Feeling exhausted, weak, and lightheaded—yea, those can be frustrating. Sounds like microcytic anemia’s really been messing with you. What you’re describing fits; when red blood cells are small, iron-deficiency tends to be the usual suspect. You’re onto something about that digestive fire, or Agni, because if Agni’s low, nutrient absorption can become, well, less effective, causing imbalances.
Ayurveda takes this holistic view, and focusing on boosting your Agni might really help. First thing you could try: adding some warm water with ginger to your routine. It could fire up the digestion and encourage better absorption. Do this maybe 15-20 minutes before meals like twice a day. For your vegetarian diet, there’s hope. Picking foods rich in non-heme iron, like lentils, beans, and seeds, can be really beneficial. And you’re right, some foods block iron absorption. Pairing them with vitamin C rich food helps; think citrus fruits or half a lemon squeezed over your meal.
You’ve mentioned Triphala and Mandura Bhasma, which are potent. Triphala can balance your doshas and improve digestion. Take it at night, a teaspoon with warm water. Mandura Bhasma? It’s special but make sure you’re getting it from a reliable source and preferably under guidance. Punarnava is more for edema or swelling, so maybe not priority number 1 here.
Cold hands and dizziness—could relate to this whole thing too. Emphasis should be on warming your body, a nice sesame oil massage could get circulation flowing better. Little things like a daily practice of yoga postures, such as inversions (even gentle ones), can stimulate blood flow.
Patience is key—these approaches may take weeks to show effects, but gradually, you might notice shifts. Stay attentive to your body’s signals. Work closely with someone knowledgeable in Ayurveda to really tailor-make this for you, particularly with herbs like Mandura Bhasma. Medical guidance should always stay in the picture for monitoring your condition and ensuring safety.



