Your tiredness and drowsiness are mainly due to vitamin b12 deficiency low overall vitamin levels age related vata increase and imbalance of fat metabolism in the body At the age of 60 digestion and absorption become weak so even with daily activity the body does not get proper nourishment leading to exhaustion Low hdl and high ldl show meda dhatu imbalance and sluggish liver function which also causes heaviness and low energy Blood pressure medicine Telma 40 mg controls bp but when dhatu weakness is present it can add to fatigue
From ayurvedic view rasavaha and medovaha srotas are weak and ojas is reduced so the body feels sleepy and drained Ashwagandha churna 3 gram twice daily with warm milk or warm water will improve strength stamina and reduce drowsiness Amalaki rasayana 1 teaspoon every morning on empty stomach will support digestion immunity and vitamin absorption Guduchi satva 500 mg twice daily after food will help improve metabolism nerve strength and b12 related weakness Arjuna churna 3 gram twice daily with warm water will help correct cholesterol balance and support heart health Triphala churna 3 gram at night with warm water will improve digestion detoxification and nutrient absorption
Food should be warm fresh and home cooked with small amount of cow ghee Include soaked almonds green vegetables drumstick leaves beetroot and seasonal fruits Avoid fried food packaged food cold food excess sweets and bakery items Avoid daytime sleep and late night meals Continue daily walking but do not overstrain the body With regular medicine diet correction and routine balance energy levels will slowly improve and fatigue will reduce
For improving Vitamin B12 you can start with cap. Metneurobion 1 daily for 2 months Take aloevera juice 10ml+ Amla juice 10ml twice daily after food with 30 ml. water., this will provide you with vitamin and mineral required in a natural way. For improving HDL Level if you are non-vegetarian you can take fish like sardines, mackerel tuna. In your diet. From vegetarian diet include flaxseed, avacado, walnut, olives in your diet, For lowering LDL cholesterol, levels you can take Arjun ghanvati 1-0-1 after food with water Tablet Liv-52 1-0-1 after food with. Do pranamyam lom -vilom bhastrika bhamri 5-10mins twice daily. Take Ashwagandha churan 0-0-1tsp at bedtime with warm milk, will give strength to nervous system and calm you mentally. Chyavanprash 1 tsp twice daily before food with water, also will improve body 's overall immunity & strength.
🔍 Why you feel drowsy & exhausted You likely have multiple contributing factors: 1️⃣ Vitamin B12 deficiency Causes fatigue, drowsiness, weakness Can cause brain fog, poor concentration Common after 50–60 yrs due to reduced absorption 2️⃣ Vitamin D deficiency Causes body pain, heaviness, tiredness Reduces muscle strength & stamina 3️⃣ Low HDL + High LDL Reduces oxygen & nutrient delivery to tissues Causes early fatigue even with daily activity 4️⃣ Telma 40 mg (Telmisartan) Can cause sleepiness, low energy in some people Especially if BP goes too low ⚠️ First – Important Checks (Very Important) Please ensure these are checked if not already done: BP reading (morning & evening) Hemoglobin (Hb) TSH (thyroid) Fasting blood sugar (These often worsen fatigue at your age) 💊 Medical Treatment (Essential) ✔️ Vitamin B12 Injection preferred at your age 👉 Once weekly × 4 weeks, then once monthly (Or tablets only if injections not possible) ✔️ Vitamin D3 60,000 IU once weekly × 8 weeks Then once monthly (maintenance) ⚠️ Take Vitamin D after meals ❤️ Cholesterol Correction (Non-drug first) ❌ Avoid Fried food Bakery items Ghee/butter excess Packaged snacks ✅ Include 5–6 soaked almonds + 2 walnuts daily Flaxseed powder – 1 tsp daily Oats, barley, fruits, vegetables Walking 30–40 min daily (continue 👍) 🌿 Ayurvedic Support (Safe with BP medicine) 🔹 For fatigue & low energy Ashwagandha churna – ½ tsp at night with warm milk (Improves energy, sleep, stamina) 🔹 For cholesterol & heart support Arjuna churna – ½ tsp morning with warm water OR Arjuna capsule – 1 daily 🔹 For digestion & absorption (important for B12) Triphala churna – ½ tsp at night with warm water (optional) 🧘♂️ Lifestyle Tips Sleep before 10:30 pm Avoid afternoon naps > 30 minutes Morning sunlight 15–20 minutes (Vitamin D support) Avoid excess tea/coffee (max 2/day)
Don’t worry take Rajwadiprash gold 1tsp with milk Navaratnakalpamrita ras 1tab bd Navaka Guggulu 1tab bd Arogya vardini vati 1tab bd enough u ll get results
Dr RC BAMS MS
Hello Glad you reached out. Let’s talk about what you’re dealing with - at 60, it’s pretty common to see low Vitamin B12 and D, low HDL, high LDL, and that nagging exhaustion that just doesn’t lift. These aren’t random. They’re all connected, and honestly, they’re your body’s way of saying it’s not getting what it needs at a deeper, cellular level.
