Many people often wonder
what the true definition of acne is. What acne is a major
inflammatory skin condition that can come and go many times. When the
colon, kidneys, liver, or lungs are backed up or obstructed in any
way, the skin has lack of activity and these results in toxins. Acne
is actually toxins coming out of your skin. It’s so common among
teens and adolescents because of the food that they are eating. There
is actually a study on this and it stated that 80 percent of
Americans of between ages 12 and 24 have to deal with acne. Although,
it’s not all just the younger generation. Some adults struggle with
Acne as well.
The causes of Acne
A diet is the biggest
factor when it comes to acne. If someone eats unhealthy all of the
time, they are probably more apt to get acne than someone who
normally eats healthy. It’s not all about the food you eat though.
It can be as simple as a hormonal balance. There is a male sex
hormone that is called Androgen. This will stimulate the production
of sebum and keratin. Those actually lead to clogged pores. Women can
also have acne on their back as well as their face. However, when
they have acne forming on their back, it’s usually a sign of not
cleansing properly and can be fixed when doing so.
How to heal acne
naturally
The first and foremost tip
is that you need to change your diet. You should actually cut back a
little or cut out completely all animal products. This goes for meat
and also dairy products. You should eliminate refined grains. Most
people won’t like the idea but the best diet for your health and
nutrition wise is actually a raw vegan diet. If you want to rid your
acne, you should also eliminate beverages that contain caffeine and
are highly acidic. Consume less or no sugar at all. You should be
drinking a lot of water. This will flush your system out of all the
toxins. When you wash your face, try using something all natural. You
should never scrub your face hard, but scrub lightly in a circular
motion that way you can open up your pores. Once in awhile, you
should clean your face with clay. Bentonite is actually a very
therapeutic clay for cleansing. To heal your skin you have to start
from the inside out. It’s the only way you will truly be able to
rid this unwanted acne once and for all.
It doesn’t have to be
hard; it’s pretty simple
If you want to rid
yourself of acne for once, then you need to follow the above steps.
It doesn’t even take much time out of your day to simply take care
and wash your face properly. However, just because you get rid of
your acne doesn’t mean you can just stop trying altogether. You
should still always keep washing your face to ensure you don’t get
the unwanted acne back. If you keep it up, you will have beautiful
skin in no time.
Humans have used
green tea for its benefits throughout history. Modern sciene is
beginning to provide us with proof that it is a beneficial beverage.
It boosts almost every system in the human body. Many believe this is
only the beginning of our understanding of the benefits of green tea.
Green tea is the one
singled out for its benefits, but other types of tea (white and
black) have their own benefits. Green tea; however, seems to be the
most complete benefit.
Antioxidants
Modern science has
begun to understand the benefits of antioxidants that are contained
in many of our foods, including green tea. How do antioxidants work?
Well, your cells are full of free radicals that cause damage to your
cells. Antioxidants clean out these free radicals, promoting cell
health.
Green tea has unique
antioxidants other foods do not have, and these are thought by
researchers to also be cancer fighting molecules. Although there
isn’t much documentation, a few studies have shown that green tea
can inhibit cancer growth.
In women,
especially, green tea’s antioxidants seem to clean blood cells by
making them more flexible and less vulnerable to the clogging that
causes heart disease.
Green tea and
weight loss
Green tea boosts
metabolism, which helps burn fat. Some studies showed that the types
of green tea that contain caffeine may help in weight loss even more
than the non-caffeinated types.
Polyphenols are the
substances in green tea that researchers think burn the fat we need
to lose for weight loss.
Other benefits
Antioxidant and
weight loss are just some of the benefits of green tea, but we think
there may be others. One study discovered that green tea improves eye
health, others that it might prevent Alzheimer’s, Parkinson’s,
high blood pressure, kidney stones, low bone density, and tooth and
gum decay.
