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Clemastinum Aflofarm

Clemastinum Aflofarm

Ask a doctor about a prescription for Clemastinum Aflofarm

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Doctor

Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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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 Clemastinum Aflofarm

Package Leaflet: Information for the Patient

Clemastinum Aflofarm, 0.5 mg/5ml, Syrup

Clemastinum

Read the Leaflet Carefully Before Taking the Medication, as it Contains Important Information for the Patient.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. 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 leaflet, tell your doctor or pharmacist. See section 4.

Table of Contents of the Leaflet

  • 1. What is Clemastinum Aflofarm and what is it used for
  • 2. Important information before taking Clemastinum Aflofarm
  • 3. How to take Clemastinum Aflofarm
  • 4. Possible side effects
  • 5. How to store Clemastinum Aflofarm
  • 6. Contents of the pack and other information

1. What is Clemastinum Aflofarm and what is it used for

Clemastinum Aflofarm is a syrup with antihistamine action. The active substance is clemastine. The antiallergic effect is based on blocking histamine receptors, which prevents the effects of histamine, such as vasodilation and increased permeability leading to swelling and redness.

Indications:

  • treatment of symptoms associated with allergic rhinitis, such as: runny nose, sneezing, tearing, nasal itching;
  • relief of symptoms of certain skin allergies, such as: urticaria, contact dermatitis, atopic dermatitis, itching, Quincke's edema (sudden swelling of the face, limbs, or joints without itching and pain).

2. Important information before taking Clemastinum Aflofarm

When not to take Clemastinum Aflofarm

  • if you are allergic to clemastine or any of the other ingredients of this medicine (listed in section 6);
  • if you are allergic to other medicines with a similar chemical structure to clemastine (e.g., chlorpheniramine, diphenhydramine);
  • if you are taking monoamine oxidase inhibitors (MAOIs) at the same time (see section: Clemastinum Aflofarm and other medicines).

Warnings and precautions

Before starting to take Clemastinum Aflofarm, discuss it with your doctor:

  • if you have angle-closure glaucoma (eye disease caused by damage to the optic nerve);
  • if you have increased intraocular pressure;
  • if you have hyperthyroidism;
  • if you have cardiovascular disease and hypertension;
  • if you have difficulty urinating (caused by e.g., prostate enlargement, urethral stricture);
  • if you have pyloric stenosis (narrowing of the pylorus, which can cause vomiting and weight loss);
  • if you have a peptic ulcer that can cause obstruction of the digestive tract;
  • if you have respiratory diseases (including asthma);
  • if you have porphyria (a disease characterized by abnormal heme production).

In elderly patients (over 65 years), there is a greater risk of side effects, such as: tremors, dizziness, excessive sedation, and decreased blood pressure.

Children

Clemastinum Aflofarm should not be given to children under 6 years of age.

Clemastinum Aflofarm and other medicines

Tell your doctor or pharmacist about all medicines you are taking now or have taken recently, as well as any medicines you plan to take.

Clemastine enhances the effect of medicines that inhibit the activity of the central nervous system, such as:

  • barbiturates (medicines used to treat insomnia and epilepsy, e.g., phenobarbital);
  • neuroleptics (medicines used to treat mental disorders, e.g., promazine, chlorpromazine, perazine);
  • anxiolytics.

Medicines that enhance the effect of clemastine:

  • tricyclic antidepressants and monoamine oxidase inhibitors (MAOIs) (medicines used in depression);
  • hydroxyzine (a medicine used to treat anxiety and itching, as well as before surgery).

If you are not sure whether you are taking any of the above medicines, ask your doctor or pharmacist.

Clemastinum Aflofarm with alcohol

Do not drink alcohol while taking this medicine.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a child, consult your doctor or pharmacist before taking this medicine.

Driving and using machines

This medicine may affect your ability to drive and use machines. If you experience drowsiness, coordination disorders, headaches, dizziness, fatigue, and vision disturbances (double vision and blurred vision), do not drive or operate machinery.

The medicine contains sorbitol liquid, non-crystallizing, methyl parahydroxybenzoate, propyl parahydroxybenzoate, ethanol, propylene glycol, and sodium

Sorbitol liquid, non-crystallizing

The medicine contains 2150 mg of sorbitol in 5 ml of syrup.

Methyl parahydroxybenzoate and propyl parahydroxybenzoate

The medicine may cause allergic reactions (possible late reactions).

Etanol

This medicine contains 240.2 mg of alcohol (ethanol) in each dose (5 ml), which is equivalent to 48 mg/ml (4.8% w/v).

