Caution is advised when considering Punarnavadi Mandoor for your mother’s condition, as there is no one‑size‑fits‑all dosage. The appropriate dose depends on several factors, including the severity of Chronic Kidney Disease (CKD), kidney function, age, overall health, and associated conditions such as anaemia. Given the complexity of her health situation, especially with falling haemoglobin and rising creatinine, it is strongly recommended to consult a doctor or an Ayurvedic practitioner before use. Self‑medication in CKD cases is strictly not advised. Always follow professional medical guidance for safe and effective treatment.