Ayurvedic Treatment of Thrombotic Thrombocytopenic Purpura (TTP) - Causes, Symptoms & Herbal Remedies

THROMBOTIC THROMBOCYTOPENIC PURPURA (TTP): OVERVIEW

Thrombotic thrombocytopenic purpura (TTP) is a rare, serious blood disorder which is characterized by a low platelet count (thrombocytopenia), and involves the tendency of the blood to clot.

In this disorder of the blood-coagulation system, tiny microscopic clots called ‘thrombi’ are formed extensively in the body’s small blood vessels. The formation of ‘thrombi’ throughout the body results in the consumption of platelets and, consequently, a lower platelet count. The condition, thus, affects the ability of the blood to clot when required -- such as in the case of an injury -- and causes excessive bleeding.

Besides lowering the platelet count severely, Thrombotic thrombocytopenic purpura can also cause an abnormal destruction of red blood cells (hemolytic anemia), as well as disturbances in the nervous system and other organs due to ‘thrombi’ formation in the smallest blood vessels.

In people affected by Thrombotic thrombocytopenic purpura, the formation of ‘thrombi’ in the body can adversely affect the normal flow of blood; and can cause damage to several organs of the body, including the heart, the kidneys, the brain, and the nervous system.

CAUSES OF THROMBOTIC THROMBOCYTOPENIC PURPURA

The exact cause of the occurrence of Thrombotic thrombocytopenic purpura is not known, though the disorder is generally linked to the deficiency of enzyme ADAMTS13 which plays a role in blood clotting. Due to the deficiency, substantial complexes of the ‘von Willebrand factor’ clotting protein start circulating in the blood of the affected individuals, leading to the clotting of platelets and the destruction of red blood cells.

Thrombotic thrombocytopenic purpura is believed to have an acquired form and a familial form. The acquired form of TTP is a non-inherited form of the disorder which involves an autoimmune reaction, and may occur in late childhood or adulthood. The familial form of TTP marks the occurrence of the disorder at birth, with its indications usually appearing in infancy or early childhood.

Thrombotic thrombocytopenic purpura may occur as a result of AIDS, or the HIV (human immunodeficiency virus) infection.

SYMPTOMS OF THROMBOTIC THROMBOCYTOPENIC PURPURA

There are commonly five main symptoms marking a classical presentation of TTP. These five symptoms are:

• Fever
• Mental-status changes
• Improper functioning of kidneys
• Thrombocytopenia
• Haemolytic anaemia (microangiopathic hemolytic anemia).

In addition, there are some other indications of the disorder as well. These indications include:

• Formation of purplish bruises (purpura) on skin or mucous membranes
• Shortness of breath
• Fatigue
• Jaundice
• Hypertension (High blood pressure)
• Low amount of urine, or protein/blood in urine.

TREATMENT OF THROMBOTIC THROMBOCYTOPENIC PURPURA

The treatment of Thrombotic thrombocytopenic purpura is typically focused on an effort by the doctors to return the 'normal' blood clotting ability in affected individuals.

Planet Ayurveda herbal manufacturing company offers some excellent herbal formulations which are very helpful in managing the symptoms of Thrombotic thrombocytopenic purpura and increasing the platelet count, so that the blood's clotting ability can be improved in the patients. The herbal products available from Planet Ayurveda for managing the disorder include:

1. Giloy Capsules

Standardized extract of the 'Giloy' herb (Tinospora cordifolia) are used for preparing these capsules. The herb is widely known in Ayurveda due to its anti-inflammatory, antioxidant, anti-cancer, antipyretic, and immune-boosting actions.

Giloy capsules can benefit TTP patients because they are helpful in treating chronic fever, managing several skin disorders, managing jaundice, treating anaemia, and managing different kinds of cancers.

Dosage: 1 capsule, two times a day.

2. Ashwagandha Capsules

Natural extract of the ‘Ashwagandha’ herb (Withania somniferum) is used for the preparation of these capsules. The potent herb has immense medicinal value, and has proven anti-inflammatory properties.

The use of these capsules is beneficial for patients suffering from TTP because they can improve brain function, enhance heart health, rejuvenate the body, reduce hypertension, strengthen the muscles, and improve overall mental health.

Dosage: 2 capsules, two times a day.

