आयुर्वेदिक डॉक्टर से प्रश्न पूछें और निःशुल्क या भुगतान मोड में अपनी चिंता की समस्या पर ऑनलाइन परामर्श प्राप्त करें। 2,000 से अधिक अनुभवी डॉक्टर हमारी साइट पर काम करते हैं और आपके प्रश्नों का इंतजार करते हैं और उपयोगकर्ताओं को उनकी स्वास्थ्य समस्याओं को हल करने में प्रतिदिन मदद करते हैं।
Ayurvedic Medicine for High Triglycerides: Natural Solutions

- High triglycerides silently damage your arteries, and millions of Indians are searching for natural ways to bring them down. The good news?
- Ayurvedic medicine offers several clinically studied herbs — including Guggulu, Arjuna, Guduchi (Tinospora cordifolia), and Fenugreek — that have demonstrated real, measurable reductions in triglyceride levels when used correctly alongside diet and lifestyle changes.
- But here's what most articles won't tell you: Ayurveda is not a magic bullet for every case. If your triglycerides exceed 500 mg/dL, you face immediate risk of acute pancreatitis, and conventional medical intervention becomes non-negotiable.
- This article gives you the complete picture — what works, what the research says, when to use Ayurvedic treatment, and when to see a doctor instead.
What Are Triglycerides and Why Do They Matter?
Triglycerides are the most common type of fat in your blood. When you eat, your body converts calories it doesn't need immediately into triglycerides, which are stored in fat cells and released between meals for energy. The problem starts when you consistently consume more calories than you burn — triglyceride levels climb, and cardiovascular risk rises sharply.
Unlike cholesterol, which is used to build cells and hormones, triglycerides are purely an energy-storage molecule. Both travel through your blood in lipoproteins, but they play fundamentally different roles and require different management strategies.
What Is the Difference Between Cholesterol and Triglycerides?
This is one of the most commonly confused topics. Cholesterol is a waxy substance your liver produces for cell membranes and hormone synthesis. Triglycerides are dietary and metabolic fats stored for energy. Your lipid panel measures both, but elevated triglycerides are an independent risk factor for heart disease — separate from high LDL cholesterol.
In Ayurvedic terms, both fall under the broader concept of Medo Dhatu (fat tissue) imbalance, but the treatment approach can differ depending on which is elevated.
Normal Triglyceride Levels: The Ranges You Need to Know
Most competitors in this space don't provide clear reference ranges.
Here's the table your doctor uses:
| Triglyceride Level | Category | What It Means |
|---|---|---|
| Below 150 mg/dL | Normal | Healthy range; maintain with diet and lifestyle |
| 150–199 mg/dL | Borderline High | Lifestyle modification recommended; Ayurvedic intervention most effective here |
| 200–499 mg/dL | High | Active treatment needed; Ayurveda can complement medical care |
| 500 mg/dL and above | Very High | Medical emergency risk — pancreatitis danger; requires immediate conventional treatment |
Symptoms and Health Risks of High Triglycerides
Here's the tricky part — high triglycerides usually produce no symptoms at all until serious damage occurs. This is why they're called a "silent" risk factor. However, extremely elevated levels (above 500 mg/dL) can cause:
- Xanthomas — yellowish fatty deposits under the skin, especially around elbows, knees, and eyelids
- Acute pancreatitis — severe abdominal pain, nausea, vomiting (a medical emergency)
- Hepatosplenomegaly — enlarged liver and spleen
- Lipemia retinalis — whitish appearance of retinal blood vessels
Chronic moderately high triglycerides contribute to atherosclerosis, increasing risk of heart attack and stroke over time. If you experience sudden severe upper abdominal pain with very high triglycerides, go to a hospital — not an Ayurvedic clinic.
The Ayurvedic Understanding of High Triglycerides
Ayurveda doesn't use the term "triglycerides" directly, but the condition maps precisely onto several classical concepts that have been described in texts like Charaka Samhita and Sushruta Samhita for thousands of years.
Medo Dhatu Vriddhi and Kapha-Pitta Imbalance
In Ayurveda, high triglycerides correspond to Medo Dhatu Vriddhi — an excessive accumulation of fat tissue (Medo Dhatu). This is primarily a Kapha dosha disorder, often with secondary Pitta involvement that disrupts metabolic transformation.
