For many NRI Indians living abroad with a busy professional life, health challenges gets often developed silently in the background. Indian people working in countries like Singapore, Australia, Europe, or UAE countries or even countries like Bahrain, Dubai often have long working hours and hence they get limited time for cooking.
They often have irregular work schedule and lacks family support as most of them live alone with their families in India. This is the story of Isha, 35-year-old Indian NRI women living in Singapore. She was diagnosed with a series of problems starting with simple issues like irregular periods, weight gain and low energy to a complex PCOS/PMOS.
But actually it was a start to much deeper metabolic problem which leads to severe insulin resistance, fatty liver, prediabetes, high cholesterol, and delayed ovulation. This is the real case study of how she fought through all these problems with clinical nutritional therapy of NRI dietitian in India – Dt. Foram Modi.
In this article, we will explain how Dt. Foram Modi helped Isha with a structured, Singapore lifestyle specific Indian diet plan for PMOS, Fatty Liver, Cholesterol & Prediabetes control. So, let’s get first started with persona of our patient Isha living in Singapore.
Disclaimers
- This article is intended purely for educational purpose and should not be considered a recommendation, prescription, or promotion of Mounjaro injection in India as a treatment option. Mounjaro injections should only be prescribed by qualified doctors. As Clinical Dietitians and Nutritionists in Mumbai, our objective is to highlight the importance of therapeutic & personalized nutrition therapy for individuals who may already be taking Mounjaro injections as prescribed by their doctors.
- At Makes You Eat by Dt. Foram Modi, we follow strict editorial guidelines to write all our health blogs & content. All content is written & reviewed for medical accuracy by our head nutritionist – Dt. Foram Modi. If you in case notice any information misleading or need a change in any statement, you may request for a correction.
Patient Persona
- Name: Ms. Isha (name changed for privacy)
- Age: 35 Years
- Gender: Female
- Nationality: Indian
- Current Residence: Singapore
- Profession: Full Time Working Professional living alone in Singapore
- Native location: Mumbai, India
The First Online Consultation Call with Dt. Foram Modi (Jan 2026)
This client was already pursuing some advice and diet plan of for weight loss from our online dietitian for Indians living in Singapore since a few months back. However, the particular problems of PMOS, insulin resistance, and fatty liver, cholesterol rise started in late 2025.
So, on 3rd Jan 2026 the first online dietitian consultation call was scheduled and in the call client expressed about managing these new problems with therapeutic diet approach. During this first consultation, Dietitian Foram Modi understood all the new problems and the new goals Isha wish to achieve in the next few months.
Dt. Foram Modi also understood her lifestyle in Singapore as a working professional, living alone and various challenges she is facing currently which is making the symptoms of PMOS, Fatty liver, Prediabetes further difficult.
In the first call itself, Dt. Foram Modi also understood at a high level that described are towards deeper metabolic and hormonal dysfunction, which needs a structured therapeutic diet intervention and not a generic weight loss diet.
Below are various problems she described in the first consultation call.
- Progressive Weight Gain
Despite previous attempts at dieting, her weight continued to increase over time. - Irregular Menstrual Cycles
Delayed and unpredictable periods had become a long-standing concern. - Fatigue and Low Energy
She frequently felt tired, drained, and lacked the energy needed for consistent exercise and meal preparation. - Cravings and Hunger Fluctuations
Managing food cravings was becoming increasingly difficult. - Busy Working Professional Lifestyle
Long work hours and professional responsibilities made it challenging to maintain a structured routine. - Living Alone in Singapore
Cooking, grocery planning, and meal preparation had to be managed independently without family support. - Stress and Lifestyle Fatigue
Work pressure, daily responsibilities, and living abroad contributed to ongoing stress.
Clearly Disturbed Menstrual Cycle of Isha - What we know so far
Even before our dietitian for overseas people, Dt. Foram Modi asks for various blood reports of Isha to know the insulin level and also ask for the ultrasound finding, the menstrual cycle history of Isha itself was telling a powerful story.
Please note, a healthy menstrual cycle in Indian women typically occurs around 24 to 35 days with reasonably predictable timing. However, in case of Isha, the cycle pattern was highly irregular.
