Hello Thank you for giving me your report and sharing your concerns with me. I can understand that thyroid results can be puzzling especially when your doctor mentions that TSH is slightly low but T4 is normal.
Let me assure you: - This is NOT hyperthyroidism. - This is only a very slight overactivity (subclinical) - By Ayurvedic regulation of Agni, stress, and Doshas, you will be able to stabilise this stage naturally early on.
You also mentioned that you have gained a little weight and have some other health issues. So, your thyroid disorder is quite subtle and not dangerous.
✅ AYURVEDIC UNDERSTANDING
According to Ayurveda, this condition corresponds to:
👉Imbalance of Pitta and Vata in the early stage of thyroid (Galaganda / Agnimandya variants)
A situation when TSH is a bit lower but T4 is still normal, speaks volumes.
It means: Agni is unstablePitta is slightly elevated (heat in metabolism) Vata is disturbed (irregularity, stress, hormonal signalling issues) Kapha is trying to keep the balance (therefore weight is not going down)
This produces a subclinical imbalance, not a disease. Ayurveda aims to stabilize this phase so that the disease does not progress.
✅ AYURVEDIC PLAN OF TREATMENT
Currently, you do not need Shodhana (Panchakarma). A gentle internal balancing would be the most appropriate.
👉Regulate Thyroid Axis with Herbs Take these for 6–8 weeks:
1. Punarnava Mandur – 1 tablet twice daily after food It supports fluid balance, the thyroid axis and helps if there is swelling.
2. Kanchanar Guggulu – 1 tablet twice daily It balances Pitta & Vata in the thyroid tissues.
3 Ashwagandha – 1 capsule at night It regulates HPA axis → thus stabilising TSH signalling naturally.
4.Brahmi – 1 capsule at night Help with stress (stress is the main cause of low TSH).
👉 Digestive & Metabolic Support (Very Important)
As you have a little weight gain and some digestive troubles:
1 Trikatu Churna – 1 pinch in warm water before lunch It enhances Agni without causing overheating.
Jeera + Dhaniya + Ajwain Water Drink warm and take it regularly to stabilise your metabolism.
✅ DIET FOR THRYOID STABILITY
Don’t go to extremes—Ayurveda is always in the middle for the thyroid.
👉Include
Warm cooked meals Ghee Mung dal Carrots, beets, pumpkin Ragi, red rice, quinoa Nuts & seeds Coconut water Herbal teas (liquorice, tulsi, ginger)
❌Not allowed:
Cold foods Excess salads Coffee Fermented foods Heavy wheat breads Excess sugar Heavy dinners
✅ LIFESTYLE AND ROUTINE
To calm Vata–Pitta signalling:
– Be in bed by 10:30 pm – Walking for 20–30 min every day – 15 min of sunlight on waking This will help improve hormonal and cortisol rhythms.
👉Pranayama (15 minutes) BhramariAnulom–VilomSheetali (just 2–3 min) These are excellent for balancing the thyroid axis.
✅When to Re-Test?
Your doctor has already set a date for the next test. Ayurveda recommends:
Re-assessing TSH, Free T4, Free T3 after 6–8 weeksAlso, ideally, Vitamin D & B12 should be checked
Your results indicate a very early stage of imbalance rather than a disease. Ayurveda is perfect for stabilizing such situations before they develop further.
You have the time. Your body is on your side. With mild herbal and routine intervention, your TSH can come back to normal very nicely.
