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Female with sallow skin, bloodshot/yellow eyes, hair falling out, weight…
Female with sallow skin, bloodshot/yellow eyes, hair falling out, weight loss, frail, weakness, lethargy, and abnormal menses. She reports changing to a raw/vegan diet about a year ago (including raw water).
Vitamins deficient in Raw/Vegan diet
B12
Helps with protein metabolism, formation of RBCs and oxygen transport within the body. Found in animal products: fish, meat, poultry, eggs, and dairy.
RDA: 2.4 - 2.8mcg/day
Vitamin D
help with immune function, mood, memory, muscle recovery, absorption of calcium and phosphorous. Found in fatty fish, eggs, foods fortified with Vitamin D and sun exposure.
RDA: 15 - 20mcg/day
Malnutrition
Insufficient vitamin and mineral ingestion
Parasitic infection
Parasitic infection from ingesting raw water could prevent proper absorption and lead to extreme malnourshment.
Inadequate caloric intake and not achieving proper RDA of Carbs, protein and nucleic acids could lead to severe undernourishment.
Inadequate vitamin and mineral ingestion could lead to the inability to metabolize and properly utilize the nutrients she is ingesting.
Her decreased ingestion of proper macronutrients, vitamins and minerals has lead to overall malnutrition. Prolonged malnutrition can lead to irreversible damage to the liver and and gastrointestinal tract. She is already experiencing multiple short-term effects and some long-term.
I would recommend she schedule an appointment with her primary care physician to discuss the long-term ramifications of her diet choices. I would also recommend she meet with a board certified nutritionist to discuss what diet changes she can make to incorporate all necessary nutrients into her diet. This could include supplements as well as a tailored diet. I would also recommend she consider cooking her foods to increase bioavailability of vegetables.
Minerals deficient in Raw/Vegan diet
Iodine
Aids in thyroid function (metabolism). Low levels can lead to hypothyroidism: symptoms include low energy, dry skin, tingling in hands and feet, forgetfulness, depression and weight gain. Found in iodized salt, seafood, seaweed and dairy.
RDA: 150 - 290mcg/day
Iron
Makes new DNA and RBCs, helps carry oxygen in blood, needed for energy metabolism. Low levels lead to anemia, fatigue and decreased immune function. Found in red meat, shellfish, liver, legumes, spinach, seeds and turkey.
RDA: 8 - 27mg/day
Calcium
Helps with bone and teeth health, muscle function, nerve signaling and heart health. Found in dairy, seafood, legumes, dried fruit, tofu and foods fortified with calcium.
RDA: 1,000 - 2,000 mg/day
Zinc
Helps with metabolism, immune function and repair of body cells. Decreased levels lead to hair loss, diarrhea and delayed wound healing. Found in meat, shellfish, nuts, legumes, dairy and eggs.
RDA: 8 - 13mg/day
Proteins (RDA: 0.8g/kg/day)
Macronutrients
Carbohydrates (RDA: 180 - 260g/day)
Glucose
Provide energy, help preserve muscles, promote digestive health, and regulate blood glucose.
Found in fruits and vegetables, as well as grains and processed foods. Cooking increases bio-availability and decreases certain chemicals in vegetables that inhibit the absorption of minerals.
Nucleic Acids
Nucleotides
Essential to almost every biological process in the human body: gut repair, cellular growth, and strengthen immune system.
Found in seafood, nuts, beans, broccoli, cauliflower, mushrooms, yeast and meat.
Fats (RDA: 44 - 77g/day)
Glycerol and fatty acids
Serve as an energy reserve in the body, carry fat soluble nutrients (vitamins A, D, K and E), provide essential fatty acids (linoleic and alpha linoleic acids) and omega-3 fatty acids play a role in heart disease prevention.
Healthy fats can be found in nuts, cooking oils (olive, grapeseed, coconut), soybeans and fish.
Amino Acids
build and repair tissues, make enzymes and hormones, building blocks for bones, muscles, cartilage,skin and blood.
Derived from animal flesh/muscle, seitan, tofu, lentils, chickpeas, nutritional yeast, spelt, teff, and hempseed.