You are working in a small clinic in Guatemala. An elderly woman with rashes on both arms, both legs, and face was brought to you by her son from a very remote region. She has been in severe gastrointestinal distress, with diarrhea, vomiting, and abdominal pain. What would your diagnosis and recommendations be for the patient?


?The patient most likely has pellagra, a disease caused by a deficiency in niacin. She is likely eating a vegetarian diet, without a lot of variety in her diet, and perhaps consisting of a lot of corn. This patient should increase meat in her diet if possible, but if she is a vegetarian or meat is unattainable for her on a regular basis, eating potatoes, tomatoes, or nuts, while decreasing corn consumption would help alleviate the symptoms of pellagra.

Nutritional Science

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Jennifer is severely underweight, anemic, and at risk for electrolyte imbalances. At this time, Jennifer's BEST treatment option is

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Which of the following topics is one of the overarching guidelines of the 2015-2020 version of the Dietary Guidelines?

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