VERA THANK YOU FOR SHARING YOUR JOURNEY IN SO MUCH DETAIL I CAN UNDERSTAND THAT YOU HAVE BEEN THROUGH MANY YEARS OF PAIN CONFUSION AND FEAR ESPECIALLY AFTER SUCH A SERIOUS LIVER EPISODE WHEN LIVER ENZYMES WENT SO HIGH ANYONE WOULD BECOME CAREFUL AND ANXIOUS ABOUT TAKING MEDICINES YOUR HISTORY SHOWS LONG TERM STRESS LOW PROTEIN INTAKE HIGH ACTIVITY LEVEL CONNECTIVE TISSUE PAIN FIBROMYALGIA DIGESTIVE INSTABILITY MENOPAUSE AND DISTURBED SLEEP ALL THESE TOGETHER INDICATE DEEP NERVOUS SYSTEM EXHAUSTION WITH WEAK DIGESTION AND SENSITIVE LIVER FUNCTION YOU ARE RIGHT TO BE CAUTIOUS BECAUSE WHEN DIGESTION IS IRREGULAR AND LIVER HAS ALREADY SUFFERED EVEN GOOD HERBS IN EXCESS CAN CREATE DISCOMFORT FEELING OF PRESSURE UNDER RIGHT RIBS CAN BE DUE TO LIVER CONGESTION GAS OR WEAK DIGESTIVE FIRE AT THIS MOMENT YOU ARE TAKING NEEM CURCUMA DANDELION MILK THISTLE AMLA SHATAVARI ASHWAGANDHA CREATINE MATCHA AND COFFEE THIS IS TOO MANY SUBSTANCES FOR A SENSITIVE SYSTEM ESPECIALLY WITH HISTORY OF LIVER INFLAMMATION I WOULD SUGGEST SIMPLIFYING FIRST STOP NEEM FOR NOW AS IT CAN BE COOLING AND DRYING AND MAY WORSEN WEAKNESS CONTINUE MILK THISTLE TEA ONCE DAILY BUT NOT IN STRONG DOSE AMLA CAN BE TAKEN IN VERY SMALL QUANTITY ONLY IF IT DOES NOT INCREASE DIARRHEA SHATAVARI AND ASHWAGANDHA TOGETHER IN MENOPAUSE CAN HELP BUT KEEP THE DOSE LOW HALF TEASPOON TOTAL PER DAY AFTER FOOD WITH WARM WATER OR WARM ALMOND MILK DO NOT TAKE TOO MANY HERBS ON EMPTY STOMACH CREATINE IS NOT NECESSARY DAILY IF PROTEIN INTAKE IMPROVES NATURALLY REGARDING PROTEIN AFTER YEARS OF VEGAN LOW PROTEIN DIET YOUR MUSCLES AND CONNECTIVE TISSUES NEED NOURISHMENT EGGS ARE A GOOD OPTION YOU CAN START WITH ONE EGG PER DAY AND OBSERVE DIGESTION IF NO BLOATING OR HEAVINESS YOU MAY TAKE TWO EGGS PER DAY PREFER SOFT BOILED OR LIGHTLY COOKED AVOID FRYING EAT TWO MAIN MEALS PER DAY AND ONE LIGHT EVENING MEAL DO NOT EAT LATE AT NIGHT YOUR DIGESTION IS SENSITIVE SO FOCUS ON SIMPLE WARM COOKED FOOD RICE WITH WELL COOKED MUNG DAL WITH GINGER AND CUMIN STEAMED VEGETABLES LIKE ZUCCHINI CARROT PUMPKIN SMALL AMOUNT OF GHEE AVOID RAW SALADS AVOID LARGE QUANTITY OF BEANS AND AVOID COLD FOOD AND DRINKS FOR BLOATED ABDOMEN DRINK WARM WATER THROUGHOUT THE DAY AND YOU CAN BOIL WATER WITH A LITTLE FENNEL AND CUMIN FOR SLEEP YOUR PATTERN OF SLEEPING AT TEN AND WAKING AT ONE TO THREE SHOWS NERVOUS SYSTEM OVERACTIVITY STOP COFFEE AND MATCHA SLOWLY NOT SUDDENLY TAKE ASHWAGANDHA ONLY IN EVENING IF IT SUITS YOU AND TRY A CUP OF WARM NUTMEG MILK BEFORE BED GENTLE EVENING WALK SUNLIGHT IN MORNING AND EARLY DINNER WILL HELP MORE THAN MULTIPLE SUPPLEMENTS YOUR CONDITION IS NOT ONLY JOINT OR LIVER ISSUE IT IS SYSTEMIC EXHAUSTION AFTER MANY YEARS OF PUSHING THE BODY YOU NEED REGULARITY WARMTH NOURISHMENT AND SIMPLICITY MORE THAN DETOX OR STRONG HERBS DO LIVER FUNCTION TEST PERIODICALLY AND INTRODUCE ONLY ONE CHANGE AT A TIME SO YOU CAN OBSERVE RESPONSE WITH CAREFUL DIET MODERATE PROTEIN ADEQUATE REST AND LIMITED HERBS YOUR BODY CAN GRADUALLY REGAIN STRENGTH WITHOUT STRAINING THE LIVER
