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ED and PME being a patient of heart problems
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Sexual Health & Disorders
Question #22826
103 days ago
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ED and PME being a patient of heart problems - #22826

murali

I am 66years of age two years before I had open heart surgery for grafting I had three graftings Now I am not getting proper erection and have premature ejaculation, can I have treatment for this, if yes can you Sugest the treatment?

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Namaste Murali ji

At 66 years of age, you have already shown great strength and courage by successfully undergoing a major open heart surgery I truly appreciate your openness in sharing your current challenges. This honesty is the first and most important step towards healing. Now coming to your concern regarding erectile dysfunction and premature ejaculation, please understand that these issues are four more common than most people realise, especially after major surgery or in the presence of long term, physical or emotional strain

From Ayurvedic point of view, this condition is not just a matter of a single organ or hormone rather It reflects a deeper imbalance in your Shukra dhatu that is reproductive tissues, VATA Dosa and OJAS( energy) all of which may have been due to surgery medication’s age, mental stress

After surgery, the bodies agni that is digestive fire dhatu -nourishment and circulatory strength are usually compromised. This directly affects the shukra dhatu uttpatti ( formation of reproductive tissue) and manasika sthithi(mental, emotional health) leading to lack of confidence, lowered, libido, early ejaculation, or poor erection

But the good news is Ayurveda offers a very gentle effective line of treatment, especially for someone with a heart history like yours we work carefully to restore your internal strength using Raayanna(rejuvenation) vrushya Chikitsa (aphrodisiac therapy)and medhya rasayana (mental rejuvenation) all in harmony with your heart condition Suggested Ayurvedic approach —

Herbs like Shatavari ,Ashwagandha Kapikacchu, Gokshura help strengthen Shukra Data balance Waata and improve stamina Abhyanga (oil massage) with dedicated oils, improves circulation and strength Medhya rasayana like Brahmi shankapushpi pr jatamamsi help calm anxiety, and improvement, clarity and control Specific classical medicines like chandra Prabhavati and kaunch pak maybe beneficial, but it should be taken under supervision, depending upon your cardiac condition and digestion capacity

Alongside this it’s better to follow a cardiac safe diet plan and lifestyle modifications that avoids heavy oily or excessive spicy food and focuses on nourishing and easily digestible meals that support both cardiac and reproductive health

Lifestyle modification-

Sleep early, that is before 10 PM Wake early Do light walking Practice regular Pranayam meditation, at least half an hour daily Avoid strenuous exercises Avoid screen time Can drink warm milk with Ashwagandha churna night? The medicines which will be prescribed will be based on your overall constitution, post surgery, recovery digestion, blood pressure and sleep, quality, regular monitoring, and gentle corrections. adi near case.

So, S treatment is absolutely possible, but it must be planned individually and carefully. I would request you to share some more details such as. Your direct sleep and energy levels Medication, you are currently on Any blood pressure or sugar? A basic idea of your diet and daily routine

Ayurveda treats from its root causes, so the result will not be a quick fix. It takes time, but definitely it will show a positive changes within the few weeks. If you follow the main three pillars in a disciplined way, that is the diet lifestyle modification and the Ayurvedic medicine medicines.

Once I have, the second can suggest a complete safe and supportive plan to gradually rebuild your strength confidence, and intimacy, this will be a long-term solution, not a quick fix, and I will be available to guide you closely at every step You’re not alone in this journey, and with with its deep understanding of body and mind is here to help you live with dignity, strength, and vitality Thank you

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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.
103 days ago
5

Yes treatment is possible for ED and PM even after CABG but it must be handled carefully due to your heart condition and age

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murali mohan
Client
103 days ago

Sir can guide me further

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.
103 days ago
5

Any h/0 HTN/DM??

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Avoid addiction if any. Avoid spicy, oily and processed food. Regular exercise. Increase intake of raw vegetables and fruits. Tab.Neo 2-0-2 Count plus granules 15gms twice with milk

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Murli ji, I would not advice you medication for this, because of heart surgery and also the age factor,but you can do the home remedies mentioned below Ashwagandha Milk (Bedtime Tonic) -1 tsp Ashwagandha powder + 1 cup warm milk When: At bedtime

Garlic Cloves (Morning Remedy) Chew 2 raw garlic cloves daily When: Early morning on empty stomach

Soak Munakka,kismis,khajoor,badam,kaaju,anjeer,overnight, eat in morning with a glass of warm milk

Pumpkin Seeds or Flaxseeds

How: 1 tablespoon ground flaxseed or pumpkin seeds daily When: Add to breakfast or smoothies You pls consult your cardiologist or urologist doctor before starting with the home remedies aswell .

