95% of nutritionists get these 3 questions wrong...

Can you can solve them?

(Click 'submit' to get the answers)

Case #1

A 39-year-old woman with hypothyroidism has been taking 100 mcg of Thyronorm for 10 years but still complains of:

1. Difficulty in losing weight (instead, she gained 6 kgs in the past 6 months)

2. Hair fall and hair thinning

3. Delayed menstrual cycles with excessive bleeding

4. Low energy, brain fog and difficulty in remembering things

A basic diet recalled revealed that she had a high-calorie diet with a sedentary lifestyle.

Here are the results of her most recent Thyroid Function Test:

The doctor recommended she increase the dosage from Thyronorm 100 mcg -> Thyronorm 150 mcg and referred her to a dietitian for weight loss.

If you were the dietitian, what would be your first step?

Case 1

A

Calorie Restriction Diet

B

Calorie Burning By Prescribing Exercises & Weight Training

C

Prescribing Over the Counter Multivitamins

D

Blaming Unstable Thyroid (TSH) For The Complaints

Case #2

A 24-year-old girl, weighing 100kg with fat mostly around the abdomen and thigh regions, had the following complaints:

1. Sudden drop in energy after lunch, had to take a daily nap

2. Frequent feelings of irritability and anger

3. Acne, unresponsive to continued treatment from a dermatologist for 1 year

4. Delayed menstrual cycles, with excessive pain and flow for the past 6 years

She also mentioned serious family stress over the past 3 years, resulting in extreme emotional burden and depressive thoughts.

Here are the results of her most recent Blood Sugar test:

If you were her dietitian, what would be your next step?

Case 2

A

Refer to Gynecologist to regulate hormones (Because weight gain is due to menstrual irregularity)

B

Recommend Calorie Restriction + Weight Training

C

Improve Nutrition by Implementing Dietary Changes

D

Refer to Psychiatrist to manage depression (Since stress is causing dysfunction)

Case #3

A 45-year-old male was forced to consult a doctor for:

1. Bilateral knee joint pain, aggravated after walking

2. Body pain and muscle stiffness

3. Painful calf muscle cramps, especially at night

Here are the results of the physical examination and blood test:

The doctor prescribed Calcium Tablets and Statin medication and referred him to a nutritionist for weight management.

If you were the nutritionist, what would be your next step?

Case 3

A

Evaluate Other Nutritional Markers from Blood to Evaluate the Root Cause

B

Start with Calcium Supplements and Statin Medication

C

Calorie Restriction Diet with Decreasing the Fats in the Diet

D

Start with Calcium, Vit D and Vit B12 Supplements