Patient
TE

Height: 5 ft 10 in

Weight: 209 lbs

BMI: 30

Registered Dietitian

Laura Hubbell, RD

Insurances: Aetna,Anthem,Blue Cross Blue Shield,Cigna,Humana,United Healthcare

Diagnosis and Treatment Plan

Intervention

To increase fiber intake and lower saturated fat to improve cholesterol levels, with these actionable steps:

1. Choose Whole Grains Over Refined Grains

Action: Replace refined grains like white bread, white rice, and regular pasta with whole grains such as whole wheat bread, brown rice, quinoa, oats, and whole wheat pasta. Benefit: Whole grains are higher in fiber, which helps reduce cholesterol levels by binding to cholesterol particles and removing them from the body.

2. Incorporate More Fruits and Vegetables

Action: Aim to fill half of your plate with fruits and vegetables at each meal. Include a variety of colors and types to ensure a range of nutrients and fiber. Benefit: Fruits and vegetables are high in fiber and low in calories and saturated fat, helping to improve cholesterol levels and overall heart health.

3. Opt for Lean Protein Sources

Action: Choose lean protein sources such as beans, lentils, tofu, fish, skinless poultry, and low-fat dairy products. Limit red meat and full-fat dairy. Benefit: Lean protein sources are lower in saturated fat and often higher in fiber (especially plant-based proteins), supporting better cholesterol levels.

4. Snack on Nuts and Seeds

Action: Include a small handful of nuts and seeds (like almonds, walnuts, chia seeds, and flaxseeds) as snacks or add them to meals. Benefit: Nuts and seeds are high in fiber and healthy fats, which can help lower LDL (bad) cholesterol and raise HDL (good) cholesterol.

5. Use Healthier Cooking Oils

Action: Replace cooking oils high in saturated fats, such as butter and coconut oil, with healthier options like olive oil, canola oil, and avocado oil. Benefit: Healthier oils contain monounsaturated and polyunsaturated fats, which can improve cholesterol levels and support heart health.

Evaluation

Discussed/Updates:

  • Todd continues taking omeprazole 20 mg as needed. He took it once this week. RD encouraged him to continue avoiding gastric irritants like caffeine and spicy and fatty/greasy foods secondary to Todd's history of GERD.
  • Todd continues adjunct treatment with CandiKill for yeast overgrowth.
  • Todd got blood work done last week, elevated total cholesterol and LDL levels noted, see above for the goal and action plans discussed.
Topics Discussed

Gut Health,Weight Loss

Appointment History

Number of Sessions: 28

Last Updated: Jun 08, 2024