Far beyond aesthetics, having more muscle and less fat, within normal physiology, has enormous health benefits. In the present, you will be stronger, more resilient, able to enjoy everyday activities, exercise and sport. Your cardiovascular and immune health will be improved. Yes, you will look better too, and that may help you feel better, with more confidence, but that is only one benefit.

In the future, you will be reducing your risk of diabetes, cognitive decline, some dementias, some cancers, and the mundane but deadly killer of slips, trips and falls that result in broken bones, time in hospital, and decline.

Gaining muscle and losing fat at the same time is a phenomenon only typically experienced by people very new to resistance training, recovering from time off training OR using performance enhancing drugs.

For consistent, natural trainers, it becomes more effective and efficient, even necessary, to periodise your approach, switching between periods of focus upon gaining muscle and others of losing fat. It can be tempting to think you can do both, but the outcome is almost always one which limits or stops your muscle gains or fat loss, or both.

Within your onboarding call we will confirm together whether this programme is right for you. If it is, then we will proceed with your full onboarding. If it is not I will point you toward alternatives where possible.

Either way, I do not expect or want you to commit until you are confident, so we use this call to ensure that you have that before moving on.

There is no charge for this call. The programme fee will only apply following confirmation.

The GLP-1 and GIP agonist medications are definitely shown to be effective at enabling weight-loss whilst a person is taking the medication.

However, if not accompanied by an appropriate exercise programme much of the weight lost will be muscle. If not accompanied by dietary quality improvement, the risk of insufficient intake of micronutrients and phytonutrients is raised, since when the medication work as they should you are eating *less* of everything.

If not paired with positive nutrition and lifestyle changes, people who cease using the medications may regain most of the weight lost, and if the weight lost was muscle and the weight regained is fat, that can mean being worse off functionally and metabolically. So this programme can be a great choice before, during or after use of weight loss medications.

You can fully expect that everything that we include within your personalised health plan has an evidence base within the scientific literature. You also have the assurance of working with a BANT and CNHC registered Nutritional Therapy Practitioner, working in alignment with a code of conduct for professional practice and assurance of ongoing education.

Lifestyle medicine refers to many things, excluding diet and nutrition, that can influence our physical, mental and emotional health and disease risk. Well researched examples include exercise, activity, sleep, breathing, stress reduction, social contact and purpose.

If there are tests available that will help us to determine the root causes of your issues, or enable us to observe the impact of changes we make in order to iterate your health plan, I will explain their value and cost and make them available to you.

Sometimes, functional testing offers an alternative to longer periods of experimentation, providing the benefit of identifying effective interventions more swiftly in exchange for their direct cost.

Possibly yes. My approach is certainly “food first”, but if there are supplements for which there is strong evidence of positive impact for your issues or goals, I will recommend specific brands and products to you, and happily explain the rationale and evidence-base for their benefit.

Wherever possible and helpful I will seek a dialogue with other professionals engaged in your care. This can include, for example, writing to ask your GP to consider testing that is available to you via their practice, or to request a medications review before we make a change with potential interactions.

Your health insurer *may* include cover for Nutritional Therapy service within your policy. This varies by policy, and all of Aviva, Axa Health, BUPA, Simply Health, Vitality and WPA have at least some policies that include eligibility. If your policy includes cover, it will be in the form of reimbursing *you* part or all of the fees. To be sure, please do query directly with your policy provider, asking them about cover for nutritional therapy consultation or service.

Renting clinical space in London involves significant fixed costs and time constraints which may well not be a good fit for you as a client. Avoiding these enables me not to need to inflate my fees for you.

However where possible, if you have access to fully private office space in your place of work, and your office is within central London (Zone 1), City of London or Canary Wharf, I will very happily visit to make one or more of our consultations in-person.