### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
good morning doctor, iam  from new delhi, my wife sufring from asthma since 10 years and hypothyroid from last 2 years, few weeks ago we consult with a doctor and he prescribed us some amway supplements ( nutrilite tripple guard, nutrilite daily, salmon omega-3 , ch balance, bio-c and siberian ginseng with ginkgo biloba ) but she put 5 kg weight and find difficult to breath. pls advice are these supplements are safe to take or what we should do now.

### output:

Hello Danish, Hope your wife is taking appropriate treatment for asthma (steroid inhalers) and hypothyroidism (thyroxine tablets). No supplement can substitute the correct treatment. Was your wife forced to take all these supplements because she was not getting adequate relief with prior treatment? Regarding safety of these supplementsnutrilite triple guard - it is claimed to contain extract of the plant Echinacea, a Central American herb.  This plant is claimed to boost immunity and thus prevent common cold.  Your wife is suffering from asthma, not common cold.  There are reports of worsening of autoimmune disease after taking Echinacea So your wife should stop taking this product. You may try Tulsa leaf if available. Must be cheaper than Echinacea nutritive daily - it contains 24 vitamins and minerals similar to the multivitamin tablets available over the counter (like codex CZS, polygon CZS, sure at, recoil etc.). Will not be harmful. She may continue to take it Bio C - it contains 250 mg vitamin C the daily requirement is 60 mg only you are already getting 90 mg from nutritive daily.  So unnecessary Siberian ginseng with ginkgo Balboa - they claim it improves mental sharpness Not necessary for your wives current disease. I would suggest you give priority to optimal treatment than spending thousands on supplements. Consult a pulmonologist and endocrinologist. Also discuss regarding possibility of sleep apnea