In India, obesity is on the rise, especially in cities, where almost 4 out of 10 adults are affected. This can increase the risk of serious health problems like high blood pressure, type 2 diabetes, and heart disease1,2. Wegovy is a prescription medicine that contains semaglutide, a medicine belonging to the GLP-1 receptor agonist group. This medicine may help to manage weight in people aged 12 years and above who are overweight or obese, and may also help reduce the risk of heart problems in some people. The starting dose of Wegovy is 0.25 mg, and it goes up to 2.4 mg. It should be taken along with a proper diet and regular physical activity2,3. In this blog, we will explore options for a healthy eating plan which works well with Wegovy as well as helps manage its side effects and supports long-term health.
How Wegovy Works & Why Diet Matters?
Wegovy works by acting like a natural hormone called GLP-1, which helps control appetite and how much we eat. It works in two ways. In the stomach, it slows down how quickly food leaves, so you feel full for a longer time and eat less. In the brain, it reduces hunger and lowers cravings for high calorie foods. It also helps balance the hunger and fullness hormones in the body4.
As Wegovy affects the appetite and digestion, it is important to pay attention to the diet while taking the same. The medication reduces how much you eat, lowers calorie intake, and slows stomach emptying, which can make it harder for the body to absorb all essential nutrients. This may lead to lower energy levels, tiredness, or fatigue. Keeping this in mind your diet should focus on getting all the necessary vitamins and minerals5,6.
Many people may also experience gastrointestinal side effects such as nausea, vomiting, diarrhoea, or constipation. These effects happen because Wegovy acts on certain areas in the brain and gut, affecting digestion. Adjusting what and when you eat can help reduce these side effects7,8.
Long-term results with Wegovy also depend on food choices. The medication is most effective when combined with a structured, calorie-controlled diet and regular physical activity, leading to an average body weight reduction of around 16% in clinical studies9.
Following a balanced and properly structured diet is important for using Wegovy effectively. In the next section, we will explore the core principles of a Wegovy-friendly diet.
Core Principles of a Wegovy-Friendly Diet?
Any person who is on Wegovy medicine needs to adopt a dietary approach that not only supports the treatment but also reduces side effects and improves overall outcomes. The key principles of a Wegovy diet include:
Calorie intake: The daily calorie intake should be between 1200 to 1800 per day. You should aim for at least 500 calories less than what your body normally uses each day to support weight loss10.
Balanced diet: A healthy diet should include fruits, vegetables, whole grains, healthy fats, and low-fat dairy products11.
Macronutrients: A good balance of macronutrients looks like:
50% of calories from carbohydrates (135–245 g/day)
30% from fats (25–60 g/day)
20% from protein (0.8g/kg/day)
Healthy carbohydrates should include whole grains, fruits, vegetables, nuts, seeds, and dairy. Don’t go for very low-carbohydrate diets, as you may lose out on important nutrients and fibre. Healthy fats should be consumed as they also help support gallbladder health. Also, the right amount of protein should be taken, and preferably first at each meal11,12.
Fibre: Fibre is important for gastrointestinal health and also lowers the risk of heart problems. Daily requirements are:
21–25 g/day for women
30–38 g/day for men
Get your fibre from fruits, vegetables, and whole grains. For those on Wegovy medicine, the fibre intake may be slowly increased along with a good amount of water or fluids to prevent constipation.
Hydration & electrolytes: About 2 to 3 litres of fluids should be consumed per day, and even more for those who are active or live in places where there is a hot climate. Sometimes Wegovy can make you feel less thirsty, so keeping hydrated is even more important. This also helps reduce side effects of Wegovy like nausea and constipation8,11.
Meal timing: Consuming smaller but more frequent meals is helpful, and so is ceasing to eat before completely full11.
Chewing: When food is chewed well, it stimulates the release of GLP-1 and gut hormones that aid digestion and naturally slow stomach emptying. This matches how Wegovy works, helping food leave the stomach more gradually, which supports appetite control and makes digestion easier for people on GLP-1 treatment13.
While following the Wegovy diet, one should keep in mind the GI disturbances and add foods to aid in better digestion. Some quick hacks to avoid any acid reflux issues or bloating issues should be incorporated while planning the diet. In my clinic practice, chewing a tsp of Saunf/ Fennel Seeds (roasted) or 4 Raisins (if not a Diabetic) post meals has shown an immense response to patients on wegovy to avoid any acidity post meals
You must be wondering what to eat on Wegovy if you are using this medicine. Actually, choosing the right foods is key to get the best results in weight loss and manage side effects when on Wegovy. The best foods to include are:
1. Protein Sources
Adding protein to the diet helps to build muscle, boosts metabolism, and makes you feel full for longer. It also reduces cravings and helps you eat less, which supports weight loss. Losing weight can reduce muscle and bone mass, especially in older people or those who don’t eat enough protein or exercise. To prevent this, it’s important to include nutrient-rich, smaller-portion protein foods like:
Cottage cheese, eggs
Chicken, fish
Seeds, nuts, and spreads like almond or peanut butter
Soy, whole grains, lentils, beans, peas
Dairy products
Protein bars, shakes, or fortified foods if whole-food intake is insufficient5,14
2. Low-GI Carbs
Foods with a glycaemic index of 55 or lower provide slow, steady energy release that helps with appetite control and blood sugar balance, which can help specially those who are on Wegovy. Examples of low-GI carbs that can be included in wegovy food list:
Quinoa, oats, muesli
Lentils, beans, chickpeas, sweet potato
Mixed grain or soy and linseed bread
Fruits like cherries, pears, apples, and oranges
Soy milk, milk, and yoghurt
Some “extra” items like low-GI chocolate and cashew nuts in moderation11,15
3. Healthy Fats
Healthy fats help absorb vitamins A, D, E, and K, stimulate gallbladder emptying, and prevent stone formation. Recommended sources of healthy fats include:
Fibre is good for digestive health, helps feel full, lowers cholesterol, and keeps blood sugar under control. Some fibre-rich foods that can be included are:
Adequate hydration is essential. Suitable options include:
Water
Tea or coffee (low-calorie)
Low-fat milk or soy milk
Foods with water content, like chicken broth or yoghurt
Additionally, easy-to-digest, low-fat foods, mainly bland ones, may be included in a Wegovy diet plan, prepared using cooking methods such as oven baking, boiling, or pan-searing8,11.
Foods to Limit or Avoid?
When taking Wegovy, some foods can cause nausea, bloating, and other digestive issues, and can also affect weight loss results. These are some foods to avoid when taking Wegovy:
High-fat and fried foods: Consuming very oily, fried, or made with lots of animal fat or tropical oils may cause stomach upset and nausea17.
Sugary and processed foods: Eating too many sweets, sugary drinks, white bread, or refined grains can make digestion harder and may potentially slow weight loss.
Red and processed meats: Eating red meat, sausages, bacon, and most fast foods should be limited, as they can be hard on the stomach and are not ideal for weight loss5,11.
Spicy or heavily seasoned foods: Very spicy dishes, canned sauces, dressings, or foods with too many strong flavours can irritate the stomach8,17.
Alcohol and caffeine: Alcohol should be avoided as it can negatively affect health. Excessive coffee or caffeinated drinks can cause stomach upset or dehydration11.
Bonus tips: Soups or broths consumed late in the evening slow digestion. Large amounts of fruit with large meals can contribute to bloating, which has to be considered while meal planning8,17.
Managing Side Effects Through Diet
To avoid digestive problems such as nausea, vomiting, diarrhoea, or constipation when taking Wegovy, the following recommendations may be helpful:
Nausea: Wegovy foods to avoid nausea, such as crackers, mint, ginger, apples, or ginger drinks, can be helpful, while strong smells are to be avoided.
Vomiting: It is advisable to stay well hydrated and consume small amounts of food more frequently.
Diarrhoea: Plenty of fluids such as water, lemon water, or a little bicarbonate should be consumed. Isotonic drinks, dairy, coffee, alcohol, soft drinks, very hot or cold foods, and candy or gum with sweeteners ending in “-ol” are to be avoided. Soft foods such as rice, carrots, chicken broth, and ripe peeled fruit are recommended, while high-fibre foods such as grains, nuts, seeds, beans, cabbage, onions, peas, mushrooms, apples, mango, and cherries should be limited.
Constipation: Adequate fibre intake, physical activity, sufficient hydration, and a balanced, healthy diet are recommended8,17.
Bloating: More low-FODMAP (Fermentable Oligosaccharides, Disaccharides, Monosaccharides And Polyols) foods that are gentle on the gut, like capsicum, beans, carrots, cucumber, zucchini, oranges, kiwi, pineapple, eggs, meat, oats, peanuts, macadamias, and walnuts can be included; These carbohydrates are easier to digest and may help reduce bloating19.
If digestive symptoms like nausea, vomiting, or other side effects occur while on Wegovy, drinking water or other fluids during meals should be avoided, with intake timed 30–60 minutes before or after eating instead.
One key instruction I emphasise to all my patients is to avoid eating until the stomach feels completely full. Overeating significantly increases the likelihood of nausea, bloating, and reflux while on GLP-1 therapy. Healthy fats and high-quality proteins naturally complement the mechanism of GLP-1 receptor agonists by promoting satiety and metabolic stability. Hydration is just as important as protein. Thirst is frequently misinterpreted as hunger, and increasing protein intake should always be accompanied by proportionate water intake. To reduce constipation, I would recommend 1–2 teaspoons of chia seeds soaked overnight.
The best time to take Wegovy to help prevent feeling nauseous is at least 30 minutes after the last dose before consuming food. Foods that are gentle on your stomach, like crackers, peeled apples, fresh mint, pieces of ginger root, or ginger-based drinks are recommended to be included in meals. These should be eaten slowly and in small amounts so the stomach can tolerate the medicine better, and nausea is reduced8.
Customizable Meal Frameworks
For individuals taking Wegovy, following a simple food plan can help improve digestion and reduce side effects like nausea, vomiting, bloating or other digestive issues. This plan outlines the types of foods to include each day and how much, while still allowing flexibility for personal preferences.
Wegovy may work best when it is paired with a mindful, balanced diet based on every individual’s body needs. There is no single wegovy food list that fits everyone, so individuals are encouraged to listen to their bodies and adjust their diet based on how they feel. Starting with smaller, consistent changes rather than drastic shifts may bring long-term results. It is always advisable to consult a doctor or dietitian before making major dietary changes while using Wegovy.
It is advised to minimise or totally avoid sweets, ultra-processed foods, and sugar-sweetened beverages. They can be taken only on very rare occasions, but during Wegovy treatment, the focus should be on fruits, vegetables, whole grains, lean proteins, dairy, nuts, and seeds.
Is fasting recommended?
Fasting is not specifically recommended while on Wegovy. Some people may try intermittent fasting to speed up weight loss, but it can increase the risk of hypoglycaemia (low sugar levels). It is better to focus on balanced meals at regular intervals, with more protein, fibre, and nutrient-dense foods22.
How to eat enough on Wegovy?
It is recommended to eat small portions often, ensuring inclusion of protein and fibre. Meals should be eaten slowly, and gentle cooking methods like steaming, baking, or boiling are preferred. Spicy and fried foods should be limited, water should be consumed between meals, and fruits can be chosen as snacks17,22.
Can I eat rice on Wegovy?
Yes, rice can be part of the diet while on Wegovy. Whole grains like brown rice or whole grain rice are encouraged, and these should ideally be paired with vegetables or protein22.
What happens if you overeat on Wegovy?
If large meals are consumed on Wegovy, this may lead to nausea or vomiting. Eating smaller meals more often at regular intervals is therefore recommended5,22.
Does Wegovy cause hair loss?
Some people on Wegovy may notice hair loss from rapid weight loss and nutrient deficiency, but with a balanced, nutrient-rich diet this effect can often be managed23.
Shu Y. Gastrointestinal adverse events associated with semaglutide: a pharmacovigilance study based on FDA adverse event reporting system. PMC. 2022. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9631444/
Gorgojo-Martínez JJ. Clinical recommendations to manage gastrointestinal adverse events in patients treated with GLP-1 receptor agonists: a multidisciplinary expert consensus. PMC. 2022. Available from: https://pubmed.ncbi.nlm.nih.gov/36614945/
Fornes A, Huff J, Pritchard RI, Godfrey M. Once-Weekly Semaglutide for Weight Management: A Clinical Review. Journal of Pharmacy Technology. 2022 May 13;38(4):875512252210926. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9272494/
Almandoz JP, Wadden TA, Tewksbury C, Apovian CM, Fitch A, Ard JD, et al. Nutritional Considerations with Antiobesity Medications. Obesity. 2024 Jun 10;32(9). Available from: https://onlinelibrary.wiley.com/doi/10.1002/oby.24067
Del Prete M, Gavazzi L, Disoteo OE, Vignati F, Di Sacco G, Muratori F. Real-world effectiveness of Semaglutide treatment on weight loss maintenance after weight loss in patients with obesity or overweight and diabetes. Eating and Weight Disorders – Studies on Anorexia, Bulimia and Obesity. 2025 Jan 9;30(1). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11717789/
Kamemoto K, Tataka Y, Hiratsu A, Nagayama C, Hamada Y, Kurata K, et al. Effect of vegetable consumption with chewing on postprandial glucose metabolism in healthy young men: a randomised controlled study. Scientific Reports. 2024 Mar 30;14(1). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10981726/
Gentinetta S, Sottotetti F, Matteo Manuelli, Cena H. Dietary Recommendations for the Management of Gastrointestinal Symptoms in Patients Treated with GLP-1 Receptor Agonist. Diabetes Metabolic Syndrome and Obesity [Internet]. 2024 Dec 1;Volume 17:4817–24. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11668918/
Wadden TA, Chao AM, Moore MB, Tronieri JS, Iwamoto SJ, Amaro A, et al. The Role of Lifestyle Modification with Second-Generation Anti-obesity Medications: Comparisons, Questions, and Clinical Opportunities. Current Obesity Reports. 2023 Dec 2;12(4). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10748770/
Despain D, Hoffman B. Optimizing Nutrition, Diet, and Lifestyle Communication in GLP-1 Medication Therapy for Weight Management: A Qualitative Research Study with Registered Dietitians. Obesity Pillars. 2024 Oct;12:100143. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11533596/
Dariush Mozaffarian, Agarwal M, Aggarwal M, Alexander L, Apovian CM, Shagun Bindlish, et al. Nutritional priorities to support GLP‐1 therapy for obesity: A joint Advisory from the American College of Lifestyle Medicine, the American Society for Nutrition, the Obesity Medicine Association, and The Obesity Society. Obesity. 2025 May 30; Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC12304835/
Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
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Liver Fibrosis: What Is It, Causes, Symptoms & Treatment
Introduction
Liver fibrosis is a condition in which the liver gets damaged and scarred due to an inflammation that has been present for a long time, because of which the liver does not work properly. This damage is caused due to various reasons, such as an infection with the hepatitis B or C virus, or when you have a fatty liver disease. Over time, this can become worse, where the damage becomes irreversible, leading to liver failure1,2.
A recent study3 found that about 2 in 100 people may already have serious liver scarring based on blood tests, and 7 in 100 may have fibrosis seen on scans.
As liver fibrosis can lead to serious liver problems, it is important for you to know about this condition, what causes it, what liver fibrosis symptoms to look for, how it is diagnosed and treated, which we will be discussing in this blog3.
What is Liver Fibrosis?
The liver is an important organ in our body. It makes bile, which is used to break down fats, removes toxins from the body, makes cholesterol and essential fats, and stores vitamins4.
Constant injury caused by an infection such as hepatitis, fatty liver or as side effects of some medicines, triggers inflammation in the liver. Over time, the liver tries to heal itself by activating special liver cells called hepatic stellate cells. These cells act like scar-forming (fibrous) cells and produce more extracellular proteins like collagen fibres. Slowly, this leads to thickening and scar tissue formation in the injured area, called fibrosis.
Over time, as the scarring progresses, it can lead to serious liver damage (cirrhosis). This not only affects liver function but also leads to several complications5,6.
Now that we know what is liver fibrosis, let us see the stages of liver fibrosis.
Staging of Liver Fibrosis
Liver fibrosis happens slowly, and doctors will say which liver fibrosis stage a person has based on how much scarring has occurred. This is determined on histopathology (by liver biopsy).
There are several staging systems used for liver fibrosis such as the Knodell, Ishak and METAVIR systems. According to the commonly used METAVIR system, liver fibrosis has 5 stages, Stage 0 to Stage 4, which are as follows:
Stage 0: No fibrosis
Stage 1: Portal fibrosis without septa (suggestive of mild fibrosis)
Stage 2: Portal fibrosis with few septa (suggestive of moderate fibrosis)
Stage 3: Portal fibrosis with numerous septa (suggestive of severe fibrosis)
Stage 4: Cirrhosis (suggestive of a serious stage where liver function becomes very poor, and complications start to appear)
The liver fibrosis stages help doctors decide the right liver fibrosis treatment and check the risk of serious problems like liver failure. The staging can also show if complications are likely to happen2,6.
