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Case Name: Morbidly Obese, DM, Hypothyroid and Multiple Meds
Case # 242


Summary:


Conditions:
Tests Ordered:
Age:
Gender:
Date:
diabetes
hypothyroid
obesity
K90 ION
53
F
7/10/2002

History
422lb, diabetic, hypothyroid, GH undet, total hysterectomy for endometrial ca. 2 yr ago - several feet of sm. Int. removed, cholecystectomy 10 yrs ago; massive fluid retention; no weight loss during several months on I.V. nutrition; body temp 97.3

Description of Results
HPLA (H!!!!) 16.9 (<0.5), Benz too high to measure, all bacterial and yeast markers (H) except PhPa, DHPP 20 (<0.9)); MMA (H), Hcys (H) =25 (<8); Most EAA (L) & Gly (L); eMin's all (LowN), Calcium (BH); bC (undet) w/ LPO (H); pFA all (WNL)

Recommendations
Add 30 gm Arg to EAA formula; Aggressive B12, folate, B6, S. boulardii, vitamin C, PA, lipoic acid and AntiOx

Other Comments
High osmolality; Meds: glucophage, lasix, diltazum, actos, amaryl, synthroid, cytomel, zaroxolyn

Lab Data
Figure . MorbObeseDM1pAA.gif

Figure . MorbObeseDM2eMin.gif

Figure . MorbObeseDM3sVit.gif

Figure . MorbObeseDM4pFA.gif

Figure . MorbObeseDM5pFA.gif

Figure . MorbObeseDM6LPO.gif

Figure . MorbObeseDM7uOA.gif

Figure . MorbObeseDM8uOA.gif

Figure . MorbObeseDM9Hcys.gif