When Helen came to see me at 48, she’d been told her only option was more HRT — but her hot flushes, anxiety, poor sleep and brain fog were still running her life. We treated menopause as an adaptive shift, not a deficiency.
SB was 43 when he presented with a history of hypertension. His doctor indicated that if his blood pressure was not controlled then he would need to have it managed pharmaceutically. He was keen to avoid medications, as he was already taking drugs for gout, as well as benzodiazepines and painkillers for a back injury. He was concerned the he was overweight and that his liver enzymes were elevated. He was having trouble sleeping at night due to Restless Legs Syndrome (RLS) and was experiencing joint pains associated with gout. Despite going on long fast walks during the week and following an intermittent fasting diet but he was unable to lose weight. He was working long hours and was experiencing high levels of work-related stress.
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Nutrition History
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Key Symptoms
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Initial Lab Results
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Analysis
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First Consultation Protocol
In this case, hypertension and weight gain, the chief presenting complaints, don’t require direct intervention. Rather, an investigation of root causes led to the identification of oxidative stress and poor detoxification as the likely causes of subtle nutrient deficiencies that contribute to high blood pressure and weight gain.
Gout and RLS are associated with high oxidative stress and chronic inflammation, which can lead to increased weight and hypertension. Gout develops when high concentrations of uric acid deposit as crystals in the joints. Under normal physiological conditions, the liver produces uric acid which acts as an antioxidant and provides over 50% of the antioxidant capacity of blood plasma. However when antioxidant capacity is low, uric acid rises, representing an attempted protective response in the body. At high concentrations uric acid can function as a pro-oxidant, correlating and predicting the development of obesity, hypertension and cardiovascular disease.
RLS is associated with the oxidation of dopamine in the brain which leads to impaired neurotransmission for generating movement. RLS increases the risk for cardiovascular disease and hypertension.
Antioxidant depletion may be caused by a number of factors including: a high alcohol intake, heavy metals such mercury in fillings, toxic elements in vaccinations, infections, pharmaceutical drugs, a low intake of vitamins, minerals and phytonutrients, and stress.
The protocol focused on increasing the antioxidant status of the body, however for antioxidant supplementation to be effective, an optimum level of digestion and assimilation is required. Given suspected hypochlorhydria, bile and intestinal permeability issues, these were dealt with first, in Phase I of the protocol. Increasing antioxidants will increase detoxification and production of oxidants in the liver, hence elimination and excretion pathways must also be addressed. In particular, gastrointestinal permeability can lead to an increased level of toxins entering enterohepatic recirculation, causing more stress to the liver. Additionally, dietary changes are recommended to support the protocol.
The protocol aimed to:
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Follow-up Consultation 1 – Results : +2 weeks
SB made excellent progress in 2 weeks. He adhered closely to his new nutritional plan, in which he was well supported by his wife who took all the recommendations on board when planning meals.
SB’s weight reduced by 2kg and his blood pressure lowered from 163/113 to 133/93. He was not having any sugar cravings or feeling hungry. His RLS and gout symptoms decreased significantly so he slept much better. His shoulder and back pain reduced from 8/10 to 5/10 and so he reduced his intake of painkillers and benzodiazepines. His mind was clearer and his mood was much improved.
SB now progressed to Phase II of the protocol, addressing anti-oxidant status and support for detoxification and nutritional deficiencies.
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Follow-up Consultation 2 – Results : +4 weeks
Four weeks after starting the protocol SB lost 4kg in weight and his blood pressure further reduced to 120/87. His blood work showed normal uric acid production, normal liver enzymes, normal cholesterol and ferritin levels. SB’s doctor was happy for him to stop all his medications and reported that his stroke risk had reduced from 19 to 9.6.
SB reported that his energy levels were high, and despite being very busy at work and home, he was coping very well. He was having several days in a row without any pain at all, and when there was shoulder or back pain, it was very much reduced. RLS and gout symptoms had completed resolved.
Identifying and treating the underlying cause of imbalances, which in this case were oxidative stress and poor detoxification, resulted in improvements in blood pressure and weight.
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TestImonial
“Having led a relatively healthy life, I have been plagued in recent years with multiple health issues in rapid succession. This was coupled with a high stress job, huge weight fluctuations and rising blood pressure. I was on multiple prescriptions and my quality of life was in a mess. I wanted to spend more quality time with my wife and two young daughters, and do my best to remain healthy for them into the future.
Having failed miserably to get a handle on things I sought Sandra’s help. I guess I was a little skeptical at first, but I was desperate. However, I walked away from my first consultation with Sandra full of energy, hope and motivation. Her knowledge and enthusiasm had bowled me over, and my wife and I set about immediately following her advice to the letter. The results were incredible. Even my GP was amazed. Within just 4 weeks from starting my protocol my body had gone through a total reboot. I was, and still am, feeling great.
I have returned to the clinic for numerous consultations to tweak some bits here and there as I learn more about myself and my good and bad behaviors, learning more about looking after myself better in the long-term. My wife and daughters are also delighted with the outcomes. I have been recommending Sandra’s clinic to everyone I know. I simply cannot recommend it enough. It has been truly life changing and inspirational.
I have gone from being a hopeful sceptic to an evangelical convert. Sandra knows how to make your body work for you again. I would be happy to speak to anyone about my experience.”
Sue was a 47 year old journalist living in Scotland and working from home. She reported fungal infections for the last 14 years after the birth of her first child, prior to which she reported the use of antibiotics for childhood ear infections. She developed asthma when she moved to London when she was 22. She used antibiotics again for a sinus infection 2 years previously, and had polyps removed from her nose. She reported constant diarrhoea for the previous year. She occasionally used Salbutamol for asthma when she got coughs or colds.
Sue was concerned as she had ‘seen everybody there was stop see’ about the fungal infection on her toes and had not had any satisfactory treatment. Now the infection had spread to her fingers and she was worried about it spreading further.
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Nutrition History
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Key Symptoms
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Root Cause Analysis
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First Consultation Protocol
Plan rationale: Sue was aware that a high carbohydrate diet can promote fungal growth, and she thought that by switching from obviously high sugar foods such as biscuits and cakes to healthier foods such as fruits and oat bars, she would reduce her sugar intake. In fact these ‘healthy’ foods still contain high amounts of sugar if eaten in high quantities. A high sugar diet can destabilise regulation of blood sugar, and this can lead to energy highs and lows in the daytime, particularly in the afternoon.
We agreed on a diet that focused on increasing proteins, beneficial fats and vegetables, reducing carbohydrates. Sue was encouraged to eat 3 meals a day and avoid snacking.
Sue was using Salbutamol for asthma, and this may have depleted calcium, magnesium, phosphate and potassium. Sue was advised on a number of supportive supplements.
As the infections had been going on for a number of years, SR agreed to perform a comprehensive stool analysis which can identify multiple microbial infections and digestive and immune functionality in the GIT.
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Follow-up Consultation 1 – Results : +4 weeks
SR responded well to the protocol. Her energy levels improved and she felt more able to work in the afternoons. Her fungal infections, digestive symptoms and diarrhoea showed some improvement, and she lost some weight.
The results of SR’s stool test had come back from the lab and were as follows:
Analysis of the test results indicated that the presence of Streptococcus was likely to be enhancing the effects of Candida, hence both pathogens needed to be addressed at the same time. Eradication of pathogens may cause a die off reaction and unpleasant side effects if the the gut is permeable, hence a protective amino acid was recommended to support the gut lining. SR’s immune response was low hence supplementation with colostrum was advised. Colostrum is rich in immunoglobulins which provide passive immunity against pathogens. Additional supplements were recommended to help eradicate the infections.
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Follow-up Consultation 2 – Results : +8 weeks
Sue responded very well to the protocol. The fungal infections on her fingers and toes had significantly receded, and they were healing well.
Sue was enjoying higher energy levels and hence a much enhanced quality of life.
The diarrhoea had stopped completely and she was having normal bowel movements, meaning that she could happily leave the house, as well increase her exercise activities.
She had lost weight, was sleeping better.
She had not used her inhaler or had any wheezing episodes in the whole month.
She had excellent compliance to her upgraded diet, and had involved her family in healthier eating, so they were all repeating the benefits.
She was particularly happy that she did not have to worry about the fungal infections anymore.
