At sixty four years with heart weakness blood pressure issues gradual weight loss and protein appearing in urine for more than six months this picture tells me that the body is slowly losing its holding strength In Ayurveda this is mainly a combination of Vata dominance with depletion of Ojas and weakening of kidney filtration capacity Protein in urine does not appear suddenly it comes when digestion absorption and tissue nourishment are not strong enough to hold nutrition inside the body
Your blood sugar is not very high but fasting one twenty along with night urination shows subtle stress on kidneys High protein low carbohydrate diet though popular actually strains kidneys in such cases and also worsens weight loss So the first healing step is not aggressive treatment but strengthening and nourishing
From an Ayurvedic point of view the goal is to Reduce leakage of protein Support kidney tissue Improve digestion and absorption Help gradual safe weight gain without burdening heart
For protein in urine and kidney support
Punarnava mandur one tablet twice daily after meals with warm water This helps reduce protein leakage supports kidneys and controls fluid imbalance
Chandraprabha vati two tablets twice daily after meals This strengthens urinary system reduces night urination and improves metabolism
Gokshura churna half teaspoon twice daily after meals with warm water This nourishes kidney tissue without stressing heart
Varunadi kwath twenty ml twice daily diluted with equal warm water after food If decoction is not available tablets can be used two twice daily
For heart support and weight stability Arjuna tab 1 tab twice daily after meals with warm milk or warm water This supports heart muscle and circulation
Ashwagandha churna half teaspoon once daily at night with warm milk This helps weight gain strength and nervous system without raising sugar
For digestion which is the root of weight loss Trikatu churna one pinch before lunch and dinner with a little warm water Only a pinch not more
Now the most important part diet High protein low carb is not suitable for you now You need nourishing easily digestible foods
Include cooked rice or soft millet once daily Add moong dal or red rice kanji Use ghee one to two teaspoons daily Cook vegetables well avoid raw salads Add soaked black raisins five daily Warm milk with turmeric at night if digestion allows
Avoid excess protein powders meat heavy pulses late at night Avoid dry foods cold foods and skipping meals
For weight gain the aim is slow steady one to two kg in few months not fast gain Your body needs rebuilding not stuffing
Lifestyle guidance Sleep before eleven Avoid long fasting Gentle walking daily Do not over exercise
Please understand protein in urine can be reduced and stabilised when kidneys are supported gently Weight gain is possible when digestion improves and fear around food reduces
Repeat urine protein test after three months of treatment If swelling breathlessness or sudden fatigue appears consult immediately
You are not late for healing and this condition is manageable with patience and consistency
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
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
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
