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How can I get rid of paleness skin
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Skin & Hair Concerns
Question #10837
46 days ago
244

How can I get rid of paleness skin - #10837

Ashok

My original skin tone was dark-medium, but since December 2024 I have had pale and sallow skin. I also feel weak and fatigued. Some of my hair has turned grey, and sometimes my toenails break for no reason. I also occasionally forget things. How can I get rid of this?

Age: 32
Skin
Paleness skin
Sallow skin
300 INR (~3.53 USD)
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Doctors’ responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
45 days ago
5

Investigation needed 1) CBC 2) serum iron, ferritin, TIBC 3) vitamin B12 4) Fasting blood sugar

Follow up with these

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2 replies
Ashok Sonowal
Client
44 days ago

Sir, can you honestly tell me which laboratory in Guwahati provides the most accurate results? I have heard in the news that some laboratories do not provide correct results, and as a result, the cause of the disease often remains unknown. They seem to be doing this only for business profit

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
44 days ago
5

Check with the locals.

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Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
44 days ago
5

Likely possibilities Iron deficiency anemia pallor, fatigue, brittle nails, hair changes.

Vitamin B12 / Folate deficiency pale or yellowish skin, weakness, memory issues, neurological symptoms.

Protein–energy malnutrition affects hair, nails, skin healing.

Chronic illness (thyroid disorders, liver disease, kidney issues) can cause sallow skin + fatigue.

Other deficiencies (zinc, vitamin D, copper) impact hair/nails/skin.

Medical tests (get them fasting if possible)

CBC (Hemoglobin, MCV, MCH, RDW) → anemia detection

Iron profile (serum ferritin, iron, TIBC)

Vitamin B12 & Folate levels

Vitamin D (25-OH)

Thyroid profile (TSH, Free T4)

Liver function test (LFT)

Renal function test (RFT)

Fasting blood sugar If you have gut issues (like bloating, indigestion), test for celiac disease & stool routine.

Nutrition & lifestyle until reports come

Protein: Include lentils, beans, paneer, eggs, fish, chicken, soy, or whey protein daily.

Iron: Spinach, beetroot, jaggery, dates, raisins, organ meats, fortified cereals.

Vitamin B12: Dairy, eggs, chicken, fish (or supplements if vegetarian).

Vitamin C: Oranges, guava, amla — helps iron absorption.

Zinc & copper: Nuts, seeds, whole grains, shellfish.

Avoid excess tea/coffee with meals (reduces iron absorption).

Sleep 7–8 hrs, sunlight exposure for 20 min daily.

You can get your test done in alcare or apex diagnostic centre or any nabh certificate lab

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

Hello dear Please be advised I doubt you are suffering from iron deficiency anemia which has characteristic triad of koilynchosis,anaemia and dysphasgia Kindly get following tests for confirmation Serum ferritin CBC Oxygen tension ( respiratory efficiency - fevi1) Kindly share reports for confirmation in person with general physician Probably following medications may be prescribed on confirmation Iron dextran IM 200 units Ferrous sulphate solution one tablet a day Regards

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7 replies
Ashok Sonowal
Client
43 days ago

Sir, as you mentioned, I should consult a general doctor rather than a dermatologist or skin specialist

Ashok Sonowal
Client
43 days ago

I am confused about which doctor I should go to for for my skin issue.

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
43 days ago
5

Hello sir Thanks for the response I mean to say general physician ( md medicine) He/ she will give more clarity as compared to dermatologist or any other specialist Hope iam clear with your question Regards

824 answered questions
70% best answers
Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
43 days ago
5

Hello sir First preference is medicine specialist in person,in case of he or she recommends,then go for dermatologist Regards

824 answered questions
70% best answers
Ashok Sonowal
Client
44 days ago

Sir, can you honestly tell me which laboratory in Guwahati provides the most accurate results? I have heard in the news that some laboratories do not provide correct results, and as a result, the cause of the disease often remains unknown. They seem to be doing this only for business profit

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
44 days ago
5

Hello sir Thanks for the kind response. See for Guwahati I am not sure but I can suggest lal path labs to be authentic universally all over india. I personally have experience in himachal pradesh where the results are almost similar with govt labs . However I can suggest you to get them done with govt. Lab and lal path There would be little difference between two to get for confirmation Regards

824 answered questions
70% best answers
Ashok Sonowal
Client
42 days ago

Since my family is not in a good financial situation. My father is not in good health either. Therefore, it is not possible to see a doctor and get a health test due to lack of money. Still, I am trying hard to raise money for my treatment.

