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General Medicine
Question #22454
112 days ago
359

Muscle weight gain - #22454

Towhid

My body weight stuck at 66kg and my height is 6 feet. My age is 35 and I am a male. I used to have 78-80 kg. After a carb free diet my weight fell down. . How can I gain muscle weight when I have IBS-M, prediabetes, hypoglycemia, low bp, weak immunity and neck c4 disk pain?

Age: 35
Chronic illnesses: IBS
300 INR (~3.51 USD)
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Doctors’ responses

Hello Tawhid

• UR PRESENT HEALTH STATUS * Age - 35 Height 6.0’ Weight 66 Kgs * So Ur Body Mass Index - 19.71 ( Normal Body Mass Index ) (Previously 23.2 ) ( Normal Between 18 -25 ) * Still Ur Carrying Normal Body Mass Index.U r Not Underweight

* U have Muscle Loss Due to IBS -M and Related Malabsorption Syndrome, Prediabetic Stage , Carb free Diet

• UR MEDICAL HISTORY * U have History of Hypoglycemia Hypotension (Low BP ) Weak Immunity, Weak C 4 Disc issues

* All Above Signs Of Psychosomatic Autoimmune Pathology needs Proper Care combined Therapy with Holistic Approach Stepwise.

GOALS TO ACHIEVE * Healthy Muscle Mass Gain & Healthy Weight Gain without GI Distrubances * Corrections in IBS -M Prediabetic as well as Hypoglycemia status improving Immunity Nutritional Metabolic corrections

• LIMITATION TO UNDERSTAND We may face difficulties in Muscle Gain due to * Lactose Sensitivity * Gluten sensitivity * High Protein Indigestion * Balance Good Carbohydrates Diet * Exercise limition due to Fatigue

IN MY CLINICAL PRACTICE I HAVE SEEN BEST PROMISING RESULTS BY COMBINING FOLLOWING TREATMENTS

HOLISTIC APPROACH

" Ayurvedic Medicines+ Proper Diet+ Nutritional Suppliments+ Physical Activities+ Exercises+ Yoga + Stress Management+ Counselling"

100 % RESULT ORIENTED AYURVEDIC MEDICINES U MUST TRY

" Aims Gain 8 -10 Kgs in 4 -6 Months "

FOR MUSCLE GAIN - * Ashwagandhadi Lehyam ( Kottakal Pharma) 2 Tsf -0- 2 Tsf After Food * Origin Nutrition Pharma Plant Based Vegan Proetin Powder ( Lacoste Gluten Free Sugar Free ) ( Origin Nutrition Pharma) 2 Tsf - 0- 2 Tsf Night After Food FOR WEIGHT GAIN - * Narasimha Rasayan 1 Tsf -0-1 Tsf Night After Food GUT BALANCE * Avipattikar Churna ½ Tsf+ Hingwastak Churna 1 Tsf with Luke Warm Water NUTRITIONAL SUPPORT * Cap.Nutrela Daily Active (Patanjali Pharma) 0-1 -0 After Lunch IMMUNITY * Asthavarga Chyavanprash ( Dhootpapeshwar Pharma) 1 Tsf Morning 1 Tsf Night After Food FOR CERVICAL ISSUE * Tab.Mahayograj Guggulu ( Dhootapapeahwar Pharma) 1 -0-1 After Food

DIET ( Mainly Aimed Lactose & Gluten Free ) Helps Gain 8-1 Kgs in 4 -6 Months Improves Immunity Nutritional Status Gut Balance

EARLY MORNING 7 AM Luke Warm water /Wheat grass juice/ Aloe vera juice / Luke Warm Water with 1 Tsf Pure Desi Ghee

BREAKFAST 9 AM Veg - Broken wheat porridge / Veg Semolina (veg upma) / Veg Vermicelli / Veg Idli / Missi Roti / Oats / Chapatti with Veg or Dal Non Veg - Boiled Eggs/ Omlette Drinks -

MID MORNING 11 AM Fruit / Fruit juice / Herbal tea / Coconut water / Prune juice

LUNCH ( 12.30 PM - 1 PM 1 ½ to 2 Chapatti + 200 Grams Rice + Salad / Salad Rayta+ Vegitables+ Dal / Chicken ( Weekly Once - Twice)

