Hello, Your history of Grade 1 fatty liver, previous B12 deficiency–related tingling, mild constipation, and recent weakness after taking Triphala indicates Mandagni (slow digestion), mild Vata aggravation in the colon, and early liver congestion (Yakrit Dushti). Triphala in an uneven ratio (1:2:4) can sometimes overstimulate Vata, causing constipation instead of relief. Your treatment will focus on restoring proper digestion (Agni Deepana), regulating bowel movement (Vata Anulomana), improving liver health, and maintaining stable Vitamin B12 and energy levels.
🔎 Recommended Investigations (If not done in the last 3–6 months) 1. Vitamin B12 & Vitamin D3 – as low B12 can recur, causing weakness. 2. Liver Function Test & Lipid Profile – to monitor fatty liver. 3. Complete Blood Count & Iron profile – screen for anemia (a cause of weakness). 4. HbA1c & Fasting Blood Sugar – rule out metabolic imbalance affecting digestion.
💊 Internal Medicines Phase 1 – 15 days (Agni Deepana + Vata Anulomana + Liver Support)
1. Hingvashtaka Churna – ½ tsp with warm water after meals 2. Avipattikar Churna – ½ tsp at bedtime with warm water 3. Arogyavardhini Vati – 1 tablet twice daily after meals 4. 4. Giloy Satva / Guduchi Ghana – 1 tablet twice daily
Phase 2 – 45 days (Liver Cleansing + Strengthening + Rasayana) 1. Punarnava Mandur – 1 tablet twice daily after meals 2. Chyawanprash – 1 tsp every morning 3. Brahmi Vati (plain) – 1 tablet at bedtime 4. Liv-52 DS / Yakrit Plihari Loha – 1 tablet twice daily after food
🌿 External & Supportive Therapies 1. Abhyanga (oil massage) with warm sesame oil – 2–3 times weekly 2. Nabhi (navel) oiling – 3–4 drops of castor or sesame oil at bedtime 3. Warm water sipping throughout the day
🥗 Diet & Lifestyle Recommendations ❌ Avoid 1. Cold foods, refrigerated items, salads at night. 2. Excess oily, deep-fried, bakery items (aggravate fatty liver). 3. Red meat, sugary drinks, packaged juices. 4. Overuse of Triphala in incorrect proportions.
✅ Include 1. Warm, cooked, light meals – khichdi, soups, dal, steamed veggies. 2. Cumin + coriander + fennel tea after lunch. 3. 1 tsp cow ghee in lunch for smooth bowel movement. 4. Turmeric + ginger in food regularly. 5. 1 glass warm water + lemon every morning for liver cleansing. 6. 5 soaked raisins every night for gentle bowel regulation.
🧘🏻♂️ Yoga & Pranayama Gentle Asanas Vajrasana (after every meal) Pavanmuktasana Setu Bandhasana Ardha Matsyendrasana (improves liver function) Pranayama Anulom Vilom – 10 minutes Bhramari – 5 minutes Kapalbhati – 2–3 minutes only if BP is normal
Sleep routine Sleep by 10:30 pm Avoid heavy meals at night Warm water sip + light walk after dinner
🕉️ Follow-up & Duration *You can expect bowel normalisation in 7–10 days. *Fatty liver improvement usually takes 6–12 weeks with consistent care. *Re-check liver tests after 6–8 weeks. *Continue Rasayana therapy for 2–3 months for stable energy & digestion.
✨ With gentle correction of digestion, liver support, and balanced Vata, you will gradually feel stronger, lighter, and more energetic. Your symptoms are reversible with steady care.
With kind regards, Dr. Sumi MS(Ayu)
Take liv 52 tds 2 tab Take chadraprabhavati 2 tds Take castor oil 5 ml at night with luck warm water Take dadimadi ghurth 5 ml empty stomch at morning Avoid spicy and milk pdrouct
Hello I appreciate that you have explained your symptoms very clearly. I understand that you are worried about your digestion, constipation, post-herb weakness, and that you have low B12 in your history. However, don’t be worried, we are here to assist you out 😊
✅AYURVEDIC UNDERSTANDING
The patient appears to suffer from Pitta + Vata imbalance with Mandagni
Grade 1 fatty liver: Kapha-Pitta accumulation in Yakrit (liver) Medo-Dushti.
