Tag Archives: addiction and withdrawal

Identifying and helping your addicted loved ones

Identifying and helping your addicted loved ones: Indicators of drug addiction

Identifying and helping your addicted loved ones

Identifying and helping your addicted loved ones is the best thing you can do to them

A lot of people would want to give a helping hand to their loved ones who are struggling with drug addiction, but they just don’t know how to go about it. Ideally this is a worthy course and should be embraced by all means and that is why we want to use this article to highlight and identify some of the evidence that a loved one is having problems with addiction. Identifying and helping your addicted loved ones begins with knowing of all the signs. This will help you to be very observant to the point of detecting the problem in its initial stages and have it arrested and corrected before it gets out of hand. Doctor Dalal Akoury one of the addiction luminaries is the MD and also the founder of AWAREmed Health and Wellness Resource Center is going to share with us some of the things we need to know to help.

Identifying and helping your addicted loved ones: How can I tell if my friend has a drinking or other drug problem?

This is a very good concern and it is true that sometimes it can be very difficult to tell. Ordinarily most people including teenagers won’t walk up to someone they’re close to and ask for help. On the contrary your friend will probably do everything possible to deny or hide the problem. But, there are signs you can look for. Like for instance people with serious substance abuse problems would say things like, “I can stop drinking or using other drugs any time if I want to” while the truth of the matter is they don’t. Such people may be fun to hang around with for a moment but wait until they get high it is only then that you will see the real struggle they have with the substance they are abusing. When under the influence of the drugs they often act like jerks or get into fights. Your friend will often hide their problem but even with that effort there are sign that will be noticeable when the effect of drugs starts taking control over their lives. Some of these signs are easy to see, others aren’t, but if you see them happening over and over again, then chances are that your friend needs help.

Identifying and helping your addicted loved ones: How serious can my friend’s drinking or other drug problem be and what can it lead to?

Not all people who drink or use other drugs develop the same symptoms or consequences. However if your friend has a drinking or other drug problem and doesn’t get help, things can get much worse. It is common with people who are struggling with serious drinking or other drug problems to be in denial of the fact that they have a problem which needs to be fixed. They won’t just admit it not even to themselves. In fact in the beginning, they often register great feeling when they drink or smoked their pot or doing a few lines of cocaine. At these initial stages this abuse is the best thing that ever happened to them. But then things change for the worse. At this point it is very important that such people needs to get medical attention immediately and if this is delayed, they can develop serious psychological problems such as suicidal depression, and serious physical problems such as liver damage and brain damage; and some will die from an overdose. Besides that it is important to note that getting drunk or high impairs judgment, and may lead to behaviors that people wouldn’t do ordinarily if they weren’t under the influence of these substances such as having unsafe sex which could result in pregnancy, AIDS, or other sexually transmitted diseases. Doctor Akoury says that abusing substance is dangerous because it can ruin your life and even that of your loved ones, cause your friend to drop out of school, lose friends, lose values, and even lose his or her self-respect. Alcohol and other drugs are never discriminative and don’t care who you are, what color you are, if you’re rich or poor, how old you are, your sex, or where you’re from. They don’t care if you’re a jock, a cheerleader, or a genius.

Identifying and helping your addicted loved ones: What would cause my friend to have a serious drinking or other drug problem?

Lots of things lead to these problems. For one thing, these difficulties often run in families, just like heart disease and cancer. If your friend’s parents are alcoholic, or there is a family history of alcoholism or other drug addiction, your friend is more likely to become alcoholic or drug dependent.

People often drink or use other drugs to avoid things that bother them pressure from friends, stress in the family, hassles, the feeling that adults are on their case, the lousy feeling that they’re different from everyone else in the world. They use these substances just to feel better. The problem is, drinking or using other drugs eventually makes things worse because all you care about is getting high, and once you start it’s hard to stop; you need to use more just to feel normal. Alcohol and other substances change the way you think, and you start to believe things are better or worse than they are. Alcohol and other drugs may make you feel good when you’re high, but when they wear off, depression sets in.

