Complete Report Analysis - Vishakha Akash Bhatiya (29F)

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    ["Haemoglobin", "11.6 g/dL", "12.0-16.0 g/dL", "⚠ LOW - Mild Anaemia", COLORS.lightOrange],
    ["Vitamin D (25-OH)", "9.6 ng/mL", "30-100 ng/mL", "🔴 DEFICIENT - Severe", COLORS.lightRed],
    ["Vitamin B12", "242 pg/mL", "211-911 pg/mL", "✓ Normal (low-normal)", COLORS.lightGreen],
    ["Serum Calcium", "9.84 mg/dL", "8.5-10.5 mg/dL", "✓ Normal", COLORS.lightGreen],
    ["Blood Sugar (RBS)", "80 mg/dL", "80-120 mg/dL", "✓ Normal", COLORS.lightGreen],
    ["HbA1c", "5.4%", "≤5.6%", "✓ Non-Diabetic", COLORS.lightGreen],
    ["TSH (Thyroid)", "1.20 µIU/mL", "0.30-4.50", "✓ Excellent", COLORS.lightGreen],
    ["Serum Cholesterol", "127.3 mg/dL", "<200 mg/dL", "✓ Excellent", COLORS.lightGreen],
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          children: [new TextRun({ text: "Personalized Preconception Nutrition Guide  |  Vishakha Akash Bhatiya", size: 17, color: COLORS.medGreen, font: "Calibri", italics: true })]
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      // ── COVER ──────────────────────────────────────────────────────────────
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      // ── SECTION 1: YOUR HEALTH SNAPSHOT ───────────────────────────────────
      heading1("1. Your Health Snapshot"),
      para("The following table summarizes your key lab results from your full body report dated 22/02/2026. Your nutrition plan is designed specifically to address your deficiencies and support healthy conception."),
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      statusTable(),
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      colorBox("⚠  Two key issues identified: (1) Mild Iron Deficiency Anaemia  (2) Severe Vitamin D Deficiency. Both are addressed in this guide.", COLORS.lightOrange, COLORS.orange),
      colorBox("✓  Excellent findings: Thyroid (TSH 1.20), Blood Sugar (HbA1c 5.4%), Cholesterol all normal. Strong foundation for conception.", COLORS.lightGreen, COLORS.darkGreen),

      divider(),

      // ── SECTION 2: YOUR NUTRIENT TARGETS ──────────────────────────────────
      heading1("2. Your Daily Nutrient Targets"),
      para("Based on your reports and preconception needs, these are your personal daily targets:"),
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      makeTable(
        ["Nutrient", "Your Status", "Daily Target", "Priority"],
        [
          ["Iron", "Low (Hb 11.6)", "27 mg/day (pregnancy) / 18 mg now", "🔴 HIGH"],
          ["Vitamin D", "Severely Deficient (9.6)", "1000-2000 IU/day (maintenance)", "🔴 HIGH"],
          ["Folic Acid", "Being supplemented ✓", "500 mcg/day (already taking)", "✓ MET"],
          ["Calcium", "Normal (9.84)", "1000 mg/day total", "⚠ MODERATE"],
          ["Vitamin B12", "Low-normal (242)", "2.4 mcg/day", "⚠ MONITOR"],
          ["Protein", "Not tested", "60-75 g/day", "⚠ IMPORTANT"],
          ["Omega-3", "Not tested", "200-300 mg DHA/day", "⚠ IMPORTANT"],
          ["Zinc", "Not tested", "8-11 mg/day", "⚠ IMPORTANT"],
        ],
        COLORS.blue
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      divider(),

