{"id":16064,"date":"2020-08-06T14:42:50","date_gmt":"2020-08-06T13:42:50","guid":{"rendered":"http:\/\/opa.org.uk\/?p=16064"},"modified":"2021-01-22T14:45:07","modified_gmt":"2021-01-22T14:45:07","slug":"nutrition-and-digestive-issues","status":"publish","type":"post","link":"https:\/\/opa-old.voidappsdev.uk\/?p=16064","title":{"rendered":"Nutrition and Digestive Issues"},"content":{"rendered":"<h3>Notes from a talk given by Orla Hynes, Specialist Dietician<\/h3>\n<p>Nutrition is often a problem because:<\/p>\n<ul>\n<li>The anatomical location of the disease can lead to dysphagia [swallowing problems]\/delayed gastricemptying\/vomiting<\/li>\n<li>Decreased appetite, weight loss, metabolic alterations &amp; inflammatory state<\/li>\n<li>Treatments cause additional symptoms which impact on nutrition<\/li>\n<li>Long treatment pathway \u2013 using a combination of chemotherapy, radiotherapy, surgery<\/li>\n<\/ul>\n<p>Nutrition plays a pivotal role across the entire pathway from diagnosis to survivorship:<\/p>\n<ul>\n<li>Helps to preserve performance status [ie fitness for treatment]<\/li>\n<li>Helps to reduce the risk of treatment related toxicities so that you can get full doses of oncological<\/li>\n<li>Treatments<\/li>\n<li>Reduce risk of postoperative complications<\/li>\n<li>Maintain\/preserve quality of life<\/li>\n<\/ul>\n<p>\u2018Survivorship\u2019:<\/p>\n<ul>\n<li>Refers to living with or beyond cancer &#8211; What happens to the patients after they have finished theirtreatment?<\/li>\n<li>January 2010 National Cancer Survivorship Initiative published a vision document \u2013 findings that NHS are not meeting all cancer survivors\u2019 needs following treatment<\/li>\n<li>How should we follow up our patients after surgery?<\/li>\n<\/ul>\n<p>Aim: Quality of Life after Surgery:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-16065 size-full\" src=\"https:\/\/opa-old.voidappsdev.uk\/wp-content\/uploads\/2021\/01\/quality_of_life_after_surgery1.jpg\" alt=\"\" width=\"620\" height=\"200\" srcset=\"https:\/\/opa-old.voidappsdev.uk\/wp-content\/uploads\/2021\/01\/quality_of_life_after_surgery1.jpg 620w, https:\/\/opa-old.voidappsdev.uk\/wp-content\/uploads\/2021\/01\/quality_of_life_after_surgery1-600x194.jpg 600w, https:\/\/opa-old.voidappsdev.uk\/wp-content\/uploads\/2021\/01\/quality_of_life_after_surgery1-300x97.jpg 300w, https:\/\/opa-old.voidappsdev.uk\/wp-content\/uploads\/2021\/01\/quality_of_life_after_surgery1-150x48.jpg 150w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><\/p>\n<p>Post Surgery:<\/p>\n<ul>\n<li>Weight loss can be a problem<\/li>\n<li>Eating and drinking is difficult<\/li>\n<li>Maintaining a good nutritional status is challenging<\/li>\n<li>Dietary assessment is important \u2013 in determining the problems and strategies to help manage these<\/li>\n<li>Symptom management<\/li>\n<\/ul>\n<p>Early Satiety [feeling full] and Reduced Appetite:<\/p>\n<ul>\n<li>Smaller stomach capacity or none<\/li>\n<li>Disruption of gut hormones and innervation [vagotomy]<\/li>\n<li>Need to eat \u2018little &amp; often\u2019 and be a \u2018grazer not a feaster\u2019<\/li>\n<li>\u2018Hard to change the habits of a lifetime\u2019<\/li>\n<li>\u2018Don\u2019t feel hungry\u2019 is a common complaint<\/li>\n<li>Worsened by weight loss and malnutrition<\/li>\n<li>Eating pattern needs to be following a regime, rather than relying on feelings of hunger<\/li>\n<\/ul>\n<p>Problems with Swallowing:<\/p>\n<ul>\n<li>Bread and chunks of meat \u2013 likely to be a problem<\/li>\n<li>Sips of fluid with meals can