a year, that is, imagine very young guys, they are being raised now by grandmother, well, can you imagine how difficult these guys had a childhood. unfortunately yaroslav we are glad to welcome you today in our program. please tell me about what has happened since the twenty-fifth of may. it turns out that my friends and i played football on the sports ground. it was around 6 pm when it happened. uh, there was a shrill whistle and a loud explosion. so we all ran to the store. uh, well, to hide, in general, then it turns out after all of this. i ran to my yard. and when i already ran up to the yard itself. i saw that a car was burning there, just the same as my neighbor. i ran into the entrance, saw a lot of blood there. i'm already like nutron like, what is it? well, something is not right and when i

ran to the second floor, there, i saw a neighbor. she told me that it was like my sister was wounded, just, well, indescribable emotions were for me. yes, i live with my grandmother and two sisters. i have a father with a disability and a mother. no, after all this, i ran, it turns out that i saw that one sister is fine. you made sure you ran out into the street, ran to the ambulance, where my grandmother was standing. she, well, also received, as if light even. well, a piece of shrapnel struck her in the chest. so somehow, in short, i can imagine how difficult it is to talk about it. listen, tell me about your sisters, they're twins. no, they are twins miroslava and margarita a and margarita yes, how does grandma feel now that her sister is in the hospital , her sister's condition is also stable the doctors say that well, everything will be fine. it’s just that one moment is that she doesn’t have a fragment got it, here it is. the doctors said that

he should, as it were, gradually come out on his own. well , somehow we wish your sisters grandmother, good health to you great. thanks for being in touch with us today. and, of course, for all of us, victory is all for now. thank you very much alexander goodbye. uh, i don't think there 's anything great to add here. thank you for coming today. well , to remind our viewers that if you have any doubts about any photo or video materials, send them to our editorial office and, as always, i remind you that if there is any reason for pride. share them too, we will be happy to talk about them on the air. all the best to you. the first channel presents to the young why young people can be born

at once about this and much more in the live healthy program, which are always with you, dear friends, today may 31 is world day. without tobacco, this is such an anti-smoking day , i must say that none of us smokes, none of us are really mikhail yegorchik, and we decided to start a conversation about a cigarette and about the problems that causes cigarettes with professor ophthalm. michael why? well, because we all know about the dangers of smoking. well, few people say that smoking is the second most important cause in macular degeneration in dystrophy the second reason is the first reason for age and

smoking is in second place e not atherosclerosis or any other diseases. why because smoking helps to reduce the lumen of small blood vessels, circulation is disrupted, and the retina is powered by blood vessels, but mainly due to small vessels yes, and of course, when there are changes in this very microcirculation, macular degeneration develops, the mechanism is quite complicated, but, nevertheless, this is the root cause and which has a proven value. therefore, if blindness, molecular degeneration, retinal dystrophy - these are all different names for human development, they diagnosed dystrophy of the central part of the retina. definitely. you need to quit smoking. definitely need to stop reproaching if nothing diagnoses you.

yes, definitely quit. well, i am very grateful to mikhail for being this is what he said. in fact, we have just talked about heart attacks, strokes , proteosclerosis, cancers, lung diseases, even rheumatoid arthritis, gastritis and autism in children. the fact that this is the second place after the losses was never talked about. it's all about smoking too. i want to show such a list. uh, the causes that cause cancer. well, of course, smoking in the first place, obesity in the second place, alcohol, ultraviolet radiation, if we talk about skin, poor nutrition, infection and a sedentary lifestyle. once again , i drew attention to the fact that smoking on the first place this red column is significantly detached from everyone. this is what smoking is, but everyone knows about smoking, tobacco use has fallen, but vaping has replaced smoking and this was the task of

the largest tobacco companies. since vapes are smoking systems that do not emit smoke, but steam , they are filled with liquids containing nicotine, for many years there were no restrictions on the sale of vapes in russia, but in april of this year the state duma adopted a new law now vapes and liquids. for them it is forbidden to sell to minors, in addition, you can’t sell them anywhere, except for stationary stores, this law makes us very happy, because more and more often they become victims of elections. children, boy michael come here. the shot exploded in his hands. tell me how you exploded. you see, i bought a disposable electronic cigarette in a fairly good store. well, as a disposable, that is , it was with an additional recharging function

