Advice for Yellowish Eyes and Elevated Alkaline Phosphate - #50053

Namaskar Sukhraj ji, Your Alkaline Phosphatase (ALP) level is 172 (slightly high). Your eyes looking yellow may suggest mild jaundice or bile flow problem, even if other liver tests are normal. What You Should Check Bilirubin (Total & Direct) Ultrasound abdomen (to check liver and gallbladder) Livital by Zandu – 1 to 2 tablets daily after food 1 teaspoon Desi ghee with warm water daily Turmeric milk 1 teaspoon turmeric in warm milk once daily Kumariasva 20ml bd after food Arogya vardini vati 1tab bd After food Diet Eat Light vegetarian food Fruits and vegetables Drink warm water Avoid Fried and oily food Very spicy food Heavy meals

Hi Sukhraj ji, Thanks for sharing your reports and telling me what’s been going on. But dont worry we are here to help you out 😊 YOUR CONCERN So, you’re 56, you’re a vegetarian, and you don’t have diabetes or drink alcohol, but: –Your ALP is 172 (which is high) –Your eyes look a bit yellow –Your other liver tests (SGOT, SGPT) are normal This isn’t about a fatty liver or hepatitis. In Ayurveda, it means that Pitta and Kapha are blocking your liver and bile channels. This is causing: –Yellowish eyes –Thick bile –High ALP –Some liver congestion The good news is, we can fix this if we treat it the right way. Why are SGOT/SGPT normal, but ALP is high? SGOT and SGPT show if your liver cells are damaged. ALP shows if there’s a blockage in your bile flow. So, your liver cells are okay, but the bile isn’t flowing freely. Is Livital (Zandu) helpful? Yes, it can help a bit. But it’s not going to be enough on its own. We need to clear the bile and get rid of the Pitta-Kapha issue. AYURVEDIC PLAN OF TREATMENT 1️⃣ **Livital (Zandu)**2 tablets, twice a day after your food To support your liver cell 2️⃣ Arogyavardhini Vati 1 tablet, twice a day after your food To clear bile blockages 3️⃣ Bhumyamalaki Churna ½ tsp in warm water Twice a day before your meal A good bile cleanser 4️⃣ Punarnava Mandur 2 tablets, twice a day after your food To help with liver congestion Morning Detox Drink Every morning on an empty stomach, drink: 1 glass of warm water 1 tsp of Aloe vera juice ½ tsp of Triphala powder This will thin out the thick bile and flush out toxins. What to Eat (Very Important) Don’t Eat: – Milk, cheese – Fried food – White rice – Banana – Sugar –Bakery stuff Eat: – Bottle gourd – Ridge gourd – Pumpkin – Beetroot – Pomegranate – Apple – Lemon water – Buttermilk Tests to Do Again After 6 Weeks – Liver function test (LFT) – ALP – Ultrasound of your liver and gallbladder (just to check for sludge or stones) You caught this early, which is great. Also with this reports consult Ayurvedic physician in person for proper physical examination Warm Regards Dr. Snehal Vidhate

Not to worry Along with livita take Kumaryaasava-20 ml BD with equal water Lauh asava-15 ml -BD with water Bhumiamla churna 1 tsp BD

Start with Tab Liv 62 DS 1-0-1 Kumarasava 5-0-5 ml with warm water Once get ultra sound abdomen

✓Most likely causes Vitamin D deficiency / subclinical osteomalacia --raised bone ALP + mild jaundice tint (from mild haemolysis or carotenemia). Early Paget’s disease of bone (age 50+) can give isolated high ALP. Benign transient elevation or Gilbert’s + bone source (very mild bilirubin rise not captured in report). Liver disease is unlikely (other LFT normal + no symptoms). ✓What to do urgently (next 7–10 days) Get these tests: Vitamin D (25-OH) Serum calcium, phosphorus, PTH Bone-specific ALP (if available) or GGT (to confirm bone vs liver source) Repeat total & direct bilirubin ✓LIVITAL (Zandu) is safe & useful supportive liver tonic. Dose: 1–2 tsp twice daily after meals with water (as per label). Continue 4–6 weeks , good for mild liver support & energy. No harm in your case. ✓Diet & Lifestyle (start today) Daily: 15–20 min early morning sunlight (7–9 AM) - crucial for Vit D Add: fortified foods, sesame seeds (til), ragi, green leafy veg (cooked) Keep balanced veg diet and add ghee 1–2 tsp/day Avoid: alcohol (already none), unnecessary supplements, late dinner ✓Next step Get Vit D + GGT + repeat bilirubin this week and consult with reports. Most likely simple Vit D issue can easily correctable. Dr Gursimran Jeet Singh MD Panchakarma

