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General Medicine
Question #44214
86 days ago
734

Struggling with Weight Loss and Fatigue - #44214

Client_17578a

I want to reduce my stubborn weight. My bmi is 30 and height is 5’1. I have never been overweight but since last 10 years I’m 25 kgs more. I have a troubled marriage and usually tired all the time every after a 7 hr sleep. My hba1c is 5.5(last checked before 2 yrs).

How long have you been experiencing weight gain?:

- 5-10 years

What is your typical daily activity level?:

- Moderately active (moderate exercise/sports 3-5 days a week)

How would you describe your eating habits?:

- Frequent unhealthy meals
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HELLO,

We aim to balance vata, mildly reduce kapha(fat), and support (digestion, metabolism)

EFFECTIVE EXERCISES focus on combining cardio, strength, and core exercises.

CARDIO(daily for 30-45 mins) -Brisk walking/jogging - cycling -jump rope - dancing or aerobics these help burn fat all over, including the belly.

CORE- TARGETED WORKOUTS(3-5 TIMES/WEEK) -plank = 3 sets of 30-60 sec - Russian twists= 3 sets of 20 reps - Leg raises -Mountainclimbers -Suryanamskar= 8 rounds daily

YOGA ASANAS

STRENGTH AND CORE (fat burn + muscle building) -Suryanamskar = 10 rounds -Plank (1 min* 3) -bhujangasana -setu bandhasana -navasana -utkatasana

FLEXIBILITY AND RECOVERY -Trikonasana, vrikshasana -ardha matsyendrasana -balasana

PRANAYAM(10 min total) -kapalbhati= 3 rounds for fat metabolism -bhastrika- 3 rounds -Anulom Vilom- 5 min -bhramari- 2 mins

DETOX PLAN EVERY 6 MONTHS PANCHAKARMA(under ayurvedic practitioner at clinic setup) -Virechana= liver detox, fat metabolism -basti = best for vata, back Pain relief, deep detox -abhyanga + swedana= toxin elimination, skin glow, flexibility -Nasya= clears sinuses, improves oxygenation

EXERCISE ROUTINE MON= strength (upper body + core) TUE= HIIT (15 min) + Yoga WED= strength (lower body) THU= walk(45 mins)+ mobility FRI= full body+core training SAT= long walk/light jog+yoga stretching SUN= rest+pranayam+self massage

This diet is kapha reducing, which means it helps reduce excess body fat, improves metabolism, and minimise water retention and heaviness- especially around belly.

1) GRAINS(choose light, low glycemic) -old rice, barley, millets- bajra, ragi, jowar, quinoa, whole wheat

AVOID= white rice, maida, processed breads or bakery items, heavy or sticky grains like oats

2) PULSES AND LEGUMES -moong dal= easy to digest , light -massor dal -hoarse gram= very good for reducing fat(kulthi) -chickpeas- chana roasted or boiled

AVOID= rajma, chole, urad dal- they are heavy and produce gas if digestion is weak, overcooked or creamy dals

3) VEGETABLES -leafy grreen= spinach, methi, coriander, curry leaves -lauki, tinda, karela, pumpkin -cabbage, cauliflower, broccoli, carrot, beans -drumsticks, snake gourd - radish-especially good for belly fat

AVOID= potato, sweet potato , arbi, -tomatoes in excess -excess onion garlic at night

COOKING- steam or light saute vegetables with mustard seeds, cumin, ginger, and turmeric in minimal oil

4) FRUITS -apples, pear -papaya= excellent for digestion -pomegranate -guava, watermelon= take in morning only -seasonal berries -amla- raw or juice

AVOID= banana, mangoes, grapes, chikos, any fruits after sunset, fruit juices= high sugar

5) DAIRY PRODUCTS -buttermilk=diluted curd, churned, spiced with roasted cumin,ajwain - low fat curd- only in daytime - cow’s milk-if needed boiled with turmeric or ginger

