Marisa, a 27-year-old female, reports increased symptoms of restless leg syndrome, fatigue, and painful abdominal bloating and heavy menses for the past year. A physical examination reveals inflammation and tenderness around her knee and ankle joints. MEDICATIONS: None HT: 5’5’’ WT: 215 lb LABORATORY VALUES:
Nutrition Diagnostic Statements
Increased nutrient needs (iron) related to heavy menses and suboptimal intake of dietary iron as evidenced by multiple low iron status labs including HCT, HGB and ferritin. Altered nutrition related laboratory value related to predicted proinflammatory diet pattern as evidenced by low intake of omega-3 fatty acids and bioactive compounds, elevated c-reactive protein (CRP) and painful joints.
Nutrition Care Questions:
1) How should Marisa be further evaluated?
2) What vitamin/mineral supplements, if any, should be part of her treatment plan?
3) What factors play a role in her nutritional plan?
4) Evaluate her laboratory test results. Do you recommend further blood tests?
5) With her input devise an nutrition action plan that she can follow. 6) What lab tests or questions would you include in your followup with her?