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Aflegan

Aflegan

Ask a doctor about a prescription for Aflegan

5.0(46)
Doctor

Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Aflegan

Package Leaflet: Information for the User

Aflegan, 7.5 mg/ml, Solution for Injection

Ambroxol Hydrochloride

Read the Package Leaflet Carefully Before Using the Medicinal Product, as it Contains Important Information for the Patient.

  • Keep this Package Leaflet, You May Need to Read it Again.
  • If You Have any Further Questions, Ask Your Doctor, Pharmacist, or Nurse.
  • This Medicinal Product has been Prescribed to You. Do not Pass it on to Others. It may Harm them, even if their Symptoms are the Same as Yours.
  • If You Experience any Side Effects, including those not Listed in this Package Leaflet, Tell Your Doctor, Pharmacist, or Nurse. See Section 4.

Package Leaflet Contents:

  • 1. What Aflegan is and What it is Used for
  • 2. Important Information Before Using Aflegan
  • 3. How to Use Aflegan
  • 4. Possible Side Effects
  • 5. How to Store Aflegan
  • 6. Package Contents and Other Information

1. What Aflegan is and What it is Used for

Aflegan Contains the Active Substance Ambroxol Hydrochloride - a Mucolytic Agent. This Medicinal Product Increases the Secretion of Mucus in the Airways and Improves its Transport, Making it Easier to Cough Up and Relieving Cough.
Aflegan is Used to Prevent Pulmonary Complications in Patients Receiving Intensive Medical Care after Surgery.

2. Important Information Before Using Aflegan

When Not to Use Aflegan:

  • If the Patient is Allergic to Ambroxol Hydrochloride or any of the Other Ingredients of this Medicinal Product (Listed in Section 6).

Warnings and Precautions

Before Starting Treatment with Aflegan, Discuss it with Your Doctor, Pharmacist, or Nurse.
When Using Aflegan, be Cautious:

  • If the Patient has Stomach or Duodenal Ulcer,
  • If the Patient has Kidney Function Disorders and/or Severe Liver Disease,
  • If the Patient's Cough Reflex is Weakened or has Respiratory Cilia Clearance Disorders (there is a Risk of Mucus Accumulation in the Airways),
  • If the Patient has Bronchial Asthma (Aflegan may Initially Worsen Cough).

Severe Skin Reactions Associated with the Use of Ambroxol Hydrochloride have been Reported. If a Rash Appears (including Changes in Mucous Membranes, e.g., Mouth, Throat, Nose, Eyes, Genital Organs), Discontinue Use of Aflegan and Contact Your Doctor Immediately.
Note:
After Administration of the Medicinal Product, Cough should be Induced to Facilitate Expectoration of the Thinned Mucus (or the Mucus should be Aspirated).
The Medicinal Product should not be Used Directly Before Sleep.

Aflegan and Other Medicinal Products

Tell Your Doctor about all Medicinal Products You are Currently Using or have Recently Used, as well as those You Plan to Use.

  • Ambroxol Increases the Concentration of Antibiotics (amoxicillin, cefuroxime, erythromycin, doxycycline) in Lung Tissue.
  • Cough Suppressants (e.g., Codeine) Inhibit the Cough Reflex and Make it Difficult to Cough Up Thinned Mucus, so Ambroxol should not be Used at the Same Time as Cough Suppressants.
  • No Clinically Significant Adverse Interactions (Interactions) between Ambroxol and Other Medicinal Products have been Found.

Using Aflegan with Food and Drink

Aflegan can be Used Independently of Meals.

Pregnancy, Breast-feeding, and Fertility

If You are Pregnant or Breast-feeding, Think You may be Pregnant or are Planning to have a Child, Consult Your Doctor or Pharmacist Before Using this Medicinal Product.
Pregnancy
Use of Aflegan is not Recommended During Pregnancy, Especially in the First Trimester.
Breast-feeding
Ambroxol Passes into Breast Milk. Use of Aflegan is not Recommended During Breast-feeding.

Driving and Using Machines

There is no Evidence of the Medicinal Product's Influence on the Ability to Drive and Use Machines.
No Studies have been Conducted on the Influence of Aflegan on the Ability to Drive and Use Machines.