      // ── SECTION 3: IRON NUTRITION PLAN ────────────────────────────────────
      heading1("3. Iron Nutrition Plan"),
      colorBox("Your Haemoglobin: 11.6 g/dL  |  Target: ≥12.0 g/dL  |  Pattern: Iron Deficiency Anaemia (Mentzer Index 20.51)", COLORS.lightOrange, COLORS.orange),

      heading2("Best Iron-Rich Foods for Indian Diet"),
      heading3("Non-Vegetarian Sources (Heme Iron - absorbs best at 15-35%)"),
      makeTable(
        ["Food", "Serving", "Iron Content", "How to Use"],
        [
          ["Chicken Liver", "50g", "Very High (~6mg)", "Weekly once - curry or stir fry"],
          ["Eggs", "2 eggs daily", "~2mg", "Boiled, omelette, bhurji"],
          ["Chicken", "100g", "~1.5mg", "Grilled, curry"],
          ["Fish (Pomfret/Rohu)", "100g", "~1mg", "2-3 times/week"],
        ],
        COLORS.orange
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      heading3("Vegetarian Sources (Non-Heme Iron - always add lemon to boost absorption)"),
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        ["Food", "Serving", "Iron Content", "Best Way to Use"],
        [
          ["Spinach (Palak)", "1 cup cooked", "~3.6mg", "Sabzi + squeeze lemon on top"],
          ["Methi (Fenugreek)", "1 cup cooked", "~3.7mg", "Thepla, sabzi, paratha"],
          ["Ragi (Nachni)", "1 cup cooked", "~3.3mg", "Roti, porridge, dosa"],
          ["Chana (Chickpeas)", "1 cup cooked", "~4.7mg", "Sabzi, salad, chaat"],
          ["Rajma (Kidney Beans)", "1 cup cooked", "~3.9mg", "Dal, curry"],
          ["Moong Dal", "1 cup cooked", "~2.8mg", "Daily dal"],
          ["Beetroot", "1 medium", "~1.1mg", "Juice, salad, raita"],
          ["Pomegranate", "1 medium", "~0.8mg + Vitamin C", "Daily fruit - dual benefit"],
          ["Dates (Khajur)", "5-6 dates", "~1.0mg", "Snack or with warm milk"],
          ["Jaggery (Gud)", "1 tbsp", "~0.9mg", "Replace sugar in chai/dessert"],
          ["Pumpkin Seeds", "30g handful", "~2.5mg", "Snack, sprinkle on food"],
          ["Sesame Seeds (Til)", "2 tbsp", "~2.6mg", "Chutney, ladoo, add to food"],
          ["Watermelon Seeds", "30g", "~2.1mg", "Roasted snack"],
          ["Lotus Seeds (Makhana)", "30g", "~1.5mg", "Roasted snack"],
        ],
        COLORS.orange
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      heading2("Iron Absorption: Do's and Don'ts", COLORS.red),
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        ["✅ BOOSTS Iron Absorption", "❌ BLOCKS Iron Absorption"],
        [
          ["Lemon juice / orange juice with meals", "Tea or chai within 1 hour of iron tablet"],
          ["Tomatoes and amla (Vitamin C)", "Coffee within 1 hour of iron tablet"],
          ["Take iron tablet on empty stomach", "Milk or dairy with iron tablet"],
          ["Cook in cast iron kadhai", "Calcium tablet at same time as iron"],
          ["Eat Vitamin C fruit after iron-rich meals", "Antacids near iron tablet timing"],
        ],
        COLORS.medGreen
      ),

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      heading2("Iron Tablet Schedule", COLORS.orange),
      colorBox("MORNING (Empty Stomach, 7:00 AM): Take Ferrous Sulphate + Folic Acid tablet with a glass of warm lemon water or orange juice. Wait 30 minutes before breakfast.", COLORS.lightOrange, COLORS.orange),
      colorBox("EVENING (After Dinner, 8:00 PM): Take Calcium + Vitamin D3 tablet. This separation of 12+ hours from iron maximises absorption of both.", COLORS.lightBlue, COLORS.blue),

      divider(),

      // ── SECTION 4: VITAMIN D PLAN ──────────────────────────────────────────
      heading1("4. Vitamin D Recovery Plan"),
      colorBox("Your Vitamin D: 9.6 ng/mL  |  Target: 30-100 ng/mL  |  Status: SEVERELY DEFICIENT  |  Gap: +20 ng/mL needed", COLORS.lightRed, COLORS.red),

      heading2("Three-Step Recovery Strategy"),

      heading3("Step 1 - Get the Right Prescription (This Week)"),
      bullet("Visit your doctor and request: Vitamin D3 60,000 IU sachet once per week for 8-12 weeks"),
      bullet("Brand options available in India: D-Rise, Calcirol, Uprise-D3, Shelcal-D60"),
      bullet("Take sachet dissolved in warm milk or water, with a fatty meal (for best absorption)"),
      bullet("Take on the same day every week - e.g. every Sunday morning"),

