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Struggling to Gain Weight and Feel Weak
General Medicine
Question #39857
151 days ago
1,012

Struggling to Gain Weight and Feel Weak - #39857

Alisha

I am 24 years old, but I’m not able to gain weight no matter how much I try. My height is 5’5” and my weight is 45 kg. My hands are very thin and dark, like a child’s. I have a neurological problem, so I don’t always feel fit. I take medicines sometimes, like Zenoxa 300 and Lacosum. I feel very weak and get tired easily. My digestion is also not good.

How long have you been experiencing difficulty in gaining weight?:

- More than 6 months

What is your typical daily diet like?:

- Balanced but low in calories

Have you noticed any specific triggers that worsen your fatigue?:

- No specific triggers
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Doctor-recommended remedies for this condition

52 Doctors recommend

Doctors' responses

Dear Alisha Avoid oily, spicy and packed foods. Regular exercise. Increase intake of dairy products, pulses, nuts, soyabean… Tab. Brahmi 1-0-1 Tab. Liv52 DS 1-0-1 ASHWAGANDHSRISHTA 15ML TWICE AFTER MEAL FOLLOW UP AFTER 4WEEKS.

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Ashwagandhadi lehyam 1 tsp -0-0 Hingwastaka churna 1/2-0-1/2 tsp after food Include nuts dates fruits in diet Cows ghee in diet

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Amrita Hingwastak Churna - Amrita Drugs
Ashvagandhadi Lehya - Dabur
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Internal Medicines that are Safe with Zenoxa/Lacosum

1 Ashwagandha Churna: 3 gm morning with warm milk 2 Shatavari Churna: 3 gm night with warm milk 3 Chyavanprash: 10 gm morning with milk 4 Dadimadi Ghrita: 5 ml morning with warm water

External Application Bala + Ashwagandha Taila (1:1): Warm → full body massage → 15 min → warm bath → nightly.

Diet for Weight Gain Give only: Breakfast: Banana shake (2 bananas + 200 ml milk + 1 tsp ghee + dates). Lunch: Rice + moong dal + ghee + sweet potato. Snack (4 PM): 4 soaked almonds + 2 dates + peanut chikki. Dinner (7 PM): Khichdi + ghee + paneer.

Avoid completely: Tea/coffee, raw salads. Skipping meals.

Lifestyle Sleep 10 PM – 6 AM. Gentle walk 15 min daily (no strain). No fasting.

Regards Dr Gursimran Jeet Singh MD Panchakarma

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Ashwagandhadi Churna - Baidyanath
Chyavanaprasha - Dabur
Ashwagandha Bala Lakshadi Taila - BV Pandit
+2 more medications
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Hello Alisha I completely understand your concern — you want to gain healthy weight, strengthen your body, improve digestion, and feel energetic despite your low weight, neurological issues, and fatigue. But dont worry we are here to help you out😊

✅ AYURVEDIC PLAN OF MANAGEMENT

✅INTERNAL MEDICATION

1. Chyawanprash – 1 tsp daily with warm milk (Acts as a Rasayana, rejuvenating all seven Dhatus. Boosts immunity, digestion, and energy.)

2. Ashwagandharishta – 20 ml twice daily with equal warm water after food (Enhances strength, stamina, and overall vitality. Supports nervous system and reduces fatigue, especially with neurological issues.)

3. Shatavari Kalpa – 1 tsp twice daily with warm milk (Nourishes tissues and balances hormones. Supports reproductive and overall systemic health).

4. Brahma Rasayana – ½ tsp on empty stomach (Strengthens nervous system and brain function. Acts as a memory and energy tonic, improving alertness and concentration.)

5 Chitrakadi vati 1-0-1 before food ( to improve digestion)

5 . Erandbhrisht Haritaki (if constipation present) – 1 tsp at night with warm water Supports regular bowel movements, improves digestion, and ensures proper nutrient absorption.