Dt. Foram Modi found that there were repeated delays which were extended beyond the normal limit. The biggest gap was of 89 days. This clearly suggested Dt. Foram Modi about chronic ovulation dysfunction. As per the Polycystic ovarian syndrome and insulin resistance: a North Indian study published by Nitin Agrawal & team from Department of biochemistry, Subharti Medical College, Meerut, Uttarpradesh, PCOS is the most common cause of chronic anovulation and highlighted the strong association between PCOS and insulin resistance.
And this was not a one time delayed period, but we found it is a recurring pattern of disrupted hormonal dysfunction. Dt. Foram Modi clearly explained to Isha that these disturbed MCs symptoms are commonly seen in women with PMOS with severe insulin resistance.
Below is screenshot of Isha’s menstrual cycle history taken from a Cycle tracking mobile app.
Timelines of Events in 3 Months of Singapore NRI Diet Plan
Below are actual timelines of various events in this 3 months Therapeutic diet plan for our Singapore NRI client Isha under guidance of online Indian NRI Nutritionist Dt. Foram Modi from Mumbai.
- 3 January 2026 – Online dietitian consultation with Dt. Foram Modi
- 5 January 2026 – Baseline pathology reports reviewed
- 6 January 2026 – Diet Plan 1 started
- 15th Jan 2026 – Diet Plan 2 started
- 1st Feb 2026 – Diet Plan 3 started
- 15th Feb 2026 – Diet Plan 4 started
- 1st March 2026 – Diet Plan 5 started for Mounjaro treatment
- 29th March 2026 – Diet Plan 6 started for Mounjaro treatment
Pathology Tests Results Before Starting the Diet Plan
As a part of every NRI client journey at our nutrition clinic in Mumbai, Makes You Eat by Dt. Foram Modi, we always ask clients to get the latest set of pathology blood reports for PMOS, reports of Gut health tests before a diet can be designed.
So the first set of baseline pathology report were conducted on 5th January 2026 and we asked to perform sonography of abdomen, lipid profile, liver profile and various other parameter tests.
The results of pathology test were disturbing. Dietitian Foram Modi quickly discovered that there is a significant insulin resistance, prediabetes, fatty liver disease, high level of cholesterol with chronic inflammation.
There are also multiple nutrient deficiencies. These baseline values of various body parameters helps our dietitian and nutritionist, Dt. Foram Modi to establish the starting point of the dietary intervention. These tests later become important marker for measuring the impact of therapeutic diet plan after the period of 3 months.
Below are results of the baseline pathology tests conducted before starting the journey of therapeutic diet plan for PMOS, Mounjaro, Fatty Liver & Cholesterol control for Isha.
Blood Sugar & Insulin Markers
- HbA1c: 6.1%
- Fasting Blood Sugar: 117 mg/dL
- Fasting Insulin: 43.8
Initial Inference by Dietitian Dt. Foram Modi –
This was one of the most important findings in the entire case.
The fasting insulin level of 43.8 indicated severe insulin resistance. And it is a primary driver behind weight gain, cravings, delayed ovulation, irregular periods, fatty liver, and future diabetes risk.
Lipid Profile
- Total Cholesterol: 227 mg/dL
- LDL Cholesterol: 142 mg/dL
- Triglycerides: 176 mg/dL
Initial Inference by Dietitian Dt. Foram Modi –
The lipid profile suggested increased cardiometabolic risk and ongoing metabolic dysfunction. Elevated triglycerides are commonly associated with insulin resistance and fatty liver disease.
Inflammatory Markers
- ESR: 29
- CRP: 17
- hsCRP: 15.04
Initial Inference by Dietitian Dt. Foram Modi –
These markers indicated that the body was operating in a chronic inflammatory state. Inflammation often worsens insulin resistance, hormonal dysfunction, fatigue, poor recovery, and weight-loss resistance.
Liver Function Markers
- SGOT (AST): 38
- SGPT (ALT): 65
- GGT: 70
Initial Inference by Dietitian Dt. Foram Modi –
The elevated liver enzymes suggested ongoing liver stress and were consistent with the fatty liver findings seen on ultrasound.
Vitamin & Nutrient Markers
- Vitamin D: 7.7
- Vitamin B12: 199
- Homocysteine: 31.29
Initial Inference by Dietitian Dt. Foram Modi –
The patient had multiple nutritional deficiencies that could negatively affect energy levels, hormonal function, fertility, metabolic health, and recovery.
