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Case Study 4 - Nandhakumar

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Background

Sai Ram had a medical history of gall bladder removal (2017), kidney stone removal surgery in July 2025, Umbilical hernia with mesh placed and Fatty liver grade 1. These conditions required a cautious dietary approach, focusing on digestion, kidney health, and safe weight management.

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Diet & Lifestyle Intervention

  • Customized low-fat, balanced diet to support digestion in the absence of a gall bladder.
  • Hydration and controlled oxalate intake to prevent recurrence of kidney stones.
  • Calorie-controlled meals with higher protein, adequate fiber, and portion monitoring.
  • Emphasis on vegetables, fruits, whole grains, lean proteins, and light cooking methods.
  • Lifestyle changes included regular very moderate physical activity, mindful eating, and consistent meal timings.

Results Achieved

  • Weight reduced from 109.9 kg to 91.2 kg (loss of 19 kg).
  • Visible improvement in stamina and daily energy levels.
  • Reduced cravings and better control of eating habits.
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Medical Improvements

  • No recurrence of kidney stone symptoms post dietary changes.
  • Improved digestion and less post-meal discomfort.
  • Better tolerance for daily activity due to gradual and healthy weight loss.

Conclusion

 Mr. Nandhakumar’s case demonstrates that with a structured, individualized nutrition plan and consistent follow-up, significant weight reduction and body composition improvement are achievable even with underlying medical conditions like vitiligo.

 

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