Plan a diet for a 35-year-old man with duodenal ulcer and calculate its nutritive value.

1. 1 · Aim. To plan, prepare and calculate a diet for Mr. P with duodenal ulcer.
2. 2 · Principles.
   • Liberal, individualised bland diet; H. pylori treated by medicines
   • Avoid alcohol, coffee, colas, chilli, pepper, meat extracts, fried food
   • Milk in normal amounts only (Sippy regimen obsolete)
   • Regular moderate meals; no late-night eating; no smoking
3. 3 · Nutrient prescription. IBW = 63 kg; energy 63 × 30 ≈ 1900 kcal; protein 63 × 1.0 = 63 g; fat 20-25% of energy.
4. 4 · Foods to include and avoid. Include idli, rice, chapati, mild dals, curd, egg, banana, papaya, cooked vegetables; avoid coffee, colas, alcohol, chilli, pepper, pickles, fried snacks.
5. 5 · Sample menu. [Table: Time | Menu | Amount, six regular meals, nothing after 7.30 pm]
6. 6 · Calculation. [Table: food group | amount | energy | protein] Total about 1913 kcal and 62 g protein (101% and 99%).
7. 7 · Result. The diet gives about 1913 kcal and 62 g protein and meets Mr. P's needs.
8. 8 · Preparation tips. Mild seasoning, regular times, eat slowly, light early dinner, buttermilk instead of coffee.

Scoring tip: Mention H. pylori and say why the Sippy regimen was dropped; examiners use these to separate modern answers from outdated ones.