Patient Stories

In a recent and inspiring case, this dietitian showcased the impact of a nutrition intervention on a 59-year-old female patient grappling with high cholesterol and atherosclerosis, compounded by a family history of heart disease. The dietitian's nutritional diagnosis revealed inconsistencies in the patient's fat intake (specifically saturated fats) with her needs, stemming from a knowledge deficit regarding the types of fats conducive to a healthy, balanced diet.

The dietitian crafted a tailored nutrition intervention with clear goals. The plan focused on identifying and trialling nutrient-rich whole food, plant-based (WFPB) snacks to replace high-sugar/high-fat options. Additionally, the dietitian aimed to increase the patient's consumption of legumes in meals and snacks, curtail or eliminate refined oils, enhance vegetable intake through strategic meal planning (for example, blanch and freeze vegetables in bulk, add green leafy vegetables to all meals), and establish easy-to-prepare meals for less organised days to discourage highly-processed foods. Incorporating mindful eating practices, supported by a resource/guided activity, rounded out the comprehensive intervention.

Motivated by a desire to avoid statins for lipid management, the patient actively engaged in a three-month trial of lifestyle intervention negotiated with her treating GP, showcasing a commendable commitment to the process. The dietitian monitored and evaluated the patient's progress, noting remarkable changes. The patient successfully embraced WFPB recipes, opted for healthier, lower-fat alternatives, and significantly reduced the consumption of sugary and discretionary items. Notably, the patient experienced a positive impact on biochemistry and anthropometry, marked by improved blood lipid profiles (TChol 5.3 > 4.4) and a 4 kg weight loss over four months.

Delving further into specifics, the patient made conscientious dietary swaps under her dietitian's guidance, such as cutting out coconut yogurt and vegan cheese and using hummus instead of Nuttelex. This showcased a willingness to explore healthier alternatives without feeling deprived.

Whole food plant-based nutrition took centre stage in transforming the patient's health, demonstrating its power to create tangible improvements and foster a positive, sustainable relationship with food. The success of these targeted dietary "tweaks" to the existing vegan diet highlights the immense potential of lifestyle changes. Guided by knowledgeable practitioners like her dietitian, this approach is a testament to plant-based nutrition's effectiveness. The patient's journey offers inspiration for clinicians seeking effective interventions for those grappling with similar cardiovascular health concerns.

Due to medical board regulations, we have removed the clinician's name from this story. However, we understand that clinicians may want to discuss similar cases with each other. If you’d like to connect with the clinician involved in this case, please contact us. With their permission, we’d be happy to provide their details.