Maximised Nutrition

Maximised Nutrition I am Prem Nand (Integrative Clinical Dietitian - Nutritionist) aka Nerdy Clinician

Autoimmune Clustering.Did you know that having one autoimmune disease can increase the likelihood of developing another?...
02/06/2026

Autoimmune Clustering.
Did you know that having one autoimmune disease can increase the likelihood of developing another?

Primary Biliary Cholangitis (PBC) is an autoimmune liver disease that commonly occurs alongside other autoimmune conditions such as Hashimoto’s thyroiditis, Sjögren’s syndrome, and celiac disease.

In my latest blog, I share a real-world case study showing how severe fatigue, brain fog, and constipation were initially attributed to liver disease, but further testing revealed hidden autoimmune thyroid disease.

If you have PBC and continue to struggle with fatigue or “normal” thyroid tests, it may be worth looking deeper.

Read more at https://maximisednutrition.com/auto-immune-clustering-in-primary-biliary-cholangitis/

Primary biliary cholangitis often occurs alongside other autoimmune diseases. Learn how one hidden case of Hashimoto’s thyroiditis was uncovered in a patient with severe fatigue and normal thyroid hormones.

28/05/2026
26/05/2026

Insulin resistance & missed Periods.

Most people think insulin resistance is only about diabetes or weight gain.

But insulin resistance may also affect:
• hormones
• ovulation
• menstrual cycles
• fertility
• cravings
• energy levels
• brain fog
• inflammation

Some women may experience:
🔹 missed periods
🔹 irregular cycles
🔹 fatigue after meals
🔹 strong carbohydrate cravings
🔹 difficulty losing weight

— even when their blood sugar tests appear “normal.”

The body’s metabolic system and reproductive hormones are deeply connected.

Sometimes missed periods are not “just hormones” alone — metabolism, insulin signalling, stress, sleep, and nutrition may all play a role.

Still struggling with bloating, gas, diarrhea or constipation after gastric bypass surgery?These symptoms are not always...
20/05/2026

Still struggling with bloating, gas, diarrhea or constipation after gastric bypass surgery?

These symptoms are not always “just part of the surgery.” Conditions such as SIBO (Small Intestinal Bacterial Overgrowth), Intestinal Methanogen Overgrowth (IMO), malabsorption and nutrient deficiencies may be contributing.

A comprehensive assessment, including Hydrogen Methane Breath Testing, may help uncover the root cause and guide a more targeted treatment plan.

You don’t have to live with digestive discomfort.

https://maximisednutrition.com/digestive-problems-after-roux-en-y-gastric-bypass/

All-Natural Homemade Fertilizer: Using Eggshells, Banana Peels, Horse Manure, Comfrey Leaves:
03/12/2025

All-Natural Homemade Fertilizer: Using Eggshells, Banana Peels, Horse Manure, Comfrey Leaves:

26/11/2025

I learnt a new garden hack from my neighbor- using comfrey laves as a dynamic accumulator to compost.

The food we eat is more than just for energy.  Nutrients in food are essential to hormones, metabolism, cellular, activi...
21/11/2025

The food we eat is more than just for energy. Nutrients in food are essential to hormones, metabolism, cellular, activities, immunity etc.

Here is an example of how zinc works in our body. In NZ, I understand that most soil is low in zinc. thus it is very likely foods that are supposed to be high in zinc may not be. Instead of taking a supplement, consider getting a blood test done for zinc. It will need to be paid for privately (you can order online through my website) and it is good to get plasma zinc to plasma copper done (they work against each other.

15/11/2025

My friends know I love composting. Lovely to come home to full garden bags of potential mulch material.

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Whangarei
0110

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