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Discussion
Sue presented with a long standing fungal infection which began following the birth of her first child. During pregnancy the mother’s immune system switches to Th2 arm of the immune system and should switch back to Th1 post birth. If however she has remained Th2 dominant then there is likely to be a pro-Candida bias, and further, Candida enhances Th2. Antibiotic use can cause an imbalance in the bacterial flora of the digestive system which can further enhance Th2 bias. Antibiotic use may have lead to strep overgrowth and the subsequent diarhoea. Often the detrimental effects of Candida are an allergic reaction to the yeast as well as from a reaction to its toxins. The Th1 cellular response is crucial to controlling Candida and supplementing with colostrum can be beneficial to shift the cellular response.
The comprehensive stool test was very useful in this case, showing that focusing solely on Candida eradication would not have had the desired impact, as the presence of Streptococcus was playing a part in the entrenchment of the infection. Dealing with both pathogens lead to a higher likelihood of eradicating the fungal infection.
Acid production by the stomach and bile synthesis in the liver play a large role in eradicating pathogens in the gastrointestinal tact. Optimising liver and digestive function not only protects the body from infections, but also allows more efficient extraction and assimilation of nutrients, which are required for all of the body’s cellular functions.
Candida infection is common, particularly in women, where it can flourish in the presence of high oestrogen. This case demonstrates that in some instances there may be additional pathogenic infections as well as imbalances in digestive, immune and liver function, hence focusing solely on Candida may not the whole answer. I recommend comprehensive stool testing for all digestive complaints, as the results can provide so much information for a targeted protocol to finally overcome long-term symptoms.
Diana was 36 years old when she presented with stomach pain, indigestion and bloating after meals. Her GP had diagnosed a Helicobacter pylori stomach infection and prescribed the first round of antibiotics. She was reluctant to take antibiotics and was seeking a holistic approach. She reported consistently high stress levels. She was a student, was working and had 3 children under 6 years old.
She said:
“I was such a happy go lucky person – and then I had 3 children”.
Her energy levels were low, particularly in the afternoon, although she had 8 hours of uninterrupted sleep every night. Other symptoms included headaches, mood disturbances, sore muscles, brittle and flaking nails, bleeding gums and cold sores.
.wp-block-kadence-advancedheading.kt-adv-heading107838_5f80c1-ac, .wp-block-kadence-advancedheading.kt-adv-heading107838_5f80c1-ac[data-kb-block=”kb-adv-heading107838_5f80c1-ac”]{font-style:normal;font-family:var( u002du002dglobal-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading107838_5f80c1-ac mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107838_5f80c1-ac[data-kb-block=”kb-adv-heading107838_5f80c1-ac”] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107838_5f80c1-ac img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107838_5f80c1-ac[data-kb-block=”kb-adv-heading107838_5f80c1-ac”] img.kb-inline-image{width:150px;vertical-align:baseline;}
Nutrition History
.wp-block-kadence-advancedheading.kt-adv-heading107838_ceb612-1a, .wp-block-kadence-advancedheading.kt-adv-heading107838_ceb612-1a[data-kb-block=”kb-adv-heading107838_ceb612-1a”]{font-style:normal;font-family:var( u002du002dglobal-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading107838_ceb612-1a mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107838_ceb612-1a[data-kb-block=”kb-adv-heading107838_ceb612-1a”] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107838_ceb612-1a img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107838_ceb612-1a[data-kb-block=”kb-adv-heading107838_ceb612-1a”] img.kb-inline-image{width:150px;vertical-align:baseline;}
Significant Test Results
.wp-block-kadence-advancedheading.kt-adv-heading107838_e5db1c-54, .wp-block-kadence-advancedheading.kt-adv-heading107838_e5db1c-54[data-kb-block=”kb-adv-heading107838_e5db1c-54″]{font-style:normal;font-family:var( u002du002dglobal-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading107838_e5db1c-54 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107838_e5db1c-54[data-kb-block=”kb-adv-heading107838_e5db1c-54″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107838_e5db1c-54 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107838_e5db1c-54[data-kb-block=”kb-adv-heading107838_e5db1c-54″] img.kb-inline-image{width:150px;vertical-align:baseline;}
Root Cause Analysis
.wp-block-kadence-advancedheading.kt-adv-heading107838_44b569-76, .wp-block-kadence-advancedheading.kt-adv-heading107838_44b569-76[data-kb-block=”kb-adv-heading107838_44b569-76″]{font-style:normal;font-family:var( u002du002dglobal-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading107838_44b569-76 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107838_44b569-76[data-kb-block=”kb-adv-heading107838_44b569-76″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107838_44b569-76 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107838_44b569-76[data-kb-block=”kb-adv-heading107838_44b569-76″] img.kb-inline-image{width:150px;vertical-align:baseline;}
First Consultation Protocol
We agreed on a health optimisation plan that included a natural anti-bacterial agent, as well as targeted supplements for her sluggish digestion, vitamin and mineral depletion, high stress levels and lack of energy:
The first priority was eradicating the parasite, and mastic gum has shown to minimise Helicobacter pylori infections. The infection may have lead to malabsorption of nutrients from the gut, hence a transdermal multivitamin and multi mineral spray was employed to bypass impaired digestion and assimilation in the digestive system. High stress levels were modulated with Rhodiola rosea, a botanical adaptogen which has shown to modulate cortisol levels. Finally the diet was improved with the addition of a variety of fruits and vegetables and protein was introduced once her symptoms subsided.
.wp-block-kadence-advancedheading.kt-adv-heading107838_44cdbc-37, .wp-block-kadence-advancedheading.kt-adv-heading107838_44cdbc-37[data-kb-block=”kb-adv-heading107838_44cdbc-37″]{font-style:normal;font-family:var( u002du002dglobal-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading107838_44cdbc-37 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107838_44cdbc-37[data-kb-block=”kb-adv-heading107838_44cdbc-37″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107838_44cdbc-37 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107838_44cdbc-37[data-kb-block=”kb-adv-heading107838_44cdbc-37″] img.kb-inline-image{width:150px;vertical-align:baseline;}
Follow-up Consultation 1 – Results (+4 weeks)
Diana responded very favourably to the protocol. Her digestive symptoms completely resolved and her energy levels had improved significantly. She felt much more able to concentrate on her studies and had much more patience with her children. She felt much more resilient to the stresses of life.
.wp-block-kadence-advancedheading.kt-adv-heading107838_529ab1-db, .wp-block-kadence-advancedheading.kt-adv-heading107838_529ab1-db[data-kb-block=”kb-adv-heading107838_529ab1-db”]{font-style:normal;font-family:var( u002du002dglobal-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading107838_529ab1-db mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107838_529ab1-db[data-kb-block=”kb-adv-heading107838_529ab1-db”] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107838_529ab1-db img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107838_529ab1-db[data-kb-block=”kb-adv-heading107838_529ab1-db”] img.kb-inline-image{width:150px;vertical-align:baseline;}
Client Review
“Sandra is an absolute star. She helped me regulate and balance my stress levels. Only 4 weeks in and I am feeling a huge difference! My husband says thanks for giving him his wife back.”
DIANA
.wp-block-kadence-advancedheading.kt-adv-heading107838_6ed67a-60, .wp-block-kadence-advancedheading.kt-adv-heading107838_6ed67a-60[data-kb-block=”kb-adv-heading107838_6ed67a-60″]{font-style:normal;font-family:var( u002du002dglobal-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading107838_6ed67a-60 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107838_6ed67a-60[data-kb-block=”kb-adv-heading107838_6ed67a-60″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107838_6ed67a-60 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107838_6ed67a-60[data-kb-block=”kb-adv-heading107838_6ed67a-60″] img.kb-inline-image{width:150px;vertical-align:baseline;}
My Review
Conventional medicine treats Helicobacter infections with multiple rounds of antibiotics, starting with a course of triple antibiotics. This results in eradicating the infection but leaves the patient vulnerable to subsequent infections and additional courses of antibiotics, leading to collapse of the gut microbiome and the possibility of severe digestive symptoms. Here the infection was eradicated with a gentle anti-bacterial and stress modulation prevented reoccurence.
Dave was 32 when he came to see me about the psoriasis that he had been suffering with for almost 10 years:
“Sometime between 2009 and 2010 I started developing psoriasis. Mostly on my scalp, plus a few other patches. Notably that year my father fell ill and died. At the same time I was ‘stuck’ in an unhappy relationship and I was doing a stressful Master’s degree. All of these factors made that year my first experience of significant, prolonged stress.
