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Gastrointestinal Disorders
प्रश्न #22006
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Elevated SGPT/ALT - #22006

Alissar

I am 67 years old female. While I was doing a routine blood work to find out that my SGPT IS 97 and SGOT is 47. I also have anemia my hematocrit is 33 and hemoglobin is 11.1 What can I do in this case

आयु: 67
पुरानी बीमारियाँ: 3 C-sections
300 रुपये (~3.51 डॉलर)
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डॉक्टरों की प्रतिक्रियाएं

Thank you for reaching out and sharing your health concerns. At 67, it’s wonderful that you’re proactively monitoring your health. From your reports, I understand that: • SGPT (ALT) is at 97 and SGOT (AST) is at 47 – indicating mild to moderate liver stress or inflammation. Hemoglobin is 11.1 g/dL, and hematocrit is 33%, which points toward mild anemia.

Let me first reassure you: both of these issues can be managed naturally, especially when we support the body gently and holistically, as we do in Ayurveda.

In Ayurveda, the liver (Yakrit) is the seat of Ranjaka Pitta, the sub-dosha responsible for blood formation and transformation. When Pitta becomes aggravated—due to improper diet, chemical exposure (like medications), or emotional stress—it affects both the liver’s ability to detoxify and its role in blood building, which could explain both your elevated liver enzymes and anemia.

Also, low Agni (digestive fire) and Dhatukshaya (tissue depletion) are common in older age, leading to weakened Rasadhatu and Raktadhatu, which are responsible for nutrient absorption and healthy blood We will aim to: 1. Strengthen and soothe the liver 2. Rebuild healthy blood (Rakta dhatu) 3. Support digestion and nutrient absorption • Bhumi Amla (Phyllanthus niruri): Excellent for reducing SGPT/SGOT and healing liver tissues. • Take 1 tsp juice or 500 mg capsule twice daily after meals. • Guduchi (Tinospora cordifolia): A rejuvenative herb that detoxifies liver and boosts immunity. • Use 1 tsp Guduchi churna or 500 mg capsule daily. • Kalmegh (Andrographis paniculata): A potent liver cleanser—can be taken as tablet or decoction under guidance. • Arogyavardhini Vati: A classical Ayurvedic formulation for liver health. Take 1 tablet twice daily after food, under supervision. • Avoid oily, fried, heavy, spicy foods. • Favor light, warm, easily digestible foods like: • Mung dal khichdi • Steamed vegetables • Warm cumin-coriander-fennel water • Include bitter and liver-cleansing foods: • Lauki (bottle gourd), neem, methi leaves, turmeric • Use cow ghee in small amounts – it nourishes and cools the liver. • Sleep early (by 10 PM), as liver rejuvenates at night. • Do gentle walking after meals to support metabolism. • Practice gentle Pranayama: especially Sheetali and Nadi Shodhana. • Draksha (black raisins): Soak 10–15 overnight and eat in the morning. • Beetroot juice with a pinch of rock salt – strengthens blood and improves iron. • Pomegranate (Anar) – daily consumption is beneficial for both blood and liver. • Amla juice – take 10 ml daily with water to boost iron absorption • Punarnava Mandur – for anemia, edema, and liver support • Lauh Bhasma or Navayasa Lauh – classical iron preparations; to be used carefully under supervision • Dhatri Lauh – gentle and nourishing iron tonic

Note: Always combine iron-rich foods with vitamin C (like lemon, amla) to improve absorption. Poor digestion in elderly age can be a hidden cause of anemia even if you eat well. • Take Hingvastak churna or Trikatu churna before meals (¼ tsp with warm water). • Sip jeera-coriander-fennel water throughout the day. • Avoid cold, dry, and raw foods that may suppress Agni.

If you can visit a good Ayurvedic center, therapies like Basti (medicated enema), Abhyanga (oil massage), and Pizhichil or Takradhara (for Pitta calming) can rejuvenate the liver, strengthen immunity, and improve overall health At 67, your body is wise, but it needs gentle care now. These imbalances are your body’s way of asking for better alignment. With the healing power of Ayurveda, supported by the right food, herbs, and lifestyle, your liver can recover and your blood can be nourished again.

Please be patient, loving, and consistent with these practices. I also recommend periodic monitoring of your blood levels to watch your healing progress.

