Hello Thanks for sharing all that info. I can understand your concern regarding losing weight, plus dealing with heart failure and high blood pressure, sounds pretty worrying.
But the good news is, we can totally tackle both the protein in your urine and help you gain weight healthily with a smart, all-around plan.
YOUR CONCERN * You’re 64, a guy. * You’re 175 cm tall and weigh 60 kg, down from 74 kg. * You’ve got heart failure and high blood pressure. * Your blood sugar looks okay (HbA1c 5%, fasting sugar 120). * Your latest lab shows protein in your urine: 73 mg/dL. * You pee a lot at night but feel fine otherwise. * You eat lots of protein and few carbs. * You take some supplements but no regular meds. * You’ve had protein in your pee for over 6 months.
Your big questions: – How do I fix the protein in my pee? – How can I gain weight safely?
AYURVEDIC UNDERSTANDING
In Ayurveda, protein in your pee is linked to problems with urination and an imbalance of Vata and Pitta. This mostly messes with: –Your urinary system: When it’s weak, protein leaks out. –Your blood and fat tissues: They get low, which explains the weight loss. –Apana Vata (a type of energy): When it’s off, you pee a lot. – Ojas (your vital energy): When it’s low, you feel tired and can’t gain weight.
This isn’t a permanent problem, though. We can fix it with gentle, healthy care.
–Since you have heart failure and high blood pressure, we need to be really careful with high-protein diets and supplements. – Gaining weight fast with lots of protein isn’t safe. Ayurveda focuses on foods that are packed with nutrients, easy to digest, and good for Vata energy.
TREATMENT GOAL –Less protein leaking into your pee. –Better bladder control, especially at night. –Gaining healthy weight without stressing your kidneys or heart. –Stronger digestion and metabolism. –More energy and overall vitality.
AYURVEDIC PLAN OF TREATMENT
INTERNAL MEDICATION
1.Punarnava Mandoor 1-0-1 after food Good for kidneys and cuts down protein in urine.
2.Chyawanprash 1 tsp morning Nourishes your body and boosts your immune system.
3 Ashwagandha Capsule 1-0-1 after food : Helps build muscle, strength, and vital energy.
4.Shatavari kalpa 1 tsp with milk after lunch gently helps build tissue, calms Vata, and aids weight gain.
DIET PLAN (For Weight Gain + Kidney Safety):
✅INCLUDE * Warm, cooked, easy-to-digest meals. * Rice, wheat, lentils (some, but not tons of protein). * Ghee – 1–2 teaspoons daily (good for Vata). * Milk and dairy stuff (if you can handle it). * Nuts & seeds – soaked almonds, walnuts (a few every day). * Fruits that are in season – like banana, papaya, sapota.
❌AVOID * Lots of red meat or whey protein powders. * Too many raw salads. * Fried, oily foods (bad for your heart). * Too much salt (bad for blood pressure and heart). The idea is balanced calories, not just high protein.
LIFESTYLE * A gentle walk or stretch in the morning. * Don’t push yourself too hard (because of your heart). * Eat dinner early; no late-night meals. * Get enough sleep and try to manage stress. * Stay hydrated, but don’t drink too much water at night. * Avoid lots of coffee or energy drinks. * Try some light yoga or breathing exercises – like Anulom Vilom, Bhramari (5–10 minutes daily).
Tests to Keep an Eye On: * Kidney function tests (Creatinine, BUN). * Tests to measure urine protein. * Electrolytes. * Regular blood pressure checks.
These are key to making sure your kidneys stay safe while you gain weight and get more nutrients.
Dealing with protein in your urine and weight loss when your heart and kidneys are sensitive means being gentle and nourishing, not just slamming protein supplements.
With: * The right Ayurvedic herbs. * Warm, nutrient-rich foods. * A good routine and stress management. …you can totally cut down on protein in your pee, gain healthy weight, and feel more energetic safely.
This is a slow, safe way to go about it, especially with your heart condition.
