I am suffering from iron deficiency from 1 year - #24184
Hi sir/madam I am suffering from iron deficiency since 1 year... After blood donation.... I am suffering from this problem when I am eating iron tablet it's okay but when I leave my hemoglobin level start to decrease on daily basis or weekly basis based on reports....but when I take Orin tablets my serrum albumin and serrum protein in blood increases significantly... Not in the urine.... So what should I do... To fullill my iron storage in the body and free from taking iron tablets on daily basis
Doctors’ responses
HELLO RASHMI RANJAN,
-iron deficiency for 1 year post blood donation -reliance on iron tablets to maintain haemoglobin -discontinuation leads to haemoglobin drop -serum protein and albumin increase during supplementation
THIS STRONGLY SUGGESTS -your body is not absorbing or storing iron efficiently -there may be digestive weakness or incomplete assimilation -serum protein increasing->your body is starting to repair under support, but without continued support, it regresses -possibility of Rakta dhatu kshaya(depleted blood tissue) and Mamsa dhatu kshaya(low protein stores )
ACCORDING TO AYURVEDA, -pandu roga(anemia) -due to digestive fire imbalance->leads to malabsorption -weak rasa and rakta dhatu->inability to form healthy blood -possibly Mamsa dhatu weakness->low serum protein, albumin
ROOT FACTORS IN YOU IRON NOT BEING STORED- weak agni, and rasadhatu RECURRENCE ON STOPPING MEDS= rakta dhatu depletion, slow dhatu regeneration IMPROVED WITH MEDS= rakta dhatu gets support, but Agni isn’t strong enough to maintain SERUM ALBUMIN RISE= better liver and mamsa dhatu function under support
3 STAGE TREATMENT STRATERGY PLANNED FOR YOU
PHASE 1- DEEPANA-PACHANA(digestive correction) If your digestion is weak, no matter how much iron you consume, it won’t be absorbed or retained
1)TRIKATU CHURNA- 1/4 tsp with honey or warm water before meals twice daily =improves digestion, metabolism, and clears toxins
2)HINGVASTAKA CHURNA- 1/2 tsp with warm water after meals =especially if there is bloating, gas or slow digestion
3)JEERAKADYARISTA- 15 ml with equal water after food =helps digestive strength and nutrient absorption
PHASE 1 DURATION= 2-3 WEEKS
PHASE 2- RAKTAVARDHAKA(blood formation and iron supplementation) once digestion is optimised , start iron-rich ayurvedic medicines
1) LOHASAVA- 20 ml with equal water after food twice daily =classical iron tonic, improves blood
2)NAVAYASA LAUHA- 250 mg with honey twice daily in morning and night =herbo-mineral iron rich rasayana
3)PUNARNAVA MANDUR- 1 tab twice daily after meals =improves hemoglobin, liver function
4)DHATRI LAUHA- 250 mg twice daily with amla juice or honey =enhances iron absorption, safe long-term
for 1st month take LOHASAVA + NAVAYASA LAUHA ONLY
then from 2nd month start other two for 1 month so DURATION OF 2ND PHASE= 2 MONTHS
PHASE 3- RASAYANA AND LONG TERM RESTORATION DURATION= 2-3 MONTHS this phase is to prevent recurrence and strengthen all tissues- especially rasa, rakta, mamsa
1)CHYAWANPRASHA- 1 tsp daily in morning =general tonic, support blood and immunity
2)ASHWAGANDHA LEHYAM- 1 tsp with warm milk at bedtime =increases strength and energy
3)DRAKSHARISHTA- 20 ml after food twice daily =for fatigue, improves absorption and appetite
4)AMALAKI RASAYANA- 1 tsp daily =amla based support for iron , digestion and immunity
DIET RECOMMENDATIONS eat easily digestible iron-rich foods with good Vitamin c sources to enhance absorption -black sesame seeds- roasted and take with jaggery -dates, raisins, figs- soaked overnight -pomegranate, beetroot, spinach, drumstick leaves -gooseberry(amla)- fresh or powder -cows ghee- nourish the tissues and helps absorb fat-soluble nutirents -whole moong, lentils, red rice, jaggery
AVOID -tea/coffee after meals- block iron absorption -very heavy , greasy, or processed foods -excess sour/spicy food if there’s hyperacidity
LIFESTYLE TIPS -avoid daytime sleeping-slows metabolism -practice gentle yoga like -suryanamskar-6 cycles -pranayam- anulom vilom- 5 min -get morning sunlight- helps vitamin d and overall metabolism -manage stress- chronic stress affects nutrient absorption -early light dinner before 8 pm
with patience and right support -your body can restore its own iron balance -you can stop relying on daily tablets -you’ll feel more energetic, grounded and nourished overall
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
1. Syrup Vidangarishta – 3 tsp twice daily before meals Helps in improving digestion and absorption, which is essential for iron metabolism.
