Ask Ayurveda

/
/
/
Is there any treatment for eye pinguecula in ayurv
FREE!Ask Ayurvedic Doctors — 24/7
Connect with Ayurvedic doctors 24/7. Ask anything, get expert help today.
500 doctors ONLINE
#1 Ayurveda Platform
Ask question for free
00H : 56M : 06S
background-image
Click Here
background image
General Medicine
Question #36563
20 days ago
101

Is there any treatment for eye pinguecula in ayurv - #36563

Pavan

Is there any treatment for eye pinguecula in ayurveda. My eyes get red and irritated when I go out, i have consulted 8 doctors they will recommend some eye drops but it is no use I was wondering is there anyway through ayurveda it will help me. Please help thankyou

Age: 22
Chronic illnesses: Pinguecula
FREE
Question is closed

Shop Now in Our Store

FREE! Ask an Ayurvedic Doctor — 24/7, 100% Anonymous
Get expert answers anytime, completely confidential. No sign-up needed.
CTA image

Doctors' responses

Take Saptamrith lauh Triphala guggulu Punarnavadi mandura Each tablet twice daily after food with warm water Mahatriphaladi gritha-1 tsp with warm water at morning Isotine eye drops - 1 drop each eye twice daily Soak Triphala churna in warm water at night morning filter through muslin cloth and wash your eyes with this decoction Do eye exercises Avoid spicy sour and dry foods

2900 answered questions
27% best answers
Your personalized treatment is ready
We've added the medicines recommended by your doctor.
Your personalized treatment is ready
We've added the medicines recommended by your doctor.
Accepted response

0 replies

Ayurveda can offer some approaches to managing pinguecula, though you should always consider individual conditions and seek proper consultation. Pinguecula occurs due to imbalance in Pitta dosha, which tends to manifest as redness and irritation in the eyes. The primary goal in Ayurveda would be to soothe and balance Pitta, focusing on cooling and calming the eyes.

Start with daily eyewashes using Triphala water, which has cooling and anti-inflammatory properties. Soak one teaspoon of Triphala powder in a cup of water overnight, strain in the morning, and use this strained liquid to gently bathe the eyes. It can help reduce irritation and redness, supporting eye health.

Incorporating ghee into your diet, particularly if it is made from A2 cow’s milk, can be beneficial. Ghee has properties that balance Pitta dosha. You might also want to explore ‘Tarpana’, a classical ayurvedic eye therapy done under professional guidance, where medicated ghee is held in a frame over the eyes.

From a dietary perspective, avoid Pitta aggravating foods like hot, spicy, and excessively salty foods. Focus on hydrating and cooling foods such as cucumbers, coriander, fennel, and coconut water. Stay hydrated, drinking sips of water throughout the day.

Incorporate daily routine practices that calm the body, such as gentle yoga or guided meditation for stress management, which can also influence dosha balance. You might consider consulting an Ayurvedic practitioner for pulse diagnosis and personalized herbal formulations like ‘Mahatriphala Ghrita’.

However, if eye symptoms persist or worsen, it’s imperative you seek urgent professional care to prevent further complications. Ayurveda can complement but not replace conventional medical approaches, particularly in cases of severe discomfort.

1742 answered questions
27% best answers
Your personalized treatment is ready
We've added the medicines recommended by your doctor.
Your personalized treatment is ready
We've added the medicines recommended by your doctor.

0 replies

For treating a pinguecula in Ayurveda, addressing the irritation and redness is important. According to Ayurvedic principles, the condition might be linked to imbalances in Pitta dosha, which can cause inflammation and irritation when it becomes excessive. Here’s what you might consider doing:

1. Cooling Eye Wash: Prepare a mild eye wash using Triphala. Soak a teaspoon of Triphala powder in warm water overnight, strain it in the morning, and use the liquid to rinse your eyes gently. Be careful about water temperature and make sure the solution is well strained to avoid any particles getting into the eyes.

2. Diet and Lifestyle Adjustments: To pacify Pitta, try to include more cooling and less spicy foods in your diet. Fresh fruits, cucumbers, and green leafy vegetables can be helpful. Avoid excessive exposure to sun and heat, as well as spicy, fried, or fermented foods.

3. Ghee Application: Apply a small amount of pure, high-quality ghee to the eyelids before bed. Ghee is known for its soothing properties and might help in reducing heat.

4. Herbal Supplements: Consider taking Guduchi or Amalaki supplements, as they can help balance Pitta and have anti-inflammatory properties. Consult with an Ayurvedic practitioner to find the right dosage for your constitution.

5. Practicing Yoga and Pranayama: Gentle yoga postures and breathing exercises like Anulom Vilom can help minimize stress and balance doshas, improving overall eye health.

