Vitamins

Paxas White Glow 20 Effervescents Tablets

Designed to help achieve a naturally lighter skin tone, reduce dark spots, and diminish hyperpigmentation.

These effervescent tablets combine potent ingredients to brighten and even out your skin for a radiant glow.

Benefits:

• - Brighten and even skin tone.
• - Reduce hyperpigmentation and diminish dark spots.
• - Provide a natural glow.
• - Boost skin’s radiance by supporting overall skin health.
• - Act as a powerful antioxidant to protect skin from environmental damage.

Main Ingredients &Their Benefits:

• - Glutathione 500 mg: Helps lighten skin and reduce dark spots.
• - Alpha-Lipoic Acid 200 mg: Provides antioxidant protection and supports skin health.
• - Vitamin C 200 mg: Brightens skin and reduces signs of hyperpigmentation.
• - Vitamin E 70 mg: Protects skin from oxidative damage and supports overall skin health.
• - Vetiver Extract 150 mg: Helps to soothe and condition the skin.
• - Alpha-Arbutin 100 mg: Reduces melanin production, helping to lighten dark spots

How To Use:

• - Dissolve 1 tablet in 200 ml of water.

Oshee Vanilla & Caramel High Protein Bar 49 g

A high-protein snack bar with a delicious vanilla and caramel taste, designed to provide energy and support active lifestyles. Ideal as a post-workout snack, mid-day protein boost, or convenient on-the-go source of protein.

Typical Nutritional Highlights (per 49 g):

• • Energy: approximately 248 kcal
• • Protein: approximately 13 g
• • Carbohydrates: approximately 15 g
• • Sugars: approximately 9 g
• • Fat: approximately 16 g
• • Saturated fat: approximately 9 g
• • Salt: approximately 0.14 g

Ingredients:

• Protein-rich caramel filling, whey protein concentrate, milk protein concentrate, cocoa mass, cocoa butter, milk powder, sweeteners such as maltitol, emulsifiers, natural flavouring including vanilla and caramel, and stabilisers. May contain traces of nuts, soy, gluten, and eggs depending on manufacturing.

Benefits:

• • Helps support muscle maintenance and recovery
• • Provides a convenient protein source between meals or after exercise
• • Offers a delicious vanilla and caramel flavour
• • Helps satisfy hunger in a healthier way than regular snacks

How to Use:

• Consume one bar as a snack after exercise, between meals, or whenever a protein boost is needed.

Suitable For:

• Active adults, fitness enthusiasts, gym-goers, and anyone looking for an energy-rich protein snack.

Warnings & Precautions:

• • Review allergen information before use
• • Not suitable for people with allergies to milk, soy, nuts, eggs, or gluten if present
• • Maintain a balanced diet and hydration
• • Keep out of reach of children

Medisana Air Humidifier AH 660 60067 1Med36

The Medisana AH 660 Air Humidifier is an ultrasonic humidifier designed to increase indoor humidity levels by producing a fine mist that helps improve air quality. It features a 4.5-liter water tank suitable for rooms up to approximately 30 m², making it ideal for bedrooms, living rooms, and offices to maintain comfortable humidity levels.

Benefits:

• Helps improve indoor air quality by adding moisture to dry air.
• Supports the moisture of mucous membranes in the eyes, nose, and throat.
• Can help indirectly improve skin and hair hydration by reducing dry air.
• Designed for easy daily operation.

How to Use:

• Place the humidifier on a stable surface in the room to be humidified.
• Fill the water tank with clean water up to an appropriate level.
• Turn on the unit and adjust the mist output according to room size.
• The humidifier will distribute moisture evenly.
• The unit will automatically turn off when the water is depleted to protect the motor.
• Clean the water tank regularly to prevent buildup and ensure optimal performance.
• Materials & Specifications
• Uses ultrasonic technology to generate a fine mist.
• 4.5-liter water tank for extended operation without frequent refills.
• Suitable for rooms up to about 30 m².
• Lightweight design makes it easy to place anywhere.

Additional Information:

• Helps reduce the sensation of dry air, especially in cold or air-conditioned environments.
• Creates a more comfortable breathing environment.
• Suitable for use in bedrooms, living spaces, or offices.