2. Lauha Bhasma – 125 mg twice daily with honey A classical Ayurvedic iron preparation that supports hemoglobin production and replenishes iron stores.
3. Punarnava Mandur – 2 tablets thrice a day (2-2-2) after meals Supports hematinic function, improves liver metabolism, and reduces water retention or swelling if present.
General Recommendations:
Include iron-rich foods such as black raisins, dates, pomegranate, beetroot, and green leafy vegetables.
Avoid tea or coffee immediately after meals as they hinder iron absorption.
Iron deficiency can be quite taxing, and navigating it requires a nuanced approach, especially if you’re looking to rely less on tablets. Truly, understanding your body’s needs is the first step. In Ayurveda, iron deficiency may correlate with certain dosha imbalances, specifically vata and pitta. Here are some personalized suggestions to improve your iron levels naturally.
First off, focus on an iron-rich diet. Incorporate greens like spinach, bathua, and amaranth into your meals. They’re packed with nutrients that can help boost your iron levels. Cooking in a cast iron skillet can also increase the amount of iron in your food. Variaties like pomegranate and watermelon can enhance absorption, so munch on those fruits often.
Consider ayurvedic preparations like Lohasava, an herbal tonic known to help with iron deficiency. However, it’s critical to consult with an Ayurvedic practitioner to ensure it’s appropriate for you, as these formulations are powerful and need to be tailored to your specific constitution (prakriti).
Enhancing your digestive fire (agni) is crucial. Consume ginger or cumin seeds before meals to boost digestion, improving iron absorption. Reducing the consumption of foods that inhibit iron absorption, such as tea, coffee, and dairy right after meals, might be beneficial. Vitamin C-rich foods work wonders in improving iron absorption, so pair your iron-rich foods with foods high in this vitamin – like lemon or oranges.
Practice a routine that eliminates stress, as it can affect gut health and nutrient absorption. Yoga and meditation can be profoundly beneficial here. Regular body massages with sesame oil or ayurvedic herbal oils may help in balancing the doshas and improving overall circulation.
Finally, if traditional methods aren’t providing the relief needed, don’t hesitate to seek advice from both ayurvedic and allopathic healthcare providers. Sometimes a combination of approaches can be most effective. It’s important to address the root cause while ensuring no immediate health risks are present, so regular monitoring and consultation is vital.
For it you should take more iron rich vegetables like spianch, beetroot etc.
And take Navayas lauh 1 tab twice a day Punarnava mandoor 1 tab twice a day Praval pushti 1 tab twice a day Ashokarishta 15 ml with equal amount of water after food
Hello If your haemoglobin is dropping when you’re stopping iron tablets Then your body likely is not storing or observing iron, well, so to improve naturally, you can start on Punarnavadi mandura- Tab liv 52 -one tablet each twice daily after food Drakshadi aristha -4 teaspoon with equal quantity of water twice daily after food Eat iron rich foods like soaked, black, rising dates, spinach, ragi, beetroot, pomegranate Include vitamin C rich foods like Amla lemon with meals to improve absorption Avoid tea, coffee If the issue continuous even after following the above, then get peripheral near done along with LFT
Most important is Hydration. Stay hydrated with water or juices. No tea and coffee.
Also do LFT as you have raised Sr. Albumin & Sr. Protein.
Start cooking in cast iron or earthen vessels. This is a remidy for natural increase in Hb levels. It will take 4-6 months but very effective remidy.
