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Ear, Nose, and Throat Disorders
प्रश्न #22249
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What I can do know - #22249

Swastika gautam

I am suffering from thyroid at the age of 12 now I am 17 year old weight 80 I start exercise at age 15 but no results I get I eat medicine also what I have to do please suggest me any ayurveda things that help me to over come from this

आयु: 17
पुरानी बीमारियाँ: Thyroid
पेड
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डॉक्टरों की प्रतिक्रियाएं

Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
231 दिनों पहले
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Namaste Thyroid issue having at this young age, especially when it began around puberty, is indicating an early disturbance of hormonal imbalance along with metabolic regulation In Ayurveda, it is due to week digestive fire and Kapha and vata imbalance which are affecting the hormonal activity and body weight You you are mentioned that even after taking medicines and doing physical exercises, you’re not finding any visible results which are strongly suggesting that underlying metabolic pathways are still blocked and not functioning properly. In such cases, just treating the thyroid externally with medication won’t be of helpful. Here in Ayurveda, we do not treat symptomatically as they do in modern science We just go deeply, find the root cause and treat In your case, the ama that is toxic waste due to undigested food needs to be cleared , imbalance, Doshas to be corrected, need to strengthen digestive and tissue level metabolism, and had to reset the body’s natural intelligence to regulate weight and hormones So along with internal medicines, you had to concentrate on diet changes, and some of lifestyle modification, Start your day with a glass of warm water containing a pinch of dry ginger and black pepper powder This helps clear accumulated kapha and stimulates sluggish Agni Avoid sleeping late at night Make sure your bowels are clear every morning If not drink, warm water with lemon at morning or you can take Triphala churna-1 teaspoon with warm water at bedtime Your meal should be light, warm, and freshly cooked Strictly avoid curd cold drinks, refined Flour , white sugar, bakery items, and fried food Include millets, rice, moongdal green leafy vegetables Use spices like cumin, turmeric, coriander, and ajwain in daily cooking Can take one spoon of cow ghee daily Avoid snacking frequently and allow at least four hours between meals Chew food slowly and avoid distractions while eating Eat dinner before 7 PM Meanwhile, you can start on Kanchanar guggulu- Punarnava mandoora- One tablet each twice daily after food with warm water Do regular walking yoga or Surya Namaskar for 20 to 30 minutes daily, Weight management in thyroid case is a slow process. The body needs time to respond once the metabolic fire is reawakened Don’t focus on scale Focus on improving energy levels, sleep, quality, clarity of digestion, and devotional stability This science indicates that your body is returning to balance If possible, go for a Panchkarma therapy If you follow regularly in a disciplined way, then definitely you’re going to see the positive result

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Ok. Avoid bakery product, carbonated drinks completely. Avoid maida, wheat flour. Instead start jowar Bajara flour, barley, oats in regular diet. Exercise including brisk walking, cycling for more than 45 mins. Tab. Medohar guggul 2-2-2 Tab Triphala guggulu 2-0-2 Tab. Aarogyavardhini 2-0-2 All tablets after meal

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
238 दिनों पहले
5

I am sorry to hear your problem But don`t worry it will be cleared We will overcome this problem There is solution in diet and ayurveda.

First of all you have to undergo Panchakarma therapy it is a therapy which uses

Deepana and pachana to digest your food and ignites you appetite Later Snehana and swedana to remove all your skin impurities

Later Vaman and virechana to remove all your body impurities This panchakarma will be done at any good ayurvedic centre.

After panchakarma you will feel rejuvenation

Now we will start medication

Kanchanar guggulu two times a day after meals Chandraprabha vati two times a day after meals Triphala churna half spoon with warm water after meals

Now diet Avoid oily , spicy , cold foods Eat high fiber diet Eat vegetable , fruits and salads

Regular exercises Brisk walking Yoga and meditation will also help

ALL THE BEST

3618 उत्तरित प्रश्न
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Avoid oily, packed and processed food. Regular exercise. Increase intake of raw vegetables and fruits. Tab.Arogyavardhini 2-0-2 Tab.Guduchi 2-0-2 2

