Laboratory Module - Dr Spice Organics

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Patient Vitals (BP, Temp, Pulse, BMI) Nutritionist Notes Action
hillary kibitokk
Code: P-87307455
BP: 123/83
Temp: 37.0°C
Pulse: 76 bpm
BMI: 20.02
Diagnosis: gastritis
Report: hx of abdominal pain,bloating and heartburns
Diet: ketogenic diet
avoid acidic foods,inflammatory foods
Vigilance Okaalo
Code: P-64CA4433
BP: 125/78
Temp: 36.6°C
Pulse: 77 bpm
BMI: 24.84
Diagnosis: consulting for 2.8 yrs twins
Report: The twins have delayed speech, loss of appetite,itchy skin and infections
The mother suffers from gut disorders
Diet: Recommended
Peninah Njeri
Code: P-36D3E82A
BP: 224/137
Temp: 37.0°C
Pulse: 86 bpm
BMI: 27.34
Diagnosis: Rheumatoid arthritis
Blood pressure
Report: Rheumatoid arthritis affecting almost all joint
Migrates from one joint to another
Currently complaining of joint pain
Had an accident in 2008 on the right knee
Diet: Meal plan
Mercy Imbote
Code: P-E25537BE
BP: 100/66
Temp: 37.0°C
Pulse: 67 bpm
BMI: 21.11
Diagnosis: Secondary infertility
Report: Had a miscourage in 2021
Has one child
Ultrasound results were normal
Irregular periods
Hx of family planning pills in 2023
Diet: Meal plan
Theodore Wanjala
Code: P-A288E430
BP: 105/78
Temp: 37.0°C
Pulse: 78 bpm
BMI: 26.30
Diagnosis: Chronic back pain
Report: Complains of back pain radiating to the buttocks
Has swelling of feet which are worsening on standing or seating for too long
Diet: Meal plan
Peter Maina
Code: P-A3D954F4
BP: 115/80
Temp: 37.0°C
Pulse: 76 bpm
BMI: 21.05
Diagnosis: UTI
Report: Itchiness around anal area
Has had recurrent UTI
Complains of weak erection
Has not been sexually active in the last 3 months
Diet: Meal plan
Sam Gibuni
Code: P-75415349
BP: 104/75
Temp: 37.0°C
Pulse: 80 bpm
BMI: 21.61
Diagnosis: Acidity
Report: Tested negative for h pylori
Complains of heartburn indigestion and bloatinng
Normal bowel movements
No constipation
Diet: Meal plan
Tabitha Tabitha
Code: P-37051E71
BP: 108/67
Temp: 37.0°C
Pulse: 68 bpm
BMI: 26.30
Diagnosis: H pylori
Report: Has treated h pylori 3 times but symptoms have still persisted
Currently complaining of heartburn indigestion and bloating
Diet: Meal plan
Mercy Kagendo
Code: P-F7749EC6
BP: 116/78
Temp: 37.0°C
Pulse: 80 bpm
BMI: 18.56
Diagnosis: Secondary infertility
Report: Has 1 child
Has been trying to conceive since 2023
Was diagnosed with endometriosis
Diet: Meal plan
Rolly ochieng
Code: P-09270FA9
BP: 122/81
Temp: 37.0°C
Pulse: 75 bpm
BMI: 24.62
Diagnosis: severe abdominal pains
Report: complained of dizziness
hx of hpylori
to run a colonoscopy and ogd test
Diet: reccomended
rolly ochieng
Code: P-95F791AB
BP: 122/81
Temp: 37.0°C
Pulse: 67 bpm
BMI: 27.97
Diagnosis: N/A
Report: N/A
Diet: N/A
Alice wambugu
Code: P-D2A2FA09
BP: 120/86
Temp: 37.0°C
Pulse: 67 bpm
BMI: 27.97
Diagnosis: Diabetes type 2
Report: started as gestational diabetes
on menopause
sweating and fatigue
Diet: reccomended
lucy nyambura
Code: P-E1AAB0AC
BP: 120/86
Temp: 37.0°C
Pulse: 67 bpm
BMI: 24.64
Diagnosis: asthmatic
Report: congested chest
shortness ofbreath
Diet: reccomended
Mary Wanjiku
Code: P-02DEF51C
BP: 122/79
Temp: 36.6°C
Pulse: 75 bpm
BMI: 27.89
Diagnosis: Hypertension
Report: Client is a known HTN patient for years and has been under medication. Client has been using our products and has some HTN remedies.
Diet: Nutrition counselling done and meal plan given
Jacinta Mutua
Code: P-09BEB0A5
BP: 120/80
Temp: 36.6°C
Pulse: 77 bpm
BMI: 22.39
Diagnosis: Sciatica nerve
Report: experiences pain, burning sensation and numbness
Ct scan indicated inflammation in the L4 AND L5
has been on physiotherapy
Diet: recommended
Ann macharia
Code: P-64E16FFB
BP: 120/84
Temp: 36.0°C
Pulse: 89 bpm
BMI: 16.20
Diagnosis: Primary Clinical Findings
Nutritional Deficiency and Underweight Status

Client presents with signs consistent with underweight body composition and inadequate healthy fat reserves. Physical presentation suggests possible caloric insufficiency, poor nutrient absorption, metabolic imbalance, or chronic dietary inadequacy.