after i used it for about five minutes, it turns out. i put it on charge, and i have it in a few minutes. exploded and shrapnel hit me on i got burns on my leg. we have photographs of these burns. you took a photo of yourself. my mother took a picture of herself for me in order to document all this as much as possible and deal with the manufacturer. why do they blow up products deal with the manufacturer? why did you explode? you continued to smoke, in fact , you continued to smoke for some time after that, but now you still quit. we saw the most difficult patients in the morozov hospital. let's show an x-ray of the lungs healthy and in pain. look here. here's what it's like a bit dark is healthy tissue. air is air, so it's transparent to x-rays. and now look at what sick lungs look like. you see, these are the light parts. they are called blackout in our medical language. these are broken

lungs. this part of the patients is destroyed. it's actually an x-ray. a real patient of a teenager who was in the morozov hospital and today we have appeared in the international classification, vaper disease, as an official disease with its own diagnostic methods, treatment methods and etc. you understand, you did not start smoking cigarettes, no, no. no, i finally gave up everything, i don’t want to quit it was hard to quit or not. it’s really hard, because a few weeks after such a decision, when you pass by such stores and see some new product, a new liquid. there are new cigarettes. how involuntarily you think that it is interesting that there is more addiction behind a delicious vape and more difficulty for people to give up electronic cigarettes and after drinking

than regular tobacco. how long have you been smoking? just don't lie to an adult new year. i decided that this is the first one. i won't smoke anymore, but i'm holding on for now. how old are you? i’m 22 and i can say that i don’t advise, in principle, the guys to even get involved with this thing, because, firstly, it is addictive in my own example, that is, again, i walk past the store. i can't help but pay attention to him. well, that's already in my head. let's make a point. this is, uh, just a print of a living normal person, what cigarettes do, vapes do the same thing only faster and more tragically than vapes do. is not joke. all human organs will be destroyed. and it will cease to be a normal drug person. therefore, if you quit, hold on and well done for quitting. please sit down, my dear herman how to quit smoking with us?

what a story, in my opinion, almost the first person threw it away. this topic is not professional. cool since a cardiologist i know when a person. uh, it happens, he has a heart attack, many quit smoking on the same day without any recommendations. i was at the appointment of professor pushkar with a patient who has cancer of the urinary bubble and professor. pushkar is the chief urologist of russia and he talks to the patient with the whole family and said bladder cancer is completely related. just the closest association with smoking, and this man smoked every day, so he told you to quit smoking , the man quit smoking right there. that's right, everything without everything, but nevertheless, help. the first is nicotine replacement therapy. it can be spray can chewing gum. it can be a second

drug that affects the central nervous system, which wants to smoke. i just gave it, if you block there is a group of these drugs and take pills for the following people who are susceptible to hypnosis, hypnosis helps them very well. they are also fine and the couple who smokes. remember to always throw easier together. so the family decision is over. so, dear friends , today is world no cigarette day. he really does spend it without cigarettes. this is extremely important. only for you, for no one else, we will take a short break, and then we will continue not to lose. strength has dropped and

i got two broken arms at the same time. what food will help strengthen the bones and how to eat it correctly advice for those who have a skeleton. this breakthrough has matured to find an effective drug for the treatment of multiple sclerosis. you play in the theater because you are treated so well, hurry up to ask, please, they really help. answering stupid questions today. for me, this is the number one event, as if we all participated in the whole world. here in this large-scale action, the emotional handsome makes you think

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but it would be cool to wake up in the morning and win 100 million. well, of course, we will first have a cup of coffee, chat with friends, and then just check our lottery tickets, dreamtalion, national lottery on sunday on the first this program friends we are in the kitchen today we have a new project. it's called food by appointment. we are used to the fact that the doctor will write out a prescription for us, on which there is the name of the drug and its dose. and how many times a week or people should this medicine be taken. today we will talk about osteoporos, and in addition to drugs. and the fact that for a rose today we will prescribe the right food for bone strength. and before we prescribe , we will call the patient, come to us,

please. odessa petrovna tell us about your osteoporos about your fractures about your life, what was the hardest thing? oh, last year, i fell and broke two of my arms at the same time. e, the doctor turned to traumatology. so, after viewing the pictures, with which he, yes, that, my growth has cooled down a lot. naturally, he, as it were, gave recommendations directly to the polyclinic , and i was also prescribed treatment for dodecometry. eh, and showed that i still have osteoporosis at the moment. i just know what i want to say, if anything, the sail is visible on the x-ray. this means that man has lost more than thirty percent of bone tissue. yes already bones. no,