Warm Regards Dr. Snehal Vidhate
HELLO,
WHAT DOES PROTEIN IN URINE MEAN? Normally, kidneys act like fine filters. They clean the blood and do to allow protein to leak into urine
In your case: -Protein has been leaking into urine for more than 6 months -this means the filtering strength of kidneys has become weak
WHY HAS THIS HAPPENED TO YOU From both modern medicine and Ayurveda, the main reasons are -long standing high blood pressure -heart failure, which affects kidney circulation -age related wear and tear -high protein diet, which puts extra strain on kidneys -weak digestion and nutrition absorption
WHY ARE YOU LOSING WEIGHT? Even though you eat protein -Your body is not able to convert food into strength -tissues (muscle and fat) are slowly breaking down -In Ayurveda,this is called Dhatu kshaya (tissue depletion ) This is not diabetes related, as your HbA1c is normal
WHY FREQUENT URINATION IN NIGHT? This suggests -weak bladder control -disturbed kidney-bladder nerve balance -increased vata - kapha imbalance
TREATMENT GOALS -stop or reduce protein leakage -protect kidney function -improve body strength and weight -reduce night urination -support heart with out fluid overload
INTERNAL MEDICATIONS
1) PUNARNAVA MANDUR= 1 tab twice daily after meals with warm water for 3 months =improves kidney filtration , reduces protein leakage, supports heart and circulation, prevents fluid overload
2) GOKSHURADI GUGGULU= 1 tab twice daily after meals for 3 months =strengthens urinary system, reduces nocturne, improves bladder tone
3) CHANDRAPRABHA VATI= 1 tab at bedtime with warm water =improve kidney bladder coordination, controls night urination, supports metabolism
4) ASHWAGANDHA CHURNA= 1 tsp at night with warm milk =builds muscle mass, improves strength , reduces tissue breakdown
5) SHATAVARI CHURNA= 1 tsp in morning with warm milk =nourishes tissues, improves absorption , supports weight gain safe
EXTERNAL THERAPIES
OIL MASSAGE= BALA TAILA -frequency=3-4 times/week =reduces vata, improves sleep, supports weight gain
DIET balanced diet heals kidneys better than high protein
EAT MORE OF CARBOHYDRATES= essential for weight gain -old rice -red rice -wheat porridge -soft chapatis
HEALTHY FATS (very important) -cow ghee 1-2 tsp daily -sesame oil
PROTEINS (moderate only) -moong dal -massor dal -panner small amounts
VEGETABLES -bottle gourd -pumpkin -ash gourd -ridge gourd
FRUITS -pomegranate -papaya -apple stewed -banana 1/2 tsp daily
AVOID -excess protein powders -red meat -excess pulses -salt -packaged food -tea/coffee more than once daily
HOME REMEDIES -Punarnava water= boil 1 tsp powder in 1 glass water, drink once daily -Jeera water= improves digestion, prevents bloating -Warm milk with ghee= helps weight gain at night
YOGA ASANAS -vajrasana -pawanmuktasana -shavasana
PRANAYAM -Anulom bilom 10 min -Bhramari 5 times Avoid forceful breathing or exertion
LIFESTYLE CHANGES -early bedtime before 10 pm -daytime rest 20-30 min -avoid stress -no fasting -no excessive walking
Your condition is manageable but needs care -Protein in urine is a warning sign, not a disease -Weight gain must be gentle and kidney safe -Ayurveda focuses on strengthening, not suppressing
With correct treatment, diet, and lifestyle -protein leakage can reduce -strength can improve -weight can increase gradually
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Hello Dr. Maitri Bhavesh Kumar Acharya Happy New Year Thank you for this wonderful and detailed answer. If you don’t mind, could you please specify the prescribed medications as I haven’t been able to find them? Can I combine these medications with supplements? Best Regards ALI
Hello Doctor, Thank you for your reply. I apologize for the inconvenience, but I still can’t find those medications and I’m confused about which brand names are good. Could you please help me by mentioning an excellent brand or providing links to those medications? Best Regards ALI
I will do that, thank You
HELLO
HAPPY NEW YEAR
This all medications you will get online 1) punarnava mandur 2) gokshuradi guggulu 3) Chandraprabha vati 4) Ashwagandha churna 5) Shatavari churna
You will get online or this is available at any ayurvedic shop but make sure you buy of good brand
And yes this all medications you can safely combine with supplements
Thank you
Regards
Dr. Maitri acharya
You will get all medications on Amazon and baidyanath vaidyaratnam or unjha brand is best take medicines of those
Don’t worry take neerikft 1tab bd, after food sarvathobhadravati gold 1tab bd, after food chandraprabha vati 1tab bd, after food for weight gain rajwadiprash gold 1tsp, Pancharista 20ml bd enough
Dr RC BAMS MS
THANK YOU FOR SHARING YOUR DETAILS.
