For best results, take Everest Pathyashadamgam Kashyam on an empty stomach. Typically, it is recommended to consume 15-30 ml of the kashayam mixed with an equal amount of warm water, twice daily before meals. However, it is important to follow the dosage and directions provided by your healthcare practitioner or as mentioned on the product packaging. If you are currently taking other medications or are pregnant, consult a healthcare professional for personalized advice.