3. Cap. G-Plat

The use of these capsules is very beneficial in managing platelet-related disorders, especially low-platelet conditions like TTP. The herbal ingredients of these capsules can specially manage disorders in which the platelet production rate is much lower than the platelet destruction rate.

These capsules can manage certain conditions which can result in low platelet count, such as spleen disorders, different types of cancers, AIDS, leukaemia, and lymphomas.

Dosage: 1 capsule, two times a day.

4. Tab. Swarn Basant Malti Ras

A combination of several herbs and minerals is used for preparing these tablets, including Swaran Bhasma (Gold Calcined), Mukta Bhasma (Pearl Calcined), Kharpara Bhasma (Zinc Carbonate Calcined), Lauh Bhasma (Iron Calcined), Shuddh Hingul (Cinnabar - HgS purified), Maricha (Piper Nigrum), Trikatu (Pepper, long pepper and dried ginger), Purified Sulphur, and Purified Mercury.

The tablets are beneficial in managing TTP because of their ability to improve memory, boost the immune system, maintain healthy body temperature, support healthy respiratory functions, and balance the body’s Vata and Kapha doshas.

Dosage: 1 tablet, two times a day.

5. Kumar Kalyan Ras

This herbal-mineral Ayurvedic product is prepared from a combination of Kumari Rasa (juice extract of Aloe Vera herb), Shuddha Parada (Purified Mercury), Mukta Bhasma (Calx of Pearl), Loha Bhasma (Calx of Iron), Swarna Bhasma (Bhasma of Gold), Makshika Bhasma (Bhasma of Copper - Iron Pyrite), and Abhraka Bhasma (purified and processed Mica). This product can treat fever, manage jaundice, improve digestion, and manage heart-related disorders.

Dosage: 1 tablet, two times a day.

6. Cap. Pitta Balance

The herbal ingredients combined to prepare these capsules include Praval Pishti (Coral Calcium), Mukta Pishti (Pearl Calcium), Jawar Mohra Pishti (an Ayurvedic Calcium compound), Akik Pishti (Agate Calcium), Kamdhudha Ras (an Ayurvedic Calcium compound), and Giloy satva (extract of Tinospora cordifolia). These capsules are beneficial in promoting skin health, boosting the immune system, purifying the blood, and balancing the Pitta dosha.

Dosage: 1 capsule, two times a day.

7. Cap. Green Essentials

The herbal ingredients used for preparing these capsules include Amalaki (Emblica officinalis), Spirulina (Spirulina platensis), Green tea (Camellia sinensis), grape seed (Vitis vinifera), and wheat grass (Triticulum aestivum). These capsules are helpful in nourishing brain cells, enhancing the immune system, treating skin conditions, and improving brain function.

Dosage: 1 capsule, two times a day.

8. Brahmi Chawyanprash

This product is an excellent blend of Brahmi (Bacopa monieri), Amla (Emblica officianalis), and several other potent herbs which are beneficial for keeping the body healthy. TTP patients can benefit from this product because it can support brain health, enhance memory, rejuvenate the body, promote mental health, improve the coordination of body movements, and keep the nervous system healthy.

Dosage: 1 tablespoonful, two times a day.

CONCLUSION

The herbal products offered by Planet Ayurveda for the effective management of Thrombotic thrombocytopenia purpura are completely safe to use because they are prepared from 100% pure and natural herbs. As such, these products are free from chemicals, binders, colors, fillers, starch, yeast, additives, and preservatives.

Contact my assistant to provide you the costing / ordering and delivery information at - costing.planetayurveda@gmail.com or call at +91-172-5214030

Alternative treatment for ITP (Idiopathic thrombocytopenic Purpura) with Ayurvedic herbs and natural medicines)

What Is Chronic ITP ?

Chronic ITP is a complicated disorder of blood. The bone marrow is the seat of formation of healthy platelets. According to allopathic system of medicine - Due to certain unknown reasons, the platelets are destroyed within the blood and condition is called Chronic ITP or Chronic Idiopathic thrymobocytopenic Purpura.

What Is The Objective Of This Paper ?

There are certain Ayurvedic medicines which help in this condition and we want to spread awareness in the world about the efficacy of various Ayurvedic and Alternative ways to increase platelets and provide natural cure for ITP.

INTRODUCTION

What Is Thrombocytopenia ?