and in one day it won't recover. it worries me a lot. the first analysis appoints me earlier than in six months. are you taking pills? and the fact that in the face i took a vitamin. uh, this calcium with vitamin d3 here, there's omega-3 fish, wait, yes, vitamins , minerals are all nice, but without treatment. it's funny. let's start with the main one. first on the first place medicines. they are, which are taken once a week once a month once a half a year, that is, today we are treating an amazing medicine number one, but today we will prescribe the right products. mikhail yegorych show us our new recipe. so, in addition to medicines, cheese, lason and dried thyme. bring us these three superfoods for

their intended purpose for humans. all that oh you, we already have a dish, straight ready. so three products. i want to say what nadezhda petrovna whispered to me just now. she simply forgot the name of the medicine and after the fracture she was immediately prescribed bessport. well, of course, it doesn’t happen differently, we all were all right, look at nadezhda petrovna. uh, what is a bone? in principle, so the bone, protein, mineral structure. it contains a large amount of calcium, which makes the bone dense, therefore the first product that, er, we recommend. it is a dairy product, namely cheese and hard

cheese, which contains the largest amount. calcium from dairy products calcium hermanshevich calcium kostyan needs calcium provides mineral density. see, it enters our intestines. but he can not always suck, he needs a guide. it's a vitamin. d if you use vitamin d, it helps the absorption of calcium, everything gets in. it just continues to come into our bone tissue, and then healthy ones are formed. in addition, cells must create bone but for the proper functioning of cells that are composed of power, one more vitamin is needed. vitamin k found in thyme. d

of course is found in salmon. and now i, uh, show what bone you were born with, and if we see osteoporosis on an x-ray, it becomes like this, that is, you lived for whom state and thank god that it was only hands that could be broken. i am all very worried about this, yes, therefore, look so , the source of calcium is cheese, parmesan calcium is absorbed only with vitamin d, the source of vitamin d is, in this case, we have fish of the cold seas, fish of the cold seas. we have salmon. it could be all those mackerels. this is point number two and point number three, so that calcium not only enters the body and is sucked, but also built into the bone, it is necessary, in addition to

the vitamin. d is also vitamin k. k is a family. so parmesan cheese is the fish of the cold seas, like salmon and thyme. here are three products that we enter in osteoporosis, our chef alexei kovbot, prepared something for our hope, petrovna that's right. see. we have almost two identical variations of the difference, what is the most important thing we want to say, but here the dish is cooked, and in a modern way gas burners. i just walked over it with an open flame and the protein turned rounded and it actually turns out inside. i'll take your permission to take your devices, it turns out very tender, in fact, so tamed. and here it is already baked classics in the oven, well, already in such a classic format. naturally, try, not that you are different. and what i also added, the oil here is linseed oil. that is, this is the maximum of america, that is, we also received an additional charge. so better and what will you

cook at home? well and that's why a prisoner? yes and thyme, like that, my dear. thank you to those who are watching us to say if you did not have time to record or hear something in our program. you will find everything in a magazine, which is very simply called a tv program. and find it right. today our program goes on and on with her joint keepers special exercises in order to dynamically stabilize your joints. it was the muscles that worked and the joints held by the guardians of the joints. we are waiting for you

alexander gennadyevich kurmanov traumatologist brilliant surgeon and a young man with muscles around the shoulder joint, what is your name? vladislav here. i want to know what to say alexander gennadievich, my shoulder has been hurting for several weeks now. i can even directly, in some places. here is something to feel. i am very difficult to do. here such an extension movement. i don't even know what kind of movement it is and in general. it's hard for me to raise my hand. wow. here's the responsibility came out to this height, we did so many frozen shoulder programs that i think i'm on the verge of a frozen shoulder. for people like me,

