A 30-year-old woman comes to the office due to intermittent abdominal pain which relieved with defecation. She states that she has bloating. abdominal cramps and intermittent diarrhea. She describes her job as a stressful job. She has no medical or surgical history. Vital signs are within normal limits BMI is 26kg/m. The patient is well-appearing, with a nontender abdomen. The patient is diagnosed with irritable bowel syndrome, and it is recommended that she take loperamide and consume an adequate amount of dietary fiber. After reading about her disorder on the internet, the patient decides to manage her symptoms with a strict vegan diet. Which of the following should be provided as a nutritional supplement for this patient?

Question

Quizplus · Accepted Answer

Eductional Objective: Deficiencies of calcium and vitamin D are common in vegan patient, So they need supplementation to avoid long term complications including osteoporosis and bone fractures. Cobalamin (vitamin B12) deficiency can also occur.

A 30-Year-Old Woman Comes to the Office Due to Intermittent