If you’d like, I’d be happy to create a customized daily routine and meal plan for you based on your Prakriti (body constitution) and other symptoms.

Wishing you vibrant health, peaceful energy, and many more joyful years ahead.

With warm regards and healing blessings, Dr. M. Sushma Ayurvedic Doctor | Holistic Wellness Expert

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Tab. Arogya vardhini vati 1-0-1 Tab. Panchatilkta ghrita guggul 1-0-1 Syp. Liv 52 10-0-10ml

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Tab Liv 52 - Tab Punarnava mandoora- 1 tab twice daily after food with lukewarm water Include dates dried grapes spinach pomegranate beetroot in your diet Avoid oily spicy foods Do regular walking Once get us scan done

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I have gained comprehensive clinical experience through my internship and professional duties, which has laid a strong foundation for my medical practice. During my internship, I worked extensively across multiple departments, including casualty, general medicine, general surgery, and obstetrics & gynecology at the Government District Hospital, Gadag. This exposure allowed me to handle a variety of acute and chronic cases, sharpen my clinical assessment skills, and actively participate in patient management under the guidance of senior medical professionals. Following this, I served as a duty doctor at AYUSH Hospital, Gadag Betgeri, where I applied my Ayurvedic knowledge in a clinical setting and contributed to patient care in both outpatient and inpatient departments. I successfully completed 366 days of rigorous internship training at DGM Ayurvedic Medical College and Hospital, Gadag, where I was involved in patient evaluation, diagnosis, and treatment planning under supervision. My time there allowed me to integrate classical Ayurvedic principles with practical patient care while developing a keen understanding of hospital operations and multidisciplinary collaboration. These experiences have enhanced my ability to handle diverse medical conditions confidently while maintaining a patient-centered approach. I am dedicated to continuing my journey as an Ayurvedic practitioner with the same passion and commitment, focusing on delivering quality, evidence-based, and holistic healthcare.
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Liv 52 1-0-1

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Include beetroot, pomegranate, spinach, lauki, apple juice daily one of them in your routine Use nachani / Ragi atta in your diet Take Liv-52-Ds 1-0-1, Punarnava Mandoor 1-0-0, both after food with water. Avipattikar tablet 1-0-1, after food with water

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
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Your liver parameters are not that much deranged to start any medication Hemoglobin Also is within normal range. For this also medication not needed. Diet management will be sufficient Avoid oily spicy cold foods Eat fruits

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Divya hemoghrit vital=1-1 tab Divya livogrit vital=1-1 tab twice daily before meals twice daily

Take pomegranate/beetroot/spinach/gajar juice regularly

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Alissar ji,Your SGPT is moderately elevated, suggesting fatty liver, due to medication effect( do you face any other bodily or digestion compains???,or it can be age-related liver stress. Ayurvedic Liver medication -

1.Liv 52 DS (Himalaya) – 1 tab twice daily after meals

2.bhumi amla 1-0-1 available in capsules 3.Arogyavardhini Vati – 2-0-2tab

Diet Tips-Avoid fried foods, red meat, excess sugar. Eat: Beetroot, carrots, amla (Indian gooseberry), papaya, apples

Dates, jaggery, pomegranate, beetroot

Iron-rich leafy greens (spinach, moringa)

##Plenty of warm water ##Include a 30min to 1hr walk daily after meal.

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Liv52 1BD Arogyavardhini vati 1BD Punarnavadi mandoor 1BD Trigoldasav 15ml with lukewarm water

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Avoid addiction if any. Avoid spicy, oily and processed food. Regular exercise. Increase intake of raw vegetables and fruits. Cap.Amlycure DS 1-0-1

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Take Kalmegh kwath 20-30 ml empty stomach Arogyavardhini vati 1-0-1

