Kottakkal Loha Sinduram (101) is a powdered or bhasma-formulation made of iron that has undergone purifying processes up to 101, 21, 14, and 7 times. Kottakkal Loha Sinduram (101)Is the most reliably effective treatment for anemia, biliousness, anasarca, sporadic lightheadedness, palpitations, and heart weakness, as well as all diseases brought on by a lack of red blood cells or an excess of bile.