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Premature ejaculation and azoospermia
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Sexual Health & Disorders
Question #22896
99 days ago
187

Premature ejaculation and azoospermia - #22896

Fayyaz

Premature ejaculation and azoospermia and I am High Protein patient every time body pain specially legs pain dr.suggest one test Hlab27 . Results positive after that Iam avoiding mutton banana and etc so

Age: 12
Chronic illnesses: High Protein problem if I ate mutton , banana, some fruits I have legs pain , pelvis pain
300 INR (~3.51 USD)
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Doctors’ responses

Hello Fayyaz

" NO NEED TO WORRY "

" I WILL HELP YOU TO UNDERSTAND & RECOVER WITH PREMATURE EJACULATION AZOOSPERMIA & ANKYLOSING SPONDYLITIS SAFELY "

UR ISSUES

Premature Ejaculation ( PME ) Azoospermia HLA B 27 Positive - Ankylosing Spondylitis Pelvis Pain Body leg Pain Protein Intolerance

MY ASSESSMENT

AUTOIMMUNITY - HLA B 27 POSITIVE U might Have Some Autoimmune issues ( U r Immunity attacking ur Own Cells ) which is causing Multiple Autoimflammatory responses on Bones Joints Testis & Urogenital System Causing Pain In Pelvis Bones Joints etc

As per Ayurveda Ama ( Toxins) + Vata Imbalance Affecting Santhi ( Joints ) Asthi ( Bone)

PREMATURE EJACULATION - Due to Weak Urogenital Infections lax Sphincter weak Semen holding capacity u have Premature Ejaculation

As per Ayurveda Shuktagat vata & Mamsa Kshaya leads Early Discharge

AZOOSPERMIA - Autoimmune Inflammation to Testis and Obstruction in Spermatic Cord leads Azoospermia

As per Ayurveda Shuktagat Amavata Leads Shukra Kashya

PROBABLE CAUSE

Autoimmune Pathology, Genetic Hereditary Acquired Deranged Protein Pathology issues Testicular Infection Obstruction Weak Urogenital Sphincter Pelvic Floor Weakness, Hypersensitive Foreskin Known Unknown Urogenital Infections,Prostate issues Stress Anxiety Hyperstimulation

"NOTE - TAKING MEDICINE ONLY IS NOT ENOUGH TO SOLVE THIS PROBLEMS "

"IN MY CLINICAL PRACTICE I HAVE SEEN THE BEST PROMISING RESULTSWITH COMBINATION OF FOLLOWING THERAPY "

" Identify Cause Behind PME + Ayurvedic Medicine + Specialized Exercises for PME + Sexual Position Modifications ( If Sexually Active) + Instructions to Follow During Sexual Activity + Mindset Prepartion Before Sex + Lifestyle Modifications+ Stress Management "

VERY IMPORTANT NOTE TO UNDERSTAND BEFORE STARTING TREATMENT * As Ayurveda Aims Improving Natural Timings.Don’t Expect this medicine acts Instant Like Viagra ( Which Helps Temporary with Dangerous Side Effects * Keep Maximum Patience while taking Ayurvedic Treatment,u feel improvement week by week * Ayurvedic Medicines Take Time to Improve But they improve conditions without side effects) * Few Brands Labelled Ayurvedic Adulterated with Viagra so Don’t ever take Any Sexual Ayurvedic Medicine without Consent of Doctors especially when u r Old Age "

• 100 % EFFECTIVE AYURVEDIC MEDICINES IN MY CLINICAL PRACTICE

U MUST TRY ( Results u will get in One Month)

FOR PREMATURE EJACULATION * Tab.Virya Stambhan Vati with Gold ( Sharmayu Pharma) 0-0-1 After Food TO INCREASE MOOD & LOST SEXUAL ENERGY * Mulatani Madananad Modak Powder ( Mulatani Pharma Compulsory ) 1 Tsf -0- 1 Tsf After Food Preferably with 1 Glass of Luke Warm Milk FOR HYPERSENSITIVITY & INCREASE MUSCLE NERVE BLOOD FLOW LOCAL EFFECTS * Vyas Masti Oil ( Vyas Pharma) 15 Drops For Penile Application 30 min Before FOR AZOOSPERMIA * Cap.Ashwmed ( Bal Pharma) 1 -0- 1 After Food * Musali Pak ( Dhootapapeshwar Pharma) 2 Tsf -0- 2 Tsf Night After Food FOR ANKYLOSING SPONDYLITIS PELVIC LEG PAIN * Cap.Rumartho Gold Plus ( Baidyanth Pharma) 1 -0-1 After Food * Rumalaya Liniment ( Himalaya Pharma) For Local Application over Painful Areas

