Seeking Advice on Managing Pain and Nutrition Post-Liver Issues - #50858

Hello, It is good to know that you underwent a course of panchakarma. As there are multiple issues it is better to consult an Ayurveda person in and around your place to undergo nadi pariksha(pulse reading). This helps to regulate the ayurveda supplements you are taking+ to advice on better protein options without causing any burden on your liver. And also please start practicing yogasana-pranayama-meditation consistently everyday. This will have positive effect on over all wellbeing. Take care, Kind regards.

Consulting the near by AYURVEDIC PHYSICIAN

Dear Vera 🙏 First, I want to say — your body has been through a lot. What you describe is not a simple case. It is a long-term nervous system + liver + gut imbalance, and your fear about harming the liver again is completely understandable. I will answer you carefully and safely. 🌿 Understanding Your Case (Holistic View) You have: 20+ years widespread pain → diagnosed fibromyalgia / connective tissue disorder Severe unexplained liver inflammation (enzymes >1500) Long diarrhea episode after contrast scan Sensitive digestion since then Menopause (2 years) Insomnia (wake 1–3am) Right rib pressure Bloating, poor tolerance to legumes Long-term low protein intake From an Ayurvedic view: This is Vata aggravated in nervous system + Pitta affecting liver + weak Agni (digestive fire). From modern perspective: Possible autoimmune tendency Liver hypersensitivity to substances Gut barrier disruption Hormonal shift (menopause) Central sensitization (fibromyalgia) We must go very gentle. ⚠ First Important Point – Your Liver History Liver enzymes >1500 is serious acute hepatitis level. Even if cause was unclear, your liver is reactive. So: 👉 Do NOT combine many herbs at once 👉 Avoid strong detox herbs 👉 Avoid frequent supplement changes 🌿 About What You Are Taking Now Let’s review honestly. Morning: Neem + Curcuma Dandelion + Milk thistle tea Amla Creatine Matcha + coffee Afternoon: Shatavari Ashwagandha That is quite a lot for a sensitive liver. Even good herbs become stressful in combination. 🟡 Possible Issues Neem + Curcuma daily → strong liver-stimulating + bitter + drying Dandelion + Milk thistle → also liver-active Amla → acidic (can aggravate sensitive gut) Coffee + matcha → increases cortisol + irritates gut Ashwagandha → usually safe but in rare cases can affect liver Creatine → generally safe, but unnecessary if liver feels pressure The right rib pressure worries me. Please do liver enzymes (AST, ALT, ALP, GGT) again soon. 🌿 My Suggestion: Simplify Immediately For 4 weeks, reduce to: ✔ Shatavari ¼ tsp (evening only) ✔ Magnesium glycinate at night (for sleep & muscles) Stop temporarily: Neem Daily curcuma (you can use in cooking only) Amla Matcha Creatine (pause) Ashwagandha (pause for now) Your system needs calming, not stimulation.