PRE-WORKOUT NUTRITION:
Timing: 2–4 hours before training
Carbohydrates: primary fuel for high-intensity exercise (glycogen)
Moderate protein: 20–30g to begin muscle protein synthesis
Low fat and fibre: reduce GI discomfort during exercise
Example: rice + dal + curd (2–3hr before)
OR banana + peanut butter (30–60min before)
DURING EXERCISE:
Under 60 min: water sufficient
Over 60 min: 30–60g carbohydrate/hour (sports drink, banana, dates)
Electrolytes: sodium + potassium for sessions >90 min (ORS or sports drink)
POST-WORKOUT NUTRITION (CRITICAL — 30–45 min window):
Protein: 20–40g to maximise muscle protein synthesis
Carbohydrates: replenish glycogen (ratio 3:1 carb:protein for endurance)
Example: eggs + bread OR chicken rice OR milk + banana
WEIGHT MANAGEMENT:
Calorie deficit for fat loss: 300–500 kcal/day below TDEE
TDEE = BMR × Activity Factor
Sedentary: × 1.2 | Light active: × 1.375 | Moderate: × 1.55 | Very active: × 1.725
Protein high on cut: 1.6–2.2g/kg to preserve muscle mass
Avoid crash diets (<1200 kcal women, <1500 men) — muscle loss + metabolic adaptation
SUPPLEMENT EVIDENCE:
Strong evidence: creatine monohydrate (strength/power) | caffeine (endurance/power)
protein powder (convenience, not magic) | vitamin D (deficiency)
Moderate evidence: beta-alanine (buffering) | omega-3 (inflammation)
Weak/no evidence: most fat burners | BCAAs if adequate protein eaten
DIABETES NUTRITION:
Low glycaemic index foods: oats, barley, legumes, most vegetables
Portion control > food elimination
Distribute carbs across 3 meals + 2 snacks
Increase fibre: 25–38g/day
Avoid: sugary drinks, refined grains, processed snacks
HYPERTENSION — DASH DIET:
Dietary Approaches to Stop Hypertension
Reduce sodium: <2,300mg/day (ideally <1,500mg)
Increase: potassium (banana, potato), calcium, magnesium
Emphasise: fruits, vegetables, whole grains, low-fat dairy
RENAL NUTRITION:
CKD: restrict protein (0.6–0.8g/kg), potassium, phosphorus, sodium
Avoid high-K foods: banana, orange, potato in advanced CKD
Fluid restriction if oedema or oliguria
ANAEMIA NUTRITION:
Iron deficiency (most common): increase haem iron (meat, fish)
+ non-haem iron (spinach, legumes) with vitamin C
B12 deficiency: supplement + animal products
Folate deficiency: leafy greens, legumes, fortified foods
PRE-WORKOUT: 2-4hr before | carbs + moderate protein | low fat/fibre
POST-WORKOUT: within 30-45min | 20-40g protein + carbs (3:1 for endurance)
WEIGHT LOSS: 300-500 kcal deficit | high protein (1.6-2.2g/kg) | avoid crash diet
CREATINE + CAFFEINE: strongest evidence base of all sports supplements
DASH DIET: hypertension | low sodium + high potassium/calcium/magnesium
DIABETES: low GI + portion control + high fibre + distribute carbs