An integrative medicine approach to managing nutrient depletions in the cardiometabolic patient

Abstract 

This article presents a further exploration of the risk factors underlying cardiometabolic (CM) disease and their identification and management within an integrative medicine framework as illustrated by the case of a 30-year-old obese African American male who presented for a follow-up visit with regard to his metabolic syndrome (MeS).

This article reviews in detail the pathophysiology of common nutrient depletions and their contribution to CM disease risk, as well as drug-induced nutrient depletions incurred during treatment for CM disease and the MeS. The review also includes a detailed discussion on the evaluation and treatment of nutrient deficiencies.

The article concludes with a detailed discussion of the case resolution. Following an extensive metabolic evaluation, a program of specific nutrient repletion was instituted alongside testosterone replacement therapy in addition to instituting stress reduction techniques and herbal supplements to improve his physiologic stress response. The patient returned to clinic after 3 months to review progress and laboratory results. He had lost 15 pounds, reported increased energy levels, and complete elimination of joint aches. He was scheduled to return to the clinic after a further 3 months for re-evaluation.

Keywords: Cardiometabolic disease, Nutritient depletion