Since then I have had psoriasis consistently over a large portion of my scalp. I’ve used a few different creams and oils to manage or reduce the flaky skin, to varying levels of success. I’ve found the discomfort bearable most of the time. I can live with a few patches of dry skin. However now I have been diagnosed with psoriatic arthritis which I do not want to live with. So far it is limited to one stiff knuckle, but I want to do everything I can to stop it developing further.“
Dave had seen a GP, a rheumatologist and dermatologist. He had been prescribed a vitamin D cream and was being monitored for future prescriptions of steroid injections and biologics. Osteopathic manipulation had cleared one lesion on his back.
.wp-block-kadence-advancedheading.kt-adv-heading107764_50fedd-7d, .wp-block-kadence-advancedheading.kt-adv-heading107764_50fedd-7d[data-kb-block=”kb-adv-heading107764_50fedd-7d”]{font-style:normal;font-family:var( u002du002dglobal-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading107764_50fedd-7d mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107764_50fedd-7d[data-kb-block=”kb-adv-heading107764_50fedd-7d”] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107764_50fedd-7d img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107764_50fedd-7d[data-kb-block=”kb-adv-heading107764_50fedd-7d”] img.kb-inline-image{width:150px;vertical-align:baseline;}
Health History
.wp-block-kadence-advancedheading.kt-adv-heading107764_088c46-53, .wp-block-kadence-advancedheading.kt-adv-heading107764_088c46-53[data-kb-block=”kb-adv-heading107764_088c46-53″]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading107764_088c46-53 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107764_088c46-53[data-kb-block=”kb-adv-heading107764_088c46-53″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107764_088c46-53 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107764_088c46-53[data-kb-block=”kb-adv-heading107764_088c46-53″] img.kb-inline-image{width:150px;vertical-align:baseline;}
Symptoms
.wp-block-kadence-advancedheading.kt-adv-heading107764_01d775-e2, .wp-block-kadence-advancedheading.kt-adv-heading107764_01d775-e2[data-kb-block=”kb-adv-heading107764_01d775-e2″]{font-style:normal;font-family:var( u002du002dglobal-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading107764_01d775-e2 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107764_01d775-e2[data-kb-block=”kb-adv-heading107764_01d775-e2″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107764_01d775-e2 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107764_01d775-e2[data-kb-block=”kb-adv-heading107764_01d775-e2″] img.kb-inline-image{width:150px;vertical-align:baseline;}
Nutrition History
.wp-block-kadence-advancedheading.kt-adv-heading107764_846b2a-02, .wp-block-kadence-advancedheading.kt-adv-heading107764_846b2a-02[data-kb-block=”kb-adv-heading107764_846b2a-02″]{font-style:normal;font-family:var( u002du002dglobal-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading107764_846b2a-02 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107764_846b2a-02[data-kb-block=”kb-adv-heading107764_846b2a-02″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107764_846b2a-02 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107764_846b2a-02[data-kb-block=”kb-adv-heading107764_846b2a-02″] img.kb-inline-image{width:150px;vertical-align:baseline;}
Root Cause Analysis
Psoriasis is a chronic auto-immune skin condition that causes red, flaky, crusty patches of skin covered with silvery scales. Here the immune system triggers T cells to drive inflammation which results in hyper formation of skin cells. Additionally Dave began experiencing arthritic symptoms 7 years after the onset of psoriasis. Psoriatic arthritis can be extremely disabling and Dave was concerned as worked as farmer and gardener.
Every autoimmune condition requires 3 factors:
The environmental triggers and mediators of psoriasis include:
Dave reported all of these issues at different levels, and his protocol was individualised to his specific requirements.
.wp-block-kadence-advancedheading.kt-adv-heading107764_f5b6da-3d, .wp-block-kadence-advancedheading.kt-adv-heading107764_f5b6da-3d[data-kb-block=”kb-adv-heading107764_f5b6da-3d”]{font-style:normal;font-family:var( u002du002dglobal-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading107764_f5b6da-3d mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107764_f5b6da-3d[data-kb-block=”kb-adv-heading107764_f5b6da-3d”] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107764_f5b6da-3d img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107764_f5b6da-3d[data-kb-block=”kb-adv-heading107764_f5b6da-3d”] img.kb-inline-image{width:150px;vertical-align:baseline;}
Protocol
.wp-block-kadence-advancedheading.kt-adv-heading107764_814fb4-29, .wp-block-kadence-advancedheading.kt-adv-heading107764_814fb4-29[data-kb-block=”kb-adv-heading107764_814fb4-29″]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading107764_814fb4-29 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107764_814fb4-29[data-kb-block=”kb-adv-heading107764_814fb4-29″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107764_814fb4-29 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107764_814fb4-29[data-kb-block=”kb-adv-heading107764_814fb4-29″] img.kb-inline-image{width:150px;vertical-align:baseline;}
NUTRITION
Personalised anti-inflammatory diet focusing on
This was followed by a low vitamin A nutritional protocol.
.wp-block-kadence-advancedheading.kt-adv-heading107764_070580-bb, .wp-block-kadence-advancedheading.kt-adv-heading107764_070580-bb[data-kb-block=”kb-adv-heading107764_070580-bb”]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading107764_070580-bb mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107764_070580-bb[data-kb-block=”kb-adv-heading107764_070580-bb”] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107764_070580-bb img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107764_070580-bb[data-kb-block=”kb-adv-heading107764_070580-bb”] img.kb-inline-image{width:150px;vertical-align:baseline;}
LIFESTYLE
.wp-block-kadence-advancedheading.kt-adv-heading107764_688424-12, .wp-block-kadence-advancedheading.kt-adv-heading107764_688424-12[data-kb-block=”kb-adv-heading107764_688424-12″]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading107764_688424-12 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107764_688424-12[data-kb-block=”kb-adv-heading107764_688424-12″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107764_688424-12 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107764_688424-12[data-kb-block=”kb-adv-heading107764_688424-12″] img.kb-inline-image{width:150px;vertical-align:baseline;}
SUPPLEMENTS
Personalised supplement program to support:
.wp-block-kadence-advancedheading.kt-adv-heading107764_db5ee0-b8, .wp-block-kadence-advancedheading.kt-adv-heading107764_db5ee0-b8[data-kb-block=”kb-adv-heading107764_db5ee0-b8″]{font-style:normal;font-family:var( u002du002dglobal-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading107764_db5ee0-b8 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107764_db5ee0-b8[data-kb-block=”kb-adv-heading107764_db5ee0-b8″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107764_db5ee0-b8 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107764_db5ee0-b8[data-kb-block=”kb-adv-heading107764_db5ee0-b8″] img.kb-inline-image{width:150px;vertical-align:baseline;}
Results: initial
.kb-row-layout-wrap.wp-block-kadence-rowlayout.kb-row-layout-id107764_2fe225-3c{margin-bottom:8%;}.kb-row-layout-id107764_2fe225-3c > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id107764_2fe225-3c > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id107764_2fe225-3c > .kt-row-column-wrap{column-gap:var(–global-kb-gap-sm, 1rem);row-gap:var(–global-kb-gap-none, 0rem );max-width:var( –global-content-width, 1280px );padding-left:var(–global-content-edge-padding);padding-right:var(–global-content-edge-padding);padding-top:0px;padding-bottom:0px;padding-left:0px;}.kb-row-layout-id107764_2fe225-3c > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}.kb-row-layout-id107764_2fe225-3c > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}.kb-row-layout-id107764_2fe225-3c > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id107764_2fe225-3c > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}}@media all and (max-width: 1024px){.kb-row-layout-id107764_2fe225-3c > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}}@media all and (max-width: 767px){.kb-row-layout-id107764_2fe225-3c > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}.kb-row-layout-id107764_2fe225-3c > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}
.kadence-column107764_b07a8e-6f > .kt-inside-inner-col,.kadence-column107764_b07a8e-6f > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column107764_b07a8e-6f > .kt-inside-inner-col{column-gap:var(–global-kb-gap-sm, 1rem);}.kadence-column107764_b07a8e-6f > .kt-inside-inner-col{flex-direction:column;}.kadence-column107764_b07a8e-6f > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column107764_b07a8e-6f > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column107764_b07a8e-6f{position:relative;}@media all and (max-width: 1024px){.kadence-column107764_b07a8e-6f > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column107764_b07a8e-6f > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}
Right side and left side
