1.Introduction:
Mr. XXX life changed when unexplained breathlessness led to a diagnosis of Interstitial Lung Disease (ILD) in 2019. After intensive steroid therapy, he fully recovered from lung issues and remained symptom-free. In 2023, sudden weight loss revealed elevated liver enzymes, suggesting Autoimmune hepatitis. Though medication stabilized his condition, a relapse in March 2025 brought him to SLNS Nature cure Hospital seeking holistic care for his liver health. His journey reflects resilience and the power of integrated healing.
2. Patient Information:
NAME: XXX
AGE : 21
GENDER : MALE
In October 2019, first-year pre-college student, began experiencing breathlessness while climbing stairs. His oxygen saturation levels were normal at rest but dropped to 92-93% during physical activity. After visiting a local hospital, he was referred to Sunshine Hospital, where he underwent several tests, including a CT scan, all of which returned normal results. He was prescribed Wysolone 50 mg, a steroid, providing him a brief relief. However, his symptoms returned, prompting further tests such as endoscopy and bronchoscopy, which also showed no significant findings. With a suspected diagnosis of Asthma, doctors prescribed inhalers and supplements, but still the symptoms persisted.
It was only at Swasa Hospital, an HRCT Thorax scan confirmed a diagnosis of Interstitial Lung Disease (ILD), despite negative Avian Antigen results. To manage his symptoms, he was put on Home oxygen therapy, which offered significant relief. In December 2019, Tirumala sought a second opinion at Yashoda Hospital, where the Department of Pulmonology, diagnosed him with NonSpecific Interstitial Pneumonitis (NSIP) through a lung biopsy. His condition improved significantly after receiving high doses of Omnacortil 1000 mg intravenously, and the dosage was gradually tapered off over the course of a year. By June 2023, he was symptom-free, marking a major milestone in his recovery.
However, between June and August 2023, he experienced a significant weight loss of 10 kg and elevated liver enzymes were detected, with SGOT levels rising to 561 and SGPT levels to 846. A liver biopsy suggested that he might be suffering from Autoimmune or Chronic Hepatitis. To address these concerns, he was prescribed UDI LIV 300mg, Zincovit, PAN 40mg, and Wysolone 40mg, with the steroid dosage gradually tapered. By August 2023, his liver enzyme levels had normalized, and he was put on a maintenance regimen that included Azoran 50mg and a reduced dose of Wysolone (15mg), eventually stopping Wysolone altogether.
In March 2025, his SGOT and SGPT levels showed a slight increase, prompting him to seek further treatment at SLNS Nature Cure Hospital. There, he underwent additional assessments and treatments, marking a new phase in his journey toward better health, with the hope of managing his condition through holistic and natural approaches.
3. Medication History
| S. No. | Medication | After Treatment dose | Mechanism of Action |
| 1 | Azoran 75mg | Azoran 50mg (Tapered 25mg) | Azathioprine, an immunosuppressant that works by inhibiting DNA synthesis in rapidly dividing cells, reducing immune system activity |
Azoran 75mg contains Azathioprine tapered to 25mg,now he is taking 50mg which is an immunosuppressant used to control autoimmune conditions. It works by inhibiting DNA synthesis in rapidly dividing cells. This helps suppress immune overactivity, reducing inflammation and tissue damage.
4.Naturopathy And Lifestyle Intervention:
Lifestyle Modification: Adopted a balanced routine with rest, gentle activity, fresh air, stress reduction, and mindful breathing to support lung function and emotional well-being.
Diet Changes: A nutrient-dense, liver-supportive diet with antioxidants, probiotics, and high fiber was introduced while avoiding processed and liver-stressing foods.
Yogic Intervention: Customized asanas improved posture and lung expansion, while pranayama enhanced oxygenation and stabilized energy levels.
Massage & Hydrotherapy Treatments: Massages relieved muscular stiffness and improved circulation, while hydrotherapy eased chest tightness and promoted detoxification.
