Continue Kanchnar Guggulu ✓Additional safe Ayurvedic support Varunadi Kashayam – 15 ml + 45 ml warm water twice daily after meals Praval Pishti – 250 mg twice daily with cold water Shigru (Moringa) leaf powder – 3 gm daily (morning with water) Triphala Churna – 3 gm night with warm water ✓Diet & Lifestyle (strict next 3–6 months) Continue no milk/dairy (good choice = dairy aggravates Kapha in nodules) Reduce wheat further (replace with millets: ragi/jowar/bajra) Add daily: pomegranate (1), cooked bitter gourd/lauki, turmeric (½ tsp in food), 1 tsp ground flaxseeds Avoid: soy, cabbage/cauliflower (raw), processed food, excess salt, iodine-rich excess (seaweed) Warm water sip 2.5–3 L/day No tight neck collars/scarves Gentle neck rolls + shoulder shrugs 5–10 min daily (no forceful movement) Regards Dr Gursimran Jeet Singh MD Panchakarma

A COMPLEX CYSTIC NODULE OF TWO BY THREE CM USUALLY HAS BOTH FLUID AND SOLID PARTS MANY TIMES SUCH NODULES REMAIN STABLE FOR LONG PERIODS AND SOME MAY REDUCE SLOWLY BUT WE HAVE TO BE REALISTIC COMPLETE DISAPPEARANCE WITH MEDICINE ALONE IS NOT ALWAYS GUARANTEED ESPECIALLY WHEN THE SIZE IS ABOVE TWO CM YOU ARE ALREADY TAKING Kanchanar Guggulu FOR TWO AND HALF MONTHS WHICH IS GOOD BUT IN GLANDULAR SWELLINGS WE USUALLY CONTINUE TREATMENT FOR THREE TO SIX MONTHS UNDER PROPER GUIDANCE SO DO NOT EXPECT VERY FAST CHANGES ALONG WITH THIS YOU CAN ADD VARUNADI KWATH TWICE DAILY BEFORE FOOD AND A GOOD QUALITY TURMERIC CAPSULE AFTER LUNCH THIS SUPPORTS REDUCTION OF CYSTIC AND GLANDULAR ENLARGEMENT PAY ATTENTION TO YOUR DIGESTION BECAUSE POOR METABOLISM OFTEN CONTRIBUTES TO SUCH GROWTHS AVOID HEAVY DINNERS REFINED SUGAR BAKERY ITEMS FRIED FOOD AND PACKAGED SNACKS CONTINUE TO LIMIT DAIRY IF IT SUITS YOU BUT COMPLETE AVOIDANCE IS NOT NECESSARY IF YOU DIGEST IT COMFORTABLY MINIMIZING EXCESS WHEAT IS FINE BUT DO NOT MAKE YOUR DIET TOO RESTRICTIVE DRINK WARM WATER THROUGHOUT THE DAY AND AVOID VERY COLD FOOD OR DRINKS CHECK YOUR VITAMIN D LEVEL IF NOT DONE AND ALSO ENSURE YOU ARE NOT DEFICIENT IN IODINE BUT DO NOT START IODINE SUPPLEMENTS WITHOUT TESTING MANAGE STRESS SERIOUSLY BECAUSE THE THYROID GLAND IS VERY SENSITIVE TO CHRONIC STRESS PRACTICE SLOW BREATHING DAILY MAINTAIN REGULAR SLEEP BEFORE ELEVEN PM AND KEEP YOUR MIND CALM REPEAT ULTRASOUND AFTER SIX MONTHS TO MONITOR THE SIZE IF THERE IS RAPID INCREASE PAIN DIFFICULTY IN SWALLOWING BREATHING OR VOICE CHANGE THEN A SURGICAL OPINION IS NECESSARY

Go for surgery is best option
Hello First i appreciate that you have already done -Ultrasound -FNAC -Thyroid profile normal - Taking kanchanar guggulu - and also done dietary correction This is really a good start ABOUT KANCHANAR GUGGULU It is classical choice for Cystic swelling Thyroid enlargement But important Nodules will take minimum 6-8 months to show size reduction IMPORTANT TO KNOW Complex cystic nodules sometimes -Take more time to reduce -Sometimes remain stable -Rarely completely disappears Goal should be - prevent further growth - Reduce size gradually WHAT ELSE YOU CAN ADD 1.Varunadi kashyam 15 ml twice daily wirh equal water after food DIET PLAN ❌AVOID -Curd -Cold food - Excess sugar -soy products in excess -processed food ✅ADD -Warm water - Jeera water -Light dinner - steamed vegetables Monitoring Repeat Ultrasound after 3 months If 👉Size reduces= continue 👉Size stable= Continue monitoring 👉Size increase rapidly = Surgical option Wishing you a good health 😊 Warm Regards Dr Snehal Vidhate

1.Kanchnar guggulu 2 tab twice daily with water after meals 2.Punarnava mandur 2 tab twice daily with water after meals 3.Varunadi kwath 20 ml with 20 ml water twice daily after meals 4.Manjistha churna 1/2 tsp twice daily with warm water afetr meals 5.Triphala churna 1 tsp at bedtime with warm water ***Include: - Light, Kapha-reducing foods: barley, millet, green leafy vegetables, bottle gourd, turmeric. - Fruits: pomegranate, apple, papaya. - Warm water and herbal teas (ginger, tulsi, cinnamon). ***Avoid: - Dairy (milk, paneer, curd, cheese). - Wheat in excess—favor millets instead. - Fried, oily, and processed foods. - Cold drinks and packaged juices.

