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This case study explores the Ayurvedic management of hypothyroidism in a 20-year-old female, focusing on the use of Tryushana Churna and other herbal treatments. Over three months, the patient experienced significant improvements in symptoms such as weight reduction (from 63 kg to 55 kg), regularized menstrual cycles, and reduced fatigue, hair loss, and indigestion. The study suggests that Ayurvedic interventions, particularly Tryushana Churna and Kanchanara Guggulu, can effectively enhance digestive fire, reduce toxins, and balance bodily energies, offering a complementary approach to conventional hypothyroidism treatment. Further research is recommended to validate these findings on a larger scale.