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How to help my dad strengthen his bones and get nutrients with small meals after stomach surgery?
Geriatrics & Rejuvenation
Question #53813
23 days ago
411

How to help my dad strengthen his bones and get nutrients with small meals after stomach surgery? - #53813

Client_8ea999
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Mi papá es una persona que desde los 13 años empezó a fumar tabaco y tomar alcohol. El actualmente tiene 56 años y hace un año y medio que no toma ni fuma. Desde los 30 presenta su azúcar en sangre, triglicéridos y colesterol. A los 40 le dijeron que tenía un síndrome metabólico. Para arreglar esto le hicieron una cirugía donde le cortaron gran parte de su estómago. Esto causó que comiera mucho menos y enflaqueció. Esto también le controló el azúcar, triglicéridos y colesterol. Le han pasado múltiples situaciones como que se le reventaron los tendones desde los hombros por levantar mucho peso, le dijeron que tenía debilitadas las vértebras, los huesos específicamente. Por la operación del estómago no es capaz de absorber todos los nutrientes de la comida ni hidratarse correctamente. Ahora toma muchos suplementos. Se queja constantemente que le duele el cuerpo. Desde siempre tiene problemas con la depresión. Hace poco mis papás compraron una finca y cuando el trabaja limpiando la tierra dice que nada le duele, más que todo porque eso le da propósito. Solo me gustaría saber si existe algo para arreglarle los huesos y comidas que le puedan dar muchos nutrientes en porciones pequeñas. Muchas gracias por abrir este espacio. Que tengan un lindo día.

How long has your dad been experiencing body pain?:

- More than 6 months

What specific areas of his body does he feel pain in?:

- All over

How would you describe his appetite?:

- Good — eats regularly

Has he noticed any changes in his energy levels?:

- High energy

What kind of supplements is he currently taking?:

- Vitamins and minerals

How is his digestive health since the surgery?:

- Chronic issues

Is he currently following any specific diet?:

- High-protein diet

How often does he engage in physical activity aside from working on the farm?:

- Not at all
Question is closed
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Doctors' responses

●Myaxyl Pain Relief Oil-Quick relief from knee pain and spasms. Reduces swelling and joint stiffness. Soothes sore muscles and joints. Non-sticky and quick-absorbing formula. ●Yogaraja Guggulu Tablets-Relieves from joint stiffness - Kerala Ayurveda Yogaraja Guggulu Tablet is an ayurvedic joint care supplement enriched with guggulu, rasna, and saindava that help nourish the cartilage: the protective cushion surrounding bones in the joints. Eases joint pain - Guggulu and rasna, the key ingredients in Yogaraja Guggulu Tablet, are the foremost herbs or agryaoushada for all Vata-related diseases. They help to pacify Vata dosha and relieve joint pain. Enhances joint flexibility - Kerala Ayurveda Yogaraja Guggulu Tablet infused with joint-friendly herbs in a Ghee base improves mobility and reduces intra-joint friction. Improves mobility - By improving joint stability and enhancing the range of motion, Yogaraja Guggulu improves joint mobility. ●Balarishta -Helps relieve numbness: Balarishta helps ease numbness and lack of sensation. Calms muscles: A herbal muscle tonic with the goodness of bala and Ashwagandha. Regular application revitalizes and strengthens muscles, ensuring balanced energy and well-being. Nourishes bones and joints: Vata-pacifying and brimhana (strengthening) herbs in Balarishta deeply nourish weak muscles, bones, and joints, promoting an active and joyful life. ●Kokilakshakam-KwathUsed in the treatment of rheumatoid arthritis, arthritis, and edematous condition. Acts as anti-rheumatic. Acts as a diuretic. ●Balaswagandhadi Thailam-Improves muscle and joint strength. Enhances joint flexibility and mobility. Nourishes weak and atrophied muscles. Helps recover post-illness soreness and fatigue. ●Warm & Light: Foods should be freshly prepared and easy to digest to kindle the digestive fire (Agni). Best Grains: Red rice, barley (Yava), and small millet (like foxtail or Kodo) are recommended. Vegetables: Bitter gourd, snake gourd, drumstick leaves, bottle gourd, okra, and carrots are encouraged. Spices: Use spices like ginger (freshly grated), turmeric, cumin, and garlic to reduce joint pain. Fluid Intake: Drink warm water throughout the day. Buttermilk (Takra) mixed with spices is highly recommended ●Tadasana (Mountain Pose): Enhances joint mobility and overall body alignment. Bhujangasana (Cobra Pose): Strengthens the spine and improves flexibility. Seated Cat-Cow: Increases spine mobility without placing stress on knees. Tree Position: Promotes balance and gently strengthens hips. Savasana (Corpse Pose): Relieves mental and physical tension

