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Fortrans

Ask a doctor about a prescription for Fortrans

5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

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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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 Fortrans

Package Leaflet: Information for the User

Warning! Keep the leaflet! Information on the immediate packaging in a foreign language.

Fortrans

powder for oral solution, in a sachet
macrogol 4000, anhydrous sodium sulfate, sodium bicarbonate, sodium chloride, potassium chloride

Read the leaflet carefully before taking the medicine, as it contains important information for the patient.

  • Keep this leaflet, so that you can read it again if you need to.
  • If you have any doubts, consult a doctor or pharmacist.
  • This medicine has been prescribed specifically for you. Do not pass it on to others. The medicine may harm another person, even if their symptoms are the same.
  • If the patient experiences any side effects, including any side effects not listed in this leaflet, they should tell their doctor, pharmacist, or nurse. See section 4.

Table of Contents of the Leaflet:

  • 1. What is Fortrans and what is it used for
  • 2. Important information before taking Fortrans
  • 3. How to take Fortrans
  • 4. Possible side effects
  • 5. How to store Fortrans
  • 6. Package contents and other information

1. What is Fortrans and what is it used for

Fortrans is used in adults to cleanse the intestine before an examination or surgical procedure in the intestine.
Fortrans is an osmotic laxative containing macrogol with a high molecular weight (polyethylene glycol, PEG) and additional salts. Fortrans increases the amount of fluid in the intestine, causing more frequent bowel movements with a watery stool, which ultimately leads to cleansing of the intestines.

2. Important information before taking Fortrans

When not to take Fortrans:

  • if the patient is allergic to macrogol (PEG), anhydrous sodium sulfate, sodium bicarbonate, sodium chloride, potassium chloride, or any of the other ingredients of this medicine (listed in section 6);
  • if the patient has severe heart failure;
  • if the patient is in a severe general condition, e.g., is dehydrated;
  • if the patient is in an advanced stage of cancer or has another disease that leads to excessive fragility of the mucous membrane;
  • if the patient has an acute phase of inflammatory bowel disease, including Crohn's disease and ulcerative colitis;
  • if the patient has a perforation of the gastrointestinal tract wall or there is an increased risk of perforation of the gastrointestinal tract wall;
  • if the patient has colitis or toxic colitis;
  • if the patient has intestinal obstruction or suspected intestinal obstruction;
  • if the patient has gastric emptying disorders (such as gastroparesis - slowed gastric emptying);
  • in children and adolescents under 18 years of age.

Warnings and precautions

In elderly patients in poor general condition, the medicine should be used only under medical supervision.
This medicine contains macrogol. Allergic reactions (including rash, itching, and severe allergic reaction with sudden swelling of the face, lips, tongue, or throat, or difficulty breathing or wheezing) have been reported after taking products containing macrogol.
Diarrhea caused by taking Fortrans may significantly disrupt the absorption of other medicines taken at the same time (see section Fortrans and other medicines).
If the patient is at risk of changes in electrolyte levels (disorders of water and electrolyte balance), for example, in patients with renal failure, heart failure, or taking diuretics, the doctor may decide to monitor electrolyte levels in the blood before and after taking the medicine. Caution should be exercised when using in patients with a tendency to develop disorders of water and electrolyte balance.
Before taking Fortrans, consult a doctor or pharmacist if:

  • the patient has heart disease (including heart failure);
  • the patient has kidney disease;
  • the patient has a swallowing disorder or risk of aspiration (food or fluid entering the airways);
  • the patient is bedridden;
  • the patient is taking diuretics (medicines that increase urine production).

If, during the intake of Fortrans for intestinal cleansing, the patient experiences sudden abdominal pain or rectal bleeding, they should contact a doctor or seek medical help immediately.

Children and adolescents

Fortrans is not intended for use in patients under 18 years of age. The safety and efficacy of use in this group have not been established.

Fortrans and other medicines

Tell your doctor or pharmacist about all medicines you are taking, have recently taken, or plan to take.
Diarrhea caused by taking Fortrans may cause significant disruptions in the absorption of other medicines taken at the same time. The absorption of other medicines, such as digoxin (a medicine used for heart conditions), antiepileptic medicines, coumarins (blood-thinning medicines), and immunosuppressive medicines (used, for example, in the treatment of cancer and after organ transplants) may be temporarily reduced when taken with Fortrans, which may reduce their effectiveness.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Fortrans contains sodium and potassium

The medicine contains 2.890 g of sodium (the main component of common salt) in each sachet. This corresponds to 144.5% of the maximum recommended daily intake of sodium in the diet for adults.
This should be taken into account in patients on a strict low-sodium diet.
Fortrans contains 393 mg of potassium in one sachet, which should be taken into account in patients with reduced kidney function and in patients controlling their potassium intake.

3. How to take Fortrans

Always take Fortrans exactly as your doctor has told you. If you are not sure, ask your doctor or pharmacist.
Fortrans is intended for use in adults only. The recommended dose is approximately one liter of solution per 15 to 20 kg of body weight, which corresponds to an average dose of 3 to 4 liters of solution.
To prepare one liter of solution, the contents of one sachet should be dissolved in one liter of water. Mix until the powder is completely dissolved. After dissolving the powder, start taking the solution immediately. One liter of solution should be taken within one hour.
Fortrans can be administered:

  • in divided doses:
  • either 2 liters in the evening before the examination or procedure and 1-2 liters in the morning of the examination or procedure;
  • or 3 liters in the evening before the examination or procedure and 1 liter in the morning of the examination or procedure;

in a single dose:

  • 3-4 liters in the evening before the examination or procedure, with a possible 1-hour break after drinking 2 liters of solution.

