Seeking Guidance on Weight Loss and Liver Health - #49180

HELLO, You are already taken important, correct steps and the gradual weight reduction with improved discipline is a very positive sign, especially at 47 years of age with kapha predominance and insulin resistance PRAKRITI AND VIKRITI -Prakriti= kapha predominant -Vikriti= medo Dhatu vriddhi (obesity), Kapha meda dushti, early insulin resistance/ type 2 diabetes, mild dyslipidaemia mutravaha srotas involvement (night urination history) AGNI (digestive fire) status -Likely Manda vishama agni- irregular digestive problem -tendency toward Ama formation(toxin), though improving with diet/exercise INTERPERTATION OF YOUR BLOOD REPORTS LIVER FUNCTION All liver parameters are within normal limits -ALT,ALP,Bilirubin-> normal -Total protein at upper limit -Globulin mildly elevated (37 g/L)-> suggests= chronic low grade inflammation, kapha ama association No evidence of liver damage or fatty liver progression at present PSA -PSA 0.38 ng/mL-> excellent, no concern LIPIDS -elevated cholestrol ,LDL, triglycerides-> medo dhatu dushti -HDL on lower side-> kapha dominance TSH -4.92 mU/L (upper normal)-> kapha-medo influence on thyroid -Not hypothyroidism yet, but needs observation REGARDING MEDOHAR GUGGULU-> CAN YOU TAKE IT? -Yes, Medohara guggulu can be added, with conditions BENEFITS -lekhana (fat scraping) -meda-shoshana -improves lipid metabolism -supports insulin sensitivity IMPORTANT CONSIDERATION You are already on multiple Guggulu formulation -Gokshuradi guggulu -Kanchanar guggulu -Chandraprabha vati Too many guggulu preparations together can -overstimulate digestion -causes dryness, acidity, or liver load Long term BEST RECOMMENDATIONS Instead of adding another guggulu OPTION A (preferred) -replace Gokshuradi guggulu with Medohara guggulu= 2 tabs after lunch and dinner with warm water CONTINUE -kanchanar guggulu -chandraprabha vati LIVER HEALTH AND DETOX- DO YOU NEED LIVOMAP? Based on your reports -liver enzymes are normal -no jaundice , no fatty liver evidence -no symptoms of Yakrit dushti You do NOT need strong liver detox at this stage LIVOMAP (or heavy hepatoprotective syrups) -not required now -unncesseasry detox can weaken agni BETTER, GENTLER AYURVEDIC LIVER SUPPORT If you want preventive care -Bhumiamalaki capsule/ churna= 1 cap or 2gm churna once dail with warm water =These support liver + metabolism without over cleansing YOUR CURRENT REGIMEN WHAT IS WORKING WELL -Metformin + berberine-> insulin sensitivity -Triphala at night-> gut , metabolism -Varunadi kashaya-> kapha meda mutra balance -Exercise and diet-> sustained weight losss MINOR OPTIMIZATION SUGEGSTED -Take triphala alone at bedtime -Ashwagandha can be shifted to early evening if sleep is fine (Ashwagandha can increase kapha if taken late at night) DIET -milletts (jowar, bajra, ragi) -green vegetables (steamed or sautéed) -bitter tastes= karela, methi, neem -warm, light meals -dinner before 7:30 pm WEEKLY PRACTICE -one light dinner day per week (soup+ vegetables) AVOID -dairy especially night -rice (white) -wheat, bread -sugar, jaggery, honey at night -fried, packaged foods EXERCISE AND LIFESTYLE -continue regular exercise (minimum 45 min/day) -ADD= brisk walking, surya namaskar, kapalbhati (if comfortable) -avoid day sleep very important for kapha EXPECTED PROGRESS -weight loss= 2-3 kg/month -lipids improve in 3-4 months -night urination stabilizes further -liver parameters remain normal DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU DR. MAITRI ACHARYA

THANK YOU FOR SHARING YOUR DETAILED REPORTS AND FOR EXPLAINING YOUR CURRENT ROUTINE SO CLEARLY I CAN SEE THAT YOU HAVE ALREADY TAKIN MANY POSITIVE STEPS AND YOUR CONSISTENCY WITH DIET EXERCISE AND MEDICINES IS REFLECTING IN THE STABLE PARAMETERS YOUR LIVER REPORTS ARE WITHIN SAFE LIMITS PSA IS VERY GOOD FOR YOUR AGE AND KIDNEY VALUES ARE NORMAL THE SLIGHTLY HIGH GLOBULIN USUALLY INDICATES CHRONIC KAPHA AMA AND METABOLIC LOAD AND NOT LIVER DAMAGE YOUR WEIGHT LIPID PROFILE AND SUGAR PATTERN CLEARLY INDICATE KAPHA DOMINANCE WITH MEDA DUSTI AND INSULIN RESISTANCE WHICH YOU ARE ALREADY ADDRESSING IN THE RIGHT DIRECTION REGARDING MEDOHAR GUGGULU YES IT CAN BE ADDED SAFELY WITH YOUR CURRENT MEDICINES AND IT WILL SUPPORT WEIGHT REDUCTION FAT METABOLISM AND LIPID CONTROL TAKE TWO TABLETS TWICE DAILY AFTER LUNCH AND DINNER WITH WARM WATER YOU MAY CONTINUE KANCHANAR GUGGULU AND GOKSHURADI GUGGULU AS THEY WORK ON DIFFERENT ASPECTS AND COMPLEMENT EACH OTHER THERE IS NO NEED TO ADD LIVOMAP AT THIS STAGE AS YOUR LIVER ENZYMES ARE NORMAL AND UNNECESSARY DETOX WHEN AGNI IS STILL STABILISING CAN SOMETIMES SLOW PROGRESS INSTEAD YOUR CURRENT REGIMEN ALONG WITH VARUNADI KASHAYAM TRIPHALA AND REGULAR EXERCISE IS SUFFICIENT TO SUPPORT NATURAL LIVER CLEANSING FOCUS NOW SHOULD BE ON CONTINUING DIET DISCIPLINE DAILY WALKING OR STRENGTH TRAINING SLEEP REGULARITY AND PATIENCE WEIGHT REDUCTION IN KAPHA BODY TYPE IS SLOW BUT SUSTAINABLE AND ONCE IT STARTS IT CONTINUES STEADILY REVIEW YOUR PROGRESS AFTER EIGHT TO TWELVE WEEKS AND REPEAT LIPID AND LIVER PROFILE AT THAT TIME YOU ARE ON THE RIGHT PATH AND SHOULD CONTINUE WITH CONFIDENCE WITHOUT ADDING TOO MANY MEDICINES AT ONCE