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Doctor has prepared a treatment plan for you
Ajamamsa Rasayanam Leyham (Ajamamsarasayanam 500 Gm) - Kerala AyurvedaAjamamsarasayanam 500 Gm
Myaxyl Capsules (100 Nos) - Kerala AyurvedaMyaxyl Capsules 100 Nos
Yogaraja Guggulu Tablets (Yogarajagulgulu Tablet 50 Nos) - Kerala AyurvedaYogarajagulgulu Tablet 50 Nos
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Avoid oily, spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Ashwagandharishta 15ml twice after meal with lukewarm water Tab.Asthishrukhla 2-0-2 Cap.Laxadi Guggulu 1-0-1 Follow up after 4weeks.

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Your father’s condition is understandable given his history. The stomach surgery (likely bariatric) has reduced his ability to absorb nutrients, which is why he now has weak bones, muscle pain, and fatigue. Ayurveda can help, but this is a case where nutrition and absorption are the main focus. From an Ayurvedic view, this is mainly Vata aggravation (degeneration, pain, weakness) Asthi dhatu kshaya (bone tissue depletion) Agni manda (weak digestion and absorption) Ashwagandha churna 5 grams with warm milk once daily at night For strength, muscle and bone nourishment Shatavari churna 3 grams with milk in morning For nourishment and tissue building Lakshadi Guggulu 2 tablets twice daily after food For bone strength and healing Praval Pishti 250 mg twice daily with honey or ghee Natural calcium support Guduchi satva 500 mg twice daily For immunity and inflammation Dashmoolarishta 15 ml with equal water after lunch and dinner For Vata and body pain If digestion is very weak Hingvastak churna 1 gram before meals with ghee External therapies Daily oil massage with Mahanarayana taila or Dhanwantharam taila Followed by warm bath This reduces pain and improves strength If possible Basti therapy (medicated enema) is very important for Vata and bone health, under supervision Diet for high nutrition in small portions Because he cannot eat large quantities, give dense and easily digestible foods Warm milk with ghee and a pinch of turmeric daily Ragi porridge (rich in calcium) Black sesame seeds powder 1 teaspoon daily Soaked almonds 5 to 10 daily Moong dal soup with ghee Bone broth or vegetable mineral broth Rice with ghee and soft cooked vegetables Dates and figs in small quantity Avoid Dry food, junk food, excess raw food Cold drinks and refrigerated items Excess tea and coffee

