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Rod femure i. E thigh. I want my leg to become as strong as it was before. 30 year old male, accident hapened 4 years ago
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Orthopedic Disorders
प्रश्न #22794
195 दिनों पहले
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Rod femure i. E thigh. I want my leg to become as strong as it was before. 30 year old male, accident hapened 4 years ago - #22794

Sumit

I had femure fracture and beem wearing rod for 4 years yet I feel weakness in the leg and can not even kick start a bike. Other paychiatric ssues- no energy motivation to do anything, eat one time meeal most days, tried ashwagndharistta for three momths

आयु: 30
पुरानी बीमारियाँ: Asthama
पेड
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डॉक्टरों की प्रतिक्रियाएं

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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Dear Sumit Thank you for sharing your concerns and trusting this platform with your health concern, i understand, how frustrating uncertain it can feel when recovery seems low, and you are still struggling with weakness and low energy. Even after several years, please know that your condition is not uncommon, especially when deep healing, both physical and mental has not fully taken place From Ayurvedic point of view the weakness in your leg after a femur fracture, especially when metal rods have been in place for years indicates the depression of bone tissue and marrow or nerve tissue The long-term presence of internal metal may also have mildly affected the body’s ability to regenerate tissues. Naturally, the accompanying symptoms like lack of energy, low motivation and poor appetite or closely related to VATA imbalance combined with vital energy and digestive fire weakness. We must approach this gently but holistically strengthening gear, muscular skill system, improving mental clarity, and preventing digestive strength Internal medicine Ashwagandha lehyam - In nourishing, tonic for energy, sata, bone, and nerve healing, take 1 teaspoon with warm milk twice daily Trayodashanga guggulu- Helpful for post traumatic and joint recovery, one tablet twice daily after meal to be taken with warm water Shatavari churna- 1/2 tsp with warm milk at night, helpful in dryness, constipation, weakness

Drakshasava— a light rejuvenating fermented tonic that helps lift mental folk and supports appetite. 20 ML to be taken along with equal quantity of water after food.

Diet and lifestyle suggestion — Eat to nourishing meals daily, ideally warm, freshly cooked with ghee rice, Moon, Dal, wheat, raw vegetables, sesame, and dates Avoid excessive dry cold processed food. Avoid skipping meals, include bone broth if non-vegetarian and kheer made with black sesame and milk to nourish the tissues Abhyanga with Mahamasha tailam at least weekly twice, focus on leg lower back Medicated steam for stiffness or pain around the affected leg Once strength improves, start light physiotherapy or medicated enema at nearby Panchkarma Centre

Start the day with Brahmi Tea Do regular Pranayam and yoga at least for 15 to 20 minutes Do you like walking in the sun

Dear Sumit, your body and mind have undergone significant stress and Ayurveda teachers as that healing is a layer journey, physical, mental, and emotional with the right nourishment, gentle routines and consistent support. Your strength can absolutely return and the mind will feel lighter and more active again Just remember, Ayurveda treats from root cause so it will take some time to see the result, but you will see a definitely positive change, so don’t lose hope

Wishing you deep feeling strength and clarity on this path ahead

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Tab. Ashwagandha 2-0-2 Tab. Amruta guggul 2-2-2 Tab. Vishtinduk vati 1-1-1 Tab. Brahmi vati 1-0-1 Kindly follow physiotherapy to increase muscles power alongwith above medicines. Also follow pranayam, breathing exercise, yogasana . Do follow Ayurvedic din charya which helps in low mood

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You are experiencing muscle weakness as well.

Include in diet: Milk Eggs Ragi Millets Dal Fruit vegetables

Avoid in diet Tea Coffee Addictions Excessive rice specially at night time Potato Bakery food Packet food Processed food

Daily Exercise is very important to strengthen your muscles. Exercise like squats and pushups. Do Anulom Viloma that will make you feel fresh and energetic.

Medication:

Tab. Ampachak Vati 2tabs twice a day before food Tab. Lakshadi Guggul 2 tabs twice a day before food Cap. Palsinuron 1 cap twice a day before food

Chavanprash avleham 2 tsp with a glass of milk in the morning.

Cap. Memorin 2 caps at bed time with one cup hot milk.