I have gone through your detailed history reports medicines and lifestyle changes very carefully and I want to first appreciate the sincere effort you have already started with diet exercise and discipline because that itself is the biggest medicine in kapha dominant conditions Your current liver parameters PSA kidney function blood counts and electrolytes are within safe and stable limits and there is no sign of active liver damage or inflammation at present so from an ayurvedic perspective the liver is functioning but shows signs of kapha meda accumulation rather than structural disease The mildly raised globulin and lipid profile reflect chronic low grade metabolic stress which is very common in long standing kapha vriddhi insulin resistance and excess meda dhatu and this matches your weight history body type and triglyceride LDL values The medicines you are currently taking are well chosen and complementary for urinary symptoms metabolism thyroid support and insulin sensitivity and since you are tolerating them well without side effects there is no need to disturb the core plan Regarding medohar guggulu yes it can be safely added in your case and it is actually indicated because your prakriti vikriti shows meda dushti kapha dominance slow metabolism and excess weight despite effort so medohar guggulu two tablets twice daily after lunch and dinner with warm water can be started and continued for three months while monitoring weight energy digestion and bowel regularity There is no conflict between medohar guggulu and chandraprabha gokshuradi or kanchanar guggulu but it is important that digestion remains comfortable so if you notice dryness constipation or excessive heat the dose can be adjusted Regarding liver support since your liver enzymes bilirubin and alkaline phosphatase are normal there is no need for aggressive detox or strong liver cleansing at this stage Ayurveda does not believe in detox unless there is evidence of ama or dysfunction However gentle liver metabolic support is beneficial in kapha meda conditions so livomap can be taken one tablet twice daily after meals for eight to twelve weeks mainly to support fat metabolism bile flow and prevent fatty infiltration rather than to correct damage You can continue metformin as advised by your physician and there is no adverse interaction with the ayurvedic medicines you are taking but ensure you do not skip meals and keep protein adequate to avoid hypoglycemia Your tsh is at the upper borderline so continuing kanchanar guggulu is appropriate and weight loss itself will help thyroid balance gradually Diet wise focus on warm cooked food avoid cold dairy sugar refined flour late dinners and snacking between meals keep dinner light and before sunset as much as possible and favor millets vegetables soups legumes and spices like ginger cumin pepper and turmeric Exercise consistency matters more than intensity so continue what you are doing and add brisk walking or strength training four to five days a week which will directly improve insulin sensitivity lipid profile and liver fat Overall you are moving in the right direction and the momentum you mentioned is real and visible in your reports so there is no need to add too many medicines just refine the plan support metabolism and stay consistent

✓Summary of key findings Kidney function: excellent (creatinine 80, eGFR >90) Lipids: high total cholesterol (5.69) + high non-HDL (4.61) + borderline high cholesterol/HDL ratio (5.3) → cardiovascular risk needs attention Liver: mostly normal (ALT 37, ALP 71, bilirubin 6), but globulin slightly high (37) – can be non-specific (chronic inflammation, infection, autoimmune) PSA: normal (0.38) – no prostate concern ✓Top Priorities Lower non-HDL cholesterol (target <3.37 mmol/L or ideally <2.6) – this is the most actionable risk now Monitor globulin – repeat LFT + CRP/ESR in 2–3 months ✓Diet & Lifestyle (most powerful – start today) Increase soluble fiber: oats/barley porridge daily, 1–2 apples/pears, 1–2 tbsp ground flax/chia seeds, psyllium husk 1 tsp in water at night Healthy fats: 1–2 tbsp extra virgin olive oil daily, 20–30 g almonds/walnuts, avocado ½ daily Plant sterols: add fortified spread or naturally in sesame seeds Green tea: 2–3 cups daily (catechins lower LDL) Exercise: continue daily + add 30 min brisk walk (raises HDL) Avoid: trans fats, excess saturated fat (red meat, butter, full-fat dairy), refined carbs/sugar ✓Ayurvedic Support (safe & effective add-on) Arjunarishta – 15 ml + 30 ml warm water twice daily after meals (best heart tonic, helps lipids & BP) Medohar Guggulu – 1–2 tablets twice daily after food (lowers cholesterol & supports metabolism) Triphala Churna – 3 gm night with warm water (gentle detox & digestion) ✓Next Steps Recheck lipid profile + globulin/CRP in 8–12 weeks If non-HDL still high the discuss low-dose statin with doctor (very safe & effective) Keep monitoring BP & sugar regularly You are already on the right path – strict diet + exercise + Arjunarishta can drop non-HDL noticeably in 2–3 months. Stay consistent! Dr Gursimran Jeet Singh MD Panchakarma