Emergency Medical Information

Critical Information for Medical Professionals

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⚠️ EMERGENCY MEDICAL ⚠️
DEEPANSHU SAHNI
DOB: 10/11/1989 | ID: DS-2025-001
CRITICAL: CYP2D6 ULTRA-RAPID
NEVER GIVE CODEINE - LETHAL RISK
CYP2C19 POOR METABOLIZER
Reduce doses: PPIs, SSRIs, Diazepam
SEVERE OXIDATIVE STRESS
GPX1 + SOD2 Deficiency
Emergency: 999 / 112
Medical Team: 0800-XXX-XXXX
GENETIC & MEDICATION INFO
Contraindicated
Codeine, Tramadol, Hydrocodone
Reduce Dose
Omeprazole, Citalopram
Current Protocol
Methylation support
Allergies
46 food sensitivities
Gene Status Impact
CYP2D6 ULTRA-RAPID Opioid toxicity risk
CYP2C19 POOR Drug accumulation
MTHFR A1298C No folic acid
COMT SLOW Anxiety risk
QR CODE
Full Records

🚨 IMMEDIATE ACTION PROTOCOLS

MEDICATION WARNINGS

  • CYP2D6 Ultra-Rapid: Codeine converts to morphine 5-10x faster - LETHAL OVERDOSE RISK
  • CYP2C19 Poor: Standard drug doses accumulate - always start at 25% standard dose
  • Avoid: All opioids, tramadol, many antidepressants without genetic consultation
  • Safe pain relief: Paracetamol (standard dose), Ibuprofen (standard dose), local anesthetics
  • Anesthesia: Inform anesthetist of ALL genetic variants before any procedure

CARDIOVASCULAR EMERGENCY

  • LDL cholesterol critically elevated: 4.71 mmol/L (target <2.6)
  • 10-year cardiovascular disease risk: >25%
  • If chest pain: Aspirin 325mg chewed immediately + emergency services
  • Genetic oxidative stress increases clotting risk significantly
  • Current protocol includes high-dose antioxidants - do not discontinue

CRISIS MANAGEMENT

  • Anxiety/Panic Attack: Niacin 50mg, L-Theanine 400mg, avoid all stimulants
  • Extreme Fatigue: Check ammonia levels, L-Ornithine 2000mg, reduce protein
  • Food Reaction: DAO enzyme, antihistamines safe, avoid 46 reactive foods
  • Medication Reaction: Assume poor metabolism, provide liver support
  • Methylation Crisis: Stop all B vitamins temporarily, add niacin

📋 CURRENT HEALTH STATUS

ACTIVE CONDITIONS

  • Severe methylation dysfunction (MTHFR A1298C + multiple pathway blocks)
  • Oxidative stress disorder (GPX1 + SOD2 genetic deficiency)
  • Multiple food sensitivities (46 foods with elevated IgG)
  • Neurotransmitter imbalance (COMT + MAOB slow)
  • Phase 1 & 2 detoxification impairment
  • Cardiovascular disease risk (elevated LDL, inflammation)

DAILY CRITICAL SUPPLEMENTS

  • Methylfolate 2000mcg (NOT folic acid - contraindicated)
  • Methylcobalamin B12 10,000mcg sublingual
  • N-Acetyl Cysteine (NAC) 1800mg for glutathione support
  • Selenium 400mcg for GPX1 deficiency
  • Complex antioxidant protocol for oxidative stress
  • Full protocol details in medical records
Full Records Access: www.dr-aira-system.uk/emergency/DS-2025-001
Provider Hotline: 0800-XXX-XXXX (24/7 genetic consultation)
Primary Physician: Dr. AIRA System - Functional Medicine

⚠️ FOR MEDICAL PROFESSIONALS ⚠️

This patient has complex pharmacogenetic variants requiring specialized medication dosing.

Standard protocols may cause severe adverse reactions or therapeutic failure.
Please consult pharmacogenetic guidelines or contact the genetic consultation hotline before prescribing.