Ms H ,32 year Legal business women . She is bright and driven , self confessed adrenaline junkie, working long hours on complicated and stressful cases. Ms H has been diagnosed with uterine fibroids. On examination she has a palpable mass evident in her abdomen which is causing noticeable distension. This has given her the appearance of being in the early stages of pregnancy , which people think she is . Ms H been experiencing urinary frequency throughout the day & 3 times during the night which breaks her sleep getting her out of bed . Her menstrual cycle is normally 29 days long with 5 days of menstrual flow. pre-menstrually she because emotionally volatile and irritable which makes it difficult to cope with the substantial stress of her job. Day 1, 2 and 3 of her periods are characterized by very heavy bleeding with clotting and debilitating pain. she takes panadeine forte sometimes 2 every 4 hours when it is at its worst. Between menses Ms H usually experiences unpredictable slight bleeding on about seven random days each month. Ms H has a bowel motion every second day, the stool is light brown and knotted in appearance.

Typical daily diet-

Breakfast- Black coffee with three sugars, nutrigran cereal with skim milk and orange juice.

Morning tea- Black coffee with 3 sugars

Lunch- chicken, lettuce & tomato baguette. Potato wedges. Black coffee with 3 sugars.

Dinner- Singaporean fried noodles with prawns

Alcohol- 2 scotch & sods after work and 3 red wines with dinner and more on the weekends

Questions- answer following . support answers with evidence from the literature & cite all sources using APA referencing style.

2.1- Analyse the case . include the major aspects of Ms H conditio0n & its causes her current diet& lifestyle choices as well as her medication( 200 words)

2.2 – draw up a list of your treatments objectives (100words)

2.3 Select 5 nutrients? foods that you would include in your prescription. Include some suitable treatments for pre- menstrual tension and her sever pain. Explain the rational behind each of your choices. (250 words)

2.4- Which food ? nutrients would you remove or limit in her diet . Include any nutrient/ drug interactions in this answer. Explain the rational behind your choices (150words)

2.5- Plan a menu for one day taking into account your treatment protocol. You do not need to include weights or volumes. use portions( 100 words). One of the main referencing sources needs to be clinical naturopathic medicine , by L. Hechtman.

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