- Dx: PLHIV on ART, VL undetectable, CD4 >1000
- Advice: Supportive Ayurveda only
- Rx:
1)Amla churna – 3 g OD, after food
2)Brahmi vati 1 tab OD, after food
3)Tulsi leaves 1 OD, after food
⏱️ Take all Ayurvedic meds ≥3–4 hrs away from ART
- avoid following herbs -
-Shilajit → often contains heavy metals → damages liver & kidneys
-Giloy (Guduchi) → can over-activate immunity → may injure liver
-Ashwagandha → may stress liver and push immunity unnecessarily
-Kaunch Beej → affects brain chemicals → unsafe with medicines
-Safed Musli → changes hormone levels → unknown safety with ART
-Gokshura → may affect kidneys & BP
-Triphala → causes loose motions → ART may not absorb properly
👉 If a herb can affect liver, immunity, hormones, or medicine absorption, avoid it with ART.
Your ART is already doing the job — herbs should support, not disturb.
- Diet recommendations
-Proteins: dal, beans, chickpeas, tofu, paneer, eggs, fish, chicken
-Fruits: amla, apple, papaya, banana, orange
-Vegetables: green leafy veg, carrot, beetroot, pumpkin
-Whole grains: rice, roti (atta), oats, millets
-Healthy fats: nuts, seeds, olive/mustard oil
-Fluids: 2–3 L water/day
👍 Good for immunity & gut
-Curd / yogurt (if tolerated)
-Turmeric in food (small amount)
-Ginger, garlic (normal cooking use)
- Limit / avoid
-Alcohol (liver stress with ART)
-Raw/undercooked meat or eggs
-Excess sugar, junk food, fried food
-Unpasteurized milk products
- timing
Take ART after food as prescribed
Avoid taking supplements or herbs with ART
- Monitoring:
LFTs after 6–8 weeks
Stop immediately if itching, dark urine, fatigue, abdominal pain
Continue ART as prescribed.
Tq
