Reduce High cholesterol, menopause symptoms, hot flashes, insomnia, and weight gain. Digestion issues PAD - #32190
Hi, I am a 61 year old women. I have been in menopause for 11yrs and still suffering from hot flashes and insomnia. I cannot lose weight. I also have had high cholesterol for many years and have been told that's it's in my genes. I have low iron and I think I may have PAD (peripheral artery disease). I have constant pain in legs, when I walk a lot I'm okay for a while then my legs hurt. If u sit down and rest it's ok but as soon as I try to get up I feel pain in my hips and legs. It takes a while for me to be able to start walking properly. Then when I'm resting I feel pain in my legs and hips, especially at night. Sometimes I have to hangover leg off the side of the bed and feel little better. Doctor also said im borderline diabetic and have high BP. I am a yoga and fitness instructor and teach in a hot yoga studio. I teach for 2 to 3 hrs everyday and very active. I really need help with all these issues and I do not want to take medication. I have had left side of thyroid removed and have been taking synthroid meds for over 20 yrs 0.75mgs 5 days a week. Please advise. Thank you, Jaishri


Doctors’ responses
Start with Cap. Evanova 1-0-1 after food with water Tablet livomyn 1-0-1 after food with water Trayodashang guggul 1-0-1 with water after food Apply ashwagandha+ kshirbala oil on both legs and back. Do pranayam lom -vilom kapalbhatti bhastrika daily for 5-10mins twice. Follow up after 21 days
Managing multiple health conditions holistically while avoiding medication can be complex but achievable with a tailored Ayurvedic approach. Your symptoms suggest a combination of vata and pitta imbalance, with high cholesterol and potential PAD pointing to ama (toxic build-up) and potential blood flow issues.
First, addressing high cholesterol and potential PAD, focus on enhancing your agni (digestive fire) to reduce ama. Start each day with warm water infused with lemon and ginger on an empty stomach to stimulate digestion and circulation. Including garlic in your diet can be beneficial due to its cholesterol-lowering properties. Foods like oats, barley, and brown rice can help manage cholesterol levels. Ghee, in moderation, helps in improving lipid metabolism without contributing to harmful cholesterol.
For menopausal symptoms like hot flashes and insomnia, consume cooling foods like cucumber and coconut water, which balance the pitta dosha. Avoid spicy, processed, and caffeinated foods that can exacerbate these symptoms. Ashwagandha, a highly revered herb, can be taken as a supplement (consult your healthcare provider for dosage) to help with stress, support thyroid function, and improve sleep quality. Brahmi tea can further enhance relaxation at bedtime.
In managing weight, consider trikatu (a mixture of black pepper, pippali, and ginger) before meals. This promotes healthy metabolism and reduces excess kapha (related to weight gain). Ensure regular meal timings and avoid late-night eating, which may disturb agni.
Your leg pain, particularly at night, could relate to poor circulation. Regular self-abhyanga (oil massage) with warm mustard or sesame oil can alleviate pain and improve circulation. Prioritize ciruclatory exercises or yoga asanas that support blood flow to your lower extremities, such as Viparita Karani (legs-up-the-wall pose) which can be particularly relieving. Incorporate turmeric in your diet for its anti-inflammatory properties and cardamom for its circulation-improving effects.
Keep in mind that because you are on thyroid medication, regular consultation with your healthcare provider is important, especially before introducing significant dietary or herbal changes. Balancing your vata further, practice grounding routines like meditation and pranayama (breathing exercises) daily. While ambitious, these lifestyle adaptations can collectively ease your symptoms over time without heavy reliance on pharmaceuticals.
Given your complex health situation, it is important to look at it comprehensively within the Siddha-Ayurvedic framework. Let’s focus on balancing your doshas and optimizing life style to support your health conditions. Since you mention menopause alongside health issues like high cholesterol and potential PAD, let’s start with what’s directly influenced by vata and pitta imbalances often implicated in menopausal symptoms and cardiovascular concerns.
Focus on your digestion first, as it’s the root of effective nutrient absorption. Regular intake of warm foods helps pacify vata. Incorporate ginger and cumin in your meals to boost agni (digestive fire). Triphala Churna can aid in gentle detoxification—try taking it warm water at night.
For cholesterol, guggul is recommended. It supports lipid metabolism in the body—consider guggul supplements after meals. However, proceed with caution since interactions with your existing medications can occur.
Hot flashes and insomnia can benefit from shatavari and ashwagandha. Mix a teaspoon of shatavari powder in a glass of warm milk before bedtime to balance hormonal levels and improve sleep quality.
Considering your active lifestyle as an instructor, it might seem contradictory to suggest, but ensure sustained periods of restful relaxation outside of these activities. Overactivity can exacerbate vata—mindful meditation or yoga nidra could enhance mental rest.
For the potential PAD symptoms, focus on circulation—Sesame oil self-massage can help, paying attention to moves from feet upwards towards the heart. If leg pain persists or exacerbates, collaboration with medical professionals is key to manage vascular health appropriately, particularly given your diabetes and BP conditions.
Lastly, dietary focus on iron-heavy foods like leafy greens, lentils, and pomegranate should be maintained, as iron deficiency can worsen fatigue and leg pain. Ensure b12 levels are within normal range, as deficiencies can complicate your condition. Knowledgeable communication with your physicians regarding medication like synthroid and cholesterol management pills is critical—always check compatibility with ayurvedic insights.
Consider discussing initial observations with a healthcare provider, as the multiple conditions that you face warrant cautious integration of Ayurveda with allopathic treatments. Always place your safety paramount, seeking a harmonized path with your current regimes.

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