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Top Health Tips on Improving liver health

Alcohol - How Much Should You Drink Everyday?

MD, House Job Certificate ( SKIN & STD) , MBBS
General Physician, Gurgaon
Alcohol - How Much Should You Drink Everyday?
How much alcohol can you safely drink every day? Moderate, say the experts. Alcohol abuse has serious health downsizes, but moderate drinking can actually be good for your heart. Moderate alcohol use has a few other health benefits too. Let s see what these are.

Reduces risk of developing and dying from heart disease
Reduces your risk of ischemic stroke during which the arteries to your brain become narrowed or blocked, causing reduction of blood flow to your brain
Reduces your risk of diabetes
The link between alcohol and health is tenuous at best and the health benefits of moderate drinking are by no means certain. Also every one may not benefit from alcohol. Moderate alcohol use - Guidelines
One drink a day is considered moderate for healthy women of any age and men older than 65, and up to two drinks a day for men younger than 65. This alcoholic drink can be:

Beer: 12 ounces
Wine: 5 ounces
Distilled spirits : 1.5 ounces
Moderate alcohol use can be counter-productive for you, if you have risk factors for heart disease. It s always better to take care to lead a healthy lifestyle and eat a heart-healthy diet to reduce your heart attack risks.

Risks of heavy alcohol use
We know about the definition of moderate drinking, but what s heavy drinking? It is defined as more than three drinks a day for women and men older than 65 (or more than seven drinks a week), and more than four drinks a day for men less than 65 (or more than 14 drinks a week).
Binge drinking is even worse. If you drink four or more drinks within two hours as a woman and five or more drinks within two hours as a man, it is referred to as binge drinking. Heavy drinking, including binge drinking, can increase your risk of serious health problems, like:

Cancer, including breast cancer and cancers of the mouth, throat and esophagus
Pancreatitis or inflammation of the pancreas
Sudden death due to pre-existing cardiovascular disease
Alcoholic myopathy or damage to heart muscle, which causes heart failure
Stroke
High blood pressure
Liver disease
Brain damage in fetuses
It s best to ditch alcohol altogether. It is the healthiest thing you could ever do. The guidelines make it very clear that you shouldn t start drinking alcohol, albeit moderately, to make your heart healthy. The best way to have a healthy heart is to eat and exercise right. However, if you are an occasional drinker, you could make sure that your alcohol intake is within limits and you drink moderately at all times so that you don t attract any health penalties associated with heavy alcohol use.
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Soft Drinks - 4 Negative Impacts Of Them On Health!

M.Sc - Dietitics/Nutrition, B.Sc - Dietitics/Nutrition, Diploma In Sports Science & Nutrition
Dietitian/Nutritionist, Mumbai
Soft Drinks - 4 Negative Impacts Of Them On Health!
Soft drinks are the highest consumed beverage across the globe. From young children to the elderly, soft drinks are everyone's favorite. Some people even prefer to drink soft drinks than water. You may think of soft drinks as a tastier alternative to water but it doesn t really have the same effects nor is it healthy. While water is necessary for the human body, soft drinks can be quite harmful. Let s take a look at some of the bad effects of these colorful drinks.

Soft drinks can make you put on weight: Soft drinks are one of the leading causes of weight gain. Sodas are rich in sugar that has a high calorific value without any nutrition. One soft drink can have as much as 10 spoons of sugar. This not only makes you put on weight but can also lead to lifestyle diseases. Consuming so much sugar in one go can cause a blood sugar spike and cause an insulin reaction. Over time, this can lead to insulin resistance and type 2 diabetes. The day you stop drinking soft drinks, you will begin to feel lighter and healthier.
Soft drinks can dehydrate your body: You may drink soda to relieve your thirst but soda can dehydrate your body. In the long run, this can make your skin lose its softness and elasticity. It can make your skin age much faster than normal. As a result of dehydration, your hair may also turn brittle and begin to fall out.
Soft drinks can damage your teeth and bones: Soft drinks have a very high pH level. Thus they are acidic by nature. Thus when soft drinks come in contact with tooth enamel, they can damage it. This may make an existing cavity worse or lead to tooth erosion. They also contain phosphoric acid that has been associated with bone disease and osteoporosis. Phosphorus also binds easily with calcium and when excreted takes the calcium along with it. In this way, the soda you drink can make your bones brittle and weak. This can also make you susceptible to fractures.
Soft drinks can affect your liver: Drinking excessive amounts of soft drinks can cause liver disease. This is because soft drinks are rich in high fructose corn syrup. Unlike glucose, this type of sugar can only be broken down by the liver. Thus drinking too many soft drinks can trigger the non-alcoholic fatty liver disease. It can also cause high cholesterol levels and make your blood pressure fluctuate.
8083 people found this helpful

Sugar Addiction - Tips To Overcome It!