Staging of liver fibrosis is done using METAVIR system (F0-F4) and transient elastography is a measure of liver stiffness. So in an ideal scenario, a step by step approach is to first do liver fibrosis Staging followed by Elastography for intermediate to high risk cases. If these seem unclear, a biopsy should be done.
Liver fibrosis mainly occurs due to long-term injury to the liver (hepatotoxic injury). This can be due to the following factors2:
Hepatitis B and C viruses: These viruses attack liver cells, triggering constant inflammation and long-term damage, leading to fibrosis5,7.
Alcohol-related liver disease: The liver helps break down alcohol. But when alcohol is taken in excess, it damages liver cells and leads to fibrosis8.
Non-alcoholic fatty liver disease (NAFLD): Obesity, poor diet, low physical activity and conditions like diabetes cause fat to build up in the liver. This triggers inflammation and liver cell damage, eventually causing fibrosis. This happens because the body does not respond well to insulin, which over time damages liver cells and causes fibrosis9.
Drug-induced liver injury: Certain medicines like those that suppress the immune system, such as those used after transplants (such as methotrexate, azathioprine, and tacrolimus), may cause liver damage and fibrosis10.
Autoimmune hepatitis: Sometimes, the body’s own immune system creates antibodies that attack liver cells. This leads to liver damage, inflammation, and over time, fibrosis8.
Inherited conditions in children: Some children are born with rare genetic problems that can lead to fibrosis if not treated early. These include Wilson’s disease, where too much copper builds up in the liver; hereditary hemochromatosis, which causes iron overload; alpha-1 antitrypsin deficiency, where a protective protein is missing; and cystic fibrosis, where thick mucus blocks the bile flow from the liver11.
Another reason for fibrosis is cholestatic liver injury, which happens when bile cannot flow properly. This can result from conditions that affect or block the bile ducts. Examples include Primary Biliary Cholangitis (PBC), where the immune system attacks the small bile ducts inside the liver; Primary Sclerosing Cholangitis (PSC), which leads to inflammation and scarring of bile ducts inside and outside the liver; and Biliary Atresia, a condition present at birth where bile ducts are blocked or missing. When bile starts to build up in the liver, it damages the liver cells and causes inflammation. Special cells near the bile ducts (called portal fibroblasts) then form scars on the liver2,5.
Symptoms of Liver Fibrosis
Liver fibrosis symptoms are mostly absent or mild andusually appear when the scarring progresses.
The common symptoms seen include:
Feeling tired
Not able to eat properly
Nausea
Loss of weight
Pain in the abdomen
Yellowing of skin and eyes (signs of jaundice)
Dark-coloured urine, pale stools, and itching (signs of obstruction to bile flow)12,13
Liver fibrosis, when in the early stage, can improve if the cause of injury is removed. But if the injury continues for many months or years, the fibrosis becomes irreversible and leads to a severe condition called liver cirrhosis, which can result in several complications.
The difference between liver fibrosis and cirrhosis is that fibrosis can be stopped or reversed if detected early whereas Liver Cirrhosis causes irreversible damage to the liver. Alcoholism and Non alcoholic fatty liver disease cause silent fibrosis of liver, which means patient on a routine blood check up will have normal liver functions with decrease platelets and increase bleeding tendency. However, actually the liver disease would be progressing27.
The complications of liver fibrosis occur either due to direct damage to liver cells or increased pressure in the portal vein (a large blood vessel that carries blood to the liver), a condition known as portal hypertension. These include10,24:
Excess fluid in the belly (ascites)
Bleeding from veins inside the food pipe (variceal bleeding)
Toxin buildup in brain (hepatic encephalopathy)
Kidney failure linked to liver disease (hepatorenal syndrome)
Lung issues (hepatopulmonary syndrome)
Liver cancer
Poor clotting (coagulopathy)
When these complications arise, symptoms such as easy bruising and bleeding, swelling of legs and abdomen, confusion, forgetfulness, mood changes, and sleep disturbances, and breathing difficulty can occur, which need immediate medical attention.
Diagnosis of Liver Fibrosis
Liver fibrosis is usually checked in people who have long-term liver problems like hepatitis B or C, non-alcoholic fatty liver disease (NAFLD), or other liver conditions such as autoimmune or bile duct diseases. Doctors may use the following methods to diagnose liver fibrosis14:
1. Blood tests
There are new blood scoring tests now commonly used by doctors because they are simple, avoid biopsy in many cases, and help detect liver fibrosis early. More people are also searching about these tests to know what they mean. These include special scores like:
FIB-4 Index: This is a score calculated based on blood test results of platelets, AST, ALT, and age. The test is used to detect likelihood of fibrosis in individuals with viral hepatitis or those with NAFLD. A high score indicates greater possibility of advanced fibrosis, wherein further testing or liver biopsy is needed15.
NFS (NAFLD Fibrosis Score): This score helps to find out if fatty liver disease has scarring or not by calculating a score based on BMI and blood sugar levels in addition to factors used for FIB-4 scoring16.
MAF-5 Score: The Metabolic Dysfunction-Associated Fibrosis 5 (MAF-5) score helps to predict the fibrosis risk in those with metabolic diseases like obesity and diabetes. The score uses waist size, BMI, sugar status, AST, and platelets to show if you are at low, medium, or high risk and also correlates with the chance of death17.
ELF test: The Enhanced Liver Fibrosis (ELF) score is calculated using three blood markers: TIMP-1, PIIINP, and hyaluronic acid. It helps check for advanced liver scarring (fibrosis) in people with fatty liver disease caused by obesity or diabetes and is considered to be diagnostically accurate17,18.
FibroTest: It is a blood test panel where the score is calculated based on levels of alpha2-macroglobulin, apolipoprotein A1, haptoglobin, total bilirubin, and GGT, adjusted for age and gender. The score ranges from 0 to 1, and a value above 0.58 suggests severe fibrosis, helping to check liver damage in people with long-term liver diseases20.
FibroMeter: It is a panel of blood tests that checks how much scarring (fibrosis) is there in the liver. It is used for different liver problems like hepatitis, alcohol-related liver disease, or fatty liver, and helps find the stage of fibrosis without needing a biopsy21.
Other blood tests used to check for liver fibrosis are some indirect tests which investigate the liver enzymes, platelets, and bilirubin which shows how the liver is working, though it doesn’t directly show the fibrosis. But direct tests are also there which check for substances made or broken-down during scarring like collagen, laminin, and TGF beta. These tests are often combined to get an idea on the level of liver damage and fibrosis23.
2. Imaging tests
They are non-invasive methods used to detect liver fibrosis and determine its stage. Besides the traditional methods like ultrasound, CT and MRI, newer imaging modalities are also used, including:
FibroScan or Vibration controlled transient elastography (VCTE): A special type of ultrasound that uses high-frequency sound waves to find out the amount of fibrosis in the liver22,23.
Acoustic radio force image (ARFI): It uses regular ultrasound with added pressure to measure liver scarring more accurately, even in people with obesity or fluid build-up.
2D shear wave elastography: It gives a detailed real-time picture of liver scarring with high accuracy, but more expensive and needs trained people to do it.
Real time elastography (Hi-RTE): In this, the evaluation of fibrosis is obtained after compressing manually.
Magnetic Resonance Elastography (MRE) – This is a special MRI scan that checks how stiff the liver is by sending gentle mechanical waves through it. It helps show how much liver damage is present and where it is, making it easier to understand and diagnose liver disease24.
3. Liver biopsy
Liver biopsy is the most accurate test to find out how much liver damage (fibrosis) is present and what is causing it. But since it is invasive and may cause pain or bleeding, doctors don’t always use it, especially when safer tests are available.
To get a correct diagnosis, doctors may combine blood tests with scans to get a clear idea about the extent of liver fibrosis10.
Treatment Options for Liver Fibrosis
Liver fibrosis treatment focuses on removing the underlying cause of liver damage. When the cause is removed, it lowers inflammation and stops scar-forming cells from becoming active. This may slow down or improve liver scarring over time. The treatment options are:
Antiviral medicines: These are used to treat infections like hepatitis B or hepatitis C (infections caused by viruses that affect the liver). Medicines like faldaprevir, ribavirin, and peginterferon alfa-2a may help to reduce liver inflammation in viral hepatitis.
Biologic treatment: Drugs like simtuzumab have been shown to decrease the progression of fibrosis. Other drug trials are on way.
Iron or copper removal therapy/chelation therapy: In some inherited conditions like hereditary haemochromatosis (where the body stores too much iron) or Wilson’s disease (where the body stores too much copper), medicines or procedures are used to remove the excess iron or copper. This can reduce damage and help the liver recover.
Cholangitis medications: Medicines like ursodeoxycholic acid can be used to improve bile flow and prevent further liver damage.
Natural and supportive treatments: These include vitamin D, omega-3 fatty acids and probiotics, which may help reduce inflammation and support liver healing in some cases2,25.
If your condition occurs as a side effect of a medication you are taking, your doctor will stop/change the offending medicine to prevent further liver injury. In addition, there are certain lifestyle changes you can follow to help prevent turning fatty liver into fibrosis. These include1,2:
Lose weight and aim for a BMI between 18.5 and 24.9.
Eat a balanced diet high in fruits, nuts, vegetables, protein, and carbs but low in salt, sugar, and unhealthy fats.
Be physically active by walking or cycling at least 150 minutes a week.
Avoid alcohol to prevent injury and help improve liver health and metabolism.
When to See a Doctor?
If you have risk factors for liver fibrosis or are experiencing liver fibrosis symptoms mentioned above, you should see your doctor.
Immediate medical attention is required if you have been diagnosed with cirrhosis and there is:
Stools in black or tar-like colour
Worsening of yellowish appearance of skin and white of eyes
Blood in vomit
Fever and Confusion
These show that your condition may be worsening, and you need to address this as early as possible.
Liver fibrosis is a slow but ongoing injury that can become serious and lead to complications. If treated early, the damage can be reversed. By finding it early, removing the cause, making healthy lifestyle changes, and doing regular check-ups, we can manage it well and stop it from progressing into more severe liver problems.
Those who are older when they get a liver infection, those who are male, or those who have received an organ transplant are at higher risk of developing liver fibrosis. This risk is also seen in people who have hepatitis B or C along with HIV, those who drink alcohol, use drugs, have uncontrolled diabetes, high cholesterol, or who smoke6.
How can I prevent liver damage from hepatitis infection?
To avoid liver problems from hepatitis infection, prevent exposure to the virus by taking the Hepatitis B vaccine, practising safe sex, and not sharing needles26.
How long does it take for liver fibrosis to happen?
It’s different for each person. Some people never get fibrosis. In others, it may take many years to slowly develop. Some may take 20 years or more, while others can get liver damage faster and may even reach serious stages like cirrhosis in less than 20 years6.
Can having liver fibrosis increase my risk of falling?
Having liver fibrosis can increase your risk of falling, especially in more severe stages. When fibrosis gets worse, your muscles may become weak and lose coordination, which can make you more likely to fall. Some people also develop complications like hepatic encephalopathy, which affects memory and concentration and can cause you to lose your balance11.
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Kim HY, Yu JH, Chon YE, Kim SU, Kim MN, Han JW, et al. Prevalence of clinically significant liver fibrosis in the general population: A systematic review and meta-analysis. Clinical and Molecular Hepatology [Internet]. 2024 Sep 30 [cited 2025 Mar 24];30(Suppl):S199–213. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11493351/#sec21
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Heyens LJM, Busschots D, Koek GH, Robaeys G, Francque S. Liver Fibrosis in Non-alcoholic Fatty Liver Disease: From Liver Biopsy to Non-invasive Biomarkers in Diagnosis and Treatment. Frontiers in Medicine. 2021 Apr 14;8. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8079659/
Saleh AK, El-Masry TA, El-Kadem AH, Ashour NA, El-Mahdy NA. Exploring drug-induced liver injury: comprehensive insights into mechanisms and management of hepatotoxic agents. Future Journal of Pharmaceutical Sciences. 2025 Mar 28;11(1). Available from: https://fjps.springeropen.com/articles/10.1186/s43094-025-00788-5
Scorza M, Elce A, Zarrilli F, Liguori R, Amato F, Castaldo G. Genetic Diseases That Predispose to Early Liver Cirrhosis. International Journal of Hepatology [Internet]. 2014;2014(713754):1–11. Available from: https://www.hindawi.com/journals/ijh/2014/713754/
Treeprasertsuk S. NAFLD fibrosis score: A prognostic predictor for mortality and liver complications among NAFLD patients. World Journal of Gastroenterology. 2013;19(8):1219. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3587478/
Staff M. In adults with metabolic dysfunction, the MAF-5 score predicted risk for liver fibrosis (AUC range, 0.73 to 0.81) [Internet]. Acponline.org. 2024 [cited 2025 Jul 26]. Available from: https://diabetes.acponline.org/archives/2024/10/11/6.htm
Lichtinghagen R, Pietsch D, Bantel H, Manns MP, Brand K, Bahr MJ. The Enhanced Liver Fibrosis (ELF) score: Normal values, influence factors and proposed cut-off values. Journal of Hepatology [Internet]. 2013 Aug [cited 2019 Oct 23];59(2):236–42. Available from: https://www.sciencedirect.com/science/article/pii/S0168827813001943
Alhinai A, Patel K, Fonseca VA, Sebastiani G. Non-invasive diagnosis of nonalcoholic fatty liver disease in patients with type 2 diabetes. Journal of Diabetes and its Complications [Internet]. 2021 Sep 1 [cited 2022 Mar 18];35(9):107978. Available from: https://www.sciencedirect.com/science/article/pii/S1056872721001756
Gheorghe G, Bungău S, Ceobanu G, Ilie M, Bacalbaşa N, Bratu OG, et al. The non-invasive assessment of hepatic fibrosis. Journal of the Formosan Medical Association [Internet]. 2021 Feb 1;120(2):794–803. Available from: https://www.sciencedirect.com/science/article/pii/S0929664620303934
Premkumar M, Anand AC. Overview of Complications in Cirrhosis. Journal of Clinical and Experimental Hepatology. 2022 Jul;12(4):1150–74. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9257866/
Jung YK, Yim HJ. Reversal of liver cirrhosis: current evidence and expectations. Korean J Intern Med. 2017 Mar;32(2):213-228. doi: 10.3904/kjim.2016.268. Epub 2017 Feb 8. PMID: 28171717; PMCID: PMC5339475. Available from: https://pubmed.ncbi.nlm.nih.gov/28171717/
Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
Wegovy (Semaglutide): How It Works, Who It’s For & What to Expect
Introduction
Obesity is becoming a common health issue around the world. Experts say that by 2035, more than half of the global population may be overweight or obese. Having a high body weight was linked to around 4 million deaths worldwide in 20151.
To help manage this problem, doctors now use a group of medicines called GLP-1 receptor agonists. This group of medicines aids in lowering blood sugar levels by increasing insulin and reducing glucagon hormones. This may help to make you feel full sooner, eat less, and lose weight1,2. Some other GLP-1 medicines available today include semaglutide (sold as Wegovy, Ozempic, and Rybelsus), tirzepatide (Mounjaro – a medicine that acts on both GIP and GLP1 receptors, sometimes called a “twincretin”), and liraglutide2,3.
Although initially approved for treating type 2 diabetes, now certain medicines under this group like Wegovy injection are used for aiding weight loss in those who are overweight or obese along with other health problems4,5.
So, let’s discuss about Wegovy (semaglutide) in this blog. We’ll explain how Wegovy works, who it is for, Wegovy’s side effects and how it should be taken.
How Do You Pronounce Wegovy?
Wegovy is pronounced as Wē-GŌ-Vee (wee-GOH-vee). The name is broken into three parts to help pronounce it easily. By pronouncing it correctly, you can communicate clearly with your doctor or pharmacist about this medication4.
What is Wegovy?
Wegovy is a prescription medicine that comes as an injection. It contains semaglutide as the main ingredient. It is used to help with long-term weight management in people who are overweight or have obesity4,6.
The U.S. Food and Drug Administration (FDA), which approves medicines for safety and use, approved Wegovy in 2021 for use in adults with obesity (body mass index, BMI, of 30 kg/m² or higher) or overweight (BMI of 27 kg/m² or higher) plus at least one weight related health problem such as high blood pressure, high cholesterol, or type 2 diabetes7,8. It should be used along with a healthy diet and physical activity. In 2022, it was also approved for teens aged 12 years and older with obesity. The FDA approved Wegovy in March 2024 to be used as a drug for reducing the risk of heart problems like heart attack, stroke, or death in adults who have heart disease along with obesity or overweight5,10.
