Mealtimes were frustrating for Akecheta’s mother. Her four-year-old son often refused to drink his milk and begged for juice instead. He complained “that his stomach hurt” and would cry until his mother gave in to his requests. She was becoming extremely frustrated and finally decided to take him to the local health clinic for advice. After several visits and tests, the physician assistant determined that Akecheta was lactose intolerant and allergic to citrus fruits. Even small amounts of milk or cheese seemed to upset his stomach and orange juice caused him to break out in hives. What nutrients will Akecheta lack if these food groups are eliminated from his diet? Calcium and iron Would you expect symptoms of a deficiency to appear immediately or long terms? Suggest several foods that have the same nutrient-strength and could be served in place of citrus fruits and dairy products? Should akecheta be given nutrient supplements to offset potential deficiencies? Why or why not?
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