Ask Ayurveda

FREE! Ask Ayurvedic Doctors 24/7

Get expert answers from certified doctors anytime

Fast responses
1000+ verified doctors
/
/
/
Seeking Guidance for Managing Hypothyroidism and Fatty Liver
Endocrinological Disorders
Question #42088
191 days ago
1,518

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

Question is closed
Writing an explanation of your symptoms through Ayurveda...
Analyzing through Ayurvedic framework0%

Doctors' responses

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

12011 answered questions
28% best answers
Accepted response

0 replies

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

12155 answered questions
27% best answers
Doctor has prepared a treatment plan for you
Ashwagandhadi Churna - Baidyanath
Shilajit Capsules - Dabur
Ashwagandha Churna - Dabur
+2 more medications
Accepted response

0 replies

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

1926 answered questions
25% best answers
Doctor has prepared a treatment plan for you
Arogyavardhini Gutika Ras - Dabur
Punarnavadi Mandoor - Dhootapapeshwar
Planet Ayurveda Medhya Churna
+4 more medications
Accepted response

0 replies

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

1751 answered questions
38% best answers

0 replies

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

Dr RC BAMS MS

15589 answered questions
33% best answers

0 replies

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

4939 answered questions
37% best answers

0 replies

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.

13643 answered questions
30% best answers

0 replies

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

13203 answered questions
27% best answers

0 replies

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

13600 answered questions
29% best answers

0 replies

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.

10635 answered questions
28% best answers

0 replies

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.

13386 answered questions
39% best answers

0 replies

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.