Poor digestion for 1 year: Mandagni - Ama formation - heaviness, irregular bowels.
Constipation after Triphala (1:2:4 ratio): This ratio is Pitta-reducing but Vata-increasing - caused dryness = mild weakness.
Past B12 deficiency + tingling Majja-vaha srotas mild depletion.
✅ AYURVEDIC PLAN OF TREATMENT
✅INTERNAL MEDICATION
👉 For Fatty Liver
1 Punarnavadi Kashayam – 15 ml + warm water twice daily before food ( Improves liver function,Reduces swelling & clears Ama)
2 Arogyavardhini Vati – 1 tablet twice after food ( Yakrit-uttejaka, Reduces fatty liver grade)
👉For Digestion (Primary Focus)
1 Hingwashtak Churna – ½ tsp with warm water before lunch & dinner ( Improves Agni, reduces bloating, prevents constipation)
2 Guduchi Satva – 1 tsp morning empty stomach (Balances Pitta, Builds strength without heaviness)
👉For Mild Constipation
Don’t use strong Triphala ratios. Use: Triphala Churna (equal ratio) – ½ tsp at bedtime with warm water
✅ EXTERNAL THERAPY
Abhyanga (warm sesame oil massage) on abdomen clockwise for 5–7 minutes daily ( Improves bowel movement)
5-minute deep breathing before sleep ( Improves parasympathetic tone & digestion.)
✅ DIET AND LIFESTYLE MODIFICATION
❌Avoid (very important) Fried foods, bakery, cheese Cold water Late-night dinners Overuse of Triphala in non-equal ratios Long fasting (aggravates Vata)
☑️Include Warm water frequently Moong dal khichdi 2–3 times a week 1 tsp cow ghee with hot rice or dal daily Jeera + Ajwain + Saunf water after meal
Wishing you a good health😊
Warm Regards, Dr Snehal Vidhate
✔️ Do’s: ✔️ Millet roti Buttermilk (daily include in your meal) Moong dal (green and yellow both are ok) All fruit vegetables Leafy vegetables (except methi and dil)
🧘♀️ Yogasan : 🧘♀️
1. Bhujangasana (Cobra Pose) 2. Dhanurasana (Bow Pose) 3. Ardha Matsyendrasana (Half Lord of the Fishes Pose) 4. Paschimottanasana (Seated Forward Fold) 5. Halasana (Plow Pose) 6. Sarvangasana (Shoulder Stand Pose) 7. Matsyasana (Fish Pose) 8. Supta Matsyendrasana (Reclined Spinal Twist) 9. Surya Namaskar 10. Malasan (Squats Pose)
🧘♀️ Pranayam : 🧘♀️ 1. Anulo Vilom 2. Bhramari 3. Kapalbhati
❌ Donot’s: ❌ Tea Coffee Addictions Dals (except moong) Sour Packed food Processed food Achar (pickles) Papad Fried food Avoid dairy completely Non veg products
💊 Medication: 💊
Tab. Live 52 DS 1 tab twice a day before food. Tab. Ampachak Vati 2 tabs twice a day before food. Tab. Agnitundi Vati 1 tabs twice a day before food. Syp. Drakshasav 2 tsp twice a day before food.
Tab. Shankhvati 2 tabs after food suck and eat twice a day
Tab. Gandharva Haritaki 2 tabs at night with one glass hot water.