B.Sc.(Hons), P.G.Dietetics
Dietitian/Nutritionist,
Sugar Addiction - Tips To Overcome It!
You can be very much addicted to having sugar that many-a-times you might find it difficult to cut down on the amount of your intake. You might find it impossible to stop eating sugar. You might crave to have anything which has a lot of sugar in it.

Why is it bad?

Sugar is a fattening compound as it contains fructose. Sugar causes you to overeat, which in turn causes weight gain. It can bring anatomical changes in the brain, which gets you into an addiction. Sugar addiction is just like any other addiction, like that with nicotine or any other drugs. The only difference is the substance being used. Sugar can mess with the chemical balance of the brain to make you crave for it more.

A 2009 study from the University of California shows how a high-fructose diet can cause you to build new fat cells around your heart, liver, and digestive organs in just 10 weeks, plunging you into the early stages of diabetes and heart disease (whereas a high glucose diet did not have the same effects)
Excess fructose consumption is a major contributor to insulin resistance and obesity, hypertension, cardiovascular disease, liver disease, cancer, arthritis, and other diseases
Fructose is metabolized very differently in your body from glucose; all of the metabolic burden falls on your liver, in much the same way as for alcohol, and your body becomes a sea of toxic by-products.
Glucose, on the other hand, is your body s nearly ideal source of fuel, meaning it has none of the damaging metabolic effects of fructose; glucose also suppresses your appetite, unlike fructose, which stimulates your appetite and encourages overeating and the accumulation of excess body fat
How to overcome it?

To overcome sugar addiction, here are a few steps you can take:

Observe yourself: This is the first step you should take. Observe what you eat, how much of sugar it contains. Take a note of how you feel after having sugar or something, which is laden with sugar. Keep a diary entry of whatever you observe about yourself and your sugar consumption.
Practice self care: It is extremely difficult for any sugar addict to transition into a diet without any sugar or low sugar content. You will have to take it slow and add regular practice of self care. Do not avoid breakfast every morning. Remember to add in the required amount of fats and proteins (learn more about the Importance of Protein). Do not skip out on meals. Drink a lot of water and fluids like fresh fruit juice and sleep for at least 7 hours or more so that you get proper rest.
Be honest with yourself: If you are trying to get rid of the sugar addiction, you have to be extremely honest without yourself. If you succumb to temptation and end up eating a few too many candies, then be honest with yourself and admit it. Make it a point to overcome the temptation the next time.
If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.
7083 people found this helpful

Ayurveda for Fatty Liver - What All Should You Know

B.A. Sanskrit, BAMS, M.A. Sanskrit, MS -Gynaecology Ayurveda
Ayurveda, Thane
Ayurveda for Fatty Liver - What All Should You Know
Fatty liver or steatosis refers to the condition in which excess fat gets accumulated in the liver causing the liver to dysfunction. Some percentage of fat in the liver is normal but if it gets beyond the figure of 5 to 10 percent, then it is surely a cause of concern. Such a condition warrants treatment and if fatty liver is not treated on time, it can lead to liver cirrhosis or cancer. Therefore, the signs and symptoms of fatty liver should be taken seriously.

Some of the common symptoms of fatty liver include pain in the abdomen, loss of weight, swelling in the foot, jaundice, and inflammation of the liver. Anyone who suffers from these symptoms is likely to suffer from fatty liver. But the good news is that it can be treated. There are medicines in Ayurveda, homeopathy, and allopathy for fatty liver and if one talks about Ayurveda, it treats fatty liver with a holistic approach.