YOUR CONCERN
Your symptoms fall under a few main buckets: - Rasa–Rakta Dhatu Kshaya: low vitamins, low energy - Agnimandya: weak digestion and poor absorption - Medo Dhatu Dushti: cholesterol imbalance - Ojas Kshaya: constant drowsiness, mental fog - Vata predominance: after 60, this is just a fact of life
If you want the modern diagnosis, it’s things like malabsorption, mitochondrial fatigue, messed-up cholesterol, and early signs of wear and tear.
What do we do about it? Simple: Fix your absorption, feed your tissues, balance your cholesterol, and bring your energy back.
INTERNAL MEDICATION
- Draksharishta: 20 ml with 20 ml water, twice a day after meals. This really lifts fatigue and helps digestion.
- Ashwagandha Lehya or Capsule 1 tsp (or 1 capsule) at night with warm milk. Think of it as your nerve and stamina booster.
- Arjunarishta: 20 ml twice daily. It helps your HDL, protects your heart, and keeps cholesterol in check.
- Triphala Guggulu: 2 tablets twice daily after food. Great for cholesterol and supports your liver and bowels.
- Chyawanprash (low sugar): 1 tsp every morning. boosts immunity and helps you absorb those vitamins better.
About those vitamin deficiencies
From an Ayurvedic view, it’s not really about what you eat, but what you absorb. Weak digestion (Agnimandya) is the real culprit. So yes, keep taking your B12 and D supplements — Ayurveda works alongside them, not against them. But you’ll also need to: - Improve digestion - Support your liver - Stick to a regular daily routine
Diet (this is huge for you)
Skip: - Fried stuff - Bakery foods - Sugar overload - Cold drinks - Processed foods
All of these mess with cholesterol and drag your energy down.
Eat more: - Ghee (about a teaspoon a day) - Warm milk - Soaked almonds (five a day) - Moong dal - Steamed veggies - Fruits like papaya and pomegranate
Lifestyle tips
- Get out in the morning sun for 15 minutes — your best Vitamin D source - Keep up the brisk walks — you’re already on the right track - Aim for sleep before 11 p.m. - Try a daily oil massage (Abhyanga) on your legs and feet - Don’t nap too long during the day
Why are you so drowsy all the time? Your cells just aren’t making enough energy. This isn’t about being lazy or just getting older — your tissues are literally starved.
About your blood pressure medicine (Telma 40): It’s fine with these remedies. In fact, Arjuna and Ashwagandha often help stabilize BP naturally.
At 60, your body doesn’t need more coffee or protein shakes. It needs real nourishment. Warm food, ghee, Rasayana, and a regular routine these are what rebuild your core energy. This isn’t just about fixing symptoms. This is how you age well and feel alive.
