<human>: I am M - 48 and have been suffering from severe Asthama since 30 years. However since 2008 I have followed a strict lifestyle change and have got rid of it 95%. Meditation, Prananayam, (not much Yoga) Strict fitness routine (i have a personal trainer), Strict vegetarian food, I sleep 9:30PM to 4:30AM.  My Height is 163 cm, in 2008 my weight was around 50 and since last two years it has stabilised at 63.  Now it does not bother me and does not effect my work. Apart from this i dont have any other health issues.  Some times i still have to take one Puff of Foracort -200, once in morning and once before sleeping. This is for about 6 months in a year, when I get cough in the morning. At one time 2 puffs every three hours also wont work.  I want to get rid of it completely.  I am not looking for advice advocating that it is safe etc. to take inhales.  Can some doctor advice me on this.  With a strategy to get rid of medication completely, I am open to any stream ( alopathy, Ayurved, Homeopathy or anything else)
<bot>: Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. It is really great that you have been able to improve your asthma significantly by meditation, Panama, exercise, diet and life-style changes. I would like to know more about you like - Do you have any medical condition other than asthma? Are you taking any other Chat Doctor? 2. I would suggest you allergy testing, especially to common airborne allergens like - house dust mites, indoor molds, regional pollen, insect proteins and pet dander (if you have pet). This will help you identify the substances you may be allergic to and also to know the measures to avoid them.3. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works like vaccination to reduce allergy symptoms over a long time gradually.4. Personally, I would suggest you to have a Yoga trainer, who can teach you specific Yogasanas which would be helpful in asthma. (as you have mentioned you have not had much of Yoga)5. I would also suggest you a good multivitamin-multimineral with antioxidant as a diet supplement which improves your immunity. It is especially more important as such deficiencies are more common among those who follow a restricted diet.6. If stress is an important factor for you, I would suggest you stress reduction strategies like meditation and relaxation as stress can affect allergies & asthma adversely. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you a very good health ahead. Thank you & Regards.