1. Fatty liver and Pitta Imbalance: Ayurveda works on the principles of managing vata, pitta, and kapha the three physical energies present in the human body. It believes that when there is any imbalance in these energies, dosha (disease) affects the body. According to Ayurveda, pitta is related to the metabolic system of the human body, which governs ingestion, digestion, and excretion. The liver, being a part of the metabolic system, is further related to pitta and this is why, when the pitta gets aggravated, the liver becomes diseased and starts to dysfunction. Ayurveda says that pitta imbalance is responsible for fatty liver. In fact, the liver is known as pitta in Ayurveda. It says that when toxins begin to build up in the liver, the liver has to work extra and this causes inflammation, ultimately leading to liver problems. So, Ayurveda tries to correct this imbalance through herbal medicines and detoxification treatment procedures.

2. Ayurveda dos and don ts: Ayurveda is a holistic science and therefore, it does not focus on suppressing the symptoms, similar to what allopathy does. It is also free from side effects and gives a permanent relief. But the patient undergoing Ayurvedic treatment has to be mindful of their lifestyle and eating habits. In case of fatty liver, Ayurveda prohibits alcohol, smoking, and spicy and oily food. So, the patient should avoid these foods. These food items should not be taken by the patient during the treatment duration. Otherwise, the effect of the medicines will get nullified. Anyone who goes for Ayurvedic treatment should remember that diet and lifestyle is a part of the treatment process and both go hand in hand.

Only in mild fatty liver please take simple triphla, avoid fatty food in your diet and exercise regularly. For grade 2 and grade 3 fatty liver, please take proper treatment under the guidance of expert Ayurvedic doctor.
6946 people found this helpful

How Smoking is Harmful For Your Health?

MBBS, AFIH, PGDMLS, MD-HRM, MD-HM
General Physician, Gurgaon
How Smoking is Harmful For Your Health?
The risks and harms of smoking are pretty much common knowledge to most people. Especially when the pack of cigarettes practically screams it out to you in bold letters. Yet, as statistics would say, smoking in young adults has been on the rise in the recent years. What makes them take this step? Maybe it is peer pressure, or maybe they do it for the thrill of it. Every country takes a great initiative in educating their population, yet some fail to understand the complexity of the situation.

Here are some of the reasons that will tell you that even a single puff of the deadly tobacco can severely harm your health and general well-being

Cigarette smoking is the leading cause of cancer. It can cause cancer in most organs of the body. Smoking cigarettes can cause the following
Nose cancer
Throat cancer
Larynx cancer
Mouth cancer
Oesophageal cancer
Lung cancer
Liver cancer
Cervix cancer
Stomach cancer
Kidney cancer
Colorectal cancer
Cervical cancer etc.
Smokers are more prone to respiratory diseases because smoking is capable of compromising the immune system of the body.
Autoimmune diseases such as Crohn s disease and Rheumatoid Arthritis are more likely to occur in smokers as their immune system is compromised by smoking.
Smoking has been linked to Diabetes type 2. This type of diabetes develops during adulthood. The more cigarettes a person smokes, the more likely is the person to develop this disease.
Smoking puts you at risk of developing several heart diseases such as angina, heart attacks, etc. because the nicotine in the body results in the lowering of good cholesterol. This causes deposition of bad cholesterol in the arteries.
Tobacco can cause tooth decay and several other oral problems such as gingivitis and other problems of the gum.
Cigarettes constrict your blood vessels. This constant narrowing of blood vessels can cause erectile dysfunction in men and leads to the infertility in both men and women. It also makes them difficult to achieve orgasms.
You might find yourself craving for cigarettes when you re stressed out. This is because the effect of nicotine in the cigarettes is lowered by the hormone produced during a stressful situation, i.e. cortisone.
Nicotine that causes momentary central nervous system stimulation can cause addiction and dependence.
6659 people found this helpful

Fatty Liver - Signs You Are Suffering From It!

Post Graduate Diploma in Holistic Healthcare, PG Diploma Clinical research, Diploma in Medical Writing, MSc Biotechnology
Dietitian/Nutritionist, Bangalore
Fatty Liver - Signs You Are Suffering From It!
The liver is a key organ in metabolism and will have some amount of fat. However, excessive fat accumulation in the liver can be abnormal and is referred to as fatty liver. If the fat content exceeds anything more than 5% to 10% of the liver s weight, it would be referred to as fatty liver.

