Nutritional counseling is a consultation based on nutritional science and nutritional medicine, which is individually tailored to the patient and his circumstances. The basis for this is an individual nutritional analysis, which enables an optimized diet. The food supply in the highly developed industrial nations is extremely rich and varied. Unfortunately, however, our common diet has become a health risk that should not be underestimated:
We eat too much of the wrong and too little of the right!
Both overeating and malnutrition can lead to chronic diseases over the years. Today, it is becoming increasingly obvious that a large proportion of so-called diseases of affluence are at least partly diet-related. A balanced, vital substance-rich and whole-food diet is responsible for your health. But despite the best knowledge, the implementation in everyday life is difficult. This is where individual nutritional counseling can help you.
Indications (areas of application)
The following are the most important nutrition-related diseases or clinical pictures that are treated with nutritional medicine:
Respiratory system (J00-J99)
- Chronic obstructive pulmonary disease (COPD).
- Cystic fibrosis (CF)
- Sleep apnea syndrome – symptom caused by respiratory arrests (apneas) during sleep.
Eyes and eye appendages (H00-H59).
- Glaucoma (glaucoma)
- Macular degeneration (AMD)
Blood and blood-forming organs (D50-D90).
- Iron deficiency anemia
- Immunodeficiency (immune deficiency)
Endocrine, nutritional and metabolic diseases (E00-E90).
- Beriberi – vitamin deficiency disease due to a deficiency of thiamine (vitamin B1).
- Diabetes mellitus type 2 (insulin resistance).
- Hormonal disorders
- Male: hypoandrogenemia – decreased testosterone serum level.
- Woman: hyperandrogenemia – increased levels of androgens (male hormones).
- PCO syndrome (polycystic ovary syndrome in women).
- Hyperlipidemia / dyslipidemia (lipid metabolism disorder).
- Hyperuricemia (gout)
- Metabolic syndrome – clinical name for the symptom combination of obesity (overweight), hypertension (high blood pressure), elevated fasting glucose and fasting insulin serum levels (insulin resistance) and hyperlipoproteinemia (elevated VLDL triglycerides, lowered HDL cholesterol). Furthermore, a coagulation disorder (coagulation disorders), with an increased risk of thromboembolism is also often detectable
- Marasmus, Kwashiorkor – protein-energy deficiency syndromes.
- Food intolerances (food intolerances) – histamine intolerance, lactose intolerance, fructose intolerance, gluten intolerance (celiac disease), sorbitol intolerance; pseudoallergic and pharmacological reactions, intolerances to food additives.
- Scurvy (vitamin C deficiency disease).
- Goiter (thyroid enlargement)
- Overweight (obesity)
- Underweight, malnutrition, cachexia (emaciation), etc.
Skin and subcutaneous (L00-L99).
- Acne
- Atopic eczema (neurodermatitis)
- Psoriasis (psoriasis)
- Metabolic skin diseases / skin changes diabetes mellitus associated diseases (necrobiosis lipoidica, granuloma anulare, pyoderma (purulent inflammation of the skin), candidiasis (infection with a yeast fungus), ulcers (ulcers), diabetic blisters, pruritus) hyperlipidemias (xanthomas, xanthelasma), gouty tophi, phenylketonuria (PKU), hartnup syndrome
- Metabolic skin diseases / skin changes due to deficiency states:
- Acrodermatitis enteropathica (zinc deficiency).
- Alopecia (protein deficiency)
- Follicular hyperkeratosis
- Ichthyosiform xerosis (vitamin A deficiency)
- Neurotrophic ulcers (beriberi, vitamin B1 deficiency).
- Orookulogenital syndrome (vitamin B2 deficiency).
- Pellagra (vitamin B3 deficiency)
- Hunter’s glossitis and hyperpigmentation (vitamin B12 deficiency).
- Scurvy with follicular hyperkeratosis, curling hair, purpura (vitamin C deficiency).
- Purpura (vitamin K deficiency)
- Hyperpigmentation, stomatitis and anal erosions (folic acid deficiency).
Cardiovascular system (I00-I99).
- Apoplexy (stroke) – from a BMI (body mass index) > 30, increase by 40%.
- Atherosclerosis (arteriosclerosis, hardening of the arteries)
- Heart failure (cardiac insufficiency)
- Hypertension (high blood pressure)
- Coronary heart disease (CHD) – from a BMI (body mass index) > 30, increase by 60%.
- Myocardial infarction
- Blood clotting disorders, such as venous thrombosis – from a BMI (body mass index) > 30, increase of 230% due to increase in clotting and inhibition of fibrinolysis (fibrin cleavage).
Liver, gallbladder, and bile ducts – Pancreas (pancreas) (K70-K77; K80-K87).