.kadence-column107764_23586e-16 > .kt-inside-inner-col,.kadence-column107764_23586e-16 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column107764_23586e-16 > .kt-inside-inner-col{column-gap:var(–global-kb-gap-sm, 1rem);}.kadence-column107764_23586e-16 > .kt-inside-inner-col{flex-direction:column;}.kadence-column107764_23586e-16 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column107764_23586e-16 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column107764_23586e-16{position:relative;}@media all and (max-width: 1024px){.kadence-column107764_23586e-16 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column107764_23586e-16 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}
.kb-image107764_d75890-7b .kb-image-has-overlay:after{opacity:0.3;}
.kadence-column107764_d972b4-58 > .kt-inside-inner-col,.kadence-column107764_d972b4-58 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column107764_d972b4-58 > .kt-inside-inner-col{column-gap:var(–global-kb-gap-sm, 1rem);}.kadence-column107764_d972b4-58 > .kt-inside-inner-col{flex-direction:column;}.kadence-column107764_d972b4-58 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column107764_d972b4-58 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column107764_d972b4-58{position:relative;}@media all and (max-width: 1024px){.kadence-column107764_d972b4-58 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column107764_d972b4-58 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}
.kb-image107764_d5b133-97 .kb-image-has-overlay:after{opacity:0.3;}
.wp-block-kadence-advancedheading.kt-adv-heading107764_37fc12-db, .wp-block-kadence-advancedheading.kt-adv-heading107764_37fc12-db[data-kb-block=”kb-adv-heading107764_37fc12-db”]{font-style:normal;font-family:var( u002du002dglobal-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading107764_37fc12-db mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107764_37fc12-db[data-kb-block=”kb-adv-heading107764_37fc12-db”] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107764_37fc12-db img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107764_37fc12-db[data-kb-block=”kb-adv-heading107764_37fc12-db”] img.kb-inline-image{width:150px;vertical-align:baseline;}
Results: +3 months
.kb-row-layout-wrap.wp-block-kadence-rowlayout.kb-row-layout-id107764_94dcba-ad{margin-bottom:8%;}.kb-row-layout-id107764_94dcba-ad > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id107764_94dcba-ad > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id107764_94dcba-ad > .kt-row-column-wrap{column-gap:var(–global-kb-gap-sm, 1rem);row-gap:var(–global-kb-gap-none, 0rem );max-width:var( –global-content-width, 1280px );padding-left:var(–global-content-edge-padding);padding-right:var(–global-content-edge-padding);padding-top:0px;padding-bottom:0px;padding-left:0px;}.kb-row-layout-id107764_94dcba-ad > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}.kb-row-layout-id107764_94dcba-ad > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}.kb-row-layout-id107764_94dcba-ad > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id107764_94dcba-ad > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}}@media all and (max-width: 1024px){.kb-row-layout-id107764_94dcba-ad > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}}@media all and (max-width: 767px){.kb-row-layout-id107764_94dcba-ad > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}.kb-row-layout-id107764_94dcba-ad > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}.kb-row-layout-id107764_94dcba-ad ul li{ padding:0;margin:0;}
.kadence-column107764_01ee2e-e4 > .kt-inside-inner-col,.kadence-column107764_01ee2e-e4 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column107764_01ee2e-e4 > .kt-inside-inner-col{column-gap:var(–global-kb-gap-sm, 1rem);}.kadence-column107764_01ee2e-e4 > .kt-inside-inner-col{flex-direction:column;}.kadence-column107764_01ee2e-e4 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column107764_01ee2e-e4 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column107764_01ee2e-e4{position:relative;}@media all and (max-width: 1024px){.kadence-column107764_01ee2e-e4 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column107764_01ee2e-e4 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}
Right side and left side
.kadence-column107764_a8b5a6-24 > .kt-inside-inner-col,.kadence-column107764_a8b5a6-24 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column107764_a8b5a6-24 > .kt-inside-inner-col{column-gap:var(–global-kb-gap-sm, 1rem);}.kadence-column107764_a8b5a6-24 > .kt-inside-inner-col{flex-direction:column;}.kadence-column107764_a8b5a6-24 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column107764_a8b5a6-24 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column107764_a8b5a6-24{position:relative;}@media all and (max-width: 1024px){.kadence-column107764_a8b5a6-24 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column107764_a8b5a6-24 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}
.kb-image107764_f5d324-42 .kb-image-has-overlay:after{opacity:0.3;}
.kadence-column107764_758265-84 > .kt-inside-inner-col,.kadence-column107764_758265-84 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column107764_758265-84 > .kt-inside-inner-col{column-gap:var(–global-kb-gap-sm, 1rem);}.kadence-column107764_758265-84 > .kt-inside-inner-col{flex-direction:column;}.kadence-column107764_758265-84 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column107764_758265-84 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column107764_758265-84{position:relative;}@media all and (max-width: 1024px){.kadence-column107764_758265-84 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column107764_758265-84 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}
.kb-image107764_64d26f-58 .kb-image-has-overlay:after{opacity:0.3;}
.wp-block-kadence-advancedheading.kt-adv-heading107764_e6136e-9c, .wp-block-kadence-advancedheading.kt-adv-heading107764_e6136e-9c[data-kb-block=”kb-adv-heading107764_e6136e-9c”]{font-style:normal;font-family:var( u002du002dglobal-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading107764_e6136e-9c mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107764_e6136e-9c[data-kb-block=”kb-adv-heading107764_e6136e-9c”] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107764_e6136e-9c img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107764_e6136e-9c[data-kb-block=”kb-adv-heading107764_e6136e-9c”] img.kb-inline-image{width:150px;vertical-align:baseline;}
Results: +4 months
.kb-row-layout-wrap.wp-block-kadence-rowlayout.kb-row-layout-id107764_b83d32-f6{margin-bottom:8%;}.kb-row-layout-id107764_b83d32-f6 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id107764_b83d32-f6 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id107764_b83d32-f6 > .kt-row-column-wrap{column-gap:var(–global-kb-gap-md, 2rem);row-gap:var(–global-kb-gap-md, 2rem);max-width:var( –global-content-width, 1280px );padding-left:var(–global-content-edge-padding);padding-right:var(–global-content-edge-padding);padding-left:0px;}.kb-row-layout-id107764_b83d32-f6 > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}.kb-row-layout-id107764_b83d32-f6 > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}.kb-row-layout-id107764_b83d32-f6 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id107764_b83d32-f6 > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}}@media all and (max-width: 1024px){.kb-row-layout-id107764_b83d32-f6 > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}}@media all and (max-width: 767px){.kb-row-layout-id107764_b83d32-f6 > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}.kb-row-layout-id107764_b83d32-f6 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}
.kadence-column107764_908811-90 > .kt-inside-inner-col,.kadence-column107764_908811-90 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column107764_908811-90 > .kt-inside-inner-col{column-gap:var(–global-kb-gap-sm, 1rem);}.kadence-column107764_908811-90 > .kt-inside-inner-col{flex-direction:column;}.kadence-column107764_908811-90 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column107764_908811-90 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column107764_908811-90{position:relative;}@media all and (max-width: 1024px){.kadence-column107764_908811-90 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column107764_908811-90 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}
Right side and left side
.kadence-column107764_e3d383-b6 > .kt-inside-inner-col,.kadence-column107764_e3d383-b6 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column107764_e3d383-b6 > .kt-inside-inner-col{column-gap:var(–global-kb-gap-sm, 1rem);}.kadence-column107764_e3d383-b6 > .kt-inside-inner-col{flex-direction:column;}.kadence-column107764_e3d383-b6 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column107764_e3d383-b6 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column107764_e3d383-b6{position:relative;}@media all and (max-width: 1024px){.kadence-column107764_e3d383-b6 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column107764_e3d383-b6 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}
.kb-image107764_6ff7b4-49 .kb-image-has-overlay:after{opacity:0.3;}
.kadence-column107764_b4f92e-cd > .kt-inside-inner-col,.kadence-column107764_b4f92e-cd > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column107764_b4f92e-cd > .kt-inside-inner-col{column-gap:var(–global-kb-gap-sm, 1rem);}.kadence-column107764_b4f92e-cd > .kt-inside-inner-col{flex-direction:column;}.kadence-column107764_b4f92e-cd > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column107764_b4f92e-cd > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column107764_b4f92e-cd{position:relative;}@media all and (max-width: 1024px){.kadence-column107764_b4f92e-cd > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column107764_b4f92e-cd > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}
