Request for Ayurvedic Guidance on Chronic Pelvic / genital organs issues - #34155
Dear Doctor, I am a 62-year-old male seeking your guidance on long-standing health issues related to my pelvic/genital region and digestion. Around 18 years ago, I suddenly woke up one night with a tight sensation in the lower pelvic area and a strong urge to urinate, but no urine was passing. By the next morning, urine flow resumed, but in a weak and obstructed manner. Since then, I have had persistent issues with weak urine flow and pelvic tightness. Allopathic evaluations included multiple ultrasounds, blood tests, and urine tests, but no clear cause was found. My prostate size was not considered large enough to explain the symptoms, and PSA levels have consistently been normal. Doctors suggested possible prostatitis and/or epididymitis and prescribed antibiotics, which gave only temporary partial relief. In parallel, I have also struggled with chronic digestive issues for over 15 years — irregular bowel movements (often semi-formed stools), flatulence, and discomfort. Allopathic treatments did not resolve this, but Hingwashtak Churna helped significantly with flatulence. Three months ago, based on Ayurvedic advice received through this portal, I started the following for Sangrahani: Morning: Amla, Bael, Kamdudha Ras, and Sphatika Bhasma in a 10:10:1:1 ratio With breakfast: Hingwashtak Churna After dinner: Kutajarishta At bedtime: Haritaki Churna This regimen has helped my digestion and, as a positive side effect, I have also noticed improvement in urine flow. I experience a “good tightness” sensation in the right groin area, suggesting some positive response in the prostate/epididymis region. I believe there may be an element of chronic low-grade bacterial/fungal infection or inflammation in the pelvic-genital area, which has also indirectly responded to the Sangrahani protocol. However, I still experience a dull ache and a feeling of swelling in that region, which I suspect affects urine flow. From my own reading, I have come across Ayurvedic herbs such as Gokshura, Punarnava, Varuna, Giloy, and Neem, which may support urinary-genital health by addressing low-grade infection, inflammation, or swelling. I would sincerely appreciate your guidance on: Which of these herbs (or combinations) would be most suitable for my condition. How I can incorporate them efficiently into my existing protocol. Any additional medicines you would recommend for sustainable management of both pelvic/urinary and digestive health. Thank you very much for your time and advice.
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Doctors’ responses
Dear Anil Avoid addiction if any. Avoid oily, spicy and processed foods. Regular exercise. Increase intake of raw vegetables and fruits. Regular use of buttermilk. Tab. Bangshil 2-0-2 Cap. Florasante 1-0-1 Cap Ural-BPH 1-0-1 FOLLOW UP AFTER 12WEEKS
Based on the information provided, your symptoms suggest a possible involvement of: Apana Vata imbalance (governing elimination, including urination and defecation). Mootravaha Srotas Dusti (pathology of the urinary channel, perhaps mimicking Mootrakrichra or chronic inflammation). Purishavaha Srotas Dusti (pathology of the digestive/excretory channel, relating to Sangrahani or IBS-like symptoms). A possible chronic, low-grade Kapha-Pitta imbalance leading to inflammation (Shotha) and congestion in the pelvic region. Your current Sangrahani protocol is acting by correcting Agni (digestive fire) and binding/detoxifying (Grahi and Deepana-Pachana actions), which is likely why your urinary symptoms have also improved, as the health of the digestive system (Koshta) is intimately connected to the health of the lower pelvic region.
1. Analysis of Suggested Herbs for Urinary/Pelvic Health
The herbs you mentioned are highly relevant for Mootravaha Srotas (urinary tract) and genital health.