It’s true that quitting this addictive substances can be very tough for most people and that coming to terms with the realities of the of the seriousness of the problem that are associated with substance abuse can be difficult. That is why experts at AWAREmed Health and Wellness Resource Center under that bale leadership are offering you solutions to all your addiction concerns. Remember that Dr. Akoury made a decision to create a medical 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. With is kind of expertise your problems will be handled professionally and confidentially if only you could schedule for an appointment with doctor Dalal Akoury today.

Identifying and helping your addicted loved ones: Indicators of drug addiction

 

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The battles of Heroin Addiction in Families

The battles of Heroin Addiction in Families: The wrong choices we often make

The battles of Heroin Addiction in Families

The battles of Heroin Addiction in Families must all be inclusive. Heroin addiction is a great to every family

There are certain things that we do not because we want to but because we see our friends and relatives do. The motivation is to have the feelings they have upon using the things they use or doing what they do. In other words the sense of belonging is the reason why all these are happening. Take for instance in the world of drug addiction you will be amazed at what people do just not to be left out and in the process they find themselves into real problems not just in their health and peace of mind but also with the law enforcement agencies. Even though addiction cuts across and everyone is vulnerable, it hit the hardest at the family unit. We spoke to doctor Dalal Akoury the MD and founder of AWAREmed Health and Wellness Resource Center about the battle of heroin addiction in families and it is amazing seeing how simple desires can land us into real threats of addiction.

As a professional in this discipline doctor Akoury is going to shed some light on how influential heroin can be in your life no matter how you got introduced to it. She says that one morning while in her office a lady walked in and was very depressed. When she gave her time to share her problem she open up and poured out her heart on the battles she has with heroin addiction. For confidentiality we will call her Jimssy not her real name. Jimssy is a full-time housewife and mother and hardly fits the stereotypical picture of a heroin addict. However for the past two of her adult life, she was obsessed with getting high on heroin a passion she shared with her husband, Jim not his real name who has been battled his own addiction for over two decades now.

Jim had been struggling with heroin addiction for years when his wife joined the league of shooting up heroin. Even though Jimssy was not ignorant of the effects of heroin on her husband, she voluntarily decided to test the water one day following an advice from her friend who informed her that using heroin would significantly relieve the pain of headache and muscular pains she had suffered from epileptic seizures she has been struggling with for more than 15 years now. It is amazing how friends can be very destructive to our well-being. This friend without any consideration of the know consequences, approached her friend with the news she knew Jimssy would be interested in, that is the solution to her struggle with pain. Jimssy acknowledges that, that was her first time and regret having such a friend in her life. She goes ahead to explain that her main reason for testing the waters even though she knew the struggles her husband, was to get better, the pain was becoming unbearable. What do you think about her decision? You may suggest that under the circumstances she was justified because she was looking for solutions about her pain. Nonetheless it is still not right, every advice you get from a friend must be confirmed by a medical doctor and that is why doctor Akoury founded this facility where you can get all the professional assistance concerning your health and addiction at any time of the day.

The battles of Heroin Addiction in Families: Breaking the Boredom

Another point doctor Akoury observed from the patient is the mind set of many people about things and situations around them. Like for instance Jimssy says that besides the advice from the wrong friend, she was curious, she wanted to understand the feelings of this drug heroin, and she confesses that “I wanted to know what this was that [Jim] was doing. Why it was so attractive. And she sought the silence that if she was to try it just briefly for a few times, it won’t do her any harm and that it wouldn’t result into addiction since it is only for a few times.” That is what she thought and besides she had also heard that heroin improved sexual performance. (The seizure medications she had taken for her epilepsy had dampened her libido.) Heroin, she says, helped her feel more sexual, and that was a big attraction.

Doctor Akoury says that she had it all well planned. And in her own wisdom, to avoid getting hooked, she refrained from doing the drug for four days between uses. Then, she started doing it on the weekends “to break the boredom.” This plan may have looked brilliant, but remember that heroin is such an addictive drug and so despite her plans and to her great denial she quickly became addicted. She adds that “I saw what it had done to my husband. But I had no idea at all of the pull it had on users.” If you are listing keenly to Jimssy and you or anyone you know is struggling with any form of addiction, you can be of help first to yourself and then to the others by scheduling for an appointment with doctor Akoury today.