Light massage from hip to toe with luke warm CHANDANBALALAKSHADI TAILAM. If possible do it two times a day.

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Take abhaguggul 1-0-1 Laxadi guggul 1-0-1 Brahmi vati 1-0-1 after food with water Cap. Ashwashila 1-0-0 after breakfast with water Apply ashwagandha oil on your leg twice daily

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HELLO SUMIT, BASED ON YOUR CASE- 4 YEAL OLD FEMUR FRACTURE WITH ROD STILL IN PLACE, CHRONIC WEAKNESS , LOW ENERGY AND MOTIVATION AS WELL AS ASTHAMA HISTORY

AYURVEDA WILL HELP STRENGTHEN YOUR LEG, REBUILD ENERGY, AND SUPPORT OVERALL MENTAL AND PHYSICAL RECOVERY

PROBABLE CAUSES- BONE TISSUE DEPLETION, MUSCLE WASTING, VATA IMBALANCE DUE TO TRAUMA AND ROD IMPLANTATION MENTAL DULLNESS DUE TO CHRONIC VATA AND KAPHA IMBALANCE

AYURVEDIC MEDICINES TO START FOR BONE AND MUSCLE STRENGTHENING 100% EFFECTIVE MEDICATION YOU CAN START AND WILL GET RESULTS FOR SURE 1) ABHA GUGGULU- 2 TABS TWICE A DAY AFTER MEALS - FOR BONE AND JOINT HEALING 2)TRAYODASHANGA GUGGULU- 2 TABS TWICE DAILY - FOR NERVE AND MUSCLE STRENGNTHENING 3)ASHWAGANDHA CHURNA(NO ARISTA)- 1 TSP WITH WARM MILK AT BED TIME- IMPROVES STENGTH AND STAMINA 4)SHATAVARI KALPA- 1 TSP DAILY IN MORNING WITH MILK- FOR NOURISHMENT AND ENERGY

FOR MENTAL AND PHYSICAL ENERGY- BHRAMI VATI- 1 TAB WITH WATER IN MORNING CHYAWANPRASHA- 1 TSP IN MORNING EMPTY STOMACH - IMMUNITY AND BONE STRENGTH)

EXTERNALLY- OIL MASSAGE WITH MAHANARAYANA TAILA- DAILY BEFORE BATH FOR 45 MIN AFTER MASSAGE GIVE STEAM FOR BETTER OIL ABSORPTION

IF FEASIBLE GO FOR PANCHAKARMA CENTRE NEAR BY AND TAKE BASTI THERAPY- ONE OF THE BEST AND MOST PROMISING FOR YOUR CONDITION TAKE MATRA BASTI WITH ASHWAGANDHA TAILA- FOR 7 DAYS

DIET- FOR BONE AND MUSCLE NOURISHMENT

WARM, NOURISHING MEALS 3 TIMES/DAY COWS GHEE 1 TSP DAILY WITH RICE OR WARM MILK MILK WITH TURMERIC MOONG DAL WITH RICE VEGETABLES- BOILED/STEAM AVOID IN. RAW FORM RAGI,SESAME SEEDS, DATES, SOAKED ALMONDS BONE BROTH- IF NON VEGETARIAN EAT CALCIUM RICH FOODS- PANNER, ALMONDS, FLAX SEEDS, POPPY SEEDS, BAJRA , KULTH DAL, MATKI, MOONG, DRUM STICK,SPINACH,METHI, EGG, MILK ETC

AVOID - COLD, DRY,STALE FOOD EXCESS PULSES LIKE CHANA,RAJMA CARBONATED DRINKS, EXCESSIVE TEA/COFFEE AVOID FASTING OR SKIPPING MEALS

DAILY WALK FOR 20-30 MIN SLOWLY INCREASING PACE GENTLE YOGA- BHUJANGASANA, TADASANA, VAJRASANA, SHAVASANA PRANAYAM- ANULOM VILOM, BHRAMARI

SPECIAL DRINK- WARM MILK 1 GLASS+ 1 TSP SESAME POWDER+ 1/2 TSP ASHWAGANDHA +1/4 TSP TURMERIC AND ADD JAGGERY IF YOU WANT SWEET TAKE AT BED TIME BEST AND EFFECTIVE FOR NOURISHMENT OF BONES AND MUSCLE- AS IT IS CALCIUM RICH

