Male patient presented 7/2/15 with father to start the SHAPE Program after doctor recommendation.
College student, 335 lbs, age 20 about to turn 21.
- Depression/Anxiety
- Could not perform UA had to take it with him and email result
- Marks all over skin on arms and face from anxious picking
- IBS
- Takes Concerta
- Allergy to mold
- Takes Zyrtec & Flonase
- Doctor of Osteopathy diagnosed him as prediabetic and high cholesterol.
First UA: pH 6, ++ leukocytes, + bilirubin
Started the SHAPE Program.
By 8/20/15: reduced depression/anxiety, skin clear, could perform UA in office, down to 273.5, trace protein and ketones
Started school and working out with weights. Depression began with food cravings.
9/5/15: Returned for UA and + protein, trace ketones, trace bilirubin. Weight 264. Added 4 oz protein, 1-2 fruits. Specifically protein on day of workouts and fruit the day after.
9/18/15: Gained 5 lbs, weight 269, but looked smaller, depression/cravings back under control, neg UA pH 6.5. Requested he begin measuring now.
10/17/15: resented laughing with father. Measuring and decreasing in size, 265 lbs, neg UA pH 7
Continuing on…
Submitted by Dr. Melissa Eagan
Dr. Todd’s Teaching Assessment
A key point here is the obvious conversion of fat to lean body mass (LBM). LBM weighs 4 times what fat weighs. Inches can be lost but the scale may not show any loss. It is so important that patients measure themselves. I see this weight loss slow down around 20-25 pounds in the female and 30-35 pounds in the male. I’m also so often amazed at the marked improvement emotionally for so many SHAPE patients and the above case emphatically makes this point.
