Table 1: Nutritional visit timeline (with diagnostic evaluation and interventions).

Past medical history: 2010/2011 hip resurfacing, heavy metal toxicity, blood sugar dysregulation, MetS, low vitamin D status. Current history: Heavy metal toxicity.

Three visits over three months Nutritionist visit dates
2/6/17 4/10/17
Medications
Flonase Yes Yes
Dietary recommendations
LGLPP Yes Yes
Dairy free 90% Yes
Dietary supplements
Metal-X-Synergy™ Advised Yes, advised to discontinue
Vitamin D Yes Yes
Lifestyle recommendations No running No running
Vital signs
Height 5'9" 5'9"
Weight (pounds) 157.01 157.4
BMI 23.6 23.6
Fat mass 20.21 18.0
Fat free mass 137.01 139.4
Body fat % 12.8 11.4
Total body water 100.2 102.01
Laboratory biomarkers
Dates collected 06/18/16 9/17/16 1/14/17 4/1/17
Glucose (mg/dL) 106 106 105 97
HgA1C (%) 5.9 5.7 5.8 5.7
Vitamin D (ng/mL) 27.3 55.8 - -
Sodium (mmol/L) 145 142 143 146
LDL (mg/dL) 103 109 116 117
Cobalt, urine (ug/L) 6.8 10.8 2.9
Cobalt/creatinine ratio (ug/g) 7.8 7.3 6.9
Chromium, urine (ug/L) 4.0 6.6 2.0
Cobalt, plasma (ug/mL) 2.9 2.9 2.6
Chromium, plasma (ug/mL) 5.1 7.1 4.2