✅DIET MODIFICATION

✅ Include:

Whole grains: Rice, oats, quinoa, barley, moong dal khichdi Protein sources: Paneer, milk, yogurt, moong dal, sprouts, nuts (almonds, cashews), sesame seeds Healthy fats: Ghee (1–2 tsp per meal), sesame oil, coconut oil, olive oil Fruits: Banana, dates, figs, pomegranate, cooked apples Herbal teas: Ginger, tulsi, fennel to enhance appetite and aid digestion Warm soups: Bottle gourd, ridge gourd, pumpkin soups with ghee Small frequent meals: 5–6 meals per day for easy digestion

❌ Avoid: Skipping meals or long gaps between meals Excessive raw or cold foods Processed, fried, or frozen foods Excessive caffeine, tea, or coffee Heavy, very spicy, or sour foods that may aggravate Vata

✅EXTERNAL CARE AND LIFESTYLE TIPS

1. Abhyanga (Oil Massage) – 4–5 times weekly

Use BalaAshwagandhalakshadi taila l for full-body massage. Improves muscle strength, circulation, and tissue nourishment. Reduces fatigue, stress, and Vata-related dryness. Leave the oil for 30–45 minutes before a warm bath.

2. Gentle Yoga and Pranayama: Shavasana, Pawanmuktasana, Bhujangasana, Vajrasana Pranayama: Anulom Vilom, Bhramari, and Nadi Shodhana to calm the nervous system and reduce stress.

3. Sleep & Rest: Maintain 7–8 hours of regular deep sleep; deep sleep is essential for tissue building. Short afternoon rest of 20–30 minutes is beneficial if energy is very low.

4. Mild Physical Activity: Gentle walking or light stretching to improve circulation and nutrient delivery to tissues. Avoid strenuous exercise until body weight and strength improve.

With consistent practice, visible improvements in energy, appetite, and body composition can be expected within 2–3 months.

Wishing you a good health 😊

Warm regards, Dr Snehal Vidhate

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Take rajwadiprash gold 1tsp with milk, chitrakadhi vati 1tab, Pancharista 20ml bd, avoid outside stuff

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At 24 weighing 45 KG with height 5.5 indicates your body is very lean and combined with neurological issues and low energy. It shows your digestion and metabolism quite weak in Ayurveda. This pattern points towards vata imbalance, where the body cannot properly observe nutrients, leading to thin limbs, dark skin, and fatigue To support, weight gain safely, focus on digestive strength and nourishment rather than just eating more Take ashwagandha churna half teaspoon with warm milk at night CHYWANPRASH 1 teaspoon at morning with warm milk or water Triphala churna 1 teaspoon with warm water at bedtime Include warm, cook, easy to digest meals, add healthy fat, such as almond sesame seeds, and ghee Avoid cold, raw, dry foods excessive tea processed food

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1.Ashwagandha churna 1 tsp twice daily with warm milk after meals 2.Shatavari capsules 1 cap twice daily with milk after meals 3.Chyawanprash 1 tsp with warm milk empty stomach in the morning (avoid eating for 30-60 min after this) 4.Drakshavaleha 1 tsp twice daily with warm milk after meals

🥣 Diet Recommendations - High-calorie, easy-to-digest foods: Moong dal khichdi with ghee, rice with milk, boiled sweet potatoes - Healthy fats: Ghee, coconut, soaked almonds and walnuts - Protein sources: Paneer, lentils, mung beans, milk-based smoothies - Herbal teas: Ginger, cumin, ajwain for digestion - Avoid: Cold, raw, dry foods; excessive fasting; spicy or sour items

🧘 Lifestyle Tips - Abhyanga (oil massage): Daily warm sesame oil massage to improve circulation and calm Vata - Gentle yoga and pranayama: Bhramari, Anulom Vilom for nervous system support - Regular meals: Eat every 3–4 hours, avoid skipping meals

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Start with Chyavanprash 2tsp once daily before breakfast with milk Tablet Liv-52 1-0-1 after food with water Ashwagandha churan 0-0-1tsp at bedtime with cool milk Triphala tablet 0-0-1 at bedtime with water. Do pranayam lom -vilom bhastrika bhamri 5-10mins daily twice. Do full body massage with ashwagandha oil+ kshirbala oil twice weekly

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HELLO,

In Ayurvedic terms

Your symptoms - not gaining weight -neurological problem -weakess and get tried easily -weak digestion

These means your vata (energy controlling movement and nervous system) and kapha (energy for stability and nourishment) are imbalanced At the same time, your digestive fire is weak, causing toxin accumulation Due to low agni, your tissues- especially muscle and reproductive tissue- are not propely nourished

Hence, you feel -weakness and fatigue-> due to vata aggravation + dhatu kshaya -Low appetite, sluggish digestion-> due to manda agni + kapha increase -anxiety, poor sleep-> vata aggravation in mind -irregular stool-> disturbed apana vata