Compliments
of Kshamica Nimalasuriya MD, MPH
Preventive
Medicine & Public Health
kshamicaMD.com
products that may be beneficial for antioxidants and weight loss
include:
Clusters of solid material that form in the gall bladder are called gallstones. The most common type is made mostly of cholesterol. Gallstones may occur as one large stone or as many small ones. Some of them can be as large as a golf ball or as small as a grain of sand.
What causes gallstones to develop?
Gallstones develop in the gallbladder, a small pear-shaped organ located beneath the liver on the right side of the abdomen. The gallbladder is about three inches long and one inch wide at its thickest part. It stores and releases bile into the intestine to help digestion. Bile is a liquid made by the liver. It contains water, cholesterol, bile salts, fats, proteins, and bilirubin (a bile pigment). During digestion, the gallbladder contracts to release bile into the intestine, where the bile salts help to break down fat. Bile also dissolves excess bad cholesterol. According to researchers, cholesterol gallstones may form in several ways, such as:
When the bile contains more cholesterol than it can dissolve.
When there is too much bilirubin or other substance in the bile that causes cholesterol to form hard crystals.
When there are not enough salts in the bile to break down fat.
When the gallbladder does not contract and empty its bile regularly.
What are the symptoms of gallstones?
Some common symptoms of a gallstone attack are:
Severe pain in the upper abdomen that starts suddenly and lasts from 30 minutes to many hours.
Pain under the right shoulder or in the right shoulder blade.
Nausea or vomiting.
Indigestion and gas after eating high-fat foods, such as fried foods or desserts.
Is obesity a risk factor for gallstones?
Obesity is a strong risk factor for gallstones, especially among women. If you have a healthy weight, you are less likely to get gallstones than those who are overweight or obese. Obesity in adults can be defined using the body mass index (BMI), a tool that measures weight in relation to height. The table below shows how the BMI calculation works. A BMI of 18.5 to 24.9 refers to a healthy weight, a BMI of 25 to 29.9 refers to overweight, and a BMI of 30 or higher refers to obesity.
As BMI increases, the risk for developing gallstones also rises. Studies have shown that risk may triple in women who have a BMI greater than 32 compared to those with a BMI of 24 to 25. Women with a BMI of over 45 have a higher risk to get gallstones, about seven times higher than women with a BMI less than 24.
Researchers have found that people who are obese may produce high levels of cholesterol. This leads to the production of bile containing more cholesterol than it can dissolve. When this happens, gallstones can form. People who are obese may also have large gallbladders that do not empty normally or completely. Having fat around the midsection is a higher risk than having fat on your hips and thighs.
Table 1. Body Mass Index
Is weight-loss dieting a risk factor for gallstones?
People who are overweight are more likely to develop gallstones than people who are at a healthy weight. The risk for developing gallstones also increases with quick weight loss or a large weight loss. Gradual weight loss can lower the risk for obesity-related gallstones.
If you diet to lose weight, you actually are at higher risk for gallstones. People who lose a large amount of weight quickly are at greater risk than those who lose weight at a slower pace. Rapid weight loss may also cause silent gallstones (painless gallstones) to become symptomatic. Studies have shown that people who lose more than three pounds per week may have a greater risk of developing gallstones than those who lose weight at slower rates.A very low-calorie diet (VLCD) allows a person who is obese to quickly lose a large amount of weight. VLCDs usually provide about 800 calories per day in food or liquid form, and are followed for twelve to sixteen weeks under the supervision of a health care professional. Studies have shown that ten to twenty-five percent of people on a VLCD developed gallstones. These gallstones were usually silent—they did not produce any symptoms. About one-third of the dieters who developed gallstones, however, did have symptoms and some of these required gallbladder surgery. Experts believe weight-loss dieting may cause a shift in the balance of bile salts and cholesterol in the gallbladder. The amount of salts in the bile is decreased and the cholesterol level goes up. Following a diet too low in fat or going for long periods without eating (skipping breakfast, for example), a common practice among dieters, may also decrease gallbladder contractions. If the gallbladder does not contract often enough to empty out the bile, gallstones may form.