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Hii Alissar, Its good to see that you monitoring your health often. But here the values of sgpt and sgopt are only slightly high, may be i think it may an indication of some kind of issues on liver function either due to medications or diet and habits u follow regularly. U dnt need have much worry. But you can take under control of this with some restrictions on diet and with mild medications. To avoid Fried food, excess oil, spicy food, alcohol (if any),refined sugar, packed foods,heavy foods To do Warm water with 2 to 3 drops of lemon in the morning (gentle detox). Green leafy vegetables, bitter gourd, bottle gourd, Homemade buttermilk with roasted cumin and rock salt after meals Meds Livokot 1BD before food Arogyavardhini vati 1BD after food For Hb, Hematocrit Due to age factor it may be common for this kind of values.and also its not that much low may Due to lower absorption levels it may happens. To do Take Beetroot, dates, black sesame seeds, soaked raisins, and pomegranate, figs, ragi, millets items Cook in iron utensils (like iron kadai) to enhance natural iron in food. To Avoid Tea/coffee near mealtime, as it blocks iron absorption. Meds Loha sinduram 1BD before food Punarnava manduram 1BD after food Draksharistam 20ml BD after food

I think you get a solution for ur concern Thank you Happy and healthy life

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Hello Alissar

NO NEED TO WORRY

• SGPT Moderately Elevated is Clinically Significant

• Rest All Parameters due to Age Medicine Fatty Liver Cholestrol sedentary lifestyle related Effects

• ALL IN ONE BEST EFFECTIVE AYURVEDIC MEDICINE

Cap.Cytozen ( Charak Pharma) 1 -0- 1 After Food

• DO’S - Drink Plenty of Water Fluids Fibers Juices intake.Prefer Alkaline Nutritious Leafy Vegetables Fruits salads sprouts Fibers etc.Mild Mobility Exercise walking Dhyan Meditation Increase Apple Pomegranate Ragi Beet Palak Carrot etc

• DON’TS - Avoid Acidic Spicy Salty Sour Masala Fried Fast Juck Foods

REGARDS

Dr Arun Desai

If you have any questions u can ask me.I will answer to the level of your satisfaction.

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It sounds like there’s a few things going on here with your liver enzymes (SGPT and SGOT) being elevated, and also your anemia. In Ayurveda, liver health is often linked to Pitta dosha, and an imbalance might be present. The liver acts as a key Pitta organ and its imbalance can manifest in varied ways including increased SGPT/SGOT.

You can start by focusing on a Pitta-pacifying diet, as it helps in balancing the liver. Try to include more cooling and hydrating foods like cucumbers, watermelon, and leafy greens in your diet. Avoid excessive spicy, salty or oily foods which can aggravate the Pitta dosha. Drinking coconut water regularly can also have a cooling effect on the liver.

Anemia in Ayurveda is closely associated with low Agni or digestive fire, impacting the assimilation and transformation of nutrients. It’s important to enhance Agni by consuming easily digestible, nourishing meals. Consider incorporating iron-rich Ayurvedic herbs like Triphala - it not only helps with constipation which can accompany anemia, but also enhances iron absorption.

For your liver, an herb like Guduchi (Tinospora cordifolia) is beneficial due to its hepatoprotective properties, you might consult with an Ayurvedic practitioner to get the right dosage.

Apart from diet, practice yoga postures like Matsyasana (Fish pose) and Supta Baddha Konasana (Reclining Bound Angle pose) which are supportive of liver and digestive health, without overdoing it. Ensure you’re keeping a regular sleep schedule too, as this is crucial for liver restoration.

However, considering your age and the possible seriousness of these laboratory findings, it’s absolutely necessary to work with your primary healthcare provider alongside these Ayurvedic recommendations—it ensures that any underlying health condition receive appropriate attention. Safe to say, combining conventional care with these natural approaches could be beneficial for a well-rounded treatment.

