I would recommend evaluation by a physician rather than attributing everything to food intolerance alone. A reasonable initial workup includes:
* CBC, ESR/
CRP
* Fasting blood glucose/
HbA1c
*
LFT, KFT, serum
electrolytes
* Serum
calcium, phosphorus, magnesium
* Iron studies/
ferritin,
Vitamin B12, folate,
Vitamin D
*
Thyroid profile (
TSH, FT4)
* Celiac serology (tTG-IgA with total IgA)
* Stool examination ± stool occult blood if indicated
* Abdominal ultrasound (especially if symptoms are triggered by fatty foods)
* Gynecological evaluation if vaginal discharge is abnormal
If limb stiffness, generalized tingling, gait abnormalities, progressive weakness, or cognitive symptoms are significant, a neurological assessment is also warranted.
Next Steps
temporary avoidance of oily/fatty meals that consistently trigger symptoms, adequate hydration, regular physical activity, and correction of any identified nutritional deficiencies. A comprehensive clinical examination is essential because the combination of gastrointestinal, neurological, and systemic symptoms deserves a structured medical workup rather than empirical treatment alone.
* CBC, ESR/
CRP
* Fasting blood glucose/
HbA1c
*
LFT, KFT, serum
electrolytes
* Serum
calcium, phosphorus, magnesium
* Iron studies/
ferritin,
Vitamin B12, folate,
Vitamin D
*
Thyroid profile (
TSH, FT4)
* Celiac serology (tTG-IgA with total IgA)
* Stool examination ± stool occult blood if indicated
* Abdominal ultrasound (especially if symptoms are triggered by fatty foods)
* Gynecological evaluation if vaginal discharge is abnormal