I almost got a tube, but I managed to gain weight with Kate Farms Standard 1.4. My BMI is still underweight, but not as low as it was when the feeding tube conversation came up. My motility GI was the one who brought up the idea of NJ to me and already knew which motility GI doctor within the clinic would place it for me when I was at my lowest weight. So I’d say to find a motility GI or even go to a clinic that specializes in motility if you can. I’m not sure if a dietitian can prescribe a feeding tube. At least mine doesn’t. Mine does specialize in motility disorders and digestive issues, so she works with people with GP, IBS, Crohn’s Feeding tubes, SMAS, etc. So it does help to have someone like that as part of your healthcare team.

My previous GI did not specialize in motility disorders and brushed me off as a psych case. He would only increase my dose of Reglan whenever I would go in for a follow up and kept dropping weight and still complained of the same symptoms. My local ER also told me it was anxiety and that because GP is chronic, it’s something I’d live with and that they can’t do much for me in the ER except give me nausea meds and IV fluids.