For best results with Everest Punarnavadi Kashaya Sookshma Choornam, it's recommended to consult with a healthcare professional or an Ayurvedic practitioner. Generally, the choornam can be taken with warm water or honey. The typical dosage is about 1/4 to 1/2 teaspoon, twice daily before meals, but this can vary based on individual health needs and conditions. Always follow the advice of your healthcare provider for personalized recommendations.