown rice varieties are unprocessed and have more fiber. They can be part of a balanced meal when eaten in proper portions. Mixing brown rice with other foods can help to balance blood sugar levels. Examples include legumes, such as red beans, or protein and healthy fats.
A bowl of brown rice
Brown rice may have a lower glycemic index than white rice.

Brown rice takes longer to cook than white rice, but the cooking process is simple. People can cook brown rice in a pot or rice cooker at a ratio of 1.5 cups of water per 1 cup of rice.

The instructions are as follows:

 Bring rice and water to a boil in an uncovered pot
 Cover the pot and simmer for about 20 minutes
 Turn off heat and let the covered pot sit for at least 10 minutes.

Rice can be mixed with seasonings, herbs, vegetables, and nuts such as slivered almonds.

Brown rice can be stored in a refrigerator and used for leftovers. People can reheat brown rice on the stove or microwave and serve with beans and salsa for a quick meal.

Care must be taken with storage, because cooked rice left at room temperature can develop toxins that lead to food poisoning.
Nutritious and delicious alternatives to rice

Because rice is high in carbohydrates, it should be accompanied by other foods.

Vegetables are high in fiber, vitamins, and other nutrients. Vegetables are made of carbohydrates, but at a much lower level than grains.

Eating foods that are lower in carbohydrates and higher in fiber can make meals more satisfying. For example, one-half cup of rice has 22 grams of carbohydrate. In contrast, one cup of squash only has 8 grams of carbohydrate.

Many foods can serve as substitutes for rice.

Examples include cauliflower, mushrooms, and eggplant. Quinoa contains the same amount of carbohydrates as rice, but it has more protein, and some types have more fiber.
Recipes for rice substitutes

A number of recipes are available for rice substitutes. Here are two examples:
1. Cauliflower" rice"

Ingredients:

 Oil
 Onions
 Cauliflower
 Lemon
 Seasoning.

Pulse the florets of a cauliflower in the food processor. Then heat the cauliflower in a pan with oil and onions. Saut until the onions are golden brown and the cauliflower is soft for about 3 to 5 minutes.

Season to taste with salt, pepper, lemon juice, and herbs.

Full recipe from the food network.
2. Cilantro lime quinoa

Ingredients:

 Canola oil
 Onion
 Garlic
 Quinoa
 Low-sodium chicken broth
 Juice of limes
 Fresh cilantro.

Saut the onion and garlic with oil in a skillet. Reduce the heat and stir in the quinoa. Stir quinoa and cook for 2 minutes. Add chicken broth and lime juice and bring to a boil. Then reduce heat and simmer for 15 minutes. Stir in more lime juice and add chopped cilantro.

24 people found this helpful

I had sex with my bf few days ago. N due to some problem I am feeling some symptoms of urinary tract infection. As I feel like peeing again and again n there is burning sensation in my vagina. Also after peeing too I feel like peeing more. And it is tickling too dat too for many hours. N it z very irritating. Kindly revert with some solution.

MS - Obstetrics and Gynaecology, MBBS, F.C.P.S.(Mid. & Gynae), Fellowship in Minimal Access Surgery
Gynaecologist, Delhi
I had sex with my bf few days ago. N due to some problem I am feeling some symptoms of urinary tract infection. As I ...
Hi Shivangi. Drink a lot of water atleast 3 litres per day. Also get urine checked. Get a culture and sensitivity yest done for urine.
2 people found this helpful
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My wife got blood coming out of her vagina after sex. She was not on her periods. Is this serious?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My wife got blood coming out of her vagina after sex. She was not on her periods. Is this serious?
Hello, The re is a possibility that she may have cervical erosions or ecotype which can cause bleeding post sex and hence it is necessary to get a pap smear for her done.
1 person found this helpful
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My wife gave birth to male baby two weeks ago but baby is dead 2 day ago her breast is pains to much because of milk she don't want to take out the milk with any another process she want me to take feeding from her breast ,she say that she well feed me with her breast milk is it ok to take feedings from her breast? It urgent answer me fast.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My wife gave birth to male baby two weeks ago but baby is dead 2 day ago her breast is pains to much because of milk ...
No do not do this. The production of milk is dependent on suckling reflex. Milk production will stop on its own minus medicines if no body is fed. If you wish, you can donate milk to milk banks to be used by other mothers who are unable to feed.
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Hi I am going for my honeymoon and we do not want to have a baby now. Kindly tell me the 100% safe way other than the condom take avoid pregnancy.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Hi I am going for my honeymoon and we do not want to have a baby now. Kindly tell me the 100% safe way other than the...
No contraception has 100% success rate. But oral low dose pills can be started rightawy to protect you. Start from day 5 of periods, use condom first 2 weeks of 1st cycle.
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How To Control Excess Facial Hair?

