Post-Genetic Counseling Recommendations

Name : Nitish Rai Height : 5.60Feet/inches

Sample ID : MMG013071GPK05237299 Weight : 147.00Kg
Genetic Counselor : Surya Babu BMI : 52.3

Date of Genetic Counseling : 09-Jun-2023 Category : Obese Class III

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 Post-Genetic Counseling Recommendations

Age : 32 Year BMI Range : 18.5-25

Relation Age of Onset and Clinical Conditions if any

Father
Mother
Maternal Grandfather
Maternal Grandmother
Paternal Grandfather
Paternal Grandmother
Siblings
Deceased secondary to cardiac arrest at the age of 52.
Deceased secondary to liver issues at the age of 38.
Deceased at the age of 70. No reported medical history.
Deceased at the age of 60. H/o hypertension.
Deceased. No reported medical history.
Deceased in the age of 70s. No reported medical history.
1 brother, 35 years of age. Hypertension and diabetes.

Personal Medical History :

Hypothyroidism. Mitral valve prolapse. Bipolar disorder. Palpitations. Iron deficiency. Lactose intolerance. Headache. Dry skin.

Vegetarian. Low physical activity. No alcohol or smoking habits.

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 Post-Genetic Counseling Recommendations

Currently 32 years of age.

Additional Comments, if any :
We are available to help you achieve your goals, and encourage you to set up follow up appointments with our Health Coach (your genetic counselor)
to make a structured and goal-oriented plan to help you maximize your potential for health and well-being.

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 Post-Genetic Counseling Recommendations

Dear Nitish Rai

Thank you for discussing your medical history and lifestyle with our Genetic Counselor. We hope this session helped you understand your genetic makeup
and will enable you to make the necessary changes in your lifestyle.
Genetic Counselor's Recommendations
The conditions listed below are based on your genetic report, clinical and family history, and current lifestyle. These fall under the medium to high risk zones.
Please note these are not absolute in nature, but an assessment aimed at helping you optimize your health.

Condition Genetic Risk Currently Diagnosed Genetic Counselor's Assessment

Male Pattern Baldness High Risk No High Risk
Coronary Heart Disease High Risk No High Risk
Testicular cancer High Risk No High Risk
Lactose Intolerance High Risk Yes High Risk
Prostate Cancer High Risk No High Risk
Prostate Cancer High Risk No High Risk
Parkinsons High Risk No High Risk
Bipolar disorder High Risk Yes High Risk
Psoriasis High Risk No High Risk
Response to Poly Unsaturated Fats Medium Risk No Medium Risk
Antioxidant Capacity Medium Risk No Medium Risk
LDL cholesterol Medium Risk No Medium Risk
Homocysteine levels Medium Risk No Medium Risk
Hypertension (blood pressure) High Risk No High Risk
Vitamin B6 High Risk No High Risk
Vitamin B12 Medium Risk No Medium Risk
Vitamin B9 Medium Risk No Medium Risk
Triglycerides Medium Risk No Medium Risk
Stroke Medium Risk No Medium Risk
Migraine Medium Risk No Medium Risk

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 Post-Genetic Counseling Recommendations

