• Acidity is excessive acid production in the stomach causing heartburn and acid reflux 
• Acidity also caused due to overproduction of gastric juices in the stomach
• IN AYURVEDA acidity is co relate with AMLAPITTA 

SYMPTOMS OF ACIDITY:

• Stomach inflammation
• Throat inflammation
• Trouble during swallowing
• Restlessness
• Bad burps
• Nausea
• Indigestion
• Bad breaths
• Constipation
• Sour taste in mouth

CAUSES OF ACIDITY:

• Stress
• Obesity 
• Consumption of spicy and non-vegetarian foods
• Smoking and alcohol
• peptic ulcers, gastroesophageal reflux disease, stomach tumors, etc.
• Medications like non-steroidal anti-inflammatory drugs.
• Bad Lifestyle Habits such as smoking, eating large meals, lying down immediately after meals and eating late at night 

RISK FACTORS OF ACIDITY:

• Obesity
• Smoking (active or passive)
• Low levels of physical exercise
• Medications like drugs for asthma, antihistamines, painkillers, sedatives, and antidepressants
• Pregnancy 

INVESTIGATIONS:

• Gastroscopy (Upper Gastrointestinal Endoscopy)  
• Oesophageal pH monitoring
• Gastrin levels in blood
• Ba Meal x-ray
• Serology + histology for H. Pylori
• Stool routine examination

HOME REMEDIES FOR ACIDITY:

• Banana is very important for gut and stomach health banana are rich in potassium and increase the production of mucus in the stomach 
• Cold milk It is a known fact that milk contains a high amount of calcium Calcium helps to maintain the Ph balance and aids in proper digestion
• Butter milk Buttermilk contains lactic acid that neutralizes the acidity in the stomach. The lactic acid further soothes the stomach 
• Fennel seeds it also contains anti-ulcer properties it cools the lining of the stomach and helps in relieving constipation as well.
• Basil leaves or Tulsi it stimulates stomach to produce more mucus which in turn helps to relieve heartburn
• Pineapple juice is provide relief from acidity and heartburn. 
• Raw almonds were natural remedy for ulcers and heartburn.
• Mint leaves or pudina can also help when suffering from indigestion or acidity. Mint leaves reduce the burning and pain 
• Clove helps to soothe inflamed and damaged stomach lining thus proving very beneficial for heartburns and stomach spasms.
• Ginger helps in alleviating acidity ginger also decreases inflammation and nausea and calms the stomach muscles.
• Garlic is powerhouse of antioxidants 
• Amla 
• Soak raisins 
• Drink rosewater 
• Drink coriander water (infusion) throughout the day.
• Coconut water 

PREVENTIONS:

• Limit high fat foods 
• Eat smaller and frequent meals
• Chew your food properly
• Avoid tight jeans
• Chew gum
• Spend some time in sun 
• Drink lots of water
• Chew food properly 
• Do not overeat. 
• Do not remain hungry for long hours 
• Don’t skip meals (never a lunch). 
• Avoid irregular eating.
• Maintain a moderate weight
• Have early dinners
• Avoid foods containing an excess amount of garlic, salt, oil, chillies
• Avoid lying down immediately after food
• Sleep on your left side sleeping on your right side may worsen reflux symptoms at night
• Follow a low carb diet
• Don’t drink too much coffee

CAC MEDICATONS FOR ACIDITY:

• AGNIMUKHA CHURNA- It gives effective results in indigestion, anorexia, abdominal pain, constipation, loss of appetite, flatulence, bloating, intestinal gas, intestinal gas, etc.
• PURAN PACHAK-  reduce the Acidity and shows  Antacid, Digestive, Anti-inflammatory, Analgesic, Expectorant, and Antioxidant properties. 
• PANCHSAKAR CHURNA- It helps n removing all toxins from the body & provides good results in acidity. 
• SHEET DHARA SYRUP– naturally relieve the symptoms like bloating, blenching, nausea, vomiting, feeling of discomfort, etc. The regular use of this herbal syrup neutralizes the high acid content, reduce abdominal pain, & cramps.
• LIVER CARE TABLET– These herbs balances excess Pitta Dosha and helps in problems like abdominal bloating ,flatulence, abdominal pain, loss of appetite and indigestion.
• PITTA BALANCE TABLET– Pitta doshas is composed of a fire element that digests almost everything that a person eats or drink.

