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Episode
Varicose veins are just a symptom! Medicine remains silent about the real cause! Monitor your bod...
~19 min
Episode Brief·YouTube

Varicose veins are just a symptom! Medicine remains silent about the real cause! Monitor your bod...

Hubert Czerniak
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TL;DR

The four things you'd lose by not watching

4 items

TL;DR

The four things you'd lose by not watching

4 items
1

Varicose veins are inflammatory hernias of vein walls, not just a mechanical problem; the root cause is systemic chronic inflammation driven by pro-inflammatory diets, aluminum accumulation from environment and vaccines, and mineral deficiencies.

2

Hubert Czerniak claims mainstream medicine treats only symptoms (e.g., diosminex) while ignoring the real cause; he proposes a holistic regimen: low-carb/high-fat diet, silica (especially bamboo extract) to chelate aluminum, collagen supplementation, grounding, and alkalizing water.

3

The cornerstone of his protocol is high-dose silica to bind and eliminate aluminum, which he calls 'the greatest inflammatory factor'; he also recommends calf raises, compression stockings, vitamin C to bowel tolerance, and topical pimafucort for hemorrhoids.

4

He critiques official dietary guidelines (EU, food pyramid) as pro-inflammatory and advocates returning to ancestral eating (lard, fermented foods) alongside sun exposure and sleeping between 10 pm and 11 pm for peak regeneration.

Protocols

Concrete recipes — what, when, how much, and why

9 items

Calf raise exercises for venous return

WhatStanding on toes (calf raises) 20–50 repetitions, performed periodically during prolonged standing.
WhenWhenever standing for extended periods (e.g., surgery, retail work).
Dose20–50 reps per set; frequency not strictly defined but implied throughout the day.
For whomPeople with standing occupations (surgeons, shop assistants, etc.) and anyone susceptible to venous stasis.
WhyActivates the ‘muscle heart’ (triceps surae) to pump blood upward, preventing passive venous congestion and varicose vein formation.
CaveatsNone mentioned.

Czerniak explains that standing still for hours causes passive hyperemia (blood pooling) in the lower limbs, which is an occupational hazard for surgeons and anyone who stands without movement. The simple act of rising on the toes dynamically empties the deep veins. He insists this is the foundation for both prevention and management of existing varicose veins, because even if inflammation is already present, reducing stasis lowers further damage.

Mechanism

The contraction of the gastrocnemius and soleus muscles compresses the deep veins of the leg, forcing blood toward the heart and overcoming gravity. This reduces venous pressure and stasis, preventing the inflammatory distension that leads to varicose hernias. Czerniak refers to the calf muscles as ‘the muscle heart’ due to this central role in venous return.

Ruszyć mięsień łytki. Ten trójgłowy łydki to jest tak zwane serce mięśniowe. … Stajecie na palcach. 20, 50 takich wspięć na się na palcach.

Also said
“Siła skurczu mięśnia łydki wyrzuca krew do góry, ułatwia powrót, uniemożliwia zaleganie w kończynie dolnej.”— Elaborates on the physiological benefit of the pump.

Leg elevation during sedentary work

WhatPlace feet on the desk so the pelvis is below foot level.
WhenDuring prolonged sitting.
For whomAnyone with a desk job.
WhyUses gravity to aid venous return from the legs, preventing blood pooling.

Czerniak notes that sitting also makes the legs the lowest point, so reversing the slope (feet high, pelvis low) is a simple, highly effective intervention he recommends alongside calf raises.

Mechanism

Elevating the legs reduces hydrostatic pressure in the veins of the lower extremities, minimizing venous distension and stasis.

Starajcie się nogi stawiać na biurko, żeby biodra, miednica była niżej niż wasze stopy.

Compression stockings: pre-standing application

WhatApply compression stockings while still lying in bed, leg elevated, before lowering the legs to stand.
WhenFirst thing in the morning, before getting out of bed.
For whomAnyone with varicose veins or venous insufficiency.
WhyPrevents venous dilation that occurs when gravity acts on the legs upon standing; the stockings maintain external pressure to support vein walls.
CaveatsThe technique is crucial: put the leg up, pull on the stocking, only then step out of bed. Doing it after standing negates much of the benefit.