Types - There are mainly two types based on causes:

Alcoholic fatty liver: This is very common in people who consume excessive amounts of alcohol. Even a one-off instance of binge drinking can cause increased fat accumulation in the liver, but it would not produce any symptoms though. Preexisting hepatitis, pregnancy, obesity, and genetic predisposition may also lead to alcoholic liver disease.
Non-alcoholic liver disease: This is the less common type of fatty liver, and there would be no alcoholic abuse history here. However, there could be genetic predisposition, obesity, autoimmune liver disease, malnutrition, which can lead to this condition.
Symptoms

Fatty liver disease is a chronic condition with insidious onset (meaning to say, the exact time of onset cannot be pinpointed). However, as the disease condition progresses, symptoms will become evident, which can trigger a medical evaluation to identify the fatty liver. Some of the symptoms include:

Excessive fatigue and weakness
Unexplained weight loss
Loss of appetite
Nausea
Trouble focusing and concentrating
Impaired judgment
Constant, slow enlargement of the liver can cause pain in the right upper quadrant of the abdomen (where the liver is)
There could be jaundice, where the skin and the white of the eyes turn pale yellow
Symptoms of liver failure, including increased levels of proteins in the chemical tests.
Diagnosis

As noted earlier, it is not easy to identify liver disease, as there are no specific symptoms. However, the above symptoms could point to a potential fatty liver.

Blood tests, especially for liver enzymes
Ultrasound, where the liver is imaged to look for any structural changes
Biopsy, where liver tissue is extracted to confirm the diagnosis of fatty liver
Treatment

There is no specific treatment for fatty liver. It can be managed through the following, where symptoms reduce in severity, and overall prognosis improves.

Diabetes control: There is a relation between how well diabetes is controlled and severity of fatty liver. Improving diabetes control ensures fatty liver does not progress.
Alcohol: Cutting down or even better quitting alcohol, definitely helps improve symptoms. If it is alcohol induced fatty liver, alcohol should be stopped.
Weight management: Obesity and fatty liver are related, so weight management is essential.
Healthy diet: Eating a healthy diet and regular exercise regimen also helps improve symptoms of fatty liver.
6389 people found this helpful

6 Ways Your Kitchen Appliances And Utensils Are Making You Sick!

BAMS
Ayurveda, Faridabad
6 Ways Your Kitchen Appliances And Utensils Are Making You Sick!
It is a common misbelief that eating home cooked food is the healthiest option. Whenever, we plan to eat out, there is always a question lingering about the cleanliness of the hotel s kitchen. We need to realize that it is not just the hotel, but our own kitchen should also be taken care of.

Listed below are some commonly overlooked things that could be contributing to your health in a bad way. With kitchen shopping continuing through the years, there are unused and/or overused things, both of which are harmful. Read on to know more.

Overused utensils: In most homes, the cooking vessels turn brown over a period of time. This happens, especially in metallic ones like aluminium. It is due to leftover food and is a breeding ground for germs. Leaving the vessels for a later wash can lead to these stains getting tougher and the vessel taking on a permanent brownish color. A good way to manage this is to clean the vessels as soon as possible.
Stained mugs and cups: It is a common belief that tea cups will stain over a period of use, which is not true. In some cases, the hard water has high concentration of calcium carbonate, which mixes with the tea and lead to altered bowel movement and improper digestion. The best way to manage this is to mix vinegar and baking soda and remove the stains.
Chopping board: First things first. Never use the same chopping board for your meat and your veggies. The germs from the uncooked meat affect the vegetables also. As the bacteria continues to grow, in about 10 minutes, there will be double the number of bacteria that will affect the vegetables.
Chipped melamine dishware: While the melamine kitchenware is unbreakable, do not use them at high temperatures. This can cause it to chip and melamine leaks into the food, causing kidney stones and renal failure. A good way to avoid this risk is not to heat food in the melamine dishes.
Non-stick cookware: While nonstick ware helps reduce the amount of oil used, constant use erodes the coating and slowly the chemical is leaked, which can add carcinogenic elements into your dosa or roti. This can cause liver and stomach problems with continued use.
Coffee makers: The reservoir in the coffee makers hoards a whole lot of bacteria and can cause various diseases. Thorough cleaning with hot water can help you keep it clean.
These are some of the common ways your kitchen can affect your health, there are definitely more. So, keep your kitchen clean for a healthier life.
6357 people found this helpful

Fatty Liver - Top Homeopathic Remedies For It!