Thrombocyte is another name for platelets. "Penia" is the word used in medicine whenever the cells are low. For example Neutropenia when the neutrophills are low. Leucopenia when the white blood cells are low. Ayurveda offers a very good natural cure for thrombocytopenia and is much better than many other alternative medicine treatments.

In medicine, whenever the cause of diseases is not known, then they are named as Idiopathic. Purpura is a term used by doctors whenever there are red spots on the skin or bruises due to any reason. There are many reasons for Purpura and there are many types of Purpura, but ITP or Idiopathic Throbocytopenic Purpura is a typical disorder where Platelets are destroyed and do not improve in count. ITP is an auto-immune disorder of unknown reasons where platelet membrane proteins associated with our immune cells called IgG ( Immuno-globin -G type ) are seen in serum but still it's sure. It persists for years or even for whole life. Sometimes there can be serious bleeding episodes which can be dangerous too. There can be life threatening intracranial brain hemorrhage bleeding sometimes. So it's very important to find various natural ways to treat thrombocytopenia.

Latest And Modern Treatment Of ITP

Allopathic medicine or the modern medical system is struggling to cure ITP patients. It has developed many latest techniques but there is still no cure in modern medical system for ITP. It is labeled as incurable disease in modern medical system.

Many times the platelets are infused. It is a cumbersome procedure for the patient and causes a lot of problems.

The steroids like Wysolone, Predmet or Dexona (Prednisolone etc) are given to boost the platelet formation but such steroids has many side effects. They can cause Diabetes in the long run and also cause hormonal imbalance, acne, gas formation, acid formation, pimples, rashes, weak bones, thin fragile skin, weak eye sight, mouth ulcers, stomach ulcers, round face and water retention, hair loss and many others. Even after use of steroids, many patients they are not cured and still continue to suffer from low platelet counts in their blood.

Then these patients are admitted to hospitals and given platelet infusions or other immunosuppressant medicines like Azathioprine, cyclosporine or sometimes cyclophosphamide.

Newer biological therapies are also given, which are also called Biological therapy or Immunological therapy or IV Ig. These Immunoglobulins are given to bring the patient to a remission state which is short lasting and the problem comes back again.

There are medicines like Revolade (Eltrombopag) and Tranexemic acid to stop bleeding are given. There are several side effects of Eltrombopag like pain in abdomen, diarrhea or constipation, anxiety, headache, dry mouth, and muscles pain.

Other than immunosuppresants or IV Ig and other such treatments which are expensive, time consuming and not giving good results.

Ayurvedic Treatment For Chronic ITP

Ayurveda has a lot to offer in the treatment of Chronic ITP. I have seen very good results using Ayurvedic medicines in various ITP patients. There are pure herbal and some herbomineral medicines used in Ayurveda for treatment of ITP. I have seen excellent results in ITP patients after using these natural remedies described in Ancient ayurvedic texts. In Ayurveda, ITP is not mentioned as ITP. Ayurveda is more than 5000 years old medical system of India. It has explained certain blood disorders and all the symptoms for the Pitta imbalance disorders are similar to ITP. In Ayurveda we are treating the Pitta imbalance in the patients of ITP. The disease responds very well and the results are remarkable.

Chronic ITP is an auto-immune disorder. In Autoimmune disorders, our own immunity attacks our own cells. In this case, our immunity starts destroying platelets. It's like our country's own army starts to attack our own people. The solution is not a nuclear bomb !

Steroids and Immunity suppressants are not the answer to this immunity war against platelets. They just start destroying and suppressing our immunity and does not try to modify it. The Ayurvedic herbs and herbo mineral compounds work as quick immunity modifying agents. It's like trying to negotiate with the army and bringing them back to sanity !

The immuno-modulation works ! ! It helps to rogue immunity to learn and understand who is enemy and who is not. So the approach of immuno modulation is required rather than immuno suppression.

There are certain herbs like Ashwagandha- Withania somnifera ( I use Ashwagandha for males ) and Shatavari / Asparagus racemosus ( For females) which help to build up with platelets. The other herbs like Carica papaya ( Papaya leaves) leaves are very helpful.

Other than this, I am using Red and Green juices. In Red Juice, I would recommend you to start drinking juice of Pomegranate, Carrots, Beets, Apples and red grapes, 200 ml to 400 ml per day for adults and 50 ml twice daily for children ( 2 to 14) and 25 ml twice daily for children less than 2 years.

