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How to erase post inflammatory Hyperpigmentation?
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Skin and Hair Disorders
Question #26368
129 days ago
418

How to erase post inflammatory Hyperpigmentation? - #26368

Ruchi

I have lichen planus post inflammatory mark on my face near eyebrows and on nostril. My wedding is in 5 months. I used Fluticasone and all earlier. It’s not active at all. Just the mark is there (hyperpigmentation). How to remove those mark

Age: 26
Chronic illnesses: No
PAID
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Doctors' responses

Hi Ruchi as per Ayurveda, this hyperpigmented scar need both internal and external correction

Internally , 1.Manjishtadi kwatham tab 2-0-2 before food 2.Khadirarishtam 15ml twice daily after food 3.Thriphala tab 2 at bedtime

Externally 1.Thriphaladi churnam + Manjishta powder - Make paste with rose water /milk (avoid milk if your skin is oily) - Apply over affected areas and leave it for 20-30min ,then wash it off /weekly 4times

2.KUNKUMADI TAILA- take few drops in hand, and do gentle massage over hyperpigmented areas, leave it for a night, wash it off in the morning. /daily

Advised *Drink 3-4litres water /day *Have more fruits and vegetables *Include Sprouted grains, Millets, and nuts *Avoid all processed and junk foods.

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Dr. Khushboo
I am a dedicated Ayurvedic practitioner with a diverse foundation in both modern and traditional systems of medicine. My journey began with six months of hands-on experience in allopathic medicine at District Hospital Sitapur, where I was exposed to acute and chronic care in a high-volume clinical setting. This experience strengthened my diagnostic skills and deepened my understanding of patient care in an allopathic framework. Complementing this, I have also completed six months of clinical training in Ayurveda and Panchakarma, focusing on natural detoxification and rejuvenation therapies. During this time, I gained practical experience in classical Ayurvedic treatments, including Abhyanga, Basti, Shirodhara, and other Panchakarma modalities. I strongly believe in a patient-centric approach that blends the wisdom of Ayurveda with the clinical precision of modern medicine for optimal outcomes. Additionally, I hold certification in Garbha Sanskar, a specialized Ayurvedic discipline aimed at promoting holistic wellness during pregnancy. I am passionate about supporting maternal health and fetal development through time-tested Ayurvedic practices, dietary guidance, and lifestyle recommendations. My approach to healthcare emphasizes balance, preventive care, and customized wellness plans tailored to each individual’s constitution and health goals. I aim to create a nurturing space where patients feel heard, supported, and empowered in their healing journey. Whether treating seasonal imbalances, supporting women’s health, or guiding patients through Panchakarma therapies, I am committed to delivering care that is rooted in tradition and guided by compassion.
128 days ago
5

Simple Remedies 1. Prepare paste from turmeric and milk of Calotropis procera(madaar) , apply on the affected area. 2. Apply the paste prepared from turmeric & sandal wood with rose water. 3. Apply the paste of Terminalia Arjuna. 4. Make a paste of nutmeg (Jaiphal) with raw milk. Apply on pimples and black heads leave on for 20 minutes.

Name of medicine & dose

Arogyavardhini rasa-500mg +gandhaka rasayana-500mg +khadira Churna-2gm +nimbadi Churna-2gm - with 20 ml of manjishtadi kwath 3 times a day after food

Manjishtadi Taila or Kumku-madi Taila (external) apply 2 times a day

Syrup- raktashodhaka-20ml after food 2 times a day with water. Diet and Lifestyle

Pathya: Nutritious food, relaxation techniques

Apathya: Stress, tension, anxiety, awakening at night, and exposure to sunlight Surely this will help you

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Take sarivad ghanvati 1-0-1 after food with water Mahamanjistadi kadha 10ml twice daily after food with water Apply kumkumadi oil on hyperpigmentation areas. Twice daily.

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Don’t worry Ruchi, **Avoid excessive spicy, sour,salty food etc. And start taking, 1.Mahamanjishthadi kwath 20 ml with equal amount of Lukewarm water empty stomach twice in a day. 2.khadirarishta 20ml with equal amount of Lukewarm water just after having meal twice in a day. 3.Gandhak rasayana 1-1-1 4.Neem tab.1-1-1 **Daily Massage your face with NALPAMARADI OIL. **Massage your face with few drops of KUMKUMADI TAILAM at bed time only… **Apply paste of Raktachandana powder +Manjishtha powder +Mulethi powder and then wash it off with cold water… **Follow up after 1 month.

