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Sexual Health & Disorders
Question #33155
40 days ago
232

Ejeculation and tightness issue - #33155

Raj

I am facing problem from last two month in ejculation .Issue in sex due to tightness issue in penish.I contacted urologist .he did all prostate reports .all are ok .one finding is that Bilateral varicoceles ( grade -II right and Graged - I-II left ) How to impove my sex interstest in one week time

Age: 50
Chronic illnesses: Sex ejeculation and tightness issue
300 INR (~3.51 USD)
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Doctors' responses

Thank you for reaching out and trusting this platform with your Health journey, the reports you shared or reassurance since your prostate health is normal and mild varicose usually do not cause major sexual dysfunction, but can sometimes affect energy and confidence in Ayurveda loss of sexual interest or tightness can happen when VATA increases in the reproductive channels, leading to stiffness and decreased circulation to improve interest within short time. Keep your food light, but no reaching, avoid stress and late nights and include GHEE so Dalman dates and warm milk with saffron at night to strengthen Shukra dhatu Daily gentle oil massage around your lower abdomen and ties with warm sesame oil … 15 to 20 minutes of walking or yoga and doing Pranayam meditation will also help Ashwagandha cap one capsule twice daily after food with warm milk Shilajit rasayana one tablet at night with warm milk can be taken, which can restore vitality and improve sexual interest

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Hello Raj Start with Divya Cap Ashwashila 1-0-1 after food with water Youvanamrit gold 1-0-1 after food with water Apply ashwagandha bala oil / Shilajit oil on penis externally twice daily Have early and light dinner Be relaxed and stress free Do pranayam lom -vilom bhastrika bhamri 5-10mins daily twice

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Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
29 days ago
5

-premature ejaculation -erectile dysfunction

These can happen due to -poor blood flow -nerve damage -hormona decline- testosterone decreases with age -obesity or loss of muscle tone -side effect of medications

Ayurveda sees sexual health as governed by shukra dhatu(reproductive tissue), and dysfunction can be due to imbalance in vata, pitta or kapha especially vata in neuropathy and aging

AYURVEDIC MEDICATIONS

1)ASHWAGANDHA CHURNA- 1 tsp with warm milk at bedtime =rejuvination, nerve tonic, improves improves strength and libido

2)SHILAJIT RESIN- 500 mg resin once daily with warm water =aphrodisiac, enhances blood flow and energy, antioxidants

3)GOKSHUR CAPSULE- 1 cap twice daily =urinary system support, mild diuretic, improves stamina

4)KAPIKACCHU POWDER- 3-5 gm powder with warm milk twice daily =dpoamine precursor, improves erection and libido

5)SAFED MUSLI POWDER- 5 gm with milk twice daily =aphrodisiac, strength-promoting , improves erectile function

EXTERNAL USE -ASHWAGANDHA BALA TAILA -warm the oil and gently massage lower back, thighs, and lower abdomen daily

DIET -warm, cooked nourishing foods -add ghee, dates, almonds, saffron, milk -avoid cold, dry, spicy, fried food -avoid smoking, alcohol, and heavy night meals

YOGA+PRANAYAM -moola bandha-pelvic floor tightening= 10-15 reps/day -vajrasana, bhujangasana, pavanmuktasana -anulom vilom, bhramari, deep breathing -Do kegel exericses

DO FOLLOW

THANK YOU

DR. HEMANSHU MEHTA

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When dealing with issues like ejaculation problems or tightness in the penis, Ayurveda looks at the matter holistically, considering not just the physical aspect, but also the mind and body’s dosha balance. You’re dealing with varicoceles which relates primarily to the Vata dosha due to its association with movement and circulation.

To improve sexual interest and address tightness in a short span like a week, consider incorporating these approaches:

1. Diet and Nutrition: Focus on a Vata-pacifying diet. Increase intake of warm, cooked foods with a more oily consistency. Incorporate nuts, dairy, ghee, seeds, and healthy oils. Avoid cold, dry foods, and reduce caffeinated and alcohol beverages which can aggravate Vata.

2. Herbs and Supplements: Ashwagandha is an adaptogen that supports sexual function and stamina. Take about 300-500 mg twice daily with warm milk. Shilajit is another potent supplement; about 250 mg per day can be beneficial. These will aid to strengthen and balance sexual energy.

3. Daily Practices: Practice Abhyanga (self-massage) with warm sesame oil daily. This particular massage improves circulation and helps to relax any tightness. Focus attention especially the lower abdomen and pelvic area.

4. Stress Management: Stress exacerbates Vata imbalance; yoga and meditation are beneficial. Engage in routines such as slow, controlled breathing exercises for about 10 minutes each day.

