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Nutritional advice
Nutritional counseling is a service in which specially trained nutritionists coach patients or customers in nutritional matters. The goal is generally healthier eating habits: for example, to lose weight, minimize the risk of illness or become more productive.
Nutritional
advice always includes specific recommendations for the selection of daily
foods; it is not uncommon for nutritional advice to involve a radical change in
diet.
In
addition to independent nutrition experts, many clinics also offer inpatient or
outpatient nutritional advice as part of nutritional therapy . The
nutritionists in hospitals work closely with the doctors who work there.
For
example, they look after patients with metabolic, cancer and kidney diseases,
children with failure to thrive and people with intolerance, food allergies,
Crohn's disease or ulcerative colitis, lactose or fructose intolerance.
While
nutritionists often look after people who are already ill, nutrition coaches see themselves as more
preventive - for example, looking after athletes who want to improve their
performance and optimize their nutrient supply.
In
contrast to nutritional advice in the event of illness , the health insurance companies often do not cover the costs of nutritional coaching.
The
prerequisite for the health insurance to support nutritional advice financially
is that it takes place with a qualified nutritionist . Approved
are, for example, dieticians, nutritionists and nutritionists with appropriate
additional qualifications.
For whom is nutritional advice
useful?
Some
believe that nutritional advice is only used when people want to lose
weight. However, it can be useful in many different life situations and even aim to gain
weight - for example as part of the therapy of eating disorders or after
serious physical illnesses and operations. When nutritional advice can be
useful:
·
for
weight loss in obesity
·
for
allergies and intolerances ( e.g. celiac disease , lactose intolerance )
·
in irritable bowel syndrome
·
for
chronic inflammatory bowel disease (IBD; e.g. Crohn's disease, ulcerative
colitis)
·
in
metabolic diseases such as diabetes
·
with heart disease
·
with high blood pressure
·
in
thyroid disease
·
in rheumatic diseases
·
with neurodermatitis
·
in osteoporosis
·
for cancer ("oncological nutritional advice")
·
after
operations (for example on the stomach or intestines)
·
with
mental illness (for example with anorexia and bulimia )
·
in sport
(for example with top athletes)
·
during
pregnancy (for example gestational diabetes )
·
with a
vegetarian or vegan diet
Nutritional
advice can take place preventively - for
example when vegans want to prevent a nutrient deficiency - or after problems
have already arisen - for example when an expectant mother develops gestational
diabetes. In the cases of severe or chronic illnesses such as cancer or
rheumatism, nutritional advice is part of the therapy.
The cost of nutritional advice
Depending
on what the reason for the nutritional advice is, the health insurance
companies cover the costs in full or at least in part.
For
example, if someone needs help because the doctor has diagnosed diabetes or
celiac disease, nutritional advice is part of the therapy and
is prescribed by the doctor almost “on prescription” . Cooperation
with a DGE-qualified nutritionist is always a prerequisite for the assumption
of costs.
If you
would like to take advantage of nutritional advice, it is best to ask your
health insurance company beforehand about the assumption of the costs.
Sometimes
the health insurances themselves offer courses and group
counseling, for example on weight loss.
For
self-payers, for example ambitious athletes, the prices vary depending on the
provider and region. Five appointments cost from around 300 euros.
Nutritional advice for children
and adolescents
Sometimes
nutritional advice can be useful for children and adolescents. For
example:
·
Obesity
·
Failure
to thrive
·
congenital
metabolic diseases
·
Celiac
disease
·
Food
allergies
·
Lactose
intolerance
·
inflammatory
bowel disease (Crohn's disease, ulcerative colitis)
·
Kidney
disease
·
Cancers
·
Tube
feeding
Especially
with children, it is important that nutritional advice is
given in cooperation with the pediatrician and reputable counselors .
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