Seeking Ayurvedic Supplements While on ART Therapy - #48973
Hi, I am 31 yrs old / male. I am on ARTtherapy. My viral load is 0 and CD4 is 1000 plus. All of my routine tests (kidney / liver / blood) are also within the normal range. I am thinking of using Ayurvedic herbs / supplements along with this. What can I take and specifically what to avoid? Supplements - Shilajit Ashwagandha Safed Musli Guduchi Tulsi Gokshura Kale Kaunch Beej Shatavari Bramhi Amla Triphala ? Thanks

Doctors' responses
- 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

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