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For solicitors, instructing an expert witness who can define malnutrition precisely, demonstrate alignment with NICE/MHRA guidance, and assess foreseeability of harm, is critical so that reports not only withstand cross-examination but also comply with the expectations of the Clinical Negligence Pre-Action Protocol

This conversation should cover: The medical necessity of both treatments The expected duration of prednisolone therapy (short-term versus long-term) Individual risk factors, particularly regarding diabetes or prediabetes Realistic expectations about weight loss outcomes whilst on corticosteroids Monitoring requirements for blood glucose and other metabolic parameters The decision to use both medications should be individualised , weighing the clinical benefits of each treatment against potential complications