EVENING ( 5 PM ) Homemade soup / Herbal tea Dry Fruits Laddo ( Dry Fruits Mixes + Seed Mixes + Dates + Gaggary+ Cow Ghee + Elayachi+ Jayphal ( Very Less Quantity)

DINNER ( 8 PM) 1 ½ Chapatti + Vegetable + Dal + 150 gms Rice Fruits Mixes

DIET OPTIONS

TO TAKE

Cereals - Wheat, Rice, Brown rice, Ragi Bajra, Oats, Quinoa , Sorghum, Amaranth, Finger millet, Little millet Pluses -Green gram, all washed dals Vegetables -Cucumber, Carrot, Sweet potato, Pumpkin, Celery, Red onion, Parsley, Beetroot, Radish, Ginger, Bottle gourd, Ridge gourd, Round gourd Fruits - Apricots, Watermelon, Banana, Guava, Papaya, Muskmelon, Apple, Sapodilla, Plum, Pomegranate, Kiwi and Pear Dairy Products - Fresh Buttermilk Cow Ghee Spices - Coriander, Cumin, Thyme, Fennel Drinks - Coconut water, Clear soups, Sugarcane juice, homemade soups, Green juice, Herbal tea, Aloe Vera juice, Homemade juices Non Veg - Lean meat, Fish, Chicken, Boiled eggs- white part only Dry Fruits - Soaked Almonds, Figs , Soaked Dry Grapes , Khajoor Oils - Cow ghee, Mustard oil, Olive oil, Soybean oils Sweets - Jaggery, Honey Other - Home Made Fresh Luke Warm food

TO AVOID

Cereals - Refined Flour Maida Bakery Bread Bun Cake etc Pulses -Chickpeas, Kidney beans, Black gram Vegetables - Shimla Mirch Cauliflower Fruits - Citrus fruits like Orange, Lime, Pineapple, Peaches, and Canned fruits Dairy Products - Curd Panner Chesse Malai Speices - Red chilies Clove Drinks - Whole milk drinks, Cream based liqueurs, canned soup and packaged soup, Alcohol, Sweetened drinks, Squashes, Carbonated drinks Nonveg - Processed and Fried meat, Red meat-Beef, Pork. Dry Fruits - Peanuts, Pine nuts, Walnuts, Cashew and all types of seeds Oils - Palm oil, Coconut oil, Butter Sweets - Refined Sugars Others - Fast Juck Foods

YOGA - Anulom Vilom Pranayam Malasan Utkatasna Panvanmuktasan Surya Namaskar

EXERCISE - Walking Jogging Cycling Skipping Swimming Mild mobility Exercise Push ups Pull ups Squats Light Weight Lifting Neck Exercises

ANTISTRESS REGIME - Dhyan Meditation

INSTRUCTIONS * Avoid Frequent Overeating * Maintain Timely Food * Don’t Sleep Afternoon * Avoid Unnecessary Racing Thoughts Panicness * Rest Good Sleep * No Sedentary Lifestyle * Avoid Fast Juck Foods Bakery items Neck Back Posture Corrections Neck Back Excercise

REGARDS

Dr Arun Desai

God Bless You 😊🙏

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

480 answered questions
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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.
111 days ago
5

It’s better to take direct consultation as you’re having multiple issues, so it’s better to get directly accessed and then start medicines

2006 answered questions
23% best answers

0 replies

Take tablet Liv-52 1-0-1 after food with water Ashwagandha powder 1tsp at bedtime with cool milk Chyavanprash 2tsp in the morning before breakfast with milk

1914 answered questions
27% best answers

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Hi Towhid, I understand that you’re dealing with multiple health concerns like IBS-M, pre diabetes, hypoglycaemia, low bp , and low immunity- and its frustrating to see your weight stuck despite efforts

Your goal is not just weight gain, but to gain healthy muscle mass in a way that supports your gut, metabolism, immunity and spine

Typically high - calorie diet and GYM routines may worsen IBS or blood sugar issues

so need a safe, holistic and effective approach

our treatment focus will be Daily routine(morning to bed time) Digestion correction main for IBS Ayurvedic treatment medications Neck safe exercise gut friendly weight gain recepies precautions

with right plan , consistency and safe practices you can restore your muscle mass and feel energetic again- without triggering other conditions