Start on Arogyavardini vati 1-0-1 Giloy tab 1-0-1 Chitrakadi vati 1-1-1 Haritaki churna 1 tsp with warm water at bedtime Keep yourself hydrated Include fruits vegetables in diet Avoid raw salads long gaps between meals late night food Regular walking
DNT WORRY STARTS ON:-
LIVOGRIT VITAL=2-2 TAB BEFORE MEAL TWICE DAILY
CHITRAKADI VATI PUNARNAWADI MANDOOR ERAND BHSTRA HARITAKI TAB=1-1 TAB AFTER MEAL TWICE DAILY
AVOID OILY/SPICY/JUNK FOOD
DO REGULA YOGA AND PRANAYAM
Internal Medicines- 1. Arogyavardhini Vati – 1 tablet morning after breakfast 2 Dadimadi Ghrita – 10 gm morning empty stomach with warm water 3 Triphala Churna – 3 gm night only with 1 tsp ghee + warm water 4 Liv-52 DS OR Liver-Kidney tonic – 2 tablets twice daily after meals 5 Neurobion Forte OR Becosules-Z – 1 capsule daily after lunch for 30 days
Daily Must-Do 1 tsp cow ghee + warm milk night 200 ml moong soup OR thin buttermilk with roasted jeera lunch Stop Rambaan and 1:2:4 Triphala permanently – it is too strong for your Vata-Pitta body
Diet Give only: moong khichdi + ghee, rice kanji, pomegranate, beetroot, stewed apple
Avoid completely: junk food, maida, outside food, excessive raw salads
Regards Dr Gursimran Jeet Singh MD Panchakarma
Internal Medicines- 1 Arogyavardhini Vati – 1 tablet morning after breakfast 2 Dadimadi Ghrita – 10 gm morning empty stomach with warm water 3 Triphala Churna – 3 gm night only with 1 tsp ghee + warm water 4 Liv-52 DS OR Liver-Kidney tonic – 2 tablets twice daily after meals 5 Neurobion Forte OR Becosules-Z – 1 capsule daily after lunch for 30 days
Daily Must-Do 1 tsp cow ghee + warm milk night 200 ml moong soup OR thin buttermilk with roasted jeera lunch Stop Rambaan and 1:2:4 Triphala permanently – it is too strong for your Vata-Pitta body
Diet Give only: moong khichdi + ghee, rice kanji, pomegranate, beetroot, stewed apple
Avoid completely: junk food, maida, outside food, excessive raw salads
Regards Dr Gursimran Jeet Singh MD Panchakarma
Hello, Following will help you address the issue: 1. Patolamooladi kashayam 15ml—0-----15ml by adding 45ml of boiled cooled water 45 minutes before breakfast and 45 minutes before dinner for 60 days. 2. Tablet Agnitundi vati 1—0----1 after breakfast and after dinner with a cup of warm water. for 60 days.
Diet: 1. Consume freshly cooked warm food; avoid raw completely. 2. Avoid banana, brinjal, cabbage, cauliflower. 3. Drink 2 liters of boiled warm water through out the day. 4. Avoid junk food, refrigerated food.
Lifestyle: 1. Start practicing yogasana, pranayama for an hour daily. 2. Let there be a gap of 2 hours between dinner and going to bed. 3. Follow a strict schedule for having your meals and also a good bed time routine. Take care, Kind regards.
Start with Syrup Liv-52 -DS 10ml once daily after food with water will improve your digestion Ashwagandha churan 0-0-1tsp at bedtime with warm milk. Harde tablet 0+0-1 at bedtime with warm water.
Hi dear this is Dr soukhya no need to worry… Just take Rx-syp Liv 52 10ml twice daily after food T Anuloma DS 0-0-1 only night with warm water before going to bed Abhayarista 10ml twice after food Just follow this if any doubt kindly let me know
1.Chitrakadi vati 2 tab twice daily with water before meals 2.Arogyavardhini vati 2 tab twice daily with water after meals 3.Syp. Amlycure 2 tsp thrice daily 4.Tab Heposem 1 tab twice daily with water after meals 5.Punarnavarishta 20 ml with 20 ml water twice daily after meals
For constipation: Triphala churna 1 tsp at bedtime with warm water
🥗 Diet & Lifestyle - Eat: Moong dal, khichdi, green vegetables, papaya, apple, pomegranate, salads and fiber rich diet. - Avoid: Fried, oily, spicy food, red meat, junk food. - Spices: Use turmeric, cumin, coriander, hing. - Yoga: Gentle postures like Pawanmuktasana, Bhujangasana, Mandukasana. - Routine: Adequate sleep, stress reduction, and regular check-ups.