PROTEIN IN URINE AT YOUR AGE USUALLY INDICATES WEAK FILTRATION CAPACITY OF THE KIDNEYS WHICH IS COMMONLY SEEN WHEN LONG STANDING HIGH BLOOD PRESSURE HEART WEAKNESS WEIGHT LOSS AND DIGESTIVE WEAKNESS EXIST TOGETHER THE KIDNEYS BECOME UNABLE TO HOLD BACK PROTEIN LEADING TO LEAKAGE IN URINE NIGHT TIME URINATION ALSO INDICATES REDUCED KIDNEY CONCENTRATION POWER AND AGE RELATED VITAL ENERGY DECLINE .THIS DOES NOT MEAN IMMEDIATE FAILURE BUT IT DOES REQUIRE CAREFUL SUPPORT AND DISCIPLINE.
YOU MAY START VARUNA TABLET ONE TABLET TWICE DAILY AFTER FOOD WITH WARM WATER
PUNARNAVA MANDOOR ONE TABLET TWICE DAILY AFTER FOOD
CHANDRAPRABHA VATI TWO TABLETS TWICE DAILY AFTER FOOD
ARJUNA POWDER HALF TEASPOON TWICE DAILY AFTER FOOD WITH WARM WATER
FOR HEALTHY WEIGHT GAIN WITHOUT STRAINING HEART OR KIDNEYS YOU SHOULD AVOID HIGH PROTEIN DIET ESPECIALLY RED MEAT ,WHEY PROTEIN ,EGG WHITES ,EXCESS PULSES AND RAW SALADS.
EAT SMALL FREQUENT MEALS INCLUDE SOFT COOKED RICE MOONG DAL VEGETABLE STEWS GHEE , MILK, STEWED APPLE ,STEAMED VEGETABLES ,DATES
AVOID SALT IN EXCESS ,PICKLES PACKAGED FOOD, FRIED FOOD ,BAKERY ITEMS ,COLD FOOD ,NIGHT TIME SNACKING AND EXCESS TEA ,COFFEE.
WALK DAILY FOR TWENTY TO THIRTY MINUTES.DO NOT OVEREXERT .AVOID HEAVY WEIGHT LIFTING. FAST WALKING OR INTENSE CARDIO.
SLEEP BY TEN THIRTY WAKE UP EARLY MAINTAIN REGULAR MEAL TIMINGS KEEP STRESS LOW AVOID DAY SLEEP
INVESTIGATIONSINCLUDE URINE PROTEIN CREATININE EGFR SERUM ALBUMIN LIPID PROFILE ELECTROLYTES BLOOD PRESSURE LOG AND ECHOCARDIOGRAPHY FOLLOW UP AS ADVISED BY CARDIOLOGIST
Hlo,
🩺 Probable Ayurvedic Assessment - Vata-pradhana jara avastha - Mutravaha srotas dushti (proteinuria) - Dhatukshaya / Karshya (weight loss) - Mild Hridaya daurbalya
🌿 Internal Medicines - Punarnava Mandur – 1 tab twice daily after food Reduces mutra-vikara, supports kidney & heart
- Gokshuradi Guggulu – 1 tab twice daily after food Strengthens urinary system, reduces protein loss
- Chandraprabha Vati – 1 tab twice daily after food Helpful for nocturia & urinary regulation
- Arjuna Ksheer Pak – 50 ml morning (empty stomach) Cardio-protective, supports strength
🥣 Rasayana / Nutrition - Ashwagandha Churna – 3 g at night with warm milk Weight gain, muscle strength ⚠️ Avoid if BP uncontrolled
- Shatavari Kalpa – 1 tsp twice daily Nourishing, anabolic, kidney-safe
🍽️ Pathya (Very Short) Warm, cooked foods Rice, moong dal, ghee, milk Avoid excess protein, dry foods, packaged salt
🚫 Apathya Protein powders Excess dal/soy Raw salads at night Alcohol, painkillers (NSAIDs)
⏳ Duration 6–8 weeks, then reassess urine protein
Tq
See Cardiologist + Nephrologist immediately and get full kidney function (eGFR, creatinine), echo heart & 24-hr urine protein. Proteinuria needs ACEi/ARB or SGLT2i – don’t delay modern meds.