Condition Be smart and watch for Be proactive and enjoy Be wise and avoid Participate and monitor
Migraine Severe pain in one or bothMaintain regular sleeping Avoid consumption of Diagnosis is made by a neurologist
sides of the head, habits. Exercise regularly. fermented products. Avoid based on presenting symptoms. Other
sensitivity to light, sounds Stress can be a trigger as well, stress and overexertion. tests that may be used: Magnetic
and smell (might lead to hence make sure you have Limit caffeine intake. Resonance Imaging (MRI); Blood
nausea) certain coping strategies in Tests: Erythrocyte sedimentation rate
place. Meditation, yoga or (ESR)
taking up a hobby is know to
help in stress management.
Male Pattern Baldness Thinning of hair along Consume a diet rich in Avoid eating too much of Baldness does not cause any serious
with circular or patchy antioxidants (such as tomatoes, starchy foods. Avoid health concerns. A physician may want
bald spots. avocado, berries, peanuts, excessive blow drying, to rule out other medical causes of
pumpkin, prunes, plums, apple) chemical treatment or hair baldness, such as certain cancers,
and Vitamin E (almonds, dyes. medication, steroid use, thyroid disease.
broccoli, hazelnut, avocado, Referral to physician is recommended if
papaya, spinach, plant oils such hair loss occurs after starting a new
as olive oil, coconut oil, wheat medication or with other health
germ oil) to reduce hair loss. complaints. You may see a Trichologist
Manage stress by taking up a if concerned about hair loss.
hobby, medication or yoga.
Indulge in physical activities
like walking, cycling,
running/jogging or play sports.
Drink at least 3 liters of water a
day.
Prostate Cancer Trouble in urination, Focus your diet on a high Avoid red meat and high-fat Semi-annual or annual blood test for
difficulty emptying the variety of fruits vegetables and dairy products, high-fat Prostate-Specific Antigen (PSA) levels,
bladder completely, whole grains. Foods foods, smoking, excessive Digital rectal exam (DRE) - once in 2-3
Frequent urination, recommended are raw alcohol consumption. Avoid years
especially at night, tomatoes, broccoli, green tea, sexually transmitted
incontinence, blood in legumes, soybean, pomegranate infections by practicing safe
semen, erectile juice and fish. Maintain a sex.
dysfunction, Painful healthy weight. Physical
ejaculation, pain in pelvic exercise at least 3 to 5 days a
area, bone pain, . week.

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 Post-Genetic Counseling Recommendations

Condition Be smart and watch for Be proactive and enjoy Be wise and avoid Participate and monitor
Psoriasis Red patches of skin Healthy diet with lean protein, Avoid smoking. Limit Physical examination by a
covered with silvery low-fat dairy, whole grains, consumption of alcoholic dermatologist or a skin specialist and
scales, dry skin that may fruits and vegetables, beverages. Avoid the Skin biopsy test if required under
bleed, particularly those rich in harmful effects of stress by physicians consultation.
itching/burning/soreness carotenoids. Use sunscreen and focusing on stress
of the skin, stiff joints, wear sunglasses for UV reduction/management by
and thick nails. protection. Keep skin yoga, meditation etc.
moisturized.
Bipolar disorder Anxious distress, mood - Healthy diet plan - Avoid self-medication with Psychiatric evaluation; Blood tests:
swings, speechless and - Regular exercise regimen alcohol or other drugs Thyroid and hormonal imbalance, urine
motionless state for a - Monitor and maintain healthy - Beat a sedentary lifestyle analysis, Blood test for Vitamin B12
long period of time, weight with a daily exercise routine
peripartum onset, - Monitor your moods, and
seasonal onset. seek help if required. Treatment
is available and effective!
Parkinsons Tremor, or shaking, of a Eat plenty of fruits, vegetables , Avoid exposure to pesticides Diagnosis is made by a physician based
limb (usually high fiber foods, omega 3 fatty or herbicides. Avoid red on clinical evaluation of physical and
hand/fingers) at rest. acids (flax seed oil, flax seeds, meat and dairy products. neurological findings
Slowed movement, walnuts, pumpkin seeds,
shortened steps or feet- sesame seeds, avocado) and
dragging while walking. drink adequate fluids. Drink
Muscle stiffness, green tea regularly. Some
stooping, and loss of research has shown that
balance. Reduced caffeine (found in coffee, tea,
automatic movements etc.) may have protective effects
such as blinking, smiling, against Parkinsons. Ensure
swinging hands while that you get adequate sleep.
walking. Slurring or Regular exercise increases
monotone in speech. muscle strength, flexibility and
Difficulty writing balance and also improves your
well being and reduces
depression and anxiety.