Czerniak compares the nocturnal recumbent position—where veins are relatively empty—to the immediate gravitational surge upon rising. If stockings are applied while the veins are collapsed, they prevent the pathological distension during the day. He presents this as standard but often incorrectly performed recommendation.

Gdy człowiek wstaje z nocy, to zanim posadzisz pupkę na łóżku i golenie pójdą w dół, to noga w górę i naciągasz pończochy. Dopiero wtedy schodzisz z łóżka.

Pimafucort ointment for anal varicose veins

WhatAfter a bowel movement, wash the perianal area and apply Pimafucort ointment (containing antibiotic and steroid).
WhenAfter each bowel movement, in the context of hemorrhoids.
For whomPeople with hemorrhoids (anal varicose veins).
WhyDirectly suppresses local inflammation and infection; hemorrhoids being an inflammatory hernia require anti-inflammatory topical treatment.
CaveatsThis is an off-label use; the speaker’s personal practice. He clarifies it’s a symptomatic treatment, not a root-cause cure.

Czerniak learned this from female patients and later incorporated it into his own recommendations. He emphasizes that it’s a ‘symptomatic substance’—helpful while the underlying dietary and detoxifying measures take effect. The anecdote underscores his pragmatic, patient-driven approach.

Mechanism

The corticosteroid component reduces inflammatory edema and cytokine activity in the hemorrhoidal mucosa, while the antibiotic prevents secondary infection. Czerniak views the hernia as an inflammatory event, so topical anti-inflammatories provide local relief.

Personal experience

He states: ‘Kobiety to zauważyły, przekazały mi to, gdy byłem lekarzem w przychodni i sam to później stosowałem, zalecałem dalej.’

Po zrobieniu kubki podmywasz pupkę i smarujesz żylaki pimafukortem.

Also said
“Pimafukort był płyn pimafucin, teraz go nie widzę. Steryt, tak, doradzam.”— He acknowledges the product’s steroid content and gives a direct endorsement.

Propolis suppositories for hemorrhoids

WhatUse propolis (bee glue) suppositories as an additional symptomatic measure.
WhenNot specified; presumably regularly for hemorrhoid flare-ups.
For whomPeople with anal varicose veins.
WhyPropolis has anti-inflammatory and antimicrobial properties, helping to calm the inflamed hemorrhoidal tissue.

Mentioned briefly as another ‘simple thing’ that can be used symptomatically alongside dietary and lifestyle changes.

Oprócz tego możemy podać czopki propolisowe. Prosta rzecz.

Magnesium salts for constipation

WhatTake magnesium salts (old galenical laxative) to relieve constipation.
WhenAs needed for constipation.
DoseNot specified; general laxative dosing.
For whomAnyone suffering from constipation, which exacerbates hemorrhoidal pressure and venous congestion.
WhyMagnesium salts work osmotically, drawing water into the colon, and are poorly absorbed, so they safely soften even hard fecal stones; also feed beneficial gut bacteria.

Czerniak calls magnesium salts the oldest galenical remedy for constipation and insists there is ‘no possibility of it not working.’ He recommends them as a natural, effective approach to prevent the straining that increases intra-abdominal pressure and worsens hemorrhoids.

Mechanism

Poorly absorbed magnesium creates an osmotic gradient that pulls water into the intestinal lumen, hydrating and disintegrating hardened stool. Additionally, the magnesium serves as a substrate for gut microbiota growth.

Sole magnezu to najstarszy lek galenowy na zaparcia. Nie ma możliwości nie puścić tego twardego.

Also said
“Magenez jest słabo wchłaniany, ale to nie szkodzi. Bakterie go wykorzystują do swojego rozwoju.”— Adds a dual mechanism: osmotic effect and gut flora support.

Vitamin C to bowel tolerance

WhatIngest vitamin C (powder, one teaspoon) every two hours until diarrhea occurs, then reduce the dose by one teaspoon and spread that amount over the following day.
WhenDuring active constipation or as an anti-inflammatory/collagen-boosting protocol.
DoseStart with 1 tsp (~4-5 g) every 2 hours. For example, if diarrhea occurs after the 6th teaspoon, the next day take 5 teaspoons spread across the day, not all at once.
For whomPeople with constipation, subclinical vitamin C deficiency, or those needing enhanced collagen formation (e.g., varicose vein repair).
WhyAchieves both osmotic laxative effect to clear the bowel and saturates tissues with vitamin C, which is required for collagen synthesis and acts as a systemic anti-inflammatory.
CaveatsMust be titrated carefully; taking too much too quickly will cause immediate diarrhea, but the goal is gradual tissue saturation, not acute purging.