The chain of events looks like this in Ayurvedic pathology:
- 1.Agni Mandya (weakened digestive fire) — your body cannot properly metabolize fats
- 2.Ama formation (metabolic toxins) — undigested material accumulates and clogs channels
- 3.Medo Dhatu Vriddhi — fat tissue increases beyond its healthy proportion
- 4.Srotavarodha — blockage of body channels (srotas), particularly Medovaha Srotas (fat-carrying channels)
Root Causes in the Ayurvedic Paradigm
Ayurvedic texts identify specific etiological factors (Nidana) that are remarkably consistent with modern understanding:
- Ati Snigdha Ahara — excessive consumption of oily, fatty foods
- Ati Madhura Ahara — excess sweet and high-carbohydrate foods
- Avyayama — sedentary lifestyle, lack of physical activity
- Divaswapna — daytime sleeping (disrupts metabolism)
- Manasika Nidana — psychological stress, anxiety, and emotional eating
- Madya Sevana — excessive alcohol consumption
- Beeja Dosha — genetic predisposition (yes, Ayurveda recognized hereditary factors)
Best Ayurvedic Herbs and Medicines for Reducing Triglycerides
This is the section most readers are here for. Let's dive into the herbs with the strongest evidence, not just traditional reputation.
Guggulu (Commiphora mukul): The Most Studied Ayurvedic Lipid-Lowering Agent
Surprisingly, most competing articles either skip or undercover Guggulu — despite it being arguably the single most researched Ayurvedic intervention for dyslipidemia.
Guggulsterones (the active compounds) work by acting as antagonists of the farnesoid X receptor (FXR), which regulates cholesterol and triglyceride metabolism in the liver. Key research: A landmark study published in The Journal of the Association of Physicians of India demonstrated that Guggulu extract reduced serum triglycerides by 16–25% over 24 weeks. Another study in the Indian Journal of Medical Research showed significant reduction in both triglycerides and LDL cholesterol compared to placebo. Typical dosage: Standardized Guggulu extract (guggulsterones 2.5%), 500–1000 mg twice daily after meals. Classical preparations include Triphala Guggulu, Medohar Guggulu, and Kanchanar Guggulu. Caution: Guggulu can interact with thyroid medications and blood thinners. Discontinue at least 2 weeks before any surgery.
Arjuna (Terminalia arjuna): The Heart-Protective Herb
Arjuna bark has been used in Ayurveda specifically for Hridroga (heart diseases) for centuries. Modern research confirms its hypolipidemic activity.
- A study published in the Journal of Ethnopharmacology found that Arjuna bark extract significantly reduced total cholesterol, LDL, and triglycerides while raising protective HDL cholesterol.
- The active compounds — arjunolic acid, arjunic acid, and arjungenin — appear to inhibit hepatic cholesterol synthesis.
Classical preparations: Arjunarishta (Arjunarishtam), Parthadyarishtam, and Arjuna bark powder (Churna). Typical dosage: Arjuna bark powder 3–6 g daily, or Arjunarishtam 15–30 mL twice daily with equal water after meals.
Guduchi / Giloy (Tinospora cordifolia): Clinically Proven in Randomized Trials
This is where the evidence gets particularly strong. A randomized controlled trial published in BMC Complementary Medicine and Therapies (2019) specifically studied Tinospora cordifolia extract (TCE) in patients with metabolic syndrome.
Results were striking:
- Significant reduction in triglycerides, LDL cholesterol, and VLDL
- Significant increase in HDL ("good") cholesterol
- Results were comparable to metformin (the standard drug) on several metabolic parameters
- Metabolomic analysis confirmed changes in lipid metabolism pathways
The study used 250 mg standardized extract twice daily for 14 days, with measurable improvements within that short period.
Fenugreek (Methi / Trigonella foenum-graecum): The Underutilized Kitchen Remedy
Fenugreek is available in every Indian kitchen, yet it's consistently overlooked in articles about Ayurvedic lipid management. Multiple clinical studies demonstrate its triglyceride-lowering effects.
A meta-analysis of clinical trials showed that fenugreek seed supplementation reduced triglycerides by an average of 22 mg/dL. The galactomannan fiber in fenugreek seeds reduces fat absorption, while 4-hydroxyisoleucine improves insulin sensitivity — addressing triglycerides from two directions simultaneously.
