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Case: A 54-year-old female is recommended to see the RDN by her physician. She is 5'5" and weighs 155 lbs. In the past 6 months, she complains of weight gain around 15-20 pounds. She denies changing her diet or activity level. In addition, she feels fatigued, has developed an intolerance to cold, and exhibits symptoms of mild depression. She has a Type I allergy to all seafood.
Lab Values:
TSH - 8.0 mIU/L, Free T4 - .4 ng/dL
Hgb - 13.8 g/dL
Gucose - 99 mg/dL
Question 1. What is her most likely medical diagnosis? Give brief support for your answer.
Question 2. What nutrition intervention, if any, do you recommend?
Question 3. What foods should she increase and what foods should she decrease?
Question 4. If she is interested in losing weight, what is a healthy weight for her? Please make a kcal and protein recommendation/day.
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