Dr. Khuram,
I would run a number of tests. Because of your distance from the U.S. with regards to Great Plains amino acid testing isn’t going to be practical. However, you can run some blood tests locally:
-Thyroid – TSH, Free T3, Free T4
-Total Cholesterol
-Serum Iron and Ferritin
-Comprehensive Blood Panel
-Vitamin D – 25(OH)D
Also, from Great Plains Laboratory which ships tests kits all over the world:
-Organic Acids Test (urine)
-Food IgG (finger prick)
-Hair Analysis
-Copper and Zinc Profile (blood) – need to make sure this can be shipped overseas.
-Phospholipase A2 (urine)
This information will provide a lot of insight into what is going on biologically with this individual.
Dr. Woeller