In Green juice, blend the leaves of wheat grass, fresh coriander leaves, fenugreek or spinach leaves, some lettuce and green grapes. Try to avoid heating herbs like Tulsi and mint.

As ITP is a Pitta disorder ( due to fire element imbalance ) Coconut water is highly cooling and highly recommended.

I am using products like Pitta balance, which contains cooling coral calcium and pearl calcium. Another wonderful herb to improve platelet count is Giloy ( Tinospora cordifolia). This is a twiner and twigs of Giloy are useful to increase low platelet count. I am using Giloy Satva or standardized extract of Giloy twigs.

All the herbs which I am using are Planet Ayurveda herbs as I am procuring them fresh and from organic cultivators.

Other than Ashwagandha, Shatavari, Carica papaya and Giloy, I am using some herbo mineral preparations. I have seen the results within few days of using these products, as quick as 3 days !

The herbo mineral preparations are Swarn Basant Malti Ras tablets. 1 tablet twice daily is recommended. There are another 2-3 which are good for ITP. These are Maha Laxmi Vilas Ras, Vasant Kusumakar Ras, Balark Ras, Jayamangal Rasa and Kumar Kalyan Ras.

Other than the above mentioned medicines of Ayurveda, I am using Cap. G- Plat which also helps to increase platelet counts naturally without any side effects.

HERBAL REMEDIES FOR ITP

ITP Combo Pack For Adults

1. Immune Booster - 2 capsules twice daily
2. Ashwagandha Capsules - 2 capsules twice daily
3. Giloy Capsules - 1 capsules twice daily
4. Gandhak Rasayan - 2 tablets twice daily
5. Green Essentials - 2 capsules twice daily
6. Kumar Kalyan Ras - 1 tablets twice daily
7. Brahmi Chyawanprash - 1 teaspoonful twice daily
8. Suvarna Basant Malti Ras - 1 tablet twice daily

These should be consumed for 1 or 2 months and the results will be visible. The allopathic medicines of the patients can be reduced slowly. The above mentioned combination contains Ayurvedic herbo mineral and metallic preparations as well. All preparations are safe for human consumption and are approved by government of India for their use in various health conditions.

ITP Combo For Children (3 Years To 14 Years)

1. Giloy Capsules - 1 capsule twice daily
2. Ashwagandha Capsules - 1 capsule twice daily
3. Gandhak Rasayan - 1 tablet twice daily
4. Immune Booster - 2 capsules twice daily
5. Green Essentials - 1 capsule twice daily
6. Brahmi Chyawanprash - 1 tablespoonful twice daily
7. Pitta Balance - 1 capsule twice daily
8. Kumar Kalyan Ras - 1 tablet twice daily
9. Suvarna Basant Malti Ras - 1 tablet twice daily

ITP Combo For Infants (Less Than 3 Years)

Since ITP affects many children but there are herbs and herbo mineral preparations which can help the infants and small children very much. Slowly reduce their dosage of steroids as soon as the effect of herbs / herbomineral compound is visible.

1. Giloy Capsules - 1 capsule twice daily
2. Ashwagandha Capsules - 1 capsule twice daily
3. Gandhak Rasayan - 1 tablet once daily
4. Immune Booster - 1 capsule twice daily
5. Kumar Kalyan Ras - 1 tablet once daily
6. Infee Syrup - 2 teaspoonful twice daily
7. Arvindasava Syrup - 2 teaspoonful twice daily
8. Praval Panchamrit - 1 tablet twice daily

Open up the capsules and pour the ingredients in a bowl and mix them with the Syrups. Crush the tablets and mix the powder in the syrup and then feed the child this mixture twice daily.

Thromobcytopenia according to Ayurveda is a Pitta disorder and Pitta imbalance can be treated by balancing the Pitta dosha.

Ayurveda principles believe in that our body is made up of 5 elements - Earth, Water, Fire, Air and Ether. When the Fire element imbalance is there, then the body burns the healthy platelets. The Raktagni ( Fire of blood tissue or metabolism of blood formation) is faulty in this case. The above mentioned combination help to restore this metabolism and also prevent auto antibodies to attack the platelets.

