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Seeking Guidance for Managing Hypothyroidism and Fatty Liver
Endocrinological Disorders
Consultation #42088
235 days ago
1,546

Seeking Guidance for Managing Hypothyroidism and Fatty Liver - #42088

Client_5094d2
$3.51

Good mng sir I am an hypothyroid patient with fatty liver grad1 presently on 100mcgthyroxin.iam using Ayurveda such as punarnava, varanadi kashayam, ashwaganda churna andkanchanara guggulu My tsh is 2 now. But when I stopped elthroxin then my tsh rises to some 12 Pls suggest me the solution sir Regard

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Doctors' responses

Dr. Snehal Vidhate
Bachelor of Ayurvedic Medicine and Surgery
235 days ago
5

Hello It‍‌‍‍‌‍‌‍‍‌ is understandable that you are worried about the management of your hypothyroidism along with fatty liver, but do not worry, we will help you out 😊

Your condition reveals two significant points: 1. You cannot discontinue Thyroxin at this moment As: Your TSH is 12 when you stop - this indicates that your thyroid gland is not producing hormones by itself yet. Therefore, 👉 Keep taking Thyroxin 100 mcg daily. 👉 Ayurveda will be a good support for the thyroid function, it will help to subside the inflammation, elevate liver health and eventually dependency will be reduced but the tablet should never be stopped abruptly.

2 Why does your TSH increase so much when you stop Thyroxin Your thyroid gland still has a low functional reserve The gland needs a slow recovery through diet + lifestyle + certain herbs If you stop suddenly, your pituitary will be forced to push TSH very high

Ayurveda works on Agni, liver metabolism & thyroid tissue, however, the decrease of Thyroxin can only be done gradually after successive blood tests.

✅CURRENT MEDICATIONS

Continue these 1. Punarnava It is very good for fatty liver, water retention, and digestion.

2. Varanadi Kashayam Very good for Kapha-type hypothyroidism & fatty liver.

3. Kanchanar Guggulu Keep—helps the thyroid gland & lymphatic system.

Change this: 4. Ashwagandha Churna Good for thyroid (raises T3/T4 slightly) However, in the case of fatty liver, take only ½ tsp at night Or better → change to Ashwagandha tablet for a more consistent dosage

✅ADDITIONAL MEDICATION (very effective)

1 Arogyavardhini Vati – 1 tablet twice daily after food Helps with: Fatty liver (awesome) Metabolism activation Thyroid hormone conversion T4 → T3 Use it for 3 months and then do LFT + TSH again.

2. Trikatu Churna – ¼ tsp with warm water before lunch Enhances: Metabolism Thyroxin absorption Liver detoxification Very helpful to patients whose metabolism is still slow even though they are on medication.

✅DIET MODIFICATION

✅Include Warm, cooked foods Moong dal Millets Vegetables (bottle gourd, ridge gourd, carrot, beetroot) 1 teaspoon ghee daily Lemon water morning Herbal teas: ginger + cinnamon

❌Strictly avoid:

Wheat bread, maida Sugar Deep fried foods Potato Curd at night Coconut milk, cheese Alcohol (very important for fatty liver)

✅LIFESTYLE MODIFICATION 30–40 min brisk walk daily 10 min Anulom–Vilom pranayama Sleep by 10.30 pm Do not nap during the day

✅ Is it possible for you to reduce Thyroxin later? YES — but only gradually & in a scientific manner After 8–12 weeks of following this plan:

👉Repeat tests: TSH T3 T4 Liver function test (LFT) Ultrasound (if fatty liver condition continues)

If TSH level is maintained between 1 and 3, your doctor may lower Thyroxin dose from 100 mcg to 75 mcg but will never stop it completely until the gland gets stable.

Ayurveda is a good way to help this process naturally but it is quite time-consuming.

