Managing Joint Pain and Low Energy During Perimenopause - #47755

1. Ashokarishta – 15 ml twice daily after meals with equal quantity of lukewarm water Balances hormones, supports perimenopause, reduces fatigue 2. Ashwagandha (500 mg capsule/tablet) – Once daily after breakfast Improves energy, muscle strength, stress tolerance, bone health 3. Shatavari Churna – 5 g once daily with warm milk (or lukewarm water if milk not tolerated) Rasayana for women, supports hormones, bones, and joints 4. Gokshuradi Guggulu – 2 tablets twice daily after meals Reduces joint pain, stiffness, inflammation, supports metabolism 5. Mahanarayan Taila – External application Gentle warm oil massage over affected joints and lower back once daily, followed by warm bath Dietary Advice Prefer warm, freshly cooked meals Include: Sesame seeds, soaked almonds (5–6 daily) Cow’s ghee (1–2 tsp/day) Moong dal, red rice, millet, barley Steamed vegetables (lauki, tori, carrot, pumpkin) Reduce: Cold, raw, fermented foods Excess sugar, refined flour, bakery items Curd at night Drink warm water or cumin–fennel infused water during the day Lifestyle & Exercise Daily walking 30–40 minutes (moderate pace) Restart strength training slowly (2–3 days/week, light weights) Gentle yoga: Tadasana, Vajrasana, Bhujangasana, Setu Bandhasana Abhyanga (oil massage) 3–4 times/week Sleep by 10–10:30 PM Practice pranayama: Anulom Vilom & Bhramari (10 minutes daily) Notes Avoid overexertion Maintain regular meal timings Review after 4–6 weeks for dose adjustment

NAMASTE, I RECOMMEND THE FOLLOWING TREATMENT PLAN FOR YOU- Treatment - 1. Ashokaristha+ Kumaryasava 15 ml each with 30 ml water twice a day after meal 2. Shatavari churna+Shatpushpa churna -3gm each with 1 Cup of milk at bedtime 3. Asthiposhak vati-1-0-1 after meals Yoga - Anulom vilom, bhastrika, tratak, malasana Diet- Adequate amount of water. Take seasonal fruits,leafy vegetables, juices, coconut water,Desi ghee. Avoid icecream, colddrink, fast food.

Lifestyle modification - Take atleast 7 hours of sound sleep. Stress management -Through meditation, walking,journaling. Sunlight exposure for 30 min early morning.

Don’t worry , follow these and will definitely feel better. Don’t hesitate to reach out for any further query. Would like to hear your improvement in the review. FOLLOW UP AFTER 1 MONTH. Take care Regards, Dr. Anupriya