Practical usage: Soak 1–2 tablespoons of fenugreek seeds overnight; consume on empty stomach with water. Or use fenugreek seed powder 5–10 g daily.
Other Important Herbs: Triphala, Garlic, Turmeric, and Amla
| Herb | Active Mechanism | Evidence Level | Typical Dosage |
|---|---|---|---|
| Triphala | Improves Agni, reduces Ama, mild lipid-lowering | Multiple animal studies + limited human trials | 3–6 g powder at bedtime with warm water |
| Garlic (Lasuna) | Inhibits cholesterol synthesis, reduces TG by 11–15% | Several human clinical trials | 1–2 raw cloves on empty stomach, or 500 mg aged garlic extract (caution in Pitta types) |
| Turmeric (Haridra) | Curcumin modulates NF-κB pathway, reduces inflammation and lipid oxidation | A 2017 meta-analysis of 7 RCTs showed significant TG reduction | 500–1000 mg curcumin with piperine for absorption |
| Amla (Indian Gooseberry) | Rich in vitamin C, improves lipid profile, enhances Agni | Clinical studies show significant TG reduction at 500 mg twice daily | Fresh amla juice 20 mL daily or Amla powder 3–5 g |
Panchakarma Therapies for Triglyceride Management
Panchakarma — Ayurveda's five-fold detoxification system — addresses high triglycerides by removing accumulated Ama and rebalancing Medo Dhatu. These are not home remedies; they require administration by a qualified Panchakarma practitioner.
Key Panchakarma Procedures for Dyslipidemia
Virechana (Therapeutic Purgation): This is considered the primary Panchakarma for Medo Roga (fat disorders). It eliminates excess Pitta and Kapha from the liver and gut, directly improving fat metabolism. Typically performed after 3–7 days of internal oleation (Snehapana) with medicated ghee. Lekhana Basti (Medicated Enema): Specialized enemas using honey, Triphala decoction, and specific herbs that have a "scraping" (Lekhana) effect on excess fat tissue. This directly acts on Medovaha Srotas. Hridya Basti: A localized treatment where warm medicated oil is pooled over the heart region using a dough dam. This specifically supports cardiac function and circulation in patients with lipid disorders. Matra Basti (Oil Enema): Smaller, daily oil enemas using medicated oils like Dhanwantharam Tailam that balance Vata dosha — important because Vata imbalance often underlies the metabolic dysfunction driving high triglycerides. Udwarthana (Dry Powder Massage): Full-body massage using dry herbal powders (like Triphala, Kolakulattahdi Churna) in an upward direction. This stimulates fat metabolism through the skin and reduces Medo Dhatu accumulation.
Diet and Lifestyle Changes: The Ayurvedic Approach
No amount of herbal medicine will fix high triglycerides if your diet and lifestyle are working against you. Ayurveda emphasises this principle through the concept of Pathya-Apathya (do's and don'ts).
Kapha-Pitta Balancing Diet for High Triglycerides
Foods to Include (Pathya):
- Barley (Yava) — considered the best grain for reducing Medo Dhatu
- Moong dal — light, easy to digest, Kapha-pacifying
- Bitter gourd, drumstick, bottle gourd — bitter and astringent vegetables reduce Kapha
- Warm water with honey (never heated above 40°C) — helps metabolize fat
- Old rice (at least 1 year old) — lighter than new rice
- Spices: ginger, black pepper, cumin, turmeric, cinnamon — all enhance Agni
Foods to Avoid (Apathya):
- Refined sugars and processed carbohydrates (this is the biggest triglyceride driver)
- Deep-fried foods and excessive oil
- Full-fat dairy products, especially curds at night
- Red meat and organ meats
- Alcohol — directly elevates triglyceride synthesis in the liver
- Cold beverages — suppress Agni
- New grains and freshly harvested rice
Indian Home Remedies to Reduce Triglycerides
These are practical, kitchen-based interventions that complement herbal medicine:
- 1.Methi water: Soak 2 tsp fenugreek seeds overnight, drink the water and chew seeds on empty stomach
- 2.Garlic-honey: 1–2 crushed garlic cloves mixed with 1 tsp raw honey, consumed morning on empty stomach (avoid if you have acid reflux or Pitta dominance)
- 3.Triphala water: 1 tsp Triphala powder in warm water before bed — improves digestion and gently detoxifies
- 4.Cinnamon tea: ½ tsp cinnamon powder in warm water, twice daily — studies show cinnamon improves insulin sensitivity and lowers triglycerides
- 5.Amla juice: 20 mL fresh Amla juice with warm water in the morning
Lifestyle Modifications: Dinacharya and Beyond
Daily Routine (Dinacharya) adjustments:
- Wake before sunrise (ideally 5:30–6:00 AM) — Kapha period begins after 6 AM and promotes heaviness
- Avoid daytime sleeping entirely — Divaswapna directly aggravates Medo Dhatu
- Eat your largest meal at lunch when Pitta (digestive fire) peaks
- Dinner should be light and before 7:30 PM
- Walk for 15–20 minutes after each meal
Exercise: A minimum of 30–45 minutes of moderate physical activity daily. Ayurveda recommends exercising to Ardha Shakti (half your capacity) — you should break a mild sweat but not be completely exhausted.