Do not stop Thyroxin abruptly Keep up with Punarnava, Varanadi, Kanchanar Modify Ashwagandha dose For fatty liver and thyroid metabolism, ‍‌‍‍‌‍‌‍‍‌add arogyavardhini and Trikatu

Warm Regards Dr Snehal Vidhate

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Dr. Anjali Sehrawat
Bachelor of Ayurvedic Medicine and Surgery
235 days ago
5

1.Kanchanara Guggulu 2 tab twice daily with water after meals 2.Ashwagandha Churna 1 tsp twice daily with warm milk after meals 3.Shilajit Rasayana 1 capsule daily with warm milk once daily 4.Varanadi Kashayam 20 ml with 20 ml water twice daily after meals 5.Kalmegh Churna 500 mg twice daily with honey or warm water after meals

🧘‍♀️ Lifestyle & Diet Tips - Continue thyroxine as prescribed; Ayurveda supports but doesn’t replace it - Avoid dairy, fried foods, and sugar; favor steamed vegetables, moong dal, and whole grains - Include turmeric, garlic, flaxseeds, and triphala in your diet - Practice yoga and pranayama daily—especially Surya Namaskar and Bhramari

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Dr. Gursimran Jeet Singh
Bachelor of Ayurvedic Medicine and Surgery
235 days ago
5

Internal Medicines 1 Kanchanara Guggulu – 2 tablets twice daily after meals 2 Punarnavadi Mandoor – 250 mg twice daily after meals 3 Varunadi Kashayam – 15 ml + 45 ml warm water morning empty stomach & night before bed 4 Ashwagandha Lehyam (or Churna) – 5 gm morning with warm milk 5 Kaishora Guggulu – 2 tablets twice daily after meals 6 Arogyavardhini Vati – 1 tablet morning after breakfast 7 Brahmi + Shankhpushpi Churna – 3 gm night with warm water

Continue Kanchanara Guggulu and Ashwagandha Continue Punarnava & Varunadi Kashayam (excellent choices for fatty liver)

Diet Give only Breakfast: Oats OR moong dal chilla + vegetables + green tea Lunch: Brown rice OR 2 jowar/bajra rotis + moong dal + lauki/turai sabzi + 1 tsp ghee Evening: Herbal tea + 5 soaked almonds Dinner (before 7 PM): Vegetable soup OR light khichdi + 1 tsp ghee Daily: Fresh coconut water 200 ml OR pomegranate juice 100 ml

Avoid completely All goitrogens raw: broccoli, cauliflower, cabbage, kale, soy products Maida, sugar, packaged food, deep-fried items Cold drinks, late dinner

Lifestyle Brisk walk 40 min daily morning Kapalbhati + Ujjayi pranayama 10–15 min daily Abhyanga with Ksheerabala Taila OR Chandan Bala Lakshadi Taila – 3 times/week Sleep 10 PM – 6 AM strictly

Thyroxine Tapering (Only After TSH Stable <4 for 3 Months) Reduce from 100 mcg → 75 mcg (alternate days) for 4 weeks Then 75 mcg daily → check TSH after 6 weeks Further taper only under endocrinologist + Ayurvedic doctor guidance

Regards Dr Gursimran Jeet Singh MD Panchakarma

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Dr. Haresh Patel
Doctor of Medicine in Ayurveda
235 days ago
5

take kachnargugulu (exct from ) 2 tds take syrp livtone 10 ml bd do nasya with panchagavyam 6 pm & 6 am 2 times day avoid milk and sugar do fast 1 day take only water with methi take medhya ghurth 5 ml at morning empty stomch

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Dr. Ravi Chandra Rushi
Master of Surgery in Ayurveda
235 days ago
5

Don’t worry take thyrocare 1tab bd, hamsapadikashayam 20ml bd, kanchanara Guggulu 1tab bd, arogya vardini vati 1tab bd enough

Dr RC BAMS MS

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Dr. M.Sushma
Bachelor of Ayurvedic Medicine and Surgery
235 days ago
5

No worries start on Kanchanar guggulu Tab liv 52 DS 1 Tablet twice daily after food to be taken Avoid oily fried processed junk foods Do not stop thyroxine suddenly You are taking medicine so TSH is control By seeing your TSH levels slowly taper the dose and gradually stop that too with under consultant cate

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Dr. Surya Bhagwati
Bachelor of Ayurvedic Medicine and Surgery
235 days ago
5

Hello Your ayurvedic medicines prescribed for hypothyroid is all effective for hypothyroid. You need to add Aarogyavardhini 1-0-1 after food with water Trikatu churan 1/2tsp morning with honey Triphala tablet 0-0-2 at bedtime with warm water Do pranamyam simhasan for balancing Thyroid hormones. Use iodised salt in your diet. Continue allopathy medicine. As your TSH value reduces you need to slowly reduce the allopathic medicine doses under doctor’s advice., Don’t stop allopathic medicine suddenly.

