1. LEAP Diet Case Study: Weight and Asthma
Patient: Adult Female
Main Health Concerns and LEAP Goals:
1. Weight loss
2. Lessen severity of asthma (dx 1997)
3. Hypothyroidism (low normal)
4. Low estrogen levels
5. Eczema
6. Seasonal Allergies (pollen, grass, trees, cockroaches)
Medications:
1. Advair
2. Synthroid
3. Rescue inhaler
4. Eczema cream
History:
Patient has a history of severe asthma and seasonal allergies. Patient also diagnosed as hypothyroid due to
low/normal thyroid level and a bout of depression. Estrogen levels have also been found to be low in this
patient. Patient is not able to participate in any outdoor activities due to severity of allergies. Weight loss has
also been difficult for this patient. Even at maximal effort, the patient is only able to lose 3-5 pounds, and
weight fluctuates frequently.
Symptom Survey Scores:
Symptoms assessed Prior to LEAP 14 Days 11 Months
Constitutional 10 2 2
Emotional/Mental 8 0 2
Head/Ears 12 4 5
Skin 10 4 2
Nasal/Sinus 8 1 2
Mouth/Throat 6 1 1
Lungs 8 2 1
Eyes 8 3 2
Genitourinary 2 0 0
Musculoskeletal 16 1 0
Cardiovascular 0 0 0
Digestive 13 6 2
Weight Management 13 2 3
Total Score 114 26 22
Percentage of Symptom improvement 77% 15%
TOTAL % OF SYMPTOM SURVEY SCORE IMPROVEMENT 80%
1 Balance Fitness and Nutrition, LLC
Jenny Askew, MS, RD, LD, ACSM-HFS
2. Results summary
Weight loss: 45 pounds
This patient did amazingly well. We uncovered a hidden sulfur sensitivity that may have started upon being
administered a topical sulfa drug during infancy. The patient had a severe reaction to the drug, and has
possibly always been sensitive to sulfurs. Asthma is a common symptom of sulfur sensitivity.
Spring allergy season is no longer an issue for this patient. She is still using asthma medication, but notes
improvement in asthma symptoms as moving from severe to mild. She uses her inhaler as needed. Patient has
had improvements in skin (acne and eczema) as well a resolution of digestive issues, and resolution of muscle
and joint pain. Her energy levels have improved as well as her emotional well-being.
2 Balance Fitness and Nutrition, LLC
Jenny Askew, MS, RD, LD, ACSM-HFS
"Jenny is very professional and knowledgeable. Working with her has changed my life! I always thought I was
an energetic person but I was always tired. Now I am actually energetic and happy. I feel amazing. While
working with Jenny I discovered which foods worked with my body and which foods were causing
inflammation, pain, tiredness, and making me feel blah. There is no way I would have figured this out on my
own. Jenny actually cares about your progress, wants you to feel better, and wants you to succeed. She has
always been willing to answer any questions and has never made me feel like I was just a client. I have
recommended several friends, family, and co-workers to work with Jenny and I would recommend her to
anyone that asked me my opinion."