HELLO, MANAGEMENT 1) GENERAL PRINCIPLES -Focus on light, warm, easy to digest meals, avoid raw cold foods and excessive beans if you have bloating -Eat small frequent meals 3 main + 1-2 small snacks instead of very large meals -Warm water throughout the day, avoid iced drinks -gentle daily routine, early wake up , warm bath/showersm gentle stretchig 2) PROTEIN GUIDANCE -EGGS= 1-2 per day is generally safe, especially if cooked gently boiled,poached INCLUDE -Mug dal easier to digest if well cooked -soft cooked quinoa, oats, and rice + lentil khichdi gentle on liver -Nuts and seeds- soaked almonds, pumpkin seeds , sunflower seeds (moderate) Timing spread protein over 2-3 meals for better digestion and absorption SUPPLEMENTS SAFETY -NEEM + CURCUMA=can be gentle for inflammation but may stress liver in high doses -DANDELION + MILK THISTLE= usually liversupportive, avoid high doses if you feel right side pressure -AMLA= mild, helps digestion and vata -Shatavari + wshwagandha = support menopause, sleep, and stress, use small amounts as you are -Creatinine= safe in moderation, monitor kidney and liver function Persistent right upper abdominal pressure, nausea, or jaundice-> stop herbal supplements and see your doctor 4) MEAL EXAMPLES FOR VATA-PITTA WITH LIVER SENSITIVITY -BREAKFAST= warm oats or quinoa, with cooked apples or banana, small spoon of ghee, sprinkle of cinnamon -MID MORNING- steamed carrot, zucchini, or pumpkin, small handful soaked nuts -LUNCH= khichdi mung dal + rice + ghee + mild spices like cumin and coriander, soft cooked greens -AFTERNOON SNACKS= warm herbal tea chamomile or fennel + fruit -DINNER= light soup or stew with soft vegetables, small amount of protein (eggs or lentils), eaten 2-3 hours before sleep LIFESTYLE AND SLEEP -Gentle yoga/stretching for vata= cat cow, seated twists, gentle forward bends -Meditation or warm oil massage for relaxation. -Sleep = warm milk with a pinch of nutmeg or shatavari powder can help calm vata and support sleep FOR YOUR CASE MANAGEMENT VATA PACIFYING -ASHWAGANDHA + SHATAVARI CHURNA= 1 tsp with warm milk at bedtime -TRIPHALA CHURNA= 1/2 tsp with warm water at bedtime PITTA PACIFYING -Turmeric milk at bedtime -coriander fennel tea LIVER SUORT -miilk thistle, dandelion tea, avoid heavy detox herbs like high dose neem or strong bitter herbs until liver function normalize DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU
Thank you for submitting your problem on the Ask Ayurveda platform. We sincerely appreciate your trust in Ayurvedic consultation. You will receive complete guidance and support here from Dr. Haresh vavadiya to help address your health concerns effectively. take livtone 2-0-2 tab bramhi 2-0-2 tab kanchnar gugulu ds 2-0-2 tab ashwagandha ksm 66 2-0-2 tab bala 2-0-2 after food all medicine do basti karma at panchkarma ceter its more help full in this condition do nasya with cow ghee 2 drop each nostril 2 times day If you wish to understand your condition in more details, you can book a personal consultation with me.
Hello, It is good to know that you underwent a course of panchakarma. As there are multiple issues it is better to consult an Ayurveda person in and around your place to undergo nadi pariksha(pulse reading). This helps to regulate the ayurveda supplements you are taking+ to advice on better protein options without causing any burden on your liver. And also please start practicing yogasana-pranayama-meditation consistently everyday. This will have positive effect on over all wellbeing. Take care, Kind regards.
