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    Firstly don't panic, was the substance you used prescription or bought on the internet? I think you should explain your situation to your GP, the side effects you are experiencing are very likely only temporary. Did you combine the substance with anything else?
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    (Original post by BKS)
    I agree, I'm on testosterone for legit medical reasons and my GP (I've had a few) has always had to send my blood results to a specialist because they know **** all. The NHS has been historically **** at PIEDs and in theory things are now better but theory and change actually happening within the NHS are two very different things. Give it 10 years and things will be much better. But for now, even getting a blood test off your GP without interpretation is better than nothing and there are some good folk out there so you might luck out.

    The PIED clinic at my GPs did a submission to NICE (evidence of good practice sharing?) which costs blood tests at £10-30 which I guess could add up.

    I don't think there is a standard on what needle exchanges will offer. There's no detail in official guidance so it's up to the provider. All drug treatment stuff is commissioned an there's a hell of a lot of different providers in the sector. Some are really on it with PIEDs, some are still arguing that PIEDs aren't the responsibility of drug services (though anyone sensible has now accepted whilst it's not a perfect fit, drug services are the most appropriate). The drug budget isn't ring fenced any more so councils can put very different amounts into drug treatment, if things need to be tight then you'll restrict your offer to PIED users before opiate/crack users. Some councils contracts will have specific mention of what they want for PIED users, some have no interest at all, which will impact what providers focus on for keeping their funder happy.

    In OPs case they will probably offer some advice for now with the intention of harm reduction ASAP but will encourage going to a GP. If he refuses to go to his GP they may go further in offering help.
    That's actually some very interesting information regarding different drug services I wasn't aware of.

    What's to stop people from 'hopping' between various drug services to avoid the limits and regulations? I've only ever visited the same one my buddy goes to (on placement, not to pick up jabbers) and figured from the way they were talking it was the standard.

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    (Original post by RollerBall)
    That's actually some very interesting information regarding different drug services I wasn't aware of.

    What's to stop people from 'hopping' between various drug services to avoid the limits and regulations? I've only ever visited the same one my buddy goes to (on placement, not to pick up jabbers) and figured from the way they were talking it was the standard.

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    Well, nothing really if you were to put your mind to it.

    PIED users are different from general drug users, other drug users will go into a different section of the treatment system for anything more than some needles and basic harm reduction. So it's only PIED users accessing any more substantive service via needle exchanges.

    In the treatment or recovery services you have full on case management systems that these days should cover all services, regardless of provider, across the council area. You will be refused anything more than needles and advice if you try to access services out of your council area.

    In needle exchanges you might be recorded in some sense but you won't be put onto a full case management system because people might not access if they don't want to give out that level of information. So you could go round and collect needles from everywhere if you wanted but that'd be weird, the first one will likely give you plenty- secondary distribution is much more common amongst PIED users so they are much more willing to give a **** tonne of needles etc.

    The things like blood monitoring is very specialist, you'll be unlikely to get more than one worker per council area. If it's available in more than one location then it's probably the same person going round them all. If there is more than one person it's a very small team. So the prevention of using several services is more the bloke saw you the other week and knows who you are.

    Out of interest, who is the provider you have experience with? the actual charity or company, not the service name
 
 
 
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