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Thyroid can be controlled by panchakarma treatment and diet Avoid sugar and sugar processed food, maida, fried food, bekary food,cold beverages Start doing yoga start with simple Surya namaskar 5 cycle daily and gradually increase the number of Surya namaskar Do walking regularly atleast after every meal walk Do pranayama atleast 15 mins daily Take more water, leafy green Veggies, sprout Take tab Kanchanara guggulu 1tid after food Varunadi kashaya 15 ml bd before food Tab chitrakadi vati 1tid before food If possible visit the nearby panchakarma centre and take one course of Virechana karna or vamana karma these treatments will help to increase the metabolic rate and help to eliminate the toxins from the body thereby increase the proper absorption of medicine and even helps in reducing the weight

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Thyroid at very young age but yes it can be managed if you take proper medicine, diet modification and life style management

Start with taking Kanchanar guggulu - 2 tabs twice a day after food Triphala churna - 1/2 tsp with warm water before bed Ashwagandha capsule - 1 capsule in morning empty stomach with warm water or milk Punarnava mandura - 2 tab twice a day after food with water

Dietary modification AVOID - maida, refined sugar, fried oily food Don’t eat CURD at night , heavy milk made sweets Avoid Cauliflower cabbage broccoli soy etc that will worsen your thyroid

Daily walk for 45 minutes after dinner Yogas to follow Suryanamskar Sarvangasana Ujjayi pranayam Bhramari and anulom vilom

Daily routine Instill Anutaila 2 drops daily in both the nostrils empty stomach Sunlight bath daily 15-20 minutes early morning

Thyroid detox drink Morning - overnight soak methi seeds+ warm water + 1tsp lemon juice and a pinch of cinnamon powder daily take in morning

Evening you can take ginger+ tulsi+ black pepper+ cinnamon tea

Proper sleep 8-9 hours at night

Follow this for 3 months and then again check for thyroid profile you will see better results

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Take tablet Thyrogrit 1-1-1 after food with water Tablet Liv-52 1-0-0 after food with water Soak coriander seeds overnight in a glass of water, morning seive and drink empty stomach Do ujjaini pranayam, daily 5 minutes Be physically active, can do brisk walking atleast 30 mins daily

3591 उत्तरित प्रश्न
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Hello Swastika Gautam

• U would have Mentioned Present TSH level ? Thyroxine dosage u r taking? Anti TPO Antibody test ? Any Family History of Hypothyroidism

• Ur Just 17 Weight 80 looks Primary Hypothyroidism or Autoimmune in Nature

• U have Early Age Hypothyroidism which have Hormonal Metabolic Autoimmune and have Multi system manifestation symptoms

• Right From Now U can Maintain Ur Thyroid & Overall as U have Long Life Ahead.U Must Be Healthy throughout Life.

• FOR HYPOTHYROIDISM ONLY MEDICINE IS NOT ENOUGH

• I have Seen BEST PROMISING RESULTS IN MY CLINICAL PRACTICE by Combining Following Holistic Approach

" Ayurvedic Medicine+ Thyroid and Metabolic Diet + Yoga + Exercise+ Lifestyle Modifications+ Stress Management+ Ayurvedic Panchakarma+ Thyroxine ( If Required) "

• AYURVEDIC MEDICINES

* Thyrogrit ( Patanjali Pharma) 2 -0- 2 After Food * Tab.Kanchanaar Guggulu (Baidyanath ) 2 -0-2 After Food * Tab.Aarogyavardhini Ras ( Dhootapapeahwar Pharma) 1 -0- 1 After Food * Varanadi Kashaym + Hamsapadi Kashaym (Kottakal ) 15 ml + 15 ml twice a Day After Food * PANCHAKARMA

* Panchakarma All 5 Procedures Detoxification in Extreme Cases as Per Dosha Imablance

• DIET :-

* Breakfast 8 am - Oats Ragi Rava Items * Lunch 11 am - Multigrain Roti + Seasonal Sabji + Moong Dal + Brown Rice + Butter Milk + Salads + Leafy Vegetables * Intermittent Fasting - 8 to 10 Hours * Dinner 8 pm - Same as Lunch But Half in Quantity