MD - Dermatology, MBBS
Dermatologist, Delhi
How To Control Excess Facial Hair?

Facial hair in women can be an embarrassing and touchy subject. While people may notice it and avoid speaking about it, the stare that lasts for just a second longer on your face will be uneasy. It is time you get rid of it and stop grabbing more attention than you need:

1. Hide it: Some of the most common methods to hide facial hair are bleaching, threading, waxing, depilation or electrolysis. Each of these methods have their advantages and disadvantages. Bleaching, for example, masks the hair for a while and gives it a golden tinge which still makes it less visible. Threading or waxing has to be undertaken at periodic intervals and both may result in thicker hair growth in the surrounding areas. Women who are regular with their body care regimen can try these methods.

2. Destroy it: Use a tweezers to pull it out: This one mostly works on the instinct that you get when you see the hair. It works if you don't have too much hair and just a couple here and there that can be easily pulled out. Sterilize the tweezers with alcohol to avoid infection. You will have to grip near the root and give a firm pull to get rid of the whole thing. It is painful but if done right it can last 3-8 weeks before its replacement shows up.

3. Shave it: Yes, women do it too. Apply a shaving gel or foam and use a disposable razor to clip the hair. Though this is relatively less painful, hair growth afterwards is quite fast so you'll have to be careful to add it to your schedule often enough.

4. Try natural methods: It is slow but cheap and reliable. The visible effects of using natural ingredients for hair removal happens only over a period of time but the results are well worth the wait. Turmeric powder is an ancient remedy for facial and body hair - so much so that Indian brides follow a traditional 'haldi' routine before their wedding. Other natural ingredients you can try include gram flour (besan) and sugar was. You can also give a good rub with a pumice stone.

5. Try Electrolysis: It is the only permanent method but is tedious and requires multiple sessions. It is usually recommended if there are few thick hair limited to one part of body. In this method hair root is destroyed with the help of thin metallic probe connected to a  machine through which electricity is delivered to hair roots.


6. Try a laser treatment: Laser is one of the most effective treatments for unwanted body hair. The bright beams of heat and light from the laser directly reaches the roots of the hair, removing it and preventing re-growth for a fair period of time. The downside is that it'll take a few months and prove to be expensive but the results can be well worth the wait as it can permanently remove hair. You may also need multiple sittings to destroy the hair growth completely. If peace of mind is your criteria, then go for it.

If excessive hair is stopping you from living and enjoying your life, consult a professional who can help you find a way.

5459 people found this helpful

Hi m 9th month pregnant it is 8.5 months. But I dnt feel any signs of delivery yet. Why?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Hi m 9th month pregnant it is 8.5 months. But I dnt feel any signs of delivery yet. Why?
Relax, you are still 15 days away from delivery, and if you don't get any pains ,then pains can be induced as well.
4 people found this helpful
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My wife is pregnant she has second trimester 20 week my elder is advise me saffron provide to wife for baby fair colour is it truth but I have light dark color.