Libero Comfort 1 - 43 Pcs

Libero Comfort 1 diapers are baby diapers designed for newborns weighing approximately 2–5 kg. They deliver soft, flexible, and breathable protection to help keep your baby dry and comfortable throughout the day and night.

Key Features & Benefits

Soft, breathable materials that promote air circulation and help maintain healthy, dry skin

Flexible fit around the waist and legs for a secure fit and reduced leaks

Special pocket design and wetness indicator to help prevent mess and show when the diaper needs changing

Absorbent core and double leak barriers offer extended protection and dryness

Dermatologically tested and gentle on sensitive baby skin

Material & Construction

Made with a super-absorbent core and soft non-woven fabrics that are gentle on the skin, with breathable layers to reduce heat and moisture build-up.

How to Use:

• Place the diaper under the baby’s bottom with the back at waist level.
• Pull the front up between the legs and secure it snugly with the adhesive tabs.
• Adjust to prevent gaps and leaks.
• Change the diaper when wet or soiled to maintain hygiene.
• Typical Use
• Suitable for everyday use for newborn babies weighing approximately 2–5 kg, providing protection and comfort during playtime and sleep.

Laxopen Plus 150 Ml

A nutritional supplement in syrup form that combines fennel oil, plant extracts, fiber, and probiotics to support digestive health.

Laxopen Plus helps individuals suffering from constipation ease bowel movements and improve overall bowel function.

Its ingredients:

• Fennel Oil: Supports digestive health, aids in better digestion, and helps reduce colic, bloating, and gas.
• Probiotics: Helps maintain the balance of beneficial bacteria in the intestines, improving digestion and enhancing the absorption of vitamins and minerals.
• Fiber: Contributes to improving bowel movements and stool bulk, aiding in the treatment of constipation. It also helps prevent issues such as hemorrhoids.
• This syrup is suitable for infants over 3 months, children, adults, pregnant and breastfeeding women, diabetics, and the elderly.

Active ingredients:

• Fennel Oil, Probiotics, Fiber, ,

Uses:

- This syrup is suitable for individuals who:

• - Suffer from acute or chronic constipation
• - Want to regulate their bowel movements
• - Are looking to increase their dietary fiber intake

How to use:

• - Pour probiotic powder from the sachet into the syrup bottle and shake well before use.
• -The syrup can be taken in the morning on an empty stomach before breakfast, or in the evening before bedtime.
• -It is recommended to take the syrup with a glass of water.

Dosage:

• -Infants (over 3 months): 1/2 teaspoon before bedtime.
• -Children (1 to 3 years): 1/2 to 1 teaspoon daily.
• -Children (3 to 12 years): 1 to 2 teaspoons daily.
• -Children over 12 years and adults: 2 to 4 tablespoons daily

More information:

• -The syrup is sugar-free.
• Made in: Turkey
• Quantity: 150 ml

Enterogermina 20 Vials 5 ml

• Enterogermina is a pediatrician's No.1 choice of probiotics for diarrhea and its symptoms in children.

• It contains Bacillus Clausii, friendly bacteria normally present in the gut that turns unhappy tummies into happy ones.

• Enterogermina for diarrhea management, comes in ready-to-drink liquid vials, which can be easily consumed by small kids.

• Plus, it is tasteless, odorless, and colorless; so, your child will consume it without putting up a fight.

Active ingredients:

• 2 billion spores of Bacillus Clausii

Benefits:

• • Enterogermina maintains the right kind of gut flora balance.
• • Enterogermina restores internal bacterial balance to help improve immunity.
• • It helps in restoring the natural balance of gut bacteria.
• • Addresses the root cause of digestive troubles such as diarrhea and the like and promotes the faster return of bacterial balance in the gut.
• • Contributes to correct dysvitaminosis which is the imbalance of production and assimilation of vitamins.
• • Enterogermina works as effective diarrhea management.

How To Use:

• • For infants, 1-2 mini bottles per day are to be given at regular intervals.
• • For children, 1-2 mini bottles or 1-2 capsules a day are to be administered at regular intervals.
• • For adults, 2-3 mini bottles.

