Tag Archives: Behavioral health

Intelligent ways of containing drug addiction professionally

Intelligent ways of containing drug addiction professionally: Complete de-registration of substance abuse

Intelligent ways of containing drug addiction professionally

Intelligent ways of containing drug addiction professionally can be very instrumental in eradicating in its entirely all the problens that are associated with drug addiction that causes a lot of harm to this generation.

In management all over the world, good managers do not just spend time for the current running events but also offer a provision for the aftermath of the event. This has been seen to be a serious setback in many organizations if not managed properly. Experts are now confirming that setbacks of failure to properly offer provisions for the aftermath of any event can ruin the success which may have been delivered from the beginning. Just like in the management of a business or an event, it is also very important that when administering treatment to any patient, careful attention must be taken to address any unforeseen eventualities on, during and after treatment. When it comes to the management of drug addiction, identification of the problem and acknowledgement come first then treatment and putting systems that will deal with any complications that may arise after treatment period. Therefore owing to the nature of this problem, we want to explore on the possible intelligent ways of containing drug addiction professionally so that any treatment done does not disintegrate to further addiction. To take us through this discussion, we are going to relay on the expert opinions of professionals from AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury (MD) who is also the founder of the establishment. To start the discussion doctor Akoury says that when it comes to the in all the setbacks that we may have cravings for the substance one was using before treatment is one of the most disturbing one and this is what we want to start with as we progress into the discussion.

Intelligent ways of containing drug addiction professionally: Keep triggers and cravings in check

From the several studies professionally done on this subject, it has been established that in the quest of finding solutions to drug addiction, two problems are seen as the most outstanding obstacles. At the initial stages the first obstacle is that of denial. Many people are living in denial and they are not willing to acknowledge that they have a problem that needs to be fixed. In the process of their denial, the intensity of their addiction to the substances they are abusing increases such that by the time treatment commences, it becomes very difficult to help them owing to the magnitude of the damage done. Besides the hurdles faced at the initial stages, the other technicality comes at the end of the process when the patient is either progressing well with their recovery program or are fully recovered from their addiction. We are addressing the problem of craving for the drug and so doctor Akoury registers her professional opinion that “while getting sober from drugs is an important first step, it’s only the beginning of the recovery process.” She says that once sobriety is achieved, the next step is to allow the brain to recover and rebuild connections that have changed while addicted. This is likely to take some time and it is during this time that the drug cravings can be so intense to the point of getting out of hand overwhelmingly. Doctor Akoury gives several measures that an individual can take to contain the situation and she advises that at this point you can support your continued sobriety by making a conscious effort to avoid people, places, and situations that trigger the urge to use as follows:

Seek to find new friends and make a break from old drug friends – For you to see the fruits of your recovery it is important that you don’t make the mistake of hanging out with old friends who are still doing drugs. They will cause you a lot of harm and before you know it you will be back to your old habits. Therefore it is necessary that you surround yourself with people who support your sobriety, not those who tempt and tice you to slip back into old, destructive habits.

Avoid bars and clubs – Alcohol is very addictive and therefore even if you don’t have a problem with alcohol any more, don’t feel that you are strong and can resist the temptation to sip when meeting friends, in other words keep serious distance to social places like bars and clubs where alcoholic beverages are sold. Remember that drinking lowers inhibitions and impairs judgment, which can easily lead to relapse. Drugs are often readily available and the temptation to use can be overpowering. And besides that it is also important that you avoid any other environments and situations that you associate with drug use.

Be up front about your history of drug use when seeking medical treatment – This is very important says doctor Akoury that anytime you are due or you are in need of a medical or dental procedure done on you, be open and discuss freely with your physician all you know about your history and most importantly find a provider who will work with you in either prescribing alternatives or the absolute minimum medication necessary. Take note of this that this is not the time for you to be ashamed or feel humiliated about your previous drug use. The more you open up to your health provider the better help you will get from them. So don’t withhold open up and allow yourself to be helped.

Use caution with prescription drugs – Stay away from prescription drugs with the potential for abuse or use only when necessary and with extreme caution. Drugs with a high abuse potential include painkillers, sleeping pills, and anti-anxiety medication.