AVOID= cold milk, panner, cheese, khoya, full cream milk, curd at night

6) FATS AND OILS -cows ghee- small quantity, helps in fat metabolism -cold pressed mustard oiler sesame oil

AVOID -refined oils, deep fired food

7) SPICES AND HERBS these helps stimulate digestion, improves metabolism and reduce bloating -ginger, cumin, ajwain, black pepper, turmeric, cinnamon, fenugreek, asafoetida

use these in cooking or as herbal teas- cumin-fennel-coriander decoction after meals

8) BEVERAGES -warm water throughout the day - herbal teas -jeera water

AVOID= cold water, aerated drinks, packaged fruit juices, sweet lassi or milkshakes

9) SNACKS-light dry and non sugary - roasted makahna, roasted chana, dry fruits in moderation -chia seed water -sprouts= moong, chana with lemon, no salt

AVOID -buiscuits, chips, namkeen, bakery items, sugar bars or energy drinks

HOW TO EAT -eat only when hungry- no emotional or boredom eating - eat in calm, mindful environment - avoid overeating, even healthy foods - use warm, cooked meals, over raw/cold food -obseve mitahara- balanced, moderate, quantity of food - intermittent fasting- 14-16 hours overnight is safe and recommended

MEDICATIONS ADVISED FOR WEIGHT LOSS AND BELLY FAT

PHASE 1- DETOX AND METABOLISM duration= for week 1-4

1) TRIPHALA CHURNA- 1/2 tsp with warm water at bedtime =improves gut health, reduces fat absorption, prevents constipation

2) TRIKATU CHURNA- 1/2 tsp with honey 15 minutes before meals twice daily = burns toxins, stimulates fat metabolism

3) WARM LEMON-HONEY WATER -juice of 1/2 lemon+ 1 tsp honey in 1 glass warm water =first thing in the morning on an empty stomach

PHASE 2= FAT BURNING AND WEIGHT MANAGEMENT duration= week 5-12

4) MEDOHARA GUGGULU- 2 tabs twice daily after meals with warm water =reduces kapha and meda dhatu- fat tissues, helps in belly fat loss

5) PUNARNAVA MANDUR-FOR WATER RETENTION AND LIVER METABOLISM = 2 Tabs after lunch and dinner =imporves metabolism , supports kidney, liver detoc and reduces bloating

6) VRIKSHAMLA CAPSULES- 1 cap 30 minutes before meals twice daily =reduces appetite, inhibits fat storage

DAILY ROUTINE

5:30 AM= wake up , this will align body clock, energy boost

5:45 AM= oil puling with sesame oil (10 min), oral detox, skin and gum health

6:00 AM= triphala 1 tsp with warm water, gut cleansing, liver detox, skin

6:30 AM= Abhyanga (warm sesame oil massage-15 min), relieves back pain, tones muscles, detox

7:00 AM= bath with lukewarm water, vata pacification

7:30 AM= light yoga and pranayam, endurance , strength, flexibility

8:00 AM= breakfast(protein rich, warm), muscle gain, metabolism

1:00 PM= heaviest meal(lunch), improves digestion, nutrient absorption

4:00 PM= herbal tea+light snack(seeds/makhana), keeps metabolism active

6:30 PM= early light dinner, fat burn, easy digestion

9:00 PM= foot massage, sleep, detox nervous system

9:30 PM= sleep, muscle recovery, anti aging

MONITOR WEIGHT EVERY 2 WEEKS TRACK DIGESTION AND ENERGY LEVELS STAY HYDRATED

DO FOLLOW CONSISTENTLY

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Take medohar gugulu 3 tds Take kanchnagr gugulu 2 bd Take mahatriphla gugulu 2 bd

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Start with Tablet Liv-52 1-0-1 after food with water Tablet obenyl 2-2-2 after food with warm water Have warm water through out the day Have early and light dinner consisting of soup salad vegetable Skip one meal breakfast or lunch. Brisk walking atleast 30 mins daily Do pranayam lom -vilom bhastrika kapalbhati brahmri daily for 5-10mins twice Avoid processed fatty fast foods sugary foods. Visit ayurvedic centre for Udvartan massage.