who has a sore shoulder, i don't know why, maybe one remained a granddaughter and took her energy. all in all, i don't have an answer. why can be age is a state of mind conflicting body sometimes exercise. what muscles need to be pumped up and what to do? basic muscles of the shoulder joint, which is responsible for movement. and yes, it strengthens it a lot. this deltoid is the most powerful muscle, which consists yes of three piles. yes it consists of three bundles, the anterior bundle, the middle bundle and the posterior bundle andrei-shaped wraps around like this, yes, it is attached from the clavicle from the acromion of the scapula and is attached to the upper third in a faith-like manner and is attached to three bones. yes, with this, one muscle trembles on three bones , the process of the scapula, the clavicle and the humerus, and our task is to strengthen it precisely to strengthen it. uh,

in work in favor of the plate. why because when moving, let's say already more than 90 ° , the head rests on the acromion and the movement is carried out by turning the scapula, and we no longer need this process, but this trapezoid something. the trapezoid does good. do the same, but it is involved in a large lift of the shoulder itself. and that is , this is more of a lift of the shoulder itself. yes, that is, when she contracts, she raises her shoulder, she is interesting so that he does not rise, but is stable, we are interested in doing exercise. what lead? give me one dumbbell. i can do it. well, look. in the hollow of the plate, that is, in the full. yes, you want? take the bag you want, just the heaviness of the hand and nothing else drove off. no, floor slabs are moving here. here they are, that

nothing hurts me, but it’s better not to then with a dumbbell. oh, so also, that we used it to a greater extent, the middle beam. can use the front beam in front of him in front of him. this is how alexander can break the abduction of the shoulder. it hurts, right? anything or something else will suffice. how much authenticity and how many repetitions? how many times a day and so on 1 2 times a day for a duration of 5-7 minutes, that is , work for a lot of repetition, so to speak, for a large amount of light weight, this will strengthen the joint and bring the muscles into tone. that's how everyone got to do it. here she sits for us at least a little bit. move like this we move the program continues. thank you very much to our experts and our assistant. and now the topic

is absolutely special, we are starting a serious medical conversation. so dear friends symbol of this topic, and we will talk about sclerosis in young people. it's a disease called multiple sclerosis, we've made these profiles of a human head here, a beautiful brain. here the situation is a little worse, but here the situation is quite bad. unfortunately, with multiple sclerosis, brain functions slowly fall out, a person can go blind, lose the ability to walk, while he retains his mind, therefore this disease is severe and serious of the body, and the brain still functions, although the whole body is controlled by the brain and so disease is serious and severe,

but today they have learned to treat it very well and control it. so that a person can live effectively and fully , there is even such a term as a therapy that preserves health and life. here we have a wonderful guest today, he plays, and in the theater of st. petersburg university. at least an engineer's education and i must say that his medical history is so. it looks like other people's medical records, so that we just want to tell it to you, so that you have your children or yourself. if you're young don't miss, multiple sclerosis, skip business is bad. come to us, please. have seen this one. a cockerel with multiple sclerosis in general , he goes. and in general, by his appearance, no one will say the disease. and as he says now

we will hear, because one of the consequences. sclerosis can be chanted speech when a person says, like this, for example, there is no factory elena what is your name? my name is vladimir how old are you 41 years old, do you have a big family? no. the family is a small two people, my mother. yes, here i am. tell us how it all began and what are the brightest, but not recognized signs of the disease in you were, uh, yes, in the eleventh year my fingers went numb, then in my hands. i think, probably, nerf squeezed something like that, then his arm, then his shoulder, and then it went right to our waist. then it passed somewhere

in a month. gryshek from why it is interesting further than 17. i lost my sight to the left, and then already. i had an mri of the head of the neck and found numerous lesions there. and what research did the doctors do in the eleventh year? was there anything? no, of course, they did an x-ray of the cervical region. yes cervical mri department. spine. today volodya is being treated at the multiple sclerosis center, which is located in the 31st hospital in st. petersburg. and it seems that 31 hospitals sound like this, but some kind of city hospital in st. petersburg, but the police are absolutely unique in various indicators, and there is really a wonderful center for multiple sclerosis. today, the head of

the multiple sclerosis center, st. petersburg, evgeny petrovich evdoshenko, came to us. that is, i started this program and said that this is sclerosis in young people. i really wanted to use by the way. it is clear to everyone what is happening. for some reason, the brain lost sensitivity, then at louder, then it was completely blind. here we specifically showed the loss of some zones, but in fact the function really falls out, what is there, the immune system itself, for some reason that we don’t know until the end, it considers the brain to be foreign tissue with the head back and starts fight with the help of immune responses to various parts of the central nervous system devours its own nervous system devours. first she she starts devouring the shell. here is what is like the insulation of the nerve fiber