Wegovy and Ozempic both contain semaglutide as the main ingredient, but they are approved for different reasons. They have different dose strengths and come in different types of injection pens. Ozempic was approved in 2017 to help control blood sugar in people with type 2 diabetes, and is supplied in multidose pens, while Wegovy is for weight loss and available as single use pens4,11.
Both medicines are given as a weekly injection, but the dose of Ozempic ranges from 0.5 mg to 2 mg, while Wegovy dosing is higher, 2.4 mg for weight loss9. Let’s now look in detail at how does Wegovy work.
Wegovy has been approved in 2022 for children who are obese above the age of 12 years. But this has to be done with a lot of caution, as sometimes in some cases, children go through bullying and peer pressure for being overweight and thus end up insisting on this drug. As per my experience, its extremely important to counsel these children first to try regular diet and lifestyle changes along with exercise, before beginning Wegovy. Parents along with the child need to be counselled regularly during the course.
Wegovy works by copying a natural hormone in the body called GLP-1, which helps to control blood sugar and appetite. The semaglutide in Wegovy is 94% similar to natural GLP1 but is slightly modified so it stays in the body longer. These changes stop it from being broken down quickly by an enzyme called DPP4 and help it attach to a protein in the blood called albumin. Thus, it only needs to be taken once a week.
It activates the same receptors in the body, which are present in the gut, pancreas, and brain. This action helps the pancreas to release insulin when the blood sugar goes high. It also reduces the release of glucagon (a hormone that raises blood sugar). Wegovy also slows down how fast food leaves the stomach, helping you feel full longer. It acts on the brain, especially in an area called the hypothalamus which controls hunger and fullness, to reduce hunger and food cravings, making one feel full sooner. These combined actions help maintain blood sugar levels and also show promising results in reducing body weight in obese patients, with or without diabetes6,12.
Who Can Use Wegovy?
Wegovy can help people who meet certain health conditions and age requirements. It may be prescribed to :
Adults with obesity (BMI 30 or above)
Adults with a BMI of 27 or more, along with issues like high blood pressure, type 2 diabetes, high cholesterol, obstructive sleep apnoea (a condition where breathing stops and starts during sleep), or heart disease4,12
Children aged 12 and above with BMI above the 95th percentile for their age and gender, based on CDC growth charts2
But it should not be used by people with some medical risks especially those who have:
A history of medullary thyroid cancer (either personal or in the family)
A rare genetic condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN2), a problem with hormone-producing glands).
Had a serious allergic reaction to semaglutide or any ingredient in Wegovy4,12
Wegovy Dosage and How to Use It
Wegovy has to be taken as a weekly once injection. The dose is slowly increased over time to help reduce Wegovy side effects. This is how doctors usually increase the dose step by step4:
Wegovy 2.4 mg Flextouch (or continue 1.7 mg if advised by your doctor)
This Wegovy dosage chart may also be modified by your doctor based on individual health condition. This injection can be taken on any day of the week, at any time, with or without food. It is usually given as an injection under the skin of the stomach, upper arm, or thigh, not in a muscle or vein. The injection site should be rotated to avoid the same spot every time. Never take the above doses without your doctor’s prescription or advice.
What to Expect with Wegovy
Wegovy doesn’t cause you to reduce weight suddenly. Once you start on Wegovy, you may notice slowly your weight reducing over time. Most people start seeing weight loss by week 4, but it becomes more noticeable by week 8 or later, especially after reaching the full dose (1.7 mg or 2.4 mg). How much weight you lose can depend on your starting weight, how regularly you take it, and your diet and activity level13.
Studies show that people may lose upto 15% body weight, approximately between 6 to 12 kgs over 68 weeks when using Wegovy, when taken along with following healthy eating habits and physical activity13.Long-terms trials are limited, but an emerging study suggests that weight loss with Wegovy can be sustained for about 4 years meaning that the effect may last if you keep using Wegovy14.
Those without diabetes may experience greater weight loss and better results, especially when the full dose is taken regularly as advised by doctor. Also remember, Wegovy alone may not give the best result. You should continue with proper diet with low calories and engage in physical activity. So don’t think it’s a quick fix too, it will take some time to show result and works more effective when a healthy lifestyle is followed14,15.
In my opninion, the convenience of once-weekly dosing with Wegovy improves adherence significantly. And it is highly effective, however, following a structured lifestyle approach is very important alongwith and that commitment must be lifelong, with or without the medication. Even when using the medication, as gastric emptying adapts with time, patients may unconsciously increase portion sizes, leading to plateaus. Prioritising adequate protein intake (approximately 1–1.2 g/kg/day) often helps sustain progress without unnecessary dose escalation.
Wegovy may cause some side effects. Most are mild, but sometimes serious problems can happen, so it’s important to watch how you feel.
Common Wegovy side effects include nausea, vomiting, constipation, or loose stools. These usually happen during dose escalation (over several weeks) but get better over time.
Some people may feel belly pain, tiredness, or notice yellowing of the skin or eyes, this could be a sign of gallbladder issues such as gallstones (cholelithiasis) or gallbladder inflammation (cholecystitis), especially with rapid weight loss.
In rare cases, side effects of Wegovy can be serious, like swelling of the pancreas (acute pancreatitis) or kidney issues (secondary to dehydration).
People with diabetes may get low blood sugar if taking this medicine along with other diabetes medicines like sulfonylureas or insulin, which can make you feel dizzy or shaky, and may also cause sweating, confusion, or irritability.
Wegovy has a boxed warning. It’s not for people who have or had a rare thyroid cancer called medullary thyroid cancer (MTC) or a condition called MEN2. Always take Wegovy as advised by your doctor and follow their instructions carefully4.
Wegovy Cost and Accessibility
Wegovy has been approved by CDSCO (Central Drugs Standard Control Organisation) in 2025 for use in obesity management and is now available through select pharmacies.
The price varies with strength and the approximate price in India is as follows: • 0.25 mg to 1 mg – ₹17,345 per month (₹4,336.25 per weekly dose) • 1.7 mg – ₹24,280 per month • 2.4 mg – ₹26,015 per month
In comparison, Wegovy costs around $1,349 (approx. ₹1,12,365) per month in the US. In Germany, the price is approximately $328 (approx. ₹27,300) per month, and in the Netherlands, about $296 (approx. ₹24,640) per month16.
Other weightloss medicines are also available in India. Mounjaro (tirzepatide injection) is approved for diabetes and weight control in adults with obesity (BMI 30+) or overweight (BMI 27+) with related health problems like high BP, cholesterol, diabetes, sleep apnoea, or heart disease17.
Rybelsus (oral semaglutide) has the same ingredient as Wegovy but in tablet form. In India, it is approved only for type 2 diabetes, not weight loss. It helps control blood sugar and can reduce the risk of heart attack or stroke in people with diabetes and heart or kidney disease18.
Other weight‑loss medicines like Zepbound (tirzepatide) and Ozempic (injectable semaglutide), are available in other countries.
Warnings and Precautions
Before your doctor starts you on Wegovy, it is important to inform the doctor if you have any of this:
History of pancreatic or kidney problems
Type 2 diabetes with past vision issues like diabetic retinopathy (as Wegovy may sometimes make this worse, especially if your blood sugar improves very quickly)
Mental health conditions like depression or thoughts of self-harm
Plans for pregnancy, as Wegovy must be stopped at least two months before conception (since it stays in the body for a long time and its safety for unborn babies is not known)
Infant to breastfeed, since it is not yet confirmed if the medicine goes into breast milk
Also, you must provide the doctor with the list of all medicines and supplements you are taking. As Wegovy can slow how fast the stomach empties, it may interact with some medicines, especially those taking diabetic medicines like insulin or sulfonylurea4.
In patients on diabetes medications, adjustments of certain ongoing medicines are essential to prevent hypoglycaemia as glucose levels begin to improve. A very commonly prescribed class of drugs, DPP-IV inhibitors, drugs ending with the name ‘-gliptin’, need to be stopped when starting any GLP1-RA drugs like Wegovy.
Wegovy may not only help with weight loss but it could also protect your heart.
It can reduce the risk of heart disease, especially in people with obesity, by lowering body weight and waist size. Losing excess fat can ease strain on the heart and reduce the risk of blocked blood vessels. Research also suggests it may have direct effects on the heart, that help keep the heart and blood vessels healthy.
A large study1 called SELECT followed over 17,000 adults who were obese or overweight and had existing heart disease. Those who took Wegovy 2.4 mg once a week had a 20 percent lower risk of heart attack, stroke, or heart-related death. This benefit was observed even in people without diabetes. However, this trial studied secondary cardiovascular prevention, i.e. in people who already had heart disease. There is no current evidence for primary prevention, that is, direct risk reduction in people without existing heart disease. Nonetheless, its positive effects on insulin sensitivity and obesity are proven, which indirectly benefit the heart.
Wegovy may be helpful to support those struggling with overweight and obesity issues. It is approved for long-term weight management in people with obesity or those who are overweight with other health problems. It’s not a quick fix, but when it’s combined with proper diet and physical activity, it may give good results over time. It may also improve insulin sensitivity and lower weight-related health risks. It should be taken only under medical advice, with dose increased slowly and regular checks for stomach-related side effects, as well as to rule out certain health problems like thyroid cancers. Regular follow-up is also needed so it may work well and support your fight against obesity and related risks.
Wegovy is used for PCOS under medical supervision. Few Wegovy side effects like nausea or vomiting may occur. It may help manage weight and support better insulin resistance and menstrual cycle regularity19.
What are the worst side effects of Wegovy?
The worst side effects of Wegovy may be swelling of the pancreas, severe allergic reactions, and gallbladder problems. Sometimes kidney problems can occur, and those taking certain diabetes medicines can get very low blood sugar. Although these are not common, they may affect some people4.
Is Wegovy available in India?
Yes. Wegovy became available in India in June 2025 and is now purchasable at select pharmacies.
Can I stop Wegovy after weight loss?
No, you should not stop Wegovy by yourself. If you stop, you may regain much of the weight you lost and improvements in blood sugar, cholesterol, and blood pressure may reduce. If you want to stop or have any concerns, your doctor will advise you on what to do20.
References
A. Michael Lincoff, Kirstine Brown‐Frandsen, Colhoun HM, Deanfield J, Emerson SS, Sille Esbjerg, et al. Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes. The New England Journal of Medicine [Internet]. 2023 Nov 11;389(24). Available from: https://www.nejm.org/doi/10.1056/NEJMoa2307563
Olukorode JO, Orimoloye DA, Nwachukwu NO, Onwuzo CN, Oloyede PO, Temiloluwa Fayemi, et al. Recent Advances and Therapeutic Benefits of Glucagon-Like Peptide-1 (GLP-1) Agonists in the Management of Type 2 Diabetes and Associated Metabolic Disorders. Cureus [Internet]. 2024 Oct 21;16(10). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11579408/
Singh G, Krauthamer M, Bjalme-Evans M. Wegovy (semaglutide): a new weight loss drug for chronic weight management. Journal of Investigative Medicine [Internet]. 2023 May 25;70(1):jim-2021-001952. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8717485/
Bergmann NC, Davies MJ, Lingvay I, Knop FK. Semaglutide for the treatment of overweight and obesity: A review. Diabetes, Obesity and Metabolism [Internet]. 2022 Oct 18;25(1). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10092086/
Patoulias D, Popovic DS, Stoian AP, Janez A, Sahebkar A, Rizzo M. Effect of semaglutide versus other glucagon-like peptide-1 receptor agonists on cardio-metabolic risk factors in patients with type 2 diabetes: A systematic review and meta-analysis of head-to-head, phase 3, randomized controlled trials. Journal of Diabetes and Its Complications [Internet]. 2023 Jun 7;37(8):108529. Available from: https://pubmed.ncbi.nlm.nih.gov/37301063/
Wilding JPH, Batterham RL, Calanna S. Once-Weekly Semaglutide in Adults with Overweight or Obesity. The New England Journal of Medicine [Internet]. 2021 Feb 10;384(11):989–1002. Available from: https://www.nejm.org/doi/full/10.1056/NEJMoa2032183
Ryan DH, Lingvay I, Deanfield J, Kahn SE, Barros E, Burguera B, et al. Long-term weight loss effects of semaglutide in obesity without diabetes in the SELECT trial. Nature Medicine [Internet]. 2024 May 13;30(30):1–9. Available from: https://www.nature.com/articles/s41591-024-02996-7
Ghusn W, De la Rosa A, Sacoto D, Cifuentes L, Campos A, Feris F, et al. Weight Loss Outcomes Associated With Semaglutide Treatment for Patients With Overweight or Obesity. JAMA Network Open [Internet]. 2022 Sep 19;5(9):e2231982. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486455/
Wilding JPH. Weight regain and cardiometabolic effects after withdrawal of semaglutide: The STEP 1 trial extension. Diabetes, Obesity and Metabolism [Internet]. 2022 May 19;24(8):1553–64. Available from: https://pubmed.ncbi.nlm.nih.gov/35441470/
Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
Bakuchi: Uses, Benefits, Dosage & Side Effects
Introduction
Bakuchi (Psoralea corylifolia) is a plant known for its medicinal value and grown in different parts of the world with tropical and sub-tropical climatic conditions. While Bakuchi or Babchi is its trade name, the plant is called by various names in India. These are:
Babchi or Bavanchi in Hindi
Anindavi, Kamboji or Avalguja in Sanskrit
Baukuchi in Kannada
Bhavanji in Telugu
Bavachi in Gujarati
Bavachya in Marathi
Karkokil in Malayalam
Karpokarisi in Tamil
Babechi in Urdu.
The plant is used in traditional medicine to prepare medicines for various illnesses. It can be consumed or applied superficially for managing skin conditions. Its roots, leaves, stems and seeds are useful to prepare medications for skin diseases, and has been used commonly in ayurveda for management of leprosy (that is why it is called ‘Kushtanashini’ or leprosy destroyer). Not just ayurveda, Bakuchi is also an important component used in Korean and Chinese medicine1.
In this blog, we will discuss in detail about the proposed therapeutic properties and benefits of Bakuchi. We will also explore how it is used and the potential side effects it may have.
Uses of Bakuchi in Traditional Medicine
Some effects of Bakuchi that make it a suitable candidate to prepare ayurvedic medications include:
The antibacterial property of the plant is beneficial for skin diseases caused due to Staphylococcus aureus, S. epidermis and even leprosy2.
Anti-inflammatory effect of Bakuchi is beneficial for skin ailments like leukoderma and dermatitis3. This also makes it helpful to manage respiratory illnesses like asthma and cough4.
The plant’s seeds can be used as an antidote to snake venom and scorpion sting due to its anticoagulant effect4.
The other property of the plant is its positive effect on reproductive health. It has estrogenic properties and can also act as an aphrodisiac5,6.
The bone forming property of the plant is helpful to manage bone disorders7.
Animal studies have shown that the plant has hepatoprotective properties useful in managing fatty liver disorder8.
The plant also has anti-tumor properties, which inhibit the multiplication of certain types of cancer cells as per some animal studies9.
In another animal study, its seed extracts showed antihelminthic properties against Ascaridia galli, an intestinal parasite of poultry10.
The plant has demonstrated neuroprotective activity and thus can help manage nerve degeneration diseases like Alzheimers11.
The plant also has antioxidant, analgesic, antidiabetic and antidiarrheal activity12.
There are several applications of Bakuchi in ayurveda, and initial research has also shown its health beneficial properties. Yet further large-scale human trials are needed to corroborate these findings.
I recently read an article that says, due to its Keshya quality, Bakuchi churna may help with hair growth and reduce dandruff when administered topically in Ayurveda. From my perspective, the use of Bakuchi churna should be done for awesome, long tresses. The quality and lustre of hair may also get enhanced. Grey hairs might also reduce with its regular use14.
Although Bakuchi has been used for several purposes, here are its five important benefits:
1. Benefits of Bakuchi for Skin Diseases
Bakuchi seeds have been used to deal with various skin diseases. It is commonly used to manage leucoderma, a condition of discolouration of the skin3.
Bakuchi can be used for managing psoriasis and itching associated with the condition4.
Bakuchi can also be consumed to deal with leprosy6.
The oil from the seeds is used to deal with Tinea versicolor, scabies and ringworm12.
2. Anti-cancer Activity of Bakuchi
Bakuchi extract is found to be effective in destroying cancer cells of osteosarcoma and breast cancer7,11.
3. Benefits of Bakuchi for Dental & Bone Disorders
The extract from the roots of the Bakuchi plant can manage various dental disorders like dental carries.
In addition to this, it is beneficial for dealing with osteoporosis and bone fractures as it can boost bone calcification7.
4. Benefits of Bakuchi for Reproductive & Urinary Problems
Bakuchi extracts are used as an aphrodisiac. It is also used to treat incontinence in men, frequent urination, premature ejaculation and impotence.