POSITIVE MILD SET UP BEFORE SEXUAL ACTIVITY ( IF U R SEXUALLY ACTIVE)

• For Few Persons who r Nervous Anxious Overexcited Hyperstimulation cases their 1 st Ejaculation is Early Naturally They must try 2 nd Round • Go With Confidence and Positive Approach.Back Urself • Don’t Be Overanxious Overexcited Tensed initially • Always Prefer Slow Steady Rhythmics Sexual Activity • Don’t Be Hurried initially during sexual activities • Extend Foreplay to get Full Arousal.Without Arousal Erection won’t be harder • Be In Comfortable Position Place for Sexual Activity • Have Strong Emotional Connection with Partner and Have Mutual Understandings • Have Good Communication and Understanding with Partner so Sex Becomes Easy Comfortable • Use desensitizing sprays or Oil to Mask Over sensation if Foreskin in Hypersensitive • Find Appropriate Sexual Position in which feel more comfortable and get Good Erection and timings • Sometimes Failure in 1 St Round then Try 2 nd Round Sex After few hours of 1 st Sex • Try Prior Mastrubation 3 to 4 Hrs Before Sex and Observe timings in 1 st Sex

SPECIAL EXERCISES FOR PME

Please Open This You Tube Link How to do those

1 ) Kegel’s Exercises

Step 1 Focus:- On Muscle of Perineum area between anus and Scrotum

Step 2 Tighten: Tighten your pelvic floor muscles for 3-5 seconds.

Step 3 Relax: Then, relax them for 3-5 seconds.

Step 4 Repeat: Repeat this cycle 10-20 times.

<link removed>

2 ) Pelvic floor Exercise

Bridge Pose ,Squats , Pelvic Tilts

<link removed>

BEHAVIORAL TECHNIQUES FOR ED PME

1.Start Stop Method

When feeling the urge to ejaculate, stop sexual activity and allow arousal to subside before resuming. Then Start Again Erection and Sexual Activity Likewise

2.Squeeze Technique

As the urge to ejaculate intensifies, the partner can apply gentle pressure on Base of Penis to the penis to help delay ejaculation.

SPECIAL PREFERRED SEXUAL POSITIONS FOR ED PME

1) Missionary Sex Position 2) Cowgirl & Modified Cow Girl Sex Position 3) Left Lateral Sleeping Side way position 4 ) Spooning Sex Position 5 ) Side by Side Sex Position 6) Cross Lotus Sex Position

YOGA FOR ED PME

Dhanurasan Paschimottanasan Surya Namaskar Ardhamatsyendriyasan Mool Bandh Ashwini Mudra

ANTISTRESS REGIME

Dhayn Meditation Positive Sexual Mid Set Up

• DO’S - Prefer Healthy Highly Nutritious All Leafy Vegetables Fruits salads sprouts Fibers Dry Fruits Rest Good Sleep Mild Walking etc

• DON’TS - Avoid Acidic Spicy Salty Sour Masala Fast Foods Bakery Sedentary lifestyles Stress

• YOGA - Dhanurasan Vajrasan Paschimottanasan Ashiwini Mudra

• ANTISTRESS REGIME Dhayn Meditation

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

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Avoid spicy, oily and processed food. Regular exercise and meditation. Tab.Addyzoa 2-0-2 Count plus granules 15gms twice with milk. Tab.Neo 2-0-2