Sir I want to know if it is possible to give any tips / advice without knowing the cause of the skin paleness? That if I do something or eat food, the pale skin, sallow skin will disappear and the normal skin color will come back. - Would it be possible to give any such tips / advice?

Since a few days ago when I had money I had CBC test and TSH test at Government Hospital (GMCH). Total amount Rs 550 spent. Report shows that :

WBC = 6.21 HAEMOGLOBIN= 13.20

and TSH = 3.14.

Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
45 days ago
5

Your symptoms may suggest nutritional deficiencies (like iron, vitamin B12, or folate), thyroid issues, or other underlying health problems. A simple cosmetic approach won’t fix this unless the root cause is treated. Please consult a physician or an internal medicine specialist for blood tests and evaluation so the exact deficiency or disorder can be corrected.

461 answered questions
58% best answers

5 replies
Ashok Sonowal
Client
43 days ago

Sir, as you mentioned, I should consult a general doctor rather than a dermatologist or skin specialist.

Ashok Sonowal
Client
43 days ago

I am confused about which doctor I should go to for for my skin issue.

Ashok Sonowal
Client
42 days ago

Since my family is not in a good financial situation. My father is not in good health either. Therefore, it is not possible to see a doctor and get a health test due to lack of money. Still, I am trying hard to raise money for my treatment.

Sir I want to know if it is possible to give any tips / advice without knowing the cause of the skin paleness? That if I do something or eat food, the pale skin, sallow skin will disappear and the normal skin color will come back. - Would it be possible to give any such tips / advice?

Since a few days ago when I had money I had CBC test and TSH test at Government Hospital (GMCH). Total amount Rs 550 spent. Report shows that :

WBC = 6.21 HAEMOGLOBIN= 13.20

and TSH = 3.14.

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
42 days ago
5

Hello sir Thanks for further follow up As per latest details shared by you all tests are within range. So going positively,I can defer your tests for 5-6 months In the mean time ,you can follow below instructions Take ferrous sulphate once a day for 1 month Take dextran Im after 1 month Take folate rich multivitamin like zincovit Just follow for 3 months In case of nil improvement, consult general physician as already mentioned and then , accordingly tests would be mandatory. Hope my advice gave you some relief Regards

824 answered questions
70% best answers
Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
43 days ago
5

First u consult physcian he will direct u if in need

461 answered questions
58% best answers
Accepted response
Dr. Zahir Zolih
I am a General Practitioner who kind of lives on the frontline of everything, really. From sneezes to serious stuff, I handle a mix of it all—and weirdly, that’s what I love about being a GP. I get to see newborns coming in for their first jabs, and then later that day maybe I'm talking through meds with someone who's managing diabetes or heart disease for years. There’s a lot of variety, which keeps me on my toes—nothing ever feels too routine. Most days, I’m diving into a bit of everything—diagnosing infections, keeping an eye on chronic conditions like asthma or hypertension, helping folks plan their health goals, or sometimes just being a good listener when they need to vent. Preventive care’s a big deal for me. I like to catch things early, before they grow into something more serious. Sometimes all it takes is one small observation or something a patient casually mentions—and that changes everything. What I try to do is treat people, not charts. It's about who they are, what matters to them, and what really works in their life—not just what the textbook says. Every treatment plan I make is adjusted based on the real-world challenges each person’s facing. I also explain stuff in plain language. Like, no jargon for the sake of sounding clever. If someone doesn’t understand their condition, how can they take care of themself properly? Oh, and I do my best to keep learning constantly. Medicine doesn’t pause, right? Whether it’s a new guideline, research update or clinical tool—I keep checking, reading, taking notes (sometimes at midnight, honestly). All of this helps me feel confident that what I’m offering isn’t outdated or guesswork. What keeps me going is the trust people place in me. Being someone’s go-to doctor, knowing they’ll come to me when they’re worried or confused—that’s a big responsibility. But also kinda a gift. I don’t just see symptoms, I see stories—and I get to be part of their health journey from day one to who-knows-when. It's not perfect, and yeah, sometimes I feel I missed something or could’ve said something better. But I’m always trying, always caring, and I’m really here—for all of it.
44 days ago
5