Gokshura (Tribulus terrestris) Mootrala (Diuretic), Vajikarana (Aphrodisiac), Ashmarihara (Lithotriptic), Vata-Shamak (Vata pacifier) Excellent for toning the urinary tract, prostate health, and pacifying Vata, which is key to your symptoms of tightness and obstruction. Punarnava (Boerhavia diffusa) Shothagna (Anti-inflammatory/Anti-swelling), Mootrala (Diuretic), Kapha-Vatahara (Pacifies Kapha and Vata) Best for addressing the feeling of swelling/dull ache and potential edema/inflammation in the pelvic region. Varuna (Crataeva nurvala) Ashmarihara (Lithotriptic), Mootrala (Diuretic), specifically targets the bladder and urinary tract (Basti Shodana). Strong action on the urinary system, specifically useful where there is an obstruction or reduced tone. Giloy (Tinospora cordifolia) Rasayana (Rejuvenative), Jwara-hara (Anti-pyretic/Anti-infective), Deepana-Pachana (Digestive stimulant/carminative) Excellent immune modulator, anti-inflammatory, and gentle support for chronic low-grade infection/inflammation. Neem (Azadirachta indica) Krimighna (Anti-microbial/Anti-parasitic), Rakta Shodhaka (Blood purifier), Jwara-hara Strong detoxifier and anti-infective. Useful if a bacterial/fungal element is suspected. Most Suitable Selection: A combination focusing on reducing inflammation/swelling, toning the urinary tract, and gentle anti-infective action would be ideal. I recommend focusing on Gokshura, Punarnava, and Giloy initially, as they are broad-spectrum and will synergize well with your existing regimen.
2. Incorporation into Existing Protocol
A simple and effective way to integrate these would be to use them as a combination product or a decoction/powder blend taken at a separate time from your current medications to ensure proper absorption and action.
Morning (Empty Stomach) Amla, Bael, Kamdudha Ras, Sphatika Bhasma Gokshura and Punarnava (in powder or capsule form) To address the urinary tract tone and pelvic swelling. Take 30-60 minutes after the first dose. With Breakfast Hingwashtak Churna
Continue for digestive support. Mid-Day/After Lunch
Giloy Ghanavati (tablet form) or Giloy juice/decoction To support immunity, reduce inflammation, and address a chronic low-grade infection element. After Dinner Kutajarishta
Continue for Sangrahani and Grahi action. At Bedtime Haritaki Churna
Continue for gentle cleansing and Vata regulation. Alternative Combination: A classical formulation like Gokshuradi Guggulu or Punarnavadi Mandur could be excellent as they combine the benefits of these herbs with Guggulu (anti-inflammatory) or Mandur (anemia/inflammation), respectively.
3. Additional Medicines for Sustainable Management
To support the underlying Vata imbalance and chronic inflammation. For Vata Regulation and Pelvic Tone: 1) Chandraprabha Vati:1 tab 3 times after food A highly revered classical preparation for urinary, prostate, and reproductive health. It balances all three Doshas and addresses weakness, infection, and inflammation in the pelvic region. 2) Ashwagandha Churna/Capsule: 1 tsf 2 times after food 3) gokshuradi gugglu-1 tab 2 times after food A powerful Rasayana to help manage stress (a Vata factor) and improve systemic strength and tone. For Chronic Inflammation/Infection Support: Kaishore Guggulu: 1 tab 2 times after food Excellent for chronic inflammatory conditions, especially those involving the joints, skin, and urinary tract, often used to correct Rakta (blood) and Mamsa Dhatus. External Application: Tila Taila (Sesame oil) or Mahanarayana Taila for gentle massage over the lower abdomen and groin area before bathing, specifically to pacify local Vata and reduce tightness/dull ache.
Summary of Recommendations
Continue the successful Sangrahani protocol (Amla mix, Hingwashtak, Kutajarishta, Haritaki). Add a combination of Gokshura and Punarnava (or a classical product like Gokshuradi Guggulu) to specifically target the urinary flow, pelvic swelling, and tightness. Consider integrating Chandraprabha Vati for comprehensive genitourinary support. Incorporate a Rasayana like Giloy or Ashwagandha for systemic anti-inflammatory and restorative action. Always start with one new medicine at a time to monitor its effects and dosage, and ensure regular follow-up.
HELLO ANIL,
You have two main areas of concern
1) URINARY / PELVIC PROBLEM -Weak urine flow, pelvic tightness, dull ache, sense of swelling -western tests ruled out prostate enlargement as a major cause and PSA is normal. -Likely causes= chronic low-grade inflammation or congestion in the pelvic organs (prostate, urinary tract, surrounding tissues ) -In Ayurveda this points to Apana vata imbalance + kapha stagnation/sweelling + ama (low grade toxins/inflammation)
2) DIGESTION PROBLEM- -longstanding irregular bowel, flatulence, semi-formed stools -Hingwasataka and Ayurvedic protocol already improved digestion and indirectly improved urine flow. -In Ayurveda : this confirms that weak digestion (agni) and toxin formation (ama) are the root, which spread to urinary/pelvic channels.