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No worries Start on Medhohara vati 1-0-1 Arogyavardini vati 1-0-1 Triphala churna 0-0-1 tsp at night Drink plenty water f fluids Brisk walk atleast 45 minutes daily Take 2 meals in a day Avoid sleeping immediately after taking food Drink warm water throughout the day Drink fennel cumin carom tea twice daily Avoid oily fried junk processed foods

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Don’t worry take mastyatail capsules 1tab bd,navaka Guggulu 1tab bd, medoharavidangadhi lauha 1tab bd, varanadhi kashayam 20ml bd, Arogya vardini vati 1tab bd u ll get relief

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HELLO DEAR, DON’T WORRY,THE FOLLOWING TREATMENT PLAN WILL HELP YOU. TREATMENT- 1. Arogyavardhni vati-0-1-1 before meals 2. Medohar vati-0-2-2 before meals 3.Triphla churna-1/2 tsp with lukewarm water at bedtime.

Focus on creating a calorie deficit (burning more calories than you consume) through a combination of diet and exercise for sustainable weight loss. Diet- Foods to Include: Fruits and Vegetables: Aim for at least 4 servings of vegetables and 3 servings of fruits daily. Whole Grains: Choose whole grains like brown rice, quinoa, oats, and whole-wheat bread over refined grains (white rice, white bread). Lean Proteins: Include protein sources like fish, chicken, beans, lentils, and eggs, as they help you feel full and support muscle mass. Healthy Fats: Incorporate healthy fats from sources like olive oil, avocados, nuts, and seeds. Low-Fat Dairy: Choose low-fat or fat-free dairy products. Hydration: Drink plenty of water throughout the day.

Foods to Limit or Avoid: Alcohol, sugary drinks,fast food.

Portion Control: Be mindful of portion sizes and avoid overeating. Use smaller plates. Mindful Eating: Pay attention to your body’s hunger and fullness cues. Fiber Intake: Increase your fiber intake, as it can help you feel full and regulate digestion, according to Healthline. . Drink plenty of water to help with weight loss and overall health. RECOMMENDED TESTS- Hb level,RBS,Thyroid profile YOGA-kapalbhati-10 min,bhastrika,tadasana-5min EXERCISE-crunches,cardio-15 min daily Lifestyle modifications - .Get atleast 7 hours of sound sleep.Quality of sleep also matters. . Stress management -Through meditation walking journaling gardening. .Take out 10 min to do something you enjoy like music,writing,reading,dancing ,painting…this will reduce mental pressure. .Track your progress: Monitor your food intake and physical activity to stay on track. Be Patient and Consistent. FOLLOW UP AFTER 1 MONTH. Regards, Dr. Anupriya

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Hello, Your history of long-term weight gain (10 years), BMI 30, fatigue despite sleep, stress from a troubled marriage, and frequent unhealthy meals indicates Kapha aggravation, Mandagni (slow metabolism), and Vata disturbance due to emotional stress. This creates Srotorodha (channel blockage) causing stubborn weight, cravings, heaviness, water retention and low motivation. Your treatment will focus on boosting metabolism (Agni Deepana), reducing Kapha, balancing stress-Vata, and correcting insulin sensitivity.

🔎 Recommended Investigations (If not done in the last 6 months) 1. HbA1c, Fasting Blood Sugar & Fasting Insulin – early insulin resistance is common even with HbA1c 5.5. 2. Thyroid Profile (TSH, T3, T4) – thyroid sluggishness often mimics stubborn weight gain. 3. Vitamin D3 & Vitamin B12 – deficiencies cause fatigue, cravings, slow metabolism. 4. Lipid Profile & Liver Function Test – weight gain often coexists with mild fatty liver.