1787 answered questions
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Dr. Prashant Kumar
I’m Dr. Prashant Kumar, a multi-specialty Ayurvedic doctor with over four years of experience in holistic and integrative healthcare. After earning my Bachelor of Ayurvedic Medicine and Surgery (BAMS), I deepened my expertise through focused study in several specialties, including Panchakarma therapy, herbal pharmacology, sexual health, cosmetology, general medicine, and dietetics. My clinical practice blends time-tested Ayurvedic wisdom with modern therapeutic approaches to offer personalized, results-driven care. My clinic is designed as a peaceful, healing space — a reflection of my belief that recovery begins in a calm, nurturing environment. I start each day with yoga and meditation, practices that help me stay grounded and attentive to every patient I see. I believe that effective treatment must go beyond physical symptoms, so my consultations involve a comprehensive assessment of emotional, mental, and lifestyle factors that influence health. I take a multi-disciplinary approach, often working closely with nutritionists, yoga practitioners, and wellness experts to build customized treatment plans. These may include herbal formulations, detox therapies like Panchakarma, dietary guidance, and lifestyle modifications tailored to each patient’s constitution or dosha. My work has helped patients manage and often reverse chronic conditions such as arthritis, gastrointestinal imbalances, skin disorders, metabolic issues, and stress-induced ailments. I’m deeply committed to educating my patients—not just about their current condition, but about how to maintain balance and long-term health through Ayurvedic principles. What sets my practice apart is my empathetic, patient-first approach. I’ve built strong, lasting relationships within the community, and I frequently conduct workshops on preventive care, Ayurvedic nutrition, seasonal wellness routines, and stress management. To me, Ayurveda is more than a profession—it’s a lifelong journey of growth, healing, and connection. My goal is to empower every patient to take charge of their health through awareness, discipline, and natural care.
99 days ago
5

Hi Please continue these medicines for 3 month continue you get best results 1.Santushti capsules Multani 2 capsule morning - 2 Capsule evening after meal 30 minutes later 2.Multani Musli Pak Powder 1 teaspoon powder with milk both time morning and evening 3.Multani Madnanand Modak 1 Teaspoon powder with milk morning and evening both time Precautions - avoid junk food and smoking Please take maximum amount of water intake and do exercise

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HLAB 27 postive is diagnosis of anklelysing spondylosis it’s a type of autoimmune disease of spine … So please care of that .take proper ayurvedic treatment along as panchkarma and naturopathy TRETMENT simontanously

For premature ejaculation take

Manmanth ras VIRYA SODHAN VATI=2-2 tab after meal

Majun arad khurma Majun laboob kabeer=1/2-1/2 TSP each before meal with milk twice daily

You can easily cured

530 answered questions
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Cap. Ashwashila 1-0-1 after food with water Tab addyzoa 1-1-1 after food with water HLAB27 is auto immune, you will have to remain physically active, inactive, sedentary lifestyles will aggrevate the problem Apply mahanarayan oil on body before bath daily Maharasnadi ghanvati 1-0-1 after food with water Avoid sour fermented foods, citrus fruits

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HELLO FAYYAZ, BASED ON YOUR SYMPTOMS= PREMATURE EJACULATION, AZOOSPERMIA, AND CHRONIC BODY PAIN(ESPECIALLY IN LEG/PELVIS)-ALONG WITH A POSITIVE HLA-B27 REPORT, YOUR CASE SEEMS TO INVOLVE A COMPLEX INTERACTION OF SEXUAL HEALTH ISSUES AND AUTOINFLAMMATORY RESPONSES.

1)AZOOSPERMIA=SHUKRA KSHAYA/SUKRA AVARODHA -caused by low digestive fire->rasadhatu sushi->shukradhatu alpaca -obstruction of shukravaha srotas due to ama(toxins accumulated), medo(fat) dusti, or majja vitiation -associated rasa-rakta-mamsa-shukra dhatu dysfunction common in vata pitta Prakriti with dhatu kshaya.

2)PREMATURE EJACULATION -due to disturbed vata(mainly asana,vyana,prana coordinate failure) -occcur when, majja dhatu is weak, manowaha srotas(mind) is disturbed(stress, shame,overthinking) -weak dhatu poshana from food due to poor digestion.

3)AUTOIMMUNE PAIN(HLA-B27)- IT IS LIKELY ANKLYLOSPONDYLOSIS DUE TO deep seated toxin in joints vyana+apana vata imbalance rakta and asthi dhatu dusti triggers- high protein food(mutton),bananas, cold/sour foods->formation of toxins->formation of Ama+agni dusti.

treatment goal of ayurveda- 1)Deepen digestive fire and eliminate toxins 2)pacify vata-pittta dosha 3)enhance shukra dhatu formation and circulation 4)reduce inflammation (autoimmune)without steroid dependency 5)restore mental calmness and sexual stamina

