Jim, a 45-year-old man, is an executive who travels extensively in his work. He recently visited his doctor complaining about upper gastrointestinal (GI) distress. He reports frequent bouts of heartburn in the middle of the night, and he has lost 10 kg during the last year without intentionally dieting. Jim also occasionally experiences heartburn soon after consumption of specific meals and foods. Jim's doctor diagnosed esophageal reflux, and x-ray studies revealed a hiatal hernia.
Jim has received a good deal of advice regarding specific foods and diets from a variety of sources, but he is confused about what he should eat. Jim is coming to you to discuss nutrition therapies.