Case Studies & Treatment Recommendations

VLCD and LCD effect on cholesterol levels
Question  Do you have information on the changes in cholesterol on VLCD's and LCD's? Most of our clients have had great improvements, but there ...
Sun, 31 Aug, 2014 at 2:22 PM
What do you do for a patient that is running a low magnesium level?
Question We have a person who is running a magnesium level of 1.4 (range is 1.6 to 2.3 mg/Dl) for several weeks now.  She is taking an over the counter m...
Wed, 21 May, 2014 at 5:20 AM
Sodium Intake and Blood Pressure
Question I have 2 patients that came into the office, both on their 2nd week of the VLCD, with complaints of headache but main concern was feeling their ...
Fri, 6 Jun, 2014 at 12:23 PM
Should we perform a urinalysis prior to starting a patient on a Very Low Calorie Diet?
Question I am preparing for the American Board of Obesity Medicine.  After the exam, one has to provide fifteen case studies.  I looked at the checklis...
Mon, 24 Mar, 2014 at 1:13 PM
How common is pancreatitis in a protein sparing modified fast?
Question I have a patient at 800 calories who has done really well, but developed an acute pancreatitis.  She has had her gall bladder removed. First, h...
Thu, 5 Dec, 2013 at 4:44 PM
Are there adverse reaction to using New Direction meal replacements with any medications?
There is no direct effect that I’m aware, although I still tell patients on thyroid replacement to continue to take their med at least 30 minutes before the...
Mon, 24 Mar, 2014 at 2:54 PM
Can a patient with recent chemo and current immune-suppression therapy and steroids be put on a VLCD?
Case Female, Vegetarian, 48yrs old, 5' 3", 82 Kg = 180.4 Lbs Diseases and medications she is taking: Diabetes:  VoliboM (vogl...
Sun, 30 Mar, 2014 at 7:33 AM
What changes in the diet should be made for a 25k runner preparing for a race?
Case We have a former runner, age 42, in the program.  She had back problems requiring surgery a few years ago and stopped running and gained 50 pounds....
Sun, 30 Mar, 2014 at 7:36 AM
Glomerular Filtration Rate and Creatinine Levels
Question Regarding the relative contraindications to participate on the NutriMed VLCD program, what is the Glomerular Filtration Rate (GFR) range for re...
Mon, 24 Mar, 2014 at 2:54 PM
Does Ventricular Hypertrophy preclude patient from participating in a Very Low Calorie Diet?
Case Is the following patient is eligible to go on a VLCD? Cadiac Echo: Left ventricle shows mild Concentric Left Ventricular Hypertrophy (LVH), L...
Sun, 30 Mar, 2014 at 7:37 AM