The seed extract helps to soothe the symptoms of abnormal uterine bleeding and menstrual disorders in women5,6.
5. Benefits of Bakuchi for Gastrointestinal Disorders
The powder from the seed extract is used to relieve the symptoms of constipation, manage parasitic intestinal infections, and improve appetite.
The leaves can be used to make medicines to manage diarrhoea, and fruits are good to deal with piles and nausea6,12.
While there are several health benefits of Bakuchi, consuming in moderation is key. Discuss with your doctor before including this in your routine, especially of you have any medical conditions.
In this 5G era, we constantly struggle to walk parallel to the fast-growing world. But with this, stress and anxiety has become a common complaint. From my experience, Bakuchi may do wonders for our minds and overall health! I recently read an article which suggests that Bakuchi may have antidepressant qualities. Bakuchi is believed to lower the plasma levels of the neurotransmitters adrenaline and norepinephrine, eventually decreasing stress levels15.
The Bakuchi plant is used to manage different kinds of diseases. For some conditions like skin infections or chronic skin diseases, it can be mixed along with agents like karanji oil or buttermilk and applied. For others, it can be consumed systemically.
Your Ayurvedic physician will prescribe you the right form and dosage as per your health condition.
From my observations, occurence of diabetes may be avoided with the use of Bakuchi. According to the studies15, the ethanol seed extract of Bakuchi exhibits both anti-diabetic and antioxidant effects. They are believed to boost plasma insulin and liver glycogen levels while decreasing plasma cholesterol and blood sugar levels.
Bakuchi is a powerful herb that has several potential health benefits and supports overall wellness. However, it’s best to use it with proper guidance to avoid any side effects. Consult an ayurvedic practitioner for the right form and dose. With careful use, Bakuchi can be a great natural remedy.
Frequently Asked Questions (FAQs)
What are the precautions to be followed while using Bakuchi churna?
Ayurvedic practitioners may tell you to avoid using pickles, fish and curd while using Bakuchi churna to manage vitiligo. However, the precautions may vary based on your condition. You ayurvedic physician can guide you best on this.
Is Bakuchi useful in male infertility therapy?
Yes, the fruit of Bakuchi has aphrodisiac properties and is used to prevent premature ejaculation and impotence in traditional medicine. However, it’s best to discuss these issues with a doctor before resorting to home remedies like Bakuchi.
What is bakuchiol?
Bakuchiol is a chemical compound found in the seeds and leaves of the Bakuchi plant. It has the properties of retinol so can act as the functional equivalent of retinol, and be used in skincare products.
Is bakuchiol good for skin?
Yes, bakuchiol is good for skin as it is like retinol in its function and can restore the elasticity and firmness of the skin. In addition to this, it can also manage wrinkles, pigmentation and decrease the photodamage of the skin.
Mj A, Singh TR, Patgiri BJ. Antimicrobial activity of different dosage forms of Bakuchi (Psoralea corylifolia Linn.) taila, an Ayurvedic formulation. Int J Ayurvedic Med. 2015;6(3):232-6. https://www.researchgate.net/publication/283355494_
Shamsi S, Shamsi S. Psoralea corylifolia Babchi: A popular herb of Unani, Ayurvedic and Chinese system of medicine for Vitiligo. International Journal of Herbal Medicine. 2019;7(4):51-5. https://www.researchgate.net/publication/351838777_
Alam F, Khan GN, Asad MHHB. Psoralea corylifolia L: Ethnobotanical, biological, and chemical aspects: A review. Phytother Res. 2018;32(4):597-615 https://pubmed.ncbi.nlm.nih.gov/29243333/
Chauhan NS, Sharma V, Dixit VK, Thakur M. A review on plants used for improvement of sexual performance and virility. BioMed research international. 2014;2014(1):868062. https://pmc.ncbi.nlm.nih.gov/articles/PMC4151601/
Kim SC, Gu DR, Yang H, Lee A, Ha H. Polysaccharides from Psoralea corylifolia seeds suppress osteoclastogenesis and alleviate osteoporosis. International Journal of Biological Macromolecules. 2025 May 20:144423. https://www.sciencedirect.com/science/article/pii/S014181302504975X
Hong Y, Choi SI, Hong E, Kim GH. Psoralea corylifolia L. extract ameliorates nonalcoholic fatty liver disease in free-fatty-acid-incubated HEPG2 cells and in high-fat diet-fed mice. J Food Sci. 2020;85(7):2216-2226. https://pubmed.ncbi.nlm.nih.gov/32579753/
Manju S. Anticancer Potential of Psoralea Corylifolia L. Ethanol Extract: Cytotoxicity, Apoptosis Mechanisms, and Gene Expression Analysis In Mcf7 Breast Cancer Cells Via qPCR. International Journal for Multidisciplinary Research. 2024;6(6):1-8 https://www.ijfmr.com/papers/2024/6/30208.pdf
Ranjan S, Kushwaha NS, Trivedi S, Tiwari N, Khan S. The Effect of Psoralea corylifolia (Babchi) on Neuronal Apoptosis Induced by Palmitate in PC12 Cells and its Role in Alzheimer’s Disease: A Review. Pharmacognosy Magazine. 2024;21(1):7-26. https://journals.sagepub.com/doi/10.1177/09731296241243132
Yang A, Kong L, You Z, et al. A review of Psoralea corylifolia L.: a valuable plant with profound biological significance. Front Pharmacol. 2025;15:1521040. https://pubmed.ncbi.nlm.nih.gov/39902075/
Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
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Bhumi Amla: Uses, Benefits, Side Effects & More!
Introduction
Bhumi Amla (Phyllanthus niruri) is a small annual herb that is native to tropical regions, such as Southern India, South East Asia, and China, and the Amazon rainforest. It grows up to 30-40 cm in height. It has alternate and oblong leaves that are 7-12 cm long, with tiny greenish-white solitary flowers that do not have petals1.
This herb belongs to the Euphorbiaceae family and has a wide range of uses. The extract of this plant is widely used around the world for conditions including bronchitis, urinary issues, anaemia, leprosy, and asthma2.
For jaundice, whole plant juice is advised. Fresh milk combined with powdered roots can also be taken in the morning as it may help in the treatment of jaundice.
Whole plant juice is used for treating menorrhoea, gonorrhoea, leucorrhoea, and other urinary problems.
The leaves can be mashed with salt and used as a topical treatment for skin ailments.
For chest pain and diabetes, the plant decoction proves quite beneficial.
Ulcers may be treated with a decoction of leaves or roots.
Wounds and ulcers are treated using a mixture of the plant’s dried powder and gruel water.
This plant’s extract has been traditionally used for hepatitis and may also help in the treatment of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS).
Bhumi amla is believed to possess anti-inflammatory, pain-relieving, antibacterial, anti-viral, anti-fungal, antioxidant, blood sugar-lowering, blood pressure-lowering, hepatoprotective, and kidney stone-inhibiting properties.
It is used as an ingredient in nearly 175 ayurvedic formulations, and the fruits of this plant are usually used to treat conditions like diarrhoea and haemorrhage.
It’s also used to make chyawanprash, face lotion, hair oil dye, and tooth powder, among other health and beauty products2.
Benefits of Bhumi Amla
Several human and animal studies have explored the medicinal effects of bhumi amla, including the following:
1. Benefits of Bhumi Amla Against HIV & Hepatitis B
Bhumi amla is thought to act against the hepatitis B virus in several ways, including stopping it from making copies of its genetic material, which may help slow the virus’s spread in the body.
Studies show that bhumi amla extract may help protect certain human cells from damage caused by both types of HIV at the doses tested4,5.
2. Bhumi Amla For Kidney Stones & Excess Uric Acid
The formation and growth of calcium oxalate crystals in the kidney is a common cause of urinary stones.
Bhumi amla extract may slow crystal growth, reduce their formation, and alter their shape and surface texture, which may lower the risk of kidney stones.
The extract is also given to individuals with hypercalcaemia (excess calcium levels) as it lowers urine calcium levels and to individuals with hyperuricaemia (excess uric acid levels) as it lowers uric acid levels4.
3. Anti-cancer Activity of Bhumi Amla
Bhumi amla has a strong potential for inhibiting cancer cell development and growth.
It is believed to have cytoprotective (protecting the cells) impact on normal cells and cytotoxic (toxic to the cells) effect on pre-neoplastic or neoplastic cells.
For example, the extract of bhumi amla extract was found to be harmful to liver and colon cancer cells in lab tests4,5.
4. Wound-healing & Anti-ulcer Properties of Bhumi Amla
According to a rat study6, the development of indomethacin-induced ulcers was significantly slowed when extracts of the herb were given orally.
Bhumi amla extract also prevents ethanol-induced stomach mucosal ulceration in rats and reverses the suppression of burn wound healing caused by dexamethasone.
Based on some research and my observations, Bhumi amla (P. niruri) might aid in improving antioxidant levels along with stimulant activity in mild-to-moderate alcoholic patients7.
Bhumi Amla can be used in many forms, such as juice, decoction, powder, and paste (topical application)2.
According to some studies8, Phyallanthus niruri (Bhumi amla) along with Emblica officinalis (Amla) and Tinospora cordifolia (Giloy) have certain bioactive compounds (around 96) that might be potential COVID-19 microbial inhibitors.
In general, studies have not reported major side effects in humans. When consumed under the supervision of a healthcare practitioner, bhumi amla is likely safe. Here are a few precautions to be taken when taking bhumi amla:
Bhumi amla may help to reduce blood sugar levels. However, people with diabetes or hypoglycaemia (low blood sugar) and those taking blood sugar-altering medicines, herbs, or supplements should monitor their blood glucose levels.
Individuals with bleeding disorders or those taking medicines that may enhance the risk of bleeding should exercise caution as there is an increased risk of bleeding and your doctor may need to modify the medicine dosage.
Bhumi amla has been linked to a drop in blood pressure. Therefore, people who are using blood pressure-lowering medications should exercise caution4.
Precautions to Take When Taking Bhumi Amla
Use bhumi amla with caution if you:
Are driving or operating big machinery.
Have a liver condition.
Are taking diuretics, cholesterol-lowering medications, or immuno-modulators.
Avoid taking bhumi amla, unless specifically advised by a qualified healthcare professional, if you:
Are pregnant, breastfeeding, or wanting to conceive.
Have a known allergy or intolerance to it or other medicines from the Euphorbiaceae family.
Bhumi amla may cause anorexia, chills, diarrhoea, disturbed sleep, fatigue, dizziness, enlarged lymph nodes, hives, fever, headache, increased sodium, potassium, and chloride in the urine, increased urine volume, lung disease, joint pain, malaise (discomfort), skin prickling, muscle pain, nausea, rash, and sore mouth4.
Interaction With Other Drugs
Drug interactions of bhumi amla:
Bhumi amla may help to reduce blood sugar levels. People who take diabetes medications or insulin by mouth should be closely monitored by a skilled healthcare professional as they may need to adjust their medicines.
When combined with medications that raise the risk of bleeding, bhumi amla may increase the risk of bleeding.
Bhumi amla may lower blood pressure. Therefore, people who are using blood pressure-lowering medications should monitor their blood pressure regularly.
Bhumi amla may exacerbate the sleepiness caused by some medications and alcohol. Driving or operating machinery should be done with caution.
Bhumi amla may interact with drugs used to treat inflammation, pain, or wounds; drugs that affect immune function; drugs that harm the liver; drugs that increase urine output; drugs that inhibit angiotensin-converting enzyme (ACE), angiotensin-converting enzyme receptor, or endothelin; drugs that mimic acetylcholine (a neurotransmitter); drugs that protect against radiation; drugs that treat cancer4.
Bhumi amla has been used in traditional systems of medicine for different health concerns. It has been valued for centuries as a natural aid for digestion, kidney health, and liver support. While it may offer certain benefits, it is best to use it under the guidance of a healthcare professional to ensure safety and suitability.
Frequently Asked Questions (FAQs)
What are the therapeutic effects of Bhumi Amla?
Bhumi amla is believed to have many therapeutic properties, e.g., antimicrobial, hepatoprotective, anti-inflammatory, antioxidant, anti-cancer, antiviral, and diuretic4.
Can bhumi amla be taken daily?
Bhumi amla may be consumed in small amounts under the guidance of a qualified healthcare provider, but dosage and duration should be individualized based on your health condition.
What are the different names of bhumi amla?
Bhumi amla is named bhumyamalaki in Indian Ayurveda, dukong anak in Indonesia, chanca piedra or stone breaker in Spanish, sampa-sampalukan in Tagalog, and quebra-pedra in Portuguese. It’s also called gale of wind. Bhumi amla is known by a variety of names in India, including bahupatra, bhudhatra, ksetramali, or suksmaphala in Sanskrit, keezhar nelli in Malayalam, bhuianvala/ray avail in Marathi, bhui amla/noe in Bengali, nela nelli in Kannada, bhui avalae in Konka and Chalmeri in Hindi5.
Where does bhumi amla usually grow?
Bhumi amla is an annual herb that grows wild in Jharkhand, Chhattisgarh, Bihar, and other Indian states after the first monsoon showers, and is also abundant in coastal areas. It typically appears by the second week of June, bearing fruit until mid-July or August, and remains in the wild until the rainy season ends. Under favourable conditions, it can survive until mid-winter4.
References
Bagalkotkar G, Sagineedu S, Saad M, Stanslas J. Phytochemicals from Phyllanthus niruri Linn. and their pharmacological properties: a review. Journal of Pharmacy and Pharmacology. 2006;58(12):1559-1570. Available from: https://pubmed.ncbi.nlm.nih.gov/17331318/
Kaur N, Kaur B, Sirhindi G. Phytochemistry and Pharmacology of Phyllanthus niruri L.: A Review. Phytotherapy Research. 2017;31(7):980-1004. Available from: https://pubmed.ncbi.nlm.nih.gov/28512988/
Lee N, Khoo W, Adnan M, Mahalingam T, Fernandez A, Jeevaratnam K. The pharmacological potential of Phyllanthus niruri. Journal of Pharmacy and Pharmacology. 2016;68(8):953-969. Available from: https://pubmed.ncbi.nlm.nih.gov/27283048/
Sowjanya K, Girish C, Bammigatti C, Prasanna Lakshmi NC. Efficacy of Phyllanthus niruri on improving liver functions in patients with alcoholic hepatitis: A double-blind randomized controlled trial. Indian J Pharmacol. 2021 Nov-Dec;53(6):448-456. doi: 10.4103/ijp.IJP_540_20. PMID: 34975132; PMCID: PMC8764976. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8764976/
Murugesan S, Kottekad S, Crasta I, Sreevathsan S, Usharani D, Perumal MK, Mudliar SN. Targeting COVID-19 (SARS-CoV-2) main protease through active phytocompounds of ayurvedic medicinal plants – Emblica officinalis (Amla), Phyllanthus niruri Linn. (Bhumi Amla) and Tinospora cordifolia (Giloy) – A molecular docking and simulation study. Comput Biol Med. 2021 Sep;136:104683. doi: 10.1016/j.compbiomed.2021.104683. Epub 2021 Jul 24. PMID: 34329860; PMCID: PMC8302490. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8302490/
Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
2
1
What is Natural Mounjaro?
Introduction
Diabetes is a growing health crisis, especially in India, where over 77 million adults live with type 2 diabetes mellitus (T2DM), and nearly 25 million more are on the verge. Its consequences can be severe, ranging from heart attacks and strokes to nerve damage and vision loss1.
With the rising burden of diabetes, medications like Mounjaro have surged in popularity, not just for managing blood sugar but also for their noticeable impact on weight management2. But what if you’re looking for a more natural route? Is there a “natural Mounjaro” out there?
In this article, we’ll break down what Mounjaro does, whether nature offers similar benefits, and explore expert-backed lifestyle strategies that may help support healthier blood sugar levels and weight management naturally.
Understanding Mounjaro and Its Growing Popularity
Mounjaro (tirzepatide) is a prescription injectable medication developed specifically for managing T2DM. It is a clinically tested medication that has received approval from both the FDA (Food and Drug Administration) in the USA and the CDSCO (Central Drugs Standard Control Organization) in India3,4.
What sets Mounjaro apart from other injectable medications is its unique dual-action mechanism. Unlike other existing treatment options (such as semaglutide, which targets only GLP-1), Mounjaro targets two key hormone receptors: GLP-1 (glucagon-like peptide-1) and GIP (glucose-dependent insulinotropic polypeptide)5. These two hormones play a vital role in regulating blood sugar levels and controlling appetite6.Thus, by enhancing the body’s natural insulin response and slowing down digestion, Mounjaro not only helps maintain better glucose control but also aids in weight management, which could be especially beneficial for many individuals with T2DM and obesity5.
What Do People Mean by “Natural Mounjaro”?
It is essential to note that there is no “natural Mounjaro”. Mounjaro is a pharmaceutical innovation, not something found in herbs or supplements.