DM & S
Homeopath, Akola
Fatty Liver - Top Homeopathic Remedies For It!
A number of health problems today are caused by an unhealthy lifestyle. One such condition is a fatty liver or collection of fat in the liver. The buildup of fats in the liver is known as Fatty Liver. The liver processes everything that you eat or drink and filters harmful substances from the blood. If too much fat has accumulated in the liver, this process gets interfered with. These fat cells cause inflammation of the liver tissues which in time can lead to scarring and liver fibrosis. On its own, a fatty liver is relatively harmless, but when it reaches this stage, it can be life threatening.

The reasons for Fatty Liver can be alcoholism, incorrect diet, obesity, diabetes, or even excess use of medication.

If ignored or left untreated, many liver diseases will lead to permanent and irreversible damage to the liver and can be a significant threat to your health. But, there is no standard form of treatment for a fatty liver. If diagnosed in its early stages, treating the underlying cause can stop the progression of the disease and even resolve it. Homeopathy addresses the underlying causes of a disease and hence is an ideal form of treatment for a fatty liver. It can reduce the symptoms of this disease, improve liver functioning and even reverse the condition if treatment is started early.

The Homeopathic medicines, which are made of natural substances, are given to patients after studying the unique symptoms experienced by each individual. Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. Homoeopathy is very proficient in managing all the symptoms of Fatty liver disease and furthermore plays a vital role in preventing relapse of the condition.

Some of the most common homeopathic medicines for fatty liver are:

Chelidonium: This is often used to treat a fatty liver accompanied by right upper abdominal pain. In such cases, the liver may be enlarged and the patient also usually suffers from constipation or experience nausea and vomiting. The patient will also probably suffer from excessive weakness and have a desire for hot food and drinks.

Lycopodium: A fatty liver accompanied by acidity can be treated with this type of homeopathic medication. In such cases, the patient will also complain of bloating and belching with a burning sensation. These symptoms tend to worsen n the evening and the patient may have an intense craving for sweets and hot drinks.

Phosphorus: This is used to treat cases of fatty acid which triggers regurgitation accompanied by sour belching. In some cases, the patient may also experience pain in the liver and excessive flatulence. Vomiting may also occur along with weakness while passing stool.

Calcarea carb: Obese patients suffering from this condition can be treated with calcarea carb. These people often have a distended abdomen, are lactose intolerant and suffer from chronic constipation. They are also overly sensitive to cold air and sweat excessively from the head.

Nux vomica: Homeopathic remedy for fatty liver with pain in abdomen after eating.

Nux vomica is great for any abdominal problem including fatty liver caused by excessive consumption of alcohol. These patients often suffer from abdominal pain a few hours after eating with sour or bitter tasting belches. They may constantly feel the urge to pass stool but are unable to do so.

Though homeopathic remedies have negligible side effects when taken in low dosages, they should never be self-prescribed. If you suffer from a fatty liver, consult a homeopathic doctor immediately who can diagnose it properly and treat you accordingly.
5637 people found this helpful

Fatty Liver - Top Homeopathic Remedies For It!

BHMS, MD-Homeopathy, PGPC - Preventive Cardiology
Homeopath, Delhi
Fatty Liver - Top Homeopathic Remedies For It!
A number of health problems today are caused by an unhealthy lifestyle. One such condition is a fatty liver or collection of fat in the liver. The buildup of fats in the liver is known as Fatty Liver. The liver processes everything that you eat or drink and filters harmful substances from the blood. If too much fat has accumulated in the liver, this process gets interfered with. These fat cells cause inflammation of the liver tissues which in time can lead to scarring and liver fibrosis. On its own, a fatty liver is relatively harmless but when it reaches this stage, it can be life threatening.

The reasons for Fatty Liver can be alcoholism, incorrect diet, obesity, diabetes, or even excess use of medication.

If ignored or left untreated, many liver diseases will lead to permanent and irreversible damage to the liver and can be a significant threat to your health. But, there is no standard form of treatment for a fatty liver. If diagnosed in its early stages, treating the underlying cause can stop the progression of the disease and even resolve it. Homeopathy addresses the underlying causes of a disease and hence is an ideal form of treatment for a fatty liver. It can reduce the symptoms of this disease, improve liver functioning and even reverse the condition if treatment is started early.

