Presentation: weight loss, restrictive nutrition, disordered eating, secondary amenorrhoea, change in mood, persistent injury lower limb so off dance
Investigations: bloods and ultrasound pelvis excluded medical causes of amenorrhoea, hence confirmation of diagnosis of RED-S. DXA scan demonstrated lumbar spine Z score less than -1
Management: discussion of RED-S with dancer and parents. Integrated input from parents and sports performance nutritionist to support recovery. Strategies put in place to build nutritional intake and training, with the agreed objective that the dancer be healthy, strong and resilient enough to attend a planned summer school.