MUSCLE WEIGHT GAIN PLAN TARGET- GAIN 6-10 KG OF LEAN MUSCLE SAFELY IN 4-6 MONTHS

1. MORNING ROUTINE warm water + 1 tsp desi cow ghee = drink empty stomah Ashwagandha poder- 1 tsp in warm milk mild yoga and pranayam- 20 min = cat-cow, bhujngasan, anulom-vilom etc

2. high protein breakfast like moong dal chela 2 eggs with potato mash omlete oats with milk soaked almonds, seeds etc

NEVER SKIP BREAKFAST- its crucial for preventing hypoglycaemia

3. MID MORNING SNACK- 2dates+ soaked pumpkin /sunflower seed can make laddus of chana sattu+ghee+jaggery+ nutmeg powder

4. have good heavy lunch- Add ghee in every meal wheat, rice , vegges, protein rich food include Buttermilk with roasted jeera

post lunch light walk after lunch 15-20 min use cervical pillow and gentle traction- based stretches Shallaki capsule- 1 thrice a day after food for cervical pain trayodashang guggulu- 2 tab twice a day post meals with warm water

5. evening snack- roasted chickpea+ coconut pieces or smoothie- almond milk+banana+soaked chasew + cardamon

6. Light dinner by 8 pm no raw salad at night strictly

Supplements which is safe and effective in your case

for muscle and energy Ashwagandha + shatavariq chruna- 1 tsp each with warm milk ashwagandha in morning and shatavari at night

for immunity- Chwanprasha - 1 tsp daily in. morning (take good pure ayurvedic chawanprasha)

Digestion- Avippatikar churna- 1/2 tsp with warm water before meals 0 min before lunch and dinner For disk health- above mentioned trayodashang guggulu and shallaki capsule

gentle exercise 3 days/week resistance bands or bodyweight squats, wall pushups cervical safe pull exercises

don’t take excess whey proteins - as it may irritate IBS avoid raw sprouts, junk

keep an eye on sugar levels and bp levels

do follow stay constient for 4-6 months and see visible results

thank you

1086 answered questions
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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.
106 days ago
5

Thank you for sharing your detailed Health concerns It’s good that what you are aware of and want get treated for that Your condition are due to imbalance of doshas along with ama that is toxins and weak digestive fire ACC to your symptoms you have vata pitta Prakriti Your current imbalance shows predominance of vata along with pitta and weakened kapha Vata imbalance symptoms like sudden weight loss, muscle, wasting, nervous energy, neck, pain, IBS symptoms, hypoglycaemia insomnia, or anxiety Pitta imbalance like inflammation acids overthinking Weakened kapha symptoms lik Lack of muscle tissue weakened immunity and fatigue Possible condition in your case might be- Agni mandya- (weakened digestive fire) - leads to poor absorption despite eating Dhatu kashaya I.e loss of muscle tissue and strength Ok Akshaya- low immunity and resilience Vata vyadhi a c4 neck degeneration Ibs symptom anxiety and fluctuating energy

Our treatment main goal should be Strengthening digestive system Nourishing muscle and fat tissues Balance vata and stabilise pitta Calm the nervous system Rebuild immunity and regulate sugar metabolism Line of treatment, we approach is What we call as chikitsa sutra Strengthen digestion and remove toxins Vata and pitta shamana Use herbs and therapies to calm doshas Rasayana therapy- rejuvenate immunity and nervous system Manasika chikitsa I.e calm mind and reduce anxiety

Hingwastaka churna-half teaspoon after milk twice daily, which improves dictation Guduchi + trikatu- 1/4 th tsp after food with warm water improves Agni and clear toxins Avipattikara churna-half teaspoon before meals with water Take if you have acidity or burning sensation in stomach For weight gain, you can take Ashwagandha churna half teaspoon with warm milk at night. It also reduces stress and health in muscle growth. Shatavari kalpa This is a ghee based rasayana for strength

For balancing vata Do external massage with Bala tailam And you can do gentle massage at your neck with mahanarayana taila

Meanwhile, you can take Saraswathi aristha - 4 teaspoon with equal quantity of water twice daily after food, which comes your mind and reduces anxiety

As you’re having prediabetuc episodes you can take Madunashini vati- Must be chewed before food and then swallowed

Avoid long fasting periods Eat regularly

Diet - Include Sathvik nourishing warm and freshly cooked meals Include good carbs Red rice And powdered rice Millets Sweet potato, pumpkin oats Protein like Mukta Uday dal Cow milk Include key in diet

