I’ll be guiding you through this personalized care journey
Don’t worry— This Form will take only 2 minutes!
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Gender
Your gender helps us tailor your skincare, haircare, and sexual health better
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Please select your health concerns. Select one or multiple
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Let's get to know about your concern so our doctor can help you better!
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What specific skin problem are you experiencing?
Take a step towards amazing skin!
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How often do you come into contact with sun, dust, or pollution?
Your environment affects your skin — let’s understand how.
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Are you experiencing any skin irritation, itching, redness, or darkening?
Don’t ignore the signs — your skin is trying to tell you something.
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Let's closely look at your skin problem.
Upload 2-3 clear picture of your skin problem. A clear picture helps us give you clearer skin.
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Do you have any of following medical conditions?
Your overall health plays a major role — let’s look at the bigger picture.
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Let's Learn about your sexual problems!
Dont worry, You are not alone! 1 out 3 men in India faces sexual problems. Let us help you for your healthy and amazing sex life!
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How long has this issue been bothering you?
You’re not alone—1 in 3 male and 1 in female in India experiences the same issue.
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Do you smoke or consume tobacco/alcohol?
There’s no need to worry—nobody is perfect!
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Have you ever had surgery or an injury to your pelvic area?
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Do you have any of following conditions/issues?
Let’s check that our medication is not affecting your current condition.
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How would you describe pattern of your hair loss?
Where are you noticing changes to your hair?
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Where are you noticing hair loss?
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How would you describe the current volume of your hair?
Understanding your hair’s volume helps us serve it better.
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How much hairfall do you experience while oiling, combing or washing your hair?
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Do you have a family history of hair loss or baldness (on either side of your family)?
Lets who is responsible for you hair loss.
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Are you experiencing any other scalp condition?
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Have you noticed any changes in your hair texture, such as thinning or increased brittleness?
There’s no need to worry—nobody is perfect!
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Do you have any medical conditions (e.g., thyroid problems, diabetes, anemia) that might contribute to hair loss?
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Let's closely look at your hair loss problem.
Upload 2-3 clear picture of your bald spot or where your noticing your hair lose.
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Have you tried any medication for your current problem?
Let’s find what works best for you!
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Are you currently taking any other medication?
Let’s make sure our medication works well together!
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Thank you for registering with Seltyca! 🎉
You Started your Journey for Amazing Skin! Dr Patel is Writing prescription and recommending products for you! Here They are! Go ahead and Grab them! Thank you!
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Thank you for registering with Seltyca! 🎉
You Started your Journey for Amazing Intimate life! Dr Patel is Writing prescription and recommending products for you! Here They are! Go ahead and Grab them! Thank you!
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Thank you for registering with Seltyca! 🎉
You Started your Journey for Amazing Hair! Dr Patel is Writing prescription and recommending products for you! Here They are! Go ahead and Grab them! Thank you!