Sodium

The medicine contains 11.03 mg of sodium in 5 ml of syrup.

3. How to take Clemastinum Aflofarm

Always take this medicine exactly as your doctor has told you.

Dosage is determined by the doctor individually, depending on the patient's response to treatment.

To dose the medicine, use the measuring cup provided with the packaging. This allows for accurate dosing.

Recommended doses:

Children aged 6 to 12 years:

IndicationsDoseAdministration
Allergic rhinitis Skin allergies5 ml syrup (0.5 mg clemastine) Maximum daily dose not exceeding 30 ml (3 mg clemastine) 10 ml syrup (1 mg clemastine) Maximum daily dose not exceeding 30 ml (3 mg clemastine)Twice a day Twice a day

Adults and adolescents over 12 years:

IndicationsDoseAdministration
Allergic rhinitis Skin allergies10 ml syrup (1 mg clemastine) Maximum daily dose not exceeding 60 ml (6 mg clemastine) 20 ml syrup (2 mg clemastine) Maximum daily dose not exceeding 60 ml (6 mg clemastine)Twice a day Twice a day

Use in children

Do not use in children under 6 years of age.

Overdose of Clemastinum Aflofarm

If you have taken more than the recommended dose, contact your doctor.

Missed dose of Clemastinum Aflofarm

Continue taking the medicine, do not increase the next dose.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Seek immediate medical attention if you experience any of the following symptoms, as urgent medical attention may be required:

  • anaphylactic shock - the first symptoms may be: skin rash, facial swelling, difficulty breathing, wheezing, shortness of breath, unmeasurable pulse, significantly decreased blood pressure, sweating, loss of consciousness.

The following side effects may occur:

Frequent(in more than 1 in 100, but less than 1 in 10 patients):

  • fatigue, drowsiness.

Infrequent(in more than 1 in 1,000, but less than 1 in 100 patients):

  • vertigo of labyrinthine origin.

Rare(in more than 1 in 10,000, but less than 1 in 1,000 patients):

  • urticaria (light red, itchy blisters on the skin), rash (itchy, red bumps on the skin);
  • drug rash (local redness of the skin);
  • photodermatosis (skin disease related to increased sensitivity to UV radiation - sunlight);
  • anaphylactic shock;
  • nausea, dryness of the mucous membrane of the mouth, discomfort in the upper abdomen;
  • headache.

Very rare(in less than 1 in 10,000 patients):

  • palpitations (irregular heartbeat);
  • tachycardia (rapid heartbeat);
  • constipation.

Frequency not known(frequency cannot be estimated from the available data):

  • excessive sweating, chills;
  • thrombocytopenia (decreased platelet count - increased risk of bleeding and bruising);
  • agranulocytosis (decreased granulocyte count - one of the types of white blood cells, leading to increased susceptibility to infections);
  • hemolytic anemia (significant decrease in red blood cell count due to their breakdown; manifested by pallor, weakness, shortness of breath, jaundice, splenomegaly);
  • menstrual disorders;
  • urination disorders or urinary retention;
  • hypotension (significantly decreased blood pressure);
  • spasms;
  • decreased production of mucus in the respiratory tract;
  • feeling of a stuffy nose, dryness of the mucous membrane of the nose and throat;
  • hoarseness;
  • loss of appetite, vomiting, diarrhea;
  • excessive sedation;
  • coordination disorders (difficulty maintaining balance);
  • feeling of fatigue;
  • mood disorders (euphoria, excessive excitability, agitation), anxiety, insomnia, tremors;
  • vision disturbances (double vision and blurred vision);
  • tinnitus;
  • seizures.

Reporting side effects

If you experience any side effects, including those not listed in this leaflet, tell your doctor or pharmacist.

5. How to store Clemastinum Aflofarm

Keep this medicine out of the sight and reach of children.

6. Contents of the pack and other information

What Clemastinum Aflofarm contains

  • The active substance is clemastine in the form of clemastine fumarate. 5 ml of syrup contains 0.5 mg of clemastine.
  • The other ingredients are: sorbitol liquid, non-crystallizing, propylene glycol (E 1520), ethanol 96%, sodium saccharin, methyl parahydroxybenzoate, propyl parahydroxybenzoate, lemon flavor AR 0886A (contains ethanol, citral), peach flavor AR 0059 (contains ethanol, propylene glycol (E 1520)), sodium dihydrogen phosphate monohydrate, disodium phosphate dodecahydrate, purified water.

What Clemastinum Aflofarm looks like and contents of the pack

The medicine is a syrup.

Marketing authorization holder

Aflofarm Farmacja Polska Sp. z o.o.

