Suggest treatment for patient with ra test 21 tsh 6 hb 10 mg age 70 weight 94kg female.
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Sanshodha is recommended but seeing patient's age light sanshodhan can only be done. Pt is obese too. Hb is little lesser. Please start tab rumalya ds 1, kanchnar guggul 1, kaishore guggul 1 all twice a day. Mandoor bhasm 250 mg bd with honey/water. Taruni kusumakar 1/2 tsp daily night with warm water. Preferably tabs with warm water. Liquid maharasnadi kwath 15ml + equal water before meals brihat guduchyadi oil (put 1/4 tsp in water or milk and drink). This is very effective for thyroid, gout, ra etc rumalya oil gentle massage over painful parts/ inflammation. Long term therapy. Keep on reporting every two weeks please. Light food and walk (may be within house) recommended.
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