ACIDITY CARE KIT

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• Dandruff is a condition that causes skin on the scalp a scaly white or grayish flakes of dead skin cells 
• Dandruff happens due to irregularity of three doshas – vata, pita, kapha

CAUSES OF DANDRUFF

• Hormone imbalace
• Use harsh hair products
• Excessive alcohol consumption
• Nutrition dreficiency 
• Due to stress
• Weather changes

NEEM LEAVES:

• Neem controls hair loss
• Add shines and smoothness to the hair
• Relieves itchiness and dryness from the scalp
• Controls dandruff 
• Neem has anti -fungal properties 

HOW TO APPLY – Add two handful of neem leaves to 3-4 cups of hot water. Let it stand for 2-3 hours. Strain the leaves and use it to rinse your hair.

YOGURT:

• It acts as natural exfoliant  it has lactic acid content that helps to cleanse thr dirt and dead skin of scalp
• It boosts hair growth
• Reduces hair loss
• Reduce dandruff
• Makes hair smooth and shiny

HOW TO APPLY 

1. 1TSP OF HONEY +1tsp of yogurt+ half lemon juice mix it well than apply on the hair for 30mins than rinse off with luke warm water 
2. half a cup of yoghurt and mix it with peeled and smashed papaya. Keep it in your hair for 30 minutes and wash your hair with lukewarm water 

FENUGREEK SEEDS (METHI):

• Fenugreek seeds are high in protein and  nourish the hair and prevent hair fall. 
• Help to strengthen the hair and scalp
• It repairs hair follicles and helps in hair re growth.
• Promotes hair growth
• Prevents premature hair greying 

HOW TO APPLY – Soak the fenugreek seeds in water and leave it overnight. In the morning, grind the seeds to a smooth paste and add lemon juice in the paste and mix it well apply this paste to scalp and hair. Leave it on for 30 minutes than wash your hair 

ALOE VERA:

• Aloe vera makes hair soft and shiny and smooth
• Strengthens and nourishes it from the roots.
• it has a cooling effect on the scalp
• it has anti-bacterial and anti-fungal properties which prevent dandruff and calm the itchiness

HOW TO APPLY – sequeeze aloe vera leaf to extractits gel apply on the scalp and hair massage it gently and wrap a warm towel on head leave it for few minutes and than wash it off withmild shampoo 

APPLE CIDER VINEGAR:

• Balancing the PH of your scalp.
• Stimulating the shedding of dead skin cells from your scalp.
• Reducing fungal growth on your scalp and hair.

HOW TO APPLY – 2tsp of water and and 2 tsp of apple cider vinegar and add 5 drops of tea tree oil than apply it on scalp and massage it well for few minutes. then rinse off

MASHED BANANA:

• It controls dandruff
• Improves hair textures
• It has antimicrobial properties that aid in clearing up dry scalps.
• They’re incredibly nourishing and moisturising the scalp, hence, make for a great treatment to dry scalp and dandruff.

HOW TO APPLY Start by peeling and mashing the banana mix until the mixture is an even texture and consistency.apply the hair mask, in scalp and the roots of your hair. Leave in for 10–15 minutes.

TEA TREE OIL:

• Tea tree oil is rich in antiseptic, antifungal, and antibiotic properties. 
• Clearing out dandruff and dry skin, 
• Helps in getting rid of the fungus that causes it. 
• Moisturises the scalp and clears blocked pores to stop further dryness.
• It improves scalp health
• Helps to get rid of lice

 HOW TO APPLY – Add a few drops of tea tree oil to coconut oil or to olive oil and massage into your scalp. Leave it on for 10 minutes and then rinse with lukewarm water.

What is Anxiety?

• Anxiety is a condition in which people experience intense, excessive and persistent worry and fear about everyday situations. People experience rapid breathing, fast heart rate, sweating and feeling tired. Experience occasional anxiety is normal part of life.
• These feelings of anxiety and panic disturb your daily activities, are difficult to control. You may avoid situations or other conditions that are trigger your condition to prevent these feelings. 
• Anxiety disorders include specific phobias, generalized anxiety disorder, social anxiety disorder. Person may have more than one anxiety disorder. 

