Mrs. S is a 76-year-old woman of Mexican descent. She lives alone with her pet poodle Pepe. She has a BMI of 35 and reports that she suffers from hypertension, and heart disease. Mrs. S eats two meals a day (breakfast and late lunch around 2:00 pm). She does not take any dietary supplements like vitamins, minerals, or herbs. Mrs. S also mentions that she does not participate in any physical activity. In her Food Frequency responses, she notes the following: Breakfast: Mexican sweet bread with butter and coffee. Lunch: flour tortillas with refried beans, shredded pork or beef, and shredded cheese. Her evening snacks consist of chips, salsa, cookies, and Pepsi cola.
1. Based on the information in the case study, what dietary changes would you recommend to alleviate Mrs. Sā€™s health risks you identify. Be specific. In addition to dietary changes, what other lifestyle measures would you recommend? Explain the reasoning for all of your recommendations.

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