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Take Cap Ashwashila 1-0-1 after food with water Apply Shilajit oil on penis twice daily Take Arjun ghanvati 1-0-1 after food with water, This will strengthen your cardiac muscles

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Hello Murali

" NO NEED TO WORRY "

" I WILL HELP YOU TO RECOVER WITH ERECTIL DYSFUNCTION & PREMATURE EJACULATION SAFELY "

* Ur Age is 66 due to Ageing ur Testosterone Levels Fluctuates which may cause Weak Erection

* Aslo due to surgery and BP Fluctuations Penile Blood Flow also improper which leads which Erection Not Sustaining for Long Time.

* There are other Neuromuscular Nutritional reasons that also affect Erection

* Premature Ejaculation might be due to Foreskin Hypersensitivity or Weak Pelvic Floor Muscles and Urogenital Sphincter muscle

" U have a History of Open Heart Surgery so We will Consider HEART SAFETY AYURVEDIC HERBS"

" As there are Limitations for you to give few medicines I’m giving Safety priority "

* "It may take a little long to observe results and recovery "

* Keep Maximum Patience and continue treatment

“In My CLINICAL PRACTICE I HAVE SEEN THE BEST PROMISING RESULTS IN ED PME WITH HEART PATIENTS WITH FOLLOWING TREATMENT”

• SAFE EFFECTIVE AYURVEDIC MEDICINES

* Tab.Ashwagandha 250 mg ( Himalaya Pharma) 1 -0- 1 After Food

* Youvan Churna ( Patanajali Pharma) 2 Tsf Morning -0- 2 Tsf Night After Food

* Sri Gopal Taila ( Baidyanth Pharma) For Penile Application 10 mins Before Sex

• HELPFUL EXCERCISE - Kegel’s Exercise - Pelvic floor Exercise

• DO’S - Prefer Healthy Highly Nutritious Leafy Vegetables Fruits salads sprouts Fibers Dry Fruits Rest Good Sleep Mild Walking etc

• DON’TS - Avoid Acidic Spicy Salty Sour Masala Fast Foods Bakery Sedentary lifestyles Stress

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 here

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Hello

Firstly avoid spicy sour food, oil fried items, processed foods carbonate juices , coffee and tea

Avoid if any alcohol smoking addiction

Take good amount of vegetables and green leafy vegetables and bowl fruits

1) cap shilajit gold 0-0-1 after food 2) tab neo 1-0-1 after food 3) triphala guggulu 1-0-1 after food

Thank you Dr.Nikitha

240 answered questions
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HELLO MURALI, YES SEXUAL DYSFUNCTION SUCH AS ERECTILE DYSFUNCTION AND PREMATURE EJACULATION IS QUITE COMMON AFTER CARDIC EVENTS LIKE BYPASS SURGERY ESPECIALLY IN OLDER ADULTS. THE GOOD NEWS IS IT IS MANAGEABLE, EVEN IN HERAT PATIENTS WITH SAFE AND MILD AYURVEDIC TREATMENT+LIFESTYLE CHANGES AND SPECIFIC YOGA PRACTICES

1)ED- IS INABILTY TO GET OR MAINTAIN AN ERECTION FIRM ENOUGH FOR SEXUAL INTERCOURSE POST CARDIAC SURGERY, ED MAY OCCUR DUE TO -DECREASED BLOOD FLOW DUE TO VASCULAR ISSUES -NERVE DAMAGE OR SIDE EFFECTS OF HEART MEDICATIONS-LIKE BETA BLOCKERS AND DIURETICS -EMOTIONAL STRESS, FEAR OF EXERTION, OR DEPRESSION -LOW TESTOSTERONE LEVELS DUE TO AGE FACTOR

2)PME- ELACULATION THAT HAPPENS TOO QUICKLY, OFTEN WITH MINIMAL STIMULATION CAN BE DUE TO -ANXIETY OR PERFORMANCE PRESUURE -WEAK PELVIC MUSCLES -LOW CONTROL OVER PARASYMPATHETIC NERVOUS SYSTEM RESPONSE.