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      heading3("Step 2 - Daily Sunlight Exposure (Start Today - Free!)"),
      makeTable(
        ["Factor", "Details"],
        [
          ["Best Time", "10:00 AM to 12:00 PM (UV-B is strongest)"],
          ["Duration", "20-30 minutes daily (or 5 days/week minimum)"],
          ["Skin Exposed", "Arms and legs - sleeveless top + shorts/capri"],
          ["Location", "Open outdoor space - terrace, garden, balcony (NOT through glass window)"],
          ["Sunscreen", "Do NOT apply during this 20-30 min window"],
          ["Cloudy Days", "Still go out - some UV-B penetrates clouds"],
          ["Monsoon (Jul-Sep)", "Cloud cover reduces benefit - rely more on sachet during this period"],
        ],
        COLORS.yellow
      ),

      new Paragraph({ spacing: { before: 120, after: 60 }, children: [new TextRun("")] }),
      heading3("Step 3 - Vitamin D Rich Foods (Supportive)"),
      makeTable(
        ["Food", "Vitamin D per Serving", "Frequency"],
        [
          ["Egg yolk (2 eggs)", "~80 IU", "Daily"],
          ["Salmon/Tuna (100g)", "~300-450 IU", "2-3 times/week"],
          ["Fortified milk (250ml)", "~100-130 IU", "Daily"],
          ["Fortified curd/yogurt", "~80 IU", "Daily"],
          ["Mushrooms (sun-exposed)", "~200 IU", "2-3 times/week"],
          ["Ghee (1 tsp)", "Trace amounts", "Daily cooking"],
        ],
        COLORS.yellow
      ),

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      heading2("Expected Vitamin D Recovery Timeline"),
      makeTable(
        ["Approach", "Rise per Month", "Time to Reach 30 ng/mL"],
        [
          ["250 IU tablet only (current)", "1-2 ng/mL", "10-15 months (too slow)"],
          ["Sunlight 20-30 min daily", "4-6 ng/mL", "3-5 months"],
          ["60,000 IU sachet weekly", "8-10 ng/mL", "2-3 months"],
          ["✅ Sachet + Sunlight (Recommended)", "12-15 ng/mL", "6-8 weeks"],
        ],
        COLORS.medGreen
      ),

      divider(),

      // ── SECTION 5: CALCIUM & BONE HEALTH ──────────────────────────────────
      heading1("5. Calcium & Bone Health"),
      colorBox("Your Serum Calcium: 9.84 mg/dL  ✓ NORMAL  |  Target: 1000 mg/day total from all sources", COLORS.lightGreen, COLORS.darkGreen),

      heading2("Calcium-Rich Foods (Indian Diet)"),
      makeTable(
        ["Food", "Calcium per Serving", "Daily Goal"],
        [
          ["Milk (full fat, 250ml)", "~300 mg", "1-2 glasses"],
          ["Curd/Dahi (150g)", "~200 mg", "1 bowl daily"],
          ["Paneer (50g)", "~200 mg", "3-4 times/week"],
          ["Buttermilk/Chaas (250ml)", "~150 mg", "Daily with meals"],
          ["Ragi flour (100g)", "~344 mg", "Roti or porridge"],
          ["Sesame seeds/Til (2 tbsp)", "~280 mg", "Add to chutneys/ladoo"],
          ["Rajma cooked (1 cup)", "~50 mg", "Weekly"],
          ["Spinach cooked (1 cup)", "~245 mg", "With lemon"],
          ["Almonds (30g)", "~75 mg", "Daily snack"],
          ["Broccoli (1 cup cooked)", "~60 mg", "2-3 times/week"],
        ],
        COLORS.blue
      ),

      new Paragraph({ spacing: { before: 120, after: 60 }, children: [new TextRun("")] }),
      colorBox("Your calcium tablet provides 500 mg. Aim to get the remaining 500 mg from 1 glass milk + 1 bowl curd daily.", COLORS.lightBlue, COLORS.blue),

      divider(),

      // ── SECTION 6: FOLIC ACID & B12 ───────────────────────────────────────
      heading1("6. Folic Acid & Vitamin B12"),

      heading2("Folic Acid - You Are Well Covered ✅"),
      bullet("Currently taking: 500 mcg folic acid daily (Ferrous Sulphate + Folic Acid tablet)"),
      bullet("Recommended dose: 400-500 mcg/day - your dose is PERFECT"),
      bullet("Continue without break throughout trying to conceive and into pregnancy"),
      bullet("Critical for neural tube formation in first 28 days of pregnancy"),

