Disease-like Relative Nutritional Deficiency
Definition: A provisional diagnosis is one to which the clinician is not yet committed.
For example, when five of the nine DMS-5 criteria for depression are present, depression as the provisional diagnosis is established.
Definition: A differential diagnosis is a process of differentiating between two or more conditions which share similar signs or symptoms.
The following is and illustrative (not comprehensive) differential diagnosis of depression:
- Depression (Major affective disorder)
- Rule out depression-like anemia symptoms
- Rule out depression-like hypothyroid symptoms
- Rule out depression-like relative nutritional deficiency symptoms™ (inadequate concentrations of serotonin or dopamine)
The differential diagnosis work-up determines the working diagnosis. Figure 1 illustrates some of the disease-like relative nutritional deficiency ™ states which may occur on the differential diagnosis.
Baseline laboratory testing of blood or urine before starting nutrients is not reproducible, therefore is of no value in determining the nutrient starting point or presence of relative nutritional deficiency symptoms. ™ Diagnosing disease-like relative nutritional deficiency symptoms ™ requires an empirical trial of nutrients.
Protocols define the parameters of a valid empirical trial to include seeing the patients weekly. If the patient cannot present in clinic weekly, do not start the empirical trial until the patient can be seen weekly for at least the first four to six weeks.
FIGURE 1: DISEASE-LIKE RELATIVE NUTRITIONAL DEFICIENCY ™ INDUCED STATES POTENTIALLY FOUND IN THE DIFFERENTIAL DIAGNOSIS