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High TSH obesity T3 and T4 normal, heart rate is also normal. Tired after heavy work. Into IT industry and more sedentary lifestyle
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Ear, Nose, and Throat Disorders
प्रश्न #13119
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High TSH obesity T3 and T4 normal, heart rate is also normal. Tired after heavy work. Into IT industry and more sedentary lifestyle - #13119

Ashish

I completed panchkarma and taking kanchar gugullu ds since 8 months but my TSH is still high at 9 and before it was 15. What can I do next to control it..? Should I undergo panchkarma again...? My weight is around 92 and height is 5'10" and age is 34yrs male. My sex drive is gone down very much.. and no other visible symptoms... Please tell me how to proceed further...

आयु: 34
पुरानी बीमारियाँ: Thyroid
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डॉक्टरों की प्रतिक्रियाएं

As an Ayurveda Chikitsak, I understand your concern regarding high TSH levels and its impact on your overall well-being. TSH (Thyroid Stimulating Hormone) is an indicator of thyroid function, and a high TSH suggests hypothyroidism, which can contribute to weight gain, fatigue, and a decrease in libido, even when T3 and T4 levels are normal.

Diet and Lifestyle Adjustments: A sedentary lifestyle and high-stress environment, such as the IT industry, can exacerbate thyroid issues. To support your thyroid function, I recommend adopting a diet rich in fresh, organic vegetables, whole grains, and healthy fats. Incorporating foods that balance Vata and Pitta doshas like ginger, turmeric, coconut oil, and ghee can help regulate metabolism and reduce inflammation. Regular physical activity, even a simple yoga practice or walking, will enhance circulation and support thyroid function. Ayurvedic Herbal Support: You have been taking Kanchnar Guggulu, which is a well-known herbal remedy for thyroid health, and it is good that it has helped reduce your TSH levels from 15 to 9. To further support thyroid function, you may benefit from adding Triphala to your routine, which improves digestion, detoxifies the liver, and supports hormonal balance. Ashwagandha can help reduce stress and improve energy levels, while Guggulu (in combination with other herbs) is specifically beneficial for reducing thyroid-related symptoms. Panchakarma Detox: Since you’ve already undergone Panchakarma, it may be beneficial to repeat it if you are experiencing a stagnation of doshas or if the TSH levels are still high despite the current approach. Virechana (purgation therapy) and Abhyanga (oil massage) are particularly effective in clearing out toxins, balancing the doshas, and stimulating metabolism. Additionally, incorporating Nasya therapy could help cleanse excess mucus from the respiratory system and balance Vata dosha, supporting thyroid function. Improved Stress Management: A sedentary lifestyle and work-related stress can significantly affect thyroid health. Integrating stress-reducing practices such as Pranayama (breathing exercises), meditation, and yoga will help restore hormonal balance, improve circulation, and reduce overall fatigue. Sexual Health: For reduced libido, consider taking herbs like Shatavari and Ashwagandha, which are known for their rejuvenating effects on the reproductive system and help improve energy levels. Additionally, consider checking your liver function and digestive health, as these areas can influence thyroid function and sexual health. In conclusion, while Panchakarma has been beneficial, continuous Ayurvedic support, stress management, dietary changes, and additional herbal remedies can help you further reduce your TSH and address associated symptoms like weight gain and reduced libido. Please consult with your Ayurvedic practitioner for personalized guidance, and also consider regular monitoring of your thyroid levels to track progress.

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Dr. Harsha Joy
Dr. Harsha Joy is a renowned Ayurvedic practitioner with a wealth of expertise in lifestyle consultation, skin and hair care, gynecology, and infertility treatments. With years of experience, she is dedicated to helping individuals achieve optimal health through a balanced approach rooted in Ayurveda's time-tested principles. Dr. Harsha has a unique ability to connect with her patients, offering personalized care plans that cater to individual needs, whether addressing hormonal imbalances, fertility concerns, or chronic skin and hair conditions. In addition to her clinical practice, Dr. Harsha is a core content creator in the field of Ayurveda, contributing extensively to educational platforms and medical literature. She is passionate about making Ayurvedic wisdom accessible to a broader audience, combining ancient knowledge with modern advancements to empower her clients on their wellness journeys. Her areas of interest include promoting women's health, managing lifestyle disorders, and addressing the root causes of skin and hair issues through natural, non-invasive therapies. Dr. Harsha’s holistic approach focuses on not just treating symptoms but addressing the underlying causes of imbalances, ensuring sustainable and long-lasting results. Her warm and empathetic nature, coupled with her deep expertise, has made her a sought-after consultant for those looking for natural, effective solutions to improve their quality of life. Whether you're seeking to enhance fertility, rejuvenate your skin and hair, or improve overall well-being, Dr. Harsha Joy offers a compassionate and knowledgeable pathway to achieving your health goals.
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It’s great that you’ve already undergone Panchakarma and are taking Kanchanar Guggulu for your thyroid condition. However, since your TSH levels remain high at 9 (though reduced from 15), this suggests that the thyroid imbalance may still need further support. In Ayurveda, hypothyroidism is often related to an imbalance in Kapha dosha, leading to sluggish metabolism, weight gain, and fatigue, along with potential impacts on sex drive.