of the nerve wire and the immune cells in a straight line. here our lymphocytes thus attack their own water with their teeth. really in the center of the wire, yeah i'm holding, holding holding, and i'll be rabid, immune system actually attacked. this is why it is called scattered, because this attack can happen anywhere, that is, scattered throughout the body and therefore different functions in different places can be affected. what are the symptoms a person should be made to think about multiple sclerosis the most common symptom is vision loss, and the patient's vision loss is described as if they wake up and look through a plastic bag. this is how they feel and the eye can hurt when moving, the second symptoms are a violation of sensitivity.

here we all wake up in the morning sometimes you know, so we will warm it up like that, it seems, and that's it, but in patients with russia, this numbness does not go away, and it persists like that. and it seems that he already had breakfast and something to do. he rubbed went to work and this persists following this feeling of unsteadiness, that is , the patient experiences such a violation of coordination when it is dark, when he closes his eyes, and he begins to stagger or it gets dark or in a dark room. these are the symptoms that should alert you. in the sense that headlong to run to the doctor, right? i want to show the magnetic resonance imaging of our volodya and for you to say where those formations are, in fact. you can see how it seems to me, even if you don't doctor, seriously, well, here is a picture of the brain, the cut is made in such a way that we

just seem to be looking at the brain from above, if we look at one hemisphere to the other. we see the dark here. and here we see this lever. this is the place. it just glows white and shows us that in this place the immune system has penetrated the head and it destroys this part of the brain, and the part of the brain that is responsible for movement or for sensitivity is here it will cause a symptom. and we are here whispering everything, i say, volodya, how well they entered the treatment, because we discussed everything in detail before shooting. he tells me, well, this is the main thing that i play in the theater. no, you play in the theater because you are treated so well. vision has been restored. look here. we said that the essence of the disease is that half of the cells have gone crazy with immune cells. half gone crazy eating their nervous system half still conscious. and so, in fact,

the treatment is based on giving crazy people about normal support absolutely correctly. so there are standard drugs, with which we are starting they are called immunomodulators. these are not the immunomodulators that we buy at the pharmacy. yes, absolutely no need to confuse the two things. well, we shouted in unison, because this word, which , of course, is a serious science, is a medicine that raises support for good, not crazy cells, and the second treatment that volodya is now switching to is just what i said to kill. here these crush them correctly. absolutely, there are new approaches to therapy. which allow you to isolate exactly the bad cells to distinguish them and thus their remove from the immune system. leave good cells. this is the first approach and the second approach. you can lock these cells in prison , i repeat. volodya's vision was restored. the arms

and legs move, he walked just gorgeous and will walk, because today multiple sclerosis can be treated. we tell you this on the day of multiple sclerosis. the most important thing is that you come. i would like to briefly say a huge thank you to the theater studio of st. petersburg state university, because i believe that treatment is therapy, more precisely, and a hobby that brings you joy. here this gives. it seems to me that there would be no treatment, he would not be able to walk or speak , he would be blind in one eye, but the theater also helps for a short time, and then we will continue in a hurry, you ask nothing a few exercises. please tell me they really help. show what you are doing today

a dermatologist answers stupid questions. voice of spring finale live on friday at first our rules shine brightness our color also want to relax. book cheap tickets hotels tours to ozone 99 the right choice of millions of women when venom needs support venarus can help

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energy drink ion 699 to help you at that moment in the category work found the corpse of a woman, they say it is ours sitting for streams on the square. naturally folded lev, what is it like? oh yes, it seems to be over. you should be happy, good afternoon , mr. fonberg, military prosecutor's office, she is

a good girl, but she just worked for me. you understand that you are the main suspects, i order you both, and the existence of fonberg, forget him for any interrogations, he is not called in according to the laws of the military time. cinema 1tv presents test no. 58

sukharev anton evgenievich codename present to block all memories to turn off emotions. we have changed the composition of the cheese. now nothing can interfere with the successful completion of tasks. ghost who are you? why are you following me? hello friends. i 'm sitting between two old gossip girls, so we have a special question called stupid questions to the doctor stupid questions to the dermatologist, because there are no stupid questions. we are waiting for our expert dermatologist cosmetologists.

