Ellen is 66 years old and has been diagnosed as having hypertension, hypercholesterolemia, and type 2 diabetes. She has been referred by her physician for nutritional counselling, with a specific request from the referring physician that you evaluate any herbal preparations she is taking. At the initial consult, Ellen tells you she is taking the following dietary supplements: garlic pills, ginseng, ginkgo, and St. John’s wort, along with the following medications: warfarin, a tricyclic antidepressant, and blood pressure-lowering medication. Nutrition diagnostic statement Bioactive substance intake related to diary intake of multiple supplements, as evidenced by the intake of supplements that conflict with medications (Warfarin, garlic, St. John’s wort). Nutrition care questions 1. What recommendations would make about Ellen’s diet? 2. What additional questions would you ask regarding Ellen’s supplements? 3. List potential adverse interactions between the botanicals and the prescriptions drugs. 4. How would counsel Ellen?