Here’s how you can proceed:

Dietary Adjustments: Focus on a Kapha-pacifying diet with warm, light, and easily digestible foods. Avoid heavy, greasy, or overly sweet foods that can further aggravate Kapha. Include fresh vegetables, lean proteins, and whole grains like barley and quinoa. Foods that are warming and stimulate digestion, such as ginger, turmeric, and mustard, can support thyroid function.

Herbal Support: Continue with Kanchanar Guggulu, which is traditionally used to support thyroid health and reduce Kapha. Consider adding Ashwagandha for its adaptogenic properties to balance hormones and Triphala to support detoxification. Guggulu combined with Kesar (saffron) can enhance thyroid function and metabolism.

Exercise and Weight Management: Since you mentioned having a higher weight, regular exercise is key to boosting metabolism. Focus on yoga, aerobic exercises like walking, cycling, or swimming, and strength training to increase muscle mass and improve thyroid function. Even light daily activities like brisk walking can help significantly in weight management.

Sex Drive & Hormonal Balance: For low sex drive, consider incorporating Shatavari and Ashwagandha, both known for their rejuvenating and hormone-balancing effects. These herbs can improve energy levels, stamina, and overall vitality. Additionally, regular stress management through pranayama (breathing exercises) and meditation can improve hormonal balance.

Panchakarma: If you haven’t already undergone Panchakarma specifically for thyroid imbalance or weight loss, you may consider doing it again, focusing on therapies that reduce Kapha and improve metabolic function, such as Udwarthana (dry powder massage), Virechana (purgation), and Abhyanga (oil massage) with herbal oils that enhance circulation and detoxification. You should consult with an experienced Ayurvedic practitioner to see if another round of Panchakarma would be beneficial.

Medical Consultation: While Ayurveda can be incredibly helpful, it’s also important to consult with an endocrinologist. Your doctor may recommend levothyroxine or another thyroid medication to further regulate TSH levels. If you’re already on thyroid medication, it’s important to ensure that your dosage is correct, especially since you’ve seen improvement in TSH.

In summary, combining a balanced diet, regular exercise, herbal supplements, and stress management can support your thyroid health, and you can consider a second round of Panchakarma if needed. Always ensure that any complementary treatment aligns with your doctor’s advice.

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You’ve taken some good steps already, but it seems like there’s more to address here. If you’ve completed Panchakarma and are on Kanchanar Guggulu DS for the thyroid with some improvement, that’s a sign you’re on the right track… but let’s look deeper.

First, let’s consider your lifestyle. Being in IT, with a sedentary lifestyle can be hard on kapha dosha, which might be adding to weight issues and affecting thyroid function. So, try to incorporate more movement into your daily routine. Even short walks every hour or some desk exercises will help. Aim for at least 30 mins of moderate exercise most days of the week.

Next, diet. Focus on a kapha-pacifying diet, which means light, warm, and minimally processed foods. Spices like turmeric, ginger, and black pepper can boost your metabolism. Avoiding heavy, oily, and very sweet foods can help too. Try to eat your main meal around midday when digestion is strongest.

Sleep is also crucial. Make sure you’re getting 7-8 hours of good quality sleep each night. Stick to a regular sleep schedule and avoid screens before bed. Stress management is another area to consider; practices like yoga or meditation might provide relief.

As for panchakarma, repeating it might help, but it’s usually not done back-to-back. Consult with your Ayurvdedic doctor to see when it might be suitable again for you. Maybe a different approach within Ayurveda, anti-Kapha herbs like Trikatu or Shilajit may assist libido concerns, check with your practitioner on this.

Safety net - keep regular contact with your healthcare provider, they can keep an eye on your TSH levels and address any medical concerns. If you ever feel sudden changes or concerns, please reach out to them right away!

Lastly, stay persistent. Sometimes these changes take time but stick with the routine, and see how your body responds. Maybe some trial and error but don’t lose hope.