Aflegan Contains Sodium

The Medicinal Product Contains Less than 1 mmol (23 mg) of Sodium per Ampoule, i.e., the Medicinal Product is Considered "Sodium-free".

3. How to Use Aflegan

This Medicinal Product should Always be Used in Accordance with the Doctor's Recommendations. In Case of Doubts, Consult Your Doctor.
Recommended Dose:
Adults:15 mg (1 Ampoule) 2 to 3 Times a Day, and in Severe Cases 30 mg (2 Ampoules) 2 to 3 Times a Day.
Patients with Kidney Function Disorders:
In Patients with Renal Insufficiency, the Doctor may Reduce the Dose or Prolong the Intervals between Doses.
Method of Administration:
Aflegan is Administered by Slow Intravenous Injection.
The Medicinal Product can also be Administered by Drip Infusion, after Prior Dilution in a Glucose Solution, Fruktose, 0.9% Sodium Chloride Solution, or Ringer's Solution.
Aflegan should not be Mixed with Solutions with a pH Higher than 6.2, as this may Cause the Solution to Become Turbid and Precipitate - Ambroxol Base.

Using a Higher Dose of Aflegan than Recommended

No Specific Symptoms of Ambroxol Overdose have been Described in Humans.
After Using a Higher Dose of Aflegan than Recommended, the Side Effects Listed in Section 4 "Possible Side Effects" may Occur. In this Case, Contact Your Doctor Immediately. Symptomatic Treatment is Recommended.

Missing a Dose of Aflegan

If a Dose of the Medicinal Product is Missed, it should be Taken as Soon as Possible. However, if the Time for the Next Dose is Approaching, the Missed Dose should be Omitted. Do not Take a Double Dose to Make up for the Missed Dose.

Stopping Treatment with Aflegan

Stopping Treatment with Aflegan does not Cause any Adverse Effects, Except for the Possible Worsening of Mucus Stagnation in the Airways.
In Case of any Further Doubts Regarding the Use of this Medicinal Product, Consult Your Doctor or Pharmacist.

4. Possible Side Effects

Like all Medicinal Products, Aflegan can Cause Side Effects, although not Everybody gets them.

If You Experience any of the Following Side Effects, Stop Using the Medicinal Product and Contact Your Doctor Immediately:

  • Anaphylactic Reactions, including Anaphylactic Shock, Angioedema (Rapidly Progressing Swelling of the Skin, Subcutaneous Tissue, Mucous Membranes, or Submucosal Tissue) and Pruritus
  • Severe Skin Reactions (including Erythema Multiforme, Stevens-Johnson Syndrome, Toxic Epidermal Necrolysis, and Acute Generalized Exanthematous Pustulosis)

The Frequency of the Above-mentioned Side Effects is Unknown (Cannot be Determined from Available Data).
Additionally, the Following Side Effects may Occur:

  • Rarely (may Occur in up to 1 in 1,000 People):
  • Hypersensitivity Reactions
  • Rash, Urticaria
  • Heartburn, Constipation

Very Rarely (may Occur in up to 1 in 10,000 People):

  • Facial Edema, Dyspnea, Increased Body Temperature, Chills

Frequency Unknown (Frequency cannot be Determined from Available Data):

  • Nausea, Vomiting, Diarrhea, Dyspepsia, and Abdominal Pain.

Reporting Side Effects

If You Experience any Side Effects, including those not Listed in this Package Leaflet, Tell Your Doctor, Pharmacist, or Nurse. Side Effects can be Reported Directly to the Department for Monitoring of Adverse Reactions to Medicinal Products, the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products:
Al. Jerozolimskie 181C
02-222 Warsaw
tel.: +48 22 49 21 301
fax: +48 22 49 21 309
Website: https://smz.ezdrowie.gov.pl
Side Effects can also be Reported to the Marketing Authorization Holder.
Reporting Side Effects will Help to Gather more Information on the Safety of the Medicinal Product.