Since it is defined as an Auto-immune disorder, all milk and milk products should be avoided for a few months until the problem is resolved. Milk, Curd, Yogurt, Cheese, Butter milk, Lassi, Chaach, Sweets and Shakes are all avoided. All packaged foods should be avoided, packaged juices, Biscuits, Packaged breakfast cereals, packaged corn flakes etc.

All Citrus fruits and spicy foods should be avoided. Spices like Ginger, Tulsi, Turmeric, Black pepper, Chillis and such hot spicy items should be avoided.

All cooling herbs like Sandalwood ( Red sandalwood powder for internal use and white one for external use ), Vasaka, Pomegranate, Carrots, Red Grapes, Coconut water, Roses, Marigold, Lajjalu, Dhatki, Arjuna, Priyangu, Ashoka and gems like Corals and pearls are good as they are cooling. Also avoid direct sun light, spicy soups, alcohol, beer or wines, avoid vinegar and all sour and citrus fruits like oranges, mosami etc. All pickles and chutneys should be avoided. You can consume Mint chutney made with Mint and Coriander leaves. Infact Coriander leaves juice is good for you. It's cooling. Don't use too much mint. Coriander leaves you can use as much you want.

Sheesham leaves juice (Dalbergia sisoo), Durva Ghass juice is good, Marigold flower juice is good. All the above mentioned dietary plans and cooling herbs are not for curing the ITP problem from the root but to prevent any episodes of bleeding or deteriorating the condition further. These help in clotting and prevention of bleeding in ITP patients.

The combination of medicines mentioned above should be consumed for remission and complete cure of the problem from the root.

My Experience With ITP "Dr. Vikram Chauhan"

I did my BAMS graduation and after that I am doing Ayurvedic practice since year 1999. Later I joined my post-graduation MD in herbal pharmacology which was a 3 years regular course. Meanwhile I started developing Ayurvedic products and established my company of herbal formulations in the name of Planet Ayurveda. Slowly the company grew up and the products got famous in many countries. While I was doing clinical practice and treating patients suffering from cancers, kidney failure, liver failure, Psoriasis, Eczemas, tumors, cysts, fractures and all kinds. I never treated ITP patients until an evening someone from 250 km called me. She is mother of a 7 months old child and was very much in stress. Her child was suffering from ITP. The day the child was born, they were taking him to hospitals every now and then and were suffering too much mentally, financially and in every way. While she called, I asked her to start with Giloy, Swarn Basant Malti, Kumar Kalyan ras, Balark ras and some more products as I mentioned above. The counts were never above 20,000. She called me on Friday evening. By Monday morning, the child's platelet count was more than 50,000. After 2-3 more days, it went above 100,000.

They were surprised and they visited me in my clinic. I added more Ayurvedic medicines. Stopped steroids and other ongoing treatments and my wife who is also BAMS (Gold medalist) and MD (Alternative medicine) doctor suggested me Why not you givesome medicines to the mother as well.

So we gave 1 prescription for the child and another to the mother who was breastfeeding the child. Within 1 month, the platelet count was normal and they never went back to hospital and were free from this disease. It has been 3 years now. They are still doing good and they took ayurvedic treatment for ITP for about 3-4 months only. They made a youtube video for my channel - www.youtube.com/planetayurvedatv

Slowly after seeing their video, many more patients came and to my surprise, most of them recovered very all. All of them had positive results and many were very very complicated cases but all had positive results. There were many more videos on this topic and I uploaded them all on my channel. I devised a special diet for ITP.

After treating so many patients of ITP in last 3 years, I believe the modern medical doctors should come forward and do some research on this topic.

Now it's 2018. I am planning to start a clinical research on Ayurvedic medicines for ITP or various natural ways to increase platelet count. I plan to publish the research for the benefit of mankind in near future.

I have too many other patients also which are getting good results in problems like Ulcerative colitis, Cancers, Psoriasis, Gout, Neurogenic conditions, Low heart ejection fraction, Kidney failure and liver failure and so on. Ayurveda has a lot to offer. I would suggest all Ayurvedic students to study it with your heart. It has a lot of potential.