BHMS, MD - Homeopathy
Homeopath, Vijayawada
My wife is pregnant she has second trimester 20 week my elder is advise me saffron provide to wife for baby fair colo...
Even though that is not scientifically proved, it's ancient practice. Sometimes some things can followed to continue our ancient wisdom. Moreover it has good medicinal property.
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Hello sir/mam mera IUI 15th Dec ko huva tha pireid k 10 days k bad tab mere follocal 21.21 mm k the or aaj yani 17 Dec ko sonoghaphy k bad pata chala mere follocal abhi ruptur nahi huye please ap muje advice kijiye k muje kya karna chahiye pregnancy rakhne k liye bcz mere husband mere pas nahi hai vo out of india hai.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello sir/mam mera IUI 15th Dec ko huva tha pireid k 10 days k bad tab mere follocal 21.21 mm k the or aaj yani 17 De...
Hello, If your husband is not there at present then a repeat IUI will not be possible and you may not be getting pregnant this cycle.
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If once get intimated and penetrated inside .i took I pill on the third day. But again I got intimate next day after taking tablet. and getting penetrate inside. So should I take tablet again or not?

BHMS
Homeopath, Delhi
If once get intimated and penetrated inside .i took I pill on the third day. But again I got intimate next day after ...
You should take medicine after Sexual intercourse whever there is discharge in vaginal It can cause pregnancy if, not take any precautions. Before Sexual intercourse taking pills not help to prevent pregnancy for next.
1 person found this helpful
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C.S.C, D.C.H, M.B.B.S
General Physician,
HAND WASHING -A CLEAN WAY TO STAY HEALTHY
---------------------------------------------------------------------
Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap.
Lather your hands by rubbing them together with the soap. Be sure to lather the backs of your hands, between your fingers, and under your nails.
Scrub your hands for at least 20 seconds. Need a timer? Hum the "Happy Birthday" song from beginning to end twice.
Rinse your hands well under clean, running water.
Dry your hands using a clean towel or air dry them.

5 Facts You Must Know About Laparoscopic Surgery

IAGES, MS, MBBS
General Surgeon, Noida
5 Facts You Must Know About Laparoscopic Surgery
5 facts you must know about laparoscopic surgery

Laparoscopy, also known as keyhole surgery, is a type of surgery, which involves the usage of small tubes, surgical instruments and video cameras for operations through small incisions or cuts in your body. Though different people experience the surgery differently due to difference in health conditions, there are some points everyone should know about a laparoscopic surgery.

1. The problems that laparoscopy addresses
Conditions like ectopic pregnancy, endometriosis and pelvic inflammatory disorders are generally treated using laparoscopic surgery. Moreover, laparoscopy is also used to remove the gallbladder, appendix, patches of endometriosis or detect adhesions, fibroids and cysts. Also a biopsy of the organs inside the abdomen can be done through laparoscopy.

2. The duration of your stay in hospital
Usually performed on an outpatient basis (release on the same day as the surgery), a laparoscopic surgery may require you to stay overnight at the hospital if your condition requires a complex or lengthy surgery. Moreover, if the doctor feels that a bowel resection or partial bowel resection needs to be performed, you may have to stay at the hospital for a few days.

3. The preparation required pre-surgery
If you are going to have a laparoscopic surgery soon, ensure that you inform your doctor if you are taking any blood-thinners like aspirin or if you are allergic to any medications like anaesthesia. Moreover, let the doctor know if you are pregnant or planning to conceive. After giving all this information to the doctor, strictly follow all the instructions he/she gives you. Also, make sure that someone is available to drop you home after the surgery as you might be too weak or in too much pain to go back home by yourself.

4. Pain management post surgery
Laparoscopy is generally followed by a sore feeling around the cuts as well as shoulder pain. If the pain is unbearable you can ask for medication from your doctor or consider common analgesics. Recovery time for a laparoscopic surgery is only a few days, and to get through this period easily seek the help of a friend or family member to manage your medications and lift your spirits.

5. Restrictions you need to follow during the first couple of weeks
For the first couple of weeks after the surgery, your doctor might ask you to abstain from driving, tub bathing, swimming and having sexual intercourse. Make sure that you follow these rules and get adequate amount of sleep to ensure speedy recovery.

If you would like to consult with me privately, please click on'consult.
3339 people found this helpful

What are Piezogenic Pedal Papules?

M Derm, DNB (Dermatology & Venereology) , MBBS
Dermatologist, Gurgaon
What are Piezogenic Pedal Papules?

