Clinical nutrition
Therapeutic diets, written from your reports
When a condition changes what your body can process, food stops being a lifestyle question and becomes part of treatment. This is the work my clinical and critical care training is for.
Sound familiar?
- A diagnosis, and a diet sheet that explains nothing
- Several conditions at once, each with contradictory advice
- Reports you cannot interpret and nobody has walked you through
- Food restrictions so wide there is almost nothing left
- Recovering from surgery or illness and not eating enough to heal
With the right guidance, a therapeutic meal plan is easy to follow. Without it, it is guesswork.
Dt. Rupali SinghConditions where diet is part of the treatment
- Thyroid disease — hypothyroidism and hyperthyroidism, goitrogens, selenium, iodine and iron
- Kidney disease — protein, potassium, phosphorus and sodium, staged to your eGFR
- Liver conditions — fatty liver, and cirrhosis where protein and sodium need careful handling
- Gut disorders — IBS, SIBO, acidity, bloating and constipation, including low-FODMAP work where indicated
- Heart conditions and high blood pressure — sodium, fats and potassium
- High cholesterol and triglycerides
- Anaemia and nutritional deficiencies — iron, B12, vitamin D, calcium
- Uric acid and gout
- Cancer care — maintaining weight and strength through treatment
- Post-surgical and post-illness recovery — protein and energy targets to heal on
Why the reports come first
A therapeutic diet written without reports is a guess. Kidney work needs eGFR, creatinine and electrolytes. Thyroid work needs TSH, and often T3, T4 and antibodies. Liver work needs enzymes and albumin. Anaemia needs ferritin, not only haemoglobin.
I read what you bring, tell you what it says in plain language, and write the plan from it. Where something is missing and worth having, I will say so — and where a test is not worth doing, I will say that too.
Working with your doctor
Therapeutic nutrition sits inside your medical care. I do not change medication, and I do not work around your treating consultant. Where diet and drug interact — warfarin and vitamin K, metformin and B12, diuretics and potassium — that gets coordinated rather than ignored.
Several conditions at once
This is the situation people most often arrive stuck in: diabetes and kidney involvement, or thyroid disease and PCOS, or high uric acid alongside fatty liver. Each condition's standard advice contradicts the others, and the result is usually paralysis.
Resolving that is most of the work. There is almost always a plan that serves all of it — it just has to be written for you specifically.
Training behind this
Advanced Critical Care Nutrition, APCCN, 2022. M.Sc. Dietetics and Food Service Management. B.Sc. Clinical Nutrition and Dietetics. Currently pursuing a Ph.D. at the PG Department of Home Science, Patliputra University, Patna.
How I work
Reports first, then a conversation about what you actually eat, then a plan that is as unrestrictive as your condition allows. I would rather give you five things you can eat freely than twenty you cannot.
What happens next
- 1Book a free 15-minute callTell me what is going on. Nothing to prepare.
- 2I read your reportsThyroid, sugar, lipid or vitamin panels, if you have them.
- 3Your plan, on your foodBuilt from what your kitchen already cooks.
- 4Weekly follow-upWe adjust as your body and your routine change.
This page is general information, not personal medical advice. Please speak to your doctor before changing treatment, medication or a therapeutic diet.