Intelligent ways of containing drug addiction professionally: Consistency in sobriety

When you have understood the magnitude of cravings, it then becomes easier for you to pick up the pieces and move on. That is why it is always very necessary that as soon as you are out of the rehabilitation centre, you must always keep in constant consultation with your physician so that when there is any reason of relapse immediate action can be taken to remedy the situation before it deteriorates into more heart breaking situations. And in that regard I want to prevail upon you and beseech you not to relent in your desire to remain sober. Never give up even if you relapse from time to time. Remember that it is not a crime to relapse but how you handle yourself in such situations is what matters most. Therefore always consult with experts from AWAREmed Health and Wellness Resource Center from time to time so that any cropping damage can be arrested and dealt with in good time.

Intelligent ways of containing drug addiction professionally: Complete deregistration of substance abuse

 

Facebooktwitterpinterestlinkedin

The best pathways of deregistering drug addiction

 

The best pathways of deregistering drug addiction: Possessing a drug free body system

The best pathways of deregistering drug addiction

The best pathways of deregistering drug addiction from our societies will depend on the societal attitude change. when this happens we can begin by eliminating these chronic elements one after the other.

Talking of the best pathways of deregistering drug addiction we are reminded of our introduction part of this discussion where we handle the mechanisms of dealing with drug addiction and the smart ways of fighting the same. In the previous article doctor Dalal Akoury helped us unlock the foundations of drug addiction and we now want to further that discussion progressively by looking at some of the best pathways of deregistering drug addiction from our systems and societies. Experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury have been working round the clock in trying to eliminate the scourge of addiction with lots of successes in the past decades and we are not about to stop because the escalation of drug addiction is ever on the rise thereby putting of the likeminded people to raise to the challenge. Rom where we left in the previous article, the following are some of the best pathways of deregistering drug addiction from our lives.

The best pathways of deregistering drug addiction: Relieving stress without drugs

Stress is one of the most common triggers of substance abuse and for sure record available from several statistics indicates that most of drug addicts could have not become addicted to the substances they are abusing if the element of stress was address promptly. According to doctor Akoury conditions like stress, loneliness, frustration, anger, shame, anxiety, and hopelessness are inevitable in life and in one way or another while still on this planet earth we will come across them. The danger is they will remain in your life even when you’re no longer using drugs to cover them up. It therefore means that until we address them decisively and professionally the problems that are associated with drug addiction will not be settled effectively.

It is interesting to note that in many instances drug abuse will most likely shoots up from misguided attempts to manage stress. Many people turn to alcohol or recreational drugs to unwind and relax after a stressful day, or to cover up painful memories and emotions that cause us to feel stressed and out of balance. Even though this is the common practice by many, there are better and healthier ways of keeping your stress level in check. From the professionals’ point of view, doctor Akoury registers that practicing activities like taking part in healthy exercises, meditation, using sensory strategies to relax, practicing simple breathing exercises and challenging self-defeating thoughts are very essential in eliminating stress that is very key in propagating drug addiction in most of our cultures.

The best pathways of de-registering drug addiction: Strategies for relieving stress quickly without drugs

Whenever we are stressed, it is very normal for people in such state of mind to feel that doing drugs is the only way and possibly the best in handling unpleasant feelings. If this is how you are feeling, we want to help you out of that feeling because it is not true and will not be anytime soon. We appreciate that stress is inevitable in this point of time, but it is important to note that even in such difficult and stressful situations, you can still learn to get through those difficulties without falling back on your addiction. Doctor Akoury is very categorical that different quick stress relief strategies work better for some people than others because we all respond to stress differently. The secret is to find the one that works best for you, and helps you calm down when you’re feeling stressed and overwhelmed. Remember that when you’re confident in your ability to quickly de-stress, facing strong feelings isn’t as intimidating or overwhelming and the following can be very helpful in the process:

  • Indulgence in physical activities like exercise is very important as it releases endorphins, relieves stress, and promotes emotional well-being. Therefore try running in place, jumping rope, or walking around the block and you will experience the difference.
  • Step outside and savor the warm sun and fresh air. Enjoy a beautiful view or landscape. This may sound meaningless to many but it is very important and has worked for many as one of the best pathways of deregistering drug addiction.
  • For those who may not be active enough to take part in vigorous exercises, yoga and meditation will be a better option for excellent ways to bust stress and find balance.
  • Many people often think that when exercise in mentioned then it has to fall in tight schedule. That is not really the case remember that even play with your dog or cat, enjoying the relaxing touch of your pet’s fur is a good way of dispensing out stress.
  • Put on some calming music and take time to listen to the soothing tune.
  • Breathe in the scent of fresh flowers or coffee beans, or savor a scent that reminds you of a favorite vacation, such as sunscreen or a seashell.
  • Close your eyes and picture a peaceful place, such as a sandy beach. Or think of a fond memory, such as your child’s first steps or time spent with friends.
  • Make yourself a steaming cup of tea and take time to enjoy it.
  • Look at favorite family photos it will rejuvenate your life and send off stress packing.
  • Give yourself a neck or shoulder massage and soak in a hot bath or shower. Doing this will deliver calmness and comfort that will send off any element of stress packing off your life.

Finally in the quest of finding the best pathways of de-registering drug addiction that will make you have a drug free body system, there will be some obstacles along the way which you must be very ready to face and address promptly. Like we had mentioned before that stress is one of the key triggers of drug addiction, it is important to appreciate that the moment stress sets in the craving for drugs will be overwhelmingly high and demanding. This is the time when many people makes serious mistakes and fall into serious addiction that they cannot come out of easily. Therefore before you let things get out of hand, it is very crucial that you seek for professional help immediately from the trusted experts at AWAREmed Health and Wellness Resource Center. This is the best thing you can do for yourself and the sooner you schedule for that appointment with doctor Dalal Akoury the better for you and your loved ones. So don’t make any hesitation and call today for the commencement of your treatment immediately.

The best pathways of de-registering drug addiction: Possessing a drug free body system

 

 

 

Facebooktwitterpinterestlinkedin

Understanding the effects of alcoholism and alcohol abuse

Understanding the effects of alcoholism and alcohol abuse: The frustrations of drinking problems and denial

Understanding the effects of alcoholism and alcohol abuse

Understanding the effects of alcoholism and alcohol abuse will enable you to appreciate the consequences of misusing alcohol

The complications of alcoholism and alcohol abuse are increasingly becoming a global concern with every household being the bearers of the burden of this scourge of alcohol addiction. Many people really don’t understand why and how alcohol is affecting everyone in the current generation. Having been declared the most abused substance globally, we all have a duty to give our contributions in finding the solutions to this problem. But before we get there, we must first be sure of what we are talking about. That is why doctor Dalal Akoury one of the most respected addiction expert globally is going to take us through the discussion about understanding the effects of alcoholism and alcohol abuse in our societies today. She begins by saying that alcoholism and alcohol abuse if not tamed or prevented can be very devastating to all aspect of an individual’s life.

Like we had mentioned previously that a journey of a thousand miles begins with a single step so is the effects of alcohol addiction. It has been established that alcohol usage over a long period of time cause serious health complications, affecting virtually every organ in your body, including your brain. That is not meant to scare you but it is the true position of misuse of alcohol. Besides that it must also be appreciated that the problem of drinking can also damage your emotional stability, finances, career, and your ability to build and sustain satisfying relationships. And as if that is not enough the problem does not end there because alcoholism and alcohol abuse can also have an impact on your family, friends and the people you work with hence the need of dealing with it expeditiously.

Understanding the effects of alcoholism and alcohol abuse: The effects of alcoholism and alcohol abuse on the people you love

We all have a role to play in caring for our loved ones. This care is often under serious threat when any member of the family is struggling with any form of addiction. There are so many types of addiction and substances that can be abuse but for our consumption in this article, we are going to restrict our conversation to alcoholism and alcohol abuse. Several scientific studies have established that despite the potentially lethal damage that heavy drinking does to the body including cancer, heart problems, and liver disease, we also have serious repercussions that come on our social life thanks to the persistence of alcohol abuse. This point reminds me of a debate we once had in one of the forums where there was concern as to whether alcohol consumption ha any social consequences that can be seen as devastating. From that debate it was very evident that alcoholism can also have very devastating social consequences too. Like for example when alcoholics and alcohol abusers are under the influence of their substances, they often do certain things that can be very painful and heart breaking to their family members and those painful moments if not corrected in good time can result into serious social problems like divorce, domestic violence and struggle with unemployment, and living in poverty.