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Dr. Maitri Bhavesh Kumar Acharya
Bachelor of Ayurvedic Medicine and Surgery
235 days ago
5

HELLO,

WHAT IS HYPOTHYROIDISM? Your thyroid gland a small butterfly shaped gland in the neck produces hormones called T4 and T3 These hormones control -energy levels -weight -digestion -mood -menstrual cycles -liver metabolism

In hypothyroidism , the thyroid does not produce, enough hormones-> your brain tries to push it hrder-> TSH increases

WHY YOUR TSH BECOMES 12 WHEN YOU STOP ELTROXIN? Because your thyroid is not producing enough hormone by itself Eltroxin is replacement therapy-> it gives your body the hormone it cannot make

Stopping it= hormone deficiency returns-> TSH rises-> symtpoms comes back

This means you have true hypothyroidism , usually requires lifelong hormone support

WHAT IS FATTY LIVER GRADE 1? Your liver normally contains a little fat In fatty liver extra fat starts collecting inside liver cells

GRADE 1 MEANS -mild fat increase -reversible with lifestyle + medicines -no permenent damage yet

why it happens -hypothyroidism slows metabolism-> fat deposition increases -sedentary lifestyle -high carbohydrates, sweets -stress -overeating -being overweight GOOD NEWS= grade 1 fatty liver for fully reversible

TREATMENT GOALS

FOR HYPOTHYROIDISM -keep TSH between 1-2 -improve metabolism -reduce inflammation -support liver so the hormone works properly -improve digestion -prevent weight gain

FOR FATTY LIVER -reduce fat inside the liver -improve digestion and fat metabolism -reduce overall inflammation -prevent future complications-Grade 2, grade3, fibrosis

In Ayurveda, hypothyroidism resembles -kapha vata imbalance -slow digestive fire -toxin accumulation (ama) -srotorodha - channel blockage

Fatty Liver -kapha + pitta imbalance -accumulation of fat in liver channels -sluggish metabolism

INTERNAL MEDICATIONS

1) KANCHANAR GUGGULU= 2 tabs twice daily after meals for 3 months = clears glandular swelling, improves lymphatic circulation, helps kapha accumulation in thyroid

2) VARUNDAI KASHAAYA= 20 ml + equal wtaer twice daily after meals for 12 weeks =useful In fatty liver, helps sluggish thyroid, reduces abdominal fat

3) PUNARNAVA GUGGULU= 2 Tabs twice daily after meals for 3 months =excellent for liver, rimproes liver enzymes, reduces bloating, helps fatty liver

4) ASHWAGANDHA CHURNA= 1 tsp with warm milk twice daily for 3 months = reduces stress, supports T4->T3 conversion, improves energy

5) TRIPHALA CHURNA= 1 tsp with warm water at night =detoxification, improves digestion, helps natural weight correction

6) AROGYAVARDHINI VATI= 1 tab twice daily after meals =one of the best liver cleansing medicines, improves bile secretion, reduces fat in liver

DIET -moong dal -bitter vegtables- karela, methi -bottle gourd, ridge gourd, snake gourd -leafy greens -buttermilk with jeera -ginger, garlic in food -turmeric daily -ragi, millets, oats -papaya, apple, pears

AVOID -sugar, sweets -bakery items -pizza, pasta, refined flour -white rice -cold drinks -fried food -heavy curd at night -alcohol -excess potatoes

PRACTICAL EATING HABITS -eat warm, fresh food -avoid overeating -avoid late night meals -drink warm water

LIFESTYLE MODIFICATION -wake up early- supports hormonal balance -30 min brisk walk daily- improves liver fat metabolism -avoid daytime sleeping- increases kapha, worsen fats liver -reduce stress- stress affects thyroid hormones -avoid cold food and drinks- they slow down agni

YOGA FOR HYPOTHYROIDISM AND FATTY LIVER -surya namaskar -bhujangasana -dhanurasana -matsyasaa - setu bandhasana -ardha matsyendrasana These stimulate thyroid gland and improve liver function