6. Protection from Environmental Factors: Wear sunglasses, especially when outdoors, to reduce UV exposure which could irritate the condition further.

Remember, if the irritation persists or vision becomes affected, it’s important to reconsider conventional medical advice and ensure nothing more serious is developing. Siddha-Ayurvedic remedies are supportive but conditions involving eye health should be monitored carefully for changes or worsening symptoms. Always consult with a qualified Ayurvedic practitioner before starting any new treatments.

9913 answered questions
34% best answers
Your personalized treatment is ready
We've added the medicines recommended by your doctor.
Your personalized treatment is ready
We've added the medicines recommended by your doctor.

0 replies
Speech bubble
FREE! Ask an Ayurvedic doctor — 24/7,
100% Anonymous

600+ certified Ayurvedic experts. No sign-up.

About our doctors

Only qualified ayurvedic doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.


Related questions

Doctors online

Dr. Maitri Bhavesh Kumar Acharya
I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
501 reviews
Dr. Snehal Tasgaonkar
I am an Ayurvedic physician with around 7 yrs clinical experience, though honestly—feels like I’ve lived double that in patient hours. I studied from a govt. medical college (reputed one) where I got deep into classical Ayurvedic texts n clinical logic. I treat everything from chronic stuff like arthritis, IBS, eczema... to more sudden conditions that just pop up outta nowhere. I try to approach each case by digging into the *why*, not just the *what*. I mean—anyone can treat pain, but if you don’t catch the doshic imbalance or metabolic root, it just comes bak right? I use Nadi Pariksha a lot, but also other classical signs to map prakriti-vikruti, dhatu status n agni condition... you know the drill. I like making people *understand* their own health too. Doesn’t make sense to hand meds without giving them tools to prevent a relapse. My Panchakarma training’s been a core part of my work. I do Abhyanga, Swedana, Basti etc regularly—not just detox but also as restorative therapy. Actually seen cases where patients came in exhausted, foggy... and post-Shodhana, they're just lit up. That part never gets old. Also I always tie diet & lifestyle changes into treatment. It’s non-negotiable for me, bcs long-term balance needs daily changes, not just clinic visits. I like using classical formulations but I stay practical too—if someone's not ready for full-scale protocol, I try building smaller habits. I believe healing’s not just abt treating symptoms—it’s abt helping the body reset, then stay there. I’m constantly refining what I do, trying to blend timeless Ayurvedic theory with real-time practical needs of today’s patients. Doesn’t always go perfect lol, but most times we see real shifts. That’s what keeps me going.
5
119 reviews
Dr. Snehal Vidhate
I am Dr. Snehal Vidhate, born n brought up in Maharashtra—and honestly, for as long as I remember I’ve felt this pull towards Ayurveda. Not the fancy version ppl throw around, but the deep, real kind that actually helps ppl. I did my BAMS from YMT Ayurvedic Medical College in Kharghar. That’s where I got my basics strong—like really studied the shastras, understood prakriti, doshas, the whole deal. Not just crammed theory but started to see how it shows up in real lives. After finishing BAMS, I got into this one-year certificate course at Rashtriya Ayurveda Vidyapeeth, Delhi—honestly a turning point. I was super lucky to learn Kerala Ayurveda from my Guru, Prof. Dr. G.G. Gangadharan. He’s got this way of seeing things... simple but deep. That time with him taught me more than any textbook ever could. It kinda reshaped how I look at health, healing n how precise Ayurveda can be when you respect its roots. Right now I’m doing my MD in Panchakarma from SDM Ayurveda College, Bangalore. This place is like a hub for serious Ayurveda work. The Panchakarma training here? Super intense. We go deep into detoxification & rasayana therapy—not just theory again, but hands-on. I’m learning to blend classical techniques with today’s clinical demands.. like how to make Vamana or Basti actually doable in modern patient setups. My current practice is really about merging tradition with logic. Whether it’s chronic skin issues, gut problems, stress burnout or hormone stuff—my goal is to get to the root, not just hush the symptoms. I use Panchakarma when needed, but also a lot of ahara-vihara tweaks, medhya herbs, sometimes just slowing ppl down a bit helps. I really believe Ayurveda’s power is in its simplicity when done right. I don’t try to fix ppl—I work *with* them. And honestly, every patient teaches me something back.
5
223 reviews
Dr. Anjali Sehrawat
I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?
5
283 reviews
Dr. Manjula