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HELLO RUCHI,

WHAT IS LPP? Lichen Plans pigmentation is a chronic, progressive dermatological condition characterised by: -Dark brown to grey black pigmentation on sun-exposed or flexural areas - often triggered or worsened by sunlight, heat or inflammation - itching or burning on sun exposure -resistant to fading, even with treatment

AYURVEDIC PATHOGENESIS

PITTA DOSHA= heat, inflammation, and pigmentation RAKTA DHATU DUSHTI= impaired blood tissue function- responsible for skin color KUSHTA(skin disorder)= LPP can be categorised under minor Kshudra kushtha VYANGA= localised pigmentation due to pitta-raita vitiation AMA= toxin accumulation due to weakness digestion BHRAJAKA PITTA DUSHTI= disruption in skin pigmentation metabolism(skin pitta sub-type)

So, the root of the disease lies in- -vitiated pitta and rakta dhatu - ama(toxic byproducts of improper digestion) - sun exposure and stress aggravating bhrajak pitta

AYURVEDIC MANAGEMENT OF LPP

1) DETOXIFICATION

AT HOME

FOR 1ST 3 DAYS

- TRIKATU CHURNA= 1/2 tsp with warm water before food 30 mins before twice daily

-HINGWASTAKA CHURNA= 1 tsp with warm water after food twice daily

on 3rd day eat light food like khichdi at night

on 4th day VIRECHANA PROCEDURE - TRIVRIT LEHA= 50 gm with warm milk early morning after that don’t eat anything just have warm water -you will observe loose motions 5-10 times

this will detoxifies your body

after motions stops have light food for that day

THIS PROCESS WILL ELIMINATE EXCESS PITTA AND TOXINS

INTERNAL MEDICATIONS(start from day 5) these are meant to purify blood, cool down the body, balance pitta and improve skin tone

1) BLOOD PURIFIERS

-MAHAMANJISTHADI KASHAYA= 30 ml twice daily before meals with water = reduces pigmentation, detoxifies blood

-SARIDVADYASAVA= 20 ml twice daily after meals with water = pitta pacifier, reduces itching and heat

-GUDUCHI CAPSULES= 1 cap twice daily in morning and night = immunity and pitta regulation

2) LIVER AND PITTA REGULATORS

1) AROGYAVARDHINI VATI= 1 tab twice daily after meals =liver detox , skin health

2) AVIPAATIKAR CHURNA= 1 tsp at bedtime with warm water = improves digestion, reduces pitta

3) ANTI-PIGMENTATION LEPA AND RASAYANA -yastimadhu+haridra+chandan+ rose water paste = 3 times/week - 1 tsp sandalwood powder+ 1 tsp mulethi powder + 1 tsp manjistha powder+cucumber huice= 20 min leave and then wash

TOPICAL AYURVEDIC TREATMENT

NIGHT OIL APPLICATIONS

1) KUMKUMADI TAILA= 5 drops on affected area =reduces pigmentation, even tones

2) ELADI TAILA= whole body application before bath =prevents darkening, calms skin

3) NALPAMRADI TAILA= for facial pigmentation =brigthens dull skin

SUNPROTECTION(very imp for LPP) -Apply sunscreen with SPF 30-50 -use natural sun blockers= aloevera, cucumber juice , turmeric paste -cover skin with cotton clothes, hats, umbreallas -avoid sun exposure between 10 AM- 4PM

DIET AND LIFESTYLE

AVOID PITTA AGGRAVTING FOODS -spicy, sour, fermented, fried, junk food -red meat, alcohol, vinegar, excess salt - pickles, tamarind, tomatoes, brinjal

PREFER -bitter vegetables= kerala, neem, methi - amla, pomegranate, coconut water, buttermilk - turmeric milk with ghee - mung dal, barley, ghee, bottle gourd

LIFESTYLE TIPS -practice cooling pranayam= sheetali, sheetakari, anulom vilom -sleep early and avoid screen exposure before bed -reduce stres- LPP often worsens with emotional strain -bath with cool or lukewarm water not hot

EXPECTED OUTCOMES -1-3 MONTHS= reduced itching, fewer new pigmentation lesion -3-4 MONTHS= gradual fading of superficial pigmentation LONG TERM= if sun protection+ ayurvedic regime is followed, Pigmentation stabilises and skin tone evens out slowly

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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hello Ruchi,

Thank you for clearly mentioning the condition. Since your lichen planus is inactive and only post-inflammatory hyperpigmentation (PIH) remains, your focus can now be on gentle skin renewal, melanin regulation, and Ayurvedic support for even tone especially with your wedding coming up.