- Steatosis hepatis (fatty liver), fatty liver hepatitis.
- Gallbladder disease – cholelithiasis (gallstone disease) – over 70% of all gallstones are due to elevated cholesterol and triglycerides
- Liver cirrhosis (shrinking liver; irreversible damage to the liver).
- Pancreatitis (inflammation of the pancreas)
Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93).
- Inflammatory bowel disease (IBD) – ulcerative colitis, Crohn’s disease.
- Diarrhea (diarrhea)
- Diverticula (protrusions of the intestinal mucosa in structurally weak places).
- Gastritis (inflammation of the gastric mucosa)
- Gastroesophageal reflux disease (synonyms: GERD, gastroesophageal reflux disease; gastroesophageal reflux disease (GERD); gastroesophageal reflux disease (reflux disease); gastroesophageal reflux; reflux esophagitis; reflux disease; Reflux esophagitis; peptic esophagitis) – inflammatory disease of the esophagus (esophagitis) caused by the pathological reflux (reflux) of acid gastric juice and other gastric contents.
- Hemorrhoids
- Caries
- Periodontitis (infectious, inflammatory disease of the periodontium (periodontium) with gum recession).
- Constipation (constipation)
- Ulcus duodeni (duodenal ulcer)
- Ulcus ventriculi (gastric ulcer)
- Celiac disease (gluten-induced enteropathy) – chronic disease of the mucosa of the small intestine (small intestinal mucosa), which is based on hypersensitivity to the cereal protein gluten.
Musculoskeletal system and connective tissue (M00-M99).
- Degenerative and other non-inflammatory rheumatic diseases: e.g., osteoarthritis, spondylosis, fibromyalgia (fibromyalgia syndrome).
- Food-sensitive arthritis
- Osteoporosis (bone loss)
- Rheumatoid arthritis (synonym: chronic polyarthritis) – most common inflammatory disease of the joints.
Neoplasms – tumor diseases (C00-D48).
- Tumor diseases of the male – prostate carcinoma.
- Tumor diseases of women – mammary carcinoma (breast cancer), endometrial carcinoma (uterine cancer).
- Tumor diseases of both sexes – colon carcinoma (colon cancer), esophageal carcinoma (esophageal cancer), gallbladder carcinoma, liver carcinoma, pancreatic carcinoma (pancreatic cancer), renal cell carcinoma, thyroid carcinoma, oral cavity carcinoma, pharyngeal carcinomas.
Psyche – Nervous System (F00-F99; G00-G99).
- Alcohol dependence
- Anorexia nervosa (anorexia)
- Binge Eating disorder (BED) – psychogenic eating disorder. The English term “binge” translated means gorge. Meant by this term is the occurrence of excessive eating binges.
- Bulimia nervosa (binge eating disorder).
- Migraine
- Orthorexia – eating disorder in which sufferers have a strikingly pronounced desire to eat as “healthy” as possible.
Symptoms and abnormal clinical and laboratory findings not classified elsewhere (R00-R99).
- Heartburn (pyrosis)
Genitourinary system (kidneys, urinary tract – reproductive organs) (N00-N99).
- Renal insufficiency (kidney weakness).
- Premenstrual syndrome (PMS) – cyclical occurrence of various physical or psychological complaints.
- Sterility / infertility – man and woman.
- Urolithiasis (urinary stone disease)
- Cycle disorders (bleeding disorders)
Factors influencing health status and leading to health care utilization (Z00-Z99).
- Allergies
The procedure
The basis of nutritional counseling is an individual nutritional analysis, which is based on the current knowledge of nutritional medicine. It is used for a detailed analysis of the individual nutritional situation. The nutritional analysis:
- Determines your individual nutritional situation.You will receive an assessment of your nutritional situation and an individual nutrition plan including vital substance recommendations (macro and micronutrients).
- Is based on scientific publications that have a high level of evidence. A high level of evidence (1a, 1b, 2a, 2b) provides the scientific rationale for your nutritional or vital substance recommendation (macro and micronutrients).
- Gives you suggestions for healthy eating – food lists with suitable foods – if necessary including for you suitable vital substance supplements.
Benefit
Healthy and sick people benefit from individual nutrition counseling. It protects you from serious and chronic diseases or helps you get well again. Nutritional counseling is especially important for:
- Overweight
- Man and woman in childbearing
- Pregnant
- Breastfeeding
- Babies
- Infants
- Shift workers, swing workers and night workers
- Athletes
- Healthy and sick people
Nutritional counseling is for your personal prevention and allows you to live a healthy and long life. The basis of nutritional counseling is a nutritional analysis. You will be happy to do this on request from us a nutrition protocol (nutrition questionnaire), which you can fill out at home in peace. The evaluation is carried out by means of a computer-assisted nutrition analysis.
