As always our Healthy Thai Recipes are as healthy as we can make them. Your situation is fact dependent and if you have concerns you should check it out with a doctor. Please let us know if you have suggestions for improvement and customization to your heart's content. Nutrition facts were calculated by a computer program and only estimates based on all the ingredients included. Omitting the pickle juice and substituting the low sodium soy sauce for the fish sauce will alter this and make it more Americanized if you wish. You can delete away ingredients and see values change as needed.