What is the most appropriate dietary recommendation for a patient with Addison's disease?

For a patient with Addison's disease, a high protein and high sodium diet is the most appropriate recommendation. Addison's disease is characterized by insufficient production of adrenal hormones, particularly cortisol and aldosterone. Aldosterone is responsible for regulating sodium and potassium balance in the body.

Due to the lack of aldosterone, patients with Addison's disease often experience sodium wasting and elevated potassium levels, leading to hyponatremia and hyperkalemia. A higher sodium intake helps to compensate for the loss of sodium through urine and reduces the risk of low sodium levels, which can lead to symptoms such as weakness, fatigue, and potentially adrenal crisis.

Additionally, a high protein diet can support overall health and muscle maintenance, which is important in managing the body’s stress response and maintaining adequate energy levels. Therefore, the dietary recommendation for these patients includes both high protein and high sodium to help address the specific hormonal deficiencies and their physiological effects.