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      heading2("Folate-Rich Foods (Dietary Folic Acid - in addition to your tablet)"),
      makeTable(
        ["Food", "Folate per Serving", "How to Include"],
        [
          ["Spinach (1 cup cooked)", "~263 mcg", "Daily sabzi with lemon"],
          ["Moong dal (1 cup cooked)", "~358 mcg", "Daily dal"],
          ["Chickpeas / Chana (1 cup)", "~282 mcg", "Sabzi or salad"],
          ["Asparagus (6 spears)", "~135 mcg", "Stir fry or soup"],
          ["Beetroot (1 cup)", "~148 mcg", "Juice or salad"],
          ["Edamame/Soyabean (1/2 cup)", "~241 mcg", "Snack or sabzi"],
          ["Sunflower seeds (30g)", "~82 mcg", "Sprinkle on salads"],
          ["Orange (1 medium)", "~40 mcg", "Daily fruit"],
        ],
        COLORS.medGreen
      ),

      new Paragraph({ spacing: { before: 160, after: 80 }, children: [new TextRun("")] }),
      heading2("Vitamin B12 - Low-Normal (242 pg/mL) - Monitor"),
      colorBox("B12: 242 pg/mL (normal range 211-911). Low-normal. Demand increases in pregnancy. Boost dietary intake now.", COLORS.lightYellow, COLORS.yellow),
      makeTable(
        ["Food", "B12 per Serving", "Frequency"],
        [
          ["Eggs (2 whole)", "~1.2 mcg", "Daily"],
          ["Milk (250ml)", "~1.0 mcg", "Daily"],
          ["Curd (150g)", "~0.5 mcg", "Daily"],
          ["Paneer (50g)", "~0.4 mcg", "3-4 times/week"],
          ["Chicken (100g)", "~0.3 mcg", "2-3 times/week"],
          ["Fish (100g)", "~1.5-3 mcg", "2-3 times/week"],
        ],
        COLORS.yellow
      ),

      divider(),

      // ── SECTION 7: PROTEIN & OMEGA-3 ──────────────────────────────────────
      heading1("7. Protein & Omega-3 Fatty Acids"),

      heading2("Protein (Target: 60-75g/day before pregnancy, 75-100g during pregnancy)"),
      para("Protein is essential for egg quality, uterine lining development, and fetal growth."),
      makeTable(
        ["Food", "Protein per Serving", "Daily Inclusion"],
        [
          ["Eggs (2 whole)", "~12g", "Daily"],
          ["Dal (1 cup cooked)", "~9g", "Every meal"],
          ["Paneer (100g)", "~18g", "Daily or alternate"],
          ["Curd/Greek yogurt (150g)", "~8g", "Daily"],
          ["Chicken (100g)", "~27g", "3-4 times/week"],
          ["Fish (100g)", "~20g", "2-3 times/week"],
          ["Rajma/Chana (1 cup)", "~15g", "3-4 times/week"],
          ["Tofu (100g)", "~8g", "Alternate with paneer"],
          ["Milk (250ml)", "~8g", "Daily"],
          ["Nuts - almonds/walnuts (30g)", "~6g", "Daily snack"],
        ],
        COLORS.teal
      ),