In the meantime Jimssy tells us that as at that time she was being introduced into drugs, she was working and earning her money from her job which was well enough to finance this new expenditure. The income helped her feed their habits and every day was such a good day because they could afford for more drugs. But it also caused strife in their relationship. They would share their drugs, and Jimssy says, the pull of addiction quickly introduced an enemy in their relationship, the enemy known as mistrust. They longer had trust for each other. She feared sending him alone to buy drugs with her money because he would take more than his share on the way home. He felt the same way about her. “It just starts eating away at your love, your partnership, the whole marriage,” she admits. Doctor Akoury reacts to this professionally and informs Jimssy that drugs will remain bad irrespective of the influence you may get from any of your friends. We will continue listening to Jimssy in our next article but for now, we must choose and choose wisely. This life we have, we can only live it once and when we still have that opportunity, then we must consult with the medical experts from time to time to have things done the right way. Talk to us today at AWAREmed Health and Wellness Resource Center and we will offer you real time solutions to all your addiction problems.

The battles of Heroin Addiction in Families: The wrong choices we often make

 

 

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How well do you know Heroin Drug

How well do you know Heroin Drug: How do I know if I have Heroin Problem?

How well do you know Heroin Drug

How well do you know Heroin Drug? The information about heroin is very important in the journey to heroin addiction recovery and creating awareness is just the beginning

For a couple of days we have been addressing various issues concerning drug abuse and particularly heroin. We noticed that the rate at which this is increasing is worrying and as professionals at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury we will continue giving our contribution to ensure that the prevalence of substance abuse is reduced to manageable levels. In our interaction with clients and patients from time to time, we have noticed that the public are not really informed of the consequences of these drug abuses. And most worrying is that even if they are directly affected, it takes others to notice but the real victim is not even aware that he is addicted to heroin or any other drug. We want to use this forum to further create more awareness of the prevalence of heroin and the question we want to respond to is “how well do you know heroin drug?” to effectively respond to this, we have segmented the discussion in four question of great concern. We hope that this will help you understand better what heroin really is and how you can protect yourself from the scourge. The four questions of concerns include:

  1. How Do I Know if I Have a Heroin Problem?
  2. What is Heroin and how is it Used?
  3. Effects of Heroin Use
  4. Treatment for Heroin and Opiate Addiction

Heroin is an illegal, highly addictive drug. It is not just the most abused drug but it is also the most rapidly acting of the opiates. These characteristics have put it to be the leading opiate abused in the global opiate market. With the help of the professionals at AWAREmed Health and Wellness Resource Center, let us get to business of responding to these concerns.

How well do you know Heroin Drug: How Do I Know if I Have a Heroin Problem?

It is always said that knowledge is power and that luck of it is the basis of many problems we are facing today. Understanding that background, we want to be as informative as possible so that by the end of this article, you will be able to make informed decisions about substance abuse. Heroin Anonymous developed some questions which were tailored into helping individuals be on top of any possibility of heroin addiction. How you respond to the questions below will give a very strong indication about your position with heroin. Like for instance how would you respond to the following?

  • Do you isolate yourself when using heroin? In other wards you are avoiding people when using heroin, does that describe you?
  • Have you ever used more heroin than you planned? If you have records of usage it will be helpful however you can also evaluate this by auditing your spending on heroin. Has it been constant or has it been fluctuating?
  • Has your heroin usage interfered with your job or school? Take stock of how many times you have lied to be sick and stayed off duty or if you have not been meeting your assignment deadlines inconsideration.
  • Do you find yourself concealing your heroin usage from others? Interesting, are you proud of this habit?
  • Are you experiencing financial difficulties due to your heroin usage? You may not realize this if you have more than enough to spend but evaluate from your spending how much is going into heroin account, in other word has it become one of the item you spend on heavily?
  • Has your heroin usage caused problems with your partner/spouse or family? Take a closer look at your present and your past before you got into heroin, are you still faithful in that relationship? How often do you hide certain information from your family? Dig deep in your past and respond honestly.
  • Do you wish you could stop using heroin and find that you are unable to quit? Many times users are very frustrated with their habits and are struggling to quit but because they are deeply hooked they are unable. Does this describe your situation?
  • Have you experienced legal difficulties from your heroin usage and yet you continue to use? Of course heroin is illegal and the authorities will not let you go without being punished. You may have escaped once or twice but will you escape forever?
  • Do you consume the entire amount of heroin you have and then immediately desire to get more? And have you become extravagant all over sudden?
  • Have you failed to cut down or quit heroin entirely? You know this is an illegality and probably you have been making effort of quitting but you keep meeting resistance and challenges. Does this describe you?
  • Do you wish you had never taken that first hit, line, or injection of heroin? In your years of addiction, somewhere along the way have you had any regret however small?