A drug called ursodiol that helps dissolve cholesterol in the bile may help prevent gallstones from developing during rapid weight loss. While ursodiol is not approved by the U.S. Food and Drug Administration (FDA) to prevent gallstones, its “off-label” use (the practice of prescribing medications for periods of time or for conditions not FDA-approved) has been shown to be effective and safe. Ursodiol and losing weight can be a bad combination, so talk to your doctor.
Is weight cycling a risk factor for gallstones?
Weight cycling, or losing and regaining weight repeatedly, may increase the risk of developing gallstones. People who weight cycle—especially with losses and gains of more than ten pounds—have a higher risk for gallstones than people who lose weight and maintain their weight loss. Additionally, the more weight a person loses and regains during a cycle, the greater the risk of developing gallstones.
Why weight cycling is a risk factor for gallstones is unclear. The rise in cholesterol levels during the weight-loss phase of a weight cycle may be responsible. It is also thought that each cycle increases one’s risk for gallstones. Researchers need to do more work to determine what the link is between weight loss and gallstones.
Is surgery to treat obesity a risk factor for gallstones?
Plastic surgery for weight loss also triggers gallstones. Bariatric surgery to reduce the size of the stomach or bypass parts of the digestive system is a weight-loss method for people who have a BMI above 40. This procedure is also an option for people who have a BMI above 35 with comorbid conditions such as diabetes and high blood pressure. Bariatric surgery causes gallstones, too. The gallstones usually develop in the first few months after surgery and are symptomatic.
But there are things you can do to mitigate the presence of gallstones when you lose weight. Losing weight gradually, instead of losing a large amount of weight quickly, lowers your risk. Depending on your starting weight, experts recommend losing weight at the rate of 1/2 to two pounds per week. Losing weight at this rate commonly occurs for up to six months. After six months, weight loss usually declines and weight stabilizes because individuals in lower weight groups use fewer calories (energy). You can also decrease the risk of gallstones associated with weight cycling by aiming for a modest weight loss that you can maintain. Even a loss of five to ten percent of body weight over a period of six months or more can improve the health of an adult who is overweight or obese.
Your food choices can also affect your gallstone risk. Experts recommend including some fat in your diet to stimulate gallbladder contracting and emptying. Current recommendations indicate that twenty to thirty-five percent of your total calories should come from fat. Studies have also shown that diets high in fiber and calcium may reduce the risk of gallstone development.
Finally, regular physical activity is related to a lower risk for gallstones. Aim for approximately sixty minutes of moderate- to vigorous-intensity activity on most days of the week to manage your body weight and prevent unhealthy weight gain. To sustain weight loss, engage in at least sixty to ninety minutes of daily moderate-intensity physical activity.
What is the treatment for gallstones?
Sometimes they go away on their own if they are what are called “silent gallstones.” Symptomatic gallstones are usually treated in many ways. The most common treatment is surgery to remove the gallbladder. This operation is called a cholecystectomy. In other cases, nonsurgical approaches—drugs—are used to dissolve the gallstones. Your health care professional can help determine which option is best for you and which is less risk.
Are the benefits of weight loss greater than the risk of getting gallstones?
Although weight loss increases the risk of developing gallstones, being fat is even a bigger risk. In addition to gallstones, obesity is linked to many serious health problems, including:
type 2 diabetes
high blood pressure
heart disease of all kinds
stroke
many types of cancer
sleep apnea (when breathing stops for short periods during sleep)
osteoarthritis and osteoporosis (wearing away of the joints)
fatty liver disease
For people who are fat, weight loss can lower the risk of developing some of these illnesses. Even a small weight loss of ten percent of body weight over a period of six months can improve health and lower disease risk. In addition, losing weight may bring other benefits such as better mood, increased energy, and positive self-image.
If you are thinking about starting an eating and physical activity plan to lose weight, talk with your health care professional first. Together, you can discuss various eating and exercise programs, your medical history, and the benefits and risks of weight loss, including the risk of developing gallstones.