Czerniak presents this as an old naturopathic technique (identifying the ‘intestinal barrier’) that simultaneously resolves constipation and rebuilds the body’s collagen reserves. He compares the gradual saturation to a loading test, warning against taking two teaspoons at once because that causes immediate diarrhea without achieving the prolonged saturation. He points to scurvy as the extreme manifestation and claims most people are walking around with ‘chronic, subacute deficit.’ He explains that without adequate vitamin C, proper collagen cannot form, perpetuating the inflammatory hernia cycle. He also notes that seasonal berries (strawberries, raspberries, kiwi) provide natural sources, implying supplementation may be needed additionally.

Mechanism

Vitamin C acts osmotically in the gut—unabsorbed ascorbate pulls water into the colon, softening stool. Systemically, once saturated, it is a key cofactor for prolyl and lysyl hydroxylase enzymes that cross-link collagen, directly supporting vein wall integrity. Czerniak asserts that society suffers from chronic, subacute vitamin C deficiency despite dietary sources, and that this defect contributes to weak connective tissue and poor healing.

Bierzemy łyżeczkę co dwie godziny, za dwie, za cztery, za sześć, za osiem, szukacie tak zwanej bariery jelitowej.

Also said
“Bez witaminy C nie stworzycie prawidłowego kolagenu. Pamiętacie szkorbut?”— Links the widespread deficiency to the collagen failure behind varicose veins.
“Chodzi o to, żeby nasycić organizm z witaminą C, która jest przeciwzapalna.”— Clarifies the dual purpose: not just laxative but anti-inflammatory saturation.

Bamboo silica supplementation

WhatDrink bamboo silica extract daily, shaking the bottle to resuspend sediment.
WhenDaily, indefinite use.
DoseNo fixed dose; ‘like drinking fruit juice.’ Speaker says you cannot overdose; any excess simply chelates more aluminum.
For whomEveryone living in the modern environment (exposed to aluminum). Especially those with varicose veins or any chronic inflammatory condition.
WhySilica binds aluminum into inert aluminosilicates, eliminating the primary inflammatory trigger and allowing connective tissue to heal.
CaveatsDo not combine aluminum-containing foods/drinks with acids (e.g., tea leaves plus lemon). The extract must be shaken because orthosilicic acid can polymerize at concentrations above 1%, reducing bioavailability; thus, commercial extracts are pre-stabilized.

Czerniak heavily emphasizes silica as the sharp sword that can cut the Gordian knot of all inflammatory diseases. He reviews various natural sources (horsetail, lungwort, nettle, pokeweed) but warns that home-made decoctions can over-concentrate orthosilicic acid, causing polymerization and loss of bioavailability. Therefore, he favors standardized bamboo extract from the Far East, which he drinks himself. He believes that the modern epidemic of aluminum overload—from vaccines, airborne particles, food packaging, and water treatment—makes silica supplementation a necessity for everyone. He ties it back to varicose veins by asserting that once aluminum-triggered inflammation subsides and connective tissue rebuilds (over ~3 months), the veins can regenerate.

Mechanism

Orthosilicic acid (the bioavailable form of silica) chelates aluminum ions in the gastrointestinal tract and possibly in tissues, forming stable, non-toxic aluminosilicates that are excreted. This reduces the body’s aluminum burden, thereby lowering systemic inflammation. Czerniak claims that after adequate silica intake, aluminum levels drop to about 30% of baseline.

Personal experience

He says: ‘Pan Czerniak sobie będzie pił ten ekstrakt z bambusa, bo nic się po tym nie dzieje.’ (Mr. Czerniak will drink this bamboo extract because nothing bad happens.)

Więc to jest jeden na przykład krzem, który zabiera aluminium.

Also said
“W momencie gdy uda nam się dojść do odpowiedniej ilości krzemu w organizmie, wtedy zostanie w granicach 30% aluminium.”— Provides a quantitative target for aluminum reduction via silica.
“Krzem jest fenomenalny. On wiąże się z aluminium, tworząc glinokrzemiany i wyjazd. Nie ma.”— Reinforces the mechanism and the finality of aluminum elimination.