Ayurvedic Medicines Punarnavadi Mandoor – 250 mg morning + night after food Arjunarishta – 15 ml + 30 ml warm water after breakfast & dinner Gokshuradi Guggulu – 2 tablets morning + night after food Ashwagandha Lehyam – 5–10 gm morning + night with warm water Chandraprabha Vati – 2 tablets morning + night after food
Daily Must-Do Legs elevated 20 min twice daily (reduces nocturia) Gentle walk 20 min daily (slow pace) Diet for Safe Weight Gain + Kidney/Heart Protection
Give daily: Moong khichdi + 1–2 tsp ghee 200 ml warm milk + ghee night 4 soaked almonds + 2 dates + banana morning Pomegranate, thin buttermilk + roasted jeera Avoid completely: high protein (reduce – kidney strain), salt >4 gm/day, spicy/sour, cold drinks
No supplement/medication alone treats proteinuria in heart failure – combine with doctor-prescribed ACEi/SGLT2i.
See cardiologist/nephrologist soon and start Punarnavadi + Arjunarishta tonight for support.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Proteinuria or protein in urine causes emaciation or gradually weight loss in human beings who suffers it…when proteinuria treated successfully weight gradually increased up to mark naturally.
Ayurveda management:-
DIVYA RENOGHRIT TAB=2-2-2 TAB BEFORE MEAL THRICE DAILY WITH WATER
SARVATOBHADRA VATI PUNARNAWADI MANDOOR CHANDRAPRABHA VATI=1-1 TAB AFTER MEAL TWICE DAILY
NUTRELA RENAL CARE POWDER= 2-2 TSP WITH A2 COW MILK AFTER MEAL TWICE DAILY…
AVOID OILY SPICY FERMENTED FOODS
DO REGULAR YOGA AND PRANAYAM= TITLIASANA/VAZRASANA/MAYURASANA/KAPALBHATI/MANDUKASAN ( 5 MIN EACH)
YOU CAN CURED DEFINITELY
CONSULT AFTER 30 DAYS…
REGARDS DR ATUL PAINULI PATANJALI YOGPEETH CHIKISYAYALA
1.Punarnava mandur 2 tab twice daily with water after meals 2.Ganga Siddha Guggulu 2 tab twice daily with water after meals 3.Arjunarishta 20 ml with 20 ml water twice daily after meals 4.Chandraprabha vati 2 tab twice daily with water after meals 5.Ashwagandha churna 1 tsp twice daily with warm milk after meals
Rx Gokshuradi Guggul 1 tab twice in a day Punarnava tab 1 tab once in a day
Avoid oily ans spicy food
For protein in urine , need to improve the health of the kidney. Start with Tablet Renogrit 2-0-2 after food with water Vrikkdoshar vati 1-0-1 after food with water. Lessen intake of protein diet and also salt diet, water intake also as per required, not too much. Do pranayam lom -vilom bhastrika bhamri 5-10mins twice daily For improving weight gain Ashwagandha churan 1tsp twice daily with a cup of cool milk.