Ultrasound Findings
Liver:
- Severe Steatotic Liver Disease
- Grade S3 Fatty Liver
- USFF: 25.9%
Ovaries:
- Bilateral features suggestive of PCOS/PMOS
Initial Inference by Dietitian Dt. Foram Modi –
The liver findings confirmed that this was not simply a hormonal condition. Severe fatty liver is often one of the clearest signs of long-standing metabolic dysfunction and insulin resistance. As you can see highlighted in the sonography report above, the impression by doctor is “SEVERE STEATOTIC LIVER DISEASE, PCOD“.
Nutrition Strategy of NRI Dietitian Dt. Foram Modi for Isha
With the pathology lab report findings done on 5th Jan 2026, it was clear that Dt. Foram Modi needs to tackle multiple problems. In fact, it is actually a series of multiple metabolic issues occurring at the same time.
Online NRI Dietitian Foram Modi noted that, she needs to fix severe insulin resistance, obesity, fatty liver, pre-diabetic situation, high cholesterol, gut inflammation, irregular cycle, fatigue, and hormonal dysfunction one by one.
Dt. Foram Modi also conveyed to patient that we should not fix everything at once. Otherwise, it would be overwhelming and even impractical.
And this is where the multi faceted experience of crafting disease reversal, therapeutic diet plans of Dietitian Foram Modi helped.
Dt. Foram Modi understood that the body of Isha needed a phased recovery rather than an aggressive weight loss diet plan. It was also made clear to Isha that the goal of the diet should not be just to reduce calories, but to improve metabolism step by step.
And this is the reason, why we always say the generic diet plans, or AI generated diet plans or any online app which gives you dietary advice and helps with yo-yo dieting doesn’t work for such challenging cases of PMOS, Cholesterol, Insulin resistance, Prediabetes all at once.
Many people think if they follow a ChatGPT or Claude generated diet, then they will be able to do a weight loss and fix other symptoms of unhealthy gut & PMOS.
But no, you need to fix the metabolism by looking at your pathology reports. And you need an experienced clinical nutritionist who understand these reports and help you throughout the diet plan tenure and help you succeed with full accountability.
Dt. Foram Modi therefore prepared a proven, feasible, structured 3 month of Singapore NRI specific therapeutic nutrition plan & roadmap with a total of 6 customized, personalized diet plan with full accountability.
Results after 3 Months of Singapore Specific NRI Diet Plan
After following ~3 months of Singapore specific NRI oriented therapeutic PMOS diet, cholesterol-focused diet, fatty liver diet prepared by NRI nutritionist Dt. Foram Modi, the improvement were clinically seen in the lab reports.
The blood reports are made on 27th March 2026 and lot of improvements were seen in various body parameters.
First of all, patient’s metabolism was started responding positively to Singapore specific Indian anti-inflammatory diet by Dt. Foram Modi. The fatty liver focused dietary changes and cholesterol-related nutrition helped improve the Lipid & liver profile test numbers.
Below we give you exact results of pathology tests conducted after following 3 months of NRI Indian Singapore specific nutrition plan under the guidance of NRI Dietitian & Nutritionist – Dt. Foram Modi.
| Parameter | January 2026 (Before) | March 2026 (After) | Change |
|---|---|---|---|
| Fasting Insulin | 43.8 | 50.94 | ↑ 16.3% (still severely elevated) |
| HbA1c | 6.1% | 6.0% | Slight improvement |
| Total Cholesterol | 227 mg/dL | 148 mg/dL | ↓ 34.8% |
| LDL Cholesterol | 142 mg/dL | 72 mg/dL | ↓ 49.3% |
| Triglycerides | 176 mg/dL | 84 mg/dL | ↓ 52.3% |
| ESR | 29 | 18 | ↓ 37.9% |
| CRP | 17 | 10.10 | ↓ 40.6% |
| hsCRP | 15.04 | 12.32 | ↓ 18.1% |
| SGOT (AST) | 38 U/L | 25 U/L | ↓ 34.2% |
| SGPT (ALT) | 65 U/L | 37 U/L | ↓ 43.1% |
| GGT | 70 U/L | 38 U/L | ↓ 45.7% |
| Vitamin D | 7.7 ng/mL | 33.6 ng/mL | ↑ 336.4% |
| Homocysteine | 31.29 µmol/L | 16.77 µmol/L | ↓ 46.4% |
and below are actual pathology lab test reports of Isha after following 3 months of Singapore specific diet plan for PMOS, Diabetes, Cholesterol & Fatty liver control.
