Case Studies & Treatment Recommendations

Weight Management Counseling for Cancer Survivors
Question I am an oncology dietitian and part of my patient care responsibilities includes weight management counseling of cancer survivors. I see a fair ...
Sun, 30 Mar, 2014 at 7:39 AM
Can a patient with Sarcoidosis in remission be put on a VLCD?
A VLCD is hard to do if they are on Prednisone, although probably fine at lower doses (like 5mg/day). —John Hernried, MD, FACP
Mon, 24 Mar, 2014 at 2:54 PM
Does a VLCD effect a patient's sex drive?
Case One of our clients, age 35, is convinced that her sex drive has been diminished ever since she started the New Direction program.  She is wondering if ...
Fri, 6 Jun, 2014 at 12:25 PM
Hair loss in patients on a VLCD
Question We are still having the issue with hair loss.  I understand that it can be a side effect for patients who are on the program for 90 days or so....
Sat, 19 Apr, 2014 at 9:02 AM
Are steroids a contraindication for a medical weight loss program?
Case I have a lady who would like to do our MWL program.  She is currently taking 17.5 mg of prednisone daily for emphysema.  Her doctor saw that steroi...
Sun, 30 Mar, 2014 at 7:42 AM
Is there is any contraindication for someone with a past history of thyroid cancer on Synthroid after thyroidectomy?
No contraindication. Thyroid stimulating hormone (TSH) is appropriate for the thyroid cancer and also not suboptimal (high). I suggest testing TSH in mainte...
Mon, 24 Mar, 2014 at 2:54 PM
Is there a contraindication with seizure medication with the VLCD program?
There is no contraindication to Dilantin or other seizure medications. However it is always a good idea to check blood levels several weeks after starting ...
Mon, 24 Mar, 2014 at 2:54 PM
How long should a patient wait before they can restart the diet after the surgery?
I would suggest 4-6 weeks, although I usually get clearance from the other physician. —Christopher Case, MD
Wed, 20 Aug, 2014 at 9:39 AM
Are there any precautions we should take for patients taking Coumadin?
I am very careful with Coumadin and patients on the VLCD.  I have them go to the clinic that manages the Coumadin at week one and then per their directions...
Mon, 24 Mar, 2014 at 2:54 PM
Is QT prolongation a contraindication to continuing the program?
Question I have two patients with QT prolongation on their EKG since starting Nutrimed. I discontinued any offending drugs, but I'd like to know if t...
Sun, 30 Mar, 2014 at 7:44 AM