TREATMENT GOALS -balance vata and kapha -improve digestion and metabolism-> better nourishmen of tissues -eliminate toxins to relieve fatigue,improve clarity and energy -build muscle and body weight naturally through rejuvenation -strengthen nerves and improve sleep and calmness -regulate bowel movements an promote healthy elimination -support neurological simultaneously

INTERNAL MEDICATIONS

STAGE 1= AGNI CORRECTION DURATION= first 4 weeks

-HINGWASTAKA CHURNA= 1/2 tsp with ghee 15 min before lunch and dinner

-buttermilk after lunch with roasted jeera powder

-small ginger piece before food

WHY= this strengthens real digestion. This stage is mandatory

STAGE 2= WEIGHT BUILDING - Start after stage 1 start only when appetite improves

-ASHWAGANDHA CHURNA= 1 tsp with warm milk at night

-SHATAVARI CHURNA= 1 tsp with warm milk in morning

-RAMBHAPHALA RASAYANA= 1 tsp twice daily with milk

WHY= one agni is corrected= these build muscle slowly/steadily

EXTERNAL TREATMENT

-Self oil massage with warm sesame oil 3-4 times/week -warm towel over upper abdomen 10 min after meals

WHY= this calms vata, improves stomach motility, reduces nervous tension that blocks appetite

LIFESTYLE CHANGES -sleep stable timing every day -walk 15-20 mins after lunch or dinner -avoid ice cold drinks, cold water -avoid heavy spicy fried food -avoid late night heavy meals

DIET Eat warm soft digestible meals

DO MORRE -rice + ghee -moong dal khichdi -warm milk -dates + banana + soaked almonds in morning -sott proteins you tolerate

PLAN FOR WEIGHT GAIN AND GUT HEALTH 1) GRAINS AND CARBOHYDRATES digestive disorders often weak digestive fire, so its important to use easy-to-digest grains that also help in weight gain BEST GRAINS -rice(short grain, white or parboiled)- very easy to digest , eat with ghee or curd -Khichdi (moong dal+. rice)- gentle on stomach, add cumin and ghee -suji- in the form of upma or halwa with ghee -oats(cooked well in milk or water)- add banana, dates or jaggery for calories AVOID -whole wheat rotis- too rough for weak digestion -millets- bajra/jowar/ragi initially- heavy to digest -bread , noodles , and maida- refined flour

2) LEGUMES AND PULSES pulses are rich in protein but can be gas forming and harsh for sensitive guts. use only light and well cooked versions GOOD OPTIONS -yellow moong dal- best for weak digestion -massor dal- in small quantity, well cooked with ghee -split urad dal khichdi- once digestion improves AVOID -chana, rajma, kidney beans, and black urad- heavy , gas producing

3) VEGETABLES vegetables should be well cooked, soft, and mildly spiced. Raw and undercooked vegetables will worsen digestion. GUT FRIENDLY VEGGIES -lauki -tori -parwal -carrot -pumpkin -sweet potato -spinach use asafoetida, cumin , ghee , and ajwain in cooking to aid digestion AVOID -cauliflower, cabbage, peas, and capsicum(gas-forming) -onion and garlic(initially as they irritate the gut lining) -raw salad or sprouts

4)FRUITS fruits are nourishing and hydrating, but must be chosen wisely to prevent worsening of appetite SAFE AD NOURISHING FRUITS -banana(ripe)- best for weight gain and gut healing -Papaya- improves digestion, soothes stomach -stewed apple or pear- lightly cooked, easy to digest -chikoo- high calorie and gut friendly -dates and figs(soaked overnight)- rich in iron and calories AVOID -citrus fruits like oranges, pineapple -watermelon - too cold and loose stools trigger -raw apples, grapes -too fibrous

5) DAIRY PRODUCTS dairy is a cornerstone of ayurvedic weight gain and gut balancing if used correctly BEST -cows milk boiled and warm- add ashwagandha/shatavari or dry fruits -homemade curd-fresh, during lunch only- probiotic, calms gut -buttermilk with roasted jeera+hing- best for digestion -cow ghee- enhances absorption, nourishes tissues, balances vata AVOID -cold milk -packaged milkshakes -panner-initially hard to digest -cheesse proccessed