STICK TO FIX DAILY SCHEDULE - SLEEP BY 10:30PM WAKE UP BY 7 AM LISTEN TO POSITIVE MUSIC STAY SOCIALLY CONNECTED

SINCE THE ROD HAS BEEN PLACED FOR 4 YEARS, CONSULT YOUR ORTHOPEDIC DOCTOR ABOUT WHETHER ROD REMOVAL COULD HELP RESTORE NATURAL MOVEMENT AND STRENGTH

HOPE THIS MIGHT BE HELPFULL

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Hello Sumit

" NO NEED TO WORRY "

"I WILL HELP YOU TO RECOVER WITH UR POST ACCIDENTAL TRAUMATIC THIGH WEAKNESS TO RECOVER SAFELY EFFECTIVELY PERMENANTLY "

UR ISSUE

Accidental Traumatic Injury Femur Fractured Operated Beam wearing Rod in place Leg weakness psychological issues No Energy Motivation

HISTORY

Asthama

PROBABLE CAUSE

* Post Traumatic & Sedentary longer time lead Fatigue and Frustration * Traumatic Vata Lead manifestation Bone Tissue disruption Psychological Imablance * Kapha lead Heaviness Fatigue Weakness Muscles wasting

LET ME TELL U STRONGLY ITS CURABLE WITH TIME ,U CAN FUNCTION AS U WAS BEFORE & ALL FATIGUE AND FRUSTRATION WILL GO AWAY SOON "

" U JUST NEED PATIENCE ,FAITH IN URSELF AND ALMIGHTY"

There are Wonderful Ayurvedic Medicine we have For Post Traumatic Injury and Rehabilitation

Ayurvedic Medicines help Strength Bone aids Healing faster Strength Muscles Restore Mobility Ayurvedic Medicines are Body mind Energy Booster helps Calmness peace

" I ADVICE U TO VISIT ORTHOPEDIC SURGEON AND HAVE UPDATE ABOUT REMOVAL OF RODS IF INJURY IS RECOVERD "

IN MY CLINICAL PRACTICE 100 % EFFECTIVE RESULTS ORIENTED AYURVEDIC MEDICINES FOR POST TRAUMATIC RECOVERY

U MUST TRY

* Tab.Laxadi Guggulu ( Baidyanth Pharma) 2 -0- 2 After Food * Tab.Boniheal ( Aimil Pharma) 1 -0- 1 After Food * Tab.Trayodashang Guggulu (Dhootapapeahwar Pharma) 2 -0- 2 After Food * Cap.Stresscom ( Dabur Pharma) 1 -0- 1 After Food • Bonton Granules ( Vasu Pharma) 2 Tsf -0- 2 Tsf Night After Food Preferably with 1 Glass of Luke Warm Milk • Balaashwagandhadi Taialm ( Kottakal Pharma) For Local Application and Massage 30 mins Before Bath followed by Luke Warm Water Bath

• DELICIOUS HOME DRY FRUIT LADDO FOR FATIGUE AND POST TRAUMATIC RECOVERY FASTER

Dry Fruits Mixes ( Kaju badam Pista Akrod Kishmish Khajoor Anjeer) + Seed Mix ( Sesam Flaxseed Pumpkin seeds Sunflower Seeds) + Dry Mashed Coconut+ Gond+ Jaggery+ Pure Cow Ghee — Prepare Laddo —Have 1 to 2 Laddos with 1 Galss of Luke Warm milk

• DO’S :- Take All Alkaline Leafy Vegetables Fruits salads sprouts Dry fruits Sweets Milk Products Non Veg Honey of ur Choice Flax seeds Sunflower Seeds Moringa Regularly Avoid Afternoon Sleep Physical Activities Exercise Outdoor Games Dhyan Meditation Mild mobility Exercise Rest Good Sleep

• DON’TS:- All Acidic Spicy Salty Sour Masala Fried Fast Foods Bakery Maida Items Packed Canned Processed Foods Stress Strain etc

• REHABILITATION EXERCISE Streching Mobility Exercise • ANTISTRESS REGIME Dhyan Meditation

" BE POSITIVE ! KEEP PATIENCE!! "

" U WILL RECOVER SOON "

REGARDS

Dr Arun Desai

God Bless You 😊🙏

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

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Dealing with the aftermath of a femur fracture and prolonged immobilization can sometimes lead to weakness and reduced function in the affected leg. In Ayurvedic terms, such an injury may cause an imbalance in the Vata dosha. To restore strength and balance, it is crucial to support the healing of tissues and improve your energy levels.

