TRIVERAM 20 MG/5 MG/5 MG

Marianna Neshta is a medical doctor specialising in endocrinology and ultrasound diagnostics. She provides online consultations for adults, focusing on the diagnosis, treatment, and long-term management of endocrine disorders. Her approach includes personalised care plans, analysis of lab results and ultrasound scans, and evidence-based treatment.

Key areas of expertise:

• Type 1 and Type 2 diabetes – diagnosis, therapy adjustment, CGM interpretation, and prevention of chronic complications
• Obesity – treatment using both medication and lifestyle strategies, including modern GLP-1 medications and tailored follow-up plans
• Thyroid disorders – ultrasound assessment, treatment planning, and management during pregnancy
• Male hypogonadism – age-related or hormonal, including diagnostics and therapy
• Metabolic syndrome, prediabetes, lipid disorders – risk assessment, lifestyle recommendations, and medical treatment
• Calcium metabolism disorders – diagnosis and management of osteoporosis, hyperparathyroidism, and hypoparathyroidism

Dr Neshta applies current clinical guidelines and diagnostic tools, offering medical support adapted to each patient’s individual needs — all in an accessible online format.

Dr Khrystyna Habrykevych is a gastroenterologist providing online consultations for adults with digestive and abdominal health concerns. She helps patients understand the causes of their symptoms, interpret test results, and choose appropriate next steps – whether it’s further investigation, treatment, or lifestyle adjustments.

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.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

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.

Dr Tetiana Fedoryshyn is a senior general practitioner, certified nutritionist, and psychologist with over 29 years of clinical experience. She combines classical internal medicine with modern approaches in lifestyle medicine, functional nutrition, and emotional health support.

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.

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

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.

Giorgi Eremeishvili is a top-category urologist, a Candidate of Medical Sciences, and a licensed physician in Spain. He provides expert assistance in the diagnosis and treatment of a wide range of urological conditions in both men and women, employing a comprehensive approach and evidence-based principles.

Key areas of expertise:

• Erectile dysfunction, decreased libido, premature ejaculation.
• Male infertility: comprehensive diagnosis and modern treatment methods.
• Prostate gland diseases: acute and chronic prostatitis, prostatic adenoma (benign prostatic hyperplasia), prostate cancer.
• Inflammatory diseases of the genitourinary system: acute and chronic cystitis, pyelonephritis, epididymitis, orchitis, urethritis.
• Sexually transmitted infections (STIs): chlamydia, ureaplasmosis, mycoplasmosis, gardnerellosis, candidiasis, herpetic infections, HPV, CMV, trichomoniasis, and others.
• Urination disorders: urinary retention, frequent urination, urinary incontinence, overactive bladder, neurogenic bladder.
• Neoplasms: cysts, tumors of the kidneys, bladder, testicles, prostate gland (including prostate cancer).
• Surgical interventions: determining indications and selecting optimal minimally invasive methods.

Dr. Eremeishvili applies an integrated approach to each case. This includes thorough preoperative preparation, postoperative observation, and regular dynamic follow-up during the treatment process to achieve the best possible outcomes. All diagnostic and therapeutic recommendations are based on current evidence-based medicine and comply with the recommendations of the European Association of Urology, guaranteeing high-quality and effective care.

If you are seeking qualified assistance in diagnosing or treating urological conditions, book an online consultation with Dr. Giorgi Eremeishvili. Get expert support, accurate diagnosis, and a personalized treatment plan from the comfort of your home.

Dr. Eteri Tabeshadze is a cardiologist with the highest qualification category and over 32 years of clinical experience. She also practises functional diagnostics, offering a comprehensive approach to cardiovascular care. Dr. Tabeshadze provides online consultations for adults with a wide range of heart-related conditions, from preventive screenings to acute and chronic disease management.

Areas of expertise include:

• Diagnosis and treatment of hypertension, coronary artery disease, and chronic heart failure
• Management of arrhythmias and conduction disorders, including paroxysmal events
• Emergency care: myocardial infarction, acute left ventricular failure, acute pulmonary heart disease
• Post-thromboembolism care and evaluation of cardiomyopathies
• Treatment of vegetative dysfunction and autonomic disorders
• Interpretation of cardiovascular tests: ECG, Holter monitoring, ambulatory blood pressure monitoring (ABPM), echocardiography (including transesophageal echo), stress echocardiography, exercise testing (VEM, treadmill test)

Dr. Tabeshadze combines extensive diagnostic experience with personalised care. She helps patients understand their cardiovascular health, navigate symptoms and diagnoses, and create tailored treatment plans to improve quality of life and reduce long-term risks.

Dr. Nataliia Lifantieva is a cardiologist and cardiac electrophysiologist with extensive experience in the diagnosis and treatment of arrhythmias. She offers online consultations for patients with chronic cardiovascular conditions, including medication management and post-operative follow-up.

Main areas of expertise:

• Diagnosis and treatment of arrhythmias: extrasystole, atrial fibrillation and flutter, supraventricular and ventricular tachycardia
• Conduction disorders: AV blocks, sinoatrial block, bradyarrhythmias
• ECG and Holter monitor interpretation, including data from smartwatches
• Evaluation for interventional treatment: stenting, bypass surgery, valve replacement
• Anticoagulant management (e.g., warfarin, DOACs) based on kidney function and clinical context
• Perioperative advice on anticoagulant/antiplatelet therapy before dental procedures

Dr. Sergei Nalkin, PhD, is a neurologist, specialising in sports medicine and rehabilitation. He provides expert care for patients with neurological, musculoskeletal, and post-traumatic conditions, focusing on functional recovery and long-term symptom relief.

Dr. Nalkin offers consultations and treatment for:

• Neurological disorders including migraines, tension headaches, and peripheral neuropathies.
• Rehabilitation after stroke, brain injury, and spinal cord trauma.
• Chronic pain syndromes and musculoskeletal dysfunctions.
• Sports-related injuries: prevention, treatment, and recovery planning.
• Coordination and movement disorders affecting mobility and balance.
• Custom rehabilitation programmes for neurological and orthopedic conditions.

With a personalised, evidence-based approach, Dr. Nalkin helps patients restore physical function, reduce pain, and improve quality of life through targeted therapy and long-term support.

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.