Nhs fortasip ensures

[Catatedog]

Anyone had nutritional supplements on the NHS?

I
had a private bowel resection after an injury. The dietician has advised fortasip compact protein along with food advice. My appetite is really poor and have lost weight. My GP practice is saying no need to prescribe

wondering if anything else can make myself or ways to argue i need from GP.

Anyone had nutritional supplements on the NHS?

I
had a private bowel resection after an injury. The dietician has advised fortasip compact protein along with food advice. My appetite is really poor and have lost weight. My GP practice is saying no need to prescribe

wondering if anything else can make myself or ways to argue i need from GP.

And a GP isn’t going to bow to the word of a private dietician and certainly not hand out prescriptions on the basis of a private dietician’s say-so

this might help you

https://medicines.necsu.nhs.uk/wp-content/uploads/2014/04/Guidelines-for-prescribing-oral-nutritional-supplements-in-adults.pdf

The OP said she has short bowel syndrome, regardless of weight or BMI her body isn't able to take in essential nutrients.
OP you need to get back to your consultant or get a new private GI consultant, or get onto the NHS waiting lists. This isn't going to be a quick fix, it's outside what a GP is trained for, and you'll be managing it for the rest of your life.
And start taking dioralyte or something similar every day to keep your salts balanced. I wish you all the best.

I don’t know why some people are being so nasty. SBS (and similar conditions) is a nightmare and often needs quite complex management. The fact you’ve been rehospitalised shows it is a very real issue.

Mine were issued via a dietitian in the NHS, not by my GP, but that said, I have had absolutely no issue with crossing over between private care and the NHS. Again I don’t know why people are attacking you for getting some care privately. With the NHS in its current state, people are often forced to do this! It’s also more common if you have a condition not properly provided for by the NHS (if there’s no department taking referrals in your area, for instance). GPs aren’t automatically inclined to reject prescriptions from private care unless it’s something particularly controversial and with no evidence for need. If you need the medication or treatment, often they will happily prescribe.

Have send you a PM

Thanks so much for this.

I think people may well not understand the conditions and are commenting with little knowledge. I am fortunate that my health insurance allowed me to get adequate treatment, as honestly may well have died or had a significant infection before the NHS would have managed my condition.

I am concerned that someone discharged of the responses on the thread would mean that people wouldn’t seek the help they need.

Thanks so much for this. To me multiple things need to happen. Get the immediate support privately. Get onto NHS weighting lists for the ongoing issue.

I have been adding electrolite powder to fluids and limiting fluids as well. Its so easy with the constant symptoms to try to drink to feel hydrated but cause more problems.

@ketchupbroc both food and supliments are surely to meet a persons nutricienal needs.

Do you have any qualifications or experience regarding GI conditions or diet?

Surely a dietician is better qualified then a GP to assess a persons nutricienal needs. Why are you saying that a GP wouldn’t bow to there wishes. What has the dietician got to gain from me being on a supliment or not?

Do you have a BMI in mind where it is appropriate to prescribe these things?

No, I don’t think. It’s more complex than that as has become obvious, but I know you really wanted to know OP’s BMI and actual weight.

@ketchupbrocWhat difference would knowing my actual weight and BMI make?

What is your concern with a private dietican. It is a registered dietician in a hospital that I have seen. I would hope that they would know more about nutrician than a GP practice.

My understanding is that the supliments are to meet a nutricinal need. Obviously adding 300 kal a supliment can have the affect of increasing weight. However, as with food we need to be able to absorb a certain amount, of carbs, fat and protein to function.

In my case despite following food first advice for over a month I continued to loose weight. Anything more than say a yogurt or a boiled egg would lead to a lot of pain and D and or V. There was also evidence that the food I was eating was not being absorbed propperly e.g. oily BM’s.

After over a month of trying this I needed to be readmitted to hospital. My body was basically in a starvation mode as little I was eating was getting absorbed. They gave medications to try to treat the lack of absorbtion and to things like fluids, electrolites and vitamins to treat the deficiencies this caused. I was initially put on a liquid diet with the use of supliments to meet vitamin needs. The diet I can currently tollerate is really not adequate as E.G. can only take in small amounts of well cooked and blended fruits and certain veg. I am also someone who would typically eat holemeal products but now can only manage bits of white carbs.

The guidance you have shared suggests that the request would be in line with prescribing guidelines. There is evidence of malnutrician E.G. significant weight loss and vitamin defficiencies. A section of small bowel has been removed, leading to short bowel syndrome, in which things can’t be properly absorbed, complicated by IBD. While I appreciate that I am overweight now its not healthy for the body to continue to have to rely on fat stores.

Do you have any experience with GI conditions, or diet? I am concerned that you could mean that people are not provided with the help they need, as dietetic services can be hard to access.

Thanks @startengine I am not sure why @ketchupbroc is so focused on my exact weight.

The messages seem to miss the point that if the starting weight is higher a 7% loss is greater than if BMI was lower. I ppreciat that energy needs are higher the more someone weighs but is clearly showing that either my nutrient needs right now are very high or I am just not getting what I need from food.