Yoga Asanas Specifically for Lipid Metabolism
No competitor article names specific asanas — yet yoga is consistently recommended.
Here are postures with established metabolic benefits:
- Surya Namaskar (Sun Salutation) — 12 rounds daily; comprehensive metabolic stimulation
- Kapalabhati Pranayama — rapid abdominal breathing; directly stimulates liver and pancreas
- Ardha Matsyendrasana (Half Spinal Twist) — compresses abdominal organs, improves liver function
- Paschimottanasana (Seated Forward Bend) — stimulates digestion, reduces abdominal fat
- Dhanurasana (Bow Pose) — activates pancreas and liver
- Naukasana (Boat Pose) — strengthens core, stimulates abdominal organs
Stress Management: Chronic stress elevates cortisol, which directly increases triglyceride production. Integrate Nadi Shodhana Pranayama (alternate nostril breathing) for 10 minutes daily, and practice Yoga Nidra or guided meditation for 20 minutes. A 2014 study in the Indian Journal of Physiology and Pharmacology demonstrated that regular pranayama practice significantly improved lipid profiles.
Personalized Treatment Based on Prakriti (Body Constitution)
One-size-fits-all doesn't work in Ayurveda. Your Prakriti determines which herbs and strategies will work best for you.
Kapha-Dominant Individuals
- Most common type to develop high triglycerides.
- Focus on: Guggulu-based formulations, strong Lekhana (fat-scraping) herbs, vigorous exercise, strictly avoid sweet and oily foods.
- Best herb: Medohar Guggulu.
Pitta-Dominant Individuals
- High triglycerides often co-occurs with fatty liver and inflammation.
- Focus on: Guduchi, Amla, Arjuna — cooling herbs that reduce lipids without aggravating Pitta.
- Avoid excess garlic and hot spices.
- Best herb: Arogyavardhini Vati.
Vata-Dominant Individuals
- Less common, but Vata-type dyslipidemia often accompanies stress, anxiety, and irregular eating.
- Focus on: Ashwagandha (for stress), Triphala Guggulu (gentle), warm oil enemas (Matra Basti).
- Best approach: regularity in meals and sleep.
When Ayurveda Is NOT Enough: Safety Boundaries
This is perhaps the most important section in this article, and no competitor covers it adequately.
Critical Thresholds
- TG > 500 mg/dL: You are at risk of acute pancreatitis. This is a medical emergency scenario. Start conventional medication (fibrates, high-dose omega-3, or nicotinic acid) first. Ayurveda can be added as adjunct therapy once levels stabilize below 500.
- Established cardiovascular disease: If you've already had a heart attack or stroke, do not replace prescribed statins or fibrates with Ayurvedic medicine without your cardiologist's explicit approval.
- Pregnant or breastfeeding women: Many Ayurvedic herbs (especially Guggulu) are contraindicated during pregnancy.
Drug-Herb Interactions to Watch
| Ayurvedic Herb | Conventional Drug | Interaction Risk |
|---|---|---|
| Guggulu | Statins (atorvastatin, rosuvastatin) | May enhance lipid-lowering effect excessively; monitor liver enzymes |
| Guggulu | Warfarin / anticoagulants | May alter blood clotting; increased bleeding risk |
| Garlic (high dose) | Antiplatelet drugs (aspirin, clopidogrel) | Additive blood-thinning effect |
| Turmeric / Curcumin | Blood thinners | Mild anticoagulant effect — monitor INR |
| Fenugreek | Diabetes medications (metformin, glipizide) | May cause hypoglycemia (excessive blood sugar drop) |
| Arjuna | Beta-blockers, calcium channel blockers | May enhance blood pressure lowering effect |
Bottom line: If you're already taking pharmaceutical medications for cholesterol, triglycerides, diabetes, or blood pressure, consult both your allopathic doctor and a qualified Ayurvedic practitioner before adding herbal medicines.
