HD is a 21 yo M who has cystic fibrosis. His physician fears that HD's nutritional status is not optimal and has referred him and his family to you for nutrition counseling. The physician has provided you with HD's medical record, and it shows that he is lethargic, has been vomiting, and has been diagnosed with dehydration. In addition, a bone mineral density scan reveals osteopenia. He reports

good appetite and increased intake but the physician believes that both the patient and his family have been non-compliant with nutrition-related recommendations and that HD is not growing as expected. He has been on corticosteroids since early childhood, has gone to chest physiotherapy, and has taken his vitamins "on and off.". Which of the following will the registered dietitian also recommend based on the above?
a. restricting carbohydrate intake
b. set meal planning
c. only incorporating omega-3 fatty acids for inflammation
d. pancreatic enzymes with each meal


d

Nutritional Science

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What will be an ideal response?

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