.kb-image107764_8ea4b1-65 .kb-image-has-overlay:after{opacity:0.3;}
.wp-block-kadence-advancedheading.kt-adv-heading107764_a44612-c9, .wp-block-kadence-advancedheading.kt-adv-heading107764_a44612-c9[data-kb-block=”kb-adv-heading107764_a44612-c9″]{font-style:normal;font-family:var( u002du002dglobal-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading107764_a44612-c9 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107764_a44612-c9[data-kb-block=”kb-adv-heading107764_a44612-c9″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107764_a44612-c9 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107764_a44612-c9[data-kb-block=”kb-adv-heading107764_a44612-c9″] img.kb-inline-image{width:150px;vertical-align:baseline;}
Results: +6 months
.kb-row-layout-wrap.wp-block-kadence-rowlayout.kb-row-layout-id107764_bd26cd-81{margin-bottom:8%;}.kb-row-layout-id107764_bd26cd-81 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id107764_bd26cd-81 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id107764_bd26cd-81 > .kt-row-column-wrap{column-gap:var(–global-kb-gap-md, 2rem);row-gap:var(–global-kb-gap-md, 2rem);max-width:var( –global-content-width, 1280px );padding-left:var(–global-content-edge-padding);padding-right:var(–global-content-edge-padding);padding-left:0px;}.kb-row-layout-id107764_bd26cd-81 > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}.kb-row-layout-id107764_bd26cd-81 > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}.kb-row-layout-id107764_bd26cd-81 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id107764_bd26cd-81 > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}}@media all and (max-width: 1024px){.kb-row-layout-id107764_bd26cd-81 > .kt-row-column-wrap{grid-template-columns:repeat(3, minmax(0, 1fr));}}@media all and (max-width: 767px){.kb-row-layout-id107764_bd26cd-81 > .kt-row-column-wrap > div:not(.added-for-specificity){grid-column:initial;}.kb-row-layout-id107764_bd26cd-81 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}
.kadence-column107764_ea16b6-14 > .kt-inside-inner-col{padding-left:0px;}.kadence-column107764_ea16b6-14 > .kt-inside-inner-col,.kadence-column107764_ea16b6-14 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column107764_ea16b6-14 > .kt-inside-inner-col{column-gap:var(–global-kb-gap-sm, 1rem);}.kadence-column107764_ea16b6-14 > .kt-inside-inner-col{flex-direction:column;}.kadence-column107764_ea16b6-14 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column107764_ea16b6-14 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column107764_ea16b6-14{position:relative;}.kadence-column107764_ea16b6-14, .kt-inside-inner-col > .kadence-column107764_ea16b6-14:not(.specificity){margin-left:0px;}@media all and (max-width: 1024px){.kadence-column107764_ea16b6-14 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column107764_ea16b6-14 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}
Right side and left side
.kadence-column107764_126b59-a3 > .kt-inside-inner-col,.kadence-column107764_126b59-a3 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column107764_126b59-a3 > .kt-inside-inner-col{column-gap:var(–global-kb-gap-sm, 1rem);}.kadence-column107764_126b59-a3 > .kt-inside-inner-col{flex-direction:column;}.kadence-column107764_126b59-a3 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column107764_126b59-a3 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column107764_126b59-a3{position:relative;}@media all and (max-width: 1024px){.kadence-column107764_126b59-a3 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column107764_126b59-a3 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}
.kb-image107764_372d50-75 .kb-image-has-overlay:after{opacity:0.3;}
.kadence-column107764_533618-f5 > .kt-inside-inner-col,.kadence-column107764_533618-f5 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column107764_533618-f5 > .kt-inside-inner-col{column-gap:var(–global-kb-gap-sm, 1rem);}.kadence-column107764_533618-f5 > .kt-inside-inner-col{flex-direction:column;}.kadence-column107764_533618-f5 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column107764_533618-f5 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column107764_533618-f5{position:relative;}@media all and (max-width: 1024px){.kadence-column107764_533618-f5 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column107764_533618-f5 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}
.kb-image107764_1f30c7-56 .kb-image-has-overlay:after{opacity:0.3;}
.wp-block-kadence-advancedheading.kt-adv-heading107764_38ff5a-eb, .wp-block-kadence-advancedheading.kt-adv-heading107764_38ff5a-eb[data-kb-block=”kb-adv-heading107764_38ff5a-eb”]{font-style:normal;font-family:var( u002du002dglobal-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading107764_38ff5a-eb mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading107764_38ff5a-eb[data-kb-block=”kb-adv-heading107764_38ff5a-eb”] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading107764_38ff5a-eb img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading107764_38ff5a-eb[data-kb-block=”kb-adv-heading107764_38ff5a-eb”] img.kb-inline-image{width:150px;vertical-align:baseline;}
Client Review
““I’d been living with persistent psoriasis for a decade or so. I’d become complacent, but when I started developing arthritis (which I assumed to be psoriatic), I decided to do something about it, and a friend recommended Sandra.
After my first consultation, which was an enlightening experience in itself, she recommended a strict eliminatory diet and a course of supplements, as well as other things to reduce stress and enhance health like phototherapy.
Sticking to the diet has been in turn both surprisingly easy and deeply frustrating. But Sandra has been excellent at keeping me in a positive frame of mind and helping me see the progress I’ve been making, so I don’t lose motivation to keep going with the diet and supplements regimen.
It took about four months to see really substantial improvements, but it’s been worth it, as my scalp has not been this clear since the psoriasis started, and the arthritis (which turned out to be unrelated to the psoriasis) has eased significantly.
In the process I’ve also learnt a lot about my own optimal health, thanks to Sandra’s warmth, enthusiasm, and her ability to relate to my own situation and explain some of the complex and interconnected ways that metabolisms work.”
DAVE
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My Review
It was immensely gratifying to be able to help Dave find his way to resolving his psoriasis and arthritis. These chronic conditions involve multiple biological systems and are impacted by environmental factors such as stress, nutrition and infections. Unravelling these connections and pathways is the aim of my functional medicine approach. Once root causes are found, they can be systematically addressed and the healing journey can begin.
.kb-image107764_976d59-2e:not(.kb-image-is-ratio-size) .kb-img, .kb-image107764_976d59-2e.kb-image-is-ratio-size{padding-top:var(–global-kb-spacing-sm, 1.5rem);}.kb-image107764_976d59-2e .kb-image-has-overlay:after{opacity:0.3;}
RIGHT SIDE OF SCALP, HEALING PROGRESSION OVER 6 MONTHS
.kb-image107764_1f5f58-30 .kb-image-has-overlay:after{opacity:0.3;}
LEFT SIDE OF SCALP, HEALING PROGRESSION OVER 6 MONTHS
At 59, Linda arrived with severe brain fog, low energy and a clear goal: to feel strong enough to train for a trek. Rather than chasing each symptom separately, we mapped how stress, blood sugar and her intracrine hormone system were interacting – and worked the pattern, not the parts.
OT was 33 years when she got in touch with me seeking help for her long-standing daily anxiety and depression, which became much worse before her period. She felt low 80% of the time and even worse in the week before her period, where she would have an emotional meltdown. She had tried all kinds of approaches to manage her low moods including counselling, anti-depressants and hormonal birth control, none of which were successful.
She said:
“I have suffered with anxiety and low grade depression for as long as I can remember although I only realised that there was a name for how I felt when I was in my late teens. Whilst at college, I hit my lowest point and had some counselling but I think i only had a few sessions. The counselling did not work for me as it felt very “standardised” rather than looking to help me work through my own personal issues. I struggled with my mental health all through university but managed to distract myself with friends and work.
Recently I made positive changes to my diet, but I still suffer with anxiety and depression. I started taking sertraline as I again hit rock bottom. I stopped taking sertraline around 8-12 months ago as I was having bad side effects including severe night sweats. My anxiety and depression is also heightened a week leading up to my period and I am now looking for a more natural way to manage my symptoms as I hate how I feel most of the time. This state of being can be so frustrating at times as I know that I am very fortunate in my life but my mood is always low.
I believe my menstrual cycle has an effect as I have a few days around the time I am ovulating where I feel “normal” or better than I usually do.”
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Health History
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Nutrition History
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Significant Test Results
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Root Cause Analysis
OT’s mood was low in general, which indicates a deficiency of serotonin and dopamine, and this was confirmed by a neurotransmitter questionnaire.