💊 Internal Medicines Phase 1 – 15 days (Agni Deepana + Kapha Reduction + Stress Balance) 1. Trikatu Churna – ½ tsp with warm water before lunch and dinner 2. Avipattikar Churna – ½ tsp at bedtime with warm water 3. Punarnava Mandur – 1 tablet twice daily after meals 4. Ashwagandha Ghana / Ashwagandha tablets – 1 tablet at bedtime (for stress-Vata, improves sleep & cravings)

Phase 2 – 45 days (Metabolism Reset + Fat Reduction + Hormonal Balance) 1. Medohar Guggulu – 2 tablets twice daily after meals

2. Arogyavardhini Vati – 1 tablet twice daily after meals (supports liver & fat metabolism) 3. Shatavari Kalpa / Shatavari tablets – 1 tablet twice daily (balances stress hormones & fatigue) 4. Guduchi / Giloy Satva – 1 tsp with warm water in the morning

🌿 External & Supportive Therapies 1. Udwartana (herbal dry powder massage) – 3× weekly Helps break subcutaneous fat and reduce Kapha heaviness. 2. Abhyanga with warm sesame oil – 2× weekly Calms Vata caused by emotional stress. 3. Warm water sipping throughout the day Helps dissolve Ama and mobilise fat. 4. Castor oil 2–3 drops in navel at night Regulates digestion and reduces bloating.

🥗 Diet & Lifestyle Recommendations ❌ Avoid 1. Cold foods, curd at night, iced drinks 2. Sugar, bakery, maida, pastries 3. Fried foods, chips, excess cheese, red meat 4. Emotional eating / stress snacking 5. Daytime sleeping (increases Kapha) ✅ Include 1. Warm, freshly cooked, lighter meals – khichdi, moong dal, soups, steamed vegetables 2. Metabolism tea Cumin + coriander + fennel boiled water after lunch 3. Morning routine 1 glass warm water + lemon + ½ tsp honey 4. Night routine 5 soaked almonds + 5 soaked raisins 5. Spices Turmeric, cinnamon, dry ginger, black pepper – all excellent for Kapha 6. Portion rule 50% vegetables 25% protein (dal, paneer, egg) 25% whole grains

🧘🏻‍♂️ Yoga & Pranayama Fat-loss Asanas 1. Surya Namaskar – 5–7 rounds daily 2. Ustrasana 3. Ardha Matsyendrasana 4. Setu Bandhasana 5. Pavanmuktasana 6. Vajrasana after meals Pranayama 1. Kapalbhati – 1–2 minutes (only if BP normal) 2. Anulom Vilom – 10 minutes 3. Bhramari – 5 minutes (excellent for stress cravings) Sleep routine Sleep by 10:30 pm No heavy meal at night Light 10-min walk after dinner

🕉️ Follow-up & Duration * You can expect energy improvement in 10–14 days. * Weight loss of 2–3 kg per month is ideal and sustainable. * Recheck blood tests after 6–8 weeks. * Continue metabolic herbs for 3 months for stable results.

✨ With gentle Kapha reduction, Agni strengthening, and emotional balance, your metabolism will gradually reset. Your weight gain is reversible with steady care.

