Patient
NB

Height: 6 ft 1 in

Weight: 399 lbs

BMI: 52.6

Registered Dietitian

Lili Rosenberg, RD

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

Diagnosis and Treatment Plan

Changes / challenges since last visit

Denied Saxenda and on appeal.

Trying now for Victoza.

Doing the yogurt and banana.

Sometimes eating a larger breakfast.

Saw a psychologist this week who specializes in eating disorders. Thinks he needs to focus more on eating than watching TV or using his home. Has tried it and felt really full.

Discussed goal of 3 meals and 2 snacks.

Trazodone for sleep.

Will resume Vyvanse (a stimulant) and stop Strattera which can increase LFTs.

Dairy has been difficult for the past week.

Has lactose intolerance.

B - could do lactose-free yogurt and banana --> brain and stomach are satisfied.

L - Chicken nuggets plain.

D - Has been doing vegetables at dinner. 2 chicken breasts and a side of asparagus. Mrs. Dash. Taste buds okay without salt. Water. Skipping starch at meals.

Goal - vegetable at lunch - peanuts, spoonful of pb, apples, bananas

Goal - relax at meal without distractions

Goal - Continue doing weights

Has been low energy recently. Thinks it might be due to low carb.

Last dietitian told him to cut carbs.

Went to the gym last week and tried weights for the first time.

This week increased movement and activity. Has been doing more lifting and carrying for grandparents.

Meal plan updates

Goals

Goal - vegetable at lunch (these contain potassium to lower blood pressure, fiber to lower cholesterol, lower blood sugar, lower liver enzymes and to help keep you satisfied)

Goal - relax at meal without distractions (deep breath, no electronic gizmos)

Goal - Continue doing weights! (pace yourself and enjoy)

Goal - 3 meals and 2 snacks (feed yourself! you're training your brain it's okay to feel full! more food is available later!)

Topics Discussed

Weight Loss,Diabetes,IBS,Thyroid Health

Appointment History

Number of Sessions: 3

Last Updated: May 31, 2024