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From: LianPrice (108.208.25.116)
Subject:         Personal Training Client with TB
Date: December 26, 2013 at 10:31 pm PST

Hello Dr. Graham,

Thank you in advance for your time and attention with my question. I have
a client who was diagnosed with multi-tract Tuberculosis last May. The
doctors initially told her she would not live, but she is and doing fairly well.
She suffers from neuropathy resulting in no feeling in her legs or hands at
times, yet she still goes to the gym 6 days a week to lift weights and
sometimes run.

Prior to getting sick she ate almost a completely raw diet with lots of fresh
fruit and vegetables. Now she is told by her doctors to maintain a very low
fiber diet, because she doesn't absorb nutrients well, fibrous foods run right
through her, and it is hard for her to maintain the weight they want her to be
(the doctor said he wants her to carry a certain amount of fat as part of her
total bodyweight so that the medications she has to take and will be taking
for the next 2 years, circulate properly without going to her brain?)

So this means they don't want her eating her fruit and vegetables. She
does a little bit anyway, because she misses and enjoys eating them, but
as of right now her dietician has her on a diet of chicken, fish, egg whites,
almonds, cooked vegetables, a little brown rice and 1 apple in the morning.
She is 5'3" and currently 134 lbs., her doctors want her weighing in at 135-
140 lbs for her bi-weekly check ups.

Please let me know if you don't mind, what nutritional advice you might give
this person given her current situation. I have tried to provide adequate
detail, please let me know if I have left anything out. Thanks so much.

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