Warm Regards Dr. Anjali Sehrawat
tab liv 52…2-2-2 Samsamni vati 2-0-2 Amalaki Churna 5gm bd Triphala Churna 5 gm bd before food with warm water
For Constipation
use Warm Water At bed time and in early morning Tab EBH 1 hs
HELLO,
GRADE 1 FATTY LIVER This is the mildest form of fatty liver
WHAT IT MEANS -Your liver cells have started storing extra fat. -it is not dangerous at this stage, but if ignored for years, it may progress to Grade 2, Grade 3, or inflamamtion (hepatitis)
WHY IT HAPPENS -digestion becomes weak-> food is not broken down properly -liver fails to burn fat-> fat starts accumulating -lifestyle factors like irregular eating, sugar, junk food, alcohol, stress worsen it
THE GOOD NEWS -Grade 1 fatty liver is reversible with diet + herbs + lifestyle correction
B) LOW DIGESTION You feel -bloaitng -weak digestion -occasional constipation -heaviness -low energy
This indicates low digestive fire (agni) , which leads to -formation of ama (toxins) -fat not metabolizing-> fatty liver -reduced nutrient absorption-> weakness
C) TINGLING SENSATION (PAST B12 SENSATION) This is already corrected with B12, but weakness you feel now is digestion-related, not neurological
D) CONSTIPATION AND WEAKNESS AFTER TRIPHALA You took triphala in non-standard ratio (1:2:4) , which -increases dryness -can dehydrate colon -causes stool hardening -removes more toxins than your body is prepared for-> temporary weakness
This is mild and reversible
TREATMENT GOALS -increase digestive fire -melt and remove liver fat -reduce ama (toxins) -normalize bowel movements -strengthen liver cells -improve energy and metabolism -support vitamin absorption -improve gut liver axis -stabilze digestion long term
INTERNAL TREATMENT
1) FOR LIVER DETOX AND FAT REDUCTION
-PUNARNAVA MANDUR= 2 tabs twice daily after meals for 12 weeks =reduces swelling, improve liver function ,removes excess water retention
-BHUMIAMLA CAPSULES= 500mg twice daily after meals for 3 months = best herb for liver repair, reduces liver enzyme elevation. reverses fatty liver
-KALMEGH CAPSULE= 1 cap twice daily after meals for 45 days =strong detox, enhances bile secretion, burns liver fat
2) FOR DIGESTION + AMA REDUCTION
-TRIKATU CHURNA= 1/2 tsp after meals with warm water for 4 weeks =boosts agni, removes ama, reduces gas/ bloating
3) FOR CONSTIPATION (soften stool gently)
-CLASSICAL TRIPHALA (1:1:1)= 1 tsp at night with warm water for 3 months =balances vata, cleanses bowel without weakness
-WARM WATER + 1 TSP COW GHEE AT BEDTIME =soften stool, onrushes colon
EXTERNAL TREATMENT
1) ABDOMINAL HOT WATER BAG -apply 10-15 min after meals -improves digestion -relieves gas and bloating -enhances liver blood circulation
2) GENTLE OIL MASSAGE -use sesame oil -twice weekly -improves vata balance -reduces digestive constriction
3) CASTOR OIL PACK -apply warm Castor oil soaked cloth on upper abdomen -pplace hot pack on top -20-30 min -helps detox liver -improves bowel movement
DIET
VEGETABLES= bottle gourd, ridge gourd, ash gourd, carrots, beans, spinach, methi, coriander, pumpkin, zucchini
FRUITS= papaya, apple, pear, amla, citrus fruits
GRAINS= red rice, brown rice, whole wheat, millet (bajra, jowar ing oderation)
PROTEIN= moog dal, lentils, low fat curd (daytime only), buttermilk with jeera
HEALTHY FAT= cow ghee 1-2 tsp/day, Oliver oil/cold-pressed oils
SPICES= turmeric, ginger, cumin, ajwain, fennel, black pepper
AVOID STRICTLY -fried foods -alcohol -bakery items -white sugar -cold drinks, soda -heavy dairy - panner at nght -fast food -red meat -late night meals -excessive coffee
LIFESTYLE -eat meals at fixed times -finish dinner by 7:30 pm -avoid sleeping immediately after eating -walk for 15-20 min after meals -sleep 11pm-6am -avoid long daytime sleep -manage stress- breathing. meditation -drink warm water throughout day
YOGA -mandukasana= stimulates pancreas and liver -bhujangasana= improves blood flow - dhanurasana= massages abdominal organs -ardha matsyendrasana= enhances digestion and detox -pawanmuktasana= reduces bloating
PRANAYAM -Anulom vilom= 10 min- corrects metabolism, reduces stress, improves liver oxygenation -Bhastrika= 1-2 min, boosts agni, burns agni -Kapalbhati= 30-50 strokes * 2 rounds, helps fatty liver
HOME REMEDIES -jeera- ajwain-saunf tea= reduces gas+ improves agni -Lemon water moring= helps liver detox -Amla powder= strengthens liver -Once clove garlic day= burns fat naturally -warm water always -enhances metabolism
You have early, reversible conditions Your digestive issues and fatty liver share the same root cause-> low agni-> moderate ama-> mild kapha imbalance With the right lifestyle, diet and medications you will fully recover
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Balancing a Grade 1 fatty liver alongside digestive issues involves a delicate understanding of your body’s needs. A low Agni, or digestive fire, could be contributing to both the sluggish digestion and your liver condition. Since you have experienced constipation with Triphala, it might be too strong for your current digestive state.
