Hi Dr. I am married since 15 years and have son age 14 years. Since one year I am not getting my periods at all. I have got psoraisis since 1 year and am under medicines. Apprecite if you please let me know why m I getting all this problems. Thank you

Dr. Sumaiya PetiwalaDietitian/Nutritionist12yrs exp

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Psoriasis is manageable, the traditional approach is to start with the mildest treatments topical creams and ultraviolet light therapy (phototherapy) and then progress to stronger ones only if necessary. The goal is to find the most effective way to slow cell turnover with the fewest possible side effects coupled with a dietary therapy specially designed to manage psoriasis. Researchers found several studies linking obesity to an increased risk for psoriatic disease. These studies indicate that a higher body mass index (bmi) is associated with an elevated risk for developing psoriasis and psoriatic arthritis, as well as increased disease severity. Obesity may provide the nudge that triggers psoriasis in people who are already predisposed to it, liao said. Previous research suggests that the development of psoriasis could be influenced by the interaction between bmi and certain gene mutations. Researchers also found that in overweight individuals, losing weight may improve the effectiveness of treatments. Fat cells secrete cytokines, which are proteins that can trigger inflammation, explained liao" so if you lose weight, you may be reducing fuel for the fire" do reply back for private consultation for a detailed treatment plan including dietary therapy. 

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