The Homeopathic medicines, which are made of natural substances, are given to patients after studying the unique symptoms experienced by each individual. Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. Homoeopathy is very proficient in managing all the symptoms of Fatty liver disease and furthermore plays a vital role in preventing relapse of the condition. Some of the most common homeopathic medicines for fatty liver are-

Chelidonium: This is often used to treat a fatty liver accompanied by right upper abdominal pain. In such cases, the liver may be enlarged and the patient also usually suffers from constipation or experience nausea and vomiting. The patient will also probably suffer from excessive weakness and have a desire for hot food and drinks.

Lycopodium: A fatty liver accompanied by acidity can be treated with this type of homeopathic medication. In such cases, the patient will also complain of bloating and belching with a burning sensation. These symptoms tend to worsen n the evening and the patient may have an intense craving for sweets and hot drinks.

Phosphorus: This is used to treat cases of fatty acid which triggers regurgitation accompanied by sour belching. In some cases, the patient may also experience pain in the liver and excessive flatulence. Vomiting may also occur along with weakness while passing stool.

Calcarea carb: Obese patients suffering from this condition can be treated with calcarea carb. These people often have a distended abdomen, are lactose intolerant and suffer from chronic constipation. They are also overly sensitive to cold air and sweat excessively from the head.

Nux Vomica: homeopathic remedy for fatty liver with pain in abdomen after eating.

Nux vomica is great for any abdominal problem including fatty liver caused by excessive consumption of alcohol. These patients often suffer from abdominal pain a few hours after eating with sour or bitter tasting belches. They may constantly feel the urge to pass stool but are unable to do so.

Though homeopathic remedies have negligible side effects when taken in low dosages, they should never be self-prescribed. If you suffer from a fatty liver, consult a homeopathic doctor immediately who can diagnose it properly and treat you accordingly.
5579 people found this helpful

Ayurvedic Treatment For Cirrhosis Of The Liver!

Bachelor of Ayurveda, Medicine and Surgery (BAMS), N.D.D.Y, F.A.N
Ayurveda, Gurgaon
Ayurvedic Treatment For Cirrhosis Of The Liver!
Nobody prefers to suffer from ailments such as Cirrhosis of liver. After all, it is difficult for a person, if his or her liver is not functioning properly. However, if in case a person is suffering from such kind of chronic ailment, then one can opt for Ayurvedic remedies, which do not have any side effects.

Why it occurs?
In order to know how it is treated, it is essential to understand what causes cirrhosis of the liver and what it means to have this dreaded condition. While there is a range of causes for the chronic disease, fatty liver disease along with hepatitis B and hepatitis C are the most common causes of Cirrhosis of the liver.

Alcohol consumption on an excessive level also bears its fair share of responsibility. As a matter of fact, Cirrhosis of the liver is caused on account of this sort of alcohol consumption and is responsible for more deaths than any other type.

Detoxifying your liver with Ayurveda
When it comes to the Ayurvedic way to treat this serious issue that is liver Cirrhosis, the main focus is on the complete and effective detoxification of the liver. One of the first things that is involved in this sort of treatment is a radical overhaul of the habits of the person whose quality of life is being seriously impinged on due to this disease.

De-addiction is a very important starting point. After all, it can be said to be only logical, that the treatment of a disease, which has been brought upon by the indulgence in a bad habit begins with the cessation of the habit.

Diet restrictions are also part and parcel of getting liver cirrhosis treated by making use of Ayurveda s deep and ancient body of knowledge. In many cases, doing so does mean giving up consumption of meat. In addition to this, other things, which are to be done from the point of view of dietary changes include, but are not limited to, avoiding hot and oily food which tends to be heavy on the digestive system of the person who is undergoing treatment. With the body under so much pressure in any case, it makes no sense at all to add more load.

While all this may seem to be very cumbersome, it is to be kept in mind what wonders Ayurveda can accomplish and how does it work in repairing the damaged liver of the patient who is undergoing this course of treatment. The end result makes all the sacrifices worth the effort.
5453 people found this helpful