With kind regards, Dr. Sumi MS(Ayu)

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You dnt mention your age …bcz genrally females after menopause/hypothyroidism/hormonal disturbance/sedantary lifestyle causes weight gain…

Some times taking steroidal medication growth weight …

Management:-

SARWAKALP KWATH=200gm Kayakalp KWATH=100gm… mix all take 1 tsp boil with 200ml of water till reduces 100 ml strain and take empty stomach twice daily

Divya weight go tab=2-2 tab before meal twice daily

Medhohari GUGULU LAUKI ghan vati Garlic capsule=1-1-1 tab after meal thrice daily…

Avoid sweets/dairy products/fast food/ghee/butter

Drink worm water 3 litres per day

Do regular brisk walking=10000 steps per day…

Regards Vadiya atul PAINULI Patanjali yogpeeth

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Medohar guggul 1 TDS Trifla churn 2 tsf BD Drink plenty of fluids Take warm water in morning Avoid spicy and oily food

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✔️ Do ✔️ Drink buttermilk Shift to millet roti Dinner at 7.30 or 8 100 steps daily after both meals Best to have lunch at 11.30-12 and dinner at 7.30-8 Fast for atleast 14 hours daily. You can have buttermilk, black tea, green tea, black coffee.

🧘‍♀️ Yoga 🧘‍♀️ Tadasan Vrukshasan Pashimotanasan Virbhadrasan Marjarasan Hastapadanasan Dhanurasan Halasan Suryanamaskar 5 atleast

🧘‍♀️ Pranayam 🧘‍♀️ Anilom Vilom Bhasrika Bhramari Kapalbhati

❌Don’t❌ Anything white like wheat, refined flour, sugar, salt, potato, sweet potato Oily food Packed food Processed food Ready to eat food Dairy products

💊 Medication 💊

Tab. Ampachak Vati 2 tabs twice a day before food Cap. Decrine 2 caps twice a day before food Tab. Rasapachak vati 2 tabs twice a day before food

Cap. Garcinin 2 caps after food twice a day

Castor oil 1 cup water + ¼ tsp dry ginger powder boil to ½ cup and take 3 tsp castor oil at bed time

KEEP A WATCH ON YOUR SUGAR LEVELS

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Internal Medicines- 1 Varunadi Kashayam – 20 ml + 60 ml warm water morning empty stomach 2 Triphala Guggulu – 2 tablets morning + 2 tablets night after food 3 Medohar Vati (Baidyanath/Zandu) – 2 tablets morning + 2 tablets night after food 4 Ashwagandha Lehyam – 10 gm morning + 10 gm night with warm milk 5 Shilajit pure resin – 500 mg morning with warm milk/water (only first 45 days)

Daily Oil (must do) Warm Bala-Ashwagandha Taila + Narayana Taila (1:1) → full-body massage 10 min → hot bath → daily

Diet – Switch Completely from Today Breakfast (8 AM): vegetable oats OR 2 moong-dal chilla + green tea 11 AM: 1 apple/guava + green tea

Lunch (1–2 PM): 50 g brown rice OR 2 jowar/bajra rotis + moong dal + lauki/turai/karela + 1 tsp ghee 5 PM: roasted makhana + jeera tea

Dinner before 7 PM: vegetable soup OR light khichdi + ghee Before bed: 1 cup warm milk + pinch turmeric (no sugar)

Avoid 100 % Maida, sugar, cold drinks, fried food, outside meals, banana, potato, curd after noon, dinner after 7:30 PM

Exercise & Lifestyle 45–60 min brisk walk daily morning Kapalbhati 5–7 min + Anulom-Vilom 10 min daily Sleep strictly 10 PM – 6 AM No phone/TV after 9 PM (stress-eating trigger)

Regards Dr Gursimran Jeet Singh MD Panchakarma

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1.Medohara guggulu 2 tab twice daily with water after meals 2.Punarnavasava 20 ml with 20 ml water twice daily after meals 3.Triphala churna 1 tsp at bedtine with warm water 4.Syp Energy plus 2 tsp thrice daily

🥗 Diet & Lifestyle (Kapha-Pacifying) - Avoid: Fried, oily, sweet, dairy-heavy foods, late-night eating. - Prefer: - Warm, light meals (moong dal, barley, millet roti). - Spices: ginger, black pepper, cinnamon, turmeric. - Herbal teas (cinnamon, ginger, tulsi). - Routine: - Morning: Warm water with lemon + 1 tsp honey. - Meals: Small, frequent, warm meals. - Evening: Herbal tea instead of snacks. - Exercise: Brisk walk or yoga daily (Surya Namaskar, Kapalabhati, Ustrasana).

