Helping you optimise on your digestive health


Our vision is focussed on supporting you achieve a swift, accurate diagnosis when you experience digestive problems and assist you effectively manage your symptoms.

World Microbiome Day

World Microbiome Day celebrates all things microbe, all around the world.

Microorganisms (e.g. bacteria, fungi, viruses, archaea, etc) can be found everywhere in and on plants, animals, water, soil, food and humans.

Within each of those habitats, microorganisms live together in communities called microbiomes. Microbiomes have an effect on (amongst others) human health; therefore, scientists are exploring how these communities of organisms co-exist with each other, with us and our environment.

The theme for World Microbiome Day 2021 which took place on 27th June is Sustainability with a focus on how microbes can contribute to a sustainable future. Despite their ubiquity and diversity, the importance of microbes for maintaining healthy global ecosystems is often overlooked. Microbes already have a tremendous effect on the health and balance of the environments we live in.

Do enjoy the their video  and please visit their website for a lot more information on this subject.

Visit Website

Use of the video has been kindly permitted by the Microbiome Support Project who produced it.

During 2021 Sian has been working a Healthcare Ambassador in association with Symprove a high dose water based Probiotic supplement and has recently had a second  article on Probiotics and Eczema  published on their health professional website. An extract from the article is published below with kind permission of the company. Please visit Symprove website to access the full text:

‘Eczema is an umbrella term used to describe a group of conditions which causes our skin to become inflamed and intensely itchy, impairing quality of life. The aetiology and pathogenesis of eczema are not yet fully understood, nor is there an effective treatment currently available.

A recent systematic review, including 21 studies, showed that probiotic administration to a combination of pregnant mothers, breastfeeding mothers and children had the most influence at reducing the risk of those infants developing eczema. This included results of finding it most effective in high-risk populations, but also effective in non-high-risk groups too. Mixtures of probiotic strains were shown to have a greater effect than single strains. While an earlier systematic review disagrees with this finding no evidence of a protective effect of perinatal probiotic use and allergies, it is consistent with the findings of other more recent systematic reviews, suggesting as the body of research grows, that there is a potential indication for probiotic supplementation during pregnancy to prevent infantile eczema…’

An article on The Gut Microbiome and Healthy Ageing published on Symprove for Professionals, earlier this year, can be accessed directly via the above hyperlink.

INTRODUCTION

Welcome to Be good to your gut !

Meet Sian and Andrew !

Our partnership of a leading gastroenterologist and hepatologist, with a specialist dietician will help to ensure that you are provided with the best holistic information on your condition. We recognise that food can have a very positive, but equally a negative impact on our health and particularly your digestive well being.

Sian is a Specialist Gastroenterology Dietitian who has combined 25 years experience within the NHS with 15 years within the private sector. She has worked at The Royal Marsden NHS Foundation Trust, Kings College Hospital NHS Foundation Trust and most recently The Whittington Hospital and The Royal Free NHS Foundation Trust based currently at Barnet and Chase Farm Hospitals.

A consultation will involve a careful history and examination and then a discussion about the need for investigations, which if needed, will be carried out promptly. Andrew will undertake a careful diagnostic assessment using the latest technologies, incorporating endoscopic procedures such as gastroscopy, colonoscopy, video capsule endoscopy, in association with evidence based treatments for a wide range of gastrointestinal conditions. In addition other tests such as breath testing, physiological analysis and stool tests are available. Andrew works closely with expert radiologists to carry out ultrasound, MRI and CT scanning if needed.

Patient comfort during endoscopic procedures is of utmost importance. Most endoscopic procedures can be carried out with light or even no sedation. Sedation is very much the patients choice and when there is a request to be completely asleep Andrew will ask an expert anaesthetist to provide deep sedation or a general anaesthetic as needed.

Common gastroenterology problems managed:
Abdominal pain, diarrhoea and constipation
Indigestion and acid reflux
Irritable Bowel Syndrome
Food intolerance and allergy
Liver abnormalities
Suspected gallstones
Pancreas disorders

Our core Values

Use scientific evidence

Use scientific evidence

To use current robust scientific evidence when carrying out assessments and making recommendations.

Give guidance

Give guidance

To signpost you towards helpful websites and access other resources such as recipes and constructive media blogs.

To support you

To support you

To support you to enjoy your food, optimise on your digestion and use 'Food as Medicine' wherever possible.

Our Vision

What will we Do?

We are focussed on supporting you to achieve a swift and accurate diagnosis of your digestive symptoms and help you to receive the right treatment and