Peri/Menopausal Supplements to aid with symptoms - #26717

Hello, 1. Please hydrate well with minimum of one liter of warm cumin water(1/2 tsp of dry roasted cumin in one liter water) everyday. 2. Start practicing yogasana-pranayama and meditation after learning from a experienced teacher.

Ayurveda herbal medicine: 1. TAB.MENOSAN 1—0—1 after breakfast and after dinner for 120 days. (Menosan is from himalaya herbals)

If you start taking menosan please discontinue ashwagandha and shatavari for time being.

Take care. Kind regards.

Avoid spicy, oily and processed food. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Sy. Amycordi fort 15ml twice Tab. Shatavari 2-0-2

Hello, menopause is basically concerned with decreasing estrogen levels because of age, according to ayurved it’s bcz of increasing vata dosha in the body, So for a healthy fuctioning of body we need to balance both vaat and pitta as vata can cause stress anxiety insomnia also leading to joint pain and decreased bone density and pitta dominance can lead to exertion hot flushes unnecessary anger mood swings. So firstly medications: 1.Shatawari kalp 1tsp full with lukewarm milk as it’s a hormones balancer 2. Tab asthiposhak 2tab twice daily with lukewarm water 3. Tab menosan 1-0-1 daily 4. Syp ashokarishta 15ml twice daily with same amount of lukewarm water 5. Dashmoolarishta 15ml twice daily with same amount of lukewarm water.

Pathya- light warm food, seasonal fruits, lukewarm water,walnuts, almonds,cereals, pulses ,have meals on time, keep drinking warm water at times

Apathya-avoid caffeine and caffeinated products, cold items,dry,spicy oily, sour food

Aasan and abhyang- do body massage with bala tail, Bharamari Anulom vilom Movement of wrist and ankle joints Walk for 30mins daily.

Suggested investigations: 1. T3,T4,TSH levels 2.Estrogen levels 3. Bone density scan 4. Vit B12, Vit D3, S. Calcium levels 5.Hb levels

As menopause is an age related issues because of hormonal fluctuations so it needs to be taken care of in daily routine for a healthy long life. Thankyou

HELLO TANYA,

Perimenopausal means “around menopause”. It usually starts in your mid-to-late 40s and can last several years before periods stop completely (menopause)

WHAT HAPPENS IN YOUR BODY: -ovaries slows down in producing estrogen and progesterone -periods may become irregular (skipped cycles, heavier/lighter bleeding) -symptoms (may appper later)- mood changes, hot flashes, vaginal dryness, fatigue etc

Think of it like your body shifting gears- not stopping, but changing. Ayurveda doesn’t see this as a disease , but as a natural transition, much like adolescence.

Ayurveda looks at perimenopause as a Vata-predominant phase of life

DOSHA INVOLVEMENT -vata increases (irregularity, dryness, anxiety, insomnia, joint aches) -Sometimes pitta aggravates too (hot flashes, irritability, night sweats) -Hormone decline= decreases in shukra dhatu(reproductive tissue) and Ojas (vital energy)

TREATMENT GOALS -balance vata and pitta doshas -rejuvinates shukra dhatu (female reproductive system) -strengthen agni(digestive and metabolic fire) -enhance Ojas(immunity and vitality) -regulate menstruation during transition -support emotional and mental wellbeing -prepare body for post menopause with grace and stability

INTERNAL TREATMENT

1) SHATAVARI GRANULES= 1 tsp with warm milk at night for 3 onths =rejuvinates female hormones, supports vaginal health, balances estrogen

2) ASHWAGANDHA TABLETS= 2 tabs twice daily after meals for 3 months =stress relief, strengthens nervous system, enhances ojas

3) TRIPHALA CHURNA= 1 tsp at night with warm water = detoxifies gently, improves digestion and bowel regularity

4) PRAVAL PISHTI= 125 mg with honey twice daily after meals for 2 months =for hot flashes, calcium support, cooling effect

5) YASHTIMADHU CHURNA= 1/4 tsp with water in morning for 3 moths = natural hormone support, soothing to body and mind

6) MENOSAN TABLET (HIMALAYA)= 1 tab twice daily after rmeals = for all menopausal related symptoms

EXTERNAL THERAPIES

1) DAILY SELF MASSAGE -use warm sesame oil -massage the body in long strokes towards the heart, circular motion on joints -do It in morning before a warm shower =grounds vata, improves circulation, relieves fatigue, reduces joint pain and anxiety

2) NASYA= instill 2 drops of Anu taila in each nostril daily morning empty stomach

DIET TO BE FOLLOWED Aim for vata-pitta pacifying, hormone-friendly, nourishing foods

GENERAL PRINCIPLES -warm, cooked, soft, oily, mildly spiced food -avoid raw, cold, dry or processed foods -eat meals regularly, not skipping or late eating

INCLUDE

HEALTHY FATS= ghee, sesame oil, soaked almonds, avocado =lubricate tisses, support hormones