help<\/li>\n<li>Anastomotic stricture \u2018tightening of the [surgical] join\u2019<\/li>\n<li>Sensation of food sticking<\/li>\n<li>Range of consistency &#8211; Solid foods Soft Diet Pureed Diet\/Liquids<\/li>\n<li>When dietary intake becomes a problem, intervention needs to be considered<\/li>\n<li>Dietary advice to ensure nutritional adequacy<\/li>\n<li>Endoscopy +\/- stretch<\/li>\n<\/ul>\n<p>Acid Reflux:<\/p>\n<ul>\n<li>Common to require antacids<\/li>\n<li>Loss of gastro-oesophageal junction, new position of stomach or \u2018gastric tube\u2019<\/li>\n<li>Watch out for other signs \u2013 cough or hoarse voice in the morning<\/li>\n<li>Important \u2013 can make \u2018tightening of the join\u2019 worse<\/li>\n<li>Dietary advice of limited value as acid reflux is likely &#8211; but avoid obvious problematic foods<\/li>\n<\/ul>\n<p>Bile Reflux:<\/p>\n<ul>\n<li>Burning, bad taste, nausea<\/li>\n<li>Delayed gastric emptying<\/li>\n<li>Responds well to sucralfate suspension<\/li>\n<li>Endoscopy &amp; stretch<\/li>\n<li>Delayed Gastric Emptying: Can present as bad reflux<\/li>\n<li>Appetite in the morning but lessens as the day goes on<\/li>\n<li>Regurgitation\/Vomiting<\/li>\n<\/ul>\n<p>Management:<\/p>\n<ul>\n<li>Prokinetics [medication that stimulates the pylorus, bottom end of the stomach, to empty]<\/li>\n<li>Endoscopy &amp; stretch<\/li>\n<\/ul>\n<p>Taste Changes:<\/p>\n<ul>\n<li>Consequence of treatment<\/li>\n<li>Transient hopefully<\/li>\n<li>Bile reflux<\/li>\n<li>Check Vitamin B12 &amp; Zinc<\/li>\n<\/ul>\n<p>Diarrhoea &amp; Steathorrhea [fatty stools]:<\/p>\n<ul>\n<li>Decreased gut transit, intestinal hurry<\/li>\n<li>Loose stools to be expected after surgery<\/li>\n<li>Improves with time<\/li>\n<li>Loperamide\/Immodium<\/li>\n<li>Pale floating stools, difficult to flush \u2013 caused by fat malabsorption<\/li>\n<li>Very unpleasant, weight loss, malnutrition<\/li>\n<li>PERT \u2013 Pancreatic Enzyme Replacement Therapy<\/li>\n<li>Bile Salt malabsorption\n<ul>\n<li>Diagnosed by SeCAT scan<\/li>\n<li>Cholestyramine\/Colesevelam<\/li>\n<\/ul>\n<\/li>\n<li>Small bowel bacterial overgrowth (SIBO)\n<ul>\n<li>hydrogen breath test<\/li>\n<li>duodenal aspirates<\/li>\n<li>antibiotics<\/li>\n<li>probiotics<\/li>\n<\/ul>\n<\/li>\n<li>Dietary advice \u2013 last resort, fibre, fat, low FODMAPs. Aim to identify and treat cause is priority.<\/li>\n<\/ul>\n<p>Diarrhoea, Bloating &amp; Flatulence:<\/p>\n<ul>\n<li>Low FODMAPs diet\n<ul>\n<li>Fermentable Oligo-saccharides Disaccharides Monosaccharides And Polyols<\/li>\n<\/ul>\n<\/li>\n<li>Last resort\u2026rule out other causes first<\/li>\n<li>Restrictive and complex, exclusion dietfor 8 weeks, slow and strategic reintroduction of foods. Motivation needed!<\/li>\n<li>May besuitable in a small number of patients, but not to be implemented without close supervision of a dietitian. Not to betried when on treatment.<\/li>\n<\/ul>\n<p>Dumping Syndrome:<\/p>\n<ul>\n<li>Early: bloating\/nausea\/fullness\/palpitations\/pain after eating\/flushing\/sweating\/faintness\/ loosestools or diarrhoea may follow<\/li>\n<li>Late: Tiredness\/tremor\/palpitations\/sweating\/giddiness<\/li>\n<li>Complex<\/li>\n<li>Dietary advice may help<\/li>\n<li>However seek advice from dietitian \u2013 avoid unnecessary restrictions<\/li>\n<li>********review other medications************<\/li>\n<li>Immodium\/loperamide<\/li>\n<li>Acarbose\/Octreotide<\/li>\n<\/ul>\n<p>Fatigue:<\/p>\n<ul>\n<li>Treatment, stress, anxiety, low mood\/depression<\/li>\n<li>Anaemia \u2013 reduced capacity tosend oxygen