Elea Prof. Color & Care - 6/37

Permanent cream hair colour with professional formula for perfect colour and care, specially developed from hairdressers and colorists for home use. 100% grey hair coverage. Creamy formula easy to apply with Grape seed oil for saturated, evenly distributed colour from roots to tips of the hair. Intensive hair nourishing action during colouring process with special added natural oils from Almond, Avocado and Jojoba. Pack contains: 1 tube cream-colourant with nourishing Grape seed oil - 60ml 1 bottle Developer - 60ml 1 sachet Hair conditioner with Sunflower extract and UV-protection - 15ml 1 sachet Natural oils for gentle care Oils CARE COMPLEX - 3ml 1 pair protective gloves and directions for use

Ducray Squanorm Dry Dand. Shamp. 200ml

A targeted anti-dandruff shampoo for dry, flaky scalps, formulated to gently remove dry dandruff while hydrating and soothing the scalp for lasting comfort.

Benefits:

• - Eliminates dry, non-sticky dandruff and reduces visible flakes.
• - Hydrates dry scalp to prevent flakiness and tighten scalp comfort.
• - Soothes itchiness for a more comfortable scalp.
• - Leaves hair feeling soft, supple, shiny, and easy to detangle.
• - Eco-conscious, biodegradable formula with a pleasant creamy texture.

Main ingredients and their benefits:

• - Piroctone Olamine: Anti-dandruff active that tackles flaking by inhibiting yeast growth.
• - Glycerin: Deeply hydrates the scalp, combating dryness and soothing irritation.
• - Glycolic Acid: Mild exfoliant that helps lift away dead skin and improve flake removal.
• - Guanidine Carbonate: Aids in reducing buildup and enhancing scalp smoothness.
• - Bisabolol: Calms redness and inflammation for a more comfortable feel.
• - Tocopherol (Vitamin E): Provides antioxidant protection and supports scalp health.

Precautions:

• - For external use on scalp and hair only.
• - Avoid contact with eyes—rinse immediately if contact occurs.
• - Do not use on broken or inflamed scalp.
• - Discontinue use and seek dermatological advice if irritation appears.
• - Keep out of reach of children. Suitable for teens and adults.

Side Effects:

• - Mild tingling or warming may occur upon application—typical due to exfoliating actives.
• - Rare allergic reactions to plant extracts or fragrance.

Derma Roll System Mix

The micro needle therapy to stimulate skin with minimally invasive, using the micro needle to create a large number of micro-channels in short period of time, and form a high-quality delivery system among the epidermis, dermis and subcutaneous tissue, so

Carmex Cherry Lip Balm Pot – 7.5 g

Carmex Cherry Lip Balm Pot soothes, protects, and moisturizes dry or chapped lips with its unique blend of menthol, camphor, and moisturizing ingredients. The balm provides long-lasting hydration and forms a protective barrier against harsh environmental conditions. Its cherry flavor adds a pleasant scent and taste while keeping lips soft and healthy throughout the day.

Directions Of Use:

• Apply as needed to lips throughout the day.

Care Well Medicine Dropper 3 ml CW 709

The Care Well 3 ml Medicine Dropper (CW 709) is an easy-to-use medical tool for accurately measuring and administering liquid medication doses. It features a 3 ml capacity with clear measurement markings, making it suitable for infants, children, and adults when giving liquid medicines or vitamins.

Benefits:

• Highly accurate measurement of liquid medication doses
• Clear graduations for easy dosage control
• Suitable for infants, toddlers, and adults
• Comfortable and simple design
• Helps prevent dosing errors
• Materials / Design
• Clear plastic tube with easy-to-read measurement markings
• Flexible rubber bulb for rapid suction and dispensing
• Total capacity of 3 ml with precise divisions
• Lightweight and easy to clean

How to Use:

• Ensure the dropper is clean before use
• Squeeze the bulb to expel air
• Insert the dropper tip into the liquid medication
• Release the bulb to draw up liquid to the desired mark
• Remove the dropper carefully and check the liquid level
• Squeeze the bulb to dispense the medicine into the mouth
• Clean the dropper thoroughly after each use

Precautions:

• Clean before and after each use
• Do not use with very hot liquids
• Store in a clean, dry place
• Keep out of reach of children when not in use
• Do not share with others

Additional Information:

• Ideal for home and clinical use
• Great for administering vitamins and liquid medicines
• Especially useful for infants and toddlers
• Easy to carry and store

Beurer Glass Diagnostic Scale BG 55

The Beurer BG 55 is a digital glass diagnostic bathroom scale designed to deliver precise and reliable weight measurement for everyday use at home. It features a tempered safety glass platform, easy-to-read digital display, and automatic on/off function. The scale incorporates diagnostic functions that help support a more holistic view of your health.