Symptoms of anxiety disorders

Common signs and symptoms of anxiety that people experience may include:

• Feeling nervous, restless 
• Having a sense of danger
• Having an increased heart rate, breathing
• Sweating
• Feeling weak or tired
• Having disturbed sleeping
• Experiencing gastrointestinal (GI) problems

Common types of anxiety disorders include:

• Agoraphobia 

It is a type of anxiety disorder in which the person avoids the situations or places that may be reason for your panic attack and make you feel helpless or embarrassed.

• Panic disorder 

Involves frequent episodes of feelings of anxiety and fear. Person may experience shortness of breath, chest pain, or Heart palpitations. 

• Generalized anxiety disorder 

It includes excessive anxiety and worry for prolonged period of time even about ordinary, routine issues. 

• Anxiety disorder due to a medical condition 

It includes symptoms of anxiety or panic that are caused by any health .

• Separation anxiety disorder

It is a childhood disorder in which child experience anxiety from the developmental level and related to separation from parents or others family members.

• Social anxiety disorder (social phobia) 

It involves feeling of anxiety, fear and avoidance of social situations due to thinking about embarrassment, self-consciousness and having concern about being judged by people.

You should consult with doctor if

• Your fear, anxiety is difficult to control
• You you’re worrying too much and it’s affecting your work, relationships or other parts of your life
• You are in depression
• You have suicidal thoughts or behaviors 
• Your worries may not go away on their own, and they may get worse over time if you don’t consult with doctor about your condition.

Causes of Anxiety disorders

• However the causes of anxiety disorders aren’t fully known. Life experiences like traumatic events, Loss of near one, facing failures in life may trigger anxiety in people.
• Hereditary factors can also be a reason.

• Medical causes

For some people, anxiety may be due to any medical issue. Medical problems that can lead to anxiety may include:

• Heart disease
• Diabetes
• Thyroid problems, such as hyperthyroidism
• Respiratory disorders like COPD etc.
• Occur after any drug withdrawal 
• In conditions like UC, IBS

Risk factors

Factors which may increase your risk of developing an anxiety disorder:

• Trauma. Children who experience abuse or trauma in childhood or Adults who witnessed traumatic events are at higher risk of developing an anxiety disorder at some point in life. 
• Stress buildup. Buildup of stressful situations of life may trigger excessive anxiety 
• Other mental health disorders. People with insomnia, depression, often have an anxiety disorder.
• Having family history with an anxiety disorder. Anxiety disorders can run in families.
• Drugs or alcohol. Drug or alcohol use or withdrawal can cause or worsen your anxiety.

Complications

Having an anxiety disorder can lead to many complications which include

• Trouble sleeping (insomnia)
• Depression (which often occurs with an anxiety disorder) or other mental health disorders
• Digestive or bowel problems
• Substance misuse
• Headaches and chronic pain
• Social isolation
• Problems functioning at school or work
• Poor quality of life
• Suicide

Prevention

You can take some steps to reduce severity and impact of symptoms if you’re anxious:

• Stay active. Participate in activities in which enjoy and that make you feel happy. Enjoy social interaction 
• Meditation and breathing exercises
• Avoid alcohol or drug use. 
• Consult with doctor timely

Diagnosis

• Doctor may go for your psychological evaluation. This involves discussing about your thoughts, feelings and behavior to confirm the diagnosis and check for related complications. 
• Doctor may compare your symptoms to the criteria in the DSM-5 that published by the American Psychiatric Association, to diagnose an anxiety disorder.

Treatment of Anxiety disorders

Two main treatments that are used for anxiety disorders include psychotherapy and medications. 

• Psychotherapy 

• Cognitive behavioral therapy (CBT) is the most effective form of psychotherapy. 

• Medications

Medications that are used to relieve symptoms include

• Anti-depressants.
• An anti-anxiety medication like buspirone .
• Sedatives, like benzodiazepines. 

Lifestyle and home remedies

This condition of anxiety can also be better managed with lifestyle changes along with psychotherapy or medicinal treatment. These changes involves

• Keep physically active. 
• Avoid alcohol and other drugs. 
• Quit smoking 
• Use stress management and other relaxation therapies. 
• Take a good quality of sleep
• Eat healthy and nutritious diet 

Management of Anxiety of with Ayurveda

Chandigarh Ayurved centre provides effective medications that are helpful to treat all kind of anxiety disorders naturally. These products are made up of pure ayurvedic herbs without any adulteration. CAC provide Anti-stess kit that treats the condition effectively. Herbal products in Anti-stress kit include 

• Rasayan Vati
• Mann Mitra Tablet
• Stress Care Tablet
• Brain Relaxant Churna

These medicines are balances the overall nervous system and manage the condition.

