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• Male patient, 52 years old, three years out from traumatic brain injury after a skiing accident with three prior concussions. How do I treat balance and ringing in the ears as his primary complaint. Wanted to continue to eat gluten, so I ran Cyrex 4 and didn’t come back with anything. His cholesterol is low at 135. LDL is 77, HDL 41. I told him about fat and cholesterol for the brain. Can’t convince him to go Paleo, low carb, or do food elimination like an elimination diet. How do I convince him to get rid of the gluten? He won’t eat any red meat. His thyroid hormones are normal except for low free testosterone, high levels of AST, MCV and creatinine although question dehydration. Micronutrient testing low in B12 shown by no red meat and high MCV, also low folate B2 and B5 even though he’s on a B complex in addition to B12 methyltetrahydrofolate. Plasma levels show low glucose insulin interaction. I asked him to start adding protein to breakfast, having veggies with every meal. He says he’s compliant, but the labs aren’t showing absorption. Am I missing something with fat and B absorption? He’s heterozygous for the FAD1 and 2 SNP. I tried the absorption issue and Perlmutter but he’s not convinced. Please advice on what I’m missing or what I can add as far as treatment.