When people search for “what is natural Mounjaro,” they’re usually hoping to find natural ways to achieve similar effects, such as better blood sugar regulation and potential weight management support. This might include herbal remedies, dietary changes, or lifestyle strategies that mimic some of Mounjaro’s benefits, like improved blood sugar control. However, it’s important to understand that these natural methods do not work in the same way as the actual drug.
Mounjaro is a medical treatment, backed by clinical trials and approved by regulatory bodies like the FDA and CDSCO. While natural approaches can support your health, they don’t replicate the drug’s dual hormone action.
Still, for those who prefer a holistic path or want to complement their treatment plan, we’ll explore evidence-based natural strategies that may help you work toward similar goals, safely and effectively.
Everyday Strategies to Support Similar Goals
While there’s no natural alternative to Mounjaro, certain lifestyle habits may help support similar goals. Certain evidence-based strategies, such as those mentioned below, could make a real difference when followed diligently:
Engage in regular physical activity:Exercise improves insulin sensitivity, helping your body use glucose more effectively7.
Eat a high-fibre diet: Foods rich in fibre slow down carbohydrate absorption and keep you fuller for longer, aiding in appetite control8.
Focus on protein-rich meals: Protein promotes satiety and helps stabilise blood sugar levels, improving overall glucose control9,10.
Limit refined carbohydrates and added sugars: These spike blood sugar and increase the risk of health conditions such as T2DM, hypertension, etc11. Thus, cutting back may lead to more stable energy and weight.
Prioritise sleep and manage stress: Poor sleep and chronic stress can disrupt hormones like insulin and cortisol, making it harder to manage weight and blood sugar. Therefore, getting quality sleep every night and practising stress-reducing techniques might significantly support metabolic and hormonal balance12,13.
Potential Natural Alternatives to Mounjaro
While there are no natural alternatives to Mounjaro, some natural compounds have shown potential in supporting blood sugar regulation and weight management. Below is a list of commonly explored options:
Commonly used in diets for wellness and balance; may support healthy blood sugar levels.
Some research16,17 has shown that it can help improve glycaemic control and insulin sensitivity in some individuals.
Psyllium Husk
Known to promote fullness and digestive health; may help lower blood sugar levels.
Clinical studies18,19,20 suggest a possible role in supporting glycaemic and lipid control.
Probiotics
Support digestive and gut health; may aid in weight management
Emerging studies21 are exploring their link to metabolic functions, and the results seem promising.
Apple Cider Vinegar
Often included in wellness routines for post meal blood sugar control and weight management.
Preliminary research22,23 shows mild benefits by improving glucose uptake and action in skeletal muscles with potential antidyslipedemic effect.
Disclaimer:These supplements are not meant to diagnose, treat, cure, or prevent any medical condition. Their use should be considered as part of a general wellness strategy. Always consult a qualified doctor before adding any Mounjaro natural alternative to your routine.
The Risks of Going Only the Natural Route
While exploring natural options can be appealing, it’s important to approach them with caution, especially when managing a serious condition like T2DM1,24:
Natural doesn’t always mean safe or effective: Just because something is plant-based or herbal doesn’t guarantee it works, or that it’s risk-free.
Avoiding or delaying proven treatments can be harmful: T2DM is a progressive condition. Therefore, relying solely on unproven methods may lead to worsening symptoms and complications.
Supplements can interact with medications: Some natural products may interfere with the effectiveness or safety of your prescribed diabetes or other medicines.
Delays in treatment can lead to irreversible damage: Uncontrolled diabetes increases the risk of heart disease, nerve damage, kidney failure, vision loss, and more.
Note: Natural strategies may support your health, but they should never replace evidence-based medical care. Always consult your doctor before making changes to your treatment plan.
If you’re considering natural alternatives to medications like Mounjaro, it’s important to take a balanced and informed approach:
Start by discussing your goals with your doctor, whether it’s weight management, better blood sugar control, or exploring natural options. Only a doctor can help you create a treatment plan that suits your individual needs.
Keep in mind that not all supplements are safe or effective for everyone. Your doctor can advise you on what may be appropriate and safe in your case.
Focus on building sustainable habits such as regular physical activity, balanced nutrition, stress management, and quality sleep; these are key to long-term health.
Remember, lasting results take time. Quick fixes rarely lead to meaningful or sustainable improvements, so be cautious of shortcuts.
Note: The most effective path combines appropriate use of medications under medical guidance with healthy lifestyle choices, tailored to your body and goals. Stay informed, be consistent, and prioritise your long-term well-being.
It’s important to always mention any medications or health supplements you’re currently taking. This helps ensure we avoid any potential overload of nutrients or unwanted interactions, keeping your nutrition plan safe and effective.
While no natural product can replicate the effects of Mounjaro, many natural strategies can still play a supportive role in your overall health journey. Regular physical activity, a balanced diet rich in fibre and protein, quality sleep, and effective stress management can all contribute to better blood sugar control and improved well-being. Certain supplements may also offer additional support, but they should always be used under medical supervision.
Ultimately, what matters most is making evidence-based decisions, maintaining consistent healthy habits, and seeking expert guidance. Remember, managing T2DM or working toward weight loss isn’t about quick fixes; it’s about building sustainable lifestyle changes that support your long-term health.
No, there is currently no natural Mounjaro. Mounjaro (tirzepatide) is a prescription medication specifically formulated to act on two hormone receptors (GLP-1 and GIP) for blood sugar and appetite regulation5,6. Natural supplements may support general health, but do not mimic this dual mechanism.
Can Berberine replace Mounjaro?
Berberine has been studied for its potential to support blood sugar control, but it is not a substitute for Mounjaro. While some research suggests it15 may have effects similar to metformin, Mounjaro has a unique and clinically proven dual action that berberine does not replicate. Always consult your doctor before making any changes to your treatment plan.
What are the safest natural ways to lower blood sugar?
Some generally safe and helpful strategies include engaging in regular physical activity, consuming a diet rich in fibre and protein while limiting refined carbohydrates and added sugars, getting sufficient quality sleep, and effectively managing stress7–13. Before using any supplements (like cinnamon, berberine, or psyllium husk), consult a doctor to ensure they’re appropriate for you.
What is the main ingredient in Mounjaro?
The active ingredient in Mounjaro is tirzepatide a synthetic compound that works by stimulating GLP-1 and GIP receptors, hormones involved in insulin regulation and appetite control5,6.
Who cannot take Mounjaro?
Mounjaro is not recommended for people with a history of medullary thyroid cancer, Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), or allergy to tirzepatide. It should be used cautiously in those with pancreatitis, kidney or gallbladder diseases, or gastrointestinal issues4. Always consult your doctor before use.
References
World Health Organization. Diabetes in India[Internet]. WHO Regional Office for South-East Asia; [cited 2025 Jun 23]. Available from: https://www.who.int/india/diabetes
Seino Y, Fukushima M, Yabe D. GIP and GLP-1, the two incretin hormones: Similarities and differences. J Diabetes Investig. 2010 Apr 22;1(1-2):8-23. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4020673/
Amaravadi SK, Maiya GA, K V, Shastry BA. Effectiveness of structured exercise program on insulin resistance and quality of life in type 2 diabetes mellitus-A randomized controlled trial. PLoS One. 2024 May 21;19(5):e0302831. Available from: https://pubmed.ncbi.nlm.nih.gov/38771888/
Chandalia M, Garg A, Lutjohann D, von Bergmann K, Grundy SM, Brinkley LJ. Beneficial effects of high dietary fiber intake in patients with type 2 diabetes mellitus. N Engl J Med. 2000 May 11;342(19):1392-8. Available from: https://pubmed.ncbi.nlm.nih.gov/10805824/
Weigle DS, Breen PA, Matthys CC, Callahan HS, Meeuws KE, Burden VR, Purnell JQ. A high-protein diet induces sustained reductions in appetite, ad libitum caloric intake, and body weight despite compensatory changes in diurnal plasma leptin and ghrelin concentrations. Am J Clin Nutr. 2005 Jul;82(1):41-8. Available from: https://pubmed.ncbi.nlm.nih.gov/16002798/
Gannon MC, Nuttall FQ, Saeed A, Jordan K, Hoover H. An increase in dietary protein improves the blood glucose response in persons with type 2 diabetes. Am J Clin Nutr. 2003 Oct;78(4):734-41. Available from: https://pubmed.ncbi.nlm.nih.gov/14522731/
Bhardwaj B, O’Keefe EL, O’Keefe JH. Death by Carbs: Added Sugars and Refined Carbohydrates Cause Diabetes and Cardiovascular Disease in Asian Indians. Mo Med. 2016 Sep-Oct;113(5):395-400. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6139832/
Zuraikat FM, Laferrère B, Cheng B, Scaccia SE, Cui Z, Aggarwal B, Jelic S, St-Onge MP. Chronic Insufficient Sleep in Women Impairs Insulin Sensitivity Independent of Adiposity Changes: Results of a Randomized Trial. Diabetes Care. 2024 Jan 1;47(1):117-125. Available from: https://pubmed.ncbi.nlm.nih.gov/37955852/
Yin J, Xing H, Ye J. Efficacy of berberine in patients with type 2 diabetes mellitus. Metabolism. 2008 May;57(5):712-7. Available from: https://pubmed.ncbi.nlm.nih.gov/18442638/
Dong H, Wang N, Zhao L, Lu F. Berberine in the treatment of type 2 diabetes mellitus: a systemic review and meta-analysis. Evid Based Complement Alternat Med. 2012;2012:591654. Available from: https://pubmed.ncbi.nlm.nih.gov/23118793/
Solomon TP, Blannin AK. Changes in glucose tolerance and insulin sensitivity following 2 weeks of daily cinnamon ingestion in healthy humans. Eur J Appl Physiol. 2009 Apr;105(6):969-76. Available from: https://pubmed.ncbi.nlm.nih.gov/19159947/
Akilen R, Tsiami A, Devendra D, Robinson N. Glycated haemoglobin and blood pressure-lowering effect of cinnamon in multi-ethnic Type 2 diabetic patients in the UK: a randomized, placebo-controlled, double-blind clinical trial. Diabet Med. 2010 Oct;27(10):1159-67. Available from: https://pubmed.ncbi.nlm.nih.gov/20854384/
Anderson JW, Allgood LD, Turner J, Oeltgen PR, Daggy BP. Effects of psyllium on glucose and serum lipid responses in men with type 2 diabetes and hypercholesterolemia. Am J Clin Nutr. 1999 Oct;70(4):466-73. Available from: https://pubmed.ncbi.nlm.nih.gov/10500014/
Gibb RD, McRorie JW Jr, Russell DA, Hasselblad V, D’Alessio DA. Psyllium fiber improves glycemic control proportional to loss of glycemic control: a meta-analysis of data in euglycemic subjects, patients at risk of type 2 diabetes mellitus, and patients being treated for type 2 diabetes mellitus. Am J Clin Nutr. 2015 Dec;102(6):1604-14. Available from: https://pubmed.ncbi.nlm.nih.gov/26561625/
Sierra M, García JJ, Fernández N, Diez MJ, Calle AP. Therapeutic effects of psyllium in type 2 diabetic patients. Eur J Clin Nutr. 2002 Sep;56(9):830-42. Available from: https://pubmed.ncbi.nlm.nih.gov/12209371/
Kadooka Y, Sato M, Imaizumi K, Ogawa A, Ikuyama K, Akai Y, Okano M, Kagoshima M, Tsuchida T. Regulation of abdominal adiposity by probiotics (Lactobacillus gasseri SBT2055) in adults with obese tendencies in a randomized controlled trial. Eur J Clin Nutr. 2010 Jun;64(6):636-43. Available from: https://pubmed.ncbi.nlm.nih.gov/20216555/
Mitrou P, Petsiou E, Papakonstantinou E, Maratou E, Lambadiari V, Dimitriadis P, Spanoudi F, Raptis SA, Dimitriadis G. Vinegar Consumption Increases Insulin-Stimulated Glucose Uptake by the Forearm Muscle in Humans with Type 2 Diabetes. J Diabetes Res. 2015;2015:175204. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4438142/
Ostman E, Granfeldt Y, Persson L, Björck I. Vinegar supplementation lowers glucose and insulin responses and increases satiety after a bread meal in healthy subjects. Eur J Clin Nutr. 2005 Sep;59(9):983-8. Available from: https://pubmed.ncbi.nlm.nih.gov/16015276/
Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
1
Best Yoga Asanas for Thyroid You Can Safely Do at Home
Introduction
Yoga, an ancient practice with roots stretching over 3,000 years, is now widely recognised as a holistic approach to health1. The National Institutes of Health (NIH) even classifies it under Complementary and Alternative Medicine (CAM) along with other interventions2.
Yoga supports both physical and mental well-being through a combination of postures (asanas), breathing techniques (pranayama), relaxation, and meditation1,3. It is believed that regular practice can enhance strength, flexibility, and endurance while fostering inner peace, compassion, and emotional balance1.
But can yoga also help with thyroid health? You’ll find the answer in this article. Plus here, we’ll also share details of some yoga asanas for thyroid that can safely be done at home to support the proper functioning of this gland.
Understanding Thyroid Conditions
Endocrine disorders arise from dysfunctions in the endocrine system, which control hormone production and regulation. Among these, thyroid disorders are some of the most prevalent worldwide. In India, approximately 42 million individuals are affected by different types of thyroid conditions, underscoring a major public health issue4.
The thyroid gland, located at the base of the neck, plays a crucial role in regulating metabolism through the production of hormones like T3 (triiodothyronine) and T4 (thyroxine)5. When the gland produces too much or too little of these hormones, it can lead to disorders such as hypothyroidism (underactive thyroid), hyperthyroidism (overactive thyroid), goitre, thyroid nodules, or autoimmune conditions like Hashimoto’s thyroiditis and Graves’ disease4,5.
Common symptoms of thyroid imbalance may include fatigue, weight changes, mood swings, hair thinning, irregular menstrual cycles, sensitivity to temperature, and dry skin5. These symptoms can be hard to notice and, therefore, can be easily overlooked. This is why understanding and monitoring thyroid health is vital.
Maintaining hormonal balance is essential for overall well-being, as thyroid hormones influence heart rate, digestion, muscle control, brain development, and bone maintenance5. To check your thyroid health, you can take a simple blood test, such as the thyroid profile test, that measures key hormone levels such as T3, T4, and thyroid stimulating hormone (TSH).
Can Yoga Help with Thyroid Health?
Scientific studies suggest that yoga poses for thyroid may offer multiple benefits by addressing some of the root contributors of the condition. Yoga promotes stress reduction, improves blood circulation, and stimulates the endocrine system, which includes the thyroid gland6.
Recent clinical observations support the efficacy of yoga asanas for thyroid problems:
A 6-month yoga intervention in women with hypothyroidism showed significant improvements in lipid profiles, including reduced total cholesterol, low-density lipoprotein, and triglycerides, along with an increase in high-density lipoprotein levels. While the reduction in TSH was not statistically significant, participants did show a meaningful reduction in thyroxine medication requirements7.
Another 3-month integrated yoga program (asanas, pranayama, and relaxation) demonstrated substantial improvements in depression (58%), TSH levels (37%), fatigue (64%), BMI (6%), anxiety (57%), and stress (55%)8. These findings highlight yoga’s potential not just as a physical activity, but as a holistic mind-body practice capable of improving mental health and biochemical markers associated with thyroid imbalance.
A separate study using the WHO Quality of Life Scale found that even one month of daily yoga practice led to significant improvements in the overall quality of life of female hypothyroid patients, including better health perception and emotional well-being9.
While yoga poses for the thyroid should not replace prescribed thyroid medications, it could be an effective complementary therapy that supports overall thyroid function and improves quality of life.
Yoga might indirectly help reduce thyroid medications. Regular yoga can help lose weight and build muscle mass, which further helps burn fat. This weight loss may help reduce the dose of thyroid medicine one needs in case of hypothyroidism.
Certain yoga poses for the thyroids can help stimulate and support the thyroid gland by improving blood flow to the neck region, activating energy centres (chakras), and aiding hormonal regulation. Below are 6 best yoga for thyroid that you can safely practice at home to support thyroid function:
These yoga asanas for thyroid not just support your thyroid health but also contribute to overall physical and mental well-being. But remember, it’s ideal to practise yoga under a trained professional to avoid risks of strain and injury, especially if you are a beginner. It’s always best to start your wellness journey with expert guidance when practising yoga asanas for thyroid problems.
Yoga and meditation can help overcome mental health affections on hypothyroidism like depression and anxiety14.
While yoga for thyroid patients may offer many benefits for thyroid health, there are certain conditions where caution is necessary. Thyroid patients should avoid or modify yoga practice in the following situations10:
If you have a hernia or any abdominal injuries, yoga (especially poses involving core pressure) should be strictly avoided.