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 Post-Genetic Counseling Recommendations

Condition Be smart and watch for Be proactive and enjoy Be wise and avoid Participate and monitor
Testicular cancer Lump or enlargement in Healthy weight management. Avoid smoking and alcohol Routine testicular self examination
either testicle, feeling of Participate in a reasonable level intake. (once in 3 months), ultrasound of the
heaviness in the scrotum, of exercise like Walking, scrotum (once in 2-3 years, or ealrier if
dull ache in the abdomen Jogging, Running, Aerobic advised). If advised, blood tumour
or groin, change in the dance, Bicycling, basketball, markers alpha-fetoprotein (AFP), beta
texture or increase in soccer, Weight lifting and human chorionic gonadotropin
firmness of a testicle, Pain Yoga. (bHCG), and lactate dehydrogenase
or discomfort in a testicle (LDH) enzyme test
or the scrotum
Coronary Heart Disease Pressure or tightness in A low-fat, high fiber diet is Limit salt consumption (to Routine cardiac check ups and
chest, shoulder or arm recommended, which includes reduce sodium) and avoid consultation with cardiologist -
triggered by physical or plenty of fresh fruit and high blood pressure. Do not Electrocardiogram (ECG), 2D
emotional stress, vegetables (five portions a day) smoke. Avoid excessive Echocardiogram, Tread mill test
Shortness of breath or and whole grains. Maintain alcohol consumption. (TMT). Blood tests: ApoA1, ApoB,
extreme fatigue. Women healthy weight. Aim for 30 to Fibrinogen levels needs to be done on a
may experience atypical 60 minutes of physical activity yearly basis after the age of 50 years
symptoms such as neck or most or all days of the week. If
jaw pain. you do not have time to
exercise for 30 minutes, take
short walks, choose the stairs
over the elevator, do sit-ups or
push-ups while watching TV.
Stress management (yoga,
meditation, relaxing activities
or a hobby). Find what works
for you.

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 Post-Genetic Counseling Recommendations

Condition Be smart and watch for Be proactive and enjoy Be wise and avoid Participate and monitor
Stroke Slurred speech or Eat a healthy diet - this can Avoid heavy or binge Routine cardiac check up and
difficulty understanding help you reduce three risk drinking. Avoid smoking. consultation with cardiologist - Check
speech, Paralysis or factors for heart disease and Reduce consumption of high Blood pressure, electrocardiogram
numbness of the face, arm stroke - high blood cholesterol, cholesterol foods such as (ECG) every 6 months, Blood tests-
or leg. For example, in high blood pressure and excess fried food, cheese, ice cream. Glycated hemoglobin test (HbA1c),
raising both arms at the body weight. Eat 4 to 5 cups of Avoid being Lipid Profile, homocysteine levels.
same time, one might fruits and vegetables every day, overweight/obese, it is a
begin to fall, or one side omega 3 fats (fish, walnuts significant risk factor. Avoid
of your mouth may droop etc.), whole grains and low-fat a sedentary lifestyle.
when you try to smile, dairy. Stay physically active.
Vision problems such as
blurred or blackened
vision in one or both eyes,
or seeing double, A
sudden, severe headache,
which may be
accompanied by
vomiting, dizziness or
altered consciousness,
Attempts to walk may
result in stumbling,
sudden dizziness, loss of
balance or loss of
coordination. This is a
medical emergency. Seek
immediate medical
attention if you notice
any of these symptoms