In Short :- weak digestion-> toxins/ama-> settled in pelvic/ genital region-> chronic swelling/inflammation-> disturbed urine flow
TREATMENT GOALS Ayurveda doesn’t just suppress symptoms but works stepwise 1) correct digestion - so that new toxins are not formed 2) remove existing Ama- the sticky toxins causing low grade inflammation 3) balance Apana vata- the downward energy responsible for urine, stool, and reproductive function 4) reduce swelling/congestion- in prostate/urinary tract 5) strengthen tissues- so problems don’t recur.
1) SUITABILITY OF HERBS YOU MENTIONED
-GOKSHURA = balances Apana vata, supports urinary flow, relieves pelvic strain, mild diuretic, tonifies urinary system
-PUNARNAVA= reduces swelling/inflammation , relieves urinary obstruction, works as a mutual (diuretic) and rasayana for kidney-bladder health
-VARUNA= specifically indicated in prostate enlargement , urinary obstruction, calculi tendency; clears residual inflammation
-GUDUCHI= Excellent anti-ama, immunomodulatory, helps in chronic low grade infection/inflammation
-NEEM= useful if there is suspicion of chronic infection or fungal involvement; reduces pitta-kapha aggravation, but can be a bit drying (so should be balanced)
MOST SUITABLE CORE COMBINATION FOR YOU:_ GOAKSHURA + PUNARNAVA + VARUNA + GUDUCHI (to strengthen urinary function, reduce swelling, and keep ama/infection in check). Neem can be used selectively, but not daily Long term, as it may aggravate vata and reduce digestive fire if overused.
HOW TO INCORPORATE WITH YOUR CURRENT PROTOCOL You’re already on a good regimen for digestion and bowel regulation. The idea is to layer urinary- genital support without disturbing gut fire
MORNING (EMPTY STOMACH or with lukewarm water)
-PUNARNAVA MANDUR= 2 tabs =helps swelling, liver gut urinary axis, and reduces ama
-GUDUCHI GHANA VATI= 2 tabs =supports immunity, reduces chronic inflammation
AFTER BREAKFAST -Continue Hingwastaka churna for digestion
-ADD GOKSHURADI GUGGULU= 2 tabs =suports urinary tract, prostate, and balances apana vata
AFTER DINNER
-Continue KUTAJARISHTA (as you are)
If heaviness / swelling in pelvic region persists VARUNADI KASHAYA= 15ml + warm water can be considered in place of or along with kutajraishta
BEDTIME -Continue Haritaki churna = keeps vata and bowels regulated)
AMLA + BAEL + KANDUDHA + SPHATIKA= you are already using this blend, good for digestion, acidity , an mild inflammation- continue
NEEM can be used occasionally like 10 days in a month, if there is burning, itching or suspected infection flare up
DURATION= minimum 3-6 months for sustainable results
EXTERNAL THERAPIES
1) SITZ BATH= sit in warm water mixed with Triphala powder or Neem leave decoction for 10-15 minutes daily. improves pelvic circulation, reduces swelling
2) OIL MASSAGE = gentle massage of lower abdomen , lower back, and thighs with Dhanwantaram taila before bath. Helps vata balance and muscle tightness
3) HOT FOMENTATION= local steam with Dashmoola decoction if accessible. Relieves pelvic congestion
LIFESTYLE ADVICE -Routine= keep a steady daily rhythm- regular sleep, meals, and bowel habits -Avoid= long sitting without movement, suppressing urge for urine/stool, cold exposure to pelvic region -Sexual activity= moderate, not excessive. Avoid if pelvic ache/swelling is more -Hydration= warm water, avoid very cold drinks
DIET -light, warm, easily digestible foods -old rice, green gram , bottle gourd, ridge gourd, pumpkin, leafy greens -buttermilk - diluted, spiced with jeera -spices= cumin, coriander, fennel, ajwain, ginger, turmeric
AVOID -excess curd, cheese, panner, milk with fish/meat -deep fried, very oily, refined flour , excesss sweets -too much chilly, pickles, alcohol
HOME REMEDIES -barley water= natural urinary cleanser -Coriander seed decoction= soothes urinary tract -Jeera- ajwain- ginger tea= strengthens digestion
YOGA ASANAS -vajrasana after meals -pawanmuktasana -baddha konasana -setu bandhasana
PRANAYAM -Anulom vilom -Bhramari -Deep diaphragmatic breathing
PELVIC STRENGTHENING -gentle Mula bandha (pelvic floor tightening- relaxing)
Your condition is not life threatening but it is chronic and functional- meaning the problem is due more to imbalance, low grade inflammation, and obstruction, not severe structural damage. That’s why your PSA and prostate size are normal, but you still have symptoms.