YES,BOTH ED AND PME ARE TREATABLE-EVEN IN HEART PATIENTS KEY IS TO AVOID STRONG APHRODISIACS OR HEATING HERBS THAT CAN STRESS THE CARDIOVASCULAR SYSTEM

AYURVEDIC SAFE MEDICATIONS 1)ASHWAGANDHA CHURNA- 1 TSP WITH WARM MILK IN MORNING AND NIGHT- ADAPTOGEN, MILD APHRODISIAC, IMPROVES TESTOSTERONE AND STAMIN 2)SHATAVARI GRANULES- 1 TSP WITH WARM MILK AFTER DINNER- SUPPORTS HORMONAL BALANCE AND SEMEN HEALTH 3)KAUNCH BEEJA CHURNA- 1 TSP IN WARM MILK AT NIGHT- STRENGTHEN NERVE AND REPRODUCTIVE FUNCTION 4)ABHRAK BHASMA(LOW DOSE CAUTIOUSLY)- 50 MG/DAY WITH MILK-RASAYANA NERVINE TONIC

AVOID- MUSLI PAK, SHILAJIT, MAHA RASNADI KWATHA, AND OTHER STRONG RASAYANA THAT MAY BE NOT SUITABLE FOR CARDIAC PROBLEM

LOCAL THERAPIES FOR ED AND PME:- 1)PENIL GENTLE OIL MASSAGE- A MILD EXTERNAL MASSAGE OF PENILE SHAFT AND GROIN AREA NOT THE GLANS/HEAD WITH BALA-ASHWAGANDHADI TAILA- WARM 3-5 ML AND GENTLY APPLY FPR 5 MINUTES ALTERNATE DAYS -KARPURADI TAILA DILUTED WITH BALA TAILA- USE 1 DROP MIXED WITH BALA TAILA ONCE A WEEK- MILD STIMULANT, IMPROVES LOCAL BLOOD FLOW THIS PROCEDURE WILL IMPROVES IRCULATION, NERVE SENTIVITY, AND TONE USE LIGHT CIRCULAR STROKES DO THIS AT NIGHT BEFORE SLEEP, THEN WIPE CLEAN WITH WARM WATER AFTER 30 MIN DO NOT APPLY INSIDE URETHRA OR ON GLANS *AVOID VIGROUS MASSAGE

2)AFTER OIL MASSAGE USE A WARM WATER BOTTLE WRAPPED IN CLOTH OVER LOWER ABDOMEN AND INNER THIGHS FOR 5-10 MIN IT HELPS RELAXES NERVES, REDUCE ANXIETY RELATED TIGHTNESS AND IMPROVES CIRCULATION.

3)PELVIC TONNING EXERCISES(MULA BANDHA+KEGEL EXERCISES) HOW TO DO MULA BANDHANA- SIT IN VAJRASANA OR LIE DOWN SLOWLY CONTRACT THE MUSCLES OF ANUS AND PELVIC FLOOR AS IF YOR ARE TRYING TO STOP URINATION HOLD FOR 5-10 SECONDS, RELEASE. REPEAT 10 TIMES TWICE DAILY HELPS WITH BOTH ED AND PME OVER TIME BY STRENGTHENING CONTROL

DIET FOR SEXUAL AND CARDIAC HEALTH- INCLUDE- MILK BOILED WITH ASHWAGANDHA/SHATAVARI AT BEDTIME DATES,SOAKED ALMONDS,WALNUTS- IN MODERATION COW GHEE-1TSP/DAY IMPROVES OJUS AND REPRODUCTIVE HEALTH WARM,SOFT NOURISHING FOOD POMEGRANATE, FIGS, BEETROOT, BOTTLE GOURD

AVOID- EXCESS TEA/COFFEE DEEP FRIED PROCESSED FOOD RED MEAT, HIGH SALTY FOOD COLD WATER CURD AT NIGHT

YOGA ASANA-10-15MIN/DAY SETUBANDHASANA BHUJANGASANA VAJRASANA+MULA BANDA PPASCHIMOTTASANA

PRANAYAM-10 MIN ANULON VILOM BHRAMARI UJJAYI

LIFESTYLE- SLEEP EARLY,WAKE UP EARLY LIGHT WALK DAILY AFTER MEALS AVOID SCREEN. EXPOSURE AND LAT E NIGHT STIMULATION STAY WARM, AVOID COLD EXPOSURE ESPECIALLY IN GROIN/PELVIS