With such problems doctor Akoury continues, even if you’re able to succeed at work or hold your marriage together, you can’t escape the effects that alcoholism and alcohol abuse has on your personal relationships. Drinking problems put an enormous strain on the people closest to you. Often, family members and close friends feel obligated to cover for the person with the drinking problem. So they take on the burden of cleaning up your messes, lying for you, or working more to make ends meet. Pretending that nothing is wrong and hiding away all of their fears and resentments can take an enormous toll. Children are especially sensitive and can suffer long-lasting emotional trauma when a parent or caretaker is an alcoholic or heavy drinker.

Understanding the effects of alcoholism and alcohol abuse: Getting help for alcoholism or alcohol abuse

The best way of facing the problem of alcoholism and alcohol abuse is by facing it squarely without any element of denial and blame games. And like we had mentioned that, denial is always the biggest impediment in seeking for help. It therefore means that for any meaningful treatment to take place, the victim must take the very first step of acceptance. Therefore if you’re ready to admit that you have a drinking problem, be rest assured that you’ve already taken the first step of defeating the power of denial. Remember that it always takes tremendous strength and courage to face alcohol abuse and alcoholism head on. Upon doing that, the second approach would be that of reaching out for support either externally or internally from your family, relatives and friends.

As you embark on this journey of recovery, it is important to appreciate that irrespective of your choice of treatment i.e. whether you choose to go to rehab, rely on self-help programs, get therapy, or take a self-directed treatment approach, support is still very essential and must never be over looked. Recovering from alcohol addiction is much easier when you have people you can lean on for encouragement, comfort, and guidance. Without support, it’s easy to fall back into old patterns when things get tough.

Doctor Akoury alludes that your continued recovery depends on continuing mental health treatment, learning healthier coping strategies, and making better decisions when dealing with life’s challenges. In order to stay alcohol-free for the long term, you’ll also have to face the underlying problems that led to your alcoholism or alcohol abuse in the first place. Those problems could be depression, an inability to manage stress, an unresolved trauma from your childhood, or any number of mental health issues. Such problems may become more prominent when you’re no longer using alcohol to cover them up. But you will be in a healthier position to finally address them and seek the help you need.

Understanding the effects of alcoholism and alcohol abuse: The frustrations of drinking problems and denial

 

Facebooktwitterpinterestlinkedin

When drug addiction is ruining your social life

When drug addiction is ruining your social life: The altered brain

When drug addiction is ruining your social life

When drug addiction is ruining your social life it does not just end at that but it spread to the whole body including very vital organs of the body.

The problem of drug addiction is one that tears apart peoples’ lives in very many ways. While we were discussion the effects of drug addiction on our social fabric, we listed six areas in which drug addiction attacks us the most and we were able to deliberate on the first four. We now want to continue and conclude the discussion of the remaining two (financial issues and growth, and law-abiding and order in the society) even as we also look at how different types of drugs affects the brain in different ways. Previously we pointed out that drug addiction is ruining our relationships, marriages, education and our professions. Therefore when drug addiction is ruining your social life what are your options? What are some of the areas of your social life that is likely to be much more vulnerable to the effects of addiction? We spoke with doctor Dalal Akoury about our finances and criminality and she is going to help us understand this even better as we progress into the discussion. But in the meantime it will interest you to note that doctor Akoury is one of the most respected veteran experts in addiction who out of her passion of helping people get their life back, decided to create a medical center (AWAREmed Health and Wellness Resource Center) whose main objective is to transform each individual’s life through increasing awareness about health and wellness and by empowering individuals to find their own inner healing power. Dr. Akoury’s practice focuses on personalized medicine through healthy lifestyle choices that deal with primary prevention and underlying causes instead of patching up symptoms. Therefore if you are struggling with any form of addiction then you can schedule for an appointment with doctor Akoury directly from her telephone number 843 213 1480 today for the commencement of your recovery treatment program. And now back to our subject of discussion.