Compliments of Kshamica Nimalasuriya MD, MPH
Preventive Medicine & Public Health
How many women in
the United States are overweight or obese?
Sixty percent or
more of women in the United States are overweight, according to 2007
estimates from the National Center for Health Statistics of the
Center for Disease Control and Prevention. Just over one-third of
overweight adult women are obese.
How do I know if
I’m overweight or obese?
Have a doctor find
your body mass index (BMI). BMI is a measure of body fat based on
height and weight. People with a BMI of 25 to 29.9 are considered
overweight. People with a BMI of 30 or more are considered obese.
What causes
someone to become overweight or obese?
You can become
overweight or obese when you eat more calories (KAL-oh-rees) than you
use. The unit of energy in the food you eat is called a calorie. Your
body needs this energy to function and to be active. But if you take
in more energy than your body uses, you will gain weight.
Many factors can
play a role in becoming overweight or obese. These factors include:
Behaviors, such as
eating too many calories or not getting enough physical activity
Culture and
environment
Genes
Overweight and
obesity problems keep getting worse in the United States. Some
cultural reasons for this include:
Larger portions
Little time to
exercise or cook healthy meals
Not walking or
biking, but using cars
What are the
health effects of being overweight or obese?
Being overweight or
obese can increase your risk of:
Heart disease
Stroke
Type 2 diabetes
High blood pressure
Problems breathing
Arthritis
Gallbladder disease
Some kinds of
cancer
Your only risk isn’t
excess body weight, though. The places where you store your body fat
also affect your health. Women with a “pear” shape tend to store
fat in their hips and buttocks. Women with an “apple” shape store
fat around their waists. If your waist is more than 35 inches, you
may have a higher risk of weight-related health problems.
What is the best
way for me to lose weight?
If you use more
calories, then you will lose weight. You can do this by following a
healthy eating plan and being more active. Before you start a
weight-loss program, talk to your doctor.
Safe weight-loss
programs that work well:
set a goal of slow
and steady weight loss — 1 to 2 pounds per week
Eating plans that
are low calorie
encourage you to be
more physically active
teach you about
healthy eating and physical activity
adapt to your likes
and dislikes and cultural background
Keep your weight
off after losing it
How can I make
healthier food choices?
The U.S. Department
of Health and Human Services (HHS) and Department of Agriculture
(USDA) offer tips for healthy eating in Dietary
Guidelines for All Americans.
Focus on fruits.
Eat a variety of fruits — fresh, frozen, canned, or dried —
rather than fruit juice for most of your fruit choices. For a
2,000-calorie diet, you will need 2 cups of fruit each day. One
banana, one large orange, and one-quarter cup of dried apricots is
two cups.
Vary your
veggies.Eat
more:
dark green
veggies, such as broccoli, kale, and other dark leafy greens
orange veggies,
such as carrots, sweet potatoes, pumpkin, and winter squash
beans and peas,
such as pinto beans, kidney beans, black beans, garbanzo beans,
split peas, and lentils
Get your
calcium-rich foods.
Drink three cups of milk each day. Or, you can get an equivalent
amount of low-fat yogurt and/or low-fat cheese each day. 1.5 ounces
of cheese equals 1 cup of milk. If you don’t or can’t consume
milk, choose lactose-free milk products and/or calcium-fortified
foods and drinks.
Make half your
grains whole.
You should eat three ounces of whole grain cereals, breads,
crackers, rice, or pasta each day. One ounce is about 1 slice of
bread, 1 cup of breakfast cereal, or 1/2 cup of cooked rice or
pasta. Look to see that grains such as wheat, rice, oats, or corn
are referred to as “whole” in the list of ingredients.
Go lean with
protein.
Choose lean meats and poultry. Bake it, broil it, or grill it. Vary
your protein choices with more fish, beans, peas, nuts, and seeds.
Limit saturated
fats.
Saturated fatty acids should account for ten percent of your
calories. Most fats should come from sources of polyunsaturated and
monounsaturated fatty acids, such as fish, nuts, and vegetable oils.