For your leg, focus on rebuilding muscle strength and improving circulation. Simple practices such as Abhyanga, or warm oil massage with Mahanarayan oil, could be beneficial. Warm the oil slightly and gently massage it onto the leg daily to help improve circulation and support muscle and bone health. Follow this with a bath in warm water to enhance absorption. Additionally, yogic practices focusing on leg strength, such as gentle squats, if tolerable, can help. Be sure to consult with a physiotherapist to tailor exercises for your specific needs.

With psychiatric symptoms like low motivation and energy levels, it’s vital to address overall lifestyle and diet. As you mention eating once a day, try incorporating more balanced and regular meals to stabilize Agni (digestive fire) and provide sustained energy. Include nourishing foods like whole grains, nuts, and legumes. If digestion is sluggish, consider sipping on warm water infused with ginger throughout the day to kindle digestion.

Ashwagandharishta may be supportive for energy and balancing Mind-Body connection. 3-4 tsp after lunch and dinner mixed with equal water may be continued. If it felt ineffective, consider adding Brahmi or Shankhapushpi churnas for mental clarity and rejuvenation.

Please ensure you follow up with an orthopedic specialist regularly about the rod and potential removal when feasible. Our primary aim is holistic care, but don’t negate medical advice for the mechanical aspects of healing. Improving sleep patterns and engaging in minimal mindful practices could act as ancillary support in rejuvenating both body and mind.

It’s important to have support during this recovery process, from healthcare professionals and perhaps a support group that provides emotional encouragement. Healing from such profound injuries is gradual and requires patience and consistency.

