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Question and answer

Where can I find treatment?

You can report to a doctor for microbiome treatment. In our opinion, this is preferably your own doctor. You know this doctor, and that will help you put together the personal mixture. If your own doctor is in doubt, you can ask us to call him / her. If he / she does not want to or is unable to do so, you can search the website for a doctor yourself from the list of doctors who have experience with personal microbiome therapy and who can be contacted.

My doctor does not recommend microbiome therapy ....

There is still little evidence for the effect of probiotics in the form we know of medicines such as antibiotics. A bacterium is not a dead matter like a medicine, but a living organism that reacts depending on its environment – and it differs from person to person. Therefore, the usual drug research in many cases does not work well with microbiome therapy.

Research into individual effects and individual therapies is complicated and not very common yet. Probiotics are also relatively new in the medical field in the Netherlands. In other countries it is much further. Because the Microbiome Center is internationally oriented, we benefit from this worldwide development. For countless bacterial species, it is becoming increasingly known which functions they have and in which – personal – circumstances they can lead to a therapeutic effect.

That is why the Microbiome Center works with tailor-made treatment, so different for each individual. The measurement and proof of whether the personal therapy works also takes place on an individual basis. That is the kind of evidence that is ultimately most relevant to you as an individual. The doctors who apply that principle have joined the Microbiome Center and are able to provide you with a tailor-made examination and treatment.

Is this better than the probiotics I already use?

Each bacterial strain has certain properties with which it can be used in the treatment of health problems. What works differs from person to person because everyone has a unique intestinal flora. Probiotics must therefore match your individual complaint pattern and the individual flora in your intestines. The chance that the bacteria you need now will occur exactly in a standard commercial product is therefore not great.

It is also worth remembering that the term “probiotics” is as broad as “drugs”. If you’ve tried one headache medicine and it doesn’t work, you won’t be likely to say that drugs never work. Another drug may work very well. In the same way, another probiotic can have a different effect.

It is therefore best to estimate with your doctor whether an effect can be achieved in your case. In that case, having a microbiome analysis done is a sensible step, because then you know what your body needs.

What is MiBlend and what does it contain?

MiBlend is the microbiome medication that the pharmacist prepares for you with a prescription from your doctor.

Many bacterial species are processed in MiBlend, and this is always a selection of the types that are most effective, especially in combination with each other . The best varieties are used worldwide. Several of these are not available in shops or online stores in the Netherlands. In addition, MiBlend can also contain other active substances that are usually not or only present in low doses in standard probiotic products. All this is possible through the supervision of a doctor and pharmacist. And we continuously work on improving and expanding the range.

MiBlend thus differs from common products because it is tailor-made for you, because it always contains the world’s best strains, because the dosage is higher than most standard products, and because it is prepared by hand by the pharmacist.

What dosages are used?

Because hundreds of billions of bacteria live in the human body, a probiotic containing millions of bacteria usually does not have much effect. In MiBlend, dosages are therefore used that vary from 25-50 billion per day. It is important that there is a balance between the different types. Your doctor takes this into account. That is one of the reasons why we expect a personalized preparation to become normal in the future.

Can I use an analysis from elsewhere?

If the analysis has been carried out at a qualitatively good laboratory, it is quite possible that it provides sufficient insight for starting a personal treatment. It may also be that insufficient analyzes have been carried out, or that the result is insufficiently useful. It is best to have this assessed by the doctor with whom you start treatment.

How long does a treatment take?

Usually MiBlend is prescribed for 2 months. Most people then experience a long-lasting effect. It helps if this is accompanied by the correct diet and lifestyle, because your food is also the food for your bacteria. Often people notice improvement after 1 or 2 weeks, sometimes that effect starts slower or later. If it is possible to maintain a suitable lifestyle, a repeat prescription is usually not necessary. Be sure to discuss this with your doctor.

What to do if my complaints increase?

If you start using probiotics and / or prebiotics, there may be an increase in your abdominal complaints. That means there are important changes going on in your microbiome. It can be bloating, flatulence and sometimes mild stomach cramps. These complaints usually disappear within a few days.

There is hardly ever cause for concern, because there are hardly any side effects from probiotics. If your additional symptoms do not disappear quickly enough to your liking, please talk to your doctor. It may be advisable to build up the dosage a little more slowly, but there may also be reasons to increase the dosage properly.

Is MiBlend cheaper for a longer period?

MiBlend is magisterially prepared. This means that each recipe is prepared individually and no stock is made. It pays to take a prescription for a longer period of time, because a two-month prescription costs less per day than a one-month prescription.

With a new or subsequent recipe, the production costs are the same as with the first recipe, so is the price of the product.

What are the treatment costs?

The costs depend on your treatment, because it is tailor-made for you as an individual.

To give an impression: on average, the costs of a treatment amount to approximately € 250 for the faecal analysis and € 250 for MiBlend, the individual recipe. If you receive the treatment from your general practitioner or from a specialist to whom your general practitioner has referred you, there are no further consultation costs – but they may be there if you go to a fairly established doctor. You can check this with the doctor in advance.

Are the costs of the Microbiome Center reimbursed?

Usually not at the moment. Sometimes costs are (partially) reimbursed from the additional insurance, but that varies per health insurer and per policy:

– all larger health insurers have one or more additional policies with room for reimbursement of “alternative medicine”
– the total available per year compensation increases with more expensive policies
– Often a registered doctor is mentioned as a requirement
– drugs are in principle excluded.
 
This means that clients who have the correct additional policy and have not used up their reimbursement margin can probably expect reimbursement of the costs for consultation and for faeces analysis ( with the exception of ONVZ), and not for medication costs. The overview per insurer:
 
CZ with “additional 5”: € 250 per year for alternative and / or psychosocial treatments (25 per day) and medicines (100%) together
Silver cross with “additional 2 stars” or higher: a maximum of € 40 per day up to € 250 per calendar year for alternative care such as orthomolecular treatment
Menzis with “extra care 2” or higher: Maximum of € 400 per calendar year (€ 40 per day for treatments, 100% for medicines) for alternative care
VGZ with “Supplementary good” or higher: Alternative care: € 200 per year, maximum € 40 per day
DSW with “AV Compact” or higher: reimbursement for a naturopathic doctor consultation, maximum € 25 per treatment date, maximum € 250 per calendar year
Zorg en Zekerheid with “AV-sure” or higher: reimbursement of treatment by a naturopathic or orthomolecular doctor, maximum per calendar year € 250, – consisting of a maximum of € 25 per day for treatments or 50% reimbursement for medicines
ASR with “Start” or higher: reimbursement of treatment by a doctor, maximum per calendar year € 100 (higher supplement = higher total amount )
ONVZ with “Startfit” or higher: reimbursement of alternative medicine by a doctor, ie consultations and treatments aimed at (the cure of) a condition. No lab costs. Higher supplement = also reimbursement for registered medicines and a higher total amount.
Ditzo, Anderzorg, Hema, Interpolis and Just do not give reimbursement for alternative medicine.
 
NB. This overview gives a global impression; no rights can be derived from it. If you want more certainty, we recommend that you check with the health insurance company.
Can I have a faecal transplant at the Microbiome Center?

Feces transplantatie is een ingrijpende behandeling, die op dit moment in Nederland alleen wordt gedaan in de vorm van onderzoek bij heel ernstige ziektes. Het is nog lang geen standaard therapie. Het Microbiome Center doet geen feces transplantaties, wij zijn daar ook niet voor geëquipeerd. 

Other questions?

If you have any other questions about your treatment that you cannot ask your doctor about, please ask the Microbiome Center using this response form.

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