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Condition Be smart and watch for Be proactive and enjoy Be wise and avoid Participate and monitor
Homocysteine levels Increased Homocysteine Consume foods containing NA Six-monthly blood test to check for
levels typically does not vitamins B6, B9, B12 and Homocysteine levels
show any symptoms, but taurine. Food sources of
confers a risk for Taurine (fish, meat, eggs, dairy
atherosclerosis products); Vitamin B12 (Swiss
(narrowing of the blood cheese, cottage cheese, skim
vessels) that can result inmilk, yoghurt, liver, ground
early heart attack or beef and shellfish); vitamin B6
stroke. (Green leafy vegetables, sweet
potatoes, banana), vitamin B9/
folate (black-eyes peas, lentils,
spinach, lettuce, avocado,
broccoli, mango, orange).
Discuss supplementation with
vitamin B6, B9, B12,
trimethylglycine or taurine
with your physician. For
carriers of MTHFR C677T
gene variant, discuss
supplementation with 5-methyl-
tetra-hydro-folate with your
physician.
Triglycerides High triglycerides usually Choose healthier mono- Avoid weight gain and Lipid profile test every 6 Months
do not cause symptoms. unsaturated fats (e.g. olive oil obesity. Reducing calories
In rare cases can lead to canola oil). Exercise regularly will reduce triglycerides.
pancreatitis, severe and stay active. If you dont Avoid sugary and refined
abdominal pain, loss of have time to exercise for 30 foods. Limit saturated fats.
appetite, nausea and minutes everyday- taking short
vomiting, and fever. walks, choosing the stairs over
the elevator, doing sit-ups or
push-ups while watching
television are sneaky and smart
ways to beat a sedentary
lifestyle.

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 Post-Genetic Counseling Recommendations

Condition Be smart and watch for Be proactive and enjoy Be wise and avoid Participate and monitor
Hypertension (blood Hypertension can be Maintain a normal weight Limit salt consumption (to Monitor blood pressure regularly. Rule
pressure) asymptomatic even at through healthy diet and reduce sodium). Avoid out diabetes with a glycated
higher levels. Severe regular exercise. Consume a consuming excessive alcohol.hemoglobin (HbA1c) test. Rule out
headaches, severe anxiety, diet rich in fruits, vegetables, Quit smoking. Avoid weight kidney disease with a Kidney Function
shortness of breath whole grains and low fat dairy gain and obesity. Test,
nosebleeds may occur In foods. Get plenty of dietary
extreme conditions of potassium (sweet potato, fat
severely increased levels. free yogurt, broccoli, banana,
salmon, chicken). Ensure
optimum levels of Vitamin D
by consuming foods containing
it (fish oil, fatty fish like tuna,
mackerel,salmon, portobello
mushroom exposed to
sunlight, cod liver oil
supplement, cheese, egg yolk,
tofu, dairy products) . Also, the
body naturally produces
Vitamin D when you expose
your skin to sunlight, so be sure
to soak up some morning
sunlight. Stress management
(yoga, meditation, relaxing
activities or a hobby) can help
contain high levels of stress
known to temporarily increase
blood pressure. Find what
works for you.

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 Post-Genetic Counseling Recommendations

Condition Be smart and watch for Be proactive and enjoy Be wise and avoid Participate and monitor
LDL cholesterol High cholesterol has no Eat a healthy diet containing Avoid excessive alcohol Lipid profile test every 6 months to
symptoms. A blood test is whole grains. Consume foods consumption. Do not monitor your levels. Blood test for
the only way to detect containing omega 3 fatty acids smoke. ApoA1 levels.
high cholesterol. and plant sterols (flaxseed oil,
Sometimes fatty skin flaxseeds, walnuts, pumpkin
deposits on the elbows, seeds, sesame seeds, avocado).
buttocks, knees, and Choose healthier fats like olive,
tendons, cholesterol rice bran, safflower, canola oils
deposits around the for cooking. Maintain healthy
eyelids (xanthelasmas), weight and get enough physical
corneas (corneal arcus) exercise.
can indicate elevated
cholesterol levels
Response to Poly Deficiency could lead to Include omega-3 and omega-6 NA Blood test (LC/MS/MS method) of
Unsaturated Fats fatigue, poor memory, polyunsaturated fatty acids in omega 3 fattyacids levels (including the
dry skin, heart problems your diet, like flax seeds, flax 3 major omega-3 fatty acids -
and mood swings or seed oil, walnuts, pumpkin eicosapentaenoic acid (EPA),
depression. seeds, sunflower seeds, pine docosahexaenoic acid (DHA), and
nuts, pistachio nuts, olive oil, alpha-linolenic acid (AA)
olives, soybeans, cod-liver oil
supplements, cauliflower,
Brussels sprouts.
Vitamin B12 Weakness, tiredness, or Change your diet to include NA Blood test to measure levels of vitamin
light headedness, Heart vitamin B12-fortified grains, a B12
palpitations and shortnesssupplement or B12 injections,
of breath, Pale skin, or a high-dose oral vitamin B12
Constipation, diarrhea, (only if you are deficient, on
loss of appetite, numbnessDoctors advice). Eat enough
or tingling, muscle meat, poultry, seafood, dairy
weakness, depression, products, eggs, B12-containing
irritability, memory loss multivitamin, breakfast cereal
fortified with vitamin B12.

