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 | |