I wish you good health😊
Warm regards, Dr Snehal Vidhate
Start with Tablet Thyrogrit 1-0-1 after food with water Brahmi vati 1-0-1 after food with water Do Nasya with Anu tel 2drops in both nostril once daily. Do pranayam lom -vilom bhastrika bhamri simhasan pranayam. Avoid iodised salt in your diet.can have normal salt
Internal Medicines- 1. Shatavari Kalpa – 10 gm morning + night with warm milk 2 Mukta Pishti – 125 mg morning + night with milk 3 Kanchannar Guggulu – 2 tab morning + 2 tab night after food 4 Hamsapadiyadi Kshayam 2tsp-0-2tsp with 2tsp water before food in Morning and Night
Diet & Lifestyle (very important) Give daily: coconut water, pomegranate, moong khichdi + ghee, coriander-jeera water
Avoid completely: tea/coffee after 2 PM, iodine-rich foods (kelp, seafood, iodised salt in excess), broccoli/cauliflower raw, late nights, stress Sleep 10 PM – 6 AM strictly 10 min Anulom-Vilom + 5 min Shitali/Sheetkari pranayama daily
Regards Dr Gursimran Jeet Singh MD Panchakarma
Don’t worry take hamsapadikashayam 20ml bd, kanchanara Guggulu 1tab bd, thyrocare 1tab bd enough u ll get results
Dr RC BAMS MS
When TSH is slightly low, and T4 is normal, it means the thyroid is slowly becoming a bit overactive in Ayurveda is an early pitta vata aggravation, and it can be settled gently before it turns into a big issue Start Kanchanar guggulu One tablet twice daily after food with warm water Amlaki rasayana 1 teaspoon with warm water at morning Shatavari churna half teaspoon with warm water at night Ashwagandha capsule one capsule at night Avoid coffee, spicy sour food Continue the medical follow-up as planned. Ayurveda will help keep the thyroid stable
Can you tell how much is your TSH levels? Any us neck was done?? Do you have any symptoms other than weight gain ?? Usually in hypothyroid ( high TSH ) we see weight gain If you provide the history/ symptoms in detail we can guide you even more precisely
1.Kanchnar guggulu 1 tab twice daily with water after meals 2.Punarnavarishta 15 ml with 15 ml water twice daily after meals 3.Brahmi vati 1 tab at bedtime with water
Diet & Lifestyle for Thyroid Balance:
Dietary Adjustments - Avoid processed foods, excess caffeine, and very spicy/oily meals. - Favor warm, freshly cooked meals: khichdi, vegetable soups, herbal teas. - Include coriander, cumin, fennel, and turmeric in cooking.
Daily Routine - Practice Anulom Vilom pranayama for calming metabolism. - Gentle yoga: Sarvangasana (shoulder stand), Matsyasana (fish pose) for thyroid gland stimulation. - Maintain regular sleep and stress management practices.
Take kanchanag gugulu avn pharma ds 2 time 2 tab day Take brahmi 2 bd Do nasya with cow ghee at 2 drop 6 am and 6 pm
Low TSH levels with normal T4 can be an indication of subclinical hyperthyroidism, and from an Ayurvedic perspective, we could consider potential imbalances in your doshas. Primarily, this may involve the Pitta dosha, commonly related to fire and metabolic activities in the body, including thyroid function. Focussing on dietary and lifestyle interventions could be useful in maintaining balance.
Firstly, we may address your diet to cool the Pitta. Consider incorporating cooling and soothing foods such as cucumbers, gourds, and melons. Consuming greens like spinach and kale can also help. It might be beneficial to reduce intake of spicy, fried, and overly fermented foods. These tends to aggravate Pitta and can potentially affect thyroid function.
Hydration is important, so drinking sufficient water throughout the day is advised. Coconut water and herbal teas like chamomile or hibiscus can support in balancing the heat.
Ayurvedic herbs could be helpful too. Ashwagandha and Brahmi poses adaptogenic properties, supporting the body’s response to stress and metabolism, though you must consult your healthcare provider before starting any herbal regimen, as you prepare for an upcoming appointment.
Moderate physical activity supports reduction of stress and balances metabolism. Gentle exercises like yoga, particularly cooling pranayama (breathing exercises) practices such as Sheetali and Sheetkari could facilitate balance in the Pitta.
Regular sleep, maintaining consistent bedtime and waking up early could significantly aid in stabilizing your body rhythms. Understand that stress management is crucial; engaging in relaxation techniques such as meditation daily contributes significantly to maintaining equilibrium.
Keep track of symptoms and communicate any changes to your healthcare provider, especially as you await your follow-up. While these preparations could be advantageous, they should accompany regular medical evaluations. Always prioritize professional medical advice and ensure any Ayurvedic practices complement this guidance safely.