Individuals with arthritis of the knees or hips, severe back pain, or balance issues should not attempt strenuous or inverted poses without medical guidance.
Those suffering from high blood pressure, heart disease, or epilepsy should avoid inversions and intense postures like Sarvangasana.
People with neck pain, sciatica, or lumbar spine disorders should steer clear of deep backbends and forward bends unless under the supervision of a qualified yoga therapist.
Those diagnosed with peptic ulcers or any serious spinal problems should seek expert advice before attempting any yoga posture.
Always consult your doctor before starting yoga if you have a medical condition, to ensure safety and avoid complications. Practise under a certified yoga instructor and discuss about what poses you should be doing based on your condition.
Before beginning the practice of yoga for thyroid patients, it’s important to consult your healthcare provider. This is particularly essential if:
You have been recently diagnosed with a thyroid disorder, as you may need adjustments/modifications based on your specific health needs.
You are on thyroid medication, as yoga may influence hormone levels and medication requirements7.
You’re experiencing severe symptoms of thyroid disorders, like fatigue, palpitations, unexplained weight changes, or mood swings.
You are pregnant, as you may need some modification with supervision11.
You have other health conditions, such as heart disease, spinal issues, or high blood pressure, that may limit your movement10,11.
A doctor can help you understand your specific condition and guide you on whether yoga is suitable, and if so, what kind of practices would be safe and effective. And remember, yoga can support but not substitute medical care in management of thyroid disorders. So, always follow your doctor’s advice on management along with practising yoga to improve your thyroid and overall health.
Yoga, when practised correctly and consistently, can be a valuable supportive tool in managing thyroid health. It helps by stimulating the endocrine system, improving blood circulation, and reducing stress, which is a known trigger for thyroid imbalance. Studies have shown that yoga may assist in lowering TSH levels, improving lipid profiles, reducing the need for medication, and enhancing overall mental well-being.
However, yoga for thyroid patients is not a replacement for medical treatment. It works best as a complementary practice alongside proper medication and routine monitoring. Always consult your doctor before starting any yoga regimen, especially if you have underlying health issues, to ensure the practice is safe and suitable for your condition. With mindful practice and professional guidance, yoga can become a powerful ally in your journey toward better thyroid health!
Yoga should ideally be practised on an empty stomach or with a light stomach. It’s best to avoid practising right after a heavy meal. If you feel weak, a small amount of honey in lukewarm water can be consumed before the session12.
What kind of environment is suitable for yoga practice?
Yoga should be practised in a calm, quiet, and clean environment to help relax the body and mind. Cleanliness of surroundings, body, and mind is essential before starting.Additionally,during your session, try to wear light, comfortable cotton clothes that allow free movement of the body12.
Besides supporting thyroid health, what other benefits does yoga offer?
Yoga improves mental health by reducing stress and anxiety, boosting cardiovascular and respiratory function, enhancing flexibility and strength, helping manage metabolic disorders like diabetes, regulating hormonal balance, improving sleep quality, supporting weight management, and promoting overall well-being1,12.
Can yoga replace thyroid medication?
No, yoga is a supportive therapy and should not replace prescribed thyroid medications11. It complements medical treatment and may help improve symptoms but always follow your doctor’s advice regarding medication.
How can I ensure safe and effective yoga practice?
Perform yoga slowly, with awareness of your body and breath. Avoid jerky movements or holding your body tightly. Practice regularly and persistently for the best results and always follow any contraindications or limitations for specific poses12.
Ventola CL. Current Issues Regarding Complementary and Alternative Medicine (CAM) in the United States: Part 1: The Widespread Use of CAM and the Need for Better-Informed Health Care Professionals to Provide Patient Counseling. P T. 2010 Aug;35(8):461-8. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC2935644/
Mohammad A, Thakur P, Kumar R, Kaur S, Saini RV, Saini AK. Biological markers for the effects of yoga as a complementary and alternative medicine. J Complement Integr Med. 2019 Feb 7;16(1). Available from: https://pubmed.ncbi.nlm.nih.gov/30735481/
Unnikrishnan AG, Menon UV. Thyroid disorders in India: An epidemiological perspective. Indian J Endocrinol Metab. 2011 Jul;15(Suppl 2):S78-81. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3169866/
Shahid MA, Ashraf MA, Sharma S. Physiology, Thyroid Hormone. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan. [Cited 2025 May 20]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK500006/
Nilkantham S, Majumdar V, Singh A. Scientific yoga module for hypothyroidism: A study protocol for tele-yoga RCT. Contemp Clin Trials Commun. 2023 Jun 10;33:101157. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10277449/
Nilakanthan S, Metri K, Raghuram N, Hongasandra N. Effect of 6 months intense Yoga practice on lipid profile, thyroxine medication and serum TSH level in women suffering from hypothyroidism: A pilot study. J Complement Integr Med. 2016 Jun 1;13(2):189-93. Available from: https://pubmed.ncbi.nlm.nih.gov/27054602/
Rani S, Maharana S, Metri KG, Bhargav H, Nagaratna R. Effect of yoga on depression in hypothyroidism: A pilot study. J Tradit Complement Med. 2021 Jan 6;11(4):375-380. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8240110/
Singh P, Singh B, Dave R, Udainiya R. The impact of yoga upon female patients suffering from hypothyroidism. Complement Ther Clin Pract. 2011 Aug;17(3):132-4. Available from: https://pubmed.ncbi.nlm.nih.gov/21742277/
Ministry of External Affairs, Government of India. Yoga Postures – 17 [Internet]. New Delhi: MEA; [cited 2025 May 20]. Available from: https://www.mea.gov.in/yoga-postures-17.htm
Wu Y, Yan D, Yang J. Effectiveness of yoga for major depressive disorder: A systematic review and meta-analysis. Front Psychiatry. 2023 Mar 23;14:1138205. doi: 10.3389/fpsyt.2023.1138205. PMID: 37032928; PMCID: PMC10077871. Available from: https://pubmed.ncbi.nlm.nih.gov/37032928/
Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
1
Potassium-Rich Fruits to Boost Your Potassium Levels Naturally
Introduction
Have you been feeling sudden weakness or rapid heartbeats? It might be more than just fatigue. While not always the case, these symptoms can point to hypokalaemia, a condition marked by low levels of potassium in the blood (serum)1,2.
Potassium is an important mineral and the most abundant positively charged ion (cation) inside the cells of our body. It plays a key role in cell function, muscle contraction, and heart rhythm regulation3. Low potassium levels are often linked to underlying conditions such as endocrine disorders. However, it can also result from poor or insufficient dietary intake1.
In this article, we will explore some healthy and delicious fruits high in potassium that can help boost its levels in the body. These potassium rich fruits not only offer a tasty way to support your electrolyte balance but also contribute to overall well-being.
Why You Need Potassium?
Potassium is a mineral and electrolyte that plays a central role in maintaining the proper functioning of cells, particularly in muscles and nerves. It is crucial for regulating muscle contractions, nerve signals, and intracellular fluid balance4.A deficient or insufficient potassium level can cause symptoms such as muscle weakness, fatigue, and constipation3.
Its importance extends beyond basic cellular activity. Higher potassium intake is associated with significant health benefits, particularly for heart health5. One major meta-analysis involving around 250,000 participants found that for every 1.64 grams (or around 42 millimoles) of daily potassium intake, there was a 21% reduction in stroke risk and a notable trend toward reduced overall cardiovascular disease6.
In short, potassium supports critical bodily functions, especially heart, muscle, and nerve performance, while also helping to protect against serious conditions like stroke and heart disease. Therefore, ensuring adequate potassium in your diet through fruits high in potassium is a simple but powerful step toward better health!
Hyperkalaemia can cause muscle weakness, fatigue, nausea, vomiting, diarrhoea, and cardiac arrhythmias. Thus food-drug interactions must be kept in mind if individuals are already on medicines that increase potassium levels.
The amount of potassium an individual needs in a single day depends on age, sex, and life stage.3 According to the National Academies of Sciences, Engineering, and Medicine (NASEM), here are the recommended Adequate Intakes (AIs):
1. Children and Teens
The potassium AI for children varies specifically by age group7:
Ages 1 to 3: 2,000 mg/day
Ages 4 to 8: 2,300 mg/day
Ages 9 to 13: 2,500 mg/day (girls), 2,800 mg/day (boys)
Ages 14 to 18: 2,300 mg/day (girls), 3,000 mg/day (boys)
2. Adults
Males (ages 19 and above): 3,400 mg/day
Females (age 19 and above): 2,600 mg/day
During pregnancy: 2,900 mg/day
During lactation: 2,800 mg/day
Note: These recommendations do not apply to people with kidney disease or those taking medications that affect potassium levels8. For personalised advice on optimal intake, it’s best to consult your doctor.
If you’re concerned about a potential potassium deficiency, a simple blood test, such as the Potassium (K+) Test, can help evaluate your potassium levels.
Benefits of Potassium for the Body
Potassium is required for several bodily functions. These include:
1. Supports Heart Health
Adequate potassium helps regulate blood pressure by promoting natriuresis (sodium excretion) and reduces vascular resistance, which helps lower blood pressure3,6. This might contribute to reducing the risk of hypertension and stroke.
potassium promotes natriuresis (sodium excretion) and reduces vascular resistance, which helps lower BP.
2. Aids in Hydration
Potassium works with sodium to maintain fluid balance in the body3. This helps cells function properly and supports overall hydration.
3. Promotes Healthy Digestion
Potassium supports smooth muscle function, including the muscles of the digestive tract9. This may aid in regular bowel movements and avoid constipation.
4. Helps Avoid Kidney Stones
Higher potassium intake (especially from fruits) may reduce calcium loss in urine10. This helps in lowering the risk of calcium-based kidney stones.
5. Supports Strong Bones
Potassium from fruits may help maintain bone mineral density by reducing the acid load in the body11. This helps in minimising calcium loss and supports bones.
6. May Improve Blood Sugar Control
Potassium plays a role in insulin secretion, and low levels have been linked to an increased risk of type 2 diabetes in some studies12.However, more research is still neededto directly establish a link between potassium intake and its benefits for diabetic patients.
Fruits are an excellent natural source of potassium, offering a variety of health benefits.
Top Potassium-Rich Fruits
In recent decades, shifting dietary habits, marked by increased intake of processed foods and reduced consumption of fresh fruits and vegetables, have contributed to several health issues, including a widespread decline in dietary potassium intake, despite its critical role in maintaining cardiovascular and muscular health5.
Which fruit contains the most potassium is a common question for those looking to boost their potassium intake naturally. Therefore, to naturally support optimal potassium levels, we have compiled a list of fruits containing high potassium for you:
1. Dried Apricots (½ cup)
Dried apricots are highly concentrated in potassium; a half cup serving provides 755 mg of potassium, which is around 22% of the daily recommended intake3.Besides potassium, apricots are also rich in carotenoids like β-carotene, which acts as a strong antioxidant and may help lower oxidative stress, support immunity, reduce the risk of heart disease, and protect eye health with age13.
2. Prunes
Prunes are rich in potassium; half a cup of dried prunes contain 635 mg of potassium, covering around 19% of the daily recommended intake.3 Prunes are also rich in fibre, sorbitol, and antioxidants. Due to these nutrients, they may also help improve digestion and support bone besides heart health14.
3. Kiwi
Kiwi provides abundant potassium; one cup of sliced kiwi contains about 562 mg of potassium, about 16.5% of the daily value15. Besides potassium, kiwifruit is also rich in vitamin C, fibre, and antioxidants. Eating them regularly may boost your immune system, support digestion (thanks to an enzyme called actinidin), and improve overall metabolism16.
4. Pomegranate
Pomegranates are a good source of potassium; one cup of 100% pomegranate juice provides approximately 533 mg of potassium, contributing about 15.7% of the daily recommended intake15.Drinking pomegranate juice can help reduce oxidative stress and support heart health by slightly improving blood pressure and related risk factors17.
5. Oranges
Orange juice is a natural source of fruits high in potassium; one cup of orange juice delivers 496 mg of potassium, about 14.6% of the daily recommended intake3.Regular consumption of 100% orange juice may help reduce inflammation in healthy people and those at risk for chronic diseases18.
6. Banana
Bananas are well known for their potassium content; a medium banana contains 422 mg of potassium, which is around 12.4% of the daily recommended intake3.A study19 has shown thateating 250 g of bananas before haemodialysis (a process of filtering blood in patients with impaired kidneys) helps avoid low potassium and heart rhythm problems without causing high potassium.
7. Avocado
Avocados are rich in potassium; half a piece of avocado contains about 345 mg of potassium, which is around 10% of the daily recommended intake20. Based on a preliminary, uncontrolled study21, adding California avocados to your daily diet may help lower total cholesterol and aid in controlling body weight.
8. Cantaloupe
Cantaloupe is a refreshing fruit rich in potassium; half a cup of cubed cantaloupe supplies 214 mg of potassium, or 6.3% of the daily recommended intake.3 Besides potassium, cantaloupe is packed with essential vitamins and minerals that help keep you hydrated with its high-water content. This makes it a tasty and refreshing part of a healthy diet22.
9. Blackberries
Blackberries are a good source of potassium; one cup of blackberries contains about 211 mg of potassium, contributing around 6.2% of the daily recommended intake16.Blackberries are also used traditionally for diarrhoea, ulcers, inflammation, and diabetes. They are also rich in anthocyanins, which help reduce pain and may have antioxidant effects that contribute to reducing inflammation and supporting general health23.
10. Apple
Apples contain moderate potassium levels; one medium apple with skin provides 195 mg of potassium, approximately 5.7% of the daily recommended intake3.Besides potassium, apples are also rich in antioxidants, especially polyphenols, which help reduce oxidative stress and inflammation. They also support gut health by improving the balance of beneficial gut bacteria24.
Knowing the potential benefits and the potassium content in fruits helps you choose the best options to support your health and meet your daily potassium needs. While consuming these fruits is generally healthy, remember some fruits may increase blood sugar levels. Therefore, it’s best to consult with a diabetologist before including them in your routine diet (especially if you are diabetic or at risk).
In case you are a diabetic patient apart from risk of hyperkalaemia there could be a risk of causing glucose spikes while incorporating fruits like banana etc. into your diet with the aim to improve its potassium content. Make sure to do so in a way that your blood glucose levels remain stable. Preferably consult your doctor before doing so and consume the fruits whole with fibre (like seeds or salad) or yogurt to lower the glucose spike.
Including potassium-rich fruits in your diet is not at all complicated. You can consume the fruit raw or make some simple and delicious dishes with them to boost your intake25:
Blend into Smoothies: Mix fruits that contain potassium, such as fresh or frozen bananas, berries, with yoghurt or milk for a nutritious start to your day.
Upgrade Your Sandwiches: Include an avocado to add flavour and boost potassium.
Top Your Breakfast: Add fruits containing high potassium, like apricots or cantaloupe, to cereal, porridge, or low-fat yoghurt.
Add to Salads: Toss in slices of fruits with high potassium levels, such as apple or orange, into fresh salads for flavour and nutrients.
Enjoy Frozen Fruit Dessert: Enjoy fruits with high potassium levels, like frozen blackberries, as a healthy dessert alternative.
Consume as Smart Snacks: Keep dried fruits with potassium, like apricots or prunes, handy for a quick, potassium-rich snack. However, remember to be mindful of portion size as dried fruits are usually higher in calories than fresh ones.
Make a Trail Mix: Combine dried fruits like prunes with nuts and seeds for a homemade, on-the-go trail mix.
It should be noted that including fruits containing high potassium in the diet helps maintain potassium balance only when potassium levels are slightly below the normal range or for when an individual is at risk. Dietary potassium is not an alternative for moderate or severely low potassium levels; these conditions often require oral or intravenous potassium supplementation.
While potassium is essential for health, increased levels can be dangerous. Excess potassium levels, known as hyperkalaemia, may lead to serious symptoms, including neuromuscular issues such as fatigue, muscle weakness, and paralysis. It may also lead to cardiovascular symptoms, such as irregular heartbeats or even cardiac arrest1,3.
However, it should be noted that fruits (or even other dietary sources) rich in potassium alone rarely cause hyperkalaemia in healthy individuals. Hyperkalaemia typically results when there is impaired renal excretion or a shift of potassium from cells into the bloodstream.
Certain individuals should be cautious when consuming high-potassium diets or potassium supplements. These include:
Individuals with Kidney Disease: In healthy individuals with normal kidney function, the body efficiently eliminates excess potassium through urine, making high dietary intake generally safe. However, in individuals with kidney problems, this mechanism is impacted, potentially increasing blood potassium levels3.
Individuals with Diabetes: Diabetes, particularly if poorly controlled, can raise insulin resistance or deficiency, preventing potassium from entering cells, leading to high blood potassium levels1.