MORE TESTIMONIAL VIDEOS

AUTHOR BIO

AUTHOR : Dr. VIkram Chauhan - MD (Ayurveda), CEO & Founder of Planet Ayurveda
WEBSITE : www.planetayurveda.com
CURRICULUM VITAE : www.planetayurveda.com/curriculum-vitae.htm
ADDRESS : Planet Ayurveda
Plot No. 627, Sector 82,
JLPL Industrial Area, Mohali,
Punjab - India
Phone : +91-172-521-4030 / 31
Email ID : herbalremedies123@yahoo.com

Low Platelet Count Natural Treatment - Thrombocytopenia Ayurvedic Treatment

Usually the reason for low platelet count is bone marrow depression or faulty bone marrow function. There are the following major reasons for low platelet counts -

1. Faulty production / low production from bone marrow. The other cells like RBC's or WBC's may also be low in many cases. Bone marrow depression is caused by so many reasons like drugs, drug reactions, alcohol, cancers etc.
2. Body conditions where the platelet destruction is more than the production rate in the bone marrow.
3. Spleen Problems can also be the reason for low platelets.
4. Other systemic illnesses like Leukemias, AIDS, lymphomas and different types of cancers can also be the reasons for low platelet count.

LOW PLATELET COUNT TREATMENT - Thrombocytopenia Treatment

Usually steroids like prednisolone and immunoglobulins are prescribed by modern medical practitioners. They are often given via Intravenous route.

Blood transfusions are often given to increase the platelet count.

Alcohol should be avoided at all costs.

Ayurvedic Treatment for Low Platelet Count

1. Ashwagandha Capsules - 2 capsules thrice daily
2. Yakrit Plihantak Churna - 1 teaspoonful twice daily
3. Punarnava Mandur - 2 tablets twice daily
4. Rohitakarisht - 30 ml twice daily
5. Amla Juice - 20 ml twice daily (empty stomach)- 6 Am and 6 PM, with equal water.
6. Wheat Grass Juice - 30 ml - once daily in the morning, empty stomach
7. Papaya Leaf Juice - An excellent herbal remedy for low platelet count. It should be taken every 2 hrs interval (about 20 ml juice of papaya leaves) and this helps to increase platelets within 1 or 2 days. This is an effective herbal remedy for low platelet counts.

If the patient is a child - then i would prefer Arvindaasav instead of Pipplayasav and add Kumar Kalyan Ras.

8. A pack of the following mixture
• Praval Panchamrit - 5 gm
• Swarn Makshik Bhasma - 10 gm
• Tapyadi Loh - 5 gm
• Rajat Bhasma - 2.5 gm
• Mukta Pishti - 2 gm
• Abhrak Bhasma - 2.5 gm
• Kalmegh Navayas Loh - 5 gm
• Yakrit Plihari Loh - 10 gm
• Maha laxmi vilas Ras - 1
• Swarn Bhupati Ras - 1 gm
• Giloy Satv - 10 gm
• Swarn Bhasma - 500 mg

Mix all these, Make 60 equal packs, of equal dosage, consume 1 pack twice daily with honey.

Can add Heerak Bhasma (if affordable) or Vaikrant Bhasma (In case of poor patient) - if the platelet counts are low because of Bone marrow disease or Leukemia

For Children of Age 9 to 17, the dosage will be half of everything mentioned here.

1. Indian pennywort leaf juice or Gotukola Capsules - Juice of the leaves of Centella asiatica and in Hindi it is called Mandukparni.
2. Juice of leaves of Papaya - 2 tablespoonfuls twice daily (This is the most effective treatment. Buy Capsules G Plat or Capsules UPLAT - Get from Mr. Ashwani - read below).
3. Juice of Beetroot - 1 tablespoonful thrice daily.

For children lesser than 9, the prescription will be different. It will be -

1. Swarn Basant malti Ras - 1 tab. once daily.
2. Balark Ras - 1 tab. once daily.
3. Kumar Kalayan Ras - 1 tab. once daily.
4. Kamdudha Ras (Moti Yukt) - 1 tab. twice daily.
5. G-Plat Capsules - 1 twice daily (open up the capsules, pour the ingredients in a bowl, add some honey and feed).
6. Infee Syrup - 1 teasponful twice daily.
7. Immuz xp Syrup - 1 teaspoonful twice daily.

Contact Planet Ayurveda Support Team to provide you the costing/ordering and delivery information at – costing.planetayurveda@gmail.com or Call at 0172-521-4040 (India), +91-172-521-4040 (Outside India) or Whatsapp at (+91) 842-749-4030.