✔️ Do’s: ✔️ Millet roti Buttermilk (daily include in your meal) Moong dal (green and yellow both are ok) All fruit vegetables Leafy vegetables (except methi and dil) 🧘‍♀️ Yogasan : 🧘‍♀️ 1. Bhujangasana (Cobra Pose) 2. Dhanurasana (Bow Pose) 3. Ardha Matsyendrasana (Half Lord of the Fishes Pose) 4. Paschimottanasana (Seated Forward Fold) 5. Halasana (Plow Pose) 6. Sarvangasana (Shoulder Stand Pose) 7. Matsyasana (Fish Pose) 8. Supta Matsyendrasana (Reclined Spinal Twist) 9. Surya Namaskar 10. Malasan (Squats Pose) 🧘‍♀️ Pranayam : 🧘‍♀️ 1. Anulo Vilom 2. Bhramari 3. Kapalbhati 4. Shitali 5. Sitkari ❌ Donot’s: ❌ Tea Coffee Addictions Dals (except moong) Sour Packed food Processed food Achar (pickles) Papad Fried food Avoid dairy completely 💊 Medication: 💊 Tab. Live 52 DS 1 tab twice a day before food. Tab. Arogyavardhini Vati 2 tabs twice a day before food. Tab. Kamdudha Vati (praval yukt) 2 tabs twice a day before food. Syp. Bhunimbadi Kadha 2 tsp twice a day before food. Tab. Gandharva Haritaki 2 tabs at night with one glass hot water. Remember more than medicines food will do the magic for you… Follow your diet very strictly. If you can stick to Moong dal and Rice and buttermilk for 3 weeks

NAMASKAR SUKHRAJ JI YOUR ALKALINE PHOSPHATASE LEVEL OF 172 WITH YELLOWISH EYES FOR MORE THAN SIX MONTHS SHOULD NOT BE IGNORED EVEN IF SGPT AND OTHER LFT VALUES ARE NORMAL YELLOW TINGE IN EYES USUALLY INDICATES BILIRUBIN INVOLVEMENT OR LIVER BILE FLOW DISTURBANCE SOMETIMES ALKALINE PHOSPHATASE RISES DUE TO BILE DUCT CONGESTION FATTY LIVER BONE METABOLISM ISSUES OR SUBCLINICAL LIVER STRESS SO FIRST IT IS IMPORTANT TO CHECK TOTAL AND DIRECT BILIRUBIN GGT ULTRASOUND ABDOMEN AND IF NOT DONE SERUM VITAMIN D AND BONE PROFILE ALSO FROM AYURVEDIC VIEW THIS SUGGESTS MILD PREDOMINANT PITTA IMBALANCE IN THE RAKTA AND YAKRIT THATU WHEN PITTA ACCUMULATES IN THE LIVER REGION IT CAN MANIFEST AS YELLOWISH DISCOLORATION EVEN BEFORE STRONG LAB CHANGES APPEAR REGARDING LIVITAL IT IS A LIVER SUPPORT FORMULATION AND MAY HELP BUT PLEASE DO NOT RELY ONLY ON ONE TABLET WITHOUT PROPER EVALUATION BECAUSE IF THERE IS OBSTRUCTION OR BILE FLOW ISSUE IT NEEDS TARGETED MANAGEMENT IMMEDIATELY AVOID FRIED FOOD EXCESS OIL SPICY PICKLES BAKERY ITEMS AND HEAVY DINNER INCLUDE BOTTLE GOURD RIDGE GOURD CORIANDER AMLA POMEGRANATE AND WARM WATER SIP THROUGHOUT THE DAY YOU CAN TAKE CORIANDER SEED WATER BOILED AND COOLED DAILY TO PACIFY PITTA ALSO CHECK IF YOU HAVE ANY ITCHING DARK URINE PALE STOOLS OR UNEXPLAINED WEIGHT LOSS IF ANY OF THESE ARE PRESENT YOU MUST CONSULT A PHYSICIAN URGENTLY PLEASE DO AN ULTRASOUND AND COMPLETE LIVER PANEL BEFORE STARTING LONG TERM SUPPLEMENTS EARLY EVALUATION IS VERY IMPORTANT EVEN IF YOU FEEL OTHERWISE HEALTHY