I am an Ayurveda practitioner who’s honestly kind of obsessed with understanding what really caused someone’s illness—not just what hurts, but why it started in the first place. I work through Prakruti-Vikruti pareeksha, tongue analysis, lifestyle patterns, digestion history—little things most ppl skip over, but Ayurveda doesn’t. I look at the whole system and how it’s interacting with the world around it. Not just, like, “you have acidity, take this churna.” My main focus is on balancing doshas—Vata, Pitta, Kapha—not in a copy-paste way, but in a very personalized, live-and-evolving format. Because sometimes someone looks like a Pitta imbalance but actually it's their aggravated Vata stirring it up... it’s layered. I use herbal medicine, ahar-vihar (diet + daily routine), lifestyle modifications and also just plain conversations with the patient to bring the mind and body back to a rhythm. When that happens—healing starts showing up, gradually but strongly. I work with chronic conditions, gut imbalances, seasonal allergies, emotional stress patterns, even people who just “don’t feel right” anymore but don’t have a name for it. Prevention is also a huge part of what I do—Ayurveda isn’t just for after you fall sick. Helping someone stay aligned, even when nothing feels urgent, is maybe the most powerful part of this science. My entire practice is rooted in classical Ayurvedic texts—Charaka, Sushruta, Ashtanga Hridayam—and I try to stay true to the system, but I also speak to people where they’re at. That means making the treatments doable in real life. No fancy lists of herbs no one can find. No shloka lectures unless someone wants them. Just real healing using real logic and intuition together. I care about precision in diagnosis. I don’t rush that part. I take time. Because one wrong assumption and you’re treating the shadow, not the source. And that’s what I try to avoid. My goal isn’t temporary relief—it’s to teach the body how to not need constant fixing. When someone walks away lighter, clearer, more in tune with their system—that’s the actual win.
5
146 reviews
Dr. Ayush Varma
I am an Ayurvedic physician with an MD from AIIMS—yeah, the 2008 batch. That time kinda shaped everything for me... learning at that level really forces you to think deeper, not just follow protocol. Now, with 15+ years in this field, I mostly work with chronic stuff—autoimmune issues, gut-related problems, metabolic syndrome... those complex cases where symptoms overlap n patients usually end up confused after years of going in circles. I don’t rush to treat symptoms—I try to dig into what’s actually causing the system to go off-track. I guess that’s where my training really helps, especially when blending classical Ayurveda with updated diagnostics. I did get certified in Panchakarma & Rasayana therapy, which I use quite a lot—especially in cases where tissue-level nourishment or deep detox is needed. Rasayana has this underrated role in post-illness recovery n immune stabilization, which most people miss. I’m pretty active in clinical research too—not a full-time academic or anything, but I’ve contributed to studies on how Ayurveda helps manage diabetes, immunity burnout, stress dysregulation, things like that. It’s been important for me to keep a foot in that evidence-based space—not just because of credibility but because it keeps me from becoming too rigid in practice. I also get invited to speak at wellness events n some integrative health conferences—sharing ideas around patient-centered treatment models or chronic care via Ayurvedic frameworks. I practice full-time at a wellness centre that’s serious about Ayurveda—not just the spa kind—but real, protocol-driven, yet personalised medicine. Most of my patients come to me after trying a lot of other options, which makes trust-building a huge part of what I do every single day.
4.95
20 reviews
Dr. Ayush Bansal
I am an Ayurveda doctor with about 1 yr of hands on clinical practice, still learning everyday from patients and the science itself. My journey started as a VOPD doctor with Hiims Hospital under Jeena Sikho Lifecare Ltd. For 6 months I was into virtual consultations, understanding cases online, preparing treatment protocols and doing follow ups to track progress. That phase trained me well in quick patient assesment and also in explaining Ayurveda in a way that fit with modern expectations. I dealt with many chronic and acute cases during that time.. things like gastric issues, joint pain, stress related complaints, skin problems. The remote setting forced me to sharpen my diagnostic skill and rely more on careful history taking, prakriti analysis, and lifestyle understanding. After that, I moved to a Resident Doctor role at Chauhan Ayurved and Panchkarma Hospital, Udaipur. This was very different.. more practical, hands on, and really grounded me in classical Panchakarma. I was actively part of planning and performing therapies like Vamana, Virechana, Basti, Abhyanga, Shirodhara, and other detox and rejuvenation procedures. Many patients came with long standing spine issues, metabolic disorders, skin complaints, or hormonal imbalance and I got to see how tailored Panchakarma protocols and lifestyle advice together can bring changes that medicines alone couldn’t. Working closely with senior consultants gave me better clarity on safety, step by step planning and how to balance classical texts with practical hospital settings. Now, whether in OPD consultations or Panchkarma wards, I try to meet patients with empathy and patience. I focus on root cause correction, using herbs, diet, daily routine guidance, and therapy whenever needed. My belief is that Ayurveda should be accessible and authentic, not complicated or intimidating. My aim is simple—help people move towards long term wellness, not just temporary relief. I see health as balance of body, mind and routine.. and I want my practice to guide patients gently into that space.