HELLO, For a benign complex cystic thyroid nodule (23cm) with normal thyroid function, the goal in Ayurveda is -reduce kapha + meda accumulation -improve lymphatic drainage -support agni (metabolism) -prevent further cystic fluid accumulation You are already taking Kanchanar guggulu which is correct. ADD THIS PROTOCOL 1) KANCHANAR GUGGULU= 2 tabs twice daily after meals with warm water 2) VARUNADI KASHAYA= 15ml + 45 ml warm water twice daily before meals =helps in reducing cystic and glandular swellings 3) PUNARNAVA MANDUR= 1 tab twice daily after meals =improves fluid metabolism and reduces cystic component 4) TRIPHALA GUGGULU= 2 tabs twice daily after meals =redues nodule LOCAL APPLICATION VERYY IMPORTANT 1) KANCHANAR GUGGULU PASTE (external) -crush tablet + warm water-> apply thin layer over thyroid region -leave 20-30 min daily -wash off with lukewarm water OR 2) CASTOR OIL + TURMERIC (MILD MASSAGE) Apply lightly at night no deep pressure DIET- More important than milk restriction You stopped milk good Now focus on -warm water throughout the day -turmeric + black pepper -barley -old rice -moong dal -lauki, tinda, ridge gourd -small amount of black cumin -1 tsp flaxseed daily AVOID -curd very important -panner -soy products -excess raw cabbage, cauliflower goitrogens In excess -sugar -bakery -deep fried food -cold water YOGA very effective for thyroid Daily 15 min -sarvangasana -matsyasana -ujjayi pranayam -bhramari Improves glandular circulation LIFESTYLE -sleep before 10:30 pm -avoid daytime sleep -avoid stress thyroid nodules grow with chronic stress -keep bowel clear triphala 1 tsp with warm water at bedtime Since your nodule is -23 cm -complex cystic If it does not reduce in 6-8 months, Aspiration (fluid removal) is the most effective modern option and is minimally invasive Ayurveda can help reduce size slowly, , but cystic nodule shrink slower than solid onces With strict regimen -10-30 % size reduction in 3-6 months possible -Complete disappearance is uncommon for cystic nodules DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU
HELLO, For a benign comlex cystic thyroid nodule (23cm) with normal thyroid function, the goal in Ayurveda is -reduce kapha + meda accumulation -improve lymphatic drainage -support agni (metabolism) -prevent further cystic fluid accumulation You are already taking Kanchanar guggulu which is correct. ADD THIS PROTOCOL 1) KANCHANAR GUGGULU= 2 tabs twice daily after meals with warm water 2) VARUNADI KASHAYA= 15ml + 45 ml warm water twice daily before meals =helps in reducing cystic and glandular swellings 3) PUNARNAVA MANDUR= 1 tab twice daily after meals =improves fluid metabolism and reduces cystic component 4) TRIPHALA GUGGULU= 2 tabs twice daily after meals =redues nodule LOCAL APPLICATION VERYY IMPORTANT 1) KANCHANAR GUGGULU PASTE (external) -crush tablet + warm water-> apply thin layer over thyroid region -leave 20-30 min daily -wash off with lukewarm water OR 2) CASTOR OIL + TURMERIC (MILD MASSAGE) Apply lightly at night no deep pressure DIET- More important than milk restriction You stopped milk good Now focus on -warm water throughout the day -turmeric + black pepper -barley -old rice -moong dal -lauki, tinda, ridge gourd -small amount of black cumin -1 tsp flaxseed daily AVOID -curd very important -panner -soy products -excess raw cabbage, cauliflower goitrogens In excess -sugar -bakery -deep fried food -cold water YOGA very effective for thyroid Daily 15 min -sarvangasana -matsyasana -ujjayi pranayam -bhramari Improves glandular circulation LIFESTYLE -sleep before 10:30 pm -avoid daytime sleep -avoid stress thyroid nodules grow with chronic stress -keep bowel clear triphala 1 tsp with warm water at bedtime Since your nodule is -23 cm -complex cystic If it does not reduce in 6-8 months, Aspiration (fluid removal) is the most effective modern option and is minimally invasive Ayurveda can help reduce size slowly, , but cystic nodule shrink slower than solid onces With strict regimen -10-30 % size reduction in 3-6 months possible -Complete disappearance is uncommon for cystic nodules DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU

As it’s a benign you can start with Kanchanar guggulu 1-0-1 Arogyavardini vati 1-0-1 Avoid oily fried junk processed foods