Eat Peanuts, Jaggery, Rajgira ladoo, Rajgira Barfi, Finger millet (ragi)
You need to do deworming. Syp. Vidangariashta 3 tsp twice a day before food for 21days. else you can go for allopathy tablet TAB. BANDY PLUS 1 tab at night and than 1 more tab at night 3 days after the first dose.
Then start: Tab. Mandurvarak 1 tab twice a day with 2 tsp AMLA JUICE + half cup water Tab Liv 52 DS 1 tab twice a day before food.
If you take these medicines after deworming you will get better results
Regarding dropping of hemoglobin on stopping iron suppliment intake,
1.repeat blood tests(CBC, serum ferritin, iron studies)
2.Identify any ongoing blood loss(especially related to menstrual cycle, hemorrhoids/piles)
3.Rectify diet and absorption issues
Meanwhile start with
1.vasaguduchayadi kashyam 15ml
kashayam+45ml lukewarm water two times
before food
2.T. punarnava mandooram 1-0-1 after food
3.Draksharishtam 30ml twice after food
4.Dadimadi ghritham 10g early morning on
empty stomach
Include more of iron rich food in diet like green leafy vegetables, spinach, beetroot, beans, dates, ragi, pomegranate. Non vegeteraians can include fish, organ meat, eggs. Try to add half a lemon juice in the dishes for a speedy absorption of iron.
Avoid strenuous exeecises. instead practise yoga and pranayama
Drink adquate amount of water. 2.punarnava mandooram
Hello Rashmi I can understand your concern regarding iron deficiency and we are here to help you out!!
Your concern 1. Your iron in blood is on lower side 2. After taking allopathy medication for some time it is improved and after stopping it again starts to decreasing 3. After taking orin tablets your sr albumin and sr protein in blood increases
See according to ayurveda improving your blood should be through proper specific diet As not only you but taking supplements lifetime is not feasible.
We first understand your causes for low iron Follwing are the most common causes of iron deficiency 1. Inadequate iron intake 2. Chronic blood loss through menstrual bleeding ( if you have heavy flow) 3. Malabsorption of iron as seen in IBS 4. Long tern use of painkiller
My advice to you is to take medication for 120 days and continue the specific diet which i will advice… And then slowly we will stop your medicatoin continuining the diet
INTERNAL MEDICATION 1. Ayasthriti 30ml-0-30ml after food 2. Punarnava mandoor 2-0-2 after food 3. Dadimadi ghrita 1 tsp at bed time follwed by warm water
This is the minimum medication you can continue for 120 days I am specifying 120 days as new rbc are formed in 120 days so to see any significant changes we have to wait till 120 days
Diet for iron deficiency anemia Diet should be focused on three aspect 1. Iron increasing food 2. Improving iron absorption 3. Food items to avoid
1. Iron increasing food #Spinach #Amaranth #fenugreek leaves #moringa leaves #lentils, chickpeas, soyabean, kidney beans #pumpkin seeds #whole grains #tofu If nonveg eater #red meat #chicken #liver #fish - tuna
2. Improving iron absorption #citrus food like orange, amla #tomotoes, guava, bell peppers #brocolli, strawberry
3. Food items to avoid #tea or coffee #calcium rich food #high fiber raw bran #curd # reheated food, fried items
Hope you found this helpful!! Wish you a good health
Regards Dr Snehal Vidhate BAMS, MD ( sch)
Don’t worry Rashmi… Start taking 1.Lohasava 20 ml with equal amount of Lukewarm water just after having meal twice in a day. 2. Punarnava mandoor1-0-1 Follow up after 15 days…
Dnt worry Rashmi you take rich iron supplement foods or vegetables such as spinach/beetroot/mushroom/brocoli/sweetcorn… Management
Divya hemoghrit vital=2-2 tab Divya livogrit vital=2-2 tab=empty stomach twice daily
Nutrela iron complex cap=1 cap per day
Divya drakshasava=3-3 tsp after meal twice daily…
Do regular pranayama=BHRAMRI/kapalbhati/ANULOMAVILOM PRANAYAMA
You can cured eaisly
Take beetroot daily in salads Take overnight soaked 5 raisin in mrng empty stomach Navayas churn 1tsf with lukewarm water BD Punarnava mandoor 1BD with buttermilk Dhatri loh 1BD Dadimadi ghrit 1tsf in lukewarm water BD
Take punarnava mandur 1-0-1 after food with water Take tablet Liv-52 1-0-1 after food with water Have fresh juice either made from beetroot/ pomegranate/ amla / doodhi / apple. Use nachni/ ragi atta in your diet daily for lunch/ dinner Take fresh green vegetables like palak/ methi in your diet.