* TO TAKE :- Prefer Alkaline Cooked Steamed Light for Digestion All Green leafy vegetables Salads Sprouts Fruits Dry fruits fibers Plenty Of Water Fluids intake Luke Warm Water to Drink ,Milk , Fresh Butter Milk ,Cow Ghee Rest Good Sleep Lifestyle Physical Activities Dhyan Meditation Surya Namaskar

* TO AVOID - Acidic Restrict Heavy for digestion Excessive Acidic Salty Sour Spicy Fried Oily Junk food Food Non veg Bakery Foods Wheat Maida Udad items Fermented Foods Excess Tea Coffee Stress Anxiety Sedentary Life Style

• YOGA - Anulom Vilom Ujjayu Bhasrika Bhramari Surya Namaskar

• EXERCISES - Walking Jogging Aerobics Gymnastics Zumba etc

• ANTISTRESS REGIME Dhyan Meditation etc

• TEST DURATION T3 T4 TSH Every 6 Monthly Once.

REGARDS

Dr Arun Desai

God Bless You 😊🙏

If you have any questions u can ask me .I will answer all to level of your satisfaction.U have text option here.

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When dealing with thyroid issues, especially since they began .young, integrated care is very important. It sounds like you’re finding challenges in managing weight despite exercising, and it’s essential to consider factors like metabolism, nutrition, and hormone balance. In Ayurveda, we often look into the concept of doshas, and how they interact with agni, or digestive fire, to see underlying imbalanc.

For thyroid concerns, especially if related to a kapha imbalance, boosting your agni may be beneficial. Consider starting your day with a glass of warm water with a teaspoon of ginger and a dash of lemon. This can help kickstart digestion for the day. Dry ginger powder mixed with honey is another home remedy that can help balance kapha. Consume it 30 minutes before meals, but be sure not to exceed it if it’s making you uncomfortable in anyway.

Your diet plays a significant role. Aim to include more light, warm, and stimulating foods. Spices such as turmeric, black pepper, cumin, and coriander can be incorporated into your meals for their metabolism-boosting properties. Avoid cold food and drinks, excessive dairy, and sweet or heavy foods.

As for physical activities, although exercise is good, ensure you’re engaging in more vigorous routines like regular brisk walking or Yoga-Asanas highly beneficial for thyroid health, such a Sarvangasana (shoulder stand) and Matsyasana (fish pose).

While herbs like Ashwagandha is traditionally used to support thyroid function, it’s crucial to consult an Ayurvedic practitioner familiar with your specific condition before taking any herbal supplements, to avoid wrong combinations or dosages with medication you might already be consuming.

Finally, regular lifestyle routines, like getting proper sleep, keeping stress levels managed through meditation, or even prayanama, can be very effective.

But remember, never abruptly stop or reduce any medication without consulting your healthcare provider. Consider consulting with an Ayurvedic doctor as well to develop a plan tailored specifically for you.

