Final Test 3 - EINUMM

Question 1 of 4

1. Question

50 year old woman, obese. She presents acute pain in the right knee. This limits her activity. She went to the orthopedist who diagnosed osteoarthritis, which means an injury to the cartilage surrounding the knee joint. The orthopedist has also prescribed glucosamine to help the formation of cartilage. According to the Board of orthopedists, she should lose weight to reduce physical stress on her joints. What would you do?

Given the limitation to her normal activities and acute pain, it is best to first address the inflammation and then the weight problem. We assign a diet suited to her Nutritional Type (protein, carbohydrate or mixed) and begin Step 1 of the Inflammation Category with multivitamin and Vitamin C, lysine and proline
Wait until she solves her acute problem and then assess her corresponding category
Given her obesity condition, we initially place her in the Metabolic Syndrome Category and, therefore, prescribe multivitamins and supplements containing extracts of cinnamon, glutamine etc.

Question 2 of 4

2. Question

We have assigned her a dietary protein (resulting from the MetabolismNutritional Type Assessment) and prescribed a metabolomic multivitamin and a supplement with vitamin C, lysine and proline. We explain the patient that the body began the inflammatory process at the knee to fix it, so she needs to rest and avoid forcing the joint until the process is complete. The patient, back after a month, has experienced a pain reduction although has not yet recovered full joint mobility. Because of the diet, she lost 3 kg3 pounds which makes her very satisfied. Furthermore, she never felt hungry hence had no issues following the diet prescribed. What would you do?

Add omega 3-6-9 (Step 2 of the Inflammation Category) and remember that she still needs to rest her knee until the repair is completed without interruption. We schedule a new appointment in a month.
Now, we turn to the weight problem and thus prescribe the supplements of Step 1 of the Metabolic Syndrome Category: metabolomic multivitamin and supplement containing glutamine cinnamon etc. to control blood sugar.

Question 3 of 4

3. Question

The patient returns, has lost 2 kg this time but unfortunately has forced her knee hence did not notice any further improvement. In fact, it seems her knee is slightly more painful than before. However, she reports feeling more energetic and willing to do things she did not dare consider before. What would you do?

Please note that she must listen to her body and feel the extent to which her knee can be strained. Add Vitamin D with calcium and magnesium and schedule an appointment in a month.
Keep it for another month under the current system, since it seems to work, and schedule an appointment in a month.

Question 4 of 4

4. Question

Past the month, the patient feels much better and her knee hurts only after very intense physical exercise. She lost another 3 kg and noted that this month her sleep was restless and woke up often to urinate.

These are normal symptoms of the "contraction" Healing phase. Accordingly, we stay on the last step and schedule an appointment in 3 months to re-asses her condition.
We decrease the dosage as she may be in a "therapeutic crisis". For example, we may halve the multivitamin and Omega 3-6-9 and keep the Vitamin C, which instead reduces the intensity of the therapeutic crisis symptoms.

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