Don’t worry
🌸 Cause : Blood loss due to
* Bleeding in the digestive tract * Haemorrhoids * Monthly menstrual bleeding * Fibroid * Low intake of iron * Aspirin use
✅ Check
* Blood - * Hb * MCV * Reticulocyte count * Vit.B12 * Complete haemogram
✅ Intake mudga, jiraka, Fenugreek, barley
* Garlic, onion, brinjal, banana, amalaki
* Ripe mango , grapes, dates , apple, pomegranate
* Non vegetarian foods like mutton, egg, soups
* Vitamin B rich foods helps good iron absorption
* Green leafy vegetables
❌ Avoid red chillies, pea, salt * Avoid coffee , tea, alcohol, aspirin * Avoid day sleep
💊 MEDICINE 💊
1. Punarnavadi kashayam - 15ml with 60 ml boiled hot water morning and evening before food
2. Lohasavam + ayaskriti - each 15 ml morning and evening after food
3. Mandura vatakam - 2 - 0 - 2 with asavam
4. Drakshadi lehyam - 1 tspn morning and night after food
5. Chinchadi lehyam - 10 gm at bed time
Hello Rashmi Ranjan
" NO NEED TO WORRY "
" I WILL HELP YOU UNDERSTAND & RECOVER WITH IRON DEFICIENCY ANEMIA RAISED PROTEIN ISSUES SAFELY EFFECTIVELY THROUGH AYURVEDA "
UR CONCERN
* Post Blood Donation Iron Deficiency Since 1 Yr * Iron Tablet Dependency to maintain Serum Iron & Hb * Drop in Iron Hb when Discontinue Iron Suppliments * Raised Albumin & Protein During Iron Supplement ( Orin )
WHY IRON LEVELS ARE DROPPING AFTER DISCONTINUATION OF IRON SUPPLIMENTS ?
1.Inadequate Dietary Iron Intake 2.Increased Body’s Iron Requirements & Taking Dietary Iron Insufficient 3.Iron Malabsorption 4.Certain Diet Interfering Iron Absorption like Milk products 5.Lack of Factors Diet needed for Proper Iron & Hemoglobin production like Vit B Vit C Folic Acid 6.Ongoing Known or Unknown Unidentified Blood Loss Like On Periods Stools 7.Associater Medical Conditions like Autoimmune issues Bone Marrow issues IBS Celiac Disease 8.Certain Medications Like Antacids Painkillers Antibiotics
WHY ALBUMIN & PROTEIN INCREASES DURING IRON SUPPLIMENTS ?
1 ) Iron supplements can support the body’s overall protein synthesis processes, potentially leading to a rise in albumin levels. 2 ) Albumin can bind and transport iron in the bloodstream so Albumin Protein raises while taking Iron Suppliments
WHY RECURRENT IRON DEFICIENCY AFTER BLOOD DONATION ?