Depressive, anxious syndromes can be caused by nutritional deficiencies from poor diet, including
Additionally, it was very clear that her low mood was cyclical, improving at ovulation when oestrogen is higher, and crashing premenstrually. It was also clear that her oestrogen was too low in general and progesterone was too high premenstrually, as evidenced by
Factors contributing to low oestrogen in OT included
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First Consultation Protocol
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NUTRITION
.wp-block-kadence-advancedheading.kt-adv-heading1165_939843-05, .wp-block-kadence-advancedheading.kt-adv-heading1165_939843-05[data-kb-block=”kb-adv-heading1165_939843-05″]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1165_939843-05 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1165_939843-05[data-kb-block=”kb-adv-heading1165_939843-05″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1165_939843-05 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1165_939843-05[data-kb-block=”kb-adv-heading1165_939843-05″] img.kb-inline-image{width:150px;vertical-align:baseline;}
LIFESTYLE
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SUPPLEMENTS
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INITIAL SYMPTOMS
SymptomScore out of 6Depression every day4Depression before period6Anxiety every day4Anxiety before period4Meat cravings before period5Craving for fat before period5
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Follow-up Consultation 1 Results (+4 weeks)
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SYMPTOMS AT WEEK 4
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Symptom
week 1 score / 6
4 week score / 6
Depression every day
4
2
Depression before period
6
2
Anxiety every day
4
3
Anxiety before period
4
3
Meat cravings before period
5
2
Craving for fat before period
5
2
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Follow-up Consultation 2 Results (+8 weeks)
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SYMPTOMS AT WEEK 8
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Symptom
week 1 score / 6
4 week score / 6
8 week score / 6
Depression every day
4
2
0
Depression before period
6
2
1
Anxiety every day
4
3
0
Anxiety before period
4
3
0
Meat cravings before period
5
2
0
Craving for fat before period
5
2
0
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Client Review
“Within weeks of starting my supplement plan, I noticed a significant positive shift in my mental health and I am confident that this will continue going forward.
I can honestly say that with Sandra’s help, my life has changed for the better.”
OT
I have struggled with anxiety and depression for as long as I can remember. Having tried everything from counselling, antidepressants and even Reiki, I was beginning to feel as though I would have to live with my anxiety and depression forever.
I made contact with Sandra following a recommendation from a friend and I am so glad I did. During the initial call, Sandra made me feel at ease straight away.
Within weeks of starting my supplement plan, I noticed a significant positive shift in my mental health and I am confident that this will continue going forward. I can honestly say that with Sandra’s help, my life has changed for the better.
Thank you Sandra!
.wp-block-kadence-advancedheading.kt-adv-heading1165_641f3a-6f, .wp-block-kadence-advancedheading.kt-adv-heading1165_641f3a-6f[data-kb-block=”kb-adv-heading1165_641f3a-6f”]{font-style:normal;font-family:var( –global-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading1165_641f3a-6f mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1165_641f3a-6f[data-kb-block=”kb-adv-heading1165_641f3a-6f”] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1165_641f3a-6f img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1165_641f3a-6f[data-kb-block=”kb-adv-heading1165_641f3a-6f”] img.kb-inline-image{width:150px;vertical-align:baseline;}
My Review
Despite the fact that I see significant improvements in client’s health every day in my work, it still sometimes takes my breath away when I see the power of functional medicine in action.
I always expect to see results within 4 weeks, and OT’s progress was no different. She was committed to the process right from the start and did an incredible job of following her plan.
As she said to me, and I agreed – “I wish I could have done this years ago, and I dread to think what my life would have been like if I hadn’t done this work with you”. It saddens me to think of all the women that are suffering through their cycles and not getting the help they need, and I am so pleased to have seen OT recover so quickly.
BA was 33 years old and working as a solicitor when she came to see me saying:
She said:
“Since the age of 13 I have been suffering from what I think is cystic acne. At that age, once every 6 months or so, I would get one massive spot on my face. As the years have progressed, this has become much more frequent and appear to be more prevalent on my cheeks and jawline. Now, about 10 days before my period, massive cysts develop under my skin. Sometimes they are solid and other times they pop. It causes me severe anxiety and has had had an affect on my mood, social life and confidence.
I’ve been taking antibiotics every other month for the last 4-5 years but they’re not helping.
I also find that 7-10 days before my period I go completely bonkers – my mood, tolerance and anger levels are beyond my control. I feel out of control and unable to deal with my emotions rationally. As soon as my period starts, I have a sense of relief. This is having a negative impact on my husband and my children. I am struggling with my relationships.”
.wp-block-kadence-advancedheading.kt-adv-heading1148_688498-d0, .wp-block-kadence-advancedheading.kt-adv-heading1148_688498-d0[data-kb-block=”kb-adv-heading1148_688498-d0″]{font-style:normal;font-family:var( –global-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading1148_688498-d0 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1148_688498-d0[data-kb-block=”kb-adv-heading1148_688498-d0″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1148_688498-d0 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1148_688498-d0[data-kb-block=”kb-adv-heading1148_688498-d0″] img.kb-inline-image{width:150px;vertical-align:baseline;}
Health History
.wp-block-kadence-advancedheading.kt-adv-heading1148_031d49-53, .wp-block-kadence-advancedheading.kt-adv-heading1148_031d49-53[data-kb-block=”kb-adv-heading1148_031d49-53″]{font-style:normal;font-family:var( –global-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading1148_031d49-53 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1148_031d49-53[data-kb-block=”kb-adv-heading1148_031d49-53″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1148_031d49-53 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1148_031d49-53[data-kb-block=”kb-adv-heading1148_031d49-53″] img.kb-inline-image{width:150px;vertical-align:baseline;}
Nutrition History
.wp-block-kadence-advancedheading.kt-adv-heading1148_1cdbe6-67, .wp-block-kadence-advancedheading.kt-adv-heading1148_1cdbe6-67[data-kb-block=”kb-adv-heading1148_1cdbe6-67″]{font-style:normal;font-family:var( –global-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading1148_1cdbe6-67 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1148_1cdbe6-67[data-kb-block=”kb-adv-heading1148_1cdbe6-67″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1148_1cdbe6-67 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1148_1cdbe6-67[data-kb-block=”kb-adv-heading1148_1cdbe6-67″] img.kb-inline-image{width:150px;vertical-align:baseline;}
Significant Test Results
MarkerLevelInterpretationVitamin DSevere deficiencyLow immune function
Oestrogen too highCreatineLowImpaired methylation and liver detoxification of oestrogenBilirubinHighImpaired liver functionFerritinHighInflammationHaemoglobinLowIron deficiencyHbA1cHighInsulin resistance / pre-diabetes
.wp-block-kadence-advancedheading.kt-adv-heading1148_24af34-18, .wp-block-kadence-advancedheading.kt-adv-heading1148_24af34-18[data-kb-block=”kb-adv-heading1148_24af34-18″]{font-style:normal;font-family:var( –global-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading1148_24af34-18 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1148_24af34-18[data-kb-block=”kb-adv-heading1148_24af34-18″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1148_24af34-18 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1148_24af34-18[data-kb-block=”kb-adv-heading1148_24af34-18″] img.kb-inline-image{width:150px;vertical-align:baseline;}
Root Cause Analysis
Acne
PMS
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First Consultation Protocol
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NUTRITION
.wp-block-kadence-advancedheading.kt-adv-heading1148_b5ca05-23, .wp-block-kadence-advancedheading.kt-adv-heading1148_b5ca05-23[data-kb-block=”kb-adv-heading1148_b5ca05-23″]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1148_b5ca05-23 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1148_b5ca05-23[data-kb-block=”kb-adv-heading1148_b5ca05-23″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1148_b5ca05-23 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1148_b5ca05-23[data-kb-block=”kb-adv-heading1148_b5ca05-23″] img.kb-inline-image{width:150px;vertical-align:baseline;}
LIFESTYLE
.wp-block-kadence-advancedheading.kt-adv-heading1148_4513c3-c4, .wp-block-kadence-advancedheading.kt-adv-heading1148_4513c3-c4[data-kb-block=”kb-adv-heading1148_4513c3-c4″]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1148_4513c3-c4 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1148_4513c3-c4[data-kb-block=”kb-adv-heading1148_4513c3-c4″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1148_4513c3-c4 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1148_4513c3-c4[data-kb-block=”kb-adv-heading1148_4513c3-c4″] img.kb-inline-image{width:150px;vertical-align:baseline;}
SUPPLEMENTS
.wp-block-kadence-advancedheading.kt-adv-heading1148_9a5961-ad, .wp-block-kadence-advancedheading.kt-adv-heading1148_9a5961-ad[data-kb-block=”kb-adv-heading1148_9a5961-ad”]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1148_9a5961-ad mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1148_9a5961-ad[data-kb-block=”kb-adv-heading1148_9a5961-ad”] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1148_9a5961-ad img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1148_9a5961-ad[data-kb-block=”kb-adv-heading1148_9a5961-ad”] img.kb-inline-image{width:150px;vertical-align:baseline;}
INITIAL SYMPTOMS
.kb-table-container1148_80e427-39{margin-top:0px;margin-right:0px;margin-bottom:0px;margin-left:0px;overflow-x:auto;}.kb-table1148_80e427-39 tr > *:nth-child(1){width:70%;}.kb-table1148_80e427-39{table-layout:fixed;width:100%;}.kb-table-container .kb-table1148_80e427-39 th{padding-top:var(–global-kb-spacing-xxs, 0.5rem);padding-right:var(–global-kb-spacing-xxs, 0.5rem);padding-bottom:var(–global-kb-spacing-xxs, 0.5rem);padding-left:var(–global-kb-spacing-xxs, 0.5rem);text-align:center;}.kb-table-container .kb-table1148_80e427-39 caption{text-align:center;}.kb-table-container .kb-table1148_80e427-39 td{padding-top:var(–global-kb-spacing-xxs, 0.5rem);padding-right:var(–global-kb-spacing-xxs, 0.5rem);padding-bottom:var(–global-kb-spacing-xxs, 0.5rem);padding-left:var(–global-kb-spacing-xxs, 0.5rem);text-align:left;}.kb-table-container .kb-table1148_80e427-39 tr:nth-of-type(even){background-color:var(–global-palette8, #F7FAFC);}
Symptom
Score out of 6
Acne
There are massive cysts on her face for 10 days before her period and she can still feel them after period. They are painful when sleeps and wears glasses. She won’t go out if has cysts on her face.