Associated Indicators
Low body mass index appearance
Reduced subcutaneous fat deposits
Generalized body weakness/fatigue tendencies
Possible micronutrient deficiencies
Reduced muscle tone and energy reserves
Gastrointestinal Dysfunction with Excessive Bloating

Client reports recurrent abdominal bloating and digestive discomfort, suggestive of gastrointestinal imbalance.

Possible Contributing Factors
Poor digestion and nutrient assimilation
Food intolerances/sensitivities
Gut microbiome imbalance
Excessive gas formation
Irregular eating patterns
Gastritis or functional bowel disturbance
Eye and Visual Health Concerns

Client reports ongoing eye-related complaints which may correlate with nutritional deficiencies, visual strain, inflammatory responses, or inadequate vitamin intake.

Potential Nutritional Associations
Vitamin A deficiency
Omega-3 fatty acid insufficiency
Eye fatigue from prolonged screen exposure
Dehydration-related eye strain
Obsessive-Compulsive Symptoms (OCD Tendencies)

Client demonstrates behavioral patterns suggestive of obsessive-compulsive tendencies requiring psychological monitoring and supportive mental wellness intervention.

Observed Concerns
Repetitive thought patterns
Anxiety-related compulsive behavior
Heightened stress response
Mental fatigue and overthinking tendencies

Recommendation: Further psychological evaluation may be beneficial if symptoms persist or interfere with daily functioning.
Report: The client attended a wellness consultation for a full-body health review with major concerns centered around inadequate weight gain, low fat accumulation, digestive discomfort, visual disturbances, and compulsive behavioral tendencies.

Current presentation suggests a multifactorial wellness imbalance involving nutritional insufficiency, gastrointestinal dysfunction, stress-related mental health strain, and possible micronutrient depletion.

The client’s body condition indicates reduced nutritional reserve and potential malabsorption issues contributing to persistent low weight and diminished healthy fat storage. Excessive bloating may indicate impaired digestion, gut inflammation, or imbalance in intestinal flora.

Visual complaints may be secondary to nutritional inadequacy, oxidative stress, or prolonged strain. Mental wellness findings indicate obsessive-compulsive behavioral tendencies potentially exacerbated by stress, anxiety, sleep imbalance, or neurochemical dysregulation.

No acute emergency findings reported during the consultation; however, comprehensive nutritional rehabilitation and lifestyle restructuring are strongly recommended.

Recommended Laboratory/Medical Evaluations

The following investigations are medically advisable for comprehensive assessment:

Complete Blood Count (CBC)
Vitamin D levels
Vitamin B12 profile
Iron studies/Ferritin
Liver Function Tests
Thyroid Function Tests
Stool analysis
Food sensitivity assessment
Lipid profile
Comprehensive metabolic panel
Eye examination/optometry review
Psychological evaluation if OCD symptoms intensify
Diet: Therapeutic Nutritional Strategy

Primary nutritional objective is:

Healthy weight restoration
Gut healing and bloating reduction
Nervous system stabilization
Nutrient replenishment
Hormonal and metabolic support
Recommended Daily Diet Structure
Morning (Upon Waking)
Warm water with lemon
Soaked almonds and walnuts
1 boiled egg or protein smoothie
Herbal digestive tea
Breakfast

High-calorie nutrient-dense meal:

Oats with peanut butter and banana
Eggs with avocado
Whole grain toast
Greek yogurt or probiotic yogurt
Mid-Morning Snack
Mixed nuts
Dates
Fruit smoothie with flaxseed/chia seeds
Lunch

Balanced anti-inflammatory meal:

Brown rice/sweet potatoes
Lean protein (fish/chicken/beans)
Steamed vegetables
Healthy fats (olive oil/avocado)
Evening Snack
Protein shake
Fruit bowl
Pumpkin/sunflower seeds
Dinner

Light but nutrient-rich:

Vegetable soup with protein source
Quinoa or potatoes
Green vegetables
Herbal tea for digestion
Foods Recommended
Healthy fats
Omega-3 rich foods
Probiotic foods
High-protein meals
Iron-rich vegetables
Antioxidant-rich fruits
Foods to Limit
Carbonated drinks
Highly processed foods
Excess sugar
Fried foods
Artificial sweeteners
Excess caffeine
Ruth Muli
Code: P-D4E8141A
BP: 120/80
Temp: 36.6°C
Pulse: 88 bpm
BMI: 24.90
Diagnosis: gut disorder
Report: hx of heartburn,diarrhoea, pain on the upper stomach
Diet: recommended
Gladys Ngondi
Code: P-095016E5
BP: 120/80
Temp: 36.6°C
Pulse: 77 bpm
BMI: 24.26
Diagnosis: Husband diagnosed with neuromyelitis Optica 2 years ago
Report: has been undergoing immunotherapy
Experiences paralysis, blurry vision
is under rituximab infusion and prednisolone
Diet: recommended
Elizabeth Nyachoti
Code: P-119FA95B
BP: 120/80
Temp: 36.6°C
Pulse: 77 bpm
BMI: 24.09
Diagnosis: Sciatica nerve, HTN
Report: Hx of both sciatica and htn for 10 years, also has high cholestrol in the body
has been on medication for both conditions.
Diet: recommended
Faith Mwangi
Code: P-71914C03
BP: 120/80
Temp: 36.6°C
Pulse: 77 bpm
BMI: 23.46
Diagnosis: Allergy
Report: hx of laryngitis
the problem started in january 2025
presence of fever
Diet: recommended