When you run your hands over the soles of your feet, the surface should be smooth to touch. However, sometimes, the surface may not be so smooth. Piezogenic pedal papules are papules on the medial, posterior or lateral aspects of both heels and result from herniation of fat. These papules are usually asymptomatic and can range from a size of 2mm to 10mm. In some cases, they can be a little painful. This is seen commonly in large lesions. They become apparent when the patient stands with his full weight on his feet and disappear or shrink when the weight is removed. Piezogenic papules can also occur on the wrists. This is a fairly common condition that affects women more than men. Piezogenic pedal papules can occur at any age including infancy.

There is no known cause for the herniation of fat that causes this condition. However, there are a few factors that could increase your risk of suffering from this condition. These factors are:

  • Obesity
  • Orthopedic problems
  • Flat feet
  • Collagen disorders such as EDS
  • Jobs which entail standing for long hours
  • Excessive weight bearing

This condition can also affect newborn babies with no predisposition. The diagnosis of this condition is often confused with infantile pedal papules, xanthoma and tophi. Since they are prominently visible only when pressure is applied, it is essential for a doctor to physically examine the patient while he or she is standing. This condition does not affect the health of a person and is largely only a cosmetic issue. Thus treatment is not usually necessary but some of the things you could do to relieve the discomfort are:

  • In cases where Ehlers-Danlos syndrome triggers the condition, patients may be recommended betamethasone and bupivacaine injections. These injections need to be administered repeatedly for complete pain relief.
  • Orthotic soles or custom made inserts for shoes can help relieve the pain and distribute pressure equally.
  • Heel taping
  • Compression stockings
  • Avoid excessive or prolonged weight bearing
  • Avoid standing for extended periods and try not to run too much
  • Rest the feet and keep them elevated to help alleviate the symptoms
  • Lose weight if you are on the heavier side
  • Electro acupuncture

Piezogenic pedal papules are benign and are no reason to worry. If they begin to affect the quality of your life, you could consult a podiatrist.

2676 people found this helpful

Drink Water from Copper Vessel - 5 Amazing Health Benefits

MD, DYA, PGDCR
Ayurveda, Nashik
Drink Water from Copper Vessel - 5 Amazing Health Benefits

You may have noticed that the elders in your home often talked about how their grandparents kept water overnight in copper jars believing that by drinking that water in the morning would cleanse both mind and body.

It is true because copper is an essential mineral for the body. Even Ayurveda advises to store water in copper vessels and drink it for the maintenance of good health. The copper is said to possess an electromagnetic energy that aids in solving the issues arising from the imbalances in the body.

Here are the top health benefits of consuming copper water:

  1. It is antimicrobial: Storing water in copper vessels for 16 hours at room temperature can kill all the microbes, which would otherwise cause water borne diseases. The University of South Carolina reports that copper has intense purifying power. The report also suggests that copper surface can put an end to 97 percent of bacteria and microbes that may lead to hospital acquired infections.

  2. It acts as a brain stimulant: The human brain functions by transmitting impulse from neurons to neurons through the regions called synapses. Copper aids in the generation of phospholipids which are needful for the formation of the myelin sheaths that act as a kind of conductive agent.

  3. It helps in healthy weight loss: When diet regulation is of no help to you, then you can opt for drinking water stored in copper jugs regularly. It helps in tuning the digestive system for better performance as well as breaking down of fat and eliminates it out of the body efficiently.

  4. It aids in slowing down ageing: Copper is a natural remedy for your wrinkles, fine lines and other signs of ageing that have started occurring on your face. It has very strong antioxidants and cell forming properties and is also effective in fighting free radicals, which actually lead to the formation of fine lines. By drinking water from copper vessels regularly, you will be able to keep your skin renewed by replacing the old and dying ones.

  5. It has anti-inflammatory properties: This helps in the reduction of anti-inflammatory pains including arthritis and if you are suffering from aches and pains in different parts of the body, you can drink water from the copper vessels every morning for soothing inflamed joints.

Apart from copper, silver and gold are used by Ayurveda for drinking water.These metals have different indications based on your disease. So, kindly consult and know what is best for you.

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