1 ) Iron Loss :- Blood donation can lead to iron deficiency, particularly in frequent or repeat donors 2 ) Replenishing Iron :- It takes time for the body to replace the lost iron, and this process may be even slower for frequent donors. 3 ) Prolonged Iron Deficiency State :- Without proper iron replenishment, frequent blood donation can lead to iron deficiency (low iron stores) or even iron deficiency anemia
AYURVEDIC APPROCH
1) Rasajanya Pandu ( Nutritional Deficiencies Anemia 2 ) Raktajanya Pandu ( Iron Deficiencies Anemia)
FURTHER DETAILED INVESTIGATION NEEDED
-CBC -Peripheral Smear -Ser Iron Profile Derailed * Ser Iron - amount of iron circulating in the blood. * Ser Ferritin - Checking body’s iron stores * Ser Total Iron-Binding Capacity (TIBC)-blood’s capacity to bind iron * Ser Transferrin Saturation - transferrin (a protein that carries iron) that is saturated with iron -Fecal Occult Blood -Celieac Serology - tTG Antibody -H Pylori -Interinsic Factor -TSH -KFT Erythropoietin Factor -LFT -Vit B Total -Albumin Total Protein
AYURVEDIC TREATMENT
NOTE - TAKING MEDICINE ONLY IS NOT ENOUGH TO REVERSE THIS ISSUE
IN MY CLINICAL PRACTICE I HAVE SEEN BEST PROMISING RESULTS BY COMBINATION THERAPIES AS BELOW
" Causes Identification & Corrections + Ayurvedic Medicines + Proper Nutritional Diet+ Yoga + Exercises + Lifestyle Modifications+ Stress Management "
AYURVEDIC MEDICINES
U MUST TRY
( Minimum Medicine Maximum Quick Early Sustainable Iron Effects )
HEAM IRON THERAPY
Tab.Ban Labs Feroliv Forte Caplet ( Ban Labs Pharma) 1 -0-1 After Food
NON HAEM IRON THERAPY
Syrup.4 Blud Syrup ( Green Milk Pharma) 10 ml -0-10 ml Night After Food
RASAYAN THERAPY
Charak Manoll Malt ( Charak Pharma) 1 Tsf Morning -0-1 Tsf Night After Food
ESSENTIALS PLANT BASED MULTIVITAMIN SUPPLIMENT
Cap.Nutrela Daily Active Plant Based Multivitamin ( Patanajali Pharma) 1 -0- 0 After Food
VERY IMPORTANT NOTE
PRECAUTION TO TAKE WHILE TAKING IRON SUPPLIMENTS ( Factors which May Interfere Iron Absorption)
* Don’t Take Milk Products Along with Iron Supplement which interfere with Iron Absorption * Always take Any Vit C like Citrus Fruits which Enhance Iron Absorption
DAILY DIET PLAN ( DIET AS MEDICINE TO RECOVER FAST )
* NORMAL DIET ( Less Oily, Less Spicy Sour Salty, Well Cooked )
* EARLY MORNING DRINK-Apple Juice / Pomegranate Juice
* BREAKFAST - Rava Ragi Bajra Oats Items/ Fruits Salads/ Home made Soups
* MID MORNING - Beet Carrot Juice
* LUNCH - Ghee Applied Roti ( Non Gluten) Jwar/ Bajara/ Ragi + Leafy Vegetable like Palak Methi+ Green Salad Rayta + Any Sabji+ Fresh Butter Milk with Cream + Rice + Dal
* EVENING - Fruit Juice / Mix Fruit Salads with Roasted Dry Fruits/ Carrot Juice
* DINNER - Half of Lunch Quantity/ Fruits Salads/ Light Diet
* NIGHT - Triphala Powder 1 Tsf with 1 Glass of Luke Warm Water & Chamomile Tea
DO’S :-
* Iron Rich - Apple Pomegranate Ragi Beet Palak Dates Figs * B Complex Rich - Multi millets Mix Multigrain Mix Sprouts Mix Animal Red Meat Chicken Mutton Bone Marrow Soup * Vit C - All Citrus Fruits Amla * Prefer Healthy Nutritious Well Cooked Steamed Light for Digestion * All Green leafy vegetables Salads Sprouts Fruits Soaked Dry fruits fibers * Plenty Of Water Fluids intake * Milk Fresh Butter Milk * Cereals - Jwar Bajara Ragi Oats * Vegetable - Lauki Turai Prawal Gajar Beet Carrot * Fruits - Apple Pomegranate Guava Chiku Ripe banana Papaya * Dry Fruits - Soaked Resins Kishmish Khajoor Anjeer etc * Drinks - Coconut Water Watermelon juice Musk Melon Juices * Dairy - Fresh Buttermilk Cow Ghee * Species - Hing Jerra Ajawain Saunff * Herbs - Moringa Aloe Vera Amla
DON’TS :-
* Restrict Heavy for digestion * Excessive Too Acidic Salty Sour Spicy items * Outside Fried Oily Junk food * Bakery Foods Maida Udad items * Too Fermented Food * Excess Tea Coffee * Avoid Rajma Chole Curd Paneer Cream Sweets * Processed Packed Canned Foods * Processed Sweets * Cold Beverages
LIFESTYLE MODIFICATIONS
* Rest Good Sleep (8 hrs ) * Active Lifestyle * Physical Activities * Timely Food Intakes * Sleep Early Wake Early * Avoid Sedentary Lifestyle * Avoid Fasting * Avoid Addictions if any
YOGA
* Anulom Vilom Pranayam( 20 Rounds ) * Surya Namaskar ( 10 Rounds ) * Mayurasan ( 10 Rounds ) * Paschimottanasan ( 5 Rounds) * Gomukhasan (5 Rounds) * Sarvangasana (5 Rounds)
EXERCISES
* Walking 6000 Steps Per Day * Jogging * Mild Mobility Flexibility Exercise * Aerobics
ANTISTRESS
* Dhyan * Meditation * Mental Peace Calmness
REGARDS
Dr Arun Desai
God Bless You 😊🙏
If you have any questions u can ask me.I will Answer u to level of your satisfaction.U have Text Option here.