WHOLE GRAINS= rice, oats, barley,quinoa =eneergy, Vata grounding

LEGUMES= mung dal, massor dal, lentils =phytoestrogens and proteins

VEGETABLES= carrot, squash, spinach, beets =fiber, minerals, calming to vata

SPICES= turmeric, cumin, coriander, fennel =improves digestion, balances doshas

NATURAL ESTROGENS= flax seeds (roasted and ground) , sesame seeds =gentle hormonal support

AVOID -caffeine, alcohol, white sugar -cold foods (yogurt at night, ice cream) -packaged foods, aerated drinks -excess spicy, sour, salty foods

YOGA AND PRANAYAM do gentle, grounding,heart opening, and hip opening asanas

RECOMMENDED ASANAS -baddha konasana -balasana -viparita karani -paschimottanasana -setu band hasana

PRANAYAM -nadi sodhana= balances, hormones and emotions -bhramari= reduces anxiety, tinnitus -sheetali=for hot flashes or heat symptoms -ujjayi= calms nervous system

Practice 10-15 minutes daily

HOME REMEDIES

1) FLAXSEED TEA -1 tsp ground flax seed in hot water; drink daily =rich in ligans (phytoestrogen), supports hormones

2) ALOE VERA JUICE -20 ml in the morning (cooling, pitta balancing)

3) ASHWAGANDHA MILK -boil 1/2 tsp ashwagandha powder in milk + pinch nutmeg + cardamom =drink at night to sleep better

4) FENUGREEK WATER -soak 1 tsp overnight, drink in morning =helps with sugar balance, hot flashes

INVESTIGATIONS -FSH,LH,ESTRADIOL= to monitor hormone levels -THYROID PROFILE= to rule out thyroid issues -VITAMIN D, B12= often deficient, causing fatigue -BONE MINERAL DENSITY (DEXA)= to assess bone loss risk -CBC, LIPID PROFILE= general health status

FINAL THOUGHTS Ayurveda views menopause not as a disease, but a gateway into wisdom phase of life- the vata stage. This is a time to slow down, go inward, care deeply for your mind-body-spirit, and reset your body’s rhythms

DO FOLLOW CONSISTENTLY

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

​In Ayurveda, the approach to addressing these symptoms often involves not just supplements but also diet and lifestyle adjustments. Here is some general information on other supplements and a holistic view from an Ayurvedic perspective:

​Herbal Supplements ​Brahmi (Bacopa monnieri): Known in Ayurveda as a “medhya rasayana” or brain tonic. It is often used to calm the nervous system, reduce anxiety, and improve cognitive function. A common dosage might be around 250-500 mg per day, but this can vary.

​Jatamansi (Nardostachys jatamansi): Considered a powerful nervine tonic, it is used to alleviate stress, anxiety, and insomnia. Dosage can range from 1-3 grams per day, often in divided doses. ​Musta (Cyperus rotundus): This herb is sometimes used to support a healthy digestive system, which is believed to be closely linked to mental and emotional well-being in Ayurveda.

​Licorice Root (Glycyrrhiza glabra): In Ayurveda, it is known as Yashtimadhu. It is considered a cooling herb that can help with irritability and exhaustion. However, it’s important to note that prolonged use or high doses can affect blood pressure, so it’s crucial to use it under professional guidance.

​Dietary and Lifestyle Recommendations ​Diet: Focus on warm, grounding foods that are easy to digest. This includes cooked vegetables, whole grains, and healthy fats like ghee. Avoid cold, dry, and processed foods, which can aggravate Vata.

​Routine (Dinacharya): Establishing a consistent daily routine is highly valued in Ayurveda. Waking up and going to bed at the same time, along with incorporating practices like gentle yoga, meditation, and self-massage (Abhyanga) with warm sesame oil, can be very calming for the nervous system.

​Pranayama (Breathing Exercises): Practices like Nadi Shodhana (alternate nostril breathing) are often recommended to balance the nervous system and reduce anxiety. ​

Don’t worry dear,

Along with these start taking, 1.Menosan tab.1-0-1 2.Manasmitragullika 1-1-1 3.Saraswatarishta 20ml with equal amount of Lukewarm water just after having meal twice in a day.

TAKE CARE😊

Along with these medications include Meditation, yoga, pranayam in your daily routine.

In addressing peri-menopausal symptoms like depression, anxiety, exhaustion, and irritability, Ayurveda offers a holistic approach through herbs and lifestyle changes. You’ve already started with Shatavari and Ashwagandha which are excellent choices. Shatavari supports the female reproductive system while regulating hormonal balance, and Ashwagandha aids in managing stress, improving energy levels, and boosting mood.

For your symptoms, here are some additional Ayurvedic suggestions:

1. Brahmi (Bacopa monnieri): To help with anxiety and mental clarity. Consider starting with 250-500 mg of Brahmi extract daily. It’s known to effectively calm the mind and uplift moods.