AYURVEDIC TREATMENT PROTOCOL- IF FEASIBLE GO FOR PANCHAKARMA 1)BASTI THERAPY-YAPANA BASTI OR TIKTAKSHEERA BASTI FOR SPERM QUANTITY AND TO REDUCE INFLAMMATION

2)INTERNAL MEDICATIONS TO START WITH -TO IMPROVE SPERM COUNT AND NOURISHMENT 1)SHILAPRAVANG SPECIAL-1 TAB TWICE DAILY AFTER FOOD - APHRODISIAC,SEMEN ENHANCER

2)SWARNAMAKSHIKA BHASMA 250 MG+ GUDUCHI 1GM+GOKSHURA CHURNA 1 GM WITH LUKEWARM WATER DAILY IN MORNING= IMPROVES SPERM QUALITY, REDUCES INFLAMMATION

3)MUSLI PAK- 1 TSP WITH MILK AT BEDTIME- APHRODISIAC, NOURISHMENT SPERM

4)PHAL GHRITA- 5 ML WITH MILK EMPTY STOMACH IN MORNING- IMPROVES FERTILITY AND STRENGTHEN SHUKRA DHATU

*FOR PE AND NERVOUS WEAKNESS -SMRITI SAGAR RASA- 1 TAB TWICE DAILY AFTER FOOD -ASHWAGANDHA CHURNA+YASTIMADHU CHURNA-2 G EACH AT BEDTIME WITH MILK

*FOR PAIN AND HLA-B27 INFLAMMATION- 1)SIMHANADA GUGGULU- 2 TAB TWICE DAILY IN MORNING AND NIGHT- EXCELLENT FOR AUTOIMMUNE JOINT PAIN 2)RASNADI GUGGULU- 2 TABS TWICE DAILY AFTER FOOD- REDUCES VATA IN JOINTS 3)MAHARASNADI KASHAYA- 15 ML +45 ML WATER TWICE DAILY AFTER FOOD- REDUCES STIFFNESS AND PAIN 4)ERANDA PAK- 1 TSP AT BEDTIME WITH WARM WATER- IMPROVES BOWEL AND JOINT LUBRICATION.

NASYA- INSTILL 2 DROPS OD KSHHERBALA TAILA 101 AVARTI IN EACH NOSTRIL DAILY MORNING- HELPS IN SEXUAL WEAKNESS+FATIGUE+NEURO ISSUES

TAKE KAPIKACCHU CURNA- 5 GM WITH MILK AFTER DINNER- DOPAMIINE BOOSTER AND SEXUAL TONE

DIET- AVOID- Mutton,red meat bananas, custard apple,jackfruit fermented food, curd at night cold water, fridge food, late night snacks high sugar fruits-banana, mango tea/coffee in excess oily fried spicy food

INCLUDE- warm food with ghee moong dal khichdi bottle gourd, ash gourd , pumpkin black raisins -soaked overnight pomegranate juice garlic and dry ginger in food barley + rice 1:1 ratio

YOGA AND PRANAYAM- ASANA- vajrasana, bhujangasana, paschimottasnasana, setu bandhasana, Ashwini mudra

PRANAYAM- 10 MIN DAILY anulom-vilom- 5 min bhramari- 3 min ujjayi sheetali

LIFESTYLE -daily oil massage with balaashwagandhadhi taila -warm water bath only avoid stress or guilt around sexuality

do follow you will get result in 1 month

thank you

1040 answered questions
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In addressing premature ejaculation and azoospermia, Ayurvedic wisdom offers a comprehensive approach emphasizing balance, nourishment, and rejuvenation. It sounds like you have additional health considerations involving a high protein diet and HLAB27 positive test, potentially suggesting an inflammatory component such as ankylosing spondylitis. Hence, a multifaceted approach is needed.

For premature ejaculation, Ayurveda typically suggests herbs like Ashwagandha and Shatavari. Ashwagandha helps reduce stress and improve stamina. Shatavari is nourishing and supports reproductive health. A typical suggestion would be consuming Ashwagandha powder with warm milk, twice daily, but you should consult a practitioner for specific doses.

For azoospermia, the focus would be on nourishing dhatus, especially the shukra dhatu (reproductive tissue). Gokshura is an herb known for enhancing sperm production and quality. This, coupled with Ayurvedic formulations like Chyawanprash, can help in revitalizing reproductive functions. Again, personal evaluation and dosage require guidance from a professional.