Avoid heavy pulses, like rajma chana as you are having IBS Eat a regular intervals Avoid cold foods Eat calm, slow in a mindful way

You have to follow disciplined lifestyle then only you can see the positive result

Wake up early Avoid late night Whole body massage daily or alternate day with coconut oil Gentle yoga, avoid pressure in the neck area Do asanas lik Vajrasana Bhujanga sana BalaSana Pavan Mukta Sanana Do meditation or Pranayam

Avoid your screen time worry, cold exposure

If nearby Panchama Centre are available, then go for Abhyanga + swedana Shirodhara Basti therapy Nasya

Vata individuals are sensitive to over stimulation Avoid multitasking, overstress, and mental strain Drink herbal teas

What you can do ? Eat on time Massage regularly Meditate daily Sleep before 10 PM Use cumin, carrot, turmeric, ginger daily in cooking Drink water throughout the day

What you should avoid Avoid draw, alert, cold drinks, fasting Avoid coffee Suppressing natural urges

I just want to tell that with consistent effort, a proper with internal medicine and lifestyle modification, you can gradually regain muscle mass and immunity Ayurvedic rasayana are very powerful for building your health

Just you need to be patience and discipline so that you can act what you want

2006 answered questions
23% best answers

0 replies

Your experience with a carb-free diet leading to weight loss is not uncommon. However, gaining muscle weight especially with considerations like IBS-M, prediabetes, and other health concerns can be a bit nuanced. Let’s delve right into what you might consider doing from an Ayurvedic perspective.

First, understanding your unique constitution or “prakriti” is crucial, as this can guide personalized dietary and lifestyle interventions. It appears your symptoms align with Vata-Pitta imbalance, common in conditions involving digestion and muscle depletion.

Considering your IBS-M, focus on a Vata-balancing diet which incorporates warm, easily digestible foods. Before meals, take a teaspoon of ginger juice with a pinch of rock salt to ignite your digestive fire or “agni”. Yet, avoid excess spicy, sour, or fermented foods given your pitta tendencies.

For muscle gain, prioritize quality sources of protein that are also gentle on your digestion. Moong dal soup or khichdi is a great option, providing protein while being easy on your gut. Keep your meals consistent and avoid fasting which could unsettle your blood sugar levels given your prediabetic status.

Adding healthy fats such as ghee, sesame oil, can foster muscle tissue (mamsa dhatu) formation. Ghee is particularly beneficial and can be consumed with meals to improve digestion and aid nutrient absorption.

Exercise plays a role in muscle strengthening, yet with C4 disk pain, opt for gentle, low-impact movements like yogic stretches or swimming. These activities not only help maintain muscle tone but enhance flexibility without straining your neck.

For your immunity and hypoglycemia, herbs like Guduchi (Tinospora cordifolia) and Ashwagandha can be supportive. Guduchi strengthens immunity, while Ashwagandha helps in building muscle mass and calming the nervous system—but consult a healthcare provider before starting any herbal supplements.

Hydration is crucial with low blood pressure, so keep sipping warm water throughout the day, and consider coconut water to balance electrolytes. However, moderation is key as excess could affect your sugar levels.

Regularity in your daily routine is essential. Aim for consistent eating and sleeping patterns, as this can stabilize Vata dosha and thereby aid in weight management.

Lastly, it’s vital to monitor your condition with your healthcare provider, especially since these health concerns interact intricately. They’ll ensure that your blood sugar, blood pressure, and overall condition remain stable while you pursue these strategies.