According to the doctor's recommendation, drink one 250 ml glass of solution every 10 to 15 minutes.
It is recommended that the patient take the last part of the solution 3-4 hours before the examination or procedure.

Overdose of Fortrans

If you think you have taken too much of Fortrans, inform your doctor and drink plenty of water or clear fluids to prevent dehydration.

4. Possible side effects

After taking the medicine, frequent bowel movements with a watery stool will occur. This is normal and indicates the effective action of the medicine. Stay in the vicinity of the toilet until the effect of the medicine has passed.
Like all medicines, Fortrans can cause side effects, although not everybody gets them.

If you experience any of the following symptoms, stop taking Fortrans and contact your doctor or the Emergency Department of the nearest hospital immediately. Take the package leaflet with you to inform the doctor which medicine you have taken:

Allergic reaction - symptoms may include skin rash, itching, swelling of the skin (hives), or itching.

Severe allergic reaction causing swelling of the face or throat (angioedema) or difficulty breathing or dizziness (anaphylactic reaction).

  • Allergic reaction - symptoms may include skin rash, itching, swelling of the skin (hives), or itching.
  • Severe allergic reaction causing swelling of the face or throat (angioedema) or difficulty breathing or dizziness (anaphylactic reaction).

Other side effects include:

Very common (may affect more than 1 in 10 people)

  • Nausea (feeling sick)
  • Bloating or abdominal pain

Common (may affect up to 1 in 10 people)

  • Vomiting

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

  • Allergic reactions (including rash, hives, and severe allergic reaction with sudden swelling of the face, lips, tongue, or throat, or difficulty breathing or wheezing)

Allergic reactions (including rash, hives, and severe allergic reaction with sudden swelling of the face, lips, tongue, or throat, or difficulty breathing or wheezing)

Reporting side effects

If you experience any side effects, including any side effects not listed in this leaflet, tell your doctor, pharmacist, or nurse. Side effects can be reported directly to the Department for Monitoring of Adverse Reactions to Medicinal Products, Urząd Rejestracji Produktów Leczniczych, Wyrobów Medycznych i Produktów Biobójczych, 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 or parallel importer.
Reporting side effects will allow more information to be collected on the safety of this medicine.

5. How to store Fortrans

Keep the medicine out of the sight and reach of children.
There are no special precautions for storage.
Do not use this medicine after the expiry date stated on the packaging. The expiry date refers to the last day of the month stated.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Package contents and other information

What Fortrans contains

  • The active substances of Fortrans are macrogol 4000, anhydrous sodium sulfate, sodium bicarbonate, sodium chloride, potassium chloride.
  • The excipient is sodium saccharin.

What Fortrans looks like and contents of the pack

One sachet contains 73.69 g of powder.
The pack contains: 4 sachets, 48 sachets, or 50 sachets.
For more detailed information, contact the marketing authorization holder or parallel importer.

Marketing authorization holder in Romania, the country of export:

IPSEN Consumer HealthCare
65 Quai Georges Gorse
92650 Boulogne-Billancourt Cedex
France

Manufacturer:

Beaufour Ipsen Industrie
Rue d’Ethé Virton
28100 Dreux
France

Parallel importer:

Allpharm Sp. z o.o. sp.k.
ul. M. Zdziechowskiego 11/4
02-659 Warsaw

Repackaged by:

CEFEA Sp. z o.o. Sp. komandytowa
ul. Działkowa 56
02-234 Warsaw
Synoptis Industrial Sp. z o.o.
ul. Forteczna 35-37
87-100 Toruń
Authorization number in Romania, the country of export:1992/2009/01

Parallel import authorization number: 97/24

Date of leaflet approval: 11.03.2024

[Information about the trademark]

  • Country of registration
  • Active substance
  • Prescription required
    Yes
  • Marketing authorisation holder (MAH)
    Ipsen Consumer HealthCare
  • Alternatives to Fortrans
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Alternatives to Fortrans in other countries

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

Alternative to Fortrans in Spain

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Alternative to Fortrans in Ukraine

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Online doctors for Fortrans

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

5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

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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Antonio Cayatte

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Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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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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  • 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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Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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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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Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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Common reasons for consultation include:

  • abdominal pain, cramps, discomfort, painful bowel movements
  • heartburn, acid reflux, burping, bitter taste in the mouth
  • bloating, excessive gas, nausea or vomiting
  • diarrhoea, constipation, difficulty passing stool
  • unexplained changes in weight or appetite
  • concern about gut health or long-term digestive issues
  • changes in lab results, questions about test interpretation
  • digestive system cancer screening and prevention
  • general digestive check-ups and health assessments
Dr Habrykevych follows evidence-based medical standards and adapts each consultation to the patient’s individual situation. The online format allows for timely medical support without the need for an in-person visit.
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