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 Post-Genetic Counseling Recommendations

Condition Be smart and watch for Be proactive and enjoy Be wise and avoid Participate and monitor
Vitamin B6 Rash or cracks around Consumption of foods that NA Blood test to measure levels of Vitamin
the mouth, depression, contain Vitamin B6 can provide B6
confusion, nausea, the required dietary amount.
anemia, susceptibility to Some examples of Vitamin B6
infections, tiredness rich foods are non-citrus fruits,
chickpeas, potatoes, spinach,
tuna, salmon, whole grains and
cereals, beef liver, ground beef
and chicken breast.
Vitamin B9 Develop diarrhea or Include more of Vitamin B9- NA Blood test to measure levels of Vitamin
anemia. Pregnant women rich foods in your diet. These B9
with a B-9 deficiency include whole grains, citrus
could give birth to babies fruits, green leafy vegetables,
with defects. avocado, brocolli, mango,
meat, fish, fortified cereals,
legumes, liver and kidney.
Lactose Intolerance Symptoms of lactose - Maintain a food diary to help Dairy products There are currently no screening tests
intolerance include: track the dairy! Document for lactose intolerance as it is usually
- Abdominal cramps what you eat in order to track self-diagnosable by the presence of
- Bloating symptoms related to lactose symptoms
- Flatulence intolerance so that you can
- Diarrhea make informed food choices
- If you experience symptoms,
consult a clinical nutritionist
for a customised diet plan
- Discuss calcium and vitamin
D supplementation options
with your physician

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 Post-Genetic Counseling Recommendations

Condition Be smart and watch for Be proactive and enjoy Be wise and avoid Participate and monitor
Antioxidant Capacity - Fatigue - Increase consumption of - Avoid overtraining NA
- Poor memory berries, tomatoes, green tea, - Don't skip warm ups/cool
- Skin and hair changes beetroots, spinach, kale, dark downs while exercising
- Impaired wound healing chocolate (but also don't get - Reduce consumption of
carried away!) alcohol
- While exercising, make sure - Quit smoking (if you
you give yourself adequate smoke
recovery cycles

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 Post-Genetic Counseling Recommendations

DRUG RESPONSE Drug use and dosage should be monitored by a clinician. Genetic markers can help us predict if we are predisposed to adverse
reactions to certain classes of medicine or if the medication may work with lesser efficacy. Along with genetic factors, intrinsic
factors such as age, gender, weight, drug to drug interaction and comorbidities can affect how we metabolize a medication.

GLIPIZIDE and OMEPRAZOLE drug usage, if required, should be discussed with a prescribing physician.
DIET & LIFESTYLE RECOMMENDATIONS
ADDITIONAL LIFESTYLE RECOMMENDATIONS
1) Keep your skin moisturized always. Use sunscreen lotion with a minimum of SPF-30, and use full-sleeved clothes, hats, umbrellas, etc., whenever you
step out during the day.