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591 समीक्षाएँ
Dr. Nisha Bisht
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.
5
289 समीक्षाएँ
Dr. Shazia Amreen
I am Dr. Shazia Amreen, an Ayurvedic physcian with a little over 7 years of hands-on experience in clinical practice. I did my MD in Ayurveda from Government Ayurveda Medical College, Bangalore—and honestly, those years helped me go much deeper into the classical texts and the clinical ground. Not just theory... actual healing. Since 2017, I’ve worked closely with a diverse set of patients—from chronic gut problems to skin & hair concerns, musculoskeletal issues, hormonal imbalances, kidney stones, you name it. My core strength really lies in Panchakarma and gastrointestinal healing, where I don’t just jump into detox, but take time to see where the agni is, how deep the ama has gone, and whether the body’s ready to reset. I’m very rooted in classical assessment—looking at dosha imbalance, dhatu state, and prakriti before planning anything. But also, I keep it grounded in modern daily life. What’s the point of a great herbal blend if the person can’t sleep on time or digest their food properly, right? That’s why I focus big on Ahara-Vihara guidance. I don’t just hand over a diet list—I walk people through why those changes matter, and how to make them sustainable. In my practice, I often blend Rasayana chikitsa with basic lifestyle coaching, especially for cases like IBS, PCOS, eczema, migraines, or stress-triggered flareups. Each case is unique, and I don’t believe in repeating the same formula just because it worked for someone else. I also emphasize emotional reset, especially in long-standing chronic cases—sometimes people carry fear, shame, or frustration about their illness. I try to hold space for that too. Whether it’s someone coming in for general detox, a fertility consult, or just confused by their symptoms—I aim to build a plan that makes sense to them. It should feel doable. Balanced. And over time, it should make them feel like they’re coming back home to their own body. That’s the kind of Ayurvedic care I believe in—and try to deliver every single day.
5
3 समीक्षाएँ
Dr. Sumi. S
I am an Ayurvedic doc trained mainly in Shalakya Tantra—basically, I work a lot with issues of the eyes, ears, nose, oral cavity, head... all that ENT zone. It’s a really specific branch of Ayurveda, and I’ve kind of grown to appreciate how much it covers. I deal with all kinds of conditions like Netra Abhishyanda (kinda like conjunctivitis), Timira and Kacha (early or full-on cataract), Adhimantha (glaucoma stuff), Karna Srava (ear discharge), Pratishyaya (chronic colds n sinus), Mukhapaka (mouth ulcers), and even dental stuff like Dantaharsha (teeth sensitivity) or Shirashool (headaches & migraines). I use a mix of classic therapies—Tarpana, Nasya, Aschyotana, Karna Purana, even Gandusha and Dhoomapana when it fits. Depends on prakriti, the season, and where the person’s really struggling. Rasayana therapy and internal meds are there too of course but I don’t just throw them in blindly... every plan’s got to make sense to that individual. It’s kind of like detective work half the time. But honestly, my clinical work hasn't been just about Shalakya. I’ve got around two yrs of broader OPD experience where I’ve also handled chronic stuff like diabetes, thyroid issues, arthritis flares, PCOS, IBS-type gut problems, and some hormonal imbalances in women too. I kind of like digging into the layers of a case where stress is playing a role. Or when modern bloodwork says one thing, but the symptoms are telling me something else entirely. I use pathology insights but don’t let reports override what the patient's body is clearly saying. That balance—between classical Ayurvedic drishtis and modern diagnostic tools—is what I’m always aiming for. I also try to explain things to patients in a way they’ll get it. Because unless they’re on board and actually involved, no healing really works long-term, right? It’s not all picture-perfect. Sometimes I still re-read my Samhitas when I'm stuck or double check new case patterns. And sometimes my notes are a mess :) But I do try to keep learning and adapting while still keeping the core of Ayurveda intact.
5
40 समीक्षाएँ
Dr. Akshay Negi
I am currently pursuing my MD in Panchakarma, and by now I carry 3 yrs of steady clinical experience. Panchakarma for me is not just detox or some fancy retreat thing — it’s the core of how Ayurveda actually works to reset the system. During my journey I’ve handled patients with arthritis flares, chronic back pain, migraine, digestive troubles, hormonal imbalance, even skin and stress-related disorders... and in almost every case Panchakarma gave space for deeper healing than medicines alone. Working hands-on with procedures like Vamana, Virechana, Basti, Nasya, and Raktamokshana gave me a lot of practical insight. It's not just about performing the therapy, but understanding timing, patient strength, diet before and after, and how their mind-body reacts to cleansing. Some respond quick, others struggle with initial discomfort, and that’s where real patient support matters. I learnt to watch closely, adjust small details, and guide them through the whole process safely. My approach is always patient-centric. I don’t believe in pushing the same package to everyone. I first assess prakriti, agni, mental state, lifestyle, then decide what works best. Sometimes full Panchakarma isn’t even needed — simple modifications, herbs, or limited therapy sessions can bring results. And when full shodhana is required, I plan it in detail with proper purvakarma & aftercare, cause that’s what makes outcomes sustainable. The last few years made me more confident not just in procedures but in the philosophy behind them. Panchakarma isn’t a quick fix — it demands patience, discipline, trust. But when done right, it gives relief that lasts, and that’s why I keep refining how I practice it.
5
84 समीक्षाएँ
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
1287 समीक्षाएँ

नवीनतम समीक्षाएँ

Lily
11 घंटे पहले
Thanks! Really appreciate the simple assurance. Been a bit stressed, so this helps ease my mind.
Thanks! Really appreciate the simple assurance. Been a bit stressed, so this helps ease my mind.
Leo
11 घंटे पहले
Thanks for the practical advice! Your suggestions for diet and exercise seem really manageable. Feeling more hopeful now. 😊
Thanks for the practical advice! Your suggestions for diet and exercise seem really manageable. Feeling more hopeful now. 😊
Sebastian
11 घंटे पहले
Really appreciate the advice! Feeling more at ease knowing what to do next, and it's super helpful to have clear, practical steps. Thanks a ton for the guidance!
Really appreciate the advice! Feeling more at ease knowing what to do next, and it's super helpful to have clear, practical steps. Thanks a ton for the guidance!
Nora
11 घंटे पहले
I was really relieved by this answer. It gave me a detailed plan and made me feel hopeful about making lifestyle changes. Thanks for the clarity!
I was really relieved by this answer. It gave me a detailed plan and made me feel hopeful about making lifestyle changes. Thanks for the clarity!