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