Final Test 3

50 year old woman, obese. She presents acute pain in the right knee. This limits her activity. She went to the orthopedist who diagnosed osteoarthritis, which means an injury to the cartilage surrounding the knee joint. The orthopedist has also prescribed glucosamine to help the formation of cartilage. According to the Board of orthopedists, she should lose weight to reduce physical stress on her joints. What would you do?

We have assigned her a dietary protein (resulting from the MetabolismNutritional Type Assessment) and prescribed a metabolomic multivitamin and a supplement with vitamin C, lysine and proline. We explain the patient that the body began the inflammatory process at the knee to fix it, so she needs to rest and avoid forcing the joint until the process is complete. The patient, back after a month, has experienced a pain reduction although has not yet recovered full joint mobility. Because of the diet, she lost 3 kg3 pounds which makes her very satisfied. Furthermore, she never felt hungry hence had no issues following the diet prescribed. What would you do?

The patient returns, has lost 2 kg this time but unfortunately has forced her knee hence did not notice any further improvement. In fact, it seems her knee is slightly more painful than before. However, she reports feeling more energetic and willing to do things she did not dare consider before. What would you do?

Past the month, the patient feels much better and her knee hurts only after very intense physical exercise. She lost another 3 kg and noted that this month her sleep was restless and woke up often to urinate.