Clinical Nutrition

What Should Patients Eat?  Patients with different diseases need to be eating different things to manage their disease process. You will encounter patients with many of these diseases - a discussion about healthy lifestyle choices can encourage them to make changes toward a healthy life. Whatever your future specialty, nutrition plays an important role in the health of your patients.
Things to Consider:

CardiologySugar and salt leading to arteriosclerosis, high blood pressure…
DermatologyAcne, atopic dermatitis, scurvy…
Emergency MedBurn victims, shock, diabetic crash…
Endocrinology Diabetes, Thyroid, goiter, hormones…
GeriatricsKidney health, bone health, brain health…
GastroenterologyProbiotics, IBD, Leaky Gut, Celiac, Hepatitis/Cirrhosis, GERD, PUD/gastritis, Pancreatitis, Infantile Colic, microbiomes, alchohol…
Gynecology Polycystic ovarian syndrome…
Hematology Anemia…
Immunology/Allergy Anti-inflammation diet, food allergies, seasonal allergies and honey...
Infectious Disease Reduce allostatic load in general, HIV diet...
Nephrology High blood pressure…
Neurology Migranes from food triggers, neural development, nutrients that are precursors to neurotransmitters…
ObstetricsFertility, fetal development, Pica, Folate/neural tube development, Vit B12/iron/Ca, not Vit A, high fiber to avoid constipation, gestational diabetes and hypertension…
OncologyFoods that cause cancer, Anti-angiogenic diets...
OrthopedicsOsteoporosis, gout…
Pediatrics Breast feeding, mother malnutrition leads to poor milk nutrition, supplement with Vit D if soley breastfeeding, Vit K given at birth to prevent uncontrolled bleeding, do not give juice to those under 6 mo…
PharmacologyDrug enhancers, drug inhibitors, other drug interactions…
PsychologyEating disorders, mood disorders, ADD, autism, mental disorders leading to eating poorly, deficiencies in nutrients such as Vit D/folic acid/iron/vitB 12/Amino acids that are precursors to neurotransmitters(tryptophan/tyrosine)/Omega 3 FA may lead to psychological problems, high fish diet = lower risk of mental disorders, magnesium at bedtime, VitC reduces side effects of vanadium - a bipolar med, scizophrenia...
PulmonologyAsthma, COPD…
RheumatologyInflammation…
Sexual Health Adolescent sexual development, energy for sex, hormones, aphrodisiacs, trans and hormones…
Sports MedicineBody builders vs runners nutritional needs…
SurgeryHealing, surgical ileus…
UrologyProstate cancer, yeast infections…





How do we talk to patients about what to eat? What patients eat can be a personal discussion and for some people is a little private or very cultural. Understanding cultural or religious food practices of others will help us be able to give informed, sensitive, and effective dietary advice. 
                                
  • Emphasize the importance of eating real food rather than processed food products
  • Include vegetables, fruits, and whole grains
  • Include fish, beans, nuts, lean meats, poultry, eggs, and fat-free or low-fat milk and milk products
  • Eat foods low in saturated fats, trans fats, cholesterol, salt, and added sugars (especially processed sugars such as high fructose corn syrup)
  • When eating out, choose steamed, grilled, or broiled dishes instead of fried. Exchange unhealthy side dished with healthy ones.
  • Chose your beverages carefully - chose low/no sugar beverages
  • Carry healthy snacks with you, when you get hungry you are more likely to eat unhealthy foods impulsively

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