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I am an Ayurvedic physician with over 10 years of real, everyday experience—both in the clinical side and in managing systems behind the scenes. My journey started at Jiva Ayurveda in Faridabad, where I spent around 3 years juggling in-clinic and telemedicine consultations. That time taught me how different patient care can look when it’s just you, the person’s voice, and classical texts. No fancy setups—just your grasp on nidan and your ability to *listen properly*. Then I moved into a Medical Officer role at Uttaranchal Ayurved College in Dehradun, where I stayed for 7 years. It was more than just outpatient care—I was also involved in academic work, teaching students while continuing to treat patients. That phase really pushed me to re-read things with new eyes. You explain something to students one day and then end up applying it differently the next day on a patient. The loop between theory and practice became sharper there. Right now, I’m working as Deputy Medical Superintendent at Shivalik Hospital (part of the Shivalik Ayurved Institute in Dehradun). It’s a dual role—consulting patients *and* making sure the hospital ops run smooth. I get to ensure that the Ayurvedic care we deliver is both clinically sound and logistically strong. From patient case planning to supporting clinical staff and overseeing treatment quality—I keep an eye on all of it. Across all these years, my focus hasn’t changed much—I still work to blend classical Ayurved with today’s healthcare structure in a way that feels practical, safe and real. I don’t believe in overloading patients or selling “quick detox” ideas. I work on balancing doshas, rebuilding agni, planning proper chikitsa based on the person’s condition and constitution. Whether it’s lifestyle disorders, seasonal issues, chronic cases, or plain unexplained fatigue—I try to reach the cause before anything else. I still believe that Ayurved works best when it’s applied with clarity and humility—not overcomplicated or oversold. That’s the approach I carry into every patient room and every team meeting. It’s a long road, but it’s one I’m fully walking.
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284 समीक्षाएँ
Dr. M.Sushma
I am Dr. Sushma M and yeah, I’ve been in Ayurveda for over 20 yrs now—honestly still learning from it every day. I mostly work with preventive care, diet logic, and prakriti-based guidance. I mean, why wait for full-blown disease when your body’s been whispering for years, right? I’m kinda obsessed with that early correction part—spotting vata-pitta-kapha imbalances before they spiral into something deeper. Most ppl don’t realize how much power food timing, digestion rhythm, & basic routine actually have… until they shift it. Alongside all that classical Ayurveda, I also use energy medicine & color therapy—those subtle layers matter too, esp when someone’s dealing with long-term fatigue or emotional heaviness. These things help reconnect not just the body, but the inner self too. Some ppl are skeptical at first—but when you treat *beyond* the doshas, they feel it. And I don’t force anything… I just kinda match what fits their nature. I usually take time understanding a person’s prakriti—not just from pulse or skin or tongue—but how they react to stress, sleep patterns, their relationship with food. That whole package tells the story. I don’t do textbook treatment lines—I build a plan that adjusts *with* the person, not on top of them. Over the years, watching patients slowly return to their baseline harmony—that's what keeps me in it. I’ve seen folks come in feeling lost in symptoms no one explained… and then walk out weeks later understanding their body better than they ever did. That, to me, is healing. Not chasing symptoms, but restoring rhythm. I believe true care doesn’t look rushed, or mechanical. It listens, observes, tweaks gently. That's the kind of Ayurveda I try to practice—not loud, but deeply rooted.
5
535 समीक्षाएँ
Dr. Haresh Vavadiya
I am an Ayurvedic doctor currently practicing at Ayushakti Ayurveda—which honestly feels more like a learning ecosystem than just a clinic. Being here has changed the way I look at chronic conditions. You don’t just treat the label—you go after the cause, layer by layer, and that takes patience, structure, and real connection with the person sitting in front of you. Ayushakti has been around 33+ years, with global reach and seriously refined clinical systems. That means I get to work with protocols that are both deeply rooted in traditional Ayurveda and also super practical for today’s world. Whether I’m managing arthritis, asthma, skin issues like eczema or psoriasis, hormone trouble, gut problems, or stress overload—my first step is always a deep analysis. Prakriti, doshas, ahar-vihar, past treatments—everything gets mapped out. Once I’ve got that picture clear, I create a plan using herbal medicines, detox programs (especially Panchakarma), Marma therapy if needed, and definitely food and routine corrections. But nothing’s random. Each piece is chosen for *that* person. And I don’t just prescribe—I explain. Because when someone knows *why* they’re doing a certain thing, they stick with it longer, and the results hold. One thing I’ve learned while working here is how powerful Ayurved can be when it's structured right. At Ayushakti, that structure exists. It helps me treat confidently and track results properly. Whether I’m working with a first-time visitor or a patient who’s been dealing with the same thing for 10 years, my goal stays the same—help their system return to a natural, sustainable state of balance. What I really enjoy is seeing how people’s mindset changes once they start to feel better. When they stop depending on just temporary relief and start building their health from within—that’s when the real shift happens. And being part of that shift? That’s why I do this.
