CASE STUDY & SUCCESS STORIES
Location: California, US
Age: 32 years
Case History: Sandhya, a IT professional, was suffering from severe acidity and bloating for the last couple of years. The bloating made her very uncomfortable at work. The severe acidity made her fearful towards food and edgy as she could not predict the outcome of her meal on her gut.There were several days when she could not complete her work deliverables due to these conditions.She has been taking antacid medication for almost a year. She even started homeopathy medications to treat her IBS symptoms since past few months but both the antacid and homeopathy did not give much relief.Her blood reports showed below the range Vit d, b!2, and elevated LDL cholesterol levels. She was looking to reduce bloating, flatulence, and acidity,eliminate IBS, heal her gut and make her washroom cycle more predictable.
Approach by the best nutritionist, Hyderabad, Telangana, India:By looking at her dietary recall, we saw that her water intake was incorrect causing bloating, acid re-flux, indigestion and discomfort after the meals. She was drinking 3 litres of water in a day as she believed it would reduce her bloating and indigestion. She however was consuming most of her water intake just before the meal or along with the meals. This impaired the digestive process. The first step was to educate her on the appropriate water intake. The boating and indigestion reduced by 50% within the first one week. The next stage was to identify trigger foods that caused the flatulence, bloating heaviness and unpredictable washroom cycle. Her dietary recall suggested that she was having food high on FODMAP and as her vitamin status was low, we started by correcting vitamin D and B12 deficiency through supplements and food.She was consuming gluten and dairy protein which caused irritation and discomfort in the gut. While the low FODMAP suggests limited portions of casein protein, she was not able to tolerate those as well due to the low vitamin status. Hence we eliminated all dairy protein for a while and gave her easy to digest vegan protein in small portions like hemp, almond and tofu.She had very long gaps between her meals leading to acidity and bloating. Hence, it was important to make dietary and lifestyle changes in her diet and routine.A customized meal was designed with macronutrient ratio of 47:13:40 suitable to her body type and health goal.Adequate micronutrients to support the gut cleansing and detox such as probiotics and prebiotics were included one by one to her diet to identify triggers if any. Once her bloating and acid reflux reduced considerably, we added small portions of casein protein, eggs and thereafterwhole legumes and lentils into her diet to ensure she consumed adequate protein for healthier gut and long term good health. She gradually incorporated foods from red list of FODMAP in small quantities, one at a time to check her tolerance levels. Good quality prebiotics and probiotics foods were incorporated like, greek yoghurt, butter milk, curd, kefir along. In the second month, we introduced 1 egg and 50 grams of homemade paneer / cottage cheese for lunch as it helped with adequate protein requirements therefore giving her energy through the day, better muscle strength to work long hours. As she was fond of curries, we asked her prepare buttermilk based gravies to consume with rice. Raw banana powder was suggested asits is a resistant starch which helps to increase the good bacteria in the gut as well as help with the managing cholesterol levels. Good quality fats like ghee and almonds were given. We asked her to drink water every 1 hour to support the digestion and absorption of nutrients and to manage the acidity in the gut. Complex carbohydrates such as quinoa, khichdi, steel cut oats were given in order to ensure satiety and to reduce the elevated LDL score. As fibre can cause gut discomfort and flatulence in the short term, we went with small portions first and gradually increased it as she started to tolerate it.Slow walks, strolls post1.5 hours after her meals was suggested to help with the digestion of food. Slowly and gradually, different variety of foods were included as per the tolerance levels which helped heal her gut. We taught her meal prepping over the weekends so that the frequency of consumption of outside food decreases and diversity of food on the table increases. Continuous monitoring of food intake and support was provided.
With our support and personalized approach of diet and supplements, her digestion issues resolved and IBS symptoms disappeared. Her acidity problem subsided. Her tolerance level towards various food increased. She no longer was paranoid about her meals. She could comfortably enjoy her pizzas during official work lunches. She saw an overall improvement in her skin, hormonal balance, gut health, muscles, etc. Her gut health improved significantly as she enjoys her favourite meal along with travel and social gathering without any discomfort.
Deepika Chalasani is a Clinical Nutritionist, Mind and Body Transformation Coach and co-founder of Fit4Life India, an integrated nutrition and wellness organization for Indians that provides complete solutions, addressing health and wellness challenges of individuals by working on their overall well-being. Deepika, best nutritionist in Hyderabad for weight loss and online dietician can be contacted via email email@example.com or Mobile +919381525943
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