Key Features & Benefits:

• High-precision sensors for accurate weight measurement
• Tempered safety glass platform — strong and stylish surface
• Large digital display with clear digits for easy reading
• Automatic on/off when stepping on/off the scale
• Step-on technology — instant switch-on
• Low battery and overload indicators for user convenience
• Supports a maximum weight capacity of up to 180 kg (varies by region)

Technical Specifications:

• Display type: digital LCD
• Weight range: typically from 5 kg to 180 kg
• Graduation: 100 g / 0.1 kg increments
• Platform material: tempered safety glass
• Power supply: 2× AAA batteries (included in many packages)
• Dimensions: standard bathroom scale size

How to Use:

• Place the scale on a flat, firm surface.
• Step onto the scale with bare feet.
• Allow the reading to stabilize and display your weight.
• Step off — the scale will switch off automatically.

Maintenance & Care:

• Clean with a soft, dry cloth; do not immerse in water.
• Avoid abrasive cleaners to protect the glass surface.
• Replace batteries when the low battery indicator appears.

Suitable For:

• Everyday weight monitoring at home
• Adults and teens (check capacity limits)
• People tracking weight changes over time
• Safety & Precautions
• Ensure stable, even flooring to prevent inaccurate readings.
• Not intended as a medical diagnostic device.
• Keep away from children when not in use.

American Creations Bladder Guard Caps 30s

Bladder Guard from American Creations is a potent natural supplement for healthy bladder function and help reduce occasional urgency which supports good night sleep.Â

It contains cranberry which is most commonly used for the prevention and treatment of urinary tract infections (UTIs) and kidney stones.

It also contains pumpkin seed extract which is used for treating bladder irritation and reduce overactive bladder symptoms.

Active ingredients:

• Pumpkin seed extract , Cranberry , Soy grem , isoflavonoids ,

Benefits:

• • Healthy bladder function.
• • Reduce occasional urgency.
• • Prevention and treatment of urinary tract infections.
• • Prevention of kidney stones.

How to use:

• For adults take 2 capsules in the morning and 2 capsules 30 minutes before bedtime for the first two weeks.
• After two weeks, begin
• taking 1 capsule in the morning and 1 capsule 30 minutes before bedtime or as needed.

Points of interest:

• • Consult your doctor before use if you are pregnant, nursing, taking any medication or having any medical condition.
• • Store in a cool dry place.
• Made in: USA
• Quantity: 30 capsules
• Store at room temperature

Nourishing Skin and Women’s Wellness Support

Puritan's Pride Evening Primrose Oil delivers 1300 mg of high-quality evening primrose oil per softgel, rich in Gamma-Linolenic Acid (GLA) and Cis-Linoleic Acid to promote skin health and women’s wellness. This supplement supports a smooth and radiant complexion while helping maintain overall well-being.

Benefits:

• Supports skin hydration and promotes a healthy, radiant appearance.
• Provides nutritional support for women’s health and hormonal balance.
• Aids in maintaining comfort during the menstrual cycle.
• Rich in essential fatty acids to support overall wellness.
• Ultra Ciclo Pain Tabs 45'SÂ
• The Chaste berry.
• - Contributes to the well-being of women.
• - It helps reduce discomfort during the premenstrual period and menopause.
• Angelica Sinensis.
• - Stimulates the female reproductive system, it is an analgesic, soothes the nerves, helps blood circulation, and stimulates blood.
• -Useful in premenstrual tension, and irregular menses and reduce the symptoms of menopause.

Benefit Or Uses:

• Useful for menstrual cycle pain, ease menstrual flow and enhance ovarian functions in females.

Miss Magic Luxe Hair Colors 6.75 Auburn

Miss Magic provides luxurious and rich ammonia-Free hair color for maximum hair care.

it assures healthy, shiny, long-lasting, saturated hair color with perfect gray hair coverage.

Miss Magic Luxe hair colors formula is specially formulated with Argan, Avocado, and Almond Oils which help to deeply nourish and hydrate the hair.

Argan Oil is rich in Vitamin E, antioxidants, Omega - 3 and Omega - 9 which nourish the dry and damaged hair, making it healthy, silky, and shiny.