The digestive system is the root, and you’ve already seen proof- when digestion improved, urinary flow also improved. so continuing to keep digestion clean, while adding specific herbs for prostate/urinary support, is the right path.
PATIENCE IS KEY- Ayurveda works slowly but deeply. With consistent medicines, diet, and lifestyle , you should see progressive relief in swelling, urine flow, and pelvic comfort within a few months, with long term stability
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Hi Anil as per your symptoms please do start
1.Gandharvahasthadi kwatham tablet 2-0-2 before food (helps to pacify vata which is causing the tightness as per Ayurveda) 2.Chandraprabha gulika 2-2-2 after food (helps to reduce pain and inflammation/infection related to urine) 3.Gokshuradi guggulu 1-0-1after food 4.Dhanwantharam taila- For mild application over pelvic area and do a hot fomentation daily for 10min which helps to relieve the tightness
Follow the above set of medication for 14days and do a follow up here also follow some lifestyle modifications and dietary changes as mentioned below
*Do’s
**Barley Water Boil 1 tbsp barley in 2 cups water → strain → sip throughout the day Acts as a natural diuretic and coolant. 3-4litres of water /day More focus on fruits and vegetables Include Sprouted grains Walking - daily 30min to 1hour Practice yoga and meditation regularly
*Don’ts Tea /coffee Oily too salty sour sweet foods Junk foods Carbonated/soft drinks Maida and its products Avoid gaseous foods like Dhal (not recommended daily )
Hello Anil,
Thank you for sharing your detailed history and health journey. I will break this down step by step so you can clearly understand the possible causes and how Ayurveda can help you in a long-term, sustainable way.
✅ YOUR SYMPTOMS
Weak urine flow since 18 years, with feeling of obstruction and pelvic tightness
Dull ache and sense of swelling in groin/prostate area
Irregular bowel movements, semi-formed stools, gas, flatulence, bloating
Relief with Hingwashtak Churna
Improvement in both digestion and urine flow when digestion is corrected
✅POSSIBLE CAUSES
1. Urinary Issues From modern view: could be due to mild prostatitis, epididymitis, or low-grade chronic inflammation.
2. Digestive Issues Long-standing irregular digestion points to Mandagni (weak digestive fire). Your semi-formed stools, bloating, and flatulence are features of Sangrahani (IBS-like condition).
The link between digestion and urine flow is important: when Ama (toxic residue of weak digestion) is reduced, both digestion and urinary functions improve.
So, treatment must focus not only on urinary system but also on correcting digestion and balancing Vata.
✅AYURVEDIC PLAN OF TREATMENT
✅INTERNAL MEDICATION
1 Varunadi Kashayam – 15 ml + equal warm water, twice daily after food 👉 For urinary obstruction, prostate support, reduces swelling.
2 Gokshuradi Guggulu – 1-0-1 👉 Improves urine flow, nourishes urinary and reproductive system.
3 Punarnavadi ks tab – 1 tab twice daily after food 👉 Reduces pelvic inflammation and water retention, improves circulation.
(You can continue Hingwashtak Churna, Haritaki at bedtime, Kutajarishta as you are already doing, since these are helping digestion).
✅EXTERNAL TREATMENT
1 Warm sitz bath with a pinch of turmeric + rock salt for 10 minutes daily – reduces pelvic congestion.
2 Abhyanga (oil massage) lower abdomen, groin, and low back with Mahanarayan Taila followed by mild hot fomentation – relieves Vata, pain, and stiffness.
If possible at Panchakarma center: Matra Basti (oil enema) with Sahacharadi taila – excellent for Apana Vata regulation.