5. Exercise: Incorporate moderate physical movement like yoga or walks for at least 20-30 minutes every day. This enhances circulation and helps the body generate more warmth and relaxation.

Always make sure to listen to your body and if the symptoms persist, see a healthcare professional for further advice. Remember that immediate results are difficult to guarantee, and a combination of these lifestyle changes is essential for longer-lasting results.

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Ashwagandha capsule 1-0-1 Shilajit rasayana 0-0-1 Shwetha musli pak 1-0-1 tsp with warm milk Do pelvic floor exercises

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Your situation points to certain imbalances that we can address from a Siddha-Ayurvedic perspective. Varicoceles and the associated tightness might be contributing to the difficulties you’re experiencing. To enhance your sexual interest and ease the tightness, consider these suggestions rooted in understanding your dosha balance, particularly focusing on vata and pitta doshas which could be out of equilibrium.

First, incorporate ashwagandha (Withania somnifera) into your routine. This adaptogenic herb is known for its ability to bolster vitality and libido. Take it in powder or capsule form, around 500 mg to 1000 mg once or twice per day. It’s best taken with warm milk to enhance absorption, ideally after meals.

Focus on a nourishing diet that pacifies vata and pitta. Incorporate warm, cooked foods; think of dishes with sweet, sour, and salty tastes which help balance vata. Include ghee, nuts, seeds like sesame, and warming spices like ginger and cumin in your meals. Stay hydrated and limit intake of pungent, bitter and astringent tastes that aggravate vata.

Daily oil massage (Abhyanga) using sesame oil can also help. This practice calms excess vata, promoting flexibility and addressing the tightness. Gently massaging your lower abdomen and thighs for about 15-20 minutes before showering could be beneficial.

Finally, practice regular Pranayama (breathing exercises), particularly Nadi Shodhana. This breathing technique harmonizes your nadis (energy channels), aiding relaxation and potentially improving circulation to the pelvic region.

However, if problems persist or worsen, it’s advisable to follow up with a healthcare provider, especially given your existing varicoceles, since these might require further medical evaluation. Be careful and ensure any Ayurvedic intervention complements rather than conflicts with ongoing treatments.

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HELLO RAJ,

1) EJACULATION DIFFICULTY AND PENILE TIGHTNESS -This means the process of releasing semen during sex is not smooth or satisfying -“Tightness” in penis can be due to reduced blood flow, stress- related muscle tension, or varicocele-related circulation issues

2) VARICOCELE -A varicocele is like "varicose veins in the scrotum ". -It makes the blood circulation around the testees less efficient

POSSBILE EFFECTS -reduced sperm quality -slight hormonal imbalance sometimes testosterone goes low -heaviness or discomfort in scrotum -rarely, it may reduce sexual desire

Your grade 2 varicocele means it is moderate, not severe but it an contribute to weakness in reproductive strength

3) WHY SEXUAL INTREST IS LOW Combination of -mental stress and performance anxiety -reduced Ojas (vital energy) -ciruclatory issues from varicocele -lifestyle factors (sleep, diet, overthinking, lack of exercise)

TREATMENT GOALS -strengthen reproductive tissue -improve blood circulation in penis and scrotum -balance mind and reduce anxiety -correct digestion and metabolism -restore confidence, libido, and stamina #START TAKING THIS MEDICINES FOR 3MONTHS CONTINUES

*MORNING(EMPTY STOMACH) 1)SHILAJIT GOLD CAP- 1 CAP WITH WARM MILK=IT BOOSTS STAMINA, TESTOSTERONE, AND LIBIDO

2)ASHWAGANDHA CHURNA- 1 TSP WITH WARM MILK HALF A GLASS= ADAPTOGEN:REDUCES STRESS AND IMPROVES SEMEN QUALITY

#AFTER MEALS(TWICE DAILY AFTER LUNCH AND DINNER)

3)VRIHAT VATCHINTAMANI RAS(PLAIN)- 1 TAB WITH HONEY= STRENGTHENS NERVES AND IMPROVES ERECTION CONTROL

4)SWARNA MAKSHIKA BHASMA- 125 MG WITH KAUNCH BEEJ CHURNA-1TSP MIX WITH WARM MILK= IMPROVES SPERM RETENTION AND STIMULATES MOOD