See the above latest pelvic sonography report which clearly states, “Moderate Steatotic Liver Disease“. It was a clear win for us.
The decision towards GLP-1 Therapy - Mounjaro Injection for Weight loss
Despite several positive outcomes of therapeutic 3 months of Singapore focused diet plan guided by NRI nutritionist Dt. Foram Modi, severe insulin resistance remained persistent and weight loss was slower than expected.
As per online dietitian Dt. Foram Modi, this is often seen in women with long standing obesity and metabolic PMOS, where internal healing occurs much faster than visible fat loss.
So, together Gynecologist, Isha, and nutritionist Dt. Foram Modi, it was decided that GLP-1 therapy with Mounjaro (Tirzepatide) injection would be an appropriate next step.
Please note, Mounjaro injection were chosen not as a shortcut for weight loss, but as an additional tool to support insulin resistance & PMOS improvement.
The Mounjaro injection treatment was started towards end of our 3 month diet plan. As per request by client, the last 2 diet plans were customized for Mounjaro treatment.
What did Isha ate during the Mounjaro Diet plan ?
Dt. Foram Modi has developed many number of Singapore friendly dishes that fit into PMOS, diabetes, weight-loss, and metabolic health programs.
The meals were customized around Isha’s work schedule, food preferences, appetite changes, grocery availability in Singapore, and dining-out habits.
Below are actual meal photos of PMOS Diet journey of Isha customized for Mounjaro treatment in Singapore.
Conclusion
For Isha, a Singapore-based Indian working professional, the journey began with irregular periods and weight struggles but revealed a much larger metabolic picture underneath.
Through structured therapeutic nutrition, lifestyle modification, continuous monitoring, and later medically supervised Mounjaro injection support, significant improvements were achieved in liver health, cholesterol, inflammation, nutrient deficiencies, and overall metabolic markers.
Medically Reviewed
Page Written & Medically Reviewed by – Dt. Foram Modi (PGDND, Certified Clinical Nutritionist, Certified Child Nutritionist)
Page Last Updated On – 8th June 2026
Research Paper References
Following research papers were referenced while preparing some content in this article.
- Agarwal, N., Gangopadhyay, S., Koch, N., Gupta, A., Batra, A., & Kabi, B. C. (2017). Polycystic ovarian syndrome and insulin resistance: a North Indian study. International Journal of Research in Medical Sciences, 3(6), 1321–1324. https://doi.org/10.18203/2320-6012.ijrms20150139
Online Indian Dietitian for Singapore NRI - Dt. Foram Modi
Dietitian Foram Modi is a trusted online Indian dietitian for Singapore NRI with an extensive experience of 12+ years in crafting disease reversal, anti-inflammatory, personalized Indian meal plans for Indians families living in Singapore.
Dt. Foram Modi has worked with many Indians who relocated to Singapore and experienced weight gain, irregular eating schedule, stress-related craving, and frequent dining out.
Online Dietitian & Nutritionist Dt. Foram Modi has immense experience working online NRI clients from UAE, Canada, South Africa, Singapore, & Ireland and can work with flexible timezone options. Just like this case of Isha for PMOS, cholesterol, fatty liver, and Monjaro diet plan, Dt. Foram Modi provides online Singapore specific diet plans for Thyroid, Pregnancy, Fertility & also child nutrition.
Dt. Foram Modi creates personalized nutrition plans which fits into local lifestyle, grocery options in Singapore. If in case any required ingredient is not available in local Singapore market, then Dt. Foram Modi suggests alternative options and help make diet plans sustainable with full accountability.
Dt. Foram Modi has a strong understanding of Indian family food habits, regional cuisine, and emotional relation with food. This helps her to bridge the gap between Indian nutrition principles and Singapore living.
Dt. Foram Modi has a library of more than 1000+ healthy Indian dishes customized for various conditions and she makes it easy to prepare in the local ingredients options available in Singapore.
If you are an NRI in Singapore and looking for an experienced online Indian dietitian from India and understand the lifestyle of Singapore people, then look no further than online dietitian & nutritionist Dt. Foram Modi from Mumbai.
Please note, we don’t have any physical office presence in Singapore. We provide dietitian & nutritionist consultation, diet plan preparation services with online mode of operation to people in Singapore from our nutrition clinic physically located in Borivali, Mumbai.
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