Fish collagen and glycine supplementation

WhatTake fish-derived collagen (odourless) and consider additional glycine.
WhenDaily for at least 3 months to match connective tissue turnover.
DoseNot specified; general collagen supplement doses. Glycine as a complementary amino acid.
For whomPeople with varicose veins, weak connective tissue, or anyone wanting to support tissue repair.
WhyVein walls are made of connective tissue (collagen); providing building blocks accelerates repair once inflammation is controlled.
CaveatsGood quality fish collagen should not smell fishy; odd smell indicates fish meat residue, not pure collagen. Bovine/calf collagen is harder to absorb.

He ties collagen intake to the three-month turnover cycle of soft connective tissue. Assuming the inflammatory cascade is halted by diet and silica, the body can then reconstruct competent vein walls using dietary collagen and vitamin C. He humorously recommends ‘brawn’ (salceson) and pig’s trotters as traditional collagen sources but ultimately advocates for fish collagen because of its higher bioavailability.

Mechanism

Collagen supplies glycine, proline, and hydroxyproline—the predominant amino acids needed for synthesis of new connective tissue. Czerniak notes that every third amino acid in collagen is glycine, so supplementing glycine alone may further support synthesis.

Z czego jest zbudowana tkanka łączna. Z kolagenu. Tak. A więc musicie podać kolagen.

Also said
“Jak bierzecie kolagen, jeżeli czuć go rybą, to znaczy, że 50% tego, co kupujecie, to jest mięso rybie. Jego ma nie być czuć.”— Practical quality check for fish collagen supplements.

What's new

Personal practice updates, fresh positions, predictions

3 items

Varicose veins as systemic inflammatory hernia

N/A

Czerniak redefines varicose veins not as a localized venous insufficiency but as a hernia caused by systemic inflammation, with the same pathomechanism as hemorrhoids, nasal polyps, and other inflammatory disorders.

Why this matters: Challenges the conventional view that varicose veins are primarily a mechanical or genetic issue, instead linking them to a ubiquitous inflammatory process that mainstream medicine ignores while offering only symptomatic relief.

Background

Standard explanations focus on valve failure, prolonged standing, pregnancy, or genetic predisposition. Czerniak argues these are contributors but the upstream driver is chronic inflammation, particularly from diet and aluminum overload, which weakens the thin walls of veins.

He explains that a vein’s wall is thin connective tissue; when inflamed, it becomes a site of hernia formation—the varicosity. This inflammation, he asserts, begins in the gut years earlier due to a pro-inflammatory diet (high carbohydrates, processed food) and accumulation of aluminum from vaccines, airborne particles, food packaging, and water treatment. He compares it to hemorrhoids, which are mucosal hernias from inflammation, and notes that colonoscopies often reveal polyps (another inflammatory manifestation) in the same patients. He mocks the medical approach: ‘Diosminex shrinks the vein while you take it, but when you stop, the varicosity returns—just like saw palmetto for prostate enlargement. We must eliminate the cause, not mask the symptom.’ He ties this to a broader pattern, claiming that all inflammatory diseases—Hashimoto’s, lupus, rheumatoid arthritis—share this root, and that aluminum is the primary trigger. This is a radical reframing intended to redirect patients toward lifestyle and detoxification rather than lifelong drug dependency.

Żylak jest przepukliną, najczęściej na tle zapalnym.

Also said
“Skoro jest to przepuklina, skoro przepuklina jest procesem zapalnym, więc należałoby podać substancję przeciwzapalną.”— Directly connects the hernia concept to an anti-inflammatory treatment strategy.
“Proces zapalny zaczyna się już w jelitach dużo, dużo wcześniej.”— Emphasizes the gut origin of systemic inflammation that later manifests as varicose veins.

Carbohydrates as pro-inflammatory and ancestral dietary reversion

N/A

Czerniak claims that the high-carbohydrate diet promoted by the EU and dietitians is pro-inflammatory, while a low-carb, high-fat diet is anti-inflammatory and aligned with ancestral eating patterns that prevented modern diseases.

Why this matters: Directly challenges official nutrition guidelines and food pyramid, using strong analogies (comparing diabetic carb recommendations to walking on a sprained ankle) and citing longevity of grandparents who consumed lard and egg yolks.