✅DIET AND LIFESTYLE MODIFICATION
✅Include - 👉 Easily digestible warm foods (khichdi, moong dal, cooked vegetables). 👉 Barley, horse gram, coriander water – good for urinary health. 👉 Cow’s ghee in small amounts – balances Vata. 👉 Fruits like pomegranate, apple, papaya in moderation.
❌Avoid - ❌ Cold drinks, curd at night, heavy oily food, excessive spices. ❌ Long gaps between meals (worsens Vata).
Lifestyle - 👉 Regular warm meals at fixed time. 👉 Avoid prolonged sitting – take short walks. 👉 Gentle yoga like Vajrasana (after food), Pawanmuktasana, Setubandhasana. 👉 Stress management through Pranayama – Anulom Vilom, Bhramari daily 10 min.
✅ Important Notes
Since you already improved urine flow with Sangrahani treatment, this confirms the deep link between digestion and urinary health.
Your condition is chronic, so consistent treatment of at least 3–6 months is required for sustainable improvement.
Regular follow-up with ultrasound once in 6–12 months is advisable to track prostate and urinary tract health.
Panchakarma (Basti therapy especially) can give long-lasting results.
With consistent Ayurvedic care, it is possible to keep this condition under check naturally and avoid recurrent antibiotics or invasive treatments.
Wishing you good health😊
Warm regards, Dr Snehal Vidhate
As per your symptom I recommend you to add Neo tab 1-0-1 Gokshuradi Guggulu 1-0-1
Avoid overdrinking of water at night Avoid spicy and oily food Dinner should be early and light
Take somanatha ras 1tab bd, shivagulika 1tab bd, vastayamatakaghritam ds 1ta bd ,varanadhi kashayam 20ml bd enough
You can start with Chandraprabha vati 1-0-1 after food with water Gokshuradi guggul 2 -0-0 after breakfast with water Tablet Liv-52 1-0-1 after food with water Hingvastak churan 1tsp with buttermilk after lunch daily. Do kegel exercises daily
Hello Anil
Thank you for reaching out and trusting this platform with your health concerns From what you have shared, it seems you have been dealing with 2 issues for many years - 1 weak urine flow with pelvic tightness and discomfort And long-standing digestive problems with irregular bowel moments and gas The improvement you have experienced after starting the current medicine is a very positive sign It shows that your digestion and pelvic health are closely linked and pen. Digestion improves urine flow also becomes better.
Your symptoms suggest a combination of low great inflammation or congestion in the prostate or urinary tract and irregular digestion that was adding to the problem. Chronic pelvic tightness and incomplete urine flow can also come from mild swelling, long-standing irritation or nerve related imbalance in the pelvic area. Since your PSA levels are normal and prostate sizes not significantly and that this is encouraging. It means we can focus on improving circulation reducing inflammation, and keeping digestion regular
Here what I recommend to take Gokahuradi guggulu Chandraprabhavati- Punarnavadi mandura Each tablet after food with warm water Giloy sat - just a pinch twice daily with honey
Continue Hingwastaka churna , kutaja aristha Marital churna -1 teaspoon with warm water at night
Take freshly cooked, light, easily, digest, double meals, more cooked vegetables like bottle, God gourd ridge gourd bottle, carrot beans, Moongdal Use cow ghee 1 1 teaspoon per day to improve digestion and reduce dryness Include pumpkin seeds in your diet Avoid every fried, processed red meat, and curd Drink warm water throughout the day
30 minutes walking five days in a week is a must Do yoga like Bujjainagasana Pavan MuktaSana Practice Pranayam meditation Avoid sitting for too long Get urine routine and culture Ultrasound KUB with post void residual urine Repeat PSA after 6 months
With the above medicines, diet and lifestyle changes, you can see improvement within 4 to 6 weeks
Namaste Anil ji With the above medication you can add Neemghan vati 1-0-1 Gokahuradi guggulu 1-0-1 Chandraprabha vati 1-0-1
Dashamoola aristha-20 -0-20 ml with equal water Hingwastaka churna take twice for better results Continue kutaja aristha if you have loose stools Because haritaki churna acts as laxative and kutaja aristha as anti diarrhoeal both you are taking, use appropriately when required Instead haritaki even you can go with triphala If will continue kutaja aristha then make dashamoola aristha half dose like 10 ml with equal quantity of water Giloy you can take in stav form just 125 mg with honey Don’t dump too many medicines at a time if your digestion is not strong whatever medicines you take will not work properly