#AT BEDTIME

5)YOHIMBINE OR ATMAGUPTA CHURNA- 1 TSP WITH MILK AT BEDTIME= NATURAL APHRODISIAC ,INCREASES DOPAMINE FOR AROUSAL

#EXTERNAL THERAPY

1)WARM OIL MASSAGE-FOCUSED PELVIC MASSAGE- WITH SHATAVARI TAILA OR ASHWAGANDHABALA TAILA AREA- LOWER BACK,ABDOMEN,INNER THIGHS, AND GROIN AREA TIME- DAILY OR 3-4TIMES/WEEK DURATION- 15-20 MIN -ALWAYS WARM THE OIL BEFORE USE -USE GENTLE CIRCULAR STROKES OVER LOWER ABDOMEN AND GROIN -FINISH WITH A WARM TOWEL WIPE OR LUKEWARM SHOWER

2)LOCALISED HERBAL STEAM THERAPY -APPLIED AFTER OIL MASSAGE -HELPS IN VASODILATION-OPENS BLOOD VESSELS AND ENHANCES ERECTION -VERY USEFUL. IN NERVE RELATED ED OR WEAK SENSITIVITY -TAKE A BIG VESEEL OF HOT WATER WITH HERBS LIKE DASHMOOL,TRIPHALA,VACHA -COVER THE LOWER BODY WITH A CLOTH, LET THE HERBAL STEAM PASS ON THIGHS, LOWER ABDOMEN,BUTTOCKS DURATION= 10-12 MIN

3)SHUKRA TAILA- TAKE 2-3 DROPS AND APPLY OVER THE SHAFT OF PENIS(NO GLANS), GENTLY MASSAGE FOR 5 MIN BEFORE BED

4)SESAME OIL WITH CAMPHOR- WARM MIX 2 DROPS OF CAMPHOR OIL, APPLY ONLY ON SHAFT,MASSAGE LIGTLY=DAILY

NOTE- USE HIGH QUALITY CERTIFIED AYURVEDIC BRANDS LIKE DOOTPAPESHWAR, BAIDYANATH, UNJHA OR DIVYA PHARMACY PRODUCTS ONLY

#SEMEN-NOURISHING DIET-VERY IMPORTANT EAT THESE DAILY - COW’S GHEE , MILK WITH DRY DATES OR CARDAMOM -WHITE ONION JUICE OR GARLIC MILK AT NIGHT -BLACK SESAME SEEDS, PUMPKIN SEEDS, SOAKED ALMONDS -BOILED EGG , BANANA, AVOCADO, FIGS, DATES -HERBAL TEA OF SAFED MUSLI+GOKSHURA+ASHWAGANDHA

#STRICTLY AVOID -FRIED, SOUR, OVER SPICY FOOD -EXCESS TEA, COFFEE, COLD DRINKS -SMOKING, ALCOHOL,PORN USE,FREQUENT MASTURBATION -LATE NIGHT FOOD OR MOBILE PHONE USE AT NIGHT

NOW COMES THE MOST IMPORTANT PART TO FOLLOW

1)KEGEL EXERCISES(MOOLA BANDHA IN YOGA) PURPOSE- STRENGTHEN PELVIC FLOOR MUSCLES THAT SUPPORT ERECTION AND SEMEN CONTROL

HOW TO DO- -SIT/LIE DOWN AND TIGTHEN THE MUSCLES YOU USE TO STOP URINE MID STREAM -HOLD FOR 5-10 SECONDS, THEN RELEASE -REPEAT 15-20 TIMES, 3 SETS DAILY-MORNING,AFTERNOON,NIGHT

ADVANCED- TRY KEGEL CONTRACTIONS SURING AROUSAL , FOREPLAY, OR URINATION CONTROL TO STRENGTHEN EJACULATION DELAY

2)PELVIC THRUST EXERCISE(BRIDGE POSE) -LIE ON BACK, BEND KNEES, FEET FLAT -RAISE HIPS UPWARDS WHILE SQUEEZING BUTTOCKS AND HOLDING CORE -HOLD FOR 10 SECONDS AND RELEASE -DO 15 REPS*3 SETS

3)YOGA ASANA FOR SEXUAL STRENGTH -BHUJANGASANA=BOOSTS PELVIC CIRCULATION -PASCHIMITTANASANA= INCREASES SEMEN QUALITY -VAJRASANA AFTER MEALS= IMPROVES DIGESTION AND SHUKRA DHATU -ASHWINI MUDRA(ANAL LOCK)=CONTROLS PREMATURE EJACULATION

#PRANAYAM-DO 10-15 MIN DAILY -ANULOM VILOM- NERVE BALANCING -BHRAMARI- CALMS MIND, REDUCES OVER EXCITEMENT -UDGEETH- CONFIDENCE+OJAS BOOSTING