Take care, Dr. Snehal Vidhate
AT YOUR AGE OF 60 FEELING DROWSY AND EXHAUSTED FOR MORE THAN SIX MONTHS IS A CLEAR SIGN THAT THE BODY ENERGY TISSUES AND NERVOUS SYSTEM ARE NOT GETTING PROPER NOURISHMENT EVEN THOUGH YOU ARE DOING DAILY ACTIVITY AND HAVE NOT CHANGED YOUR DIET THIS CONDITION IS COMMONLY SEEN WHEN VATA DOSHA GETS AGGRAVATED WITH AGE AND WHEN RASA RAKTA AND MAJJA DHATU ARE WEAK LOW VITAMIN B12 AND OTHER VITAMIN DEFICIENCIES DIRECTLY AFFECT THE NERVES BRAIN AND ENERGY LEVELS AND THIS IS WHY YOU FEEL SLEEPY TIRED AND EXHAUSTED DESPITE REST LOW HDL AND HIGH LDL SHOW THAT MEDO DHATU METABOLISM IS DISTURBED AND THE FAT IS NOT BEING PROPERLY UTILIZED BY THE BODY TELMA 40 FOR BP IS NECESSARY BUT IT CAN ALSO ADD TO FATIGUE WHEN DHATUS ARE ALREADY WEAK SO THE ROOT CAUSE HERE IS DHATU KSHAYA WEAK AGNI AND IMPROPER ABSORPTION
FIRST I WOULD ADVISE CERTAIN INVESTIGATIONS TO UNDERSTAND THE DEPTH OF THE PROBLEM SERUM VITAMIN B12 SERUM VITAMIN D3 COMPLETE BLOOD COUNT THYROID PROFILE LIPID PROFILE FASTING BLOOD SUGAR AND POST PRANDIAL BLOOD SUGAR LIVER FUNCTION TEST AND HOMOCYSTEINE LEVEL THESE WILL HELP US CONFIRM WHY FATIGUE IS PERSISTING AND HOW MUCH DEFICIENCY IS PRESENT
FROM AYURVEDIC SIDE THE TREATMENT SHOULD FOCUS ON NOURISHING NERVES IMPROVING ABSORPTION BALANCING LIPIDS AND SUPPORTING HEART AND BRAIN YOU CAN START ASHWAGANDHA CHURNA HALF TEASPOON TWICE DAILY WITH WARM MILK MORNING AND NIGHT THIS WILL IMPROVE ENERGY STRENGTH AND REDUCE VATA RELATED FATIGUE TAKE BRAHMI GHRTAM HALF TEASPOON IN THE MORNING ON EMPTY STOMACH WITH WARM WATER FOR BRAIN CLARITY DROWSINESS AND NERVOUS SUPPORT TAKE AMALAKI RASAYANA ONE TEASPOON DAILY AFTER BREAKFAST FOR VITAMIN SUPPORT IMMUNITY AND LIPID BALANCE TAKE ARJUNA CHURNA HALF TEASPOON TWICE DAILY WITH WARM WATER AFTER MEALS FOR HEART HEALTH HDL IMPROVEMENT AND LDL CONTROL TAKE TRIPHALA CHURNA HALF TEASPOON AT NIGHT WITH WARM WATER TO IMPROVE DIGESTION ABSORPTION AND TO REMOVE AMA WHICH BLOCKS NUTRITION
DIET SHOULD BE LIGHT BUT NOURISHING INCLUDE WARM COOKED FOODS USE GHEE DAILY IN SMALL QUANTITY INCLUDE MILK IF DIGESTED WELL SOAKED ALMONDS AND WALNUTS AVOID COLD FOOD BAKERY ITEMS FRIED FOOD AND DRY PACKAGED SNACKS AVOID DAYTIME SLEEP AND LATE NIGHTS CONTINUE DAILY WALKING BUT AVOID OVER EXERTION OIL MASSAGE WITH SESAME OIL TWICE WEEKLY WILL HELP REDUCE VATA AND IMPROVE ENERGY
WITH PROPER RASAYANA THERAPY DIET CORRECTION AND ADDRESSING DEFICIENCIES YOU SHOULD START FEELING IMPROVEMENT IN ENERGY ALERTNESS AND LIPID PROFILE OVER A FEW WEEKS BUT INVESTIGATIONS ARE IMPORTANT TO ADJUST MEDICINES PROPERLY AND TO SEE IF B12 SUPPLEMENTATION IS NEEDED ALONG WITH AYURVEDIC SUPPORT
1.Moringa powder 1 tsp once daily with warm water 2.Arjunarishta 20 ml with 20 ml water twice daily after meals 3.Shatavari capsules 1 cap twice daily with warm milk after meals 4.Brahmi vati 1 tab at bedtime with warm water
🧘 Supportive Measures
Diet (Ahara): - Add soaked almonds, walnuts, flaxseed, and sesame seeds (raise HDL). - Use ghee in moderation for Rasayana effect. - Include green leafy vegetables, sprouts, and drumstick leaves for vitamins.