2) Minimize your exposure to harsh/ toxic chemicals (pesticide, paint, insect repellant sprays, etc). Take proper precautions such as wearing gloves while
handling such chemicals. Always use mild/ natural/ herbal/ chemical-free skincare products (Free of SLS/ Sulfates, Parabens, Mineral oils, etc). Maintain
proper personal hygiene. Do a self skin examination every month. Consult a Dermatologist if you find any skin issues.

3) Use mild/ natural/ herbal/ chemical-free hair care products (Free of SLS/ Sulfates, Parabens, Mineral oils, etc). Avoid chemical hair treatments such as
smoothening, coloring, etc. or ensure to do the post-damage therapy after such treatments. Avoid using too many heat tools/ styling creams on your hair.
Avoid harsh towel drying and vigorous combing of your hair, instead use a microfiber towel, soft bristled comb, etc.

4) Include smart brain activities like Chess, Rubik?s cube, Sudoku puzzle, crossword puzzle, mental calculations, reading a book, learning a new language,
using your non-dominant hand, using brain challenging games and apps, etc., in your daily routine to keep your brain active and healthy.

5) Identify and avoid factors that may trigger your headache/ migraine. Common triggers include sunlight, dust, skipping meals, not having food on time,
certain foods or food additives, poor sleep, certain fragrances, traveling, dehydration, hormonal changes in women, hormonal medications, excessive
alcohol/ caffeine, stress, bright or flashing lights, loud sounds, secondhand smoke, intense physical exertion, weather changes, etc.

6) Regular check-ups and screenings, maintaining a healthy lifestyle, and avoiding known risk factors can go a long way in reducing the risk of developing
cancer. It's important to take care of yourself by doing regular cancer screenings. Talk with your doctor now about when and how often you should be
screened.

7) Measure your weight and exercise regularly to maintain a healthy BMI, especially since you have elevated BMI. The recommended weight range for you
is between 52.0 kgs - 70.3 kgs. Include physical activity in your daily routine in order to maintain a healthy BMI. Your body type is genetically suitable for
endurance sports such as walking, brisk walking, jogging, cycling, swimming, marathon, etc. as well as power sports such as running, sprinting, strength
and weight training, etc. You may start with low intensity and slowly increase your pace as your body gets adapted to it.

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 Post-Genetic Counseling Recommendations

Note: It is recommended to do physical activities under the supervision of a fitness expert.

ADDITIONAL DIETARY MODIFICATION

1) Include Vitamin B12-rich foods such as fortified cereal, fortified nutritional yeast, fortified non dairy milk, milk and dairy products, etc.

2) Include Vitamin B9-rich foods such as dark green leafy vegetables (turnip greens, spinach, romaine lettuce, asparagus, Brussels sprouts, broccoli),
beans, peanuts, sunflower seeds, fresh fruits, fruit juices, whole grain, aquatic foods (plants), fortified foods and supplements, etc.

3) Include Vitamin B6-rich foods such as peanuts, soya beans, wheatgerm, oats, bananas, milk, some fortified breakfast cereals, etc.

4) Consume Vitamin E-rich foods such as wheatgerm oil, sunflower, safflower, and soybean oil, sunflower seeds, almonds, pumpkin, peanuts, peanut
butter, spinach, red bell pepper, etc., for good skin health.

5) Include good amount of proteins (legumes, nuts, seeds), Biotin-rich foods (legumes, mushroom, seeds, nuts, banana, broccoli, avocado, sweet potatoes),
Vitamin B12-rich foods (fortified cereal, fortified nutritional yeast, fortified non dairy milk, milk and dairy products,) and Vitamin E-rich foods
(wheatgerm oil, sunflower, safflower, and soybean oil, sunflower seeds, almonds, pumpkin, peanuts, peanut butter, spinach, red bell pepper) for good hair
health.

6) Ensure to switch to Lactose-free dairy products such as almond milk, soy milk, oat milk, flax milk, coconut milk, and rice milk, and other lactose-free
dairy products if you develop allergic symptoms while consuming any kind of dairy products.