5
Number of cysts
6
Mood disturbance
Premenstrual anger, explosive irritability and crying.
6
.wp-block-kadence-advancedheading.kt-adv-heading1148_dc07a6-93, .wp-block-kadence-advancedheading.kt-adv-heading1148_dc07a6-93[data-kb-block=”kb-adv-heading1148_dc07a6-93″]{font-style:normal;font-family:var( –global-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading1148_dc07a6-93 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1148_dc07a6-93[data-kb-block=”kb-adv-heading1148_dc07a6-93″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1148_dc07a6-93 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1148_dc07a6-93[data-kb-block=”kb-adv-heading1148_dc07a6-93″] img.kb-inline-image{width:150px;vertical-align:baseline;}
Follow-up Consultation 1 – Results (+4 weeks)
.wp-block-kadence-advancedheading.kt-adv-heading1148_5f723a-a1, .wp-block-kadence-advancedheading.kt-adv-heading1148_5f723a-a1[data-kb-block=”kb-adv-heading1148_5f723a-a1″]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1148_5f723a-a1 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1148_5f723a-a1[data-kb-block=”kb-adv-heading1148_5f723a-a1″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1148_5f723a-a1 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1148_5f723a-a1[data-kb-block=”kb-adv-heading1148_5f723a-a1″] img.kb-inline-image{width:150px;vertical-align:baseline;}
SYMPTOMS AT WEEK 4
.kb-table-container1148_b764f5-63{margin-top:0px;margin-right:0px;margin-bottom:0px;margin-left:0px;overflow-x:auto;}.kb-table1148_b764f5-63 tr > *:nth-child(1){width:70%;}.kb-table1148_b764f5-63{table-layout:fixed;width:100%;}.kb-table-container .kb-table1148_b764f5-63 th{padding-top:var(–global-kb-spacing-xxs, 0.5rem);padding-right:var(–global-kb-spacing-xxs, 0.5rem);padding-bottom:var(–global-kb-spacing-xxs, 0.5rem);padding-left:var(–global-kb-spacing-xxs, 0.5rem);text-align:center;}.kb-table-container .kb-table1148_b764f5-63 caption{text-align:center;}.kb-table-container .kb-table1148_b764f5-63 td{padding-top:var(–global-kb-spacing-xxs, 0.5rem);padding-right:var(–global-kb-spacing-xxs, 0.5rem);padding-bottom:var(–global-kb-spacing-xxs, 0.5rem);padding-left:var(–global-kb-spacing-xxs, 0.5rem);text-align:left;}.kb-table-container .kb-table1148_b764f5-63 tr:nth-of-type(even){background-color:var(–global-palette8, #F7FAFC);}
Symptom
Initial score / 6
Week 4 score/6
Acne
There are massive cysts on her face for 10 days before her period and she can still feel them after period. They are painful when sleeps and wears glasses. She won’t go out if has cysts on her face.
5
0
Number of cysts
6
0
Mood disturbance
Premenstrual anger, explosive irritability and crying.
6
2
.wp-block-kadence-advancedheading.kt-adv-heading1148_ef3d94-6a, .wp-block-kadence-advancedheading.kt-adv-heading1148_ef3d94-6a[data-kb-block=”kb-adv-heading1148_ef3d94-6a”]{font-style:normal;font-family:var( –global-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading1148_ef3d94-6a mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1148_ef3d94-6a[data-kb-block=”kb-adv-heading1148_ef3d94-6a”] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1148_ef3d94-6a img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1148_ef3d94-6a[data-kb-block=”kb-adv-heading1148_ef3d94-6a”] img.kb-inline-image{width:150px;vertical-align:baseline;}
Client Review
“I’m really happy with what Sandra has done for me. My skin and mood have completely transformed, to the point where I am so happy.”
BA
.wp-block-kadence-advancedheading.kt-adv-heading1148_4820df-41, .wp-block-kadence-advancedheading.kt-adv-heading1148_4820df-41[data-kb-block=”kb-adv-heading1148_4820df-41″]{font-style:normal;font-family:var( –global-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading1148_4820df-41 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1148_4820df-41[data-kb-block=”kb-adv-heading1148_4820df-41″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1148_4820df-41 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1148_4820df-41[data-kb-block=”kb-adv-heading1148_4820df-41″] img.kb-inline-image{width:150px;vertical-align:baseline;}
My Review
I was delighted with the quick response that BA had to the protocol, and particularly with how happy and confident she became in her life.
Acne and PMS are so incredibly responsive to focused nutritional interventions, and BA ‘s experience is a perfect example of how having the know-how to balance hormones leads to such a positive results.
Tanya was 43 when she came to see me about what she described as severe premenstrual syndrome (PMS):
She said:
“Two weeks before my period starts and usually around the new moon, I go what can only be described as loony! I lose the plot and shout for no reason, get angry very easily and have absolutely no control over it. This goes on until I get my period 2 weeks later and then I’m totally fine. It’s affecting myself and my family enormously now, so I desperately need some help.
GP just wants to put me on either the mini-pill, antidepressants or fit the coil – neither of which I am keen on, due to a bad experience with hormones when I did my IVF treatments.”
Tanya’s husband had difficulties with conception and they went through several rounds of IVF. They now have 3 happy and healthy children, but with one cycle of IVF she had an extreme reaction to Cyclogest, a synthetic progesterone. She described her reaction as being 1000 times worse than PMS.
.wp-block-kadence-advancedheading.kt-adv-heading1010_8fbb5e-1a, .wp-block-kadence-advancedheading.kt-adv-heading1010_8fbb5e-1a[data-kb-block=”kb-adv-heading1010_8fbb5e-1a”]{font-style:normal;font-family:var( –global-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading1010_8fbb5e-1a mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1010_8fbb5e-1a[data-kb-block=”kb-adv-heading1010_8fbb5e-1a”] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1010_8fbb5e-1a img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1010_8fbb5e-1a[data-kb-block=”kb-adv-heading1010_8fbb5e-1a”] img.kb-inline-image{width:150px;vertical-align:baseline;}
Health History
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Nutrition History
.wp-block-kadence-advancedheading.kt-adv-heading1010_fe5c68-f8, .wp-block-kadence-advancedheading.kt-adv-heading1010_fe5c68-f8[data-kb-block=”kb-adv-heading1010_fe5c68-f8″]{font-style:normal;font-family:var( –global-heading-font-family, inherit );}.wp-block-kadence-advancedheading.kt-adv-heading1010_fe5c68-f8 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1010_fe5c68-f8[data-kb-block=”kb-adv-heading1010_fe5c68-f8″] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading1010_fe5c68-f8 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading1010_fe5c68-f8[data-kb-block=”kb-adv-heading1010_fe5c68-f8″] img.kb-inline-image{width:150px;vertical-align:baseline;}
Significant Test Results
MarkerLevelInterpretationVitamin DDeficientNegative impact on mood and sleepVitamin B12Severe deficiencyImpaired methylation and liver detoxificationLuteal progesteroneWithin functional rangePremenstrual progesterone is normal
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Root Cause Analysis
Tanya described her symptoms as severe PMS, but I suspected that she was suffering from premenstrual dysphoric disorder (PMDD). Both PMS and PMDD are associated with disturbing, predictable, recurring, cyclic symptoms that start towards the end of the cycle and stop shortly after the onset of menstruation. Common symptoms include headaches, breast tenderness, bloating, irritability, depression, angry outbursts, and anxiety. The difference between PMDD and PMS is the severity and predominance of mental/emotional symptoms in PMDD and the marked impairment of personal/social relationships, including increased conflicts. PMDD is at the most severe and disabling end of the spectrum of premenstrual disorders.
