My 59 year old mother is under treatment for hypothyroidism, hypertension, and osteoarthritis of knee joints along with a mild iron deficiency anemia. With the help of medications, TSH (3.15), BP (120/72) and FBS (89) are currently stable, although she used to get symptoms like reeling of the head a few times (once after breakfast another after lunch), which as per our family doctor, is due to low BP. She also faces gastritis and some amount of constipation from time to time, although a physical examination does not indicate anything worrisome. She had lost weight, nearly 11 lbs in the past eight months, which is not explained by any of the clinical findings. I request your help to identify if she follows the right schedule in terms of daily food habits and also if she should include any particular type of food to fight against the current medical conditions. Below mentioned is her daily routine and food habit summary, which I request you to kindly review and share your feedback, as required.
She wakes up at 5.30 AM and takes Eltroxin 50 mcg on an empty stomach. She takes regular tea with biscuits at 7.30 AM while doing the regular exercise for knee joints, and then does her household work such as cooking, etc. She then takes her BP medicine (Olmezest 20 mg) at 9.30 AM. Her household work gets completed around 11 AM, after which she takes breakfast. This mostly consists of brown bread (four pieces) or sooji or noodles or fruits (mostly apple, guava and sweet orange). Every alternate day, she takes four pieces of dates as well. After breakfast, she takes Gemcal D3. She takes lunch at 3 PM, which mostly consists of white rice, dal or vegetable and fish. She had stopped curd for colitis since the past six months as advised by her doctor. After lunch, she takes the multivitamin Cobadex CZS. In the evening, she takes normal tea with a biscuit around 7.30 PM and then does her regular exercise for knee joints. She then takes dinner at 11 PM, which mostly consists of whole wheat roti (three pieces), vegetable or paneer and mostly no fish at night. There is no other medication after dinner.