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461 समीक्षाएँ
Dr. Manjula
I am an Ayurveda practitioner who’s honestly kind of obsessed with understanding what really caused someone’s illness—not just what hurts, but why it started in the first place. I work through Prakruti-Vikruti pareeksha, tongue analysis, lifestyle patterns, digestion history—little things most ppl skip over, but Ayurveda doesn’t. I look at the whole system and how it’s interacting with the world around it. Not just, like, “you have acidity, take this churna.” My main focus is on balancing doshas—Vata, Pitta, Kapha—not in a copy-paste way, but in a very personalized, live-and-evolving format. Because sometimes someone looks like a Pitta imbalance but actually it's their aggravated Vata stirring it up... it’s layered. I use herbal medicine, ahar-vihar (diet + daily routine), lifestyle modifications and also just plain conversations with the patient to bring the mind and body back to a rhythm. When that happens—healing starts showing up, gradually but strongly. I work with chronic conditions, gut imbalances, seasonal allergies, emotional stress patterns, even people who just “don’t feel right” anymore but don’t have a name for it. Prevention is also a huge part of what I do—Ayurveda isn’t just for after you fall sick. Helping someone stay aligned, even when nothing feels urgent, is maybe the most powerful part of this science. My entire practice is rooted in classical Ayurvedic texts—Charaka, Sushruta, Ashtanga Hridayam—and I try to stay true to the system, but I also speak to people where they’re at. That means making the treatments doable in real life. No fancy lists of herbs no one can find. No shloka lectures unless someone wants them. Just real healing using real logic and intuition together. I care about precision in diagnosis. I don’t rush that part. I take time. Because one wrong assumption and you’re treating the shadow, not the source. And that’s what I try to avoid. My goal isn’t temporary relief—it’s to teach the body how to not need constant fixing. When someone walks away lighter, clearer, more in tune with their system—that’s the actual win.
5
142 समीक्षाएँ
Dr. Surya Bhagwati
I am a Senior Ayurveda Physician with more than 28 years in this field — and trust me, it still surprises me how much there is to learn every single day. Over these years, I’ve had the chance to treat over 1 lakh patients (probably more by now honestly), both through in-person consults and online. Some come in with a mild cough, others with conditions no one’s been able to figure out for years. Each case brings its own rhythm, and that’s where real Ayurveda begins. I still rely deeply on classical tools — *Nadi Pariksha*, *Roga-Rogi Pariksha*, proper *prakriti-vikriti* mapping — not just ticking symptoms into a list. I don’t believe in ready-made cures or generic charts. Diagnosis needs attention. I look at how the disease behaves *inside* that specific person, which doshas are triggering what, and where the imbalance actually started (hint: it’s usually not where the pain is). Over the years I’ve worked with pretty much all age groups and all kinds of health challenges — from digestive upsets & fevers to chronic, autoimmune, hormonal, metabolic and degenerative disorders. Arthritis, diabetes, PCOD, asthma, thyroid... but also things like unexplained fatigue or joint swelling that comes and goes randomly. Many of my patients had already “tried everything else” before they walked into Ayurveda, and watching their systems respond slowly—but surely—is something I don’t take lightly. My line of treatment usually combines herbal formulations (classical ones, not trendy ones), Panchakarma detox when needed, and realistic dietary and lifestyle corrections. Long-term healing needs long-term clarity — not just short bursts of symptom relief. And honestly, I tell patients that too. I also believe patient education isn’t optional. I explain things. Why we’re doing virechana, why the oil changed mid-protocol, why we pause or shift the meds after a few weeks. I want people to feel involved, not confused. Ayurveda works best when the patient is part of the process, not just receiving instructions. Even now I keep learning — through texts, talks, patient follow-ups, sometimes even mistakes that taught me what not to do. And I’m still committed, still fully into it. Because for me, this isn’t just a job. It’s a lifelong responsibility — to restore balance, protect *ojas*, and help each person live in tune with themselves. That’s the real goal.
5
940 समीक्षाएँ

नवीनतम समीक्षाएँ

Christian
4 घंटे पहले
Thank you for your advice! It was really nice to get a simple, clear answer. Appreciate the heads up on consultation options!
Thank you for your advice! It was really nice to get a simple, clear answer. Appreciate the heads up on consultation options!
Kennedy
4 घंटे पहले
Thanks so much for the advice! Your clear suggestions and the follow-up plan make me feel hopeful about managing my back pain. Appreciate it a lot!
Thanks so much for the advice! Your clear suggestions and the follow-up plan make me feel hopeful about managing my back pain. Appreciate it a lot!
Andrew
4 घंटे पहले
Thanks doc, your advice was super clear and really helped me. Putt me at ease about next steps. Grateful for ur guidance!
Thanks doc, your advice was super clear and really helped me. Putt me at ease about next steps. Grateful for ur guidance!
Jaxon
4 घंटे पहले
Thanks for the advice, doc! Felt confusing at first but your remedies make sense. Gonna try them out and see how it goes!
Thanks for the advice, doc! Felt confusing at first but your remedies make sense. Gonna try them out and see how it goes!