People with Adrenal or Endocrine Disorders: Conditions like Addison’s disease (adrenal insufficiency) can cause decreased aldosterone levels or aldosterone deficiency which can reduce potassium excretion, leading to hyperkalaemia1.
Patients with Heart Failure: Those with heart failure are often prescribed medications that affect potassium balance, and their heart condition itself makes them more sensitive to potassium shifts1,3.
Individuals taking Certain Medications: Some medications increase potassium levels in the body. These include potassium-sparing diuretics, angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), aldosterone antagonists, nonsteroidal anti-inflammatory drugs (NSAIDs), and beta blockers (less common). Therefore, people taking these medications must be cautious1,3.
Due to the above-mentioned reasons, individuals with underlying health conditions or those on long-term medication should consult a doctor before making any changes to their potassium intake to ensure a safe and balanced dietary approach.
Sometimes patients have too much coconut water regularly, which can lead to high potassium. It is important to consume it in moderation to prevent side effects of excess potassium27.
Potassium is a vital mineral that plays a crucial role in maintaining healthy blood pressure, supporting muscle and nerve function, and promoting overall heart health. Fruits are a natural and wholesome source of potassium, making them a safe and effective way to meet daily needs, especially when included as part of a varied and balanced diet. Incorporating potassium rich fruits in the diet, such as bananas, apricots, prunes, and oranges, offers not only this essential nutrient but also other valuable nutrients that contribute to overall wellbeing. They are generally safe and very rarely cause hyperkalaemia in healthy people with normal kidney function. However, individuals with impaired kidney function or those taking certain medications should be cautious and consult a doctor before increasing their potassium intake. That said, a balanced approach in diet (consuming a combination of fruits, vegetables, and whole foods) can be a great way to support the potassium requirements of the body and at the same time offer broader health benefits, reinforcing the importance of nutritious and mindful eating to achieve your health goals.
Do dried and frozen fruits still contain potassium?
Yes, both dried and frozen fruits retain potassium, though portion sizes vary26. Dried fruits are more concentrated, so smaller amounts provide similar potassium levels.
Should I take potassium supplements?
You should take potassium supplements only under medical advice, since most people can meet their potassium needs through a balanced diet rich in fruits, vegetables, and legumes3. Talk to your doctor if you believe you might need potassium supplements.
Can I get too much potassium from fruits?
If you are healthy, you cannot overdose on potassium from fruits, as the kidneys eliminate excess potassium through urine. However, people with kidney disease or on certain medications need to be cautious3. Remember moderation in consumption is key.
Are salt substitutes safe for everyone to use?
No, they are not suitable for everyone since salt substitutes often contain high levels of potassium. People with kidney disease or those taking certain medications should consult their doctor before using them to avoid the risk of hyperkalaemia (dangerously high potassium levels)3.
What are the other benefits of eating fruits?
Fruits provide important nutrients like folate and vitamin C, potassium, and dietary fibre. They help keep your digestion healthy, lower the risk of heart disease, diabetes, obesity, and even some cancers. They are also low in fat and calories, especially when not fried or roasted. Aim to include a variety of colourful fruits in your diet. This will give you a range of nutrients24.
References
Viera AJ, Wouk N. Potassium Disorders: Hypokalemia and Hyperkalemia. Am Fam Physician. 2015 Sep 15;92(6):487-95. Available from: https://www.aafp.org/link_out?pmid=26371733
National Academies of Sciences, Engineering, and Medicine. Dietary Reference Intakes for Sodium and Potassium. Washington (DC): National Academies Press (US); 2019. (Nutrition Board). Available from: https://www.ncbi.nlm.nih.gov/books/NBK482465/
Stone MS, Martyn L, Weaver CM. Potassium Intake, Bioavailability, Hypertension, and Glucose Control. Nutrients. 2016 Jul 22;8(7):444. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4963920/
He FJ, MacGregor GA. Beneficial effects of potassium on human health. Physiol Plant. 2008 Aug;133(4):725-35. Available from: https://pubmed.ncbi.nlm.nih.gov/18724413/
D’Elia L, Barba G, Cappuccio FP, Strazzullo P. Potassium intake, stroke, and cardiovascular disease a meta-analysis of prospective studies. J Am Coll Cardiol. 2011 Mar 8;57(10):1210-9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0735-1097(10)04976-4
National Academies of Sciences, Engineering, and Medicine. Dietary Reference Intakes for Sodium and Potassium. Washington, DC; The National Academies Press; 2019. Available from: https://www.ncbi.nlm.nih.gov/books/NBK545428/
National Academies of Sciences, Engineering, and Medicine. Guiding Principles for Developing Dietary Reference Intakes Based on Chronic Disease. Washington, DC: The National Academies Press; 2017. Available from: https://www.ncbi.nlm.nih.gov/books/NBK465024/
Currò D. The Modulation of Potassium Channels in the Smooth Muscle as a Therapeutic Strategy for Disorders of the Gastrointestinal Tract. Adv Protein Chem Struct Biol. 2016;104:263-305. Available from: https://pubmed.ncbi.nlm.nih.gov/27038377/
Rafferty K, Davies KM, Heaney RP. Potassium intake and the calcium economy. J Am Coll Nutr. 2005 Apr;24(2):99-106. Available from: https://pubmed.ncbi.nlm.nih.gov/15798076/
Kong SH, Kim JH, Hong AR, Lee JH, Kim SW, Shin CS. Dietary potassium intake is beneficial to bone health in a low calcium intake population: the Korean National Health and Nutrition Examination Survey (KNHANES) (2008-2011). Osteoporos Int. 2017 May;28(5):1577-1585. Available from: https://pubmed.ncbi.nlm.nih.gov/28093633/
Peng Y, Zhong GC, Mi Q, Li K, Wang A, Li L, Liu H, Yang G. Potassium measurements and risk of type 2 diabetes: a dose-response meta-analysis of prospective cohort studies. Oncotarget. 2017 Oct 11;8(59):100603-100613. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5725047/
Alajil O, Sagar VR, Kaur C, Rudra SG, Sharma RR, Kaushik R, Verma MK, Tomar M, Kumar M, Mekhemar M. Nutritional and Phytochemical Traits of Apricots (Prunus Armeniaca L.) for Application in Nutraceutical and Health Industry. Foods. 2021 Jun 10;10(6):1344. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8230439/
Stacewicz-Sapuntzakis M, Bowen PE, Hussain EA, Damayanti-Wood BI, Farnsworth NR. Chemical composition and potential health effects of prunes: a functional food? Crit Rev Food Sci Nutr. 2001 May;41(4):251-86. Available from: https://pubmed.ncbi.nlm.nih.gov/11401245/
Richardson DP, Ansell J, Drummond LN. The nutritional and health attributes of kiwifruit: a review. Eur J Nutr. 2018 Dec;57(8):2659-2676. doi: 10.1007/s00394-018-1627-z. Epub 2018 Feb 22. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6267416/
Giménez-Bastida JA, Ávila-Gálvez MÁ, Espín JC, González-Sarrías A. Evidence for health properties of pomegranate juices and extracts beyond nutrition: A critical systematic review of human studies. Trends Food Sci Technol. 2021;114:410-423. Available from: https://www.sciencedirect.com/science/article/pii/S0924224421003885
Cara KC, Beauchesne AR, Wallace TC, Chung M. Effects of 100% Orange Juice on Markers of Inflammation and Oxidation in Healthy and At-Risk Adult Populations: A Scoping Review, Systematic Review, and Meta-analysis. Adv Nutr. 2022 Feb 1;13(1):116-137. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8803484/
Quan Z, Li C, Zhao L, Cui D, Liu S, Yin Y, Tang Q, Zeng D, Song L, Fu X. Effect of banana intake on serum potassium level in patients undergoing maintenance hemodialysis: A randomized controlled trial. Int J Nurs Sci. 2024 Mar 14;11(2):197-204. Available from: https://pubmed.ncbi.nlm.nih.gov/38707694/
Ali S, Rahman AU, Ali E, Karabulut F, Ali S, Ahmad R, Fadl ME, AbdelRahman MAE, Ahmed MAA, Scopa A. Insights on the Nutritional Profiling of Cantaloupe (Cucumis melo L.) via 1-Naphthalene Acetic Acid. Plants (Basel). 2023 Aug 17;12(16):2969. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10459078/
Oyenihi AB, Belay ZA, Mditshwa A, Caleb OJ. “An apple a day keeps the doctor away”: The potentials of apple bioactive constituents for chronic disease prevention. J Food Sci. 2022 Jun;87(6):2291-2309. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9321083/
27. Hakimian J, Goldbarg S, Park CH, Kerwin TC. Death by Coconut. Circulation: Arrhythmia and Electrophysiology. 2014;7(1):180–181. doi:10.1161/CIRCEP.113.00094. Available from: https://www.ahajournals.org/doi/10.1161/circep.113.000941
Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
1
Can You Check Thyroid at Home
Introduction
Problems with the thyroid gland are very common around the world, including in India. In fact, around 42 million people in India are believed to have some form of thyroid disease1. These issues can happen when the thyroid gland makes too much or too little hormone, or when the gland becomes swollen or develops lumps2.
People with thyroid problems may feel tired, gain or lose weight, feel anxious or low, or notice a swelling in their neck. These signs can be easy to miss or confused with other health issues2. Therefore, it is important to stay vigilant of any new symptoms.
In this article, we’ll talk about some common thyroid problems, the symptoms to look out for, how to test thyroid at home, and when you should visit a doctor for these.
Understanding the Thyroid Gland
The thyroid is a small gland which is located in front of your neck and looks like a butterfly. It plays an important role in keeping the body healthy by producing thyroid hormones. These hormones help control your metabolism (how your body uses energy) and are important for growth, brain development, and many other functions3.
There are two main types of thyroid hormones: T3 (triiodothyronine) and T4 (thyroxine). T4 is made in the thyroid gland and then changed into the more active form, T3, in different parts of the body, like the brain, muscles, and fat tissue4. Also some amount of T3 is produced from the gland itself. These hormones help in proper utilisation of energy by the body and regulate response to changes like cold weather or fasting3,4. Thyroid hormones also affect how the body handles fats and sugars, how sensitive the body is to insulin, and even how cholesterol is managed4.
The production of thyroid hormones is controlled by signals from certain regions of the brain (the hypothalamus and the pituitary gland). The brain releases hormones like TRH (thyrotropin-releasing hormone) and TSH (thyroid-stimulating hormone) to tell the thyroid when to make more or less of these hormones4.
Since thyroid hormones are involved in so many bodily processes, keeping the thyroid healthy is important for overall well-being, especially for energy, weight, temperature regulation, and metabolism.
What Are the Symptoms of Thyroid Problems?
Thyroid problems can affect many parts of the body, and the symptoms can vary depending on whether the thyroid is overactive (hyperthyroidism) or underactive (hypothyroidism)1.
Wondering how do I know if I have thyroid problems? Let us find out!
Common symptoms of an overactive thyroid (hyperthyroidism) include2:
Feeling too hot all the time
Feeling anxious, restless, or nervous
Sweating more than usual
Shaky hands (tremors)
Unintentional weight loss
Weak muscles
Loose stools or diarrhoea
Fast or irregular heartbeat (palpitations)
Common symptoms of an underactive thyroid (hypothyroidism) include2:
Feeling cold even in warm weather
Feeling sad or depressed
Feeling tired or low on energy
Dry or rough skin
Slow or hoarse voice
Weight gain without a clear reason
Muscle cramps
Irregular periods or changes in menstrual flow
Symptoms related to thyroid swelling (goitre) can happen in both overactive and underactive thyroid conditions, or even when hormone levels are normal. These may include2:
Neck pain
Hoarseness or voice changes
Trouble swallowing (dysphagia)
Swelling in the neck
Difficulty breathing
Can You Check Your Thyroid at Home?
The answer is, yes! You can check certain aspects of your thyroid health at home, basis which you can decide the further course of action (whether or not to visit a doctor).
Checking thyroid at home starts by being aware and observant of symptoms of thyroid disease. Alongside, some self-examination methods and at-home thyroid function tests can be used to assess your thyroid gland.
While checkup at home offers a convenient and private way to assess your thyroid health, it’s important to understand their benefits and limitations before relying solely on them5:
Advantages of Checking Thyroid at Home
Helps identify potential thyroid imbalances before symptoms become severe.
Guides you to seek timely medical advice.
Assists in tracking treatment progress for existing thyroid conditions.
Disadvantages of Checking Thyroid at Home
Often not reliable . For example: Self-examination at times may seem completely normal even though there may be a severe issue.
Results are likely to be misunderstood without professional medical guidance.
May delay necessary treatment, if relied on exclusively without consulting a doctor
So, while it’s possible to check your thyroid at home, it’s crucial to understand the pros and cons of this. Although, this should not replace regular checkups or a complete diagnostic assessment by a doctor, it can, however, be useful in raising awareness of potential issues and taking medical advice promptly.
Irrespective of which ever home test you perform to assess thyroid function, you may make a mistake. Examination by a professional and blood test is the best way. If you are concerned about your health, it is always recommended to consult your doctor.
Many people wonder, how do I know if I have thyroid problems which might need an expert doctor’s consultation . So, to answer this question, we are listing a few simple ways by which you can check for possible thyroid issues from the comfort of your home:
1. Recognise Symptoms
Keep track of any unusual changes in your body or how you’re feeling. Make a note of things like tiredness, sudden weight changes, mood swings, or feeling too hot or too cold, as these could be signs of a problem with your thyroid.
2. Neck Self-Examination
This method helps you check for swelling or lumps in the thyroid area.6
Take the glass and stand in front of any mirror, such that you can see yourself clearly.
Now, gently tilt your head back.
Take a sip of water from the glass.
As you swallow, look at the base of your neck (above the collarbone, below the Adam’s apple) in the mirror.
Watch for any bulges, lumps, or uneven swelling.
Note: If you see anything unusual, do not panic; not all lumps mean something serious. However, it’s important to talk to a doctor and get checked properly, especially if the lump stays or gets bigger over time.
Use this as a complementary method to the clinical examination by a health care expert like an Endocrinologist.
3. Basal Body Temperature Test
This method checks your body’s resting temperature, which may be deviated from the normal range in people with thyroid problems7,8.
How to do it:
Use a digital or mercury thermometer.
Check your temperature at any time of the day.
Do this for 3 to 5 days in a row. (Make sure to follow the same timings every day).
Normal range: Around 97.8 to 98.2°F (36.5 to 36.8°C)9.
If consistently below or high: It may be a sign of thyroid dysfunction8,10.
Note: This method is not always reliable and can be affected by other factors like illness or hormonal changes.
This can be the most common and reliable method for thyroid assessment at home. You can easily order a thyroid blood test from home which checks for your thyroid hormone levels.
Remember that an abnormal check may not always indicate a significant problem, just as a normal test does not ensure everything is fine. It’s always preferable to speak with a healthcare professional for a proper diagnosis and tailored guidance if you observe anything troublsome.
When on thryoid medications, blood tests should be repeated every 3 months to assess improvement and ensure that adequate dose of thyroxine hormone is being received.
It’s important to know when home checks and symptoms should lead you to seek medical advice. If you notice any of the following signs or changes in your health, it’s a good idea to consult a doctor:
If you’re experiencing any of the symptoms (discussed above) of thyroid problems for a few weeks or more could be a sign of a thyroid problem or other underlying conditions (like diabetes) and should be evaluated by a doctor11.
If you have no symptoms, but your test results are not normal: Sometimes, people have no obvious symptoms, but thyroid issues are discovered during routine blood tests. That’s why it’s helpful to get regular checkups, especially if you have a family history of thyroid disorders.
If you are experiencing life-threatening thyroid symptoms (although rare), Problems requiring urgent medical care include2:
Thyroid Storm (severe hyperthyroidism): Symptoms include a very high fever, fast heart rate, extreme agitation, confusion, or even loss of consciousness.
Myxoedema Crisis (severe hypothyroidism): Signs include extreme tiredness, very low body temperature, slow breathing, and unresponsiveness.
If you notice any of these problems (even if they seem mild), it’s always safer to consult a doctor and get your thyroid checked.
Thyroid test at home can be a helpful first step in noticing signs of thyroid problems. Simple methods like a neck self-exam, monitoring your body temperature, and being aware of common symptoms can alert you if something seems off with your thyroid. It is important to keep in mind that while these home checks are useful, they are not a substitute for medical testing.
A thyroid blood test is the most reliable technique to determine if your thyroid gland is working normally. Additionally, regular checkups with your doctor can help catch issues early, even if you don’t have clear symptoms.
Remember, in rare cases, thyroid problems can become serious emergencies. So, if you notice unusual symptoms or anything concerning during a home check, don’t delay and talk to a doctor. Keeping an eye on your thyroid health can go a long way in maintaining your overall well-being!
Can thyroid problems affect other parts of my body?
