She is just under 100 kg, has asthma and fibromyalgia but is otherwise healthy. She is active in volleyball and swimming. Before the pregnancy she also lifted weights and jogged but has reduced that to walks and strength training without weights. She still swims.
Just measure her hydration level as well as first urine in the morning. you will find severe chronic dehydration and low pH for urine around 4.5
Overweight astma fibromyalgia are all clear signs of severe chronic dehydration.
Read the books from F.Batmanghelidj MD and you will find a lot of answers
She should increase her fiber intake with adequate fluid, adequate plant and animal protein, avoid milk with lactose reduce fat intake, avoid refine sugars.
Foodstuffs are sorted in three groups. First contains foodstuffs that can be eaten without counting: apple, tomato, paprika, couliflower, cabbage, cucumber, etc... She can eat them in bigger amount. Her diet should contain mainly these foodstuffs. Meats, egg may be eaten but in smaller amount. Bread, cakes should be consumed carefully.
Increase your complex carbohydrates I.e., fibre rich foods such as greens, plantain stem, body cholesterol also will be reduced as bile will be interlocked and will not be reabsorbed as it gets entangled in the fibre mesh network. Use unsaturated fats instead of saturated fats. Increase a lot of fluid content, i little bit of adviced exercise such as walking, squating instead of using western toilet, etc., use protein rich foods of high quality, avoid milk substitute with soya milk.
Asthma and Fibromyalgia both point to food intolerance or allergies - usual culprits are milk (which you have stated) and grains - usually gluten containing grains. I would recommend, as Catherene said, to increase her fruit (low glycemic) and veggies to comprise 1/2 of her plate for each meal, 1/4 of it lean protein - preferably /exclusively grass fed, grass finished, and the other 1/4 instead of grains, I would add mb a starchy food, l like potato, yam - equivalent of mb 1/4 cup to 1/2 cup of starch. Cinnamon tea is not contraindicated with pregnancy and she can drink even just 4 ounces prior to meals. Cinnamon has been shown to reduce blood sugar levels and inflammation.
I totally agree with Zia Hernandes re the common underlying imbalances to both presentations and the way of addressing it. Managing the blood sugar level with the diet, cinnamon and fenugreek + chromium and parsley tea (for vanadium) will bring her weight down steadily and allow it to be maintained effortlessly - but embracing this new way of life is paramount. Also, there are many plant sources of calcium in diet (like tahini paste, to mention just one) so this should not constitute a problem.
I agree with Mary Shanu. She should substitute whole grain foods instead of refined foods. Increase beans, vegetables, fruit (low glycemic index), fluid intakes and adequate animal protein. Consume yogurt instead of milk with lactose but she can drink 1/2 cup of milk after breakfast. Drink cinnamon tea for glycemic control and inflammation. Increase frequency of meals and decline amount of each meal. Avoidance of canned and fast food for controlling of weight gain and asthma becouse of high amounts of fat and preservatives.
if she is dairy intolerant she needs to stay away from dairy altogether. Dairy intolerance, in my experience is much more than just the inability to digest lactose, but rather an inability to digest all of the components in milk. There is no reason for her to consume milk at all. Another aspect of inflammation is dehydration. More histamine is produced in the body when it is dehydrated - so increasing her water intake will decrease the amount of inflammation in the body.
Sensible nutritional advice would include consideration of her vitamin D status without delay.
No sugar, energetic food by good lipids (but no sugar). Calcium is in olives too.
I would recommend the following:
1. Dairy which sells lactose free/reduced skim milk and other dairy products; or
2. Recommend other types of milk (i.e.: soymilk, rice milk, etc. ) which have valid nutrient content (calcium, Vit. A & Vit. D, riboflavin, etc.) to milk..
I would analyze her present intake pattern in terms of meal time schedule and meal composition. Gestation is not a time for weight management issues, Nor experimentation of totally new food pattern can be considered at this juncture as she may have pregnancy related nausea/vomiting. If weight of 100kgs is at the beginning of her pregnancy then she must be supported to have an energy intake that is adequate to support appropriate weight gain throughout the pregnancy so as to support growth of her fetus. If the meal composition offers all the nutrients as required through the acceptable food groups the offending foods may be withheld. Modifying milk to buttermilk makes it acceptable or use of cheese etc can be considered
Just give her 1,5L of hydrogen saturated water a day...some very nice results may be expected ....
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