Lifestyle (Vihara): - Gentle yoga: Vajrasana after meals, Shavasana for fatigue. - Pranayama: Anulom Vilom and Bhramari for energy and stress balance.
Daily Routine: Morning sunlight exposure for Vitamin D.
Warm Regards DR. ANJALI SEHRAWAT
As a vegetarian if you are then B12 def. Is very common wnd it is not necessary to address it untill you want to change to non vegetarian diet because 95% of vegetarian are B12 deficient. As for other vit take HK vitals multi vitamin tab. For HDL and lipid related take 1. Lashunadi tab 2BD BF 2. Pipplyadi asva 20ml AF BD 3. Tab Abana 2BD AF Add avocado, brocolli to your diet avoid fried oily food junk food. Only home made food tadka with desi ghee 1 to 2 tsp only Add cow ghee to your diet 1tsp only. Continue with telma 40 Dr Akshay negi MD PANCHAKARMA.
Medicines 1 Methylcobalamin (B12) – 1500 mcg once daily 2 Vitamin D3 – 60,000 IU once weekly × 8 weeks, then 2000 IU daily 3 Omega-3 (Fish oil or Algal oil) – 1000–2000 mg EPA+DHA daily 4 Ashwagandha Capsule – 500 mg night
Diet Adjustments Add daily: 2 eggs or paneer + spinach + nuts (4–6 almonds/walnuts) 1 tsp flaxseeds or chia seeds (omega-3) Pomegranate/beetroot juice 100 ml Keep low-carb if possible, but add healthy fats (ghee 1–2 tsp/meal) Avoid: trans fats, fried food, excess sugar
Lifestyle Continue daily activity – add 20–30 min brisk walk Sleep 10 PM – 6 AM strictly 10 min Anulom-Vilom daily
Repeat B12, Vit D, lipid profile after 8–12 weeks Important Continue Telma unchanged.
If drowsiness worsens then rule out sleep apnea or heart issues.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Here is a complete schedule for you to help you.
Breakfast 8-9.30 am Upma, Poha, Idli, Dosa, Moong Dal Chilla, Vegetable Paratha (Potato paratha once in a while) with a cup of buffalo milk
Mid Snack 11-11.30 am 1 fruit which ever you like
Lunch 12.30-1.30pm A bowl of Dal A bowl of vegetable Roti Rice 2 tsp of ghee
Hi Tea 4 -4.30pm 1 cup of milk with any breakfast item you like. You can have a fruit as well but than avoid milk.
Dinner 7.30-8.30 pm 1 bowl of dal 1 bowl of vegetable Roti Rice 2 tsp of ghee
❌Things to Avoid❌ Processed food Oily food Ready to eat food Maida Desserts
✔️Must do✔️ You can replace fruits with boiled eggs Surya namaskar daily atleast 10. Start from whatever is possible. Eating fresh turmeric root
💊Medication💊
Syp. Kumari Asav No.3 3 tsp twice a day before food
Tab. Liv 52 DS 1 tab twice a day before food
Chavyanprash Avleham 2 tsp in the morning
Full body massage with lukewarm sesame seed oil followed by little exercise.