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Your father’s condition is something we see when the body has gone through many years of strain and then a major stomach surgery which has reduced digestion and absorption Right now this is not only a bone issue it is a deeper level of tissue depletion especially of asthi dhatu and majja dhatu along with weak agni so even if he eats good food the body is not able to take full nourishment from it and this leads to weakness pain and poor bone strength One very positive sign is that when he works in the land he feels better this shows his body responds well to natural movement sunlight and a sense of purpose this should be continued in a balanced way without overexertion For his food give very small frequent meals which are warm soft and easy to digest avoid heavy dry and cold food give nourishing but light preparations like thin moong dal with a little ghee soft rice well cooked vegetable soups ragi in small quantity bone broth if he takes it soaked almonds black sesame seeds in small quantity and soft cooked eggs if suitable small fish like sardines can also help Always add a little ghee and mild spices like dry ginger cumin and black pepper to improve digestion because without improving digestion even the best food will not help him For support you can give ashwagandha churna half teaspoon twice daily with warm milk or water laksha guggulu one tablet twice daily after food praval pishti one pinch with honey or ghee once or twice daily and dashamoola kwatha in small dose for body pain and tissue support It is also important to support vitamin D and B12 levels because after stomach surgery these often become low and affect bones and strength His depression is also connected to this level of depletion so along with medicines he needs sunlight gentle activity and emotional support the farm work is actually helping him so encourage it but without strain This kind of condition improves slowly with regular nourishment better digestion and gentle strengthening the body can regain stability reduce pain and improve quality of life

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Your father’s condition is mainly due to reduced absorption after stomach surgery + long-term metabolic stress, which is now affecting bones, muscles, and overall strength. The goal is not heavy eating, but high-quality nutrition in small, frequent portions and improving absorption. Diet (very important): Give small meals 4–5 times a day instead of large meals Include: Soft khichdi with ghee Moong dal, well-cooked vegetables Homemade soups (vegetable / bone broth if non-veg) Dates, soaked almonds (in small quantity) Ragi (finger millet) porridge for calcium Add a little ghee in meals — improves nourishment and absorption Avoid: Dry, processed, packaged foods Excess tea/coffee Hydration: Small sips of warm water through the day (not large amounts at once) At home: Warm oil massage (sesame oil) on body 3–4 times/week — helps pain and strengthens tissues Ashwagandha churna – ½ teaspoon with milk (or warm water) at bedtime Shatavari churna – ½ teaspoon once daily Lakshadi Guggulu – 1 tablet twice daily after food These help in improving strength, supporting bones, and recovery. Also, his mental well-being is important — the farm work giving him purpose is actually very beneficial, so encourage that in moderation. Recovery will be gradual, but with consistent nutrition and support, strength can improve. Regards, Dr Raghuveer (Ayurvedacharya)

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hello thank you for contacting ask ayurveda your father is having multiple complaints , mainly he is having body pains i want to see all his blood and scan reports operated due to metabolic syndrome ?what is his biopsy report how is his bowel habits ? as you told that is appetite is good then in place of medication i wil advice you to give small quantity of meals in frequent intervals you have to plan through what type of food you want to give he should get high proteins , carbohydrates , minerals and vitamins. so plan accordingly. i dont know whether Ayurveda medicines will be available there , but if you will get then please look at my prescription …

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Hello, For someone with post stomach surgery malabsorption, likely low bone density, chronic body pain, and metabolic history, Ayurvedic support should focus o digestion, bone tissue nourishment, vata pacification(pain/dryness) and rejuvenation- while keepiing meals small, dense in nutrition,and easy to absorb. Also, his sense of purpose while working the land is meaningful- Ayurveda considers this supportive for mental well being Treatment plan 1) For bone strength and joint support -Gandha taila capsules= 1 cap twice daily after meals =classic support traditionally used for bones, joints, and tissue nourishment -Maharasnadi kashayam tablets= 2 tab twice daily after meals =for chronic body pain, vata imbalance, stiffness 2) For digestion and nutrient absorption very important after stomach surgery -Dashmoolarishtam= 15ml + equal water twice daily after meals =traditionally used to support recovery, strength and digestion -Chywanprasha= 1 tsp in morning start with 1/2 tsp =nutrient dense Small nutrient dense foods easy to absorb use small frequent meals 5-6 mini meals -warm moong dal soup with ghee -sesame paste/tahini excellent traditional support for bones -soft stewed dates, soaked almonds, black rasins -bone broth if non vegetarian -soft khichdi with ghee and moringa leaves -ragi porridge -very rich in calcium -homemade electrolyte hydration= coconut water if allowed, or lightly salted rice water External pain support -Dhanwantaram taila warm oil masaage for pain, stiffnes, vata calming For mood/depression support -Brahmi capsule= 1 cap at bedtime may support calm and mental clarity Do follow Hope this might be helpful Thank you

