Case Study.

Female (30s): improve metabolic health, heart health, and digestive wellness.

Overcame PCOS, Metabolic Syndrome, and IBS-C challenges with improved metabolic health, heart markers, energy, and digestive comfort.

Results After 5 Months.

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Medical Data.

Lab Marker
Initial Result
Improved Result
Healthy Range

HOMA-IR

2.0

1.2

< 1

AST/ALT

45/78

32/44

< 30

ApoB

81

60

< 80

LDLp

1436

822

< 1000

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Results Summary.

  • Reduction in Insulin Resistance and liver enzymes indicating improved metabolic health.
  • Lowering of cardiovascular risk markers, ApoB and LDL particle number.
  • Energy significantly improved.
  • Gastrointestinal symptoms minimal, able to eat a wider array of foods without discomfort.

Initial Diagnosis.

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Diagnosis.

  • PCOS
  • Metabolic Syndrome
  • IBS-C
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Meds & Supplements.

  • Spironolactone
  • Metformin
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Health Goals.

  • Improve insulin resistance
  • Weight loss
  • Improve GI symptoms
  • Better energy

Treatment & Personalized Plan.

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Lab Results.

  • Gut Health findings: Mildly decreased digestive capacity, High sIgA Presence of potential pathogen (Enterococcus)
  • Vascular markers significant for elevated total insulin / HOMA-IR, elevated fasting glucose, mild elevation of LFTs
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Meds & Supplement Changes.

  • Gut rehab: MegaIgG, Megaspore, Betaine
  • Alpha Lipoic Acid, Inositol/Myoinositol, NAC
  • Relora, Magnesium Glycinate
  • Add CGM (Continuous Glucous Monitor)
  • B6 supplement for progesterone support
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Lifestyle Changes.

  • Strength training
  • Consider PPI weaning at next appointment.
  • Stress resilience - breathwork, meditation
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Nutrition Plan.

  • Initial elimination diet over 30 days
  • Whole unprocessed foods: Low starch veggies-3-4 servings per day, starchy colorful veggies (sweet potato and winter squash), fruit ~ 2 servings per day, whole grains- ~ 1 servings per day, legumes/beans are both protein and carbs. ~ 1-2 servings per day
  • Food tracking:  3-4 days per week to track food alongside CGM
  • Discussed stress management strategies

Read our in-depth case studies.

Our comprehensive case studies cover the patient’s initial results when they joined Index Health, results after a certain time frame, as well as treatments used, including supplements, lifestyle changes, medication, peptide treatments, and more.

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