How well do you know Heroin Drug: It is possible to Quit Heroin?

Before we continue with the remaining question, the focus of this article is to bring hope to all heroin addicts and not to condemn them. We started by asking how well do you know heroin drug? And up to that point I want to inform you that if all the answers you are giving are pointing to the wrong direction of heroin addiction, you are on the right track of making the right decision. A decision for health and good life and doctor Akoury and her team of experts are very much ready and willing to help you do through this difficulty. AWAREmed Health and Wellness Resource Center team of experts are only waiting to hear from you primarily to help you in the recovery process. All you need to do is to schedule for an appointment with doctor Dalal Akoury and that which you have not been able to solve alone, will be professionally addressed. As you consider making that good decision, let us continue highlighting the indicators of heroin addiction in their question forms.

  • Have you continued to use heroin even after you experienced an overdose?
  • Do you fear other people will find out about your heroin usage?
  • Are you preoccupied with getting heroin when you do not have it?
  • Do you have to use larger amounts of heroin to get the same high you once experienced?
  • Has anyone ever told you that you may have a problem?
  • Have you ever lied or misled those around you about how much or how often you use heroin?
  • Do you use heroin at work or in the bathroom in public facilities?
  • Have you ever hocked something in order to buy heroin?
  • Are you afraid that if you stop using heroin that you will not be able to function?
  • Do you find yourself doing things that you are ashamed of in order to purchase heroin?
  • Have you ever stolen drugs or money from family or friends in order to buy heroin?

Finally if your answer to any of these 22 questions is “Yes” then you need help. You don’t have to answer all of them yes; just one is enough to indicate the heroin problem. Like I have indicated talking to doctor Akoury will be the starting point and by the end of it your life will change for good leaving you to enjoy life without regrets. The remaining three concerns will be addressed in the next article, so stay on the link and get the best of health information.

How well do you know Heroin Drug: How do I know if I have Heroin Problem?

 

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Effects of High blood pressure and cholesterol

Effects of High blood pressure and cholesterol: How they affect the Heart

Effects of High blood pressure and cholesterol

Effects of High blood pressure and cholesterol. Blood pressure is preventable and all the preventive measures to be embraced for better health

The heart is one of the organs of the body that is very sensitive and plays very vital role in the body. A healthy heart is an indication that other organs which depends on its proper functionality are actually operating well. Despite being that important, it is very vulnerable to several attacks that hinder its abilities to function as is expected. Some of the attackers may include high blood pressure and high cholesterol among many others. For the purpose of this article, we want to center our discussion on the effects of high blood pressure and cholesterol. We spoke to doctor Dalal Akoury about these two factors and she is sharing with us some of the known effects of this tow to the heart. High blood pressure isn’t usually something that you can feel or notice, but if you have it you’re more likely to develop coronary heart disease or have a stroke says doctor Akoury. The best way of ascertaining whether you have high blood pressure is to have it measured. Doctor Akoury says that it is very important that people should get to know their blood pressure. It is very unhealthy to wait until you are sick for you to visit your doctor to determine your blood pressure. In fact health professionals recommends that people of 40 years and above should get their blood pressure taken periodically as part of health check up to assess their risk for getting cardiovascular disease.

Effects of High blood pressure and cholesterol: Blood pressure and High blood pressure

One may wonder if there is any different between blood pressure and high blood pressure. If you are wondering then you are at the right place and in a moment you are finding out the difference. Blood pressure is the pressure or force of blood in your arteries the vessels that is charged with transporting the blood from the heart to the brain and to the rest of the body. For this role to be effectively done, the body needs adequate pressure or force to push the assignment successfully throughout the body systems. The pressure of the blood flowing through your arteries is regulated with your heart beats (in other words they change as your heart beats). The pressure in your arteries will be at its highest when your heart is contracting and pumping blood around your body and lowest as it relaxes while it fills with blood before pumping again. That explains what blood pressure is, nonetheless high blood pressure also known as hypertension means that there is no fluctuation in the blood pressure. The blood pressure remains at a certain high point than it is recommended. Expert says that high blood pressure is not something that you can feel or notice easily. Nonetheless if this is not addressed in good time, it can cause an enlargement on your heart making your heart to be less effective in pumping the blood to the various parts of the body. This is what in many cases result in a condition known as heart failure.