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Your weight gain is not only due to food instead it is due to stress and hormonal imbalances slow metabolism poor sleep quality Drink warm water throughout the day Brisk daily 45 minutes daily Avoid cold foods junk bakery foods Avoid heavy meals at night Take Medhohara guggulu 1 BD Triphala churna 1 tsp HS

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Addressing weight loss requires a comprehensive approach, particularly with persistent fatigue. According to Ayurvedic principles, an imbalance in the Kapha dosha can be a key factor in weight gain and lethargy. Considering this, here’s a personalized approach:

First, focus on enhancing your digestive fire, or agni, crucial for effective metabolism. Begin your day with warm water infused with a slice of lemon or a teaspoon of honey. This can help ignite the digestive process. Limiting cold foods and drinks is advisable as they can suppress digestion.

Incorporate light, Kapha-pacifying foods into your diet. Opt for meals rich in whole grains like quinoa, barley, and brown rice, all in moderate quantities. Include a variety of seasonal vegetables, especially bitter and astringent ones like spinach, kale, and green beans. Spices such as ginger, turmeric, cumin, and black pepper can enhance digestion and boost metabolism, so use them generously in your cooking.

Avoid heavy, oily, and processed foods that can aggravate Kapha. Instead, aim for freshly cooked meals whenever possible to retain prana, the life force.

Regular physical activity is essential. Begin with a brisk morning walk for about 30 minutes. Gradually include dynamic practices like yoga or light aerobic exercises — adapt based on comfort and ability level. Fruits such as apples, pears, and berries should replace snacks and sweets.

Now, consider introducing a mindful relaxation practice. Daily meditation or deep-breathing exercises for even 10-15 minutes can significantly reduce stress and improve vitality. The root of fatigue and weight concerns may lie in emotional dimensions; managing stress aids both sleep quality and overall health.

Monitor your insulin levels yearly as it provides insight into glucose metabolism. Consulting a healthcare provider for a yearly hematological check can also rule out thyroid or nutritional deficiencies that may contribute to fatigue.

This path requires dedication but could lead to sustainable weight and energy balance. Make gradual changes, best fit to your daily schedule, for long-lasting effects.

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Your situation indicates an imbalance primarily involving the Kapha dosha, which often manifests as weight gain and sluggishness. The stress from a troubled marriage could also be contributing to this imbalance, affecting your energy levels and overall health. Begin by focusing on a Kapha-balancing lifestyle and diet. Include light, warming foods like ginger, turmeric, and pepper. These can help stimulate your agni, or digestive fire, which appears to be weakened contributing to difficulty in losing weight. Try adding these spices to your meals or consuming them as an infused tea.

Aim to have meals that are freshly cooked, avoiding processed and heavy foods which can further aggravate a Kapha disposition. Eating your largest meal at lunchtime when your digestive fire is strongest, and a lighter meal at dinner can also be beneficial. Incorporate more fruits and veggies that are naturally diuretic like cucumber, lettuce, and watermelon.

Regular physical activity is important to counteract Kapha sluggishness. Choose activities you enjoy to ensure consistency. Yoga and brisk walking could be a good start.

To improve your energy levels, ensure you’re practicing deep, restorative yoga poses or gentle stretching before bed to calm your mind and improve sleep quality. Ashwagandha, an adaptogenic herb, can also be helpful for stress management. Consider using a qualified practitioner to identify the right dosage and form.

Given the time elapsed since your last HbA1c test, regular monitoring under a healthcare provider is advisable, as it helps keep track of potential metabolic changes associated with weight gain, especially with your current symptoms. Always consult with a practitioner before making significant changes, especially if symptoms worsen.

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