### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Dear Dr I am a patient of PV for the last 3 years with hypothyroidism for the last 6 years. I am presently on 15mg Predesolone+100 mg Azithroprine+188mcg thyroxine+1 shellcal + Multivitamin+ Vitamin E + VIT D weekly. 3 years before when I was diagnosed PV I was given 32mg Methylpredesolone which was tapered from time to time over about a year and when completly stopped it relapsed after a fortnight. Again I was restarted with 48 mg Methylpredesolone which is now tapered to 12mg + 100mg Azithroprine (50mg morning& evening). At 8mg methylpresolone+ 100mg Azron my I did not get any lesions for about a month but all of sudden there were several lesions on face, body & scalp. Then I consulted other Doctor who administred me 140g IVIG. After IVIG my lesions were reduced, my skin health improved and itching disappeared altogather. After about a month of IVIG again 7-8 lesions appeared and was put on 30mg predesolone {instead of Methyl)+100mg Azron which is now tapered to 15mg Predesolone+100Azron. I am not getting any lesions now for about 2 weeks and my Dr is suggesting to taper it to 10 mg which I am doing from tomorrow. He is also suggesting 2 infusions of Retumbix 0.5g each over a gap 15 days each & thereafter 1 more infusion of IVIG ne month thereafter. Now I request you to please suggest the best course of treatment. I am 60 yrs old male with 5 -2 height & 72 kg body weight, with hypothyroidism. With regards skk

### output:

Dear SKK, it's really a pressure upon you to gulp so much of medicine, which I would not like my patients to continue for such long, lifetime. You can't stop it either. I would rather suggest my own such patients to get support of pure herbals to gain some resistance against disease. To start with Turmeric, Holy basil leaves, Manisha, Need powder, Malawi and Duchy alone would help you a lot. But may be it's slower in action. But what did you gain after getting so many fastest acting medicine. Even if you have to take slow medicine for life, what's the harm when there's no side effect, no interaction with Chat Doctor.  But you will find in few weeks what benefits you will gain in few months ahead. If you are in India, you get all the herbs at some Pan sari shop i.e. herbal grocery shop. Get all these - clean, grind and mix in equal ratio. Take with pure honey if not diabetic. Otherwise, with water. We may also help you in getting these if you so desire. Globally you may get capsules of much cos containing extracts or powder of these herbs. I prefer Himalayas pure herbs' series. For any other query, pl write direct question. I want that you must start taking support of these herbs. In few weeks you will start realizing the benefits. These all will not only detoxification, cure but also raise your immunity.