The neutralizing balsam with hydrolyzed Keratin completes the coloring process, fixes the color, revives, and hydrates the hair.

Properties:

• - No: 6.75
• - Color: Auburn
• - Ammonia-Free

Active ingredients:

• This product contains:

• - Hydrogen peroxide.
• - Phenylenediamines.
• - Resorcinol.
• - Argan oil.
• - Avocado oil.
• - Almond Oil.

Benefits:

• • Enhanced and long-lasting color.
• • Miss Magic hair color covers gray hair.
• • Hydrates and softens the hair and scalp.

How to use:

• Follow the instructions.
• Miss Magic Luxe Colors Ammonia Free is not recommended for changing the color of your hair by more than two shades.
• If you wish to change the color of your hair by more than two shades, please contact a colorist.
• The mixing ratio: 40g Hair Colorant and 50g Developer.
• Rinse hair well after application.

Points of interest:

• • Read and follow the instructions.
• • Hair colorants can cause a severe allergic reaction.
• • This product is not intended for use by persons under the age of 16.
• • Do not use immediately after cold waving ( straightening ), bleaching, or coloring with henna or non-ferrous metal-containing dyes.
• • Wear suitable protective gloves.

• Do not color your hair if:

• - you have a rash on your face or sensitive, irritated and damaged scalp.
• - you have ever experienced any reaction after coloring your hair.
• - you have experienced a reaction to a temporary " black henna " tattoo in the past.
• • Do not use it to dye eyelashes or eyebrows.
• • Avoid contact with eyes. Rinse immediately if the product comes into contact with them.
• • For external application only.
• • Keep away from children.
• Made in: Europe

Quantity: • Miss Magic Luxe hair colors package contains:

• - 1 Hair Colour tube 40 g.
• - 1 Bottle of developer 50 g.
• - 1 Neutralizing Balsam 15 g.
• - 1 Nurturing Fluid 3 g.
• - 1 Pair of protective gloves.
• - Directions for use.
• Store at room temperature

Miss Magic Luxe Hair Colors 5.5 Mahogany

Miss Magic provides luxurious and rich ammonia-Free hair color for maximum hair care.

it assures healthy, shiny, long-lasting, saturated hair color with perfect gray hair coverage.

Miss Magic Luxe hair colors formula is specially formulated with Argan, Avocado, and Almond Oils which help to deeply nourish and hydrate the hair.

Argan Oil is rich in Vitamin E, antioxidants, Omega - 3 and Omega - 9 which nourish the dry and damaged hair, making it healthy, silky, and shiny.

The neutralizing balsam with hydrolyzed Keratin completes the coloring process, fixes the color, revives, and hydrates the hair.

Properties:

• - No: 5.5
• - Color: Mahogany.
• - Ammonia-Free.

Active ingredients:

• This product contains:

• - Hydrogen peroxide.
• - Phenylenediamines.
• - Resorcinol.
• - Argan oil.
• - Avocado oil.
• - Almond Oil.

Benefits:

• • Enhanced and long-lasting color.
• • Miss Magic hair color covers gray hair.
• • Hydrates and softens the hair and scalp.

How to use:

• Follow the instructions.
• Miss Magic Luxe Colors Ammonia Free is not recommended for changing the color of your hair by more than two shades.
• If you wish to change the color of your hair by more than two shades, please contact a colorist.
• The mixing ratio: 40g Hair Colorant and 50g Developer.
• Rinse hair well after application.

Points of interest:

• • Read and follow the instructions.
• • Hair colorants can cause a severe allergic reaction.
• • This product is not intended for use by persons under the age of 16.
• • Do not use immediately after cold waving ( straightening ), bleaching, or coloring with henna or non-ferrous metal-containing dyes.
• • Wear suitable protective gloves.

• Do not color your hair if:

• - you have a rash on your face or sensitive, irritated and damaged scalp.
• - you have ever experienced any reaction after coloring your hair.
• - you have experienced a reaction to a temporary " black henna " tattoo in the past.
• • Do not use it to dye eyelashes or eyebrows.
• • Avoid contact with eyes. Rinse immediately if the product comes into contact with them.
• • For external application only.
• • Keep away from children.
• Made in: Europe

Quantity: • Miss Magic Luxe hair colors package contains:

• - 1 Hair Colour tube 40 g.
• - 1 Bottle of developer 50 g.
• - 1 Neutralizing Balsam 15 g.
• - 1 Nurturing Fluid 3 g.
• - 1 Pair of protective gloves.
• - Directions for use.
• Store at room temperature

Miss Magic Luxe Hair Colors 4.5 dark Mahogany

Miss Magic provides luxurious and rich ammonia-Free hair color for maximum hair care.

it assures healthy, shiny, long-lasting, saturated hair color with perfect gray hair coverage.

