medications

25 yo M with IBD

Patient with IBD 25 year old man, 5ft 11, 78 kilos, single, software engineer Primary Presenting Symptoms Diarrhoea, colitis, crohn’s, losing weight Diagnosis: IBD In March 2011 he came back from a skiing holiday feeling unwell – fever, diarrhoea. He saw gastroenterologist and was hospitalised. After high dose of steroids,…

Englarged prostate and arthritis

75yr old male with seronegative inflammatory arthritis and enlarged prostate My client presented with seronegative inflammatory arthritis and enlarged prostate (plus degenerative disease of the neck). The consultant had already prescribed Sulfasalazine, Omeprazole and Naproxen, and Dutasteride (for prostate). I initially recommended an anti-inflammatory diet, which he has tried to…

75 yo M seronegative inflammatory arthritis & enlarged prostate

My client presented with seronegative inflammatory arthritis and enlarged prostate (plus degenerative disease of the neck). The consultant had already prescribed Sulfasalazine, Omeprazole and Naproxen, and Dutasteride (for prostate). I initially recommended an anti-inflammatory diet, which he has tried to stick to for the past 3 months (not completely as…

Ulcerative Colitis

Ulcerative Colitis help needed Firstly to say Christine and Antony’s Sunday cookery workshop for effective weight loss was really inspiring. So glad I attended! On another note, I’d love some advice and support with a new client. She’s been recently diagnosed with Ulcerative Colitis and has been on 30mg of…

Ulcerative Colitis

Noristerat / Deproprovera and IBD interactions – pros and cons in Ulcerative Colitis Hi – am working with a client who has moderate to severe Ulcerative Colitis, on monthly oral dose of methotrexate and is considering temporarily supplementing her barrier contraception method short term with a hormonal ‘progesterone’ only injection…

78 yo F with Sjorgren

Hi, i have a client coming to see me tomorrow. She experiences dry eyes and is taking eye drops Carbomer, and hydroxychloroquine 200mg a day. Along with: Inhaler Slabutamol and Levoththyrosine Asthma Candesartan for blood pressure Simvastatin 40mg Bumetanide water pills Alendronic 20mg osteoporosis Aspirin 75mg Calcit D3 6 per…

50 yo F with Weight loss

Weight loss client, excellent compliance, but no weight reduction! I would really appreciate some insight into a 50 year old female client, height 5 ft 6 inches, weight 12stone 2lbs, BMI 27.4, occupation: part-time photographer, who suffers with lupus and rheumatoid arthritis who is on multiple medications: hydroxychloroquine (400mg daily),…

39 yo F with Endometriosis

39 year old Endometriosis client, require supplement advice Hello, I am a year 2 nutrition student at CNM London. I had a client come into clinics for endometriosis who after agreeing to a number of supplements, has come back to say that she can’t afford all of them even after…

70 yo M with prostate cancer

70 year old man, prostate cancer and on a lot of medication. Help needed with this and as well as his depression and worrying. Him and wife were ‘cajoled’ into seeing me by their son for a quick session to sort out their diets but he is a complicated case.…

nephrotic syndrome

Post-menopausal lady with nephrotic syndrome (since 2011), cellulitis (past month), blurred vision (2 years), joint pain & fatigue (8 yrs). Average diet high in stimulants. High stress. Medications: Ramipril 5mg, Furosemide 30mg, Flucloxacillin 500mg, Brufen/aspirin (200-400). Currently exercises for 30 min a day. Past history: antibiotic use (several occasions: pyelonephritis,…