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Skin and Hair Disorders
Question #26368
149 days ago
523

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.
148 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.
148 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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I am Dr. Gursimran Jeet Singh, born and raised in Punjab where culture and traditions almost naturally guided me toward Ayurveda. From very early days I felt more drawn to natural ways of healing, and this curiosity finally led me to pursue Bachelor of Ayurvedic Medicine and Surgery (BAMS) at Shri Dhanwantry Ayurvedic College, Chandigarh—an institution known for shaping strong Ayurvedic physicians. During those years I learned not only the classical texts and treatment methods, but also how to look at health through a very practical, human lense. For the past five years I worked in clinical practice, where patients come with wide range of concerns—from chronic digestion troubles to autoimmune illness—and I try to integrate both Ayurveda and modern medical knowledge to give them the most complete care I can. Sometimes western diagnostics help me to understand the stage of disease, while Ayurveda helps me design treatment that address root cause. This bridging approach is not always easy, but I believe it’s necessary for today’s health challanges. Currently I am also pursuing higher studies in Panchakarma therapy. Panchakarma is an area I feel very strongly about—it is not just detox, it is a whole system of cleansing, rejuvenation, rebalancing, and I want to deepen my expertise here. In practice, I combine Panchakarma with lifestyle guidance, diet planning, herbal remedies, yoga and mindfulness practices depending on what a patient actually needs at that moment. No two cases are same, and Ayurveda reminds me daily that healing must be personal. My approach is always focused on root-cause management rather than temporary relief. Diet, herbs, therapeutic oils, meditation routines, and simple daily habits—they all work together when chosen rightly. Sometimes results come slow, sometimes faster, but I try to keep care sustainable and compassionate. Helping someone regain energy, sleep better, or reduce pain, that is the real achievement in my journey. And I continue learning, because Ayurveda is deep, it doesn’t finish with one degree or one training, it grow with every patient and every experiance.My specialties lie in treating a range of chronic and lifestyle-related conditions using Ayurveda’s time-tested principles, tailored to each individual’s unique constitution (Prakriti). I have significant expertise in managing digestive disorders, such as irritable bowel syndrome (IBS), acid reflux, constipation, diabetes, obesity and inflammatory bowel diseases. I also specialize in addressing stress-related and mental health conditions, including anxiety, depression, insomnia, and burnout, which are increasingly common in today’s fast-paced world. By integrating therapies like Shirodhara (oil pouring on the forehead) to calm the nervous system, Abhyanga (herbal oil massages) to balance Vata dosha, and adaptogenic herbs like Ashwagandha and Brahmi, I help patients achieve mental clarity and emotional resilience. In the field of musculoskeletal and joint health, I excel in treating conditions like arthritis (rheumatoid and osteoarthritis), back pain, sciatica, and sports injuries. Using therapies such as Kati Basti (localized oil retention on the lower back) and potent anti-inflammatory herbs like Guggulu and Shallaki, I focus on reducing inflammation, improving joint mobility, and strengthening tissues. My treatments have helped many patients, particularly those seeking non-invasive alternatives, regain mobility and reduce pain through a blend of internal medications and external therapies. Skin disorders are another key area of my practice, where I address conditions like eczema, psoriasis, acne, and pigmentation issues holistically. By focusing on blood purification and balancing Pitta dosha and detoxifying Panchakarma techniques like Raktamokshana (bloodletting). My approach targets dietary and lifestyle triggers, offering sustainable results for clients who previously relied on temporary solutions like topical steroids. My dual expertise in Ayurveda and modern medicine allows me to create integrative treatment plans that are both effective and safe. I am deeply committed to patient education, empowering individuals to embrace Ayurvedic principles for sustainable health. Through this online platform, I am excited to offer virtual consultations, making the profound benefits of Ayurveda accessible to all. Whether you seek relief from a specific condition or aim to enhance overall vitality, I look forward to guiding you on your journey to balance and well-being with compassion and expertise.
5
216 reviews
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
137 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
392 reviews
Dr. Anupriya
I am an Ayurvedic doctor trained at one of the most reputed institutes (yeah, the kind that makes u sweat but also feel proud lol) where I completed my BAMS with 70%—not just numbers but real grind behind it. My focus during & after graduation has always been on treating the patient not just the disease, and honestly that philosophy keeps guiding me even now. I usually see anywhere around 50 to 60 patients a day, sometimes more if there's a health camp or local rush. It’s hectic, but I kinda thrive in that rhythm. What matters to me is not the number but going deep into each case—reading every complaint, understanding symptoms, prakriti, current state, season changes etc. and putting together a treatment that feels “right” for that person, not just for the condition. Like, I don’t do one-size-fits-all plans. I sit down, make case reports (yup, proper handwritten notes sometimes), observe small shifts, modify herbs, suggest diet tweaks, even plan rest patterns when needed. I find that holistic angle super powerful. And patients feel it too—some who come in dull n restless, over weeks show clarity, skin settles, energy kinda gets back... that makes the day worth it tbh. There’s no shortcut to trust, and i get that. Maybe that’s why patients keep referring their siblings or maa-papa too. Not bragging, but when people say things like “you actually listened” or “I felt heard”, it stays in the back of my mind even when I’m dog tired lol. My goal? Just to keep learning, treating honestly and evolving as per what each new case teaches me. Ayurveda isn’t static—it grows with u if u let it. I guess I’m just walking that path, one custom plan at a time.
5
526 reviews

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Thanks a ton for the detailed answer! This was really clear and helpful. Can't wait to try these natural remedies instead of my usual products.
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Super thankful for this incredibly detailed answer! Love that it covers both dosage and interactions, super reassuring. Appreciate it tons! 😊