Medical history

• Conditions: High cholesterol (2023), borderline hypertension
• Family history: Father — heart attack at 61. Mother — type 2 diabetes.
• Current medications: Atorvastatin 20 mg (evening), Metformin 500 mg (morning)
• Supplements: Vitamin D 1000 IU
• Allergies: Penicillin (rash)
• Past surgeries: Appendectomy, 1998

Symptoms

• Reported: Fatigue, afternoon energy crashes, occasional tension headaches, chest tightness under stress
• Onset: Fatigue worsening over ~6 months
• Reported areas: Head (tension), chest (tightness), lower back
• Pain level: 3/10, intermittent

Lifestyle

• Activity: Light. Walks 2×/week, ~20 min. No structured exercise.
• Diet: Skips breakfast, large lunch, late dinner. Takeaway 3-4×/week.
• Sleep: ~6.2 h/night, wakes 2-3× per night, unrefreshed
• Alcohol: 4-6 units/week
• Smoking: Former, quit 2019
• Stress: High — cites work pressure as main driver
• Occupation: Software manager, mostly sedentary

Goals

• Primary: "Have steady energy through the day"
• Secondary: "Lower my cholesterol without more medication if possible"
• Readiness to change: High — "ready to commit if I know what to do"
• Preferences: Prefers evening routines, minimal supplement load