HELLO,
WHAT DOES LOW TSH MEANS? TSH is the hormone from the brain that tells the thyroid to work -When TSH is low, it means= The thyroid may be working slightly more than usual" Your T4 level is normal, so your thyroid is not yet overactive , but it may be moving in that direction. This is called Subclinical hyperthyroidism
WHY DOES THIS HAPPEN? Common reasons -stress, anxiety-> overstimulation of thyroid -early stage of thyroid imbalance -autoimune activity statrting -excess iodine intake -some medications -post infection effects
Your doctor is correct to recheck after a few months
Ayurveda sees the thyroid as linked to -AGNI (METABOLIC FIRE) VATA + PITTA IMBALANCE AND RASA AND MEDA DHATU (fluid+fat metabolism)
In your case -pitta is slightly high-> speed, heat, overstimulation -vata may be disturbed->anxiety, irregular digestion -kapha shows mild accumulation-> slight weight gain
Ayurveda does NOT look at only the blood test, but the overall symptoms + Doric pattern
TREATMENT GOALS -calm pitta-> reduce heat, irritation, oerstimulation -stabilize vata-> calm nerves, improve sleep, regulate hormones -clear mild kapha-> improve metabolism, reduce sluggishness -regulate agni-> balanced digestion=balanced hormnes -protect the thyroid from becoming hyperactive -strengthen Ojas (vital energy )-> long term stability
INTERNAL MEDICATIONS
1) ASHWAGANDHA CAPSULES= 1 cap at bedtime =calms vata, balances stress hormones, stabilize thyroid function
2) BRAHMI VATI= 1 tab morning =cooling for pitta, improves sleep, reduces mental overstimulation
3) SHATAVARI CHURNA= 1 tsp with warm milk at night =cooling, nourishing, supports hormone balance
4) GUDUCHI GHAN VATI= 2 tabs in morning =detoxifies, balances pitta, strengthens immunity
AVOID THESE WITHOUT PROPER DIAGNOSIS -Kanchanar guggulu - for hypothyroid, not suitable here) -any guggulu preparation too heating -high dose iodine supplements -otc thyroid stimulators
EXTERNAL THERAPIES
1) OIL MASSAGE= SESAME OIL (WINTER), COCONUT OIL (SUMMER) =3-4 times per week= reduces stress hormones, stabilizes metabolism
2) NASYA= instil 2 drops of anu taila in each nostril daily morning = thyroid support
DIET -cooling but nourishing foods -ghee -coconut -cooked vegetables -mung dal -red/black rice or basmati -oats porridge -sweet fruits- not sour= apple, pear, melon -warm soups
SPICES THAT BALANCE THYROID -coriander -fennel -cumin -turmeric -cardamom
AVOID -too much chili/sppicy -vinegar, fermented food -tomatoes, garlic in excess -coffee very important -alcohol -deep fried foods
FOODS THAT WORSEN KAPHA -excess dairy -sweets -ice cold foods -wheat in large amount
FOODS THAT DISTURB VATA -raw salads especially in winter -skipping meals -dry foods like crackers
HOME REMEDIES -coriander seed tea= drink once daily- regulate pitta + supports thyroid gently -Aloe vera juice= 20 ml morning= cooling, calming for pitta -Turmeric milk at night= supports agni and reduces inflammation -cumin fennel tea after meals= improves digestion-> stabilizes hormones
LIFESTYLE -wake and sleep at same time -avoid over scheduling/overstimulation -dont skip meals -warm showers -spend time in sunlight morning only -avoid overheating sauna, hot yoga, hot spices
IMPROVE STRESS RESPONSE -10-20 min meditation daily -naturewalks -avoid multitasking Stress directly worsens thyroid imbalance
YOGA ASANAS -sarvangasana -matsyasana -setu bandhasana -bhujangasana -marjari bitilasana -balasana -paschimottanasana
PRANAYAM -nadi sodhana -sheetali -chandra bhedana
Your condition is very early stage, and often resolves on its own Ayurveda focuses on calming pitta and vata, supporting digestion, and reducing stress Your doctors follow up is essential
By following the diet, lifestyle, medications and yoga plan you can prevent progression and maintain balance naturally.
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
