To achieve the best results with Sitaram Mahatiktakam Kashaya, it is recommended to take the prescribed dose as advised by your healthcare provider, usually before meals. It is important to shake the bottle well before use. Generally, the kashaya is taken with an equal amount of water. Consistency is key, so ensure regular use as per your doctor's guidance. It is always best to consult with an Ayurvedic practitioner or healthcare professional who can tailor the dosage and usage to your specific needs and health conditions.