How to treat irregular periods with hypothyroidism, PCOD, and mild anemia?
How to manage thyroid issues and constant weakness at age 39?
How long does it take for jamun capsules to lower blood sugar in my wife with diabetes?
How can I manage my pre-diabetes beyond diet and exercise?
Can I take Meddhar Vati for thyroid and constipation with weight loss?
Advice for Managing High Blood Sugar Levels
Can I start taking Madhunashini tablets for my fasting sugar above 200 for the last year?
How to manage hypoglycemia and anxiety in an overweight person with afternoon and night sugar drops?
Can I take Kanchanar Guggulu for Hashimoto's and Lipoma?
How to use Cucumis prophetarum for thyroid issues?
Inquiry about Ashokarishta for Hypothyroidism
How to treat rare diabetes with sudden high and low sugar levels?
Struggling with Weight and Hormonal Imbalance After Headache Medication
Inquiry About Narashima Tablet for Hypothyroidism and Hairfall
How to naturally normalize thyroid levels and lose weight with TSH 4.9 and Free T4 14.1?
Can Ayurveda help with my thyroid nodule and elevated TSH?
How to lower my fasting blood sugar levels after 6 months of high readings?
Thyroid Management and Pregnancy Planning
Can I use Ayurvedic muscle supplements to gain weight with thyroid issues, is it safe?
Seeking Herbal Remedies for Borderline Blood Sugar
Can thyroid nodules be treated with Ayurveda?
Can I take Guduchi Ghan Vati with Thyroid Medication?
How to treat thyroid problems permanently with Ayurvedic medicine?
Seeking Natural Therapy for Hashimoto's and Weight Issues During Menopause
Managing Long-term High Blood Sugar Levels
Can I take Madhunashini Vati for my sugar levels?
What is the best liquid product to help manage type 2 diabetes naturally?
Inquiry About Ashokarishta for Hypothyroidism and Weight Gain
How to treat insulin resistance and high triglycerides with fatty liver and obesity?
What should I do if my morning sugar level is 180-200 and stays high after meals?
Seeking Solutions for Irregular Periods and Joint Pain
Seeking Ayurvedic Treatment for Autoimmune Hypothyroidism and Related Conditions
Is my autoimmune condition curable?
How can I balance my hormone levels and reduce hair loss?
Is it normal to have spotting after snehapanam and virechna, especially with endometriosis and fibroids?
What to do if my hyperthyroidism symptoms are returning after stopping medication?
Diet and Herbs for Managing Hashimoto's Thyroiditis
How can I naturally normalize my thyroid levels?
What medicine can help keep thyroid cells inactive after thyroid cancer surgery and radioactive iodine treatment?
Seeking Alternative Treatments for Low Testosterone in My Son
Can I take Medohar Gugulu while on Thyronorm for thyroid issues for 15-20 years?
How can I manage my goiter without surgery?
Can I take thyroid medicine and Arjuna chaal together with a 1-hour gap for my 6.5 thyroid and 256 cholesterol?
How to gain weight with hyperthyroidism and what treatments can help?
Can I safely take both Ayurvedic and allopathic medicine for hyperthyroidism?
Seeking Non-Surgical Treatment for Thyroid Nodules and Voice Changes
Can my HbA1c level of 6.9 be cured permanently and what should I do to treat it?
What Ayurvedic medicine can help with hormonal imbalance and reduce lipidemia in my legs?
Daily Neem Powder Intake After Thyroid Surgery
Seeking Treatment for Low Testosterone Levels at Age 51
Seeking Ayurvedic Treatment for Diabetes Management
Can I take Diabecon DS on an empty stomach before bed?
Seeking Natural Remedies for Hyperthyroidism
How to use Ashwagandha for my daughter's hypothyroidism and fatigue?
How can I reduce the size of my benign thyroid nodule?
How to treat hyperthyroidism and bhasma roga while gaining weight and building muscle?
Should I use allopathic or herbal medicine for my thyroid condition?
What is the Ayurvedic treatment for my 6-year-old daughter with thyroid issues who hasn't improved with English medication for 4 years?
Managing Hypothyroidism and Neuromuscular Symptoms
Seeking Guidance for My Daughter's Type 1 Diabetes Diagnosis
How to Manage High TSH and Anti-TPO Levels?
Can Bitter Melon Help Stabilize My Blood Sugar Levels?
Thyroid and Digestive Issues with Numbness
Struggling with Constant Hunger and Shortness of Breath After Eating
Seeking Treatment for Hashimoto’s Thyroiditis and High TSH Levels
Can Ayurveda help me recover from hypothyroidism after years of treatment and trauma?
Can I give my diabetic brother indrajou seeds with fruit?
What should I eat for dinner if my sugar level is 180 after meals and 120-140 before meals?
How can I reduce the size of my benign thyroid nodule?
Is there a connection between TSH levels and diabetes?
Seeking Help for Thyroid Issues
Is Hypothyroidism Curable and What are the Treatment Options?
What is the best treatment for Hashimoto's hypothyroidism with weight gain, morning fatigue, mood swings, constipation, and psoriasis?
What Ayurvedic medicine can help manage Type 2 Diabetes for a 43-year-old female with a family history?
How to Properly Consume Yogendra Ras?
How can my wife manage her hypothyroidism and weight at home with Ayurveda?
How to Manage My Rising Glycated Sugar Levels?
Best Tea Recommendations for Hashimoto's and Sinus Problems
Seeking Guidance for Diabetes Management
Weight Loss Concerns with Hypothyroidism
Treatment for Thyroid Nodules and Voice Changes
Managing Hormonal Balance and Recovery After Pituitary Tumor Surgery
What is the best medicine for controlling type 2 diabetes for someone who has had it since 2017 and sits most of the day?
How to use sarpagandha for treating resistant hypertension?
Seeking Remedies for Hyperthyroidism and Thyroid Eye Disease
How to naturally support hyperthyroidism and reduce high calcium levels in a 46-year-old?
Managing High Sugar Levels in Elderly Diabetic Patients
How can I manage TPO antibodies for Hashimoto's?
How can I reduce the size of my benign thyroid nodule?
Can Ayurveda treat Graves' disease after medical treatment failed and avoid surgery?
How to treat high thyroid antibodies in blood work results?
Managing High TSH Levels and Recovery from Shingles
What medications can help treat thyroid nodules and mild goiter?
Can I take coriander water for thyroid while pregnant?
How can I control my blood sugar levels effectively?
Concerns About My Mother's Thyroid and Blood Pressure
Questions about Diabetes Management and Nisakathakathi
Treatment Options for My Child's Thyroid Cyst
Managing Diabetic Nerve Pain and Burning Sensation
What Ayurvedic medicine can help control blood sugar levels for type 1 diabetes?

Doctors online

Latest reviews

Tiffany
8 hours ago
This advice was super clear and really helpful. Trying out the coriander-fennel water now and it seems to work great for my stomach. Many thanks!
This advice was super clear and really helpful. Trying out the coriander-fennel water now and it seems to work great for my stomach. Many thanks!
Landon
9 hours ago
That answer was super detailed and reassuring, exactly what I needed! Love that there's a plan laid out for me. Thanks a lot!
That answer was super detailed and reassuring, exactly what I needed! Love that there's a plan laid out for me. Thanks a lot!
Vesper
16 hours ago
Really helpful and detailed advice! Appreciate the info about natural options for breast health and fibroadenoma. Super grateful! 🤗
Really helpful and detailed advice! Appreciate the info about natural options for breast health and fibroadenoma. Super grateful! 🤗
Natalie
18 hours ago
Huge thanks! This answer was super clear and detailed. Really helped me understand how to manage the pain better. Much appreciated!
Huge thanks! This answer was super clear and detailed. Really helped me understand how to manage the pain better. Much appreciated!