Miss Magic Luxe hair colors formula is specially formulated with Argan, Avocado, and Almond Oils which help to deeply nourish and hydrate the hair.

Argan Oil is rich in Vitamin E, antioxidants, Omega - 3 and Omega - 9 which nourish the dry and damaged hair, making it healthy, silky, and shiny.

The neutralizing balsam with hydrolyzed Keratin completes the coloring process, fixes the color, revives, and hydrates the hair.

Properties:

• - No: 4.5
• - Color: Dark Mahogany.
• - Ammonia-Free

Active ingredients:

• This product contains:

• - Hydrogen peroxide.
• - Phenylenediamines.
• - Resorcinol.
• - Argan oil.
• - Avocado oil.
• - Almond Oil.

Benefits:

• • Enhanced and long-lasting color.
• • Miss Magic hair color covers gray hair.
• • Hydrates and softens the hair and scalp.

How to use:

• Follow the instructions.
• Miss Magic Luxe Colors Ammonia Free is not recommended for changing the color of your hair by more than two shades.
• If you wish to change the color of your hair by more than two shades, please contact a colorist.
• The mixing ratio: 40g Hair Colorant and 50g Developer.
• Rinse hair well after application.

Points of interest:

• • Read and follow the instructions.
• • Hair colorants can cause a severe allergic reaction.
• • This product is not intended for use by persons under the age of 16.
• • Do not use immediately after cold waving ( straightening ), bleaching, or coloring with henna or non-ferrous metal-containing dyes.
• • Wear suitable protective gloves.

• Do not color your hair if:

• - you have a rash on your face or sensitive, irritated and damaged scalp.
• - you have ever experienced any reaction after coloring your hair.
• - you have experienced a reaction to a temporary " black henna " tattoo in the past.
• • Do not use it to dye eyelashes or eyebrows.
• • Avoid contact with eyes. Rinse immediately if the product comes into contact with them.
• • For external application only.
• • Keep away from children.
• Made in: Europe

Quantity: • Miss Magic Luxe hair colors package contains:

• - 1 Hair Colour tube 40 g.
• - 1 Bottle of developer 50 g.
• - 1 Neutralizing Balsam 15 g.
• - 1 Nurturing Fluid 3 g.
• - 1 Pair of protective gloves.
• - Directions for use.
• Store at room temperature

Activlab Pharma Omega 3 1000 mg 60 Capsules

Activlab Pharma Omega 3 1000 mg is a dietary supplement containing high-quality fish oil rich in essential omega-3 fatty acids. Each capsule provides 1000 mg of fish oil with EPA and DHA, which support heart health, brain function, vision, and overall wellness. The formula also includes Vitamin E to help protect cells from oxidative stress.

Supports normal cardiovascular function and heart health.

Helps maintain normal brain function and cognitive performance.

Contributes to normal vision thanks to DHA content.

Helps maintain healthy triglyceride levels and lipid balance.

Contains Vitamin E which provides antioxidant support and protects cells.

May help support appetite control and stable energy during weight-management routines.

Fish Oil (1000 mg per capsule): Contains EPA (approx. 180 mg) and DHA (approx. 120 mg).

Vitamin E (approx. 5 mg): Helps protect cells from oxidative damage.

Other capsule ingredients: gelatin, glycerin, purified water.

Take one capsule daily with a meal.

For best absorption, take it with foods containing healthy fats.

Store in a cool, dry place away from direct sunlight.

Keep out of reach of children.

Country of Origin: Poland / European Union

Meditech Vitamax A- Z 60 Tablets

Meditech Vitamax** is a comprehensive dietary supplement that contains a blend of essential vitamins and nutrients designed to support both physical and mental well-being. It is formulated to promote bone and joint health, strengthen heart function, and boost the immune system.

Helps compensate for deficiencies caused by poor nutrition and lack of vitamins