Janine
Integumentary Sytem
Hives
Nails
Ridges
Hepatobilary System
Nausea after eating
Undigested food in stools
Impaired excretion of Bilirubin due to impaired micribiome. Is 22 umol/L
Liver damage indicated by GGT 49 most likely due to drug use
GIT
Microbiome diversity decreased
Antibiotics once a year
Fatigue 2-3/10 despite being 14 y.o
Bloating
Even bloats with vegetables
Stools
Stools with urgency are likely to contain water
Foul smelling, light brown stools
Worse for eating certain foods
Better for bland diet
Stools coated with mucous
History
Suppression of allergies through antihistamines
Digestive problems since infancy
Helminths (cestodes infection
Low Vitality
Differential Diagnosis
Do Hydrogen Breath test to determine SIBO
IBS
Muscular Skeletal
Pain in right hip
Respiratory
Chronic sinisitis
congested sinus'
Immune
IgE elevated
yearly bronchitis and ear infections treated with antibiotics
8 colds a year- takes a few weeks to recover
CVS
Heart Palpitations
CRP 35.6mg/L
High Risk of CVD
Erratic fast pulse
Systolic Blood pressure of 130 indicating diet and stress levels could not be ideal
Main topic
Elevated homocysteine of 10.5 umol/L
Nervous System
Washed out, drop in confidence
Sleeping disturbed- less restorative sleep
Has a physical reaction to stress (UTIs)
Headaches
Family History
Mother- Fibromyalgia, MGM- RA both autoimmune diseases
MGF Congestive heart failure and PGF Embolism both indicate high homocysteine
Lifestyle
Sleeping disturbed when abdomen distended
Lack of energy
Not able to exercise
Diet
Food sensitivities
Lymphatic system
Congested- seen by tender axillary nodes
Urinary
Frequent UTIs