Your symptoms strongly suggest a metabolic or deficiency issue rather than just aging. Blood tests are essential before self-treating. If deficiencies are ruled out, further hormonal or autoimmune testing may be needed.

Tests to be done CBC Vit B12, folate Iron profile Vit D3 Zinc, Magnesium FBS /HbA1c

2nd line TSH LFT RFT

Kindly do follow up

Regards

98 answered questions
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2 replies
Ashok Sonowal
Client
42 days ago

Since my family is not in a good financial situation. My father is not in good health either. Therefore, it is not possible to see a doctor and get a health test due to lack of money. Still, I am trying hard to raise money for my treatment.

Sir I want to know if it is possible to give any tips / advice without knowing the cause of the skin paleness? That if I do something or eat food, the pale skin, sallow skin will disappear and the normal skin color will come back. - Would it be possible to give any such tips / advice?

Since a few days ago when I had money I had CBC test and TSH test at Government Hospital (GMCH). Total amount Rs 550 spent. Report shows that :

WBC = 6.21 HAEMOGLOBIN= 13.20

and TSH = 3.14.

Dr. Zahir Zolih
I am a General Practitioner who kind of lives on the frontline of everything, really. From sneezes to serious stuff, I handle a mix of it all—and weirdly, that’s what I love about being a GP. I get to see newborns coming in for their first jabs, and then later that day maybe I'm talking through meds with someone who's managing diabetes or heart disease for years. There’s a lot of variety, which keeps me on my toes—nothing ever feels too routine. Most days, I’m diving into a bit of everything—diagnosing infections, keeping an eye on chronic conditions like asthma or hypertension, helping folks plan their health goals, or sometimes just being a good listener when they need to vent. Preventive care’s a big deal for me. I like to catch things early, before they grow into something more serious. Sometimes all it takes is one small observation or something a patient casually mentions—and that changes everything. What I try to do is treat people, not charts. It's about who they are, what matters to them, and what really works in their life—not just what the textbook says. Every treatment plan I make is adjusted based on the real-world challenges each person’s facing. I also explain stuff in plain language. Like, no jargon for the sake of sounding clever. If someone doesn’t understand their condition, how can they take care of themself properly? Oh, and I do my best to keep learning constantly. Medicine doesn’t pause, right? Whether it’s a new guideline, research update or clinical tool—I keep checking, reading, taking notes (sometimes at midnight, honestly). All of this helps me feel confident that what I’m offering isn’t outdated or guesswork. What keeps me going is the trust people place in me. Being someone’s go-to doctor, knowing they’ll come to me when they’re worried or confused—that’s a big responsibility. But also kinda a gift. I don’t just see symptoms, I see stories—and I get to be part of their health journey from day one to who-knows-when. It's not perfect, and yeah, sometimes I feel I missed something or could’ve said something better. But I’m always trying, always caring, and I’m really here—for all of it.
41 days ago
5

I’m truly sorry to hear about your financial struggles, and I admire your determination to improve your health despite these challenges.

Since you have normal TSH and Hb, the paleness is not due to Anemia or thyroid issue .

Now focus on diet + circulation If paleness persists, it might be due to low vitamin B12 (common in vegetarians) or digestive issues. If possible, try to check B12 levels in the future (government hospitals offer cheaper tests).

Do exercise too even 20-30 mi. Waking improves blood circulation

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