When drug addiction is ruining your social life: Financial consequences of drug abuse and alcohol addiction

Socially finances are very important almost to the point that without it things appear not to be moving well. And because of its importance, it has not escaped the wrath of addiction. From the experts point of view financial problems will arise inevitably when it comes to alcoholism or drug abuse, elements which affect not only an individual addict but also his family and the whole society. So how exactly does this happen? If one is into drugs, he or she will need money to finance the acquisition of those drugs and then as the drugs takes effect money will be need again for medication, and yet again in the process of treatment, there will be instances of relapse where drugs will be needed again and them, on treatment and so on again and again. The other way of looking at the effect of drug addiction on finances is like if we were to consider the government spending on the rehabilitation programs, spending on police, courts, prisons, add to it  job loss, reduction in tax revenues and increased governmental spending on benefits. When all these are put together, then you will realize that the cost of addiction is very unbearable.

When drug addiction is ruining your social life: Criminal behavior resulting from the effects of alcohol or drugs

At the mention of the word drug addiction, many would just see criminals in their faces. This is because in many situations drug users often commit crimes to finance their habits. The stealing act begins small at the initial stages where the money stolen is limited to close relatives, colleagues and friends. From this level they graduate to serious criminals taking part in organized burglary, robbery, or even homicide mostly with men while on the side of women prostitution takes center stage is in the quest of getting money to finance the acquisition of drugs. It must be noted that drug users and alcoholics often commit crimes under the influence of the substances they use. Scuffles, antisocial behavior, aggression, inexplicable cruelty towards people around them is a common outcome of alcohol or drug intoxication.

From the available statistics it is estimated that majority of all crimes that takes place globally are associated with substance abuse with most of the developed states leading the graph. Theft, vandalism, robbery, mugging the list is endless are ways of getting money for a drug. And the more serious addiction gets, the greater the chance of committing the crimes of violence. Taking into consideration that, drug addicts are those people who in their desperate desire to get another dose are ready for anything and can even kill just to satisfy their craving for the substance. They are actually not in control of their behaviors but rather they are under the control of their addiction. They don’t belong to themselves. And if the chance to get money requires violence, cruelty they take it without hesitation. As a matter of fact, everything that is listed here, sooner or later is waiting for every drug addict, if only, of course, the one who has rigidly and firmly set foot on this path won’t die from overdose before. That last statement may appear to many as impolite but the truth is that if measures is not taken to bring this problem to manageable levels, then all that we have mentioned in this article is only a matter of time. Now it is the time for you and I to make a positive decision and join in the campaign of defeating drug addiction. You are now enlightened and you know the consequences. If you are not sure of where to start from, then you just found yourself in the right place and at the right time. Doctor Dalal Akoury is a veteran addiction expert with more than two decades working experience and calling her today to schedule for an appointment with her should be the starting point if you want to live a more comfortable life going forward.

When drug addiction is ruining your social life: The altered brain

 

Facebooktwitterpinterestlinkedin

The threats of stress and anxiety in addiction

The threats of stress and anxiety in addiction: Why it has become necessary to treat

The threats of stress and anxiety in addiction

The threats of stress and anxiety in addiction can make you lose your self esteem and bring your serious health complications

In life we are often faced with different threats that bring a lot of discomfort to our health and well-being. While discussing the dangers of stress and anxiety in addiction we noted that stress is closely associated with drug addiction and all for the wrong reasons. This collaboration is wreaking havoc to human health and we were able to identify some conditions that come with this relationship. Some of those conditions included gastrointestinal Problems, eating and Stress and diabetes. And as we progress in to the last part of this discussion, we want to dig deeper into other problems that come with the threats of stress and anxiety in addiction. Therefore doctor Dalal Akoury the MD and founder of AWAREmed Health and Wellness Resource Center is going to share with us some of the effects in relation to pain, sleeping disturbances, sexual and reproductive dysfunction, memory, concentration, and learning among other relevant conditions to the topic of discussion.

The threats of stress and anxiety in addiction: Pain

Pain is a common phenomenon in very situations of life. It can be physical or even psychological but in all these it will still remain to be painful. Currently the relationship between pain and emotion is still under investigation by the experts. This investigation or study is facing challenges in the sense that many factors like how different personalities responds to pain and emotion, and the fear of pain and stress itself. However available evidence point to the direction that that chronic pain may impair the action of neutrophils and thereby weakening the immune response. Let’s consider the following pain for a better understanding:

Muscular and Joint Pain – in this case it is believed that stress may intensify chronic pain caused by arthritis and other conditions. Psychological distress also plays a significant role in the severity of back pain. Some studies have clearly associated job dissatisfaction and depression to back problems, although it is still unclear whether stress is a direct cause of the back pain.

