Procedure of a nutrition consultation

The first appointment is intended to get to know each other in order to create a framework of trust. We talk about your goals, your dreams, your fears and we will analyze your eating habits and lifestyle. What is important to you? Which rituals are important to you and fill you with joy? What are your strengths, your weaknesses? What do you want to change? Together we will set goals and find tricks to achieve them.

The second appointment is dedicated to explaining personal dietary advice and the dietary plan. Together we will see how we can achieve the objectives set. We remain in close contact and this will help you in the implementation.

Every 4-6 weeks (as required) we meet for follow-up appointments. Together we clarify what was easy to achieve, what was more complicated and we will define the next steps.

Each appointment which is not cancelled at least 48 hours (working days) in advance will be charged.

• D01 : High blood pressure
• D02 : Chronic renal failure with creatinine clearance < 30ml/min
• D03 : Chronic inflammatory bowel disease (IBD: Crohn's disease and hemorrhagic rectocolitis)
• D04 : Coeliac disease
• D05 : Proven food intolerance to lactose
• D06 : Proven food intolerance to fructose
• D07 : Cystic fibrosis
• D09 : Adult obesity with a BMI > 30 in combination with at least one of the following criteria:
  • Diabetes mellitus with HbA1c > 7%;
  • treatment-resistant hypertension, defined as blood pressure above 140/90 mmHg, despite one year of treatment with three simultaneously taken antihypertensive drugs;
  • Sleep apnea syndrome was detected by a polysomnographic examination that was performed in a hospital with a sleep laboratory;
  • android morphological type (waist circumference over 88 cm in women and over 102 cm in men);
  • cardiological history (coronary heart disease / documented cardiomyopathy).
• D10 : Obesity in children and adolescents: to be determined according to the BMI distribution curves by age and sex
• D11 : Type I diabetes
• D12 : Type II diabetes
• D13 : Prediabetes (blood sugar of 106 mg/dl)
• D14: Management of severe undernutrition and/or sarcopenia (children, adolescents and adults):For children and adolescents, one of the following criteria:- BMI ≤ IOTF-17 threshold;- Weight loss >10% in 1 month or >15% in 6 months compared with the usual weight before the onset of the disease;- Weight stagnation resulting in a weight at least 3 lanes below the usual weight.For adults, one of the following criteria:- BMI ≤ 17 kg/m2 ;- Weight loss ≥ 10% in 1 month or ≥ 15% in 6 months or ≥ 15% compared with the usual weight before the onset of the disease ;- Measurement of albumin levels by immunonephelometry or immunoturbidimetry ≤ 30g/L.
• D15: Eating disorders: management of anorexia nervosa only in one of the following two situations:1. Either the following criteria must be met cumulatively:- Age of the protected person: between 13 and 19 years inclusive;- Multidisciplinary follow-up of more than 3 months by a general practitioner or paediatrician and by a psychiatrist or child psychiatrist or neuropsychiatrist;- Anthropometric criteria: Weight < 85% of ideal body weight or BMI ≤ 17.5 kg/m2.2. Or after hospitalisation as part of treatment for the consequences of anorexia nervosa with an associated diagnosis, the following criteria must be cumulatively met:- Age of the protected person: between 13 and 19 years inclusive;- Anthropometric criteria: Weight < 85% of ideal body weight or BMI ≤ 17.5 kg/m2.