5
164 reviews
Dr. Manjusha Vikrant Pate
I am practicing Ayurveda since 18+ years now, and honestly... it still surprises me how much I keep learning especially when it comes to skin and hair. My focus—if I had to sum it up—is deeply rooted in Panchakarma, but more specifically in *Upakarma* therapies. These smaller, supportive steps within the Panchakarma frame can be powerful if you adjust them exactly right to a person’s *prakriti*. That’s actually where my attention goes first—understanding their natural constitution. Because once that’s clear, everything else sort of falls in place. I work a lot with chronic and tricky skin issues like pigmentation, hair fall, premature ageing, even stubborn acne that just doesn’t respond to regular creams and pills. And no—I don’t use shortcuts. I rely on traditional protocols, yes, but also create my own Ayurvedic blends—like facemasks, oils, even hair packs. These aren’t random—they're planned, adjusted, dosha-specific, and meant to *actually* support the skin's natural cycle. I’ve spent years refining these formulations, keeping them close to classical wisdom but tweaking them slightly when needed for a person’s lifestyle or condition. Ayurvedic facials in my clinic aren't just glow-up routines. They’re built to go deep—cleanse the layers, calm pitta excess or vata dryness, stimulate sluggish kapha skin... whatever’s needed. And I find that when these treatments are given at the right time, in the right sequence—results show up clearly, not just externally but also in the way ppl feel about themselves. There's a calmness, a reset almost. I don’t push chemical-based stuff, even when patients ask for it. Instead, I educate—like how proper *abhyanga* or a dosha-correct oil can do far more than a synthetic serum. My aim is to blend the core of Ayurveda with practical, everyday guidance. I don't just want patients to come for sessions—I want them to *understand* what's going on in their skin or hair and how to maintain it naturally. Things don’t always go perfect, sometimes I still need to rethink protocols mid-way, but I guess that’s what makes the process human... and real.
5
16 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
998 reviews
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
658 reviews
Dr. M.Sushma
I am Dr. Sushma M and yeah, I’ve been in Ayurveda for over 20 yrs now—honestly still learning from it every day. I mostly work with preventive care, diet logic, and prakriti-based guidance. I mean, why wait for full-blown disease when your body’s been whispering for years, right? I’m kinda obsessed with that early correction part—spotting vata-pitta-kapha imbalances before they spiral into something deeper. Most ppl don’t realize how much power food timing, digestion rhythm, & basic routine actually have… until they shift it. Alongside all that classical Ayurveda, I also use energy medicine & color therapy—those subtle layers matter too, esp when someone’s dealing with long-term fatigue or emotional heaviness. These things help reconnect not just the body, but the inner self too. Some ppl are skeptical at first—but when you treat *beyond* the doshas, they feel it. And I don’t force anything… I just kinda match what fits their nature. I usually take time understanding a person’s prakriti—not just from pulse or skin or tongue—but how they react to stress, sleep patterns, their relationship with food. That whole package tells the story. I don’t do textbook treatment lines—I build a plan that adjusts *with* the person, not on top of them. Over the years, watching patients slowly return to their baseline harmony—that's what keeps me in it. I’ve seen folks come in feeling lost in symptoms no one explained… and then walk out weeks later understanding their body better than they ever did. That, to me, is healing. Not chasing symptoms, but restoring rhythm. I believe true care doesn’t look rushed, or mechanical. It listens, observes, tweaks gently. That's the kind of Ayurveda I try to practice—not loud, but deeply rooted.
5
373 reviews

Latest reviews

Mia
2 hours ago
Super relieved! This answer made sense and gave me doable changes. Feeling hopeful about fixing the sleep mess too. Thx a lot!
Super relieved! This answer made sense and gave me doable changes. Feeling hopeful about fixing the sleep mess too. Thx a lot!
Elijah
2 hours ago
Really appreciate the clear advice doc! Finally got some solid answers for dealing with my issue, gonna try those tips. Thanks a ton!
Really appreciate the clear advice doc! Finally got some solid answers for dealing with my issue, gonna try those tips. Thanks a ton!
Isabella
9 hours ago
Thanks for the detailed info! Appreciate knowing the ayurvedic options for my mom's scalp cyst. Your answer really helped clarify her next steps.
Thanks for the detailed info! Appreciate knowing the ayurvedic options for my mom's scalp cyst. Your answer really helped clarify her next steps.
Hudson
13 hours ago
Thanks! That's super helpful. Wasn't sure where to start but now I have a clear direction. Appreciate your advice on diet changes!
Thanks! That's super helpful. Wasn't sure where to start but now I have a clear direction. Appreciate your advice on diet changes!