Diet plays a significant role. Focus on a balanced intake, not only rich in proteins but sustained with fiber and healthy fats. Include whole grains, legumes, nuts like almonds, and vegetables. Avoid excessive meat consumption, as it’s mentioned you’re avoiding mutton.

Regarding leg pain and high protein implications, maintaining a balance is crucial. Turmeric, rich in anti-inflammatory properties, can be taken with milk at night to alleviate pain and promote joint health.

Daily routines like yoga and meditation can reinforce mental stability and flexibility, essential for your condition. Practices such as Bhadrasana and Vajrasana are beneficial for enhancing reproductive health.

Ensure regular follow-up with your healthcare provider, particularly concerning HLAB27 implications, to monitor any autoimmune progress. Ayurveda complements but doesn’t replace necessary allopathic treatments, especially for serious conditions.

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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
466 reviews
Dr. Isha Bhardwaj
I am someone who kinda learned early that medicine isn’t just about protocols or pills—like, it’s more about people, right? I did my BAMS with proper grounding in both classical Ayurveda and also the basics of modern med, which honestly helped me see both sides better. During internship, I got to work 6 months at Civil Hospital Sonipat—very clinical, very fast paced—and the other 6 at our own Ayurvedic hospital in the college. That mix showed me how blending traditional and integrative care isn't just theory, it actually works with real patients. After that I joined Kbir Wellness, an Ayurvedic aushdhalaya setup, where I dived into Naadi Pariksha—like really deep. It’s weird how much you can tell from pulse if you just listen right?? Doing regular consultations there sharpened my sense of prakriti, vikriti and how doshas show up subtle first. I used classical Ayurvedic texts to shape treatment plans, but always kept the patient’s routine, mental space and capacity in mind. Also I was part of some health camps around Karnal and Panipat—especially in govt schools and remote areas. That part really stays with me. You get to help ppl who dont usually have access to consistent care, and you start valuing simple awareness more than anything. I kinda think prevention should be a bigger focus in Ayurveda, like we keep talking about root cause but don’t always reach people before it gets worse. My whole method is pretty much built around that—root-cause treatment, yes, but also guiding patients on how to live with their body instead of fighting symptoms all the time. I rely a lot on traditional diagnostics like Naadi, but I mix that with practical therapies they can actually follow. No point in giving hard-to-do regimens if someone’s already overwhelmed. I keep it flexible. Most of my plans include dietary changes, natural formulations, lifestyle corrections and sometimes breathwork, daily rhythms and all that. I’m not here to just “treat illness”—what I really aim for is helping someone feel like they’ve got a handle on their own health again. That shift from just surviving to kinda thriving... that’s what I look for in every case.
5
507 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
Dr. Shaniba P
I am an Ayurvedic doctor, someone who’s pretty much built her clinical journey around natural healing, balance and yeah—just trying to help ppl feel a bit more whole again. I work mostly with conditions that kinda stay with people... like joint pain that won’t go away, periods all over the place, kids falling sick again n again, or just the kind of stress that messes up digestion n sleep n everything in between. A lot of my practice circles around arthritis, lower back pain, PCOD-ish symptoms, antenatal care, immunity problems in kids, and those quiet mental health imbalances ppl often don't talk much about. My approach isn’t just pulling herbs off a shelf and calling it a day. I spend time with classical diagnosis—checking Prakriti, figuring out doshas, seeing how much of this is physical and how much is coming from daily routine or emotional burnout. And treatments? Usually a mix of traditional Ayurvedic meds, Panchakarma (only if needed!!), changing food habits, tweaking the daily rhythm, and honestly... just slowing down sometimes. I’m also really into helping ppl understand themselves better—like once someone gets how their body is wired, things make more sense. I talk to patients about what actually suits their dosha, what throws them off balance, and how they can stop chasing quick fixes that don’t stick. Education's a big part of it. And yes, I’ve had patients walk in for constant cold and walk out realizing it’s more about weak agni n poor gut routines than just low immunity. Every case’s diff. Some are simple. Some not. But whether it’s a young woman trying to fix her cycles without hormones or a 6-year-old catching colds every week, I try building plans that last—not just short term relief stuff. Healing takes time and needs trust from both sides. End of the day, I try to keep it rooted—classical where it matters but flexible enough to blend with the world we're livin in rn. That balance is tricky, but worth it.
5
45 reviews

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