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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