For more information you can visit our website

https://www.chandigarhayurvedcentre.com/product/anti-stress-kit/

DESCRIPTION 

• Hematoma is generally defined as a collection of blood outside the blood vessels is called hematoma. 
• It is mainly caused by an injury to the wall of a blood vessel that promote blood to ooze out of the blood vessel into the surrounding tissues.
• Injury may occur artery, vein, or small capillary.
• A hematoma usually describes bleeding which has more or less clotted whereas a hemorrhage signifies active ongoing bleeding.
• Hematoma can be seen under the skin or nails as purplish bruises. 
• It can also happen deep inside the body where they may not be visible sometimes form a mass or lump that can be felt. 
• Hematomas named based on their location. Some examples include:

1. Subdural hematoma – a hematoma between the brain tissue and inside the lining of the brain.
2. Spinal epidural hematoma – a hematoma occur between spinal vertebrae and outer lining of the spinal cord is known as spinal epidural hematoma.
3. Intracranial epidural hematoma – a hematoma between the skull and outside the lining of the brain known as intracranial epidural hematoma.
4. Subungual hematoma – a hematoma under the nail known as subungual hematoma.
5. Intra-abdominal hematoma – a hematoma that occur inside the abdominal cavity.
6. Ear or aural hematoma – a hematoma between the ear cartilage and overlying skin known as ear hematoma.
7. Splenic hematoma – a hematoma within the spleen.
8. Hepatic hematoma – a hematoma within the liver.
   

SYMPTOMS AND SIGNS OF HEMATOMA

• Generally depend on size and location. 
• Common symptoms of hematoma include pain, swelling, redness, and bruises.
• Specific symptoms to the location of a hematoma include:

1. Subdural hematoma symptoms – headache, neurologic problems, confusion, seizures
2. Epidural hematoma symptoms – back pain, weakness, and loss of bowel or bladder control
3. Subungual hematoma symptoms – nail pain, weakness, loss and disfiguring nail
4. Splenic, hepatic, or peritoneal hematoma symptoms – abdominal pain.
   

DIFFERENCE BETWEEN HEMORRHAGE AND HEMATOMA

Definition of Hemorrhage and Hematoma:

• Hemorrhage – Outflow of blood from blood vessel
• Hematoma – Accumulation of blood within tissue planes.

Features of Hemorrhage and Hematoma:
Mechanism of cessation of bleeding:

• Hemorrhage – While bleeding, tissue resistance has no effect.
• Hematoma – tissue resistance has some effect on preventing blood clot.

Location:

• Hemorrhage – Bleeding can occur from any blood vessel even outside the body or into body cavities.
• Hematoma – Hematoma occurs inside the body or in certain sites which are favorable for hematoma formation.

Management:

• Hemorrhage – severe bleeding may need surgical ligation of the blood vessel
• Hematoma – surgical evacuation of the hematoma is needed other than ligation of the vessel.

Other Complications:

• Hemorrhage – Chronic bleeding can lead to anemia.
• Hematoma – cause jaundice and clot infection.
  

WHAT ARE FIRST-AID PROCEDURES FOR HEMATOMAS

Minor hematomas first aid can be employed. 
Most bruises can be treated using RICE: 

• R – Rest
• I – Ice Apply ice for 15-20 minutes at several times daily.
• C – Compression – Use of elastic bandages
• E – Elevation – Elevate the bruised area above the level of the heart.

First aid for bleeding includes:

• Stop bleeding with direct pressure
• Cleanse the wound with soap, water and rinse well
• Apply antibiotic cream
• Cover with a bandage.