PRANAYAM -Nadi sodhana -bhramari -ujjayi -kapalbhati

HOME REMEDIES -Ginger + lemon water= improves metabolism -Jeera-ajwain - methi water boiled= helps digestion and liver function -Turmeric +black pepper in warm water = reduces inflammation - 1 tsp flax seeds daily= good for fatty liver -1/2 tsp cinnamon in warm water= helps metabolism

-Do not stop thyroxine- your thyroid needs lifelong support -Ayurveda can support, not replace, thyroid hormone -Fatty liver is 100% reversible with diet + lifestyle changes -Keep 2-3 hour gap between thyroxine and Ayurvedic mediicnes -Do yoga + walking daily- more powerful than medicines -Aim for slow and steady lifestyle improvement, not quick fixes -Recheck your blood tests regularly to stay in the safe range

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Dr. Prasad Pentakota
Bachelor of Ayurvedic Medicine and Surgery
235 days ago
5

Continue above medicine along with the above medicine you can take Arogyavardini vati two times daily after food Avoid oily fried processed foods Do not stop eltroxin by your own according to TSH levels let your physician will adjust the dose Along with that practice brahmari anulom vilom

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Dr. Manjula
Bachelor of Ayurvedic Medicine and Surgery
233 days ago
5

Managing hypothyroidism alongside a fatty liver requires an integrative approach without abruptly discontinuing thyroxine, unless advised by your healthcare professional. Your practice incorporating Ayurveda is valuable; here’s how you can optimize it:

1. Continue with Punarnava for its hepatoprotective properties, which helps in alleviating excess kapha and promoting liver function. Dosage should be as per the prescription.

2. Varanadi Kashayam effectively assists in reducing meda dhatu (body fat) and supporting metabolism. Taken typically before meals enhances its effect. Confirm the dosage with your Ayurvedic practitioner.

3. Ashwagandha is excellent for reducing stress, supporting the thyroid, and boosting energy levels. However, monitor how it interacts with thyroxine. If you experience any discomfort, consult your doctor to adjust it accordingly.

4. Kanchanara Guggulu is beneficial for balancing kapha disorders and preventing lymphatic congestion, which can be helpful in case of hypothyroidism. Continune it as prescribed.

5. Diet plays a critical role; reduce intake of refined sugars, heavy, oily, and processed foods to ease liver function. Incorporate tri-doshic meals with warming spices such as cumin, coriander, and turmeric to enhance digestion.

6. Exercise regularly with activities like yoga or brisk walking to stimulate metabolism and aid liver detoxification. Practicing pranayama like Nadi Shodhana can also help in balancing prana and reducing stress.

7. Avoid sudden stopping of thyroxine. Adjustments should only be under medical supervision due to potential imbalances reflected by your TSH level rising when stopped.

Blend these Ayurvedic practices with your current medication regimen. Always consult with your healthcare provider before making substantial changes to ensure safe management of both your conditions.

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Dr. Narendrakumar V Mishra
Bachelor of Ayurvedic Medicine and Surgery
228 days ago
5

Hypothyroidism, especially when combined with fatty liver, requires a nuanced approach. While a TSH level of 2 is generally favorable with the thyroxin, the rise when stopping suggests dependency, indicating the thyroid needs support. In Ayurveda, we focus on balancing kapha and agni, crucial in managing both thyroid function and liver health.

First, continue with your prescribed medication, as abrupt discontinuation can destabilize your condition. Integrating Ayurvedic approaches should complement, not replace, conventional treatments. Kanchanara guggulu is beneficial for thyroid function, supporting metabolism, yet must be dosed correctly—usually 1-2 tablets after meals twice a day. Consult your practitioner for precise adjustments.

Punarnava helps in reducing liver inflammation but should be in tandem with dietary moderation. To aid liver health, avoid heavy, fried, or oily foods; favor steamed or boiled preparations. Varanadi kashayam and Ashwagandha are supportive but ensure they’re from a reliable source and taken as per guidance.

Diet and lifestyle are pivotal. Incorporate light exercises, like yoga or brisk walking, to stimulate metabolism and alleviate liver congestion. Ensure regularity in sleep and meals to maintain equilibrium in your bodily rhythms.

A personalized consultation is advised to fine-tune supplement combinations and dosages. It’s crucial to periodically check thyroid levels to adjust thyroxin dose safely, preventing any disruptions in thyroid function. Consult a healthcare provider before making changes to your medication as safety is paramout, especially with synthetic hormones involved.

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