Firstly, avoid heavy, oily, and fried foods as well as excessive sugars and refined carbohydrates. These can exacerbate your liver situation and further dampen your digestion. Instead, focus on a diet including light, easily digestible foods. Cooked vegetables like zucchini, carrots, and beets can be beneficial. Incorporate whole grains like quinoa, barley, or rice and lean proteins in moderation such as mung beans or lentils are preferred.
A gentle detoxification might help. Consider incorporating warm lemon water first thing in the morning, which can help with stimulating your liver and initiating digestion without the harshness of Triphala. Add in a pinch of turmeric, renowned for supporting liver health, if desired.
For the energy drop you’re experiencing, looking at your diet’s vitamin content is essential. The tingling sensation due to low B12 highlights the need for vitamin-rich foods. Continue maintaining a diet with ample B12 sources—fortified cereals or plant-based foods, as supplements might be needed occasionally if you cannot get enough from diet alone.
Pay attention to meal timings, eating in a relaxed environment to support digestion’s natural rhythm. Consistency in meals time helps strengthen digestion.
In terms of lifestyle, aim for a daily routine with moderate exercise like a 20-30 minute walk—this supports Agni. Avoid late nights and ensure your sleep pattern is regular, improving both metabolism and energy levels during the day. Since the condition involves the liver, avoid alcohol entirely. If weakness and digestive issues persist, seeking consultation with a healthcare professional specializing in Ayurveda for a more tailored, dosha-specific treatment would be advisable.
Addressing your concerns requires a multifaceted approach, focusing on both your fatty liver and the digestive issues you’ve been experiencing. In tackling grade 1 fatty liver, it’s important to support liver detoxification and improve digestion. The fact that you’ve experienced relief from your B12 supplementation indicates that nutritional deficiencies may be part of the issue.
To enhance liver function and digestion, incorporating turmeric (Curcuma longa) and guduchi (Tinospora cordifolia) can be beneficial. Take ½ teaspoon of turmeric powder and 1 teaspoon of guduchi powder mixed in warm water, once daily. These herbs help improve liver function and boost metabolism. Additionally, ensure you’re consuming enough leafy greens and foods rich in antioxidants; these assist in detoxifying and repairing liver tissues.
Regarding your digestion, Triphala is generally balancing but, as with all formulas, individual responses can vary. It might have been dosed or combined incorrectly for your constitution, leading to the constipation you experienced. Try taking Triphala in smaller quantities—perhaps ½ teaspoon—at bedtime mixed with warm water. Monitor how you respond and adjust accordingly.
The weakness you’re experiencing could be due to other factors, including diet and lifestyle. Make sure you’re staying hydrated and eating meals at regular intervals. Consider light, easy-to-digest foods like moong dal khichadi. Yoga focusing on gentle agni-boosting postures like Bhujangasana (Cobra Pose) can aid too.
Keep in mind that fatigue and digestive symptoms can also stem from other imbalances that require monitoring or professional advice. Regular follow-ups with your healthcare provider are advised to ensure that any underlying conditions are effectively managed and that B12 levels remain adequate. Avoid over-relying on supplements or herbs without guidance, as your body’s responses should be monitored closely.