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In ayurveda , your condition is viewed as disruption of digestive fire and tissue specific metabolism leading to accumulation of vata’ ( causing pain and dryness )and depletion of bone tissue . take the prescribed medications consistently you will see results soon . *DOS - drink only warm water take 5-6 tiny meals nutrient rich rather than 3 large ones moong bean soup( kichadi )- best for malabsorption spend 15 min in sun do gentle excersise to keep synovial fluid moving

*DONTS - avoid dry food like popcorn dry toast crakers , take caffeine in limit , no raw salads or veggies they are hard to digest - steam or saute avoid night cold air add cumin water in routiene # dont start all the supplements on same day start with mustharistam for 3 days then add gt capsule

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this is due to disruption of Agni (metabolic fire) and site of weakness in the Asthi Dhatu (bone tissue), further complicated by Vata Vyadhi (Vata-related disorders) due to the depletion of bodily tissues (Dhatu Kshaya). 👇👇👇👇👇👇👇👇👇 1) Gandha thailam capsule- 1 capsule twice daily before food 2) ksheerabala 101 avarti- 5 to 10 drops With warm milk and bedtime 3) Dhanwantaram kwath- 15 ml with 45 ml lukewarm water twice daily 30 minute before food 4) Dadimadi ghritam- 1 teaspoon early morning before anything 5) kottamchukkadi thailam- apply warm over painful joint 👇👇👇👇👇👇👇 Stick to 5-6 very small means rather than three large meal Include Ragi, seaseme seeds moringa in your diet use protein like moong dal soup, goat milk Drink warm water throughout the day avoid drinking large amount of water during meals Use small amount of cow ghee in your daily food 15 to 20 minutes of morning sunlight Continue the farm activity to help with depression but also add 10 minutes of Pranayam daily

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Hello, It is truly inspiring that your father has maintained his sobriety for a year and a half after decades of smoking and drinking. That takes incredible mental strength. It is also very telling that his pain vanishes when he is working on the farm; in Ayurveda, we call this Prana (life force) being directed toward a purpose, which can often override physical discomfort. ​However, his history of gastric surgery (likely a gastric bypass or sleeve) means he is dealing with Vata imbalance. In Ayurveda, when the stomach is reduced, the “seat of digestion” is disturbed, leading to Dhatu Kshaya (tissue depletion), specifically affecting Asthi (bone tissue). ​ ​The Ayurvedic View: “Asthi Dhatu” ​Because he cannot absorb nutrients well, his “Agni” (digestive fire) is weak. In Ayurveda, bones are the site of Vata. When the body is malnourished, Vata increases, making bones brittle and causing the “body aches” he feels. To fix the bones, we must nourish the Medas (fatty tissue) and Asthi (bone) while keeping his digestion light. ​ ​1. Gandha Thailam (Capsules) ​Purpose: This is the premier traditional formula for bone strength, ligament tears (like his shoulder tendons), and bone density. ​Dose: 1 capsule twice daily, about 30 minutes before breakfast and dinner with warm water. ​2. Dhanwantharam Pills ​Purpose: Specifically for Vata disorders affecting the musculoskeletal system and nervous system (good for his “body aches”). ​Dose: 1 pill twice daily after food. ​3. Ashwagandharishtam ​Purpose: A fermented liquid that aids mineral absorption, strengthens bones, and helps with his history of depression and fatigue. ​Dose: 15–20 ml mixed with an equal amount of lukewarm water, twice daily after meals. ​4. Ksheerabala Thailam (For External Application) ​Purpose: Since he has trouble absorbing nutrients orally, “feeding” the body through the skin is vital. ​Usage: Massage this warm oil over his joints and back before a warm bath. It nourishes the nerves and bones directly. ​Nutrient-Dense, Small Meals (Ayurvedic Style) ​Since he has a small stomach capacity, he needs “Liquid Gold” nutrition that doesn’t require heavy lifting from his digestive tract. ​In Ayurveda, this is considered the best for bone repair. Have him sip small amounts (100ml) throughout the day. It is rich in collagen and minerals. Ghee is the best vehicle for nutrients. Adding a teaspoon of plain Ghee to every small meal will help lubricate his joints and provide fat-soluble vitamins (A, D, E, K) that he likely lacks. ​ A very thin, soupy mix of yellow mung beans and white basmati rice with ginger and cumin. It is “pre-digested” nutrition. ​ Ragi is the highest herbal source of calcium. Prepare it as a thin, warm drink with a little jaggery or stevia. ​ Soak 5 almonds and 2 dates overnight. Peel the almonds, blend them into a very thin milk with warm water and a pinch of cardamom. This provides Ojas (vitality) in a very small volume.

