CASE STUDY & SUCCESS STORIES
Name: Dinesh
Age: 37
BMI: 25.9
Profession: IT
Location: Bangalore, India
Case History: Dinesh, a 37-year-old IT professional, has been working out extensively for six months, and as a part of his fitness goals, he was keen to build abs and muscles along with ensuring that he was able to have energy and stamina through the day to meet the requirements of his strenuous office schedule. He was feeling a little fatigued and lethargic as he had just recovered from COVID-19 a few weeks back. He was already following a 2000-calorie diet, which changed depending on his schedule and training. Because of poor nutrition knowledge, he consumed high proteins as per his ideology, and when he got his reports done, results showed high creatinine and low eGFR levels. He looked forward to learning mindfulness techniques and nutrition coaching to support his fitness and kidney health.
Approach by the best sports nutritionist in Hyderabad, Telangana, India: He asked us to make a 2000-calorie program with 2 grams per ideal body weight as his fitness regimen was getting more demanding. We asked for his comprehensive blood report to determine his organ health and recommend an appropriate protein profile that would support his outcome. To our surprise, his blood report suggested high creatinine levels of 1.2. His eGFR was low for his age, which was 79. His dietary recall suggested a high protein diet without balancing other healthy food groups like micronutrient-rich carbs such as vegetables and good fats such as nuts & seeds. Also, we realised that he needed to consume protein correctly in terms of the choice of protein and the portion per meal per his body type. After looking at his blood reports, he must correct his creatinine and eGFR first. Hence, we asked him to reduce his workouts for a month so that we could give him a balanced diet.
We also started with the protein recommendation of 0.7g per kg body weight. This ratio will help him reduce the protein load on his kidneys. As he is a vegetarian and has an insulin-resistant body type, we had to support him with protein shakes, which did not cause insulin spikes or increase insulin resistance. We recommended TRE (time-restricted eating) to support his kidney health outcomes. After a month of following this regimen, we checked his blood reports and were happy to see a reduction in his creatinine from 1.2 to 0.9. After the correction of the blood report, we helped him with a meal plan which increased his protein intake to 1.2 grams per ideal body weight along with the balance of other food groups such as whole grains, vegetables, fruits, and good fats and ensured TRE to support his overall health, well-being with improved organ health. Vegetables are a good source of complex carbohydrates, micronutrients and antioxidants. Hence, we ensured adequate consumption of vegetables to maintain the body's alkalinity. We educated him on being more mindful of food choices and nutrition from whole foods instead of supplements. His macronutrient ratios concerning maintenance and exercise schedules were altered. We recommended protein supplements whenever it was required. His meals were customised according to his body type, travelling, social gatherings and festivals. We suggested mindfulness techniques to make his meals and diet more sustainable and doable.
Results:
Within a month, his creatinine levels reduced from 1.2 to 1. His eGFR increased from 79 to 100. Over three months, the creatinine stabilised to 0.9. He started gaining muscles, and his overall health improved. He experienced a significant increase in stamina and energy levels. He started making appropriate food choices and managed his macro ratios per his schedules with the guidelines we suggested. He was able to work through the day without any dips in energy. He is comfortably and happily working towards his “6 pack” goal.
Deepika Chalasani is a Clinical Nutritionist, Mind and Body Transformation Coach and co-founder of Fit4Life India, an integrated nutrition and wellness organisation for Indians that provides complete solutions, addressing health and wellness challenges of individuals by working on their overall well-being. Deepika, the best nutritionist in Hyderabad for weight loss and online dietician, can be contacted via email at deepika.chalasani@gmail.com or Mobile at +91 9381525943
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