Hie anil howz you .if I remember you consult me to take your SANGRAHINI MEDICATION… but naw you have facing pelvic inflammation or urological disorder .ITSS all consurned with nervous system or lifestyle …
Regular do some meditation or yogic exercises along with medication you are completely cured… Do follow instructions:-
Divya neuroghrit gold cap1-0-1 Divya RENOGHRIT TAB 1-0-1 before meal twice daily…
CHANDRABRAVHA VATI ASHWAGANDHA TAB VISHTINDUK VATI=1-0-1 tab after meal twice daily…
ITSS enough medicine for you… bcz if you take lots of medication your intestinal mucosal membrane are contracted and stomach are troubled…
Do regular yoga andMEDITATION= BHARMRI/KAPALBHATI/VAZRASANA/UDGEETH/TITLIASNA=10 MIN EACH…
DO HEEALTY MEAL YOU PRESCRIBED BEFORE …
YOU CAN CURED DEFINITELY
- Chandraprabha Vati – 1 tablet twice daily after meals with water - Shilajit Rasayan Vati – 2 tab twice daily with milk after meals -Gokshuradi guggulu 2 tab twice daily after meals with water -Varunadi kwath 20 ml with 20 ml water twice daily after meals
Adv: - Warm Sitz Baths with Triphala decoction twice daily can ease pelvic tension. - Pelvic floor relaxation (gentle yoga, breathing) may help release chronic tightness. - Diet: Avoid sour, fermented, and excessively spicy foods. Favor warm, light, and mildly spiced meals. - Hydration: Sip warm water infused with coriander seeds or fennel throughout the day.
Hello Anilji
As you mentioned you have a relief from the treatment from sangrahani please continue the same treatment with the same dietary regime.
Just add Syp. Stonvil 3 tsp twice a day after food.
That will help with your pelvic pain issue.
Add alot of buttermilk in your diet.
Considering the challenges you described, let’s dive into how Ayurveda can help you achieve a balance. Based on your narration, it seems there might be an underlying Vata and Pitta imbalance contributing to your long-standing pelvic/genital and digestive issues. Addressing both these doshas simultaneously could be pivotal.
Firstly, your current regimen seems to be showing some signs of improvement, which is a good indication. However, optimizing it could yield even better results. The herbs you’ve researched are indeed beneficial. Here’s how you can incorporate them:
1. Gokshura and Punarnava: Both these herbs are renowned for their beneficial effects on the urinary tract and the kidneys. It’s best to look for a formulation or churnas containing both. Take 1 teaspoon with warm water twice daily, preferably on an empty stomach in the morning and before evening meals.
2. Varuna: It’s particularly good for reducing Ama (toxins) and Pitta in the urinary system. Consider Varuna in churna form; take around 1 teaspoon once a day, ideally in the morning.
3. Giloy and Neem: These may help in regulating systemic inflammation and potential chronic infections. Giloy can be taken in juice form—15 ml in the morning. Neem capsules are practical; one daily with warm water post-lunch will suffice.
Your described sensation of “good tightness” and improved urine flow indicates a gradual response to this abode of balance you are creating. Still, addressing underlying inflammation is key. To optimize digestion and urine flow further, maintain intake of warm, easy-to-digest foods. Avoid excessive cold or heavy foods, which can exaggerate Vata and Pitta inflamation.
Incorporating Abhyanga (oil massage) with Mahanarayana oil to your daily activities might improve circulation in the pelvic area and alleviate some of the discomforts. Weekly Basti (medicated oil enema) could also offer holistic improvement.
For sustained relief, meditation and gentle yoga focusing on the pelvic region should become a routine. Deep breathing can ease tension and stress, which inadvertently impact digestion and urine flow.
Keep monitoring the progress, noting any changes in response to these herbs. If there’s persistent or escalating discomfort in urination or digestion, consider discussing with an Ayurveda physician any need for Panchakarma therapies like Virechana or Raktamokshana.
Remember that chronic issues require persistent but gentle care. And, never hesitate to seek an allopathic opinion should symptoms worsen. Integration of both practices, while maintaining plenty of hydration and rest, will help guide your pathway to a more balanced health state.
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