Case Study 1

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Vitamin B12 Deficiency in a Vegetarian Tackled With Changes in The Diet

Name: Manisha Gupta

<strong>Name:</strong> Manisha Gupta

  • Age: 40
  • Food Preference: vegetarian, eggs occasionally
  • Clinical Conditions: Obesity, hypothyroidism, acid reflux, headache, numbness in limbs, joint pains, high fatigue.
  • Medication History: Thyroid medicine, antacids, pain killers and vitamin D supplement.

HYPOTHESIS:

Patient shows the probability of vitamin B12 deficiency in body due to the following –

  • Regular intake of antacids -These interfere with the absorption of vitamin B12.
  • Less intake of animal products in daily diet – Eggs, dairy and its products, meat, fish are good sources of Vitamin B12.

TESTS RECOMMENDED:

CBC Blood Sugar and Hba1c S. Vitamin B12
S. Vitamin D3 Thyroid Profile Lipid Profile

INDICATIONS FROM THE BLOOD PROFILE TESTS:

  • Low levels of vitamin B12.
  • High levels of cholesterol and triglycerides.
  • Patient is in the prediabetic stage.

DIET RECOMMENDED BY DCN:

  • Diet rich in eggs, low fat dairy and its products, fortified cereals.
  • Increase the intake of folic acid.
  • Limited intake of cruciferous vegetables and no soya or its products in the diet to manage the symptoms of thyroid.
  • Limit the sources of animal fat to manage high cholesterol and triglyceride levels (butter, ghee, egg yolk) and add Omega3 and 6 rich foods.
  • Consumption of a minimum of 3 litres of water every day.
  • Include 3-5 servings of fruits and vegetables, in combination every day.

SAMPLE PLAN

  • Breakfast: Milk with cereals/toast/poha /oats /vegetable chilla and 2 egg whites.
  • Mid morning: Fruit with flax seeds.
  • Lunch: Multigrain chapatti , vegetable, curd and salad.
  • Evening: 1 Cup milk with cinnamon powder and 1 serving of roasted grains/ ½ fruit with low fat cottage cheese / herbal tea with 1 walnut and ½ fruit.
  • Dinner: Vegetable porridge /toast with sauteed vegetables/sprouts with soup / soup with low fat cheese and salad.

RESULTS AFTER 1 MONTH OF DIET PLAN AND 45 MINUTES OF WALK, 6 DAYS A WEEK

  • Client lost 4.2 kg weight in 1 month.
  • Improvement in the symptoms of numbness, fatigue and joint pain.
  • She stopped consumption of medicines for acid reflux and pain killers.
  • Blood profile levels showed normal results after 2 months when repeated.
Dates VitaminB-12 Cholesterol Triglycerides Fasting Sugar
22/10/2016 136 236 242 135
22/12/2016 523 168 120 90
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