PEOPLE WHO GET MORE LIKELY TO GET A SUBDURAL HEMATOMA

Subdural hematomas are more common in:

• Older adults – with age our brains shrinks within our skull and the space between the skull and brain widens.
  That causes the tiny veins in the skull and the brain to stretch.
  These thinned, stretched veins are more likely to tear in the event of even a minor head injury such as a fall out of a chair.
• Athletes – Football players or high-impact sports player have an increased risk of a hematoma.
• Take blood thinners – Blood thinner decreased clotting process or prevent blood from clotting. If blood does not clot, bleeding can be severe and long-lasting.
• Hemophiliacs – it is an inherited bleeding disorder that stops blood from clotting. 
• Alcoholics and people who abuse alcohol – Drinking too much alcohol causes liver damage over time. Damaged livers cannot produce sufficient amount of proteins that help the blood to clot which increases the risk of uncontrolled bleeding.
• Babies – Babies do not have strong neck muscles to protect themselves from trauma to the head. When someone abuses a baby by shaking, the baby can develop a subdural hematoma.

CAC TREATMENT FOR HEMATOMA 

• Detox Premium Powder:
  This is the herbal formulation that consists of sudhyog tablet, shwet parpati, yavakshaar, akik pishti, jahar mohra, giloy satav, shukta pishti, etc. Intake of this wonderful remedy will balance the aggravated doshas and cleanse your body by removing the toxins from the body, as it also unblocks the passage and allows the blood to freely pass from the passage.
  Recommended Dosage – Take 1 sachet twice daily with normal water.
• Kanchnaar Guggulu – Kanchnaar guggulu is the best ayurvedic medicine widely used in wound healing, reduces the pressure of blood, swelling, etc. The tablet is very beneficial in calming the imbalance of Vata dosha thus relieving the pain, reduces the level of blood urea naturally.
  Recommended Dosage – Take 2 tablets twice daily with normal water.
• Trikatu Syrup – This herbal syrup contains equal proportions of three spices with a pungent taste – Black pepper (Piper nigrum), Pippali (Piper longum), and Ginger (Zingiber officinale). It is the best syrup to normalize the Tridosha and helps in the elimination of toxins, increases the appetite, and improves digestion. This syrup has a carminative and expectorant effect that helps to ease the symptoms of varicose vein.
  Recommended Dosage – Take 2 teaspoonful’s thrice daily.
• Panchsakar Churna –This churna is very effective for varicose vein patients as it shows antioxidant, anti-inflammatory, laxative, and analgesic properties. It is a classical herbal churna prepared from ingredients like Shatapushpa, Balaharitaki, Shunthi, Swarnapatri, & Saindhav lavana. It helps in removing all toxins from the body and provides good results to patients of varicose vein.
  Recommended Dosage – Take 1 teaspoonful at bedtime with warm water.
• Curcumin Capsule – it is a herbo-mineral capsule of size 500 MG which is 100% safe and is purely ayurvedic formulation. CAC Curcumin Capsules helps in pacifying all three doshas. Curcumin Capsule is beneficial for variety of skin conditions like Acne, Eczema, Psoriasis, and Dermatitis. This Capsule contains standardized extract of the herb Curcumin (Curcuma longa). Curcumin is the active ingredient in Turmeric having powerful Anti-inflammatory, Antibacterial, Antifungal, Anti-microbial and Antioxidant properties. These Capsules lowers the risk of Heart Attack, prevents Cancer by reducing the growth of cancerous cells, helps in treating Alzheimer’s disease, Rheumatoid arthritis and also has Anti-depressant property. These Capsules are very popular Anti-aging supplement.
  Recommended Dosage – Take two capsules twice daily.

OVERVIEW:-

• An estimated 20% to 40% of American women between ages 15 and 44 say they use a vaginal douche. Higher rates are seen in teens and African –American and Hispanic women.
• Making themselves feel fresher, women say they douche to reduce  bad odors, wash away menstrual blood after their period, avoid getting sexually transmitted diseases, and prevent a pregnancy after intercourse.

WHAT IS DOUCHING? :-

• It is a method to wash out the vagina, usually with a mixture of water and vinegar. Douches that are sold in drugstores and supermarkets contain antiseptics . A douche packed in a bottle or bag and is sprayed through a tube upper side into the vagina.
• Douching is the method of washing or flushing the vagina with water or other fluids. Vaginal douches are available as prepackaged mixes, most commonly including water mixed with vinegar, baking soda, or iodine. Douches are available at pharmacies .