5.Results And Follow Up:
| S.NO | BIOMARKERS | BEFORE TREATMENT | AFTER TREATMENT |
| 1 | SGOT | 122.7 | 71.2 |
| 2 | SGPT | 166.8 | 49.3 |
| 3 | UREA | 16.69 | 18.77 |
| 4 | T3 | 216 | 158 |
| 5 | IRON | 179.1 | 97.7 |
| 6 | TRANSFERRIN % | 52.82 | 33.27 |
| 7 | VITAMIN D | 33.44 | 142.42 |
| 8 | DHEA SULPHATE | 93.8 | 119.67 |
| 9 | ESTRADIOL | 59 | 29 |
| 10 | Hs CRP | 1.2 | 0.3 |
His recovery is reflected in a range of improved biomarkers. SGOT decreased from 122.7 to 71.2, and SGPT from 166.8 to 49.3, showing a marked reduction in liver inflammation and better hepatic function. Urea slightly increased from 16.69 to 18.77, remaining within a healthy range, indicating balanced kidney function. T3 dropped from 216 to 158, suggesting stabilized thyroid activity and improved metabolic balance. Iron levels reduced from 179.1 to 97.7, and Transferrin % from 52.82 to 33.27, which helps prevent Iron overload and supports proper oxygen transport. Vitamin D jumped from 33.44 to 142.42, greatly enhancing immune strength and lung repair. DHEA Sulphate increased from 93.8 to 119.67, contributing to hormonal resilience and immune support. Estradiol normalized from 59 to 29, correcting hormonal imbalance. Finally, Hs-CRP dropped significantly from 1.2 to 0.3, showing a clear reduction in systemic inflammation. These improvements mark a strong shift toward internal healing, less inflammation, and better energy, immunity, and organ function.
6.Discussion:
Her health journey is a remarkable testament to resilience, medical science, and the restorative power of nature. What began in 2019 as unexplained breathlessness during routine stair climbs led to a diagnosis of Interstitial Lung Disease (ILD), specifically NonSpecific Interstitial Pneumonitis (NSIP). He underwent aggressive steroid therapy, including Omnacortil infusions, and successfully recovered, remaining symptom-free by 2023. However, sudden weight loss and a sharp rise in liver enzymes (SGOT 561, SGPT 846) hinted Autoimmune hepatitis, requiring another round of steroids and immunosuppressants like Azoran. Though his enzymes normalized under this regimen, a mild relapse in March 2025 brought him to SLNS Nature Cure Hospital in search of a more holistic approach. Here, Tirumala embraced naturopathy, incorporating lifestyle adjustments, Lung-supportive yoga, Liver-healing diet plans, and therapies like Massage and Hydrotherapy. These integrative interventions brought tangible improvements: SGOT and SGPT reduced to 71.2 and 49.3 respectively, magnesium rose to 2.2 boosting energy, and Vitamin D soared from 33.44 to 142.42, enhancing immune repair. His thyroid (T3), iron, and hormonal markers like DHEA and estradiol also normalized, while Hs-CRP, a key inflammation marker, dropped from 1.2 to 0.3. This holistic transformation reflects not just clinical progress but a deeper return to systemic balance. His story underscores how integrated healing—combining conventional medicine with lifestyle and natural therapies—can offer renewed health, even after complex Autoimmune and Respiratory challenges.
7.Conclusion:
His journey is a powerful example of how integrated healthcare can transform chronic illness into a story of recovery. From facing severe breathlessness and being diagnosed with Interstitial Lung Disease (ILD) to overcoming autoimmune hepatitis, his path was filled with medical challenges. Conventional treatment provided critical short-term relief, especially with the use of steroids and immunosuppressants. However, it was the naturopathic care at SLNS Nature Cure Hospital that truly helped rebuild his health from within. With a structured routine, personalized diet, yoga therapy, and detoxification treatments, he began to regain balance in his physical and emotional health. His liver enzymes, hormones, thyroid, and inflammation markers all showed significant improvement. Beyond numbers, he reported feeling lighter, more energetic, and mentally clear. The natural therapies not only managed symptoms but also strengthened his immunity and improved his overall well-being. His progress is a clear reminder that healing is not just about suppressing disease but empowering the body to restore itself. Today, he lives with renewed confidence, no longer defined by his past conditions. His story offers hope to those seeking alternatives to long-term medication and inspires a deeper trust in the body’s ability to heal through nature.