We will review your sleep quality, any sleep problems, your wearable data (if you use this). We can assess any medicines that impact sleep and whether hormone changes may be contributing to problems with sleep. We will screen for sleep apnoea and other sleep disorder and refer if needed for more detailed sleep studies. 

We will assess your mood if needed and can discuss well researched ways to improve mood beyond just anti-depressants. For example, exercise in nature, use of hot-cold therapies, photobiomodulation, sleep interventions, nutritional interventions & specific supplements. (ensuring quality and safety from trusted providers).

If your family history or medical issues suggest that you may be high risk for long term conditions such as heart disease, stroke and Type-2 diabetes etc. we can assess your metabolic risk and design a plan to reduce your risks and keep you well. 

Genetic testing is often not needed unless there is a specific intervention that has been shown to reduce risk or you are at particular risk; we will discuss your options. 

We will review any harmful substances you might be exposed to - whether this is alcohol, nicotine, smoking or environmental harms such as heavy metals etc. We can do further testing if this is indicated and there are ways to reduce these exposures. 

We will explore any harmful behaviours, particularly harmful tech or social media use. 

We will review your nutritional status through body composition assessment (BMI, waist-hip ratio, bioimpedence testing and fitness tests including grip strength). We can test for nutritional deficiencies if you are at risk. We will design  nutritional interventions that suit your life and preferences.  If desired, we can use intensive nutritional interventions such as fasting mimicking diets or meal replacements. 

We will review your long-term medications and discuss any you may be able to reduce or stop if you make and sustain lifestyle changes. We will make any changes in communication with your NHS GP. 

We can discuss prescriptions of weight loss medicines, anti-depressants and HRT if needed.