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Hola. Es admirable el progreso que ha logrado tu papá al dejar el tabaco y el alcohol por completo. La cirugía bariátrica salvó su metabolismo, pero al reducir su estómago, comprometió severamente su Grahani (capacidad de absorción). En Ayurveda, esta falta de absorción genera un estado de desnutrición celular que agrava el Vata dosha (el elemento aire y espacio en el cuerpo). Este Vata acumulado reseca los tejidos, causando el dolor corporal generalizado y debilitando directamente los huesos y tendones (Asthi y Snayu Kshaya). El hecho de que su dolor desaparezca al trabajar en la finca es una excelente señal neurológica: el trabajo físico con un propósito claro y el contacto con la naturaleza (enraizamiento) calman profundamente su sistema nervioso, mejoran la circulación y actúan como el mejor antidepresivo natural. Prescripción Ayurvédica (Para regeneración ósea) Dado que su digestión es delicada, utilizaremos formulaciones específicas que el cuerpo reconoce y absorbe fácilmente. 1. Lakshadi Guggulu Dosis: 2 tabletas, dos veces al día. Momento: 30 minutos después de las comidas. Vehículo: Agua tibia. Acción: Es la formulación ayurvédica por excelencia para el desgaste óseo. Contiene Hadjod (Cissus quadrangularis), una planta que acelera la curación de tendones rotos, mejora la densidad mineral de las vértebras debilitadas y reduce el dolor esquelético crónico. 2. Ashwagandha Churna Dosis: 1/2 cucharadita. Momento: Por la noche, antes de dormir. Vehículo: Media taza de leche tibia (o agua tibia si la leche le cae pesada). Acción: Es un poderoso adaptógeno que nutre profundamente los tejidos desgastados, fortalece los músculos, alivia el dolor corporal y estabiliza el estado de ánimo para combatir la depresión. Alimentos Densos en Nutrientes (Para porciones pequeñas) Como su estómago no puede procesar volumen, debemos enfocarnos en alimentos que aporten nutrición concentrada y fácil de absorber (Laghu y Brimhana): Sopa de Huesos (Bone Broth): Tomar solo media taza al día. Es “oro líquido”. Aporta colágeno puro, calcio y minerales esenciales que se absorben directamente en el torrente sanguíneo sin requerir un gran esfuerzo digestivo. Es vital para sus tendones y vértebras. Ghee (Mantequilla Clarificada de Vaca): Agregar 1 cucharadita diaria a sus comidas calientes. El Ghee es la mejor grasa terapéutica; aporta calorías densas, ayuda a absorber las vitaminas de sus suplementos, repara las paredes del estómago y lubrica las articulaciones desde adentro. “Shot” de Dátiles y Almendras: Remojar 2 dátiles y 5 almendras durante toda la noche. En la mañana, pelar las almendras y licuarlas con un cuarto de taza de leche tibia y una pizca de canela. Esto le dará un golpe altísimo de calcio, magnesio y energía en solo un par de sorbos. Dr Gursimran Jeet Singh MD Panchakarma

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