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I am an Ayurvedic physcian with post-grad degree in Kayachikitsa (that’s internal medicine btw) and been working hands-on in clinical setups for over 5 yrs now—since finishing my BAMS. My work mostly revolve around managing internal disorders through classical Ayurvedic approach, especially chronic stuff... like digestion gone haywire, thyroid flares, migraine-types, joint probs or even weird skin things that just don’t go. I try to really *see* the patient before labeling the condition—because most times it’s not just a gut issue or just back pain, it’s a full picture out of balance. I use a mix of classical formulations, Panchakarma where needed (some people really benefit from it), daily routine tweaks, and sometimes even just diet correction can be way more powerful than we think. I also focus a lot on listening—like not rushing ppl into protocol mode unless we figure out what’s really going on. That part matters, at least to me. I mean what’s the point of a textbook-perfect plan if the patient can’t stick to it or feel worse halfway? Right? Metabolic disorders, fatigue, anxiety-patterns, IBS, migraines, skin-autoimmune crossover... those are kinda common cases I see often. And every plan is unique—nothing cookie-cutter, coz prakriti, age, agni, it all varies wildly. I try to keep things practical, science-backed, but still rooted in the Ayurvedic view of healing—not symptom chasing but fixing from the base. Doesn’t mean ignoring modern tools either... sometimes I’ll ask for labs, scans, referrals, whatever’s needed to support clean diagnosis. If you ask what drives me, it’s honestly that moment when a person says “I feel normal again.” That’s it. That’s the goal. Healing not just the disease but the human wrapped around it. Feels right, even on the off days.
5
2 reviews
Dr. Anjali Sehrawat
I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?
5
40 reviews
Dr. Ayush Bansal
I am an Ayurveda doctor with about 1 yr of hands on clinical practice, still learning everyday from patients and the science itself. My journey started as a VOPD doctor with Hiims Hospital under Jeena Sikho Lifecare Ltd. For 6 months I was into virtual consultations, understanding cases online, preparing treatment protocols and doing follow ups to track progress. That phase trained me well in quick patient assesment and also in explaining Ayurveda in a way that fit with modern expectations. I dealt with many chronic and acute cases during that time.. things like gastric issues, joint pain, stress related complaints, skin problems. The remote setting forced me to sharpen my diagnostic skill and rely more on careful history taking, prakriti analysis, and lifestyle understanding. After that, I moved to a Resident Doctor role at Chauhan Ayurved and Panchkarma Hospital, Udaipur. This was very different.. more practical, hands on, and really grounded me in classical Panchakarma. I was actively part of planning and performing therapies like Vamana, Virechana, Basti, Abhyanga, Shirodhara, and other detox and rejuvenation procedures. Many patients came with long standing spine issues, metabolic disorders, skin complaints, or hormonal imbalance and I got to see how tailored Panchakarma protocols and lifestyle advice together can bring changes that medicines alone couldn’t. Working closely with senior consultants gave me better clarity on safety, step by step planning and how to balance classical texts with practical hospital settings. Now, whether in OPD consultations or Panchkarma wards, I try to meet patients with empathy and patience. I focus on root cause correction, using herbs, diet, daily routine guidance, and therapy whenever needed. My belief is that Ayurveda should be accessible and authentic, not complicated or intimidating. My aim is simple—help people move towards long term wellness, not just temporary relief. I see health as balance of body, mind and routine.. and I want my practice to guide patients gently into that space.
5
141 reviews
Dr. Chaitrali Rajendra Tambe
I am someone who really believes that Ayurveda isn’t just about giving herbs and oils—it's more like a whole way of looking at the body, the habits, the food, and how everything connects together. I got solid training in Ayurvedic clinical practice and feel most confident when I'm using therapies like Panchakarma or planning proper Shodhana for someone who's stuck in a cycle of chronic illness or stress-related issues. There’s just something powerful about seeing how classical cleansing can bring that shift in energy and clarity for ppl who've tried everything else. I work a lot on dosha assessment—sometimes it takes a bit of digging cause symptoms don’t always line up in a textbook way. But once I figure out what’s really going off-balance, I try to make treatment super personalized. It’s not just about giving a kashayam or lepa... I spend time explaining diet changes, routines, sleep timing, and even emotional triggers when needed. Many people don’t realise how big a role lifestyle play in their conditions. Right now, I’m mostly focused on lifestyle disorders and detox-based therapies. Things like PCOS, fatty liver, skin allergies, joint stiffness, IBS, anxiety-linked issues… those come up a lot. I try not to rush. I’d rather go slow n consistent, combining classical concepts with modern diagnostics if needed. Blood tests, reports, scans—they help me track things while still keeping the treatment Ayurvedic in core. I’m also pretty organized about documenting my cases—not just for reference but to understand patterns better. I guess every case teaches you something new, even after hundreds of patients. And I do keep learning, whether it’s updating protocols or trying to refine a virechana schedule that didn’t go as planned. In the end, for me it’s really about finding that balance for each person... not just patching the symptom. I think that’s where Ayurveda really shines.
5
13 reviews

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