#EMOTIONAL AND MENTAL BALANCE WHAT YOU MAY BE FACING- -FEAR OF DISAPPOINTING PARTNER -GUILT OVER PAST FAILED EXPERIENCES -OVERDEPENDENCE ON PORN/ARTIFICIAL TRIGGERS -TIREDNESS FROM LACK OF SLEEP/DIET

WHAT TO DO -ACCEPT IT- SEXUAL WEAKNESS IS REVERSIBLE , DONT PANIC -TALK- EMOTIONAL INTIMACY>PHYSICAL PERFORMANCE -ENJOY SLOW FOREPLAY-DON’T RUSH -PRACTICE BRAHMACHARYA-BASED DETOX- 10-15 DAYS ABSTINENCE(NO SEXUAL ACT, NO MASTURBATION,NO AROUSAL), THEN SLOW RETURN -SLEEP MINIMUM 7 HORS DAILY AT NIGHT -AVOID PORN, OVER MASTURBATION STRICTLY

FINAL ADVICE -START THIS PROTOCOL FOR 8-12 WEEKS AND SEE VISIBLE IMPROVEMENT IN 1 WEEK -AVOID PERFORMANCE STRESS -STAY NATURAL,GROUNDED, AND COMMITTED TO HEALING.

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Diet and Nutrition

1. Balanced diet: Focus on whole, unprocessed foods like fruits, vegetables, whole grains, lean proteins, and healthy fats. 2. Foods rich in antioxidants: Include foods high in antioxidants like berries, leafy greens, and nuts to help reduce oxidative stress. 3. Omega-3 fatty acids: Find omega-3 rich foods like fatty fish, flaxseeds, and walnuts to support heart health.

Exercise and Physical Activity

1. Regular exercise: Engage in moderate-intensity exercise, like brisk walking, cycling, or swimming, for at least 30 minutes a day. 2. Pelvic floor exercises: Practice Kegel exercises to strengthen pelvic floor muscles.

Stress Management

1. Mindfulness and relaxation: Try techniques like meditation, deep breathing, or yoga to reduce stress and anxiety. 2. Get enough sleep: Aim for 7-8 hours of sleep per night to help regulate hormones and reduce stress. 3. Practise yogasan: Molband, setu bandhasan, chakrasan, veer bhadrasan, halasan, gomukhasan.

Other Lifestyle Changes

1. Quit smoking: Smoking can damage blood vessels and worsen ED. 2. Limit alcohol consumption: Excessive alcohol consumption can negatively impact erectile function. 3. Maintain a healthy weight: Excess weight can increase the risk of ED.

Cap. Boostex Forte 2 caps twice a day before food. Tab. Kapikachu Ghana Vati 2 tabs twice a day before food.

Shilajit Gold gum 1 small spoon (the one that comes in the pack) with one cup of hot milk early in the morning.

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
621 reviews
Dr. Surya Bhagwati
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
938 reviews
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
983 reviews
Dr. Suchin M
I am someone who’s honestly just really drawn to how deep Ayurveda goes—like really deep—not just treating what’s showing on the surface but getting into what’s actually causing it underneath. I really believe that even those complicated lifestyle diseases, stuff like diabetes or BP or obesity that people think they’ll just have to live with forever, can totally be managed with Ayurvedic principles. Not magically or overnight, but through proper diagnosis, diet tweaks, daily habits, and herbs that actually work if you use them right. That’s the part I focus on—making Ayurveda work practically, not just in theory. After finishing my BAMS, I’ve worked with chronic conditions for over a year now in clinical setups. Mostly patients dealing with long-term stuff that doesn’t go away with one pill—usually the kind of disorders rooted in stress, wrong food choices or too much sitting. I’ve seen that if you really listen first, like actually listen—hear their story, feel where they’re coming from—half the work’s already done. Then when you assess their Prakriti, figure out where the doshas are out of balance, and connect that with their history (plus any modern test reports they might bring), it gives you this full picture that’s so valuable. My treatment plans aren't one-size-fits-all. Sometimes it’s about bringing agni back into balance. Sometimes just clearing aam helps. Most people are shocked that things like bloating or even periods issues can shift just by aligning food and herbs with their constitution. And if the case is acute or there’s a red flag, I have no problem referring for emergency allopathic care. Integrative care makes sense—Ayurveda doesn’t have to be isolated from modern medicine. My aim? It's not just to fix a symptom. I want people to feel at ease in their own body again. To build habits they don’t need to break later. To know their own rhythm, not just follow some generic health trend. That’s what Ayurvedic healing means to me... not perfect, but real.
5
26 reviews

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