sleep apnoea

56 yo M with CKD

This gentleman came to see me in April this year to lose weight following a Diabetes type 2 diagnosis from his doctor. He weighed 103 kg , height 171 cms. He has a complex health background – bi-polar was diagnosed at aged 28 years (but he feels he was bi-polar…

56 yo M with CKD and Atherosclerosis

This gentleman came to see me in April this year. He presented with the following: aged 56 years, weight 103 kg, height 171cms. Diagnosed conditions included Bi-polar, pre-diabetic, CKD stage 3, Gout, hypertension, Prostatitis, insomnia with sleep apnoea, emphysema and arthritis. He is taking the following meds: Ramipril, metformin, Tamsulosin,…

Fatty Liver Disease, NASH

I would really like some help with a 68 year old male with Fatty Liver Disease. This has been diagnosed by ultra sound. His other orthodox lab markers such as BP cholesterol etc are quite good BUT his BMI is very poor. He has a complusive eating issue when under…

65 yo F with abdominal discomfort, constipation and anxiety

Age-65, sex-Female, 5’6” 15st 3lb Retired. • Abdominal discomfort (from Feb 2012) and chronic constipation (last 6 months-feels system is ‘backed up’ and that something is causing an irritation), constant tiredness, muscle and joint pains, anxiety (stress levels increased post menopause, she recognises that she has nothing to be anxious…