5. How to Store Aflegan

Store Below 25°C.
Keep the Medicinal Product out of the Sight and Reach of Children.
Do not Use this Medicinal Product after the Expiry Date Stated on the Packaging. The Expiry Date refers to the Last Day of the Month.
Medicinal Products should not be Disposed of via Wastewater or Household Waste. Ask Your Pharmacist how to Dispose of Medicinal Products that are no Longer Needed. This will Help Protect the Environment.

6. Package Contents and Other Information

What Aflegan Contains

  • The Active Substance of the Medicinal Product is Ambroxol Hydrochloride. 1 ml of the Solution for Injection Contains 7.5 mg of Ambroxol Hydrochloride. 1 Ampoule (2 ml Solution) Contains 15 mg of Ambroxol Hydrochloride.
  • The Other Ingredients are: Sodium Chloride, Disodium Phosphate Dodecahydrate, Citric Acid Monohydrate, Water for Injections.

What Aflegan Looks like and What the Package Contains

Aflegan is a Clear, Colorless to Light Yellow Solution.
The Carton Contains 10 Ampoules of 2 ml Solution for Injection Each. The Orange OPC Ampoules have a White Ceramic Point and a Red Identification Ring.

Marketing Authorization Holder:

Bausch Health Ireland Limited
3013 Lake Drive
Citywest Business Campus
Dublin 24, D24PPT3
Ireland

Manufacturer:

Przedsiębiorstwo Farmaceutyczne Jelfa SA
ul. Wincentego Pola 21
58-500 Jelenia Góra

Date of Last Revision of the Package Leaflet: -----------------------------------------------------------------------------------------------------------------

Information Intended for Healthcare Professionals Only:

Two ampoules of Opć medication with the break point marked, a syringe with a needle, and schematic drawings showing the preparation and administration of the medication

Alternatives to Aflegan in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Aflegan in Spain

Dosage form: ORAL SOLUTION/SUSPENSION, 0.300 g ambroxol hydrochloride / 100 ml
Active substance: ambroxol
Prescription not required
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Dosage form: ORAL SOLUTION/SUSPENSION, 6 mg/ml
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Alternative to Aflegan in Ukraine

Dosage form: solution, 10 mg/0.2 ml per 13 ml
Active substance: ambroxol
Prescription not required
Dosage form: syrup, 30mg/5ml, 100ml in a glass bottle
Active substance: ambroxol
Manufacturer: AT "Farmak
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Dosage form: syrup, 15mg/5ml
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Active substance: ambroxol
Prescription required
Dosage form: solution, 7.5 mg/ml in 2 ml ampoules
Active substance: ambroxol
Dosage form: syrup, 30mg/5ml, 120ml in a bottle
Active substance: ambroxol
Prescription not required

Online doctors for Aflegan

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Aflegan – subject to medical assessment and local rules.

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Roman Raevskii

General medicine6 years of experience

Dr. Roman Raevskii is a licensed general practitioner in Spain, offering online medical consultations with a strong focus on prevention, early diagnosis, and personalized care. He combines evidence-based clinical expertise with a patient-centered approach to deliver comprehensive support.

Dr. Raevskii provides medical care in the following areas:

  • Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
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  • Supportive care for oncology patients – pain control, symptom relief, and side effect management.
  • Preventive medicine and health screenings.
  • Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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General medicine20 years of experience

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Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
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  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Her focus is on helping patients regain health through deep understanding of symptoms, personalised nutrition plans, and evidence-based correction of deficiencies, stress-related conditions, and metabolic imbalances. Dr Fedoryshyn works with adults experiencing chronic conditions, fatigue, hormonal disruption, and post-stress exhaustion.

She integrates medical analysis, psychological insight, and real-life behaviour change tools to offer treatment plans tailored to each patient’s biochemistry, mental state, and lifestyle.

Main areas of practice:

  • Chronic condition management and medical counselling
  • Weight loss programmes based on metabolic profiling
  • Diagnosis and treatment of micronutrient deficiencies
  • Recovery from stress, burnout, and hormonal imbalances
  • Emotional support and psychosomatic symptom care
Her approach is never one-size-fits-all – each consultation begins with a deep dive into your unique health history, test results, and emotional landscape. Consultations are available in Ukrainian, Polish, and Russian.
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Mar Tabeshadze

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  • Diagnostic consultations for suspected endocrine disorders
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  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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