2. Jatamansi (Nardostachys jatamansi): Known for its calming properties, this could be beneficial for anxiety and irritability. A safe amount to take is approximately 500 mg per day. Jatamansi also improves sleep quality which can contribute to feeling more rested.

3. Triphala: While not a direct treatment for anxiety or depression, it is essential to maintain a healthy digestive system during this phase, as digestion affects overall health. Take 1 tsp of Triphala powder with warm water before bed to support your digestion, helping in reducing irritability.

4. Gokshura (Tribulus terrestris): This can be considered to help with general exhaustion and fatigue. Approximately 500 mg twice daily is recommended.

When selecting doses, always start with the lower end and notice how your body reacts. It’s best to consult your Ayurvedic practitioner to tailor doses specifically for your unique needs. Incorporate supportive lifestyle practices like mindfulness, gentle yoga, and meditation, which are extremely beneficial in managing stress and mood.

Consider your diet as well. Consuming warm, nourishing foods; avoiding caffeine, sugar, and processed foods can significantly help with energy levels and mood stabilizing. Remember, maintaining a balanced routine, healthy sleep patterns and compassionate self-care are vital, especially during peri-menopausal phase.

Considering your symptoms—depression, anxiety, exhaustion, and irritability—it’s important to focus on balancing the Vata and Pitta doshas, as these imbalances are often linked with peri-menopausal challenges. You’re already using Shatavari and Ashwagandha, which are helpful. Shatavari can be continued at about 500 mg twice a day, and Ashwagandha at 300-500 mg once daily, preferably in the evening.

To further assist, consider introducing Brahmi, which is known to stabilize the mind and reduce anxiety. It can be taken as 250-500 mg twice a day. Another beneficial supplement can be Guduchi, which helps in strengthening immunity and combating exhaustion. Dosage for Guduchi can be around 500 mg once a day.

For irritability and to support emotional health, try incorporating Chyawanprash, a herbal jam that can be taken 1 teaspoon on an empty stomach. It not only revitalizes but also calms the mind.

In addition to these, make sure to maintain a regular schedule with meals and rest to stabilize your body’s natural rhythm. Sip warm water through the day to improve digestion, and practice pranayama—particularly Nadi Shodhana—for mental balance.

Always remember to consult with a healthcare provider before starting any new supplementation to ensure it’s suitable for your specific health needs and existing conditions.

Start with 1/4 th tsp once daily with warm milk Gradually can increase the dose The symptoms which you are experiencing are due to harmonal imbalance which will be resolved with above medication Meanwhile do pranayama meditation

HELLO TANYA,

Based on the symptoms you’ve shared , there appears to be an imbalance in vata and Pitta doshas, which is typical in the perimenopausal phase. -Depression, anxiety, exhaustion, irritability

1) DIET Adopt a vata-pitta pacifying diet to support hormonal balance

INCLUDE -warm, soft, nourishing foods like cooked vegetables, soups, khichdi -Ghee, sesame oil -cumin, fennel, coriander, turmeric, ginger, cardamom -iron rich foods= moringa, beets, dates, sesame seeds

AVOID -cold/raw foods, carbonated drinks, fried foods -processed meats, excessive sugar or caffeine -refined flours, vinegar, sour fermented items

HYDRATION= drink warm water or herbal teas (like ginger-fennel or tulsi tea)

2) LIFESTYLE MODIFICATIONS Routine and grounding practices are essential during perimenopause -DAILY ROUTINE= wake and sleep at consistent times (ideally before 10 pm) -OIL MASSAGE= use warm dhanwantaram taila n the lower abdomen and body thrice week to reduce pain, support lymph flow and calm vata -practice gentle yoga and pranayam alternate nostril breathing -optional=warm baths with epsom salt twice weekly

3) INTERNAL MEDICATIONS

-SUKUMARA KASHAYA= 15 ml with 45 ml of water before meals twice daily =balances vata pitta, reduces pelvic pain, supports reproductive health, eases bowel movement

-ASHOKARISHTA= 25ml with water twice daily after meals =uterine tonic, regulates menstrual cycle, , reduces excessive bleeding

-DASHMOOLARISHTA= 30 ml twice daily with warm water after meals =anti inflammatory, reduces pain and vata imbalance in the pelvic region

-ASHWAGANDHA CHURNA= 1 tsp with warm milk at night

-SHATAVARI KALPA= 1 tsp with warm milk in mroning

-JATAMANSI CAPSULS= 1 cap at bedtime

4) REGARDING SHILAJI -Shilajit is a Rasayana in Ayurveda. It can support energy, mineral balance, and reproductive tissues -Yes, you can resume shilajit at a low dose, ideally in the morning with warm milk or water ** AVOID during menstruation

TIPS -BE CONSISTENT= natural formulations work gradually -warm water enhances absorption -allow for weekly rest days from medications if using long term -monitor symptoms monthly

THANK YOU

DR. HEMANSHU MEHTA