What are the best Ayurvedic medicines for early-stage Amavata with hypothyroidism? - #56549

Early-Stage Amavata (RA Risk), age 55: Patient presents with positive Anti-CCP and RA factors, along with morning stiffness and swelling in the right index finger, wrist, and feet, driven by Ama (undigested toxins) migrating into vulnerable joint spaces. Agni-Vitiating Routine: Eating a full dinner and immediately exercising suppresses Agni (digestive fire), causing food to ferment into toxins (evidenced by foul gas), which Vata forcefully pumps into the joints. Systemic Inflammatory Baseline: A five-year post-menopausal history, chronic hypothyroidism with water retention, and a background of chronic urticaria create a hyper-reactive immune state prone to shifting inflammation between the skin and joints. Which 1 or 2 medicines can the patient start with in the initial stages, paying attention to hypothyroidism? Thank you.