For optimal results, it is generally recommended to take Everest Mahathikthakam Kashyam as advised by your healthcare provider. Typically, adults can take 5-10 ml with an equal amount of warm water, preferably on an empty stomach in the morning and before dinner. Ensure to shake the bottle well before use. It's important to follow your healthcare provider's instructions or refer to the dosage guidelines provided on the product packaging. Always consult with a healthcare professional for personalized advice, especially if you have any pre-existing health conditions or concerns.