Yes, thyroid problems may affect other parts of your body. Since thyroid hormones influence many body systems, including the heart, brain, muscles, and metabolism, thyroid problems can cause wide-ranging symptoms. This may affect other vital organs and cause complications if left unaddressed3.
How often should I get my thyroid checked?
If you have thyroid problems or have any risk factors (like family history or symptoms), your doctor may recommend regular thyroid testing (every 6 to 12 months)12. Otherwise, routine checkups during health exams are a good opportunity to screen for thyroid issues. Your doctor can suggest the ideal frequency of testing based on your specific conditions.
How do pregnancy hormones affect thyroid tests?
During pregnancy, hormones like oestrogen and beta-HCG increase thyroid-binding globulin, a protein that carries thyroid hormones in the blood. As more hormone is bound, total T4 levels rise. However, free T4 (the active form) and TSH usually remain unaltered. So, it’s normal to see high total T4 with normal TSH and free T4 in pregnancy, especially 2nd trimester onwards3. Therefore, to make an accurate diagnosis, doctors interpret thyroid tests carefully during pregnancy.
During a self-neck check, can I confuse the Adam’s apple with the thyroid?
Yes, it could be possible. The Adam’s apple is a bump that you can see in the front of your neck (more clearly observed in men). It is situated above the thyroid gland. During a self-exam, you should feel for the thyroid just below the Adam’s apple and above the collarbone (on either side of your windpipe)5. This will help you avoid any confusion.
How are thyroid diseases treated?
Thyroid diseases are usually manageable with proper treatment. For an overactive thyroid, doctors may prescribe medications to control symptoms and drugs that reduce hormone production. For an underactive thyroid, hormone replacement therapy is used to restore normal hormone levels2. Treatment helps avoid serious complications and improves quality of life. Therefore, for a precise assessment of your thyroid health, always seek medical advice.
References
Unnikrishnan AG, Menon UV. Thyroid disorders in India: An epidemiological perspective. Indian J Endocrinol Metab. 2011 Jul;15(Suppl 2):S78-81. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3169866/
Melish JS. Thyroid Disease. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd ed. Boston: Butterworths; 1990. Chapter 135. Available from: https://www.ncbi.nlm.nih.gov/books/NBK241/
Shahid MA, Ashraf MA, Sharma S. Physiology, Thyroid Hormone. [Updated 2023 Jun 5]. In: StatPearls [Internet]. StatPearls Publishing; 2025 Jan; [cited 2025 May 22]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK500006/
Gustafson C. Denis Wilson, md: Low Body Temperature as an Indicator for Poor Expression of Thyroid Hormone. Integr Med (Encinitas). 2015 Jun;14(3):24-8. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4566469/
Vancamp P, Demeneix BA. Is the Observed Decrease in Body Temperature During Industrialization Due to Thyroid Hormone-Dependent Thermoregulation Disruption? Front Endocrinol (Lausanne). 2020 Jul 22;11:470. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7387406/
Del Bene VE. Temperature. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd ed. Boston: Butterworths; 1990. Chapter 218. Available from: https://www.ncbi.nlm.nih.gov/books/NBK331/
Ljunggren JG, Kallner G, Tryselius M. The effect of body temperature on thyroid hormone levels in patients with non-thyroidal illness. Acta Med Scand. 1977;202(6):459-62. Available from: https://pubmed.ncbi.nlm.nih.gov/596246/
National Guideline Centre (UK). Indications for testing: Thyroid disease: assessment and management: Evidence review B. London: National Institute for Health and Care Excellence (NICE); 2019 Nov. (NICE Guideline, No. 145.). Available from: https://www.ncbi.nlm.nih.gov/books/NBK577223/
Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
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Best Exercises for Fatty Liver You Should Try
Introduction
Non-alcoholic fatty liver disease (NAFLD) is often referred to simply as fatty liver. It is one of the most common liver conditions affecting people worldwide1. This condition involves the buildup of excess fat in the liver that is not caused by the consumption of alcohol2.
In India, adult NAFLD rates have been reported as high as 38.6% in adults and 35.4% in children, and the prevalence is known to increase with age and lifestyle related health issues3. Fatty liver can range in severity from simple fat accumulation (non-alcoholic fatty liver or NAFL) to a more serious form called non-alcoholic steatohepatitis (NASH), which can lead to liver fibrosis, cirrhosis, or even liver cancer if left unaddressed1.
The good news is that regular physical activity is one of the most effective ways to manage fatty liver1,3. In this article, we will explore the causes and symptoms of fatty liver and highlight the most effective exercises you can incorporate into your routine to support liver health and manage this condition. Keep in mind that choosing the best exercise for fatty liver means focusing on activities that improve cardiovascular health as well as promote weight loss.
How Is Fatty Liver Disease Caused?
Fatty liver develops when there is an abnormal buildup of fat in liver cells, more than 5% of the liver’s weight2,5. This fat accumulation occurs due to various conditions:
Unhealthy Lifestyle: The most common cause of fatty liver disease is an unhealthy lifestyle. This includes being overweight, not getting enough exercise, and eating too much unhealthy food. These factors can make the body less responsive to insulin (a hormone that controls blood sugar), which leads to insulin sensitivity and more fat being made and stored in the liver1,6.
Beyond this, several other conditions and factors can contribute to NAFLD:
Medical Conditions: Having conditions like diabetes, kidney disease, or high cholesterol4,5.
Genetic Factors: Diseases such as glycogen storage diseases and Wilson’s disease2.
Medications: Certain medications such as selective oestrogen receptor modulators, antimetabolites, and antiarrhythmics2.
NAFLD or NASH is now often referred to as Metabolic Dysfunction-associated Steatotic Liver Disease (MASLD), and the most common cause for this is obesity or being overweight22,23.
Most people with fatty liver disease (especially in the early stages) may not experience any symptoms1. However, as the condition progresses, some people might start to notice signs that something isn’t quite right.
Below, we have mentioned some common symptoms of a fatty liver:
It’s important to note that these symptoms are not exclusive to fatty liver disease and may be associated with other health conditions. However, as the condition progresses to NASH and cirrhosis, signs like abdominal/leg swelling, itchy skin, and spider-like veins may appear9. That’s why regular health check-ups are crucial, especially if you have risk factors like obesity, diabetes, or high cholesterol.
If you’re concerned about your liver health, you can get a simple test, such as Liver Function Test (LFT), to check how well your liver is working. This blood test measures levels of liver enzymes and can help detect early signs of liver problems.
Easy Exercises to Reverse Fatty Liver?
One of the most effective ways to improve fatty liver disease is through regular exercise. Are you wondering what the best exercise for fatty liver is? The answer lies in a combination of aerobic activities like walking and strength training for lasting benefits. Studies have shown that both aerobic (cardio) and resistance (strength) training have been proven to reduce fat in the liver10,11.
Here are some simple and effective exercises for fatty liver that you can include in your daily routine:
Why it helps: Reduces stress, supports weight loss, and liver function15,16
Note: While exercise and yoga offer certain benefits for fatty liver, it is important to perform activities within your comfort level and under the guidance of fitness and yoga professionals. Additionally, if you have any underlying health conditions, it is important to take medical clearance with the medical practitioner before pursuing any exercise regime.
There is a growing trend pf NAFLD in children which is closely linked to rising childhood obesity24.
Yoga Postures for Fatty Liver and Overall Liver Health
Yogais a powerful tool that not only reduces stress but also helps stimulate internal organs like the liver, enhancing detoxification and improving its function16. Hence, itcan be particularly beneficial for individuals with fatty liver disease. Here are some asanas that you can try out:
Stimulates liver and intestines, helping with detoxification.
Note: Always practice yoga for fatty liver with awareness and within your comfort level. If you have any underlying health conditions, recent surgeries, or are pregnant, consult your doctor before starting20. It’s best to learn and perform yoga under the guidance of a certified yoga instructor to ensure proper technique and safety. Ideally, practice yoga in the early morning or at a time when your stomach is empty for better results and comfort17.
No particular exercise can specifically target the fat in liver. Generally incorporating any type of physical activity is one of the many lifestyle measures that can be taken to inch towards a healthy liver. When concerning symptoms do show up, consulting your doctor is important.
In addition to medical guidance and structured treatment, individuals with fatty liver disease can adopt several practical lifestyle measures to support liver health:
Adopt a liver-friendly diet: Focus on including fruits, vegetables, whole grains, and healthy fats in your diet. Additionally, limit intake of refined sugars, sugary beverages, trans fats, and saturated fats21.
Engage in regular physical activity: Aim for at least 150 to 200 minutes of moderate-intensity exercise for fatty liver per week (e.g., brisk walking, cycling, aerobics, strength training)21.
Achieve and maintain a healthy weight: Target gradual weight loss of 7 to 10%, or more if overweight, to significantly improve liver enzymes, inflammation, and fat accumulation21.
Manage associated health conditions: Control diabetes, obesity, high cholesterol, and hypertension as they may contribute to NAFLD progression2.
Seek professional guidance: Consult with a doctor, nutritionist, or fitness expert for personalised advice and to safely implement lifestyle changes.
Fatty liver disease often develops silently, but timely medical consultation is advised when you notice the above-mentioned symptoms to rule out this condition. If the disease progresses, it becomes crucial to seek immediate medical attention. You must visit the doctor if you experience any of the following, as these may indicate that the liver disease has advanced:
Worsening of symptoms (discussed above)
Itching, spider-like blood vessels, or red palms
Yellowing of skin or eyes
Swelling/fluid retention, especially in the abdomen or legs
As NAFLD progresses, it may develop into non-alcoholic steatohepatitis (NASH), a more severe form that includes inflammation and liver cell damage. If left unmanaged, NASH can progress to fibrosis, cirrhosis, or liver cancer2. Therefore, regular medical check-ups and early lifestyle interventions such as exercise for fatty liver are key to managing fatty liver disease and avoiding long-term complications.
Exercise and yoga play a vital role in managing fatty liver disease by promoting weight loss, enhancing insulin sensitivity, reducing liver fat, and improving overall metabolic health. While there is no single best exercise for fatty liver approved solely for NAFLD, consistent physical activity, combined with mindful practices like yoga, can significantly halt the progression of the disease.
By adopting a healthier lifestyle that includes regular exercise, a balanced diet, stress reduction, and mindful habits such as yoga, individuals can not only manage fatty liver more effectively but also improve their overall well-being. Regular consultation with a doctor with early intervention and sustained lifestyle changes is key to avoiding complications and leading a healthier, more energetic life.
Exercise is an important aspect of managing fatty liver disease that can significantly help reduce liver fat. However, it works best when combined with a healthy diet and lifestyle changes20.
Is high-intensity exercise necessary to reduce liver fat?
No, moderate-intensity exercise is sufficient for most people to improve liver health11. Vigorous or high-intensity exercise can help, but it is not mandatory and should be done only if comfortable and safe.
Are there any risks or precautions I should consider before starting exercise?
Always start at your own pace and avoid pushing yourself too hard. If you experience pain, dizziness, or difficulty breathing during exercise, you should stop immediately and consult a doctor. Individuals with existing health conditions should always seek medical advice before starting any new exercise or yoga regimen.
How soon can I expect to see improvements in my liver health?
Improvements can vary but typically occur over weeks to months with regular exercise and lifestyle changes. Liver fat reduction and better insulin sensitivity often start within 3 to 4 months of consistent physical activity11–15.
References
Pouwels S, Sakran N, Graham Y, Leal A, Pintar T, Yang W, Kassir R, Singhal R, Mahawar K, Ramnarain D. Non-alcoholic fatty liver disease (NAFLD): a review of pathophysiology, clinical management and effects of weight loss. BMC Endocr Disord. 2022 Mar 14;22(1):63. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8919523/
Antunes C, Azadfard M, Hoilat GJ, Gupta M. Fatty Liver [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan; [updated 2023 Jan 1; cited 2025 May 23]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441992/
Shalimar, Elhence A, Bansal B, Gupta H, Anand A, Singh TP, Goel A. Prevalence of Non-alcoholic Fatty Liver Disease in India: A Systematic Review and Meta-analysis. J Clin Exp Hepatol. 2022 May-Jun;12(3):818-829. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9168741/
Zarghamravanbakhsh P, Frenkel M, Poretsky L. Metabolic causes and consequences of nonalcoholic fatty liver disease (NAFLD). Metabol Open. 2021 Nov 16;12:100149. Available from: https://pubmed.ncbi.nlm.nih.gov/34870138/
Wijarnpreecha K, Aby ES, Ahmed A, Kim D. The association of weight gain with nonalcoholic fatty liver disease and fibrosis detected by FibroScan in the United States. Ann Gastroenterol. 2022 Mar-Apr;35(2):194-202. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8922259/
Khoonsari M, Mohammad Hosseini Azar M, Ghavam R, Hatami K, Asobar M, Gholami A, Rajabi A, Safarnezhad Tameshkel F, Amirkalali B, Sohrabi M. Clinical Manifestations and Diagnosis of Nonalcoholic Fatty Liver Disease. Iran J Pathol. 2017 Spring;12(2):99-105. Epub 2017 Apr 1. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5831064/
Kudaravalli P, John S. Nonalcoholic Fatty Liver [Internet]. StatPearls Publishing; 2025 Jan; . [Updated 2023 Apr; cited 2025 May 27]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541033/
Zelber-Sagi S, Buch A, Yeshua H, Vaisman N, Webb M, Harari G, Kis O, Fliss-Isakov N, Izkhakov E, Halpern Z, Santo E, Oren R, Shibolet O. Effect of resistance training on non-alcoholic fatty-liver disease a randomized-clinical trial. World J Gastroenterol. 2014 Apr 21;20(15):4382-92. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3989975/
Keating SE, Hackett DA, Parker HM, O’Connor HT, Gerofi JA, Sainsbury A, Baker MK, Chuter VH, Caterson ID, George J, Johnson NA. Effect of aerobic exercise training dose on liver fat and visceral adiposity. J Hepatol. 2015 Jul;63(1):174-82. Available from: https://pubmed.ncbi.nlm.nih.gov/25863524/
Schneider CV, Zandvakili I, Thaiss CA, Schneider KM. Physical activity is associated with reduced risk of liver disease in the prospective UK Biobank cohort. JHEP Rep. 2021 Mar 2;3(3):100263. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8056270/
Oh S, So R, Shida T, Matsuo T, Kim B, Akiyama K, Isobe T, Okamoto Y, Tanaka K, Shoda J. High-Intensity Aerobic Exercise Improves Both Hepatic Fat Content and Stiffness in Sedentary Obese Men with Nonalcoholic Fatty Liver Disease. Sci Rep. 2017 Feb 22;7:43029. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC5320441/
Liu X, Miller YD, Burton NW, Brown WJ. A preliminary study of the effects of Tai Chi and Qigong medical exercise on indicators of metabolic syndrome, glycaemic control, health-related quality of life, and psychological health in adults with elevated blood glucose. Br J Sports Med. 2010 Aug;44(10):704-9. Available from: https://pubmed.ncbi.nlm.nih.gov/18927159/
Singh AK, Kaur N, Kaushal S, Tyagi R, Mathur D, Sivapuram MS, Metri K, Bammidi S, Podder V, Modgil S, Khosla R, Sharma K, Anand A, Malik N, Boroiah V, Nagarathna R, Nagendra HR, Anand A. Partitioning of radiological, stress and biochemical changes in pre-diabetic women subjected to Diabetic Yoga Protocol. Diabetes Metab Syndr. 2019 Jul-Aug;13(4):2705-2713. Available from: https://pubmed.ncbi.nlm.nih.gov/31405697/
Telles S, Sharma SK, Kala N, Pal S, Gupta RK, Balkrishna A. Twelve Weeks of Yoga or Nutritional Advice for Centrally Obese Adult Females. Front Endocrinol (Lausanne). 2018 Aug 17;9:466. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6107686/
Ministry of External Affairs, Government of India. Yoga Postures – 17 [Internet]. New Delhi: MEA; [cited 2025 May 20]. Available from: https://www.mea.gov.in/yoga-postures-17.htm
Ahmed IA, Mikail MA, Mustafa MR, Ibrahim M, Othman R. Lifestyle interventions for non-alcoholic fatty liver disease. Saudi J Biol Sci. 2019 Nov;26(7):1519-1524. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6864195/
22. Li B, Zhang C, Zhan YT. Nonalcoholic Fatty Liver Disease Cirrhosis: A Review of Its Epidemiology, Risk Factors, Clinical Presentation, Diagnosis, Management, and Prognosis. Can J Gastroenterol Hepatol. 2018 Jul 2;2018:2784537. doi: 10.1155/2018/2784537. PMID: 30065915; PMCID: PMC6051295.Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6051295/
23. Sharma B, John S. Nonalcoholic Steatohepatitis (NASH) [Updated 2023 Apr 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470243/
Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
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