Managing diet for someone in such a unique situation requires thoughtful integration of traditional Siddha-Ayurvedic principles along with practical nutritional guidelines. Let’s focus on supporting his specific needs — addressing low vitamin D and B12, high uric acid, hyperthyroidism, and congenital heart conditions.
For vitamin D, include sunlight exposure daily if possible, but consider options like mushrooms grown in sunlight and incorporate them into soups or stews. For vitamin B12, small amounts of yogurt or fermented foods like idli and dosa can be beneficial if tolerated. If non-vegetarian foods are acceptable, small quantities of fish like salmon or sardines can help too.
To manage high uric acid, limit foods high in purines. Avoid red meats and organ meats like liver. Focus more on low-purine alternatives such as cucumbers, leafy greens (avoid spinach), and zucchini. Leg pain might benefit from omega-3 fatty acids, found in flaxseeds or fish, which can aid in reducing inflammation.
For hyperthyroidism, avoid stimulating spices and caffeine. Choose cooling herbs such as coriander and cumin to help balance the thyroid’s excessive activities. You might consider using these in daily cooking or teas. Keep salt intake moderate, opting for rock salt.
Given the congenital heart condition, maintaining optimal heart health is critical too. Use minimal fat in cooking, preferentially ghee or sesame oil, and emphasize fiber-rich grains like barley or whole grams like moong dal.
Hydration is essential. Encourage water intake throughout the day to help flush out excess uric acid, but avoid cold water as it can dampen agni. Taking herbal infusions of ginger or tulsi could aid digestive fire and overall health.
Monitor portion sizes and ensure meals are spread out to prevent overeating, which challenges both digestion and heart health. Regular follow-ups with a healthcare provider are vital, particularly given the heart condition and hyperthyroidism, to adapt any interventions as needed.