HELLO,
You are 60 years old an age when the body naturally becomes drier, weaker, and slower. According to Ayurveda, this stage of life is Vata-dominant
Your Main Problems
a) Vitamin B12 & Vitamin Deficiency -In Ayurveda, this is not just “lack of vitamin” -It means: -Poor digestion -Poor absorption -Weak blood and nerve nourishment
This causes: -Tiredness -Sleepiness -Poor concentration -Body weakness
b) Low HDL & High LDL (Cholesterol Problem) -Ayurveda calls this Medo Dhatu Dushti It happens when: -Fat metabolism is disturbed -Digestion fire is weak -Fat gets deposited in wrong places (blood vessels) -Low HDL = poor protective fat -High LDL = harmful fat accumulation
c) Drowsiness & Exhaustion for >6 Months This indicates: -Ojas Kshaya (loss of body vitality) -Accumulated toxins -Slow circulation and metabolism
d) BP on Telma 40 mg -Indicates heart and vessel sensitivity -Needs gentle, heart-protective approach -No aggressive medicines or detox
Treatment Goals -Improve digestion & absorption (root cause) -Nourish blood, nerves & tissues -Correct fat metabolism -Improve energy & alertness -Protect heart & BP -Prevent further degeneration due to age
INTERNAL MEDICATIONS
A) For Digestion & Absorption -MOST IMPORTANT
1) Hingvastak Churna= ½ teaspoon before meals twice daily with warm water for 6 weeks =Improves digestion,Reduces gas & heaviness, Helps better vitamin absorption
2) Trikatu Churna= ¼ teaspoon once daily with honey for 4 weeks = Clears toxins ,Improves fat metabolism, Helps cholesterol control -Avoid if acidity
B) For Energy, Weakness & Vitamin Deficiency
3) Ashwagandha Churna= 1 tsp at night with warm milk or water for 3 months =Strengthens nerves, Improves stamina, Reduces exhaustion
4) Draksharishta= 15 ml after lunch with equal water for 8 weeks =Improves blood quality, Reduces fatigue, Helpful in anemia & weakness
C) For Cholesterol & Heart Protection
5) Arjuna Churna= 3 g once daily with warm water for 3 months = Protects heart muscles, Improves circulation
D) For Mental Clarity & Drowsiness
6) Brahmi Vati= 1 tablet at night for 2 months =Improves brain nourishment, Reduces sleepiness, Improves focus
External Therapy
1) Oil Massage -Use warm sesame oil -3–4 times/week -Improves circulation, reduces fatigue
2) Head massage= brahmi oil -Reduces mental exhaustion, Improves sleep & alertness
Diet -Warm, fresh, home-cooked food -Old rice, barley -Moong dal -Steamed vegetables -Cow ghee (1 tsp daily) -Pomegranate, apple
Avoid -Fried food -Bakery items -Excess sweets -Cold drinks -Curd at night -Packaged food
Home Remedies -Warm water daily -Garlic (1 clove boiled, daily) -Flaxseed powder (½ tsp daily) -Turmeric + warm milk at night (pinch)
Asanas Tadasana -Bhujangasana -Vajrasana -Shavasana
Pranayama -Anulom Vilom -Bhramari -Deep slow breathing
Avoid fast breathing, forceful yoga
Lifestyle Changes (Very Important) -Sleep by 10 pm -No daytime sleep -Daily sunlight exposure -Reduce screen time at night -Maintain regular routine
To monitor progress: -Vitamin B12 -Lipid profile -Hemoglobin -Thyroid (TSH) -Fasting blood sugar -BP log
Expected Improvement Timeline -2–3 weeks= Better digestion, less heaviness -1–2 months=Improved energy, less drowsiness -3 months= Cholesterol improvement
Your condition is chronic but manageable. Ayurveda works by correcting the root cause not suppressing symptoms -Regular routine - Simple food - Gentle medicines - Patience & consistency
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