Namaskar ji There is slightly high alkaline phosphatase and your eyes look yellow. Other liver tests are normal. This can sometimes mean a mild liver or bile duct problem. I would advise you to go for USG (Abdomen+ pelvis), to Rule out any abnormalities with of liver and gallbladder and repeat the liver tests. Continue your healthy vegetarian diet, stay hydrated, and avoid unnecessary medicines. Once we know the cause, we can decide the right treatment. I hope there is no problem related to stool and urine ( any kind of color change) -Diagnosis (Ayurvedic): kamala ( mild jaundice ) Rx: Tab Amylcure DS – 2-2-2 after food Tab. Aarogyawardhini 1-1-1 after food Avipattikar churna – 5 gm at bedtime with warm water -Diet & Lifestyle: Light vegetarian diet, avoid oily/fried foods non veg, stay hydrated, have amla juice -Follow-up: Repeat LFT & liver USG ( whole abdomen)urgent Please keep me updated

1.Arogyavardhini vati 2 tab twice daily with water after meals 2.Punarnava mandur 1 tab twice daily with water after meals 3.Bhumi Amla churna 1/2 tsp once daily with lukewarm water 4.Syp. Liverx 2 tsp thrice daily Lifestyle & Diet - Warm vegetarian diet: Continue with light, easily digestible foods. - Avoid: Excess fried, oily, sour, and very spicy foods. - Include: Lauki (bottle gourd), papaya, pomegranate, turmeric, and green leafy vegetables. - Hydration: Warm water, herbal teas (jeera, coriander, fennel). - Routine: Gentle yoga (Bhujangasana, Ardha Matsyendrasana) improves liver circulation. WARM REGARDS DR. ANJALI SEHRAWAT

Yellowish discolouration of the eyes for more than 6 months with elevated alkaline phosphatase (ALP) despite normal other liver function tests suggests a possible underlying disturbance in Pitta metabolism and hepatobiliary function. Arogra vardhini vati 2-2-2 punarnava mandura 2-0-2 bhumyamalaki churna 3 gm after meal twice a day liv 52 tab 2-0-2 Diet : Take light,bottle gourd, ridge gourd, moong dal, old rice, cow ghee in little quantity, avoid : oily, fried foods, red chilli, sour/fermented items, bakery foods Lifestyle management Maintain regular meals and sleep Avoid daytime sleep Gentle exercise and pranayama Manage stress suggest Immediate Medical Care if: Dark urine Pale stools Itching Fatigue or weight loss Increasing yellow discoloration

1. Arogyavardhini Vati 1 tablet twice daily after meals with lukewarm water 2. Bhumi Amla tablets or juice Tablet: 2 tablets twice daily 3. Punarnava Mandur 1 tablet twice daily after meals 4. Katuki (Picrorhiza kurroa) powder or tablet 250–500 mg at bedtime with warm water 5. Triphala powder ½ tsp + Guduchi powder ½ tsp Take with warm water at bedtime 6.Continue Livital (Zandu) Diet & Lifestyle Favor Warm, light, easily digestible food Moong dal, lauki, tori, karela Old rice, wheat roti Pomegranate, apple, papaya Coconut water Turmeric + black pepper in cooking Avoid Strictly Fried, oily, spicy foods Pickles, packaged snacks Paneer, cheese in excess Bakery items Very sour foods Late-night meals