7) Increase consumption of tomatoes, pink guavas, papaya, red bell pepper, mango, red cabbage, peach, cranberries, watermelons, and pink grapefruits
that contain lycopene which can help reduce PSA levels.

8) Consume foods rich in dietary antioxidants and anti-inflammatory foods. Examples include dark-colored fruits and vegetables (green leafy vegetables,
citrus fruits, berries), nuts, seeds, spices, herbal teas, dark chocolate, red wine, etc.
Note: You may go for supplements (Multivitamins, minerals, trace elements, amino acids, Curcumin, etc.)

9) You need to include Omega-3 rich foods like mackerel, cod liver oil, herring, sardines, flaxseed, chia seed, walnut, soybean, flaxseed oil, soybean oil,
and canola oil, etc., in your diet for improving your brain and cardiovascular health. Take organic green leafy vegetables + few walnuts, almonds, flax
seeds + papaya/ Banana + add 100 ml of water and make a mix and have it daily to see a
significant amount of change in Lipid profile levels.
Note: You may go for a supplement (Krill oil, fish oil, spirulina, algal oil).

10) Monitor your salt intake and avoid having processed foods on a regular basis. Always opt for products that have low-sodium content to reduce your
risk for Hypertension. Even while cooking at home try to maintain the daily usage of salt content to 1500mg. Preferably go for Rock salt, Pink Himalayan

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 Post-Genetic Counseling Recommendations

salt, etc.

11) Avoid having refined and sugary foods and drinks on a regular basis. Limit saturated fats and choose healthier monounsaturated fats (e.g. olive oil,
coconut oil, canola oil, rice bran oil, safflower oil, any extra virgin oils,). Include more complex carbohydrates (wheat, oats, quinoa, brown rice,
buckwheat, sorghum, ragi, millet) than simple sugars (white rice, refined sugars).

Note: If you are already following any diet/ having any medical condition/ are currently pregnant, it is recommended that any changes pertaining to your
diet should be discussed with your Nutritionist/ consulting Clinician. If you are allergic to any food item, or generally do not consume certain food items
mentioned, kindly avoid them from your diet. Consume dairy/ peanut/ gluten products mentioned above only if it is tolerated. Use supplements only if
levels are low on a blood test, or or as advised by a consulting clinician.

TESTS
ROUTINE TESTS RECOMMENDED
1) Complete Blood Count (CBC) (Annually)
2) Lipid Profile (Annually)
3) HbA1c/ Blood sugar levels (Annually)
4) Blood pressure (Monthly)
5) Vitamins B6, Vitamin B12 and Vitamin B9 (Annually)
6) Lactose tolerance test
7) 2D Echo, ECG (Annually)
8) Blood test for omega-3/6 fatty acids (EPA, DHA, AA/EPA ratio)
9) Serum homocysteine (Annually)
10) Testicular Self Exam (TSE) (sheet attached)

Note: These parameters may be monitored as and when required as per the advice of your clinician

Specialists:

1) Nutritionist (to plan balanced and nutritious meals)

2) Health Coach (to identify, organize, and achieve health goals)
3) Therapist (if required, to help identify and strengthen coping skills and develop strategies for stress management)
4) Clinical psychological assessment
5) Cardiologist (for preemptive annual cardiac evaluation)
6) Dermatologist (for routine monitoring of skin/ hair health)
7) Ophthalmologist (to monitor eyesight and macular health)

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 Post-Genetic Counseling Recommendations

OTHER RECOMMENDED TESTS

ADDITIONAL RECOMMENDATIONS

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 Post-Genetic Counseling Recommendations

Thanks for utilizing our services. Based on your Genetic Counseling appointment, here are our recommendations for you. Please go through it and we hope
you follow it and stay healthy. We remain available to you in case of any further queries.
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Dr.Naveen Talwar Surya Babu

Consulting Physician Genetic Counsellor

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