      new Paragraph({ spacing: { before: 160, after: 80 }, children: [new TextRun("")] }),
      heading2("Omega-3 Fatty Acids (Important for Egg Quality & Baby's Brain)"),
      makeTable(
        ["Food", "Omega-3 Content", "How to Use"],
        [
          ["Walnuts (4-5 daily)", "~2.5g ALA", "Morning snack or with curd"],
          ["Flaxseeds (1 tbsp ground)", "~1.6g ALA", "Add to roti dough, smoothie"],
          ["Chia seeds (1 tbsp)", "~1.8g ALA", "Soak overnight, add to food"],
          ["Fatty fish - Salmon/Mackerel (100g)", "~1.5-2g EPA/DHA", "2-3 times/week"],
          ["Mustard oil (for cooking)", "Contains ALA", "Use for daily cooking"],
        ],
        COLORS.teal
      ),

      divider(),

      // ── SECTION 8: FOODS TO AVOID ─────────────────────────────────────────
      heading1("8. Foods & Habits to Avoid"),
      makeTable(
        ["What to Avoid", "Why", "What to Do Instead"],
        [
          ["Tea/coffee within 1 hr of iron tablet", "Tannins block iron absorption by 60%", "Take iron with lemon water, have chai 1hr later"],
          ["Milk with iron tablet", "Calcium competes with iron", "Have milk 2 hrs after iron tablet"],
          ["Calcium + Iron tablets together", "Compete for same absorption pathway", "Separate by 2+ hours always"],
          ["Processed/junk food", "Empty calories, no nutrients", "Replace with nuts, fruits, homemade snacks"],
          ["Excess tea/coffee (>2 cups/day)", "Reduces iron and B12 absorption", "Switch to coconut water, herbal tea"],
          ["Alcohol", "Reduces folate absorption, harms egg quality", "Avoid completely while trying to conceive"],
          ["Smoking (active/passive)", "Reduces fertility, harms egg quality", "Avoid completely"],
          ["Excess salt/pickles", "Can affect blood pressure in pregnancy", "Reduce gradually"],
          ["Very high Vitamin A (retinol)", "Toxic to fetus in high doses", "Avoid liver >once/week; avoid retinol supplements"],
          ["Raw/undercooked meat or eggs", "Risk of infection (Toxoplasma, Salmonella)", "Always cook thoroughly"],
          ["High mercury fish (swordfish, shark)", "Mercury harms fetal brain", "Choose low-mercury fish (rohu, pomfret, salmon)"],
        ],
        COLORS.red
      ),

      divider(),

      // ── SECTION 9: SAMPLE MEAL PLAN ───────────────────────────────────────
      heading1("9. Your Sample Daily Meal Plan"),
      colorBox("This meal plan is designed specifically for your deficiencies: High in iron, folate, calcium, Vitamin B12 and Omega-3.", COLORS.lightTeal, COLORS.teal),

      new Paragraph({ spacing: { before: 160, after: 80 }, children: [new TextRun("")] }),
      makeTable(
        ["Time", "What to Eat", "Key Nutrient Provided"],
        [
          ["7:00 AM\n(Wake up)", "Iron + Folic Acid tablet with warm lemon water / orange juice\n(Empty stomach - 30 min before breakfast)", "Iron absorption maximised with Vitamin C"],
          ["7:30 AM\nBreakfast", "Option A: 2 boiled eggs + ragi porridge with jaggery + 1 glass milk\nOption B: Methi thepla (2) + curd + 1 orange\nOption C: Poha with sprouted moong + pomegranate", "Iron, Protein, Folate, B12, Calcium"],
          ["10:00-11:30 AM\nSunlight", "20-30 minutes outdoors with arms & legs exposed\n(terrace/garden, not through glass)", "Vitamin D3 synthesis"],
          ["11:00 AM\nMid-morning snack", "4-5 walnuts + 5-6 almonds + 2-3 dates\nOR: 1 bowl sprouts chaat with lemon", "Iron, Omega-3, Folate, Energy"],
          ["1:00 PM\nLunch", "2 ragi/wheat roti + palak dal OR rajma + curd + salad with lemon + 1 katori sabzi", "Iron, Folate, Calcium, Protein"],
          ["3:30 PM\nAfternoon snack", "1 pomegranate OR 1 glass pomegranate juice\nOR: roasted pumpkin/watermelon seeds (30g)", "Iron + Vitamin C (dual boost)"],
          ["6:00 PM\nEvening", "1 cup green tea OR coconut water + 1 small fruit\n(NOT chai - avoid tannins)", "Hydration, antioxidants"],
          ["8:00 PM\nDinner", "2 wheat roti + paneer bhurji / chicken / fish curry + beetroot salad + 1 glass warm milk before bed", "Protein, B12, Calcium, Iron"],
          ["8:00 PM\n(With dinner)", "Calcium + Vitamin D3 tablet\n(2 hrs+ after iron tablet taken in morning)", "Calcium absorption with food"],
          ["Sunday only", "Vitamin D3 60,000 IU sachet dissolved in warm milk\n(Same day every week, with fatty meal)", "Vitamin D rapid correction"],
        ],
        COLORS.teal
      ),

