Clinical Nutrition Review Guide
Intervention: Nutrition counseling/diet change, exercise, weight management, 
start early. Goal is .... Supplement with B12 (microbes consume the vitamin); 
Medium chain triglycerides (MCT) ... Objectives: Control DS Symptoms and 
Hypoglycemia; High PRO, mod. .... Begin with trial of life-style modification for 6 to 
12 mo.							