Effects of High blood pressure and cholesterol: Heart attack and Stroke

Having high blood pressure increases your chances of having a heart attack or stroke. Even though this is a life threatening condition, it is regrettable that no proper reason is given as to how high blood pressure is caused. However it is believed that the following can play a part:

  • Luck of adequate physical activity
  • Being overweight or obese
  • Having too much salt in your diet
  • Alcohol abuse
  • Having a family history of high blood pressure.

Prevention is always the best and therefore if you are not having high blood pressure, living a healthy lifestyle is very important as it is one of the best ways of preventing this problem from occurring in the future.

Effects of High blood pressure and cholesterol: How does my General Practitioner know I have high blood pressure?

Like we had said before, this is measurable and your doctor will do just that. If your blood pressure is 140/90mmHg or higher you will probably have to have this rechecked several times. It is necessary to note that everyone’s blood pressure varies during the day. Some people have a condition known as ‘white coat hypertension’ or ‘white coat syndrome’. This is a condition where your blood pressure rises only because someone is taking your blood pressure, and not because you have an underlying medical problem. If you have white coat hypertension, your blood pressure will return to normal when your doctor or stops taking it. It can be very difficult to diagnose and this is why you may need to have your blood pressure rechecked several times, or you may be sent home with a 24 hour blood pressure monitor for the same reason.

Effects of High blood pressure and cholesterol: What do the numbers mean?

If you have been to a health institution for high blood pressure measurement, you must have noticed that every blood pressure reading consists of two figures or measurements shown as one number on top of the other and measured in millimeters of mercury (mmHg). If your reading is 120/80mmHg for example, you might hear your doctor or nurse saying your blood pressure is 120 over 80. The interpretation of the figures is that the top figure represents the highest level your blood pressure reaches when your heart contracts and pumps blood through your arteries – your systolic blood pressure. An example might be 130mmHg. The second (or bottom) number represents the lowest level your blood pressure reaches as your heart relaxes between beats – your diastolic blood pressure. An example might be 75mmHg. Not unless stated otherwise the human blood pressure should be below 140/90mmHg.  But as for those struggling with heart or circulatory disease the recommended blood pressure should be below 130/80mmHg.

Effects of High blood pressure and cholesterol: What can I do to reduce my blood pressure?

Finally if it has been established that you have high blood pressure, then it would be advisable that you consider changing your lifestyle and engaging in healthy physical activities, losing weight, reducing the salt content in your diet, cutting down on alcohol and eating a balanced, healthy diet. In the event that you have done all these and still the high blood pressure persists, then you may need to consult with your doctor for professional advice to help you reduce the risk of having a heart attack or stroke.

Effects of High blood pressure and cholesterol: How they affect the Heart

 

 

 

 

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Overcoming addiction by healing energy

Overcoming addiction by healing energy-Good health for wealth

Energy

In order to overcome addiction, healing energy would be necessary.

Have you ever imagine life without any form of illness? If you picture this and try to visualize it in your mind then what you’re likely to see is what I will call sustainable wealth. If your body is free from any kind of disease then you’re wealthy than anyone ranked in the top 100 of the wealthiest persons in the world. You may be wondering ware I’m heading to with this wealth direction in relation to the title of my article. This is my point, the study of addiction indicate that nearly all things we do, eat or desire in life when not done properly may lead us into becoming addicted to them and eventually cause health complication.

Let us take food for example, we all need food to live and in fact it’s one of the most important basic needs in the globe, yet food can be serious problem to your health and mine. It’s very interesting that our bodies need energy which comes from food to move around yet some of these sources of energy can be harmful to you and me. For this reason, it will be very important that we overcome addiction by all means possible and that includes healing energy.

Addiction is usually the result of a larger problem. Stress, depression, anxiety, low self-esteem and even some mental disorders are usually the underling factor in addiction, which is a symptom and not in itself an illness.