Manufacturer

Aflofarm Farmacja Polska Sp. z o.o.

Date of last revision of the leaflet

Alternatives to Clemastinum Aflofarm in other countries

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

Alternative to Clemastinum Aflofarm in Ukraine

Dosage form: tablets, tablets 1mg
Active substance: clemastine

Alternative to Clemastinum Aflofarm in Spain

Dosage form: MODIFIED-RELEASE CAPSULE, 10 mg/10 mg
Active substance: doxylamine, combinations
Manufacturer: Italfarmaco S.A.
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Active substance: doxylamine
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Online doctors for Clemastinum Aflofarm

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

5.0(25)
Doctor

Anna Biriukova

General medicine5 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Liudmyla Boichuk

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Dr Liudmyla Boichuk is a family medicine doctor providing diagnosis and treatment for a wide range of acute and chronic conditions in adults and children. She works with respiratory, cardiovascular and digestive system disorders and has extensive experience caring for patients with multiple coexisting conditions, where coordinated, whole-person management is essential.

She treats adults with respiratory illnesses such as pneumonia, COPD and bronchial asthma, as well as cardiovascular conditions including hypertension and ischaemic heart disease. Her practice also covers gastrointestinal complaints and chronic comorbidities that require careful, structured medical supervision.

Dr Boichuk provides care for children from birth, including acute respiratory viral infections, infectious diseases, pneumonia, bronchitis, bronchial obstruction syndromes and allergic reactions. She offers clear, evidence-based guidance to parents and ensures safe follow-up throughout the child’s recovery.

Her work also includes developing personalised immunisation plans and supporting families with long-term preventive care.

Known for her structured clinical approach and clear communication, Dr Liudmyla Boichuk offers patients of all ages comprehensive, reliable and evidence-based medical care.

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Marta Reguero Capilla

Allergology7 years of experience

Dr Marta Reguero Capilla is an allergist and immunologist who works with both adults and children. She specialises in the diagnosis, treatment, and ongoing management of allergic and immune-related conditions through online consultations.

In her practice, Dr Reguero Capilla helps patients understand the causes of their symptoms, review test results, and choose appropriate treatment or monitoring strategies. Her consultations are suitable both for first-time assessments and for follow-up care over time.

Patients commonly consult Dr Marta Reguero Capilla for:

  • allergic rhinitis, seasonal allergies, and perennial allergy symptoms;
  • allergic conditions in adults and children;
  • bronchial asthma and allergy-related respiratory symptoms;
  • urticaria (acute and chronic) and angioedema;
  • food allergies and reactions to foods, additives, or medications;
  • atopic dermatitis, allergic rashes, and persistent itching;
  • unexplained or recurrent allergic reactions;
  • interpretation of laboratory tests, allergy testing, and immunology results;
  • immune system concerns, frequent infections, and reduced immune response;
  • ongoing medical follow-up and treatment adjustment.
Dr Reguero Capilla works in a structured and attentive manner, explaining medical decisions clearly and helping patients make informed choices about their own health or their child’s care.

When clinically appropriate, she may provide recommendations for further tests or referrals that patients can use within Spanish medical networks, including Sanitas and DKV, in accordance with the terms and conditions of those services.

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Svetlana Kolomeeva

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Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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Alina Tsurkan

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Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

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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Mar Tabeshadze

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Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • 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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Lina Travkina

Family medicine12 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

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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Alexandra Alexandrova

General medicine8 years of experience

Dr Alexandra Alexandrova is a licensed general medicine doctor in Spain, specialising in trichology, nutrition, and aesthetic medicine. She offers online consultations for adults, combining a therapeutic approach with personalised care for hair, scalp, and overall health.

Areas of expertise:

  • Hair loss in women and men, postpartum hair loss, androgenetic and telogen effluvium.
  • Scalp conditions: seborrheic dermatitis, psoriasis, scalp irritation, dandruff.
  • Chronic conditions: hypertension, diabetes, metabolic disorders.
  • Online trichology consultation: customised treatment plans, nutritional support, hair growth stimulation.
  • Hair loss prevention: hormonal imbalance, stress factors, haircare strategies.
  • Routine health check-ups, prevention of cardiovascular and metabolic diseases.
  • Personalised nutritional advice to improve hair strength, skin health, and hormonal balance.
  • Aesthetic medicine: non-invasive strategies to enhance skin quality, tone, and metabolic wellness.

Dr Alexandrova follows an evidence-based and holistic approach: online consultations with a therapist and trichologist on Oladoctor provide professional support for hair, scalp, and overall health — all from the comfort of your home.

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