How can I rebuild my muscles with diabetes and CKD? - #48970

At 82, with diabetes + CKD + sarcopenia, and still having energy and discipline (4 am meditation!) — that itself shows strong ojas and willpower. Ayurveda would focus on protecting what you have, slowly rebuilding muscle, and not stressing the kidneys or blood sugar. - Conditions: Sarcopenia + Diabetes + CKD Principle: “Raksha first, Poshana later” (Protect kidneys → calm Vāta → slow muscle loss) Rx 1️⃣ Guduchi Ghana Vati Dose: 1 tablet once daily Time: After breakfast Anupāna: Warm water Why kept: Kidney-supportive Helps glucose stability Non-heavy, non-heating ➡️ Do not increase dose 2️⃣ Cow’s Ghee (considered medicine here) Dose: ½ to 1 teaspoon daily Time: With lunch Why essential: Best Vāta shāmaka in old age Prevents further muscle & nerve wasting Safe for kidneys in small dose ➡️ If digestion weak → reduce to ½ tsp - EXTERNAL Abhyanga Oil: Plain sesame oil Frequency: 3× / week Areas: Thighs, calves, arms Pressure: Gentle only ➡️ This replaces many medicines. DIET — ADJUSTED FOR CKD + DIABETES ✔️ Allowed (simple) Rice + moong dal khichdi Bottle gourd / ridge gourd / pumpkin (well cooked) Stewed apple or pear Thin buttermilk (if labs allow) ❌ Avoid Protein powders Raw fruits & salads Banana, orange, coconut water Night-time heavy meals ➡️ Rule: Warm, soft, small portions - MOVEMENT (SAFE SIGNAL TO MUSCLES) Daily: Sit–stand from chair × 5–10 times Slow walking 5–10 minutes after meals 🛑 Stop before breathlessness or fatigue - SLEEP & ROUTINE Sleep by 9–9:30 pm Meditation at 4 am — continue Short afternoon rest allowed - WHEN TO STOP MEDICINE Appetite loss Nausea Rise in creatinine or potassium Tq