Lichen planus, once healed, leaves behind dark spots or patches due to melanin overproduction where the skin was inflamed. These marks fade slowly, but with the right topical care and internal support, we can boost natural skin turnover, lighten the area, and prevent new pigmentation.

Treatment Plan: 1. Ama Pachana (first 5 days – to support metabolism):

Avipattikar Churna – 1 tsp with warm water before breakfast and dinner Guduchi Churna – ½ tsp with lukewarm water once daily (increases skin immunity)

2. Skin Brightening & Pigment Correction (After 5 days):

Internal:

Manjishthadi Kwatha – 15 ml with equal warm water twice daily after meals Sarivadyasava – 15 ml with equal water twice daily after meals Triphala Churna – 1 tsp at bedtime with lukewarm water (detox + gut cleanse)

External:

Kumkumadi Tailam – apply 2-3 drops at night on the affected area, leave overnight (Start 2–3 times a week and increase gradually if no irritation) Use Ubtan made of Multani Mitti + Manjishta Powder + rose water – apply twice a week for 15 mins

Skincare Routine: Face wash: Use Aloe vera or Turmeric-based herbal face wash (gentle, no chemicals) Avoid harsh scrubs or creams with steroids Always apply sunscreen in the morning (SPF 30+) – crucial to prevent further darkening

Diet Tips: Avoid excess tea/coffee, fried, fermented, and spicy foods Add more pomegranate, gooseberry (amla), and green leafy vegetables Drink warm water infused with coriander seeds (soak overnight) — helps lighten pigmentation

Investigations (if not done): Vitamin D and B12 (low levels delay skin healing) Fasting blood sugar (if skin healing is slow or sticky discoloration)

Do you have a history of sun sensitivity or recurring skin eruptions? Have you used any chemical treatments, peels, or bleaching products recently?

Let’s begin early and you’ll see a noticeable improvement by your wedding. Wishing you glowing skin and a joyful celebration ahead. Regards, Dr. Karthika

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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.
128 days ago
5

You can start on Neemghan vati Kaishore guggulu- 1 tab twice daily after food with lukewarm water Khadira aristha Mahamanjistadi aristha- 2 tsp each with equal quantity of water twice daily after food Kumkumadi tailam- 1 drop gentle massage over face Apply Alovera gel along with rice flour and sandalwood paste daily

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Hi Ruchi this is Dr Vinayak as considering your problem… You just apply yastimadhu churna with milk Or manjista with milk and rose water… It will help you clear your face Use Dermaflex soap for face

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Addressing post-inflammatory hyperpigmentation in Ayurveda focuses on balancing your doshas and optimizing skin health from within. Since you’ve mentioned the marks aren’t active, we can concentrate on reducing pigmentation and evening out skin tone. Here’s how you can approach it.

Firstly, think about your diet, it plays a significant role in skin health. Include cooling and healing foods that pacify Pitta dosha, such as cucumber, aloe vera, and coriander. Drink plenty of water to help flush out toxins. A teaspoon of turmeric mixed in a glass of warm milk can act as a natural anti-inflammatory and skin-lightening remedy, consumed nightly.

Topical applications are also essential. You might consider making a paste using sandalwood powder and rose water. Apply it to the affected areas, leave it for 15-20 minutes, and rinse with lukewarm water. Yashtimadhu (licorice) has properties known to reduce hyperpigmentation. You may try applying it diluted with a base like aloe vera gel twice a day.

Ashwagandha and amla powders, taken orally, can support skin health, acting as adaptogens and rich sources of antioxidants. Take 1 teaspoon a day mixed in warm water or with honey, but consult an Ayurvedic practitioner to ensure these align with your dosha needs.

Consider gentle self-massage with kumkumadi oil nightly, promoting circulation and skin renewal. Use circular motions, especially on the affected areas.

Avoid direct sun exposure as much as possible, and always apply a natural sunscreen if you’re stepping out. These approaches aim to provide lasting and effective results, preparing your skin for your special day. Remember, consistency is key with these natural remedies and expect to see gradual improvements.

