Micronutrition: how does a consultation with a micronutritionist go?

Micronutrition: how does a consultation with a micronutritionist go?

Increasing your magnesium intake in the event of temporary fatigue is already micronutrition. But this discipline goes much further by offering tailor-made protocols, adapted to each patient, in order to prevent or treat many disorders. The point with our experts.

Conventional nutrition mainly considers our intake of macronutrients with energy value (carbohydrates, lipids, proteins). Micronutrition is concerned with… micronutrients. Its toolbox includes vitamins, minerals, trace elements, but also essential fatty acids, amino acids, fibres, polyphenols, probiotics, hormonal precursors… which have no energy value, but a deficiency of which can lead to troubles. Both micro and macronutrients contribute to the proper functioning of our body and our overall health. It is therefore essential to ensure the good contribution of both.

On the same subject

Micronutrition: what is it for?

The fields of application of micronutrition are multiple. It can treat physical or psychological disorders: digestive concerns (transit problems, gastric acidity, food intolerances, etc.), mood instability (irritability, anger, etc.), hormonal issues (menopause, premenstrual … ), problems due to sleep (chronic fatigue, difficulty falling asleep … ), eating behavior (food cravings … ), weight (uncontrolled gain, obesity … ), etc.

“Micronutrition is also interesting for treating disorders linked to long Covid”, specifies dietitian Raphaël Gruman, author of a book on the subject. “Certain micronutrients will help to act on the loss of smell and muscle as well as fatigue, in particular.” The discipline also provides solutions in terms of the fight against premature aging of the body or the prevention of metabolic diseases. Athletes can find ways to optimize their performance and promote recovery.

What are the main micronutrients?

“There are thousands of them!, enthuses Raphaël Gruman. Omega 3s are interesting for treating many problems: memory problems, inflammatory pathologies… Coupled with other micronutrients, they will come to help the body. In case of joint pain, we will combine it with sulfur. If the pain is muscular, I will also prescribe potassium, magnesium and turmeric to reduce inflammation.”

The goal is to create a tailor-made cocktail for the patient. “In September, at the change of season, it would be better to take a micronutrition update to see the levers to be activated in a personalized way, rather than taking a shot of “multivitamins” hoping that something will serve us in this mixture.. .”, advises dietitian Marjorie Crémadès. “Micronutrition is a watchmaker’s job. It adapts to each individual.”

How is it going at the micronutritionist?

Two sessions are usually required. Here is how these consultations with a dietitian specializing in micronutrition take place.

  • First consultation: the anamnesis. The first consultation usually lasts an hour. It begins with an in-depth questionnaire. “I ask the patient about the quality of his digestion, his sleep… I find out about his past or current illnesses, about any hypertension, or even an appetite for sugar, lists Marjorie Crémadès. Overall, on all the elements that could impact his way of life.” The micronutritionist can ask his patient to bring a food diary, kept over several days. “Reading it allows me to point out any deficiencies and to direct the patient towards a food rebalancing, in first intention. During the first session, I also recommend a list of blood tests – not compulsory – to be prescribed by his general practitioner. A part may not be reimbursed. I can also carry out rapid tests at my office, allowing me to have an overall view of the patient’s state of health: a urine pH test, a bicarbonate test to detect hypochlorhydria…” Note that blood tests are not systematic, however. Following this anamnesis, the patient is offered a micronutrition protocol (with or without taking food supplements) to follow over 15 days or a month.
  • Second consultation: the balance sheet. The second consultation takes place in the month following the first meeting with the micronutritionist. It lasts about thirty minutes. “This session makes it possible to study the results of any blood tests prescribed, to question the patient on his feelings following the implementation of the first protocol and to adjust this protocol if necessary, by proposing a supplement if necessary” .
  • The follow-up consultation. It is not systematic, but recommended. “Six months to a year after the assessment, it may be appropriate to carry out a follow-up consultation, indicates Raphaël Gruman. prevention: how to prevent joint problems or AMD when there is a ground in particular, what measures to implement in the long term to limit the premature aging of the body?The protocols put in place then run for six months or a year.”

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