Overcoming addiction by healing energy-Types of Addictions

Chemical addictions and process addictions are two general categories of addiction.  We often assume that because the initial stages of addiction begins with voluntary behavior and is expressed in the form of excess behavior, people should just be able to use self-medication to stop their addictions, and this may not be true. The brain of an addict has been altered by choices they make over a period of time and so you and I need to know some of the common elements of addiction which include the following:

  • Alcohol
  • Tobacco
  • Drugs – cannabis, cocaine, heroin, steroids, etc.
  • Exercise
  • Sex
  • Eating
  • Computers
  • Work
  • Gambling
  • Shopping and many more…

Overcoming addiction by healing energy-Characteristics of Addiction

Addiction has control mechanism to addicts, once addicted you will be under the influence of addiction and not vice versa. You become driven by its forces and you think you cannot live without it.  Boredom, grief, frustration, sadness, rejection and failure are just few emotional issues that you try to escape from with use of your choice of addiction. Addiction is costly and takes your money and time. The more you focus on control it the more you feel your energy is depleted. It often disrupts your social life, family, love, and work life, as well as damages your mental and physical health.  While addiction may bring short term pleasure, it can bring long term harm and therefore must not be taken lightly.

Withdrawal Fear of Addiction

Fear of withdrawal is one of fundamental forces at play in the power of addiction. After long use of choice of addiction, not just brain but body tissue develops dependence. The physical signs and symptoms of withdrawal usually associated with abrupt stop of usage can be: tremors, sleeplessness, diarrhea, anxiety, sweating, loss of appetite, up to hallucinations and seizures in severe cases.

Substance Dependency and Relapse

Trigger-induced craving is one of the most frequent causes of drug use relapses, even after long periods of abstinence. Environmental triggers help explain why re-entry to one’s community can be so difficult for addict leaving the controlled environments of an addiction treatment Centre.

Overcoming addiction by healing energy-How Energy Healing is Beneficial in Addiction?

Energy healing helps to increase the level of energy in the body, and leaves you feeling relaxed, energized and in positive state of mind. It unblocks energy and re-establishes energy flow in internal organs which stimulates, nourish and replenish them. In doing so it improves the state of internal organs, assisting everything from digestion, absorption, blood circulation and energy production activities.

In order to truly help someone who is suffering from addiction, energy healing involves seeking the tools that will help you attract your desires and find your personal power to manifest wellbeing on all levels and help you overcome the underlying problem that is causing addiction. Energy healing is therefore beneficial in addiction control and elimination by executing the following:

  • Increasing feeling of relaxation
  • Reducing intensity of withdrawal symptoms
  • Improving sleep patterns
  • Freeing blocked energy in the body

How Many Treatments Will One Need?

The number of energy healing treatments required to treat addiction will differ between individuals patient.

Overcoming addiction by healing energy-Guided Meditation

There are indications from new research that meditation can help decrease substance use and relapse. Meditation will allow for a reflection on all repressed feelings and events, providing the space for them to come to surface, enabling healing process to take place by shifting brain activities from the stress-prone brain to more calming. Turning off your brain may be hard especially for someone in recovery process. Meditation will be effective when learned from the instructor/teacher than from the book, tape or just sitting and focusing on your breath. By learning to meditate correctly, the increased awareness and mindfulness of meditation helps you avoid thoughts of substance usage, which can surface during recovery. Other benefits of meditation in the treatment of addiction include:

  • Decreased feelings of anxiety
  • Decreased feeling of sadness
  • Decreased moodiness and irritability
  • Heightened concentration levels
  • Enchanting memory
  • Increased feeling of stability
  • Increased feelings of well-being and vitality
  • Increased self-awareness

In making effort to get well you will certainly meet obstacles, it will not be a smooth flow all the way. Nevertheless you need not to worry of the possible challenges since doctor Dalal Akoury who is an expert in addiction and at professional in training trainers (physicians) globally will be of great help for you. I strongly recommend her for you and your relatives and friends who may be going through addiction problem. It doesn’t matter what kind of addiction you may be going through or what stage you’re in, with doctor Akoury you shall have started the meaningful journey to your full recovery and comfort living thereafter.

Overcoming addiction by healing energy-Good health for wealth

 

 

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