Plenya

Clinical Cases

Clinical cases: Plenya patient journeys.

Real, anonymized cases, with written consent. They show — in finding, plan, and evolution — what differentiates long-form listening from a rushed visit, and why measuring again matters as much as measuring once.

Case 01 · Clinical Optimization

Woman, 52 — "I'm tired and no one finds anything."

Lab panel within "normal" range, but several markers far from functional optimal. What looked like age was low storage compounded by fragmented sleep.

Woman · 52 · self-employed professional

6 months · Continuum Annual

Context

She came to Plenya after two annual checkups that returned "all normal." Main complaint: persistent fatigue, drop in libido, slow bowel, and the sense that "my mind doesn't respond the same way."

Findings

  • —Ferritin 28 ng/mL (reference > 15, functional optimum > 70)
  • —TSH 3.8 µIU/mL (reference < 4.5, optimum < 2.5)
  • —Vitamin D 24 ng/mL (reference > 20, optimum 40–60)
  • —Fragmented sleep documented by wearable — 3 awakenings/night

Plan

  • —Iron repletion with the nutritionist, adjusted by absorption
  • —Vitamin D supplementation at a weight-calculated dose
  • —Sleep hygiene led by the psychologist + review of the night window
  • —Lab re-evaluation at 12 weeks

Evolution

  • →Ferritin 78 ng/mL in 4 months
  • →Vitamin D 52 ng/mL over the same period
  • →Nighttime awakenings: < 1/night
  • →Quarterly re-evaluation of the Plenya Score, with review of the Activity and Sleep pillars

Case 02 · Activity · Alimentation

Man, 45 — pre-diabetes, no symptoms.

HbA1c at 6.3 detected in a routine checkup. No complaint, no weight to lose in the mirror. The combination of dietary change, strength training and treatment of sleep apnea brought the markers back into the normal range — without oral medication.

Man · 45 · executive

9 months · Continuum Annual

Context

He brought a corporate exam with HbA1c 6.3% and fasting glucose 108 mg/dL. BMI 26.5. Trained 2x/week, "reasonable" diet. Type-2 diabetic father.

Findings

  • —HbA1c 6.3% (pre-diabetes; reference < 5.7)
  • —Fasting glucose 108 mg/dL
  • —Triglycerides 188 mg/dL · HDL 38 mg/dL
  • —Composition: 28% body fat
  • —Sleep: 5h30 on average, with mild apnea on polysomnography

Plan

  • —Dietary reorganization with the nutritionist (glycemic load + protein)
  • —Strength training 3x/week with the exercise physiologist
  • —CPAP indicated and titrated
  • —No oral medication — shared decision with the patient

Evolution

  • →HbA1c 5.4% in 6 months
  • →Triglycerides 92 mg/dL · HDL 47 mg/dL
  • →Composition: 22% body fat
  • →Quarterly re-evaluation of the Plenya Score, with structured adjustment of the metabolic plan

Case 03 · Tending Mind, Body & Bonds

Woman, 38 — burnout no one named.

Extreme exhaustion attributed to "stress." Integrated reading showed a hormonal profile typical of chronic allostatic load.

Woman · 38 · technology leader

7 months · Continuum Six-Month renewed

Context

She arrived after eight months without a full vacation, irregular eating, episodes of nighttime palpitations, and the sense that "everything was too much." Prior diagnosis of anxiety treated with escitalopram.

Findings

  • —High morning cortisol, loss of circadian rhythm
  • —DHEA-S in the low range for her age
  • —Serum magnesium 1.7 mg/dL (lower limit)
  • —Sleep: latency > 40 min, frequent micro-awakenings

Plan

  • —Integrated plan: psychologist (CBT) + physician
  • —Rhythm reorganization (morning light, earlier dinner, screen cutoff at 10 pm)
  • —Targeted repletion — magnesium glycinate + dietary adjustment
  • —Re-evaluation of escitalopram together with the patient's reference psychiatrist

Evolution

  • →Morning cortisol normalized at 4 months
  • →Sleep latency < 15 min
  • →Resumed regular exercise (2x/week → 4x/week)
  • →Quarterly re-evaluation of the Plenya Score, with review of the Integration and Sleep pillars

Transparency Note

All cases published on this page are real, anonymized, and disclosed after written patient consent, in compliance with Brazil's LGPD law and the Code of Medical Ethics. Lab findings were preserved in clinical fidelity; identifying elements (profession, city, exact age, family context) may have been altered to protect privacy. The cases shown are educational case vignettes — they do not constitute a promise of outcome. Each patient is evaluated individually in consultation, and individual results vary.

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