ADVANTAGES OF VAGINAL DOUCHING:-

Women state that they use a douche for the following reasons:

• To get rid of bad odors in the vagina
• To prevent pregnancy
• To wash away body fluids, like menstrual blood or semen
• To reduce the chances of  a sexually transmitted infection.
• Foul smelling

DISADVANTAGES OF VAGINAL DOUCHING:-

Health  problems linked to douching include:-

• Bacterial vaginosis (BV):- It is an infection in the vagina. Women who douche once a week are five times more likely to develop BV than women who do not douche.
• Pelvic inflammatory disease:- It is an infection in the reproductive organs that is often caused by an STI.
• Problems during pregnancy, such as preterm birth and ectopic pregnancy
• STD including HIV
• Vaginal irritation or dryness

IS IT SAFE?:-

• The experts of Obstetrics and Gynecology doesn’t recommend women use douching products.  Vagina is formed to naturally maintain a healthy pH balance. It’s filled with bacteria, or vaginal flora, that useful to prevent infections  
• If  remove or greatly reduce the number of healthy bacteria in to the vagina, problematic bacteria may flourish. That can devlop to infections, irritations, and more severe problems.

RISK OF VAGINAL DOUCHING:-

Following risk include in vaginal douching, it may include:- 

• Pregenancy problem
• Infection
• PID
• Cervicitis

TIPS TO PREVENTING VAGINAL ODOUR:-

• Probiotics:- Probiotics, which is a good for bacteria, can help maintain the pH balance of  vagina. Probiotic-rich foods include yogurt, and fermented food.
• Maintain a healthy diet:-Focus to eat a balanced diet with plenty of fruits, vegetables, whole grains, and lean proteins. A balanced diet makes  a healthy body, and that includes  vagina.
• Stay hydrated:- Drinking plenty of water is good for more than just your skin. It can help  vagina’s overall health.
• Avoid douches and scrubs:- It help eliminate bad bacteria, but they also eliminate the good bacteria. 
• Wash  genital area before and after intercourse:- Intercourse introduces bacteria, as well as foreign bodies like lubrication and spermicide from condoms. Clean before and after sex to help maintain natural bacteria levels. 
• Cut out tight clothes:- Clothes that are too tight don’t let  vagina and groin area breathe. Taking plenty of oxygen is vital to good vaginal health.
• Wear cotton panties:-Cotton panties absorb excess moisture from sweating or discharge. Synthetic fabrics are not as good for body.

VAGINAL DOUCHING WITH:-

Vaginal douching may perform with following liquid:-

• Saline water
• Butadiene
• Vinegar
• Normal water

VAGINAL DOUCHING IN AYURVEDA:-

• In Ayurveda vaginal douching called as a Yoni Pichu. It is a special treatment method in Ayurveda where sterile medicated cotton swab is kept inside the vagina for a particular period of time.
• This comes under local treatment methods specific to gynaecological diseases in females and is also done in ante natal care. Yoni pichu is the application of a sterile cotton swab soaked in medicated oil or ghee in the vagina.

INDICATIONS:-

Gynaecological:-

• 1st and 2nd degree uterine prolapse
• Cystocele(bladder prolapse)
• Rectocele(rectal prolapse)
• Post menopausal vaginal dryness
• Dyspareunia(painful coitus)
• In certain types of recurrent miscarriage

Obstetrical:-

• In ninth month of pregnancy for promoting laxity of the     pelvic floor muscles to enable normal labour.
• During labour in retained placenta condition medicated pichu which is capable of making uterine contractions are used.
• In post operative management of obstructed labour to correct the damage done to the pelvic tissues.

MODE OF ACTION:-

• Pichu helps the medicine to stay at the site for a longer period for good action.
• The mode of action depends on the medicine used,as different medicines
• have different mode of action.
• The sesame oil base is most commonly used and it has high antiseptic and antibacterial property.
• The pichu used during pregnancy and labour helps to smoothen the vaginal canal ability easy delivery and easy expulsion of placenta.

AYURVEDIC HERBS USED IN VAGINAL INFECTION:-

• SHATAVARI
• LODHRA
• PATHA
• DARUHARIDRA
• SHALMALI
• LAJJALU
• SARIVA
• YASHTIMADHU
• MUSTA

CAC SPECIAL MEDICATION FOR VAGINAL INFECTION:-

• LEUCO CARE TABLETS
• TRIKATU TABLETS
• FEMINE CARE TABLET
• WOMEN CHAMPION SYRUP
• RE- FRESH TABLETS
• DETOX PREMIUM POWDER

Bacterial Vaginosis Care Kit

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