When choosing and preparing meat, poultry, dry beans, and milk or
milk products, make choices that are lean, low-fat, or fat-free.
Limit salt.
Get less than 2,300 mg of sodium (about 1 teaspoon of salt) each
day.
How can physical
activity help?
The new 2008
Physical
Activity Guidelines for Americans
state that an active lifestyle can lower your risk of early death
from a variety of causes. There is strong evidence that regular
physical activity can also lower your risk of:
Heart disease
Stroke
High blood pressure
Bad cholesterol
levels
Type 2 diabetes
Metabolic syndrome
Colon and breast
cancer
Falls
Depression
When combined with
lower calorie intake, regular exercise ca help prevent unhealthy
weight gain.. If you are overweight or obese, losing weight can lower
your risk for many diseases. Being overweight or obese increases your
risk of heart disease, high blood pressure, stroke, type 2 diabetes,
breathing problems, osteoarthritis, gallbladder disease, sleep apnea
(breathing problems while sleeping), and some cancers.
Regular physical
activity can also improve your cardiorespiratory (heart, lungs, and
blood vessels) and muscular fitness. Exercise can improve mental
function for older adults.
Physical activity
may also help:
Improve functional
health for older adults
Reduce waistline
size
Lower risk of hip
fracture
Reduce risk of lung
cancer
Lower risk of
endometrial cancer
Maintain weight
after weight loss
Increase bone
density
Improve sleep
quality
Your health will
improve if you do the following:
Moderate
Activity During
moderate-intensity activities you should notice an increase
in your heart rate, but you should still be able to talk
comfortably. An example of a moderate-intensity activity is
walking on a level surface at a brisk pace (about 3 to 4
miles per hour). Other examples include ballroom dancing,
leisurely bicycling, moderate housework, and waiting tables.
Two and
one-half hours of aerobic physical exercise
or
1 hour and 15
minutes of vigorous-intensity aerobic physical activity
or
Combining moderate
and vigorous aerobic physical exercise.
and
Muscle-strengthening
activities on 2 or more days
Vigorous
Activity If
your heart rate increases a lot and you are breathing so hard
that it is difficult to carry on a conversation, you are
probably doing vigorous-intensity activity. Examples of
vigorous-intensity activities include jogging, bicycling fast
or uphill, singles tennis, and pushing a hand mower.
Physical
activity should be in addition to your routine activities, such as
walking or cleaning.
If you want to lose
a substantial (more than five percent of body weight) amount of
weight, you need a high amount of physical activity unless you also
lower calorie intake. This is also the case if you are trying to keep
the weight off. Many people need to do more than 300 minutes of
moderate-intensity activity a week to meet weight-control goals.
How
You Can Increase Your Physical Activity
If
you normally…
Try
this instead!
park
as close as possible to the store
park
farther away
let
the dog out back
take
the dog for a walk
take
the elevator
take
the stairs
have
lunch delivered
walk
to pick up lunch
relax
while the kids play
get
involved in their activity
What drugs are
approved for long-term treatment of obesity?
The Food and Drug
Administration has approved two drugs for long-term treatment of
obesity:
Sibutramine
(si-BYOO-tra-meen) suppresses your appetite.
Orlistat
(OR-li-stat) keeps your body from absorbing fat from the food you
eat.
These medicines are
for people who:
Have a BMI of 30 or
higher
Have a BMI of 27 or
higher and weight-related health problems or health risks
If you take these
medicines, you will need to follow healthy eating and physical
activity plans at the same time.
Prior to taking
these medications, talk with your doctor about the benefits and the
side effects.
Sibutramine can
raise your blood pressure and heart rate. If you have a personal
history of high blood pressure, heart problems, and stroke. Other
side effects include dry mouth, headache, constipation, anxiety, and
trouble sleeping.