THIS MEDICATIONS ARE SAFE AND EFFECTIVE START TAKING ALONG WITH YOUR ALLOPPATY CARDIAC MEDICATIONS THEY ARE SAFE AND DONT HAVE INTERACTION WITH THAT OF ALOPATHY MEDICATIONS

FOLLOW THIS FOR 3 MONTHS VISIBLE IMPROVEMENT YOU WILL NOTICE

THANK YOU HOPE THIS MIGHT BE HELFUL

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Considering your history of heart surgery and current issues with erection and premature ejaculation, it’s important to approach this holistically but cautiously. In Ayurveda, issues related to erection and premature ejaculation are often linked to imbalances in the Vata dosha, which governs movement and circulation. However, since your cardiovascular health is a critical concern, you’ll need to focus on safe, heart-friendly practices.

First, it’s advisable to incorporate Ashwagandha, a well-regarded adaptogenic herb in Ayurvedic practice. It helps in enhancing libido and improving overall vitality. Aim for a dosage of around 500 to 600 mg twice daily, but it’s crucial to consult with your cardiologist before starting any new supplement, especially considering your heart condition.

Diet plays a huge role in managing these concerns. Include foods that are known to pacify Vata and nourish the reproductive system. Warm, cooked foods with healthy fats like ghee or olive oil can be beneficial. Ground sesame seeds or almond milk could also aid in strengthening your body. Avoid excessively cold or dry foods, which can aggravate Vata and further exacerbate symptoms.

Pranayama, especially Nadi Shodhan (alternate nostril breathing), is excellent for maintaining balance and improving circulation, which may help in managing erectile issues. Practice this gently, for about 10 minutes each day, ideally during sunrise or sunset. Also consider engaging in mild yoga practices, with postures like Bhujangasana (cobra pose) and Sarvangasana (shoulder stand) that encourage gentle circulation and vitality.

Since your heart health is paramount, make sure you’re regularly seeing a cardiologist. Any natural remedy or lifestyle change should complement your current medical care, not replace it. Pay attention to your stress levels, as stress management is crucial in managing Vata imbalances.

Lastly, lifestyle habits like maintaining a consistent sleep schedule and avoiding stimulants such as caffeine can significantly improve your overall well-being and help in controlling symptoms of premature ejaculation. If symptoms persist, seek specialized Ayurvedic consultation for personalized guidance.

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ChatGPT said: I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
234 reviews
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
458 reviews
Dr. Prasad Pentakota
ChatGPT said: 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
313 reviews
Dr. Rajan soni
I am working in Ayurveda field from some time now, started out as a general physician at Chauhan Ayurveda Hospital in Noida. That place taught me a lot—how to handle different types of patients in OPD, those daily cases like fever, digestion issues, body pain... but also chronic stuff which keeps coming back. After that I moved to Instant Aushadhalya—an online Ayurveda hospital setup. Whole different space. Consultations online ain’t easy at first—no pulse reading, no direct Nadi check—but you learn to ask the right things, look at patient’s tone, habit patterns, timing of symptoms... and yeah it actually works, sometimes even better than in person. Right now I’m working as an Ayurveda consultant at Digvijayam Clinic where I’m focusing more on individualised care. Most ppl come here with stress-related problems, digestion issues, joint pain, that kind of mix. I go by classic diagnosis principles like prakriti analysis, dosha imbalance and all, but also mix in what I learned from modern side—like understanding their lifestyle triggers, screen time, sleep cycles, food gaps n stress patterns. I don’t rush into panchakarma or heavy medicines unless it’s needed... prefer starting with simple herbs, diet change, basic daily routine correction. If things demand, then I go stepwise into Shodhan therapies. My goal is to not just “treat” but to help ppl know what’s happening in their body and why its reacting like that. That awareness kinda becomes half the cure already. Not everything is perfect. Sometimes ppl don’t follow what you say, sometimes results are slow, and yeah that gets to you. But this path feels honest. It’s slow, grounded, and meaningful.
5
24 reviews

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