6)HEALTHY FATS you must include good fats for weight gain and nutrient absorption. avoid fried or refined oils IDEAL FATS -DESI GHEE- 2-3 tsp/day, in rice,dal,or khichdi -Cold pressed coconut oil- in cooking-stabilises gut -Almond oil or sesame oil- drizzled on warm food -butter(homemade white butter)- 1 tsp a day if tolerated

7) NUTS AND SEEDS high in healthy fats, minerals, and calories- must be soaked before eating for better digestion BEST NUTS AND COMBINATIONS -almonds(5-6 daily, soaked and peeled) -walnut(1-2 daily) -raisins(10 soaked overnight) -dates(2-3 per day) -dry fruit shake - milk+banana+soaked nuts+jaggery or honey AVOID -raoasted/salted nuts -cashews-heavy, eat only later once digestion improves -nut butters from the stores like peanut butter, almond butter

8) SWEETENERS you need natural energy sources- but avoid refined sugar HEALTHY CHOICES -Jaggery(gud)- great for weight gain and iron -Honey- only when added to warm not hot, liquids -Mishri- can soothe acidity

9)SPICES AND HERBS FOR DIGESTION these helps stimulate agni and reduces bloating/gas -Jeera -Hing -Ajwain -Saunth-dry ginger -Haldi -Black pepper use these daily in cooking or make herbal teas with cumin+ajwain+ginger

10) FLUID AND HYDRATION BEST DRINKS -warm water-sip throughout the day -cumin water-jeera boiled in water -ginger tea -fresh buttermilk AVOID -cold water or fridge drinks -fruits juices- too sweet and cold -carbonated drinks- soda cola -packaged juices

LIFESTYLE AND YOGA RECOMMENDATIONS DAILY ROUTINE -wake up early-before 7 AM -eat meals at regular times -avoid lying down immediately after meals -take a short walk-15-25 min after each meal -sip warm water

YOGA AND PRANAYAM helps strengthen digestion, calms stress, and regulate gut -VAJRASANA- sit after meals, improves digestion -PAWANMUKTASANA- relieves gas and bloating -TRIKONASANA- stimulates digestion -BHUJANGASANA- improves gut motility -SURYANAMASKAR- activates whole system

PRANAYAM -anulom vilom -balancing vata and pitta -bhramari- calms mind and gut -sheetali- if you’re experiencing burning sensation 15-20 min yoga and pranayam daily can improve gut-brain connection and digestion significantly

GOAL- GAIN 6-7 Kg IN 2-3 MONTHS with improved digestion, better nutrient absorption and ayurvedic support this is very achievable if -you follow the diet regularly -you use ayurvedic supplements consistently -you keep stress and sleep in check - at least 7-8 hrs sleep

DO FOLLOW CONSISTENTLY

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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1 month treatment protocol 1st week 1. Tab chitrakdi vati 2BD BF 2. Shivkshar pachan churna 1tsp BD A F 2nd week to 4rth week 1. Cap ksheer bala 2BD A F 2. Ratna prashan 1tsp OD 3. Shadharan tab 2 BD A F 4. Pipplyadi asva 20ml AF.

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To address weight gain and overall weakness from an Ayurvedic viewpoint, understanding your constitution and how your lifestyle might affect it is crucial. Your symptoms suggest a possible Vata imbalance, which can lead to underweight concerns, weak digestion, and fatigue.

Focus on strengthening your digestive fire (Agni). Begin your day with a piece of ginger mixed with a pinch of rock salt before meals. This helps stimulate digestion. Include warming spices like cumin, coriander, and fennel in your meals, they can support digestion and absorption of nutrients.

Incorporate more oil-based, nourishing foods to balance Vata dosha—think ghee, whole milk, and nuts like almonds and cashews. Prepare kheer (a type of rice pudding) using milk and add some saffron and dry fruits. Consuming this at least three times a week can help in gaining weight by nourishing the tissues.

Massaging your body with warm sesame oil before a bath can promote circulation and improve muscle tone. Ensure regularity in your meal times; eating at the same time each day stabilizes appetite and digestion.

Limit raw foods which are difficult for Vata constitution to digest. Instead, prefer cooked meals. Stews, soups, and porridges are excellent choices. They provide hydration and are easy to digest.

Given your neurological issues and medication, sync with your healthcare provider before making significant changes. But remember, Ayurveda emphasizes integrating lifestyle routines like regular sleep patterns and stress management practices such as gentle yoga or meditation, they are pivotal for maintaining balance.