आपके जवाब के लिए धन्यवाद! जब भी मैं कर पाता हूँ, मैं शांभवी महामुद्रा क्रिया का अभ्यास करता हूँ।
Consulting the near by AYURVEDIC PHYSICIAN
Dear Vera 🙏 First, I want to say — your body has been through a lot. What you describe is not a simple case. It is a long-term nervous system + liver + gut imbalance, and your fear about harming the liver again is completely understandable. I will answer you carefully and safely. 🌿 Understanding Your Case (Holistic View) You have: 20+ years widespread pain → diagnosed fibromyalgia / connective tissue disorder Severe unexplained liver inflammation (enzymes >1500) Long diarrhea episode after contrast scan Sensitive digestion since then Menopause (2 years) Insomnia (wake 1–3am) Right rib pressure Bloating, poor tolerance to legumes Long-term low protein intake From an Ayurvedic view: This is Vata aggravated in nervous system + Pitta affecting liver + weak Agni (digestive fire). From modern perspective: Possible autoimmune tendency Liver hypersensitivity to substances Gut barrier disruption Hormonal shift (menopause) Central sensitization (fibromyalgia) We must go very gentle. ⚠ First Important Point – Your Liver History Liver enzymes >1500 is serious acute hepatitis level. Even if cause was unclear, your liver is reactive. So: 👉 Do NOT combine many herbs at once 👉 Avoid strong detox herbs 👉 Avoid frequent supplement changes 🌿 About What You Are Taking Now Let’s review honestly. Morning: Neem + Curcuma Dandelion + Milk thistle tea Amla Creatine Matcha + coffee Afternoon: Shatavari Ashwagandha That is quite a lot for a sensitive liver. Even good herbs become stressful in combination. 🟡 Possible Issues Neem + Curcuma daily → strong liver-stimulating + bitter + drying Dandelion + Milk thistle → also liver-active Amla → acidic (can aggravate sensitive gut) Coffee + matcha → increases cortisol + irritates gut Ashwagandha → usually safe but in rare cases can affect liver Creatine → generally safe, but unnecessary if liver feels pressure The right rib pressure worries me. Please do liver enzymes (AST, ALT, ALP, GGT) again soon. 🌿 My Suggestion: Simplify Immediately For 4 weeks, reduce to: ✔ Shatavari ¼ tsp (evening only) ✔ Magnesium glycinate at night (for sleep & muscles) Stop temporarily: Neem Daily curcuma (you can use in cooking only) Amla Matcha Creatine (pause) Ashwagandha (pause for now) Your system needs calming, not stimulation.
आपकी सलाह के लिए बहुत-बहुत धन्यवाद 😊
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First of all I would suggest you to stop taking creatine supplements it will stress on kidneys along with moong you can take sprouts lik Chana and even toasted Chana Makhana rajma soya Can take egg 5 days in a week one egg is enough Avoid oily fried junk processed foods Continue Ashwagandha and shatavari if still disturbed sleep is there then take warm milk with pinch of nutmeg at bedtime Massage your soles with warm sesame oil before sleep Practice pranayama meditation regularly Reg walking atleast 30 minutes daily
✓Current supplements Neem + Curcuma (morning) = too heating for your sensitive liver/gut = stop both Dandelion + Milk thistle tea - safe & good for liver = continue 1 cup/day (mid-morning) Amla powder (small amount) - excellent = continue ½–1 tsp morning with warm water Creatine → continue 3–5 g/day (mix in water or plant milk) Shatavari + Ashwagandha (¼ tsp each afternoon) = continue (increase Shatavari to ½–1 tsp if tolerated) Matcha/coffee = stop completely (aggravates Pitta, worsens sleep & gut sensitivity) ✓Recommended simplified daily protocol Morning (empty stomach) Warm water + ½–1 tsp Amla powder 3–5 g Creatine (in water) Mid-morning 1 cup Dandelion + Milk thistle tea Lunch & dinner Very small amount Shatavari + Ashwagandha (total ½–1 tsp each per day, with warm plant milk or water) Night Warm golden milk (plant milk + ½ tsp ghee + pinch turmeric + pinch nutmeg) = helps sleep & calms Vata ✓Best protein sources (easy on gut) Eggs: 1–2 whole eggs per day (boiled/poached/scrambled with ghee) = very well tolerated & high-quality protein Paneer/tofu: 50–100 g/day (soft, lightly cooked) Moong dal (split yellow): thin soup/khichdi = easiest legume Hemp seeds or pumpkin seeds: 1–2 tbsp/day (ground if bloating occurs) Plant protein powder (pea/rice/hemp blend): 20–30 g/day in shake (if tolerated) ✓Sleep & pain support Warm sesame oil head & foot massage 5–10 min nightly 10 min Anulom-Vilom + 5 min Bhramari before bed Legs elevated 15 min evening Strict 10 pm bedtime (no phone after 9 pm) Regards Dr Gursimran Jeet Singh MD Panchakarma
Hello Vera What I understand is your digestion issues weak, indicates sluggish liver, so start with Tablet Liv-52 -DS 1-0-0 after food with water, will improve digestion and liver function Bilva churan 1tsp after food with will improve intestine strength. Suthshekhar ras 1-0-1 after food with water Pathyadi kadha 15 ml twice daily after food with water, will prevent migraine attack. Brahmi 1-0-1 after food with water will help improve sleep and calm down your mind. Have buttermilk with pinch of black salt, a pinch of asafoetida, and powder of roasted jeera seeds.after lunch, this will prevent bloating… If you need to have protein, you can include, moog - whole, moong dal, in your diet. Have tofu. . Eggs can have 1/ day daily, too much protein again will affect your digestion, as you already have weak digestion, Light Head massage with Brahmi oil. Do Nasya with almond oil 2 drops in both nostril once daily. Do pranayam lom -vilom bhastrika bhamri 5-10mins twice daily. Follow up after 15 days