i don't have a funny and don't think it's a stupid question. i've heard about urea creams. e. please tell me, they really make a cream with urea from urine. i just devoted half of my life and talked about creams with urea , which i love the most i love foot creams with urea, because the concentration of urea is written there absolutely right, in general, what is urea made from urine? of course not, but this synthetic molecule makes it out of blocks. all carbon and ammonia is called urea and nothing in common. as if with e original e substance it doesn't have. and i also want you to say alexander and we normally have urea on the skin, it’s normal on the skin, and the main thing is

what quality it has. firstly, it attracts water; one molecule attracts seven water molecules, and, secondly, it keeps it on the skin, that is, both moisturizing and a barrier function are obtained. that is, it is normal in life, that is, you have it too. i have my own urea, which is not made from urine, because we did not bind our faces with urine. her job is to hold water. and now on the screen we will show you the urea molecule synthesized urea, which in creams, it holds 5 to 7 water molecules, so the skin retains moisture. and now we see urea has attached water and really significantly improves its qualities. why i take these diabetic creams is because they have been studied in diabetics. you are for these super-dry feet - this is the cause of gangrene, so they make medical creams for them. say on the face , apply on the elbow. just like a peach, clay dermatologist, don't judge ours don't judge

support. looking forward to next year. so an energetic woman came to us. we listen to you, i don’t go to a beautician for beauty injections , i didn’t hear about facebook building, i learned a few exercises. please tell me they really help. yes, show me what you are doing do it so you want to prevent wrinkles, right? see who can repeat. what is the feature of mimic muscles. they are one of their ends woven into the skin and thus, the more you train them with this face fitness, the more they tighten the skin and the deeper they form folds. and let's go further

and show it on our make-up. let's remove the skin from the face under the muscles, yes, which are woven into the skin on the muscles. here are the muscles on the forehead. we shorten it. two what kind of wrinkles form horizontal wrinkles on the forehead, when we start to frown often, that is, thinking that maybe we will train these muscles, then it forms, well, brow folds, which is also ugly, it turns out to be gloomy, there is still such an exercise when facebuilding. this is it. well, obviously not, that is , it turns out, then right above the lip there are many, many creases, which is also very ugly. there is a circular muscle around the lips, which we also drank to drink these lips. u no, well, like a kiss yes, yes, yes, yes, we also train her. we have such a picture on the screen, i like it very much. and here are the muscles and

absolutely, i see. here are blue wrinkles that will be on the face simply from the fact that we are these friction muscles, so there is no need to relax the muscles. we strain a, not only those that raise yes certain parts of the face. well, along with them those who lowered, and this is clearly the opposite effect. so don't do it. thanks workout relaxation. this is the law of cosmetology. move on to the next our guests i have a stupid question. so my husband has a beard on his arm. i tell him that they need to get rid of even the means found celandine. please tell me it really helps. let's expand the question of whether to remove warts and remove them with celandine or to remove alekseevna unambiguously, because this is a viral formation and if it is not removed,

not only will it grow. uh what ugly and it can also interfere and will hit neighboring areas. well, that is, we definitely decide to delete it. here we will show. this is my half. you want, you do not trust the older generation of doctors to participate. it's a wart inside. beard is this virus. yes, it's a viral infection. not only will your husband have warts for him. this is how to remove the husband and celandine about celandine with celandine, of course, it is not necessary, because there will be a chemical burn on the skin. and then such patients walk, well, with scars, it's ugly with traces, and many remove very terrible nitrogen, which is also undesirable, because relapses are very common. that is, because it was not completely removed. well, in general , it hurts, that is, there is a cold burn, it turns out best to remove it either with a laser or a radio wave method, then in this

place hmm such a dotted crust will be a microcrust. she goes there after a few days of processing, nothing remains. well, we definitely delete it. next guest listen only to women you noticed, yes, the man wanted to spit on old age. have questions. at i have a teenage daughter, he has acne, she eats a lot of sweets. is it true that sweets cause acne, sweets canceled a smooth face, this is not true and thousands of studies have been conducted that confirm this. e. so, we don’t conduct direct dependence e, with sweet, when there is a problem in the body, when the level of male sex hormones rises. this can be caused when excess sebum production occurs when the propion bacteria that

lives there begins to spread. yes it can be when hyperkeratosis, that is hmm breathing, then that could be the cause.