Make sure to consult with a healthcare provider or an Ayurvedic practitioner before making major dietary changes, particularly because of existing medical conditions or medications like Zenoxa and Lacosum.

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Your challenges with weight gain and energy levels could be rooted in a vata imbalance, which often leads to poor digestion and underweight issues. In Siddha-Ayurvedic practice, we focus on improving agni, or digestive fire, and balancing the doshas. Begin by incorporating more grounding, nourishing foods that are easy to digest. Regular consumption of cooked meals, rather than raw, can aid this improvement.

Small, frequent meals that include healthy fats like ghee and sesame oil can help in increasing weight. To enhance your digestion, sip warm water throughout the day and avoid cold and iced drinks, as they can diminish agni. Cooking with spices like cumin, ginger, and black pepper may also aid in digestion.

Ashwagandha powder mixed with warm milk can be beneficial for you, taken once daily in the evening. This supports both nervous and tissue health, providing strength and vitality. Additionally, daily self-massage with warm sesame oil, followed by a warm bath, can help to calm vata and nurture body tissues.

Regarding your neurological issues and the medication you’re taking, it’s important to continue consulting with your primary healthcare provider, especially since you’re on medications like Zenoxa 300 and Lacosum. Maintain open communication about any supplements or changes in your regimen to avoid interactions.

Avoid overstimulation such as excessive screen time, caffeine, and late-night activities, focusing instead on regular sleep patterns. Yoga and meditation tailored to soothing vata can enhance your energy levels and promote relaxation. While Ayurveda offers ways to support your condition, ensure close collaboration with your doctor to safely integrate these approaches, especially given the complexity of your condition.

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HELLO,

AYURVEDIC VIEW Your symptoms surgest vata imbalance-> low weight, dryness, fatigue, neurological instability, irregular digestion

THE GOAL -Improve agni (digestion) -nourish tissues -calm vata -support gradual healthy weight gain

DIET Eat soft, warm, easy to digest, oily foods -khichdi, moong dal, ghee, rice -warm milk with dates, almonds (soaked), and ghee -panner, boiled eggs if suitable, curd with jaggery -sweet fruits= mango, banana, chiknoo,grapes -root vegetables= sweet potato, beetroot -add 1-2 tsp ghee to lunch and dinner

AVOID -cold food, raw salads, dry snacks -long gaps between meals -tea/coffee on empty stomach

DAILY WEIGHT GAIN RECEPIE -warm milk + 1 tsp ghee + 1 tsp honey add honey only when milk is lukewarm take before bed

LIFESTYLE -regular sleep=10pm to 6 am -light oil massage sesame oil daily before bath -avoid fasting or skippin meals -gentle exercises= slow yoga, breathing, short walks -avoid stress, cold exposure, and overthinking (aggravate vata)

HERBAL SUPPORT

FOR DIGESTION -HINGWASTAKA CHURNA= 1 pinch before meals with warm water

-TRIKATU CHURNA= 250mg with warm water if not acidity

FOR STRENGTH AND WEIGHT GAIN -ASHWAGANDHA CHURNA= 1/2 tsp with warm milk at night

-SHATAVARI CHURNA= 1 tsp with milk in morning

-YASHTIMADHU GHAN VATI= 1 tab twice daily for strength and calmness

FOR NERVES -BRAHMI GHEE= 1 tsp daily with milk

-MAHAKALYANAKA GHRITA= 1 tsp with milk at night

SIMPLE HOME REMEDIES -1 tsp ghee + 1 tsp jaggery after lunch -dates + ghee 2-3 pieces daily -banana + peanut butter smotthie - jeera water after meals for digestion

THANK YOU

DR. HEMANSHU MEHTA

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Bella
10 hours ago
Really helpful advice, doc. Appreciate the clear breakdown and honest comparison. It was exactly what I needed to decide. Thanks for making it easy to understand!
Really helpful advice, doc. Appreciate the clear breakdown and honest comparison. It was exactly what I needed to decide. Thanks for making it easy to understand!
Maya
14 hours ago
Thank you so much for your detailed response! It was super helpful to get a clear plan tailored for my needs. Much appreciated.
Thank you so much for your detailed response! It was super helpful to get a clear plan tailored for my needs. Much appreciated.