      divider(),

      // ── SECTION 10: SUPPLEMENT SCHEDULE ───────────────────────────────────
      heading1("10. Your Complete Supplement Schedule"),
      makeTable(
        ["Supplement", "Dose", "When to Take", "Duration", "Status"],
        [
          ["Ferrous Sulphate + Folic Acid", "60mg Iron + 500mcg Folic Acid", "Morning empty stomach with lemon water", "Continue indefinitely (through pregnancy)", "✓ Already taking"],
          ["Calcium + Vitamin D3", "500mg Ca + 250 IU D3", "Evening after dinner (2hr away from iron)", "Continue daily", "⚠ Dose too low - D3 needs increase"],
          ["Vitamin D3 Sachet", "60,000 IU (D-Rise / Calcirol)", "Once weekly (e.g. every Sunday morning)", "8-12 weeks then retest", "🔴 GET PRESCRIPTION NOW"],
          ["Folic Acid", "Already in Iron tablet (500mcg)", "-", "Until end of breastfeeding", "✓ Covered"],
          ["Vitamin B12", "From diet (eggs, milk, fish)", "-", "Monitor; supplement if vegetarian", "⚠ Boost from diet"],
        ],
        COLORS.medGreen
      ),

      divider(),

      // ── SECTION 11: LIFESTYLE ──────────────────────────────────────────────
      heading1("11. Lifestyle Recommendations"),

      heading2("Exercise"),
      bullet("30 minutes moderate exercise 5 days/week - walking, yoga, swimming"),
      bullet("Yoga poses that support fertility: Butterfly pose (Baddha Konasana), Bridge pose, Child's pose"),
      bullet("Avoid extreme high-intensity workouts - can disrupt ovulation"),
      bullet("Your husband: Regular exercise improves sperm quality and count"),

      heading2("Sleep"),
      bullet("7-8 hours quality sleep every night"),
      bullet("Sleep regulates reproductive hormones (LH, FSH, progesterone)"),
      bullet("Poor sleep increases cortisol which can delay ovulation"),

      heading2("Stress Management"),
      bullet("10-15 minutes daily meditation or deep breathing"),
      bullet("High stress raises cortisol which directly suppresses reproductive hormones"),
      bullet("Proven techniques: Pranayama (Anulom Vilom), progressive muscle relaxation, journaling"),
      bullet("Keep trying-to-conceive process positive - avoid obsessing over timing"),

      heading2("Hydration"),
      bullet("8-10 glasses of water daily"),
      bullet("Good hydration supports cervical mucus production - important for sperm transport"),
      bullet("Coconut water is excellent - natural electrolytes + hydration"),

      heading2("For Your Husband"),
      bullet("Zinc 15-25mg daily (from pumpkin seeds, nuts, lean meat)"),
      bullet("Vitamin C 500mg daily (from citrus fruits)"),
      bullet("Avoid hot baths, saunas, tight underwear - heat reduces sperm count"),
      bullet("No smoking or excess alcohol"),
      bullet("Keep phone away from trouser pocket - electromagnetic radiation may affect sperm"),

      divider(),

      // ── SECTION 12: FERTILE WINDOW ────────────────────────────────────────
      heading1("12. Your Fertile Window - June 2026"),
      colorBox("Last Period: June 8, 2026  |  Cycle Length: 26 days  |  Estimated Ovulation: June 20", COLORS.lightGreen, COLORS.darkGreen),