How Long Does Ayurvedic Treatment Take to Lower Triglycerides?
This is a question every patient asks, yet almost no article answers directly.
Realistic timeline:
- 2–4 weeks: The Tinospora cordifolia study showed measurable improvements in as little as 14 days. Initial Panchakarma detox also shows quick changes.
- 8–12 weeks: Most herbal interventions (Guggulu, Arjuna, Fenugreek) show significant, stable reductions in triglycerides within 2–3 months of consistent use.
- 3–6 months: For sustained normalization, especially if levels were above 300 mg/dL, expect a longer journey combining herbs, diet, exercise, and possibly Panchakarma.
- Ongoing: Ayurveda views dyslipidemia as a metabolic tendency that requires permanent lifestyle modification — not just a course of medicine.
Get your lipid panel retested every 8–12 weeks during active treatment to track progress.
Ayurveda vs Conventional Medicine: A Balanced Comparison
| Parameter | Ayurvedic Approach | Conventional Approach |
|---|---|---|
| Primary tools | Herbs, diet, Panchakarma, yoga | Statins, fibrates, omega-3 drugs, niacin |
| Speed of action | 2–12 weeks for measurable results | Days to weeks (fibrates act fast) |
| Side effects | Generally mild; GI upset possible with Guggulu | Muscle pain, liver damage, GI issues with statins/fibrates |
| Root cause approach | Addresses Agni, Ama, and dosha balance | Targets specific biochemical pathways |
| Effectiveness at TG > 500 | Insufficient as monotherapy | Essential and potentially life-saving |
| Long-term sustainability | High, if lifestyle changes are maintained | Requires ongoing medication in most cases |
| Cost | Generally lower | Higher (long-term prescription costs) |
The wisest approach? Integrative. Use Ayurveda's strengths in diet, lifestyle, and gentle herbal correction for mild-to-moderate cases. Add conventional medicine when levels are dangerously high or when cardiovascular risk is already established.
Frequently Asked Questions
Which is the best Ayurvedic medicine for triglycerides?
Based on available clinical evidence, Guggulu (specifically Medohar Guggulu or Triphala Guggulu) has the strongest and most consistent research for lowering triglycerides. For metabolic syndrome specifically, Tinospora cordifolia (Guduchi) showed impressive results in a randomised controlled trial. The "best" choice depends on your Prakriti and overall health profile — consult an Ayurvedic practitioner for personalized prescription.
What is the best natural medicine for high triglycerides?
Beyond Ayurvedic herbs, the best-studied natural interventions include omega-3 fatty acids from fish oil (2–4 g/day reduces TG by 25–30%), fenugreek seeds, and regular aerobic exercise. In the Ayurvedic toolkit, combining Guggulu with dietary changes offers the most reliable natural approach.
Which herbs reduce triglycerides?
Guggulu, Arjuna, Guduchi (Giloy), Fenugreek (Methi), Garlic (Lasuna), Turmeric (Haridra), Triphala, and Amla all have evidence supporting triglyceride reduction. Guggulu and Fenugreek have the most human clinical trial data.
What is the best Ayurvedic medicine for cholesterol and triglycerides together?
Arogyavardhini Vati and Medohar Guggulu address both cholesterol and triglycerides simultaneously by improving liver function and fat metabolism. Arjuna is excellent specifically when cardiovascular protection is also needed.
Can Ayurvedic medicine completely cure high triglycerides?
- Ayurveda can normalize triglyceride levels in mild-to-moderate cases (150–400 mg/dL), especially when combined with proper diet, exercise, and lifestyle changes.
- However, "cure" implies permanence — if you return to the habits that caused the imbalance, triglycerides will rise again. Ayurveda views this as an ongoing metabolic management, not a one-time fix.
How long does it take for Ayurvedic medicine to reduce triglycerides?
