47 yr/old Female Presenting complaint: Weight (inability to loose) Fatigue, Poor digestion (hea...

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47 yr/old Female Presenting complaint: Weight (inability to loose) Fatigue, Poor digestion (hearth burn & Bloating) and irritable mood. by Mind Map: 47 yr/old Female  Presenting complaint:  Weight (inability to loose) Fatigue, Poor digestion (hearth burn & Bloating) and irritable mood.

1. Heartburn & Bloating

2. Gastritis

3. Previous cyst & Fibroids

3.1. PCOS?

4. Low Libido

5. Poor Liver detoxification

5.1. Pyrroles?

5.2. MTHFR

5.2.1. HIGH SERUM FOLATE

5.3. Poor Methylation?

6. Intestinal Permability

7. Malabsorption

7.1. Skipping Meals

8. OAT axis dyssfunction

9. Hormonal Dysfunction

10. HPA Axis Dysfunction

10.1. Anxiety

11. Poor Digestion(10yrs)

12. Dysbiosis

12.1. SIBO?

13. Peptic Ulcer?

14. Coeliac (Diagnosed)

15. Poor Sleep sustainability

15.1. Circadian Rhythm Dysfunction

16. Nutrient Deficiencies

17. Helicobacter Pylori

17.1. Low HCL

18. Constipation

19. Peri-meopause?

19.1. Hot Flushes

20. Irregular menstruation - heavy bleeding

20.1. Iron Deficiency Anemia?

21. Poorly managed Hashimoto's?

21.1. T3 /t4 ratio dysfunction

21.2. low conversion T4 to t3 - low selenium?

21.3. Incorrect medication (Thryoxine) dosage

22. Hight E2?

23. Diagnosed Hashimotos

24. Poor Immunity

24.1. High Antibiotic use

25. Fatigue 5/10

25.1. Afternoon slump w/ sugar cravings

26. Blood Sugar Dysfunction

27. Irritable mood

27.1. Work Stress

27.2. Worse for skipping meals

28. CVD / Metabolic Syndrome

28.1. High BP

28.2. Fluid Retention

28.3. Family History of high BP, Diabetes, High Cholesterol

28.4. Pathology High Cholesterol

28.5. Central adiposity

28.6. Overwietht

29. Inability to loose weight

30. Medication

30.1. Nexium

30.2. Thyroxine

31. Thinning Hair

32. High Inflammation

32.1. Vitamin D deficiency

32.2. High CRP

32.3. Zero Basophil Activity

33. KIDNEYS

33.1. High Anion Gap

33.1.1. Low Bicarbonate

33.2. PH Dysfunction