The Metabolic Health panel includes blood tests that reflect the way your body is supplied and uses energy. These tests will specifically help reveal how insulin resistant your body is. They will help exclude other causes of symptoms such as fatigue. It is important for accuracy that these tests are performed fasted. 

• Full Blood Count
• Urea & Electrolytes (Kidney function)
• Liver Function including AST and GGT
• Bone Profile
• Plasma viscosity 
• Ferritin 
• Vitamin B12 & Folate 
• Vitamin D 
• Thyroid Function Tests
• Full Fasting Lipid Panel
• Apolipoprotein B
• HbA1c 
• Fasting Insulin 
• HOMA-IR 

After either the Metabolic Health Review or Metabolic Health Review Plus appointments, you will receive a summary of the discussion and recommendations made by email (or post if you chose). This will include signposting to additional resources as appropriate.  

If you booked a Metabolic Health Assessment or Metabolic Plus Health Assessment then decide you would like to upgrade to the Elevate Programme, I will refund the cost of the first assessment as this is included.  

The Elevate Programme has been specifically developed for Women aged 40-55 years living in the UK who are willing to invest time and effort in themselves and who have one or more of the following:

• Central abdominal weight gain – abdominal circumference >35 inches
• Mother, Father, Brother or Sister with a history of Type 2 Diabetes Mellitis or Hypertension
• Personal diagnosis of Type 2 Diabetes Mellitis, Prediabetes, Polycystic Ovarian Syndrome (PCOS), Hypertension, historical Gestational Diabetes
• Symptoms of skin tags, acanthosis nigricans (dark patches in armpit/creases) or food cravings soon after eating

This programme is not for the following as I am not the best specialist to inform your health changes. Women who:

• Are not biologically female
• Have Type 1 Diabetes Mellitus 
• Are currently being treated with chemotherapy
• Are pregnant or breast feeding
• Are acutely medically or have a severe mental health condition
• Have a current eating disorder. Clients with historic eating disorders may be accepted after further discussion.

As a GP, I help anyone in my clinical practice so can consultant with adult clients who do not meet this criteria but the Elevate programme has been developed with this group of women in mind.

All sessions at present are offered in 1:1 in person consultations at The Regency Medical Practice, Cheltenham, UK.

I am currently awaiting CQC registration in order to offer this service to women across the UK remotely before the end of 2025.

As this programme includes blood tests and scans, these can only be performed in the UK. Each country has their own health regulation system making it extremely difficult to navigate delivering high quality 1:1 medical support abroad.

In the near future, I hope however to be able to offer group based coaching support to women at a more accessible price point which could be made accessible to an international audience.

I understand my clients are busy but it is unrealistic to expect the benefits of this programme without investing your time and efforts.

That said, certain tools such as nutrition plans, CGMs and weight loss medication can make this journey easier. 

The educational suite allows clients to access our learning materials and resources at a time that suits their schedules. They will be released weekly to reduce overwhelm.

I estimate you will need to set a minimum of 1-2 hours aside each week for learning, 5-10 minutes journaling daily with 45-60 minutes coaching every fortnight. 

High level support is offered throughout the programme starting with an detailed Metabolic Health Review where I will gently explore your current health, wellbeing and desires for the future.

This will be supported by a Metabolic Health pre-Screening form, food diary, blood tests and body composition scan to best evaluate your current symptoms and health challenges. A medication review will enable recommendations for future optimisation. 

If the Midlife Metabolic Health Review has highlighted a need for further assessment or medical management, this will be made clear and supported either by the clinic as an additional service or you will be signposted to your GP or another Healthcare Provider to ensure this is safely actioned.

There follows a deep dive introductory session where I will help you to understand your biggest challenges, what has worked before, what hasn't and why and what motivates you. I will help support you to identify your goals and uncover the steps towards achieving them.

Fortnightly coaching sessions held throughout the 12 week programme will support your learning and accountability. Blood tests prior to the end of the programme followed by a three metabolic health review will help demonstrate your progress and continue to motivate you to take positive action.

Throughout the 12 week programme you will also have access to the private community for collaborative support, encouragement and accountability.

We have more information at our fingertips than ever before yet we fail to implement the change we want to see. 

Coaching delivered by a medical expert offer a different solution as I walk the journey with you as your catalyst for change and offer evidence based advice and support and tools specific to you.

This isn't a quick fix solution, this is an evidenced based expert led transformational programme to support behaviour change and self-empowerment with a strong focus on learning what feels right for your body in the context of your lives to help implement long term change.

Whilst every effort will be made to help clients address health challenges by providing the best available evidence informed interventions using behavioural change techniques to coach and support these changes, I cannot be held accountable to my clients’ actions as to see positive change, you will need to act on the recommendations made. As such, it is not possible to guarantee you will achieve the outcome you desire.

I am a qualified Medical Doctor, GP, Lifestyle Physician, Health & Nutrition and Transformational Coach and have trained extensively in Metabolic and Women's Health. I have over 20 years experience working in the NHS and has developed a specialist interest in Female Metabolic Health.

I am passionate to help women bulletproof their health by demonstrating that the power to change their health is in their hands and is not necessarily predetermined by their genes.   

As a qualified Medical Doctor, I will spend time evaluating your health and addressing any medical problems. I can help find solutions that might include suggestions to optimise medications to manage your symptoms better or minimising harm from prescribed medication.

Where indicated, I may recommend you have further investigations performed at additional cost or signpost you to further support. 

By understanding your health and the options available to you, you will feel more empowered to explore your options.

It is important that prescription changes for ongoing medications are initiated by your regular Healthcare Provider as they hold your full medical record and can then continue prescriptions beyond this programme.

Additional 1:1 sessions can be arranged where the need arises such as for discussion around medication adjustment, CGM monitoring, refresher sessions or simply where a client wishes to the extend coaching duration. Costs will be discussed with the individual and will depend on the requirement.