NAMASTE RASHMI JI,
It sounds like you’re experiencing chronic iron deficiency that started after blood donation, and your haemoglobin only improves while you’ve on iron supplements. your also mentioned that serum protein and albumin levels increase while taking iron tablet, but no protein is lost in the urine- which suggests it’s not a kidney issue
1) IRON DEFICIENCY common cause= blood loss(e.g donation, menstruation) , poor absorption(gt issues), low dietary intake -hemoglobin falls again when stopping supplements- this suggest iron stores ferritin are not being adequately replensihed
2) SERUM ALBUMIN/PROTEIN INCREASE WITH IRON TABS -this might be a response to improved nutrition/ metabolism -it’s not typically a concern unless too high-values would help here
GENERAL ADVICE to restore iron levels and avoid lifelong tablet use 1) rebuild iron stores(ferritin) fully- not just normalize hemoglobin 2) find and treat the cause of iron loss- e.g- internal bleeding, poor gut absorption 3) improve dietary intake and absorption naturally
In Ayurveda, iron deficiency is linked with panda Roga, and management involves enhancing digestive fire using iron rich medications
1) PUNARNAVA MANDOR- 2 tabs twice daily after meals for 3 months =improves hemoglobin, digestion, reduces inflammation
2) NAVAYAS LAUHA- 1/2 tsp twice daly after meals for 2-3 months =iron rich herbo-mineral compund
3) DHATRI LAUH- 250 mg once daily after lunch or 2 moths =good for digestion, immunity, and iron
4) DRAKSHARISHTA- 15ml with water after meals for. 3 months =aids digestion and iron absorption
DIET TO BE FOLLOWED -green leafy vegetables= spinach, amaranth, moringa, fenugreek, curry leaves -beetroot, carrots, pumpkin, sweet potato -legumes= urad dal, kulith, chickpeas, green gram -whole grains= ragi, bajra, jowar, red rice -nuts and seeds= black sesame seeds, almonds, walnuts, sunflower seeds -dry fruits= raisin, dates, figs, dried apricot -jaggery- especially with sesame or roasted chana -amla- resh, powder or juice form -curry leaves- cook into dishes or make chutney
HAVE VITAMIN. C RICH FOODS -amla, lemon, oranges, guava, tomatoes -always pair with iron rods- squeeze lemon on dal or greens -ghee - support digestion and absorption
FOODS TO AVOID OR LIMIT -tea/coffee -excessive milk and dairy -cold or processed foods -fried, oily and heavy to digest meals -white sugar, refined flour
good digestion is key to absorbing nutrients including iron. -use spices like jeera, ajwain, hing, dry ginger, trikatu in cooking -sip warm water throughout the day -if digestion feels weak, take a pinch of trikatu churna with warm water before meals
LIFESTYLE RECOMMENDATIONS YOGA- 15-30 min daily- especially -sarangasana, viparita karanim bhujangasana, pawanmuktasana -sleep- 7-8 hours- avoid sleeping latee -stress management- pranayam
repeat hemoglobin and ferritin test after 6 weeks of starting treatment -once normalise, slowly taper down dosage- switch to diet only maintenance
DO FOLLOW CONSISTENTLY OF 6 WEEKS
THANK YOU
REGARDS
DR. HEMANSHU MEHTA
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