5
43 समीक्षाएँ
Dr. Snehal Tasgaonkar
I am an Ayurvedic physician with around 7 yrs clinical experience, though honestly—feels like I’ve lived double that in patient hours. I studied from a govt. medical college (reputed one) where I got deep into classical Ayurvedic texts n clinical logic. I treat everything from chronic stuff like arthritis, IBS, eczema... to more sudden conditions that just pop up outta nowhere. I try to approach each case by digging into the *why*, not just the *what*. I mean—anyone can treat pain, but if you don’t catch the doshic imbalance or metabolic root, it just comes bak right? I use Nadi Pariksha a lot, but also other classical signs to map prakriti-vikruti, dhatu status n agni condition... you know the drill. I like making people *understand* their own health too. Doesn’t make sense to hand meds without giving them tools to prevent a relapse. My Panchakarma training’s been a core part of my work. I do Abhyanga, Swedana, Basti etc regularly—not just detox but also as restorative therapy. Actually seen cases where patients came in exhausted, foggy... and post-Shodhana, they're just lit up. That part never gets old. Also I always tie diet & lifestyle changes into treatment. It’s non-negotiable for me, bcs long-term balance needs daily changes, not just clinic visits. I like using classical formulations but I stay practical too—if someone's not ready for full-scale protocol, I try building smaller habits. I believe healing’s not just abt treating symptoms—it’s abt helping the body reset, then stay there. I’m constantly refining what I do, trying to blend timeless Ayurvedic theory with real-time practical needs of today’s patients. Doesn’t always go perfect lol, but most times we see real shifts. That’s what keeps me going.
5
126 समीक्षाएँ
Dr. Ravi Chandra Rushi
I am working right now as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital in Nalgonda—and yeah, that name’s quite something, but what really keeps me here is the kind of cases we get. My main focus is managing ano-rectal disorders like piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), pilonidal sinus, and rectal polyps. These are often more complex than they look at first, and they get misdiagnosed or overtreated in a lotta places. That’s where our classical tools come in—Ksharasutra therapy, Agnikarma, and a few other para-surgical techniques we follow from the Samhitas...they’ve been lifesavers honestly. My work here pushes me to keep refining surgical precision while also sticking to the Ayurvedic core. I do rely on modern diagnostics when needed, but I won’t replace the value of a well-done Nadi Pariksha or assessing dosha-vikruti in depth. Most of my patients come with pain, fear, and usually after a couple of rounds of either incomplete surgeries or just being fed painkillers n antibiotics. And I totally get that frustration. That’s why I combine surgery with a whole support plan—Ayurvedic meds, diet changes, lifestyle tweaks that actually match their prakriti. Not generic stuff off a handout. Over time, I’ve seen that when people follow the whole protocol, not just the procedure part, the recurrence drops a lot. I’m quite particular about follow-up and wound care too, ‘cause we’re dealing with delicate areas here and ignoring post-op can ruin outcomes. Oh and yeah—I care a lot about educating folks too. I talk to patients in OPD, sometimes give community talks, just to tell people they do have safer options than cutting everything out under GA! I still study Shalya Tantra like it’s a living document. I try to stay updated with whatever credible advancements are happening in Ayurvedic surgery, but I filter what’s fluff and what’s actually useful. At the end of the day, my aim is to offer respectful, outcome-based care that lets patients walk out without shame or fear. That’s really what keeps me grounded in this field.
5
199 समीक्षाएँ
Dr. Prasad Pentakota
I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
707 समीक्षाएँ

नवीनतम समीक्षाएँ

Audrey
7 घंटे पहले
Thanks for your advice! Your explanation was clear and made sense. Feel relieved knowing more about what's going on and how to manage it.
Thanks for your advice! Your explanation was clear and made sense. Feel relieved knowing more about what's going on and how to manage it.
Wyatt
7 घंटे पहले
Thanks so much for the detailed advice! I've been struggling and your suggestions already seem helpful and clear. Feeling optimistic!
Thanks so much for the detailed advice! I've been struggling and your suggestions already seem helpful and clear. Feeling optimistic!
Ella
7 घंटे पहले
Really appreciate the clear guidance! The massage tip sounds comforting, gonna try it asap. Thanks for making it simple!
Really appreciate the clear guidance! The massage tip sounds comforting, gonna try it asap. Thanks for making it simple!
Lincoln
7 घंटे पहले
Thanks! This advice was spot on and super practical. Really liked the detailed guidance and personal touch. Trying it out for sure!
Thanks! This advice was spot on and super practical. Really liked the detailed guidance and personal touch. Trying it out for sure!