He ridicules the standard of care for diabetic children: ‘Five times a day carbohydrates. Diabetes is an inflammatory process… If you came to me with a sprained ankle, would I tell you to walk five times a day half a kilometre? Somebody is detached from reality.’ He draws a chemical parallel: protein and carbohydrates differ only by the functional group (NH₂ vs OH), but carbs have more OH groups and are more inflammatory, while fats are the cleanest fuel. Thus, he advises a high-fat diet, with plenty of vegetables for cellulose (not starch), and ferments like sauerkraut and fermented pickle water to heal the gut flora. He sees this as the foundation—once the inflammatory inputs are removed, the body’s connective tissue, which turns over in about three months, can regenerate. He dismisses the food pyramid that puts fats at the apex in tiny amounts, contrasting it with his grandparents who ‘ate bacon and yolks and lived to 100’ without the chronic diseases now clogging clinics.

Dieta nisko węglowodanowa, czyli przeciwzapalna, więc wysokotłuszczowa.

Also said
“Dlaczego nasi dziadkowie jak jedli boczek żółtka to żyli 100 lat? Nie mieli tych chorób cywilizacyjnych, którymi w tej chwili przychodnie są zapchane.”— Uses ancestral anecdote to legitimize the high-fat, low-carb stance against modern guidelines.
“Jeżeli przychodzę do was ze złamaną albo skręconą kostką, czy zalecicie mi pięć razy dziennie po pół kilometra? … Ktoś się odkleił od rzeczywistości.”— Vivid analogy to highlight the perceived irrationality of carbohydrate recommendations in inflammatory conditions like diabetes.

Personal adoption of Pimafucort ointment for hemorrhoids

N/A

Czerniak shares that female patients taught him to apply Pimafucort (antibiotic + corticosteroid ointment) to anal varicose veins after cleaning, and he adopted and recommended it.

Why this matters: Reveals an off-label, patient-originated remedy that integrates into his anti-inflammatory protocol, demonstrating his openness to anecdotal evidence outside conventional prescribing norms.

While a doctor in a clinic, women informed him that after a bowel movement, washing the area and applying Pimafucort to hemorrhoids gave relief. He began using this advice himself and later passed it on to other patients. He notes Pimafucort contains an antibiotic and a steroid, directly addressing the local inflammation he sees as the core of the hernia. This is framed as a symptomatic measure that can be used concurrently with root-cause strategies (diet, silica, etc.), not as a standalone cure.

Personal experience

He explicitly says: ‘Kobiety to zauważyły, przekazały mi to, gdy byłem lekarzem w przychodni i sam to później stosowałem, zalecałem dalej.’ (Women noticed this, passed it on to me when I was a doctor in the clinic, and I later used it myself and recommended it further.)

Po zrobieniu kubki podmywasz pupkę i smarujesz żylaki pimafukortem, czyli maść, która zawiera antybiotyk i sterydy.

Also said
“Kobiety to zauważyły, przekazały mi to…”— Credits the origin of the protocol to patient experience rather than clinical research.

Recommendations

Products, supplements, and tools mentioned in the episode

5 items

Pimafucort ointment

Product

An ointment containing an antibiotic and a corticosteroid; Czerniak recommends applying it to anal varicose veins after bowel movements based on anecdotal patient reports and his own practice.

He describes a specific ritual: wash the anal area after stool, then apply the ointment. He cautions that it is a symptomatic remedy, not a cure, but useful while working on root causes. This recommendation comes from female patients who first told him about it, and he validated it through personal use and further recommendation.

Personal experience

He used it himself after learning of it and recommended it to others.

Pimafukort był płyn pimafucin, teraz go nie widzę. Steryt, tak, doradzam.

Also said
“Po zrobieniu kubki podmywasz pupkę i smarujesz żylaki pimafukortem.”— Provides the exact application instructions.
Find Pimafucort

Propolis suppositories

Supplement

Suppositories made from propolis (bee glue), used as an additional symptomatic treatment for hemorrhoids.

Mentioned briefly as a simple, natural option with anti-inflammatory properties alongside the root-cause protocol.

Oprócz tego możemy podać czopki propolisowe. Prosta rzecz.

Find Propolis

Fish collagen (odourless)

Supplement

Dietary supplement providing type I collagen from fish, free of fishy smell, taken to support vein wall repair.