Headaches – Tension type headaches are highly associated with stress and stressful events. Sometimes the headache does not start until long after the stressful event has ended. Additionally, stress can contribute to the development of headaches or cause headaches to occur more frequently. Some research suggests that people who experience tension-type headaches may have some biological predisposition for translating stress into muscle contractions. Among the wide range of possible migraine triggers is emotional stress although the headaches often erupt after the stress has eased.

The threats of stress and anxiety in addiction: Sleep Disturbances

The tensions of unresolved stress frequently cause insomnia, which prevents stressed people from sleeping or causes them to awaken in the middle of the night or early morning. This appears to be due to the fact that stress causes physiological arousal during non-rapid eye movement sleep.

The threats of stress and anxiety in addiction: Sexual and Reproductive Dysfunction

Sexual Function – Stress can reduce sexual desire and cause women to be unable to achieve orgasm. The stress response leads to a drop in androgen (male hormone) levels, sometimes contributing to temporary erectile dysfunction in men.

Premenstrual Syndrome – Some studies indicate that the stress response in women with premenstrual syndrome may be more intense than in those without the syndrome.

FertilityChronic stress may affect fertility. Stress hormones have an impact on the hypothalamus, which produces reproductive hormones. This effect may lead to changes in a woman’s menstrual cycle, as well as a reduction in a man’s sperm count. Stress can also reduce sex drive.

Effects on Pregnancy – Old wives’ tales about a pregnant woman’s emotions affecting her baby may have some credence. Stress may cause physiological alterations, such as increased adrenal hormone levels or resistance in the arteries, which may interfere with normal blood flow to the placenta. Maternal stress during pregnancy has been linked to a higher risk for miscarriage, lower birth weight, and an increased incidence of premature births. Some evidence also suggests that an expectant mother’s stress can even influence the way in which her baby’s brain and nervous system will react to stressful events. One study found a higher rate of crying and low attention in infants of mothers who had been stressed during pregnancy.

The threats of stress and anxiety in addiction: Memory, Concentration, and Learning

Stress affects the brain, particularly memory, but the effects vary widely depending on whether the stress is acute or chronic.

Effect of Acute Stress on Memory and Concentration – Studies indicate that the immediate effect of acute stress impairs short-term memory, particularly verbal memory. On the plus side, high levels of stress hormones during short-term stress have been associated with enhanced memory storage, improved working memory, and greater concentration on immediate events. The difference in effect may be due to how cortisol impacts glucocorticoid receptors in the hippocampus and prefrontal cortex.

Effects of Chronic Stress on Memory – If stress becomes chronic sufferers often lose concentration at work and home, and they may become inefficient and accident-prone. In children, the physiologic responses to chronic stress can interfere with learning. Studies have connected long-term exposure to excess amounts of the stress hormone, cortisol to a shrinking of the hippocampus, the brain’s memory center. It is not yet known whether this shrinking is reversible.

The threats of stress and anxiety in addiction: Substance Abuse

People who are under chronic stress often turn to illicit activities in the hope that they will get relief they can also indulge in misuse of alcohol or tobacco for relief. These substances are actually self-destructive in their own right and when accompanied with stress the damage caused by these habits becomes severe in relation to the same happening under ordinary circumstances without the presence of stress. Besides that many people also resort to unhealthy eating habits, smoking, or passive activities, such as watching television when they are stressed. Remember that alcohol affects receptors in the brain that reduce stress and luck of nicotine increases stress in smokers, which creates a cycle of dependency on smoking.

The experts reiterates that the cycle is self-perpetuating a sedentary routine, an unhealthy diet, alcohol abuse and smoking all these promotes heart disease. They also interfere with sleep patterns, and lead to increased rather than reduced tension levels. Drinking four or five cups of coffee, for example, can cause changes in blood pressure and stress hormone levels similar to those produced by chronic stress. Finally we have by now seen that the friendship between drug addiction and stress is not in any way good for human health. The two must be separated and most importantly we must desire to eliminate them. You can begin the journey of this worthy elimination by scheduling for an appointment with doctor Dalal Akoury today for the commencement of your treatment that will restore your life back to the fullest.

The threats of stress and anxiety in addiction: Why it has become necessary to treat

 

Facebooktwitterpinterestlinkedin