Flo Nov Case-Chris Comments
DIET:
Do we really know what this person’s diet is deficient or inclusive of if we have only a rough sketch of
her food choices? Overall it is just a collection of things that seem very different-To assess or critique
this person’s diet is very challenging based on available information. What we do know is that this
person eats the typical Portland American, non junk food based diet, But we DO not know the specifics
well enough to give feedback based on this
Vit D and B12 are at low levels in sup.
Pain: Assessment of cause seems to be at least partially very plausible. There very well may be pain
related to hormonal issues, bone density and other complex endocrinologic contributers. Agree that
they should start at the lowest hanging fruit, ADD movement
What are the side effects of HRT? Could they be causative in her case?
With Fatigue:
Sleep-Good in her case
Exercise can improve fatigue tremendously
Proper food-Removal of food instigators, and high nutrient density foods, plus Omegas help often,
THEN if still persistent consider HPA and Thyroid issues AND/Side effects and this is where adrenal
tonics may be indicatedHERBAL APPROACH
Jumping in with high dose of Adaptogens without getting diet/exercise dialed in, is only going to
exacerbate the underlying cause. This is really the 2nd or concurrent to the first step in the therapeutic
order.
If she has no ovaries, then she is ostensibly menopausal and so, if the herbs that you are using primarily
or up the chain (Hypothal/pit) work on the ovaries, and she has none, then they won’t be useful for her.
Plus, is she asking for help with hormone balancing at the moment?
Otherwise, I think you have some good herbs in general but not a real single stated goal with a specific
formula.
I particularly like the lower on the stimulating chain herbs-Nettles, small amts of lic, are great.
State your herbal goal very succinctly and then construct a very specific herbal formula to match this
goal. Your approach seems too diffuse and so there are too many herbs in my opinion. Start with a
target and construct an herbal formula to match the goal.
You seem to focus on herbs for energy but was there herbs for pain and stagnation?
Regimen
Totally agreed with movement ideas, healthy fats and D-
What references do you have for eating earlier as a means to help this case? Ditto the eating late
alters mood and creates fatigue? Where is the reference for this? Why eat 50% of all calories before
noon?
100% agreed about the assessment:
Consider standing and treadmill desks-They are all the rage and seem amazing for just this person