Tanya experienced at least 5 of the diagnostic criteria required for PMDD including 3 of the depressive, anxiety, cognitive, and physical symptoms which seriously interfered with her social activities and personal relationships.
The exact cause of PMDD is unknown, but it appears to be related to an abnormal response of neurotransmitters including serotonin and GABA to normal ovarian function. In PMDD there is no demonstrable hormonal imbalance, rather PMDD is the result of the way that oestrogen and progesterone a!ect serotonin and GABA metabolism.
PMDD usually starts within 1-2 weeks before the onset of menstruation, when progesterone is climbing and oestrogen is decreasing. Progesterone is converted to alloprogesterone which normally interacts with GABA receptors in the brain to produce feelings of calmness and relaxation. In PMDD however, it is thought that the GABA receptor is malformed which means that the alloprogesterone does not lead to calmness, and instead results in high anxiety, anger and other mental/emotional symptoms. This is probably why Tanya had such an extreme reaction to the synthetic progesterone she received during IVF treatment – the very high level of progesterone induced extreme PMS symptoms. The malformation of the GABA receptor is associated with various nutritional deficiencies, including vitamin K, magnesium and vitamin B6.
At the same time, the decreasing oestrogen level in the luteal phase is associated with a decrease in the level of serotonin. In PMDD this can be hightend, leading to a serotonin imbalance which can cause depression, anxiety, sugar cravings, insomnia, headaches, obsessions and compulsions.
Serotonin is not found in food, but it is synthesised from l-tryptophan, which is found in protein as an amino acid. Synthesis of serotonin requires vitamin B6 and vitamin D. Tanya had vitamin D deficiency as evidenced by her blood test, which likely contributed to her ‘winter blues’ and may have impacted her serotonin level and led to insomnia. Melatonin, the sleep hormone, is synthesised from serotonin, and hence sleep is worsened when vitamin D is low.
Tanya’s diet, which was high in sugars and starch, and low in vegetables, fibre, omega 3 fats and water was also a likely contributor to her symptoms. A high carbohydrate intake depletes the body of essential vitamins and minerals, while a lack of omega 3 fats and vegetables can lead to deficiencies in essential anti-oxidants and micronutrients.
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First Consultation Protocol
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NUTRITION
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LIFESTYLE
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SUPPLEMENTS
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INITIAL SYMPTOMS
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Symptom
Score out of 6
Shouting and pent-up anger
6
Insomnia
4
Sugar cravings
4
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Follow-up Consultation 1 Results (+4 weeks)
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SYMPTOMS AT WEEK 4
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Symptom
Initial score / 6
4 week score / 6
Shouting and pent-up anger
6
4
Insomnia
4
3
Sugar cravings
4
0
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Follow-up Consultation 2 Results (+8 weeks)
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Symptom
Initial score / 6
4 week score / 6
8 week score / 6
Shouting and pent-up anger
6
4
1
Insomnia
4
3
2
Sugar cravings
4
0
0
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Client Review
“Following my nutritional plan and the right supplements, the impact was huge. Knowing what triggered the hormone imbalance and what I needed to do to balance it out again, was the biggest part of the jigsaw. Finally, I was able to take back control.”
TANYA
Since having had my children, my hormones were all over the place and my mood swings were out of control. I did not recognise myself or my actions throughout certain times of the month and after a while I finally plugged up the courage to go and see my GP to talk about the symptoms I was experiencing.
The help which I was offered was one of three options:
None of which I wanted to do, as I figured that these would mess even more with my hormones, give me side-effects and not solve the underlying issues. After some research I found Sandra and we ended up having a telephone consultation to see, if she could help and if we would “click”.
I am so very glad I made this phone call, as we ended up meeting and having a total of three face-to-face consultations. Quite frankly it changed me; my outlook on life; my hormone imbalance. It also gave me an immense insight into nutrition and how important it is to eat healthily and keep a balanced life-style.
I was the constantly tired and grumpy mum, who was constantly snacking and having frequent energy crashes throughout the day, which resulted in me being snappy and quite frankly unpleasant to be around. I didn’t realise how my food choices affected my energy levels and hunger.
Sandra helped me put a nutritional plan together, which allowed me to have stable, steady blood sugars and well-regulated insulin levels throughout the day. From a sugary diet, I changed to a more protein based, healthy fats and low carbohydrates diet. Combined with the right supplements, this changed me within just three to four weeks.
The impact was huge. Knowing what triggered the hormone imbalance and what I needed to do to balance it out again, was the biggest part of the jigsaw. Finally, I was able to take back control.
I cannot thank Sandra enough for all of her help and input and would recommend her to any woman going through difficulties with a hormone imbalance.
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My Review
I was so pleased for Tanya and the quick turnaround she made in her health that benefited not just her, but her family as well.
PMDD is severely emotionally debilitating condition. My approach is based on research that shows there isn’t an issue with hormone levels but in the the problematic way that progesterone acts at the brain level. My resolution of metabolic and neurotransmitter pathways at the brain level was key here.
In 8 weeks Tanyas emotions had completely calmed down and she was able to take on all of life’s ups and downs without dreading her period or feeling desperate. She is now able to maintain emotional stability throughout her cycle..
We agreed that Tanya will have brief check-in in 3 months time to monitor her health and determine her dosage of vitamin D for the winter months.
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Mainstream medicine is still working with a 1950s framework — one that treats oestrogen deficiency as the root cause of everything you’re feeling, which is why HRT makes sense for them. But there is one powerful dissenting voice.
Dr Nanette Santoro is a menopause scientist elected to the US National Academy of Medicine and chair at the University of Colorado School of Medicine. As lead investigator on the Study of Women’s Health Across the Nation (SWAN), she has followed more than 3,000 women aged 42–54 since the mid-1990s to understand the menopause transition and its consequences on women’s health. She has concluded that:
—Dr Nanette Santoro, lead investigator SWAN
In the last decade, the science of menopause has moved significantly. We now understand that symptoms are driven by far more than oestrogen decline — by metabolic shifts, nervous system load, inflammation, and the conditions in which this transition has to happen. Dr Santoro is clear: symptoms cluster together — hot flushes, brain fog, low mood, and broken sleep don’t arrive randomly. They share root causes. Which means they can be addressed at the root. My practice is built on that research.
If you’ve been told your symptoms are just low oestrogen — or that HRT is your only option — there is another way. It doesn’t matter where you are with HRT. The work is the same: your biology, your root causes, your protocol.
The discovery call is free, 30 minutes, and no obligation. Let’s have that conversation.
30 minutes · Free · No obligation
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Sandra Ishkanes Natural Menopause Specialist based in Brighton, serving clients worldwide via Online Consultations
BSc Molecular Biology (King’s College London) | DipION | Functional Medicine Practitioner
Registered member, Association of Naturopathic Practitioners (ANP) – the UK professional body for accredited naturopathic and functional medicine practitioners. ANP members hold accredited qualifications, carry professional indemnity insurance, and follow a strict code of ethics.
© 2026 Sandra Ishkanes · sandraishkanes.co.uk
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The information provided on this website is for educational and informational purposes only and is not intended as medical advice, diagnosis, or treatment. Sandra Ishkanes is a Functional Medicine Practitioner and Molecular Biologist, not a medical doctor. Always seek the advice of your GP or other qualified healthcare provider with any questions you may have regarding a medical condition or before making any changes to your diet, lifestyle, or supplement regimen—especially if you are currently taking prescription medication or HRT. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.