Orlistat may cause
diarrhea, cramping, gas, and leakage of oily stool. Eating a low-fat
diet can help prevent these side effects. This medicine may also
prevent your body from absorbing some vitamins. Your doctor will
know if you should take vitamin supplements.
What surgical
options are available to treat weight loss?
Weight loss
surgeries — also called bariatric (bair-ee-AT-rik) surgeries —
can help treat obesity. Surgical treatment for weight loss is
recommended only if:
Have a BMI of 40 or
higher
Have a BMI of 35 or
higher and weight-related health problems
Other weight loss
methods don’t work.
Common types of
weight loss surgeries are:
Roux-en-Y
(ROO-en-WEYE) gastric bypass.
A stomach pouch is created by a surgeon using surgical staples. This
limits the amount of food you can eat. The pouch is attached to the
middle part of the small intestine. Food bypasses the upper part of
the small intestine and stomach, reducing the amount of calories and
nutrients your body absorbs.
Laparoscopic
(LAP-uh-ruh-SKAWP-ik) gastric banding.
A band is placed around the upper stomach to create a small pouch
and narrow passage into the rest of the stomach. The amount of food
you ingest is limited and the size of the band can be adjusted. A
surgeon can remove the band if needed.
Biliopancreatic
(bil-ee-oh-pan-kree-at-ik) diversion (BPD) or BPD with duodenal
(doo-AW-duh-nul) switch (BPD/DS).
In BPD, a large part of the stomach is removed, leaving a small
pouch. The surgeon connects the pouch to the end of the small
intestine, bypassing other parts of the small intestine. In BPD/DS,
less of the stomach and small intestine are removed. This surgery
reduces the amount of food you can eat and the amount of calories
and nutrients your body absorbs from food. This surgery is used less
often than other types of surgery because of the high risk of
malnutrition.
Your doctor will let
you know beforehand of the changes you need to make after surgery.
You will need to:
Follow your
doctor’s directions as you heal
Make lasting
changes in the way you eat
Follow a healthy
eating plan and be physically active
Take vitamins and
minerals if needed
You should also talk
to your doctor about risks and side effects of weight loss surgery.
Side effects may include:
Infection
Leaking from around
the staples
Hernia
Blood clots in the
leg veins that travel to your lungs (pulmonary embolism)
Dumping syndrome,
in which food moves from your stomach to your intestines too quickly
Getting too few
vitamins from food
Is liposuction a
treatment for obesity?
Liposuction
(LY-poh-suhk-shuhn) is not a treatment for obesity. In this
procedure, a surgeon removes fat from under the skin. Liposuction can
be used to reshape parts of your body. There is no promise of weight
loss with this surgery.
I’m concerned
about my children’s eating and physical activity levels. How can I
help improve their habits?
When a child learns
to do something, it is hard to modify when they are older This is
true for their eating and physical activity habits. Many children
have a poor diet and are not very active. They may eat foods high in
calories and fat and not eat enough fruits and vegetables. They also
may watch TV, play video games, or use the computer instead of being
active.
Kids who are
overweight have a greater chance of becoming obese adults. Overweight
children may develop weight-related health problems like high blood
pressure and diabetes at a young age. The body mass index (BMI) can
help you determine if your child is overweight.
For Children and
Teens
You can help your
child build healthy eating and activity habits.
Watch less TV and
play fewer video games.
Make sure your
child is physically active for 1 hour each day.
Find out about
activity programs in your community.
Ask your children
what they like to do and what they’d like to try, like Little
League Baseball or a swim team.
Plan active family
activities.
Help your children
eat healthy foods.
Make your children
cook healthy meals with the family.
Don’t do other
things while you eat, like watch TV.
Give your kids
healthy snacks, like fruits, whole-grain crackers, and vegetables.
Stop going to
fast-food restaurants.
Involve the whole
family in healthy eating. Don’t single out your children by their
weight.
We know children do
what they see — not always what they are told. Set a good example
for your children. Your kids will learn to eat right and be active by
watching you. Setting a good example can mean a lifetime of good
habits for you and your kids.
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