Czerniak insists that true collagen supplements have no detectable fish odour; a fishy smell means it contains leftover fish meat protein, reducing purity. He also notes bovine collagen is harder to absorb. He recommends taking it for at least 3 months to match connective tissue turnover.

vs alternatives

Compared to bovine/calf collagen, fish collagen is more bioavailable according to him.

Najlepiej wchłania się rybi. Jak bierzecie kolagen, jeżeli czuć go rybą, to znaczy, że 50% tego, co kupujecie, to jest mięso rybie.

Also said
“Kolagen co trzeci aminokwas to glicyna, więc można pomyśleć o suplementacji glicyny.”— Suggests an adjunct supplement (glycine) to further support collagen synthesis.
Find Fish

Magnesium salts (laxative grade)

Supplement

Old galenical laxative; magnesium salts (likely magnesium sulfate or citrate in loose form) used to relieve constipation by osmotic action.

Czerniak recommends them as the safest and most reliable constipation remedy, noting they also feed gut bacteria. He presents them as a staple to avoid straining and worsening hemorrhoids. No specific brand mentioned.

Sole magnezu to najstarszy lek galenowy na zaparcia.

Also said
“Magenez jest słabo wchłaniany, ale to nie szkodzi. Bakterie go wykorzystują do swojego rozwoju.”— Adds information on dual benefit.
Find Magnesium

Sophora japonica (perelkowiec) extract

Supplement

Extract of Japanese pagoda tree, suggested as another beneficial substance for veins (historically used for vascular health).

Mentioned briefly as a ‘phenomenal’ thing that viewers can search for; no detailed discussion. Likely recommended as an adjunct to other vein-supporting measures.

Fenomenalną rzeczą jest na przykład perełkowiec. wyciąg z perełkowca japońskiego. Możecie sobie poszukać.

Find Sophora
Disclosed sponsorships1speaker disclosed

Eremedium store

Service Sponsored · disclosed

An online or physical store selling vitamins, healthy food, cosmetics, books, and medical products; the speaker encourages listeners to shop there.

DisclosureThe speaker explicitly endorses the Eremedium store at the end of the episode, calling it a place that helps make wise decisions; this is likely a paid sponsorship or personal partnership.

In the outro, Czerniak describes Eremedium as a space where one can find products to take care of oneself and loved ones. He uses first-person endorsement (‘For me, one of such places is the Eremedium store. I invite you to the Remedium store.’) suggesting a commercial relationship.

Dla mnie jednym z takich miejsc jest sklep Eremedium. Zapraszam do sklepu Remedium.

Find Eremedium

Notable quotes

Lines worth pulling out — contrarian, specific, or perfectly phrased

5 items
Żylak jest przepukliną, najczęściej na tle zapalnym.
Distills his entire thesis into one sentence: varicose veins are inflammatory hernias, not just dilated veins.
Węglowodany są prozapalne.
A blunt, controversial claim that contradicts mainstream nutrition advice and sets up his dietary protocol.
Dlaczego nasi dziadkowie jak jedli boczek żółtka to żyli 100 lat? Nie mieli tych chorób cywilizacyjnych, którymi w tej chwili przychodnie są zapchane.
Uses a vivid generational contrast to attack modern dietary guidelines and justify a high-fat ancestral diet.
Jeżeli przychodzę do was ze złamaną albo skręconą kostką, czy zalecicie mi pięć razy dziennie po pół kilometra? … Ktoś się odkleił od rzeczywistości.
A sarcastic analogy illustrating the absurdity he sees in prescribing high carbohydrate intake for inflammatory conditions like diabetes.
Krzem jest fenomenalny. On wiąże się z aluminium, tworząc glinokrzemiany i wyjazd. Nie ma.
A memorable, almost colloquial declaration of the silica-aluminum chelation principle, ending with the finality of elimination.

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Topics covered

varicose-veins-pathologysystemic-inflammationaluminum-toxicitysilica-chelationdietary-inflammationlow-carb-high-fat-dietcalf-muscle-pumpcompression-stockingspimafucort-ointmentpropolis-suppositoriescollagen-supplementationvitamin-c-bowel-tolerancemagnesium-salts-constipationbamboo-extractglyphosate-impactgrounding-therapysun-exposuresleep-importancemelatonin-antioxidantomega-fatty-acids
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