      new Paragraph({ spacing: { before: 120, after: 80 }, children: [new TextRun("")] }),
      makeTable(
        ["Date", "Day of Cycle", "Action"],
        [
          ["June 14-15", "Day 7-8", "Start using OPK (ovulation test strips) from today"],
          ["June 16-17", "Day 9-10", "Begin having sex every 1-2 days - sperm survives 3-5 days"],
          ["June 18-19", "Day 11-12", "🟢 HIGH FERTILITY - Have sex today"],
          ["June 20", "Day 13", "🔴 PEAK OVULATION DAY - Most important day"],
          ["June 21-22", "Day 14-15", "🟢 Still fertile - have sex today"],
          ["June 23+", "Day 16+", "Fertile window likely closed"],
          ["July 8+", "If period doesn't come", "Take pregnancy test"],
        ],
        COLORS.darkGreen
      ),

      new Paragraph({ spacing: { before: 120, after: 80 }, children: [new TextRun("")] }),
      colorBox("Signs of Ovulation to Watch: Egg-white stretchy cervical mucus | Mild one-sided pelvic pain | Positive OPK test | Slight rise in basal body temperature", COLORS.lightTeal, COLORS.teal),

      divider(),

      // ── SECTION 13: WHEN TO SEE DOCTOR ────────────────────────────────────
      heading1("13. When to See Your Doctor"),
      makeTable(
        ["Situation", "Action", "Urgency"],
        [
          ["Get Vitamin D sachet prescription", "Visit GP or gynecologist this week", "🔴 URGENT - This week"],
          ["Retest: CBC, Ferritin, Vitamin D, Urine", "Book lab tests this week", "🔴 URGENT - This week"],
          ["Positive pregnancy test", "See gynecologist within 1 week of positive test", "🔴 URGENT when it happens"],
          ["Discharge with smell/itching/color change", "See doctor immediately", "🔴 Immediate"],
          ["Periods become irregular (<21 or >35 days)", "See gynecologist", "⚠ Within 2 weeks"],
          ["No conception after 9-12 months of trying", "Full fertility evaluation for both partners", "⚠ Planned"],
          ["Routine Vitamin D retest", "After 8-12 weeks of sachet treatment", "⚠ Planned - August 2026"],
        ],
        COLORS.red
      ),

      divider(),

      // ── SECTION 14: QUICK REFERENCE CARD ─────────────────────────────────
      heading1("14. Quick Reference Card"),
      heading2("Daily Checklist"),
      bullet("☐  Iron tablet - morning, empty stomach, with lemon water"),
      bullet("☐  20-30 min sunlight between 10 AM - 12 PM"),
      bullet("☐  1 glass milk OR 1 bowl curd"),
      bullet("☐  Squeeze lemon on dal/sabzi at lunch"),
      bullet("☐  1 handful nuts (walnuts + almonds)"),
      bullet("☐  1 iron-rich fruit (pomegranate / dates)"),
      bullet("☐  Calcium tablet - evening after dinner"),
      bullet("☐  8 glasses water"),
      bullet("☐  NO tea/coffee within 1 hour of iron tablet"),

      new Paragraph({ spacing: { before: 120, after: 80 }, children: [new TextRun("")] }),
      heading2("Weekly Checklist"),
      bullet("☐  Sunday: Vitamin D3 60,000 IU sachet (once per week)"),
      bullet("☐  Eggs at least 5 days this week"),
      bullet("☐  Fish or chicken 2-3 times this week"),
      bullet("☐  Ragi at least 3 times this week"),
      bullet("☐  Leafy greens (palak/methi) at least 4 times this week"),

      divider(),

      new Paragraph({
        alignment: AlignmentType.CENTER,
        spacing: { before: 200, after: 100 },
        shading: { type: ShadingType.CLEAR, color: "auto", fill: COLORS.lightGreen },
        children: [new TextRun({ text: "Wishing you a healthy and successful conception journey!", bold: true, size: 24, color: COLORS.darkGreen, font: "Calibri", italics: true })]
      }),
      new Paragraph({
        alignment: AlignmentType.CENTER,
        spacing: { before: 60, after: 200 },
        children: [new TextRun({ text: "This guide is based on your personal lab report (22/02/2026) and is for informational purposes. Please consult your gynecologist for medical decisions.", size: 16, color: COLORS.gray, font: "Calibri", italics: true })]
      }),

    ]
  }]
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