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For addressing post-inflammatory hyperpigmentation from lichen planus, especially with your wedding coming up, integrating principles from Siddha-Ayurveda can be quite effective. Your constitution and specific dosha balance (likely Pitta imbalance in this case) will guide this healing process. Here’s a comprehensive approach:

1. Diet and Lifestyle: Cool your Pitta by favoring a diet rich in bitter, astringent, and sweet tastes. Incorporate foods like cucumber, lettuce, and melons. Avoid spicy, oily, and fermented foods. Support your skin and overall health by drinking plenty of water to stay hydrated.

2. Herb Application: To lighten hyperpigmentation, apply a paste of herbal compounds. Mix turmeric powder with sandalwood powder or Manjistha (Rubia cordifolia) in equal amounts, and add a bit of rose water to make a paste. Apply this paste gently on affected areas and let it stay for 20-30 minutes before rinsing off with lukewarm water. Repeat daily.

3. Internal Remedies: To balance the doshas and cleanse from within, a preparation like Avipattikar churna can be useful. Take 1/2 teaspoon after meals to aid digestion and enhance metabolism, supporting the natural clearing of skin imperfections.

4. Facial Steam: Once weekly, steer with neem leaves or tulsi (Holy Basil) in the water. This helps to open pores and promote circulation, aiding the healing process.

5. Medicated Ghee: Consider using Mahatikta ghee internally, a small amount daily, to consume on an empty stomach. It balances Pitta and promotes tissue rejuvenation.

Stay consistent with these practices leading up to your wedding, as natural approaches generally take some time to show visible results. However, persistent hyperpigmentation should still be assessed by a professional to rule out any other conditions.

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Dr. Manjula
I am an Ayurveda practitioner who’s honestly kind of obsessed with understanding what really caused someone’s illness—not just what hurts, but why it started in the first place. I work through Prakruti-Vikruti pareeksha, tongue analysis, lifestyle patterns, digestion history—little things most ppl skip over, but Ayurveda doesn’t. I look at the whole system and how it’s interacting with the world around it. Not just, like, “you have acidity, take this churna.” My main focus is on balancing doshas—Vata, Pitta, Kapha—not in a copy-paste way, but in a very personalized, live-and-evolving format. Because sometimes someone looks like a Pitta imbalance but actually it's their aggravated Vata stirring it up... it’s layered. I use herbal medicine, ahar-vihar (diet + daily routine), lifestyle modifications and also just plain conversations with the patient to bring the mind and body back to a rhythm. When that happens—healing starts showing up, gradually but strongly. I work with chronic conditions, gut imbalances, seasonal allergies, emotional stress patterns, even people who just “don’t feel right” anymore but don’t have a name for it. Prevention is also a huge part of what I do—Ayurveda isn’t just for after you fall sick. Helping someone stay aligned, even when nothing feels urgent, is maybe the most powerful part of this science. My entire practice is rooted in classical Ayurvedic texts—Charaka, Sushruta, Ashtanga Hridayam—and I try to stay true to the system, but I also speak to people where they’re at. That means making the treatments doable in real life. No fancy lists of herbs no one can find. No shloka lectures unless someone wants them. Just real healing using real logic and intuition together. I care about precision in diagnosis. I don’t rush that part. I take time. Because one wrong assumption and you’re treating the shadow, not the source. And that’s what I try to avoid. My goal isn’t temporary relief—it’s to teach the body how to not need constant fixing. When someone walks away lighter, clearer, more in tune with their system—that’s the actual win.
5
179 reviews
Dr. Anjali Sehrawat
I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?
5
362 reviews
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
643 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
1292 reviews
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 reviews

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Lincoln
16 hours ago
This response was super helpful. The detailed steps and suggestions feel spot on and easy to follow. Really appreciate the practical advice. Thanks a ton!
This response was super helpful. The detailed steps and suggestions feel spot on and easy to follow. Really appreciate the practical advice. Thanks a ton!
Luke
22 hours ago
Wow, thanks a lot for the detailed advice! It was super helpful to get such a clear and practical plan. Feeling better already 😊
Wow, thanks a lot for the detailed advice! It was super helpful to get such a clear and practical plan. Feeling better already 😊
Andrew
22 hours ago
Thanks for the straightforward advice, doc! Appreciate the quick response and will definitely consider setting up a consult to get more personalized guidance. Feels good to have a direction to go in.
Thanks for the straightforward advice, doc! Appreciate the quick response and will definitely consider setting up a consult to get more personalized guidance. Feels good to have a direction to go in.
Christian
22 hours ago
Thanks for cutting through the noise. Your advice made things clearer. Always helpful to get a second opinion like this!
Thanks for cutting through the noise. Your advice made things clearer. Always helpful to get a second opinion like this!