around the body<\/li>\n<li>Causes:\n<ul>\n<li>Chemotherapy<\/li>\n<li>Dietary deficiencies e.g. iron, Vitamin B12, folate<\/li>\n<li>Iron &amp; Vitamin B12 deficiency is common after surgery<\/li>\n<\/ul>\n<\/li>\n<li>Regular check of iron, vitamin B12&amp; folate<\/li>\n<li>Oral iron tablets, IV iron infusion, Vitamin B12 injections<\/li>\n<\/ul>\n<p>\u00a9 The Oesophageal Patients Association<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Notes from a talk given by Orla Hynes, Specialist Dietician&#8230;<\/p>\n","protected":false},"author":4,"featured_media":16042,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-16064","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorised"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Nutrition and Digestive Issues - The OPA<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nutrition and Digestive Issues - The OPA\" \/>\n<meta property=\"og:description\" content=\"Notes from a talk given by Orla Hynes, Specialist Dietician...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/opa-old.voidappsdev.uk\/?p=16064\" \/>\n<meta property=\"og:site_name\" content=\"The OPA\" \/>\n<meta property=\"article:published_time\" content=\"2020-08-06T13:42:50+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-01-22T14:45:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/opa-old.voidappsdev.uk\/wp-content\/uploads\/2021\/01\/dreamstime_l_697568451-1-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1640\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"OPA\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"OPA\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/?p=16064#article\",\"isPartOf\":{\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/?p=16064\"},\"author\":{\"name\":\"OPA\",\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/#\/schema\/person\/60271f69edd5545b63ee48b7c7dfcb9f\"},\"headline\":\"Nutrition and Digestive Issues\",\"datePublished\":\"2020-08-06T13:42:50+00:00\",\"dateModified\":\"2021-01-22T14:45:07+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/?p=16064\"},\"wordCount\":694,\"publisher\":{\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/#organization\"},\"image\":{\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/?p=16064#primaryimage\"},\"thumbnailUrl\":\"https:\/\/opa-old.voidappsdev.uk\/wp-content\/uploads\/2021\/01\/dreamstime_l_697568451-1-scaled.jpg\",\"inLanguage\":\"en-GB\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/?p=16064\",\"url\":\"https:\/\/opa-old.voidappsdev.uk\/?p=16064\",\"name\":\"Nutrition and Digestive Issues - The OPA\",\"isPartOf\":{\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/?p=16064#primaryimage\"},\"image\":{\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/?p=16064#primaryimage\"},\"thumbnailUrl\":\"https:\/\/opa-old.voidappsdev.uk\/wp-content\/uploads\/2021\/01\/dreamstime_l_697568451-1-scaled.jpg\",\"datePublished\":\"2020-08-06T13:42:50+00:00\",\"dateModified\":\"2021-01-22T14:45:07+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/?p=16064#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/opa-old.voidappsdev.uk\/?p=16064\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/?p=16064#primaryimage\",\"url\":\"https:\/\/opa-old.voidappsdev.uk\/wp-content\/uploads\/2021\/01\/dreamstime_l_697568451-1-scaled.jpg\",\"contentUrl\":\"https:\/\/opa-old.voidappsdev.uk\/wp-content\/uploads\/2021\/01\/dreamstime_l_697568451-1-scaled.jpg\",\"width\":2560,\"height\":1640},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/?p=16064#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/opa-old.voidappsdev.uk\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Nutrition