population, on the surface, seem similar to the overall approaches taken when dealing with other low- income populations who are susceptible to obesity-related diseases such as diabetes. Promotion of vegetables, berries, and nuts associated with the client’s tribe should be encouraged.
Meals planned for members of this culture need to be prepared with the knowledge that between 50%
to 100% of the group is, to some degree, lactose intolerant (14). Vitamin D, calcium, and other benefits derived from dairy can be obtained through green leafy vegetables and goat milk, also in keeping with ancestral traditions.