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Appropriate nutrition can eliminate bloating and improve tolerance to a larger variety of food


Name: Niketan

Age: 44 year

Gender: Male

Location: Bangalore, Karnataka, India

Case History:Niketan is an avid fitness enthusiast and engages in fairly strenuous strength training such as playing squash a couple of times a week, strength training couple of times a week, does 5 km runs several times a week and participates in 10 k runs. Heis keen to participate in half marathons. He approached us as he had been suffering from recurrent gastric discomfort, bloating, flatulence after meals and did not have sufficient energy to pursue the physical active regimen of his choice. Further he was not having enough stamina to pull through his physical fitness regimen which made him quite skeptical about his participation in the forth-coming season of 10 k runs and ½ marathons.

Analysis by clinical nutritionist: Past history, dietary recall and lifestyle choices. His reports diagnosed that he was suffering from CKD stage 2 and had signs of fatty liver as well. His uric acid levels were high due to poor kidney function and his B12 levels were nearing to toxic levels. His creatinine level was high and cholesterol level was also on the higher side. Further, his Vitamin D levels were low.

Approach by best sports clinical nutritionist in Hyderabad, Telangana: We analyzed his food diary and saw that his diet was lacking nutrient density. He used to be snacking before and after his workouts to ensure sufficient energy but it did not seem to help. He would continue to be feel low energy. Either there were too many frequent meals or there were long gaps between each meal. His meals comprised largely of quick digesting, quick energy refined grained meals such as breads, cookies, idlis, pohas. We started by replacing refined grains with whole grains and cell wall intact carbs. Since he had weak digestive health, we looked at soft and alkaline whole grains like quinoa and hand-pound rice. We introduced easy to digest vegetables which were soothing to his gut. We eliminated potential stomach irritants like gluten from his diet. Since he was complaining of low energy and fatigue, we gave him a sumptuous breakfast of adequate protein to help him kick start the day with energy. We further included mutton bone soup thrice a week to improve his gut health. Seeds were also included in his diet to include essential fatty acids in his diet. His meal timings were not proper and regular which further lead to bowel discomfort and hence we helped him set his meal timings so that he could manage it with his exercise regimen. He is a squash player and used to do intense workout daily. So we customized his meal plans according to his daily protein requirements so that they do not create any load on his kidneys as well. We started by giving him 0.8 gm/kg of body weight protein to him on daily basis takin in consideration his activity levels and daily tasks. We provided him low potassium and low phosphorus vegetables and fruits in daily diet to keep his creatinine levels in check. We further included black coffee before workout to provide him a boost of energy. We ensured time restricted eating to strengthen gut health and rejuvenate the body. We included also included probiotics and prebiotics in order to strengthen his digestive health.

Results: After making lifestyle changes, he could observe that his overall energy levels improved. His gas and bloating issues were resolved and he was able to perform better in terms of energy even after doing 10k running at gym. While following the diet, he did a 10k run as well in South Mumbai in just 56 minutes (his best timing in a long time) without any issues. He was able to maintain his stamina during the run. He also recognized that his recovery after work outs and the run was better..He was able to enjoy and play squash efficiently with sufficient energy. The soreness that he would experience for a couple of days after the run reduced to just 24 hours. He further added that his recovery was also pretty fast compared to before.

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 or Mobile +919381525943

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