and Digestive Issues\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/#website\",\"url\":\"https:\/\/opa-old.voidappsdev.uk\/\",\"name\":\"The OPA\",\"description\":\"Caring for the cancer patient &amp; their family\",\"publisher\":{\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/opa-old.voidappsdev.uk\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/#organization\",\"name\":\"The Oesophageal Patients Association\",\"url\":\"https:\/\/opa-old.voidappsdev.uk\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/opa.org.uk\/wp-content\/uploads\/2020\/12\/opa-logo-2020-site-icon.png\",\"contentUrl\":\"https:\/\/opa.org.uk\/wp-content\/uploads\/2020\/12\/opa-logo-2020-site-icon.png\",\"width\":512,\"height\":512,\"caption\":\"The Oesophageal Patients Association\"},\"image\":{\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/#\/schema\/logo\/image\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/#\/schema\/person\/60271f69edd5545b63ee48b7c7dfcb9f\",\"name\":\"OPA\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\/\/opa-old.voidappsdev.uk\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/73286462370642845c7dd15b380360bce9236d959ae2fc542c68da2e9ceb468f?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/73286462370642845c7dd15b380360bce9236d959ae2fc542c68da2e9ceb468f?s=96&d=mm&r=g\",\"caption\":\"OPA\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Nutrition and Digestive Issues - The OPA","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_GB","og_type":"article","og_title":"Nutrition and Digestive Issues - The OPA","og_description":"Notes from a talk given by Orla Hynes, Specialist Dietician...","og_url":"https:\/\/opa-old.voidappsdev.uk\/?p=16064","og_site_name":"The OPA","article_published_time":"2020-08-06T13:42:50+00:00","article_modified_time":"2021-01-22T14:45:07+00:00","og_image":[{"width":2560,"height":1640,"url":"https:\/\/opa-old.voidappsdev.uk\/wp-content\/uploads\/2021\/01\/dreamstime_l_697568451-1-scaled.jpg","type":"image\/jpeg"}],"author":"OPA","twitter_card":"summary_large_image","twitter_misc":{"Written by":"OPA","Estimated reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/opa-old.voidappsdev.uk\/?p=16064#article","isPartOf":{"@id":"https:\/\/opa-old.voidappsdev.uk\/?p=16064"},"author":{"name":"OPA","@id":"https:\/\/opa-old.voidappsdev.uk\/#\/schema\/person\/60271f69edd5545b63ee48b7c7dfcb9f"},"headline":"Nutrition and Digestive Issues","datePublished":"2020-08-06T13:42:50+00:00","dateModified":"2021-01-22T14:45:07+00:00","mainEntityOfPage":{"@id":"https:\/\/opa-old.voidappsdev.uk\/?p=16064"},"wordCount":694,"publisher":{"@id":"https:\/\/opa-old.voidappsdev.uk\/#organization"},"image":{"@id":"https:\/\/opa-old.voidappsdev.uk\/?p=16064#primaryimage"},"thumbnailUrl":"https:\/\/opa-old.voidappsdev.uk\/wp-content\/uploads\/2021\/01\/dreamstime_l_697568451-1-scaled.jpg","inLanguage":"en-GB"},{"@type":"WebPage","@id":"https:\/\/opa-old.voidappsdev.uk\/?p=16064","url":"https:\/\/opa-old.voidappsdev.uk\/?p=16064","name":"Nutrition and Digestive Issues - The OPA","isPartOf":{"@id":"https:\/\/opa-old.voidappsdev.uk\/#website"},"primaryImageOfPage":{"@id":"https:\/\/opa-old.voidappsdev.uk\/?p=16064#primaryimage"},"image":{"@id":"https:\/\/opa-old.voidappsdev.uk\/?p=16064#primaryimage"},"thumbnailUrl":"https:\/\/opa-old.voidappsdev.uk\/wp-content\/uploads\/2021\/01\/dreamstime_l_697568451-1-scaled.jpg","datePublished":"2020-08-06T13:42:50+00:00","dateModified":"2021-01-22T14:45:07+00:00","breadcrumb":{"@id":"https:\/\/opa-old.voidappsdev.uk\/?p=16064#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/opa-old.voidappsdev.uk\/?p=16064"]}]},{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/opa-old.voidappsdev.uk\/?p=16064#primaryimage","url":"https:\/\/opa-old.voidappsdev.uk\/wp-content\/uploads\/2021\/01\/dreamstime_l_697568451-1-scaled.jpg","contentUrl":"https:\/\/opa-old.voidappsdev.uk\/wp-content\/uploads\/2021\/01\/dreamstime_l_697568451-1-scaled.jpg","width":2560,"height":1640},{"@type":"BreadcrumbList","@id":"https:\/\/opa-old.voidappsdev.uk\/?p=16064#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/opa-old.voidappsdev.uk\/"},{"@type":"ListItem","position":2,"name":"Nutrition and Digestive Issues"}]},{"@type":"WebSite","@id":"https:\/\/opa-old.voidappsdev.uk\/#website","url":"https:\/\/opa-old.voidappsdev.uk\/","name":"The OPA","description":"Caring for the cancer patient &amp; their family","publisher":{"@id":"https:\/\/opa-old.voidappsdev.uk\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/opa-old.voidappsdev.uk\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-GB"},{"@type":"Organization","@id":"https:\/\/opa-old.voidappsdev.uk\/#organization","name":"The Oesophageal Patients Association","url":"https:\/\/opa-old.voidappsdev.uk\/","logo":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/opa-old.voidappsdev.uk\/#\/schema\/logo\/image\/","url":"https:\/\/opa.org.uk\/wp-content\/uploads\/2020\/12\/opa-logo-2020-site-icon.png","contentUrl":"https:\/\/opa.org.uk\/wp-content\/uploads\/2020\/12\/opa-logo-2020-site-icon.png","width":512,"height":512,"caption":"The Oesophageal Patients Association"},"image":{"@id":"https:\/\/opa-old.voidappsdev.uk\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/opa-old.voidappsdev.uk\/#\/schema\/person\/60271f69edd5545b63ee48b7c7dfcb9f","name":"OPA","image":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/opa-old.voidappsdev.uk\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/73286462370642845c7dd15b380360bce9236d959ae2fc542c68da2e9ceb468f?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/73286462370642845c7dd15b380360bce9236d959ae2fc542c68da2e9ceb468f?s=96&d=mm&r=g","caption":"OPA"}}]}},"_links":{"self":[{"href":"https:\/\/opa-old.voidappsdev.uk\/index.php?rest_route=\/wp\/v2\/posts\/16064","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opa-old.voidappsdev.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/opa-old.voidappsdev.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/opa-old.voidappsdev.uk\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/opa-old.voidappsdev.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=16064"}],"version-history":[{"count":1,"href":"https:\/\/opa-old.voidappsdev.uk\/index.php?rest_route=\/wp\/v2\/posts\/16064\/revisions"}],"predecessor-version":[{"id":16066,"href":"https:\/\/opa-old.voidappsdev.uk\/index.php?rest_route=\/wp\/v2\/posts\/16064\/revisions\/16066"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/opa-old.voidappsdev.uk\/index.php?rest_route=\/wp\/v2\/media\/16042"}],"wp:attachment":[{"href":"https:\/\/opa-old.voidappsdev.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16064"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/opa-old.voidappsdev.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=16064"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/opa-old.voidappsdev.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=16064"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}