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97 समीक्षाएँ
Dr. Gursimran Jeet Singh
I am Dr. Gursimran Jeet Singh, born and raised in Punjab where culture and traditions almost naturally guided me toward Ayurveda. From very early days I felt more drawn to natural ways of healing, and this curiosity finally led me to pursue Bachelor of Ayurvedic Medicine and Surgery (BAMS) at Shri Dhanwantry Ayurvedic College, Chandigarh—an institution known for shaping strong Ayurvedic physicians. During those years I learned not only the classical texts and treatment methods, but also how to look at health through a very practical, human lense. For the past five years I worked in clinical practice, where patients come with wide range of concerns—from chronic digestion troubles to autoimmune illness—and I try to integrate both Ayurveda and modern medical knowledge to give them the most complete care I can. Sometimes western diagnostics help me to understand the stage of disease, while Ayurveda helps me design treatment that address root cause. This bridging approach is not always easy, but I believe it’s necessary for today’s health challanges. Currently I am also pursuing higher studies in Panchakarma therapy. Panchakarma is an area I feel very strongly about—it is not just detox, it is a whole system of cleansing, rejuvenation, rebalancing, and I want to deepen my expertise here. In practice, I combine Panchakarma with lifestyle guidance, diet planning, herbal remedies, yoga and mindfulness practices depending on what a patient actually needs at that moment. No two cases are same, and Ayurveda reminds me daily that healing must be personal. My approach is always focused on root-cause management rather than temporary relief. Diet, herbs, therapeutic oils, meditation routines, and simple daily habits—they all work together when chosen rightly. Sometimes results come slow, sometimes faster, but I try to keep care sustainable and compassionate. Helping someone regain energy, sleep better, or reduce pain, that is the real achievement in my journey. And I continue learning, because Ayurveda is deep, it doesn’t finish with one degree or one training, it grow with every patient and every experiance.My specialties lie in treating a range of chronic and lifestyle-related conditions using Ayurveda’s time-tested principles, tailored to each individual’s unique constitution (Prakriti). I have significant expertise in managing digestive disorders, such as irritable bowel syndrome (IBS), acid reflux, constipation, diabetes, obesity and inflammatory bowel diseases. I also specialize in addressing stress-related and mental health conditions, including anxiety, depression, insomnia, and burnout, which are increasingly common in today’s fast-paced world. By integrating therapies like Shirodhara (oil pouring on the forehead) to calm the nervous system, Abhyanga (herbal oil massages) to balance Vata dosha, and adaptogenic herbs like Ashwagandha and Brahmi, I help patients achieve mental clarity and emotional resilience. In the field of musculoskeletal and joint health, I excel in treating conditions like arthritis (rheumatoid and osteoarthritis), back pain, sciatica, and sports injuries. Using therapies such as Kati Basti (localized oil retention on the lower back) and potent anti-inflammatory herbs like Guggulu and Shallaki, I focus on reducing inflammation, improving joint mobility, and strengthening tissues. My treatments have helped many patients, particularly those seeking non-invasive alternatives, regain mobility and reduce pain through a blend of internal medications and external therapies. Skin disorders are another key area of my practice, where I address conditions like eczema, psoriasis, acne, and pigmentation issues holistically. By focusing on blood purification and balancing Pitta dosha and detoxifying Panchakarma techniques like Raktamokshana (bloodletting). My approach targets dietary and lifestyle triggers, offering sustainable results for clients who previously relied on temporary solutions like topical steroids. My dual expertise in Ayurveda and modern medicine allows me to create integrative treatment plans that are both effective and safe. I am deeply committed to patient education, empowering individuals to embrace Ayurvedic principles for sustainable health. Through this online platform, I am excited to offer virtual consultations, making the profound benefits of Ayurveda accessible to all. Whether you seek relief from a specific condition or aim to enhance overall vitality, I look forward to guiding you on your journey to balance and well-being with compassion and expertise.
5
263 समीक्षाएँ
Dr. Maitri Bhavesh Kumar Acharya
I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
625 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
1321 समीक्षाएँ
Dr. Prasad Pentakota
I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
933 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
237 समीक्षाएँ

नवीनतम समीक्षाएँ

Zachary
2 घंटे पहले
Appreciate the detailed advice! The herbal suggestions and lifestyle tips made dealing with my issues seem way more manageable. Thanks a ton!
Appreciate the detailed advice! The herbal suggestions and lifestyle tips made dealing with my issues seem way more manageable. Thanks a ton!
Ellie
2 घंटे पहले
Thank you so much, your answer cleared up so much confusion! Finally feel like I have a clear action plan now.
Thank you so much, your answer cleared up so much confusion! Finally feel like I have a clear action plan now.
Tanner
2 घंटे पहले
Thank you for the quick and to-the-point reply. It feels reassuring to know you're ready to help. Hope to resolve my issue!
Thank you for the quick and to-the-point reply. It feels reassuring to know you're ready to help. Hope to resolve my issue!
Virginia
2 घंटे पहले
Really appreciate the thoughtful response. You asked the right questions that got me thinking about possible symptoms I hadn’t considered. Super helpful!
Really appreciate the thoughtful response. You asked the right questions that got me thinking about possible symptoms I hadn’t considered. Super helpful!