Initial improvements can appear within 2–4 weeks. Significant, stable reductions typically require 8–12 weeks of consistent herbal supplementation combined with dietary and lifestyle modifications. Severe cases may need 3–6 months.
Conclusion: Your Next Steps
- Managing high triglycerides through Ayurveda is not about picking a single herb and hoping for the best.
- It's a systematic approach — correcting Agni, clearing Ama, balancing Kapha and Pitta doshas, and making sustainable changes to what you eat and how you live.
Start here:
- Get a lipid panel test if you haven't had one recently
- If TG is 150–499 mg/dL, begin with dietary changes and a single well-studied herb like Guggulu or Fenugreek
- Consult a qualified Ayurvedic practitioner (BAMS or MD Ayurveda) for personalized Prakriti-based treatment
- Retest in 8–12 weeks to measure progress
- If TG is above 500 mg/dL, see a conventional doctor first — Ayurveda can complement but not replace emergency medical care
- The ancient wisdom of Ayurveda, supported by modern clinical evidence, gives you powerful tools to reclaim your metabolic health.
- But wisdom also means knowing the limits of any system — and using the right tool for the right situation.
This article is for educational purposes only and does not replace professional medical advice. Always consult qualified healthcare practitioners before starting any new treatment regimen.
Scientific Sources
- Dentistry and Ayurveda - IV: classification and management of common oral diseases — Amruthesh S, 2008, Indian journal of dental research : official publication of Indian Society for Dental Research
- A Systematic Review and Meta-Analysis of Ayurvedic Herbal Preparations for Hypercholesterolemia — Gyawali D et al., 2021, Medicina (Kaunas, Lithuania)
- Dementia in Ayurveda — Manyam BV, 1999, Journal of alternative and complementary medicine (New York, N.Y.)
- An introduction to Ayurveda — Lad V, 1995, Alternative therapies in health and medicine
- Ayurveda and COVID-19: Where psychoneuroimmunology and the meaning response meet — Rajkumar RP, 2020, Brain, behavior, and immunity
- Murraya koenigii (L.) Spreng. as a Natural Intervention for Diabesity: A Review — Jachak SM et al., 2024, Current pharmaceutical design
- Efficacy and safety of ayurvedic intervention (Sarpgandha Mishran) vs amlodipine for Stage-I primary hypertension- study protocol for a prospective Double-Dummy, Double-Blind, placebo-controlled Randomized Clinical Trial — Yadav B et al., 2025, BMC complementary medicine and therapies
- Specific Dimensions of Treatment Satisfaction with Yoga and Allied Therapies Predict Health Outcomes — Telles S et al., 2026, International journal of yoga therapy
- Some excerpts from Charaka Samhita - An ancient treatise on Ayurveda & healthy living — Katiyar CK et al., 2017, Journal of ethnopharmacology
- Brahmi (Bacopa monnieri): An ayurvedic herb against the Alzheimer's disease — Dubey T et al., 2019, Archives of biochemistry and biophysics
- Medicinal plants of India with anti-diabetic potential — Grover JK et al., 2002, Journal of ethnopharmacology
- Some thoughts on the undergraduate Ayurveda curriculum — Chandra S, 2023, Indian journal of medical ethics
- Molecular approach to ayurveda — Tripathi YB, 2000, Indian journal of experimental biology
- Fumigation in Ayurveda: potential strategy for drug discovery and drug delivery — Vishnuprasad CN et al., 2013, Journal of ethnopharmacology
- Concept of interactions between consumable substances in Ayurveda with special reference to foods and drugs — Sarkar PK et al., 2013, Drug metabolism and drug interactions
- Ayurveda and botanical drugs for epilepsy: Current evidence and future prospects — Sriranjini SJ et al., 2015, Epilepsy & behavior : E&B
- Evaluating Ayurveda — Bodeker G, 2001, Journal of alternative and complementary medicine (New York, N.Y.)
- Ayurveda Management of Allergic Rhinitis: Protocol for a Randomized Controlled Trial — Mata S et al., 2024, JMIR research protocols
- Foundations of clinical logagogy — Bühler KE, 2003, Medicine, health care, and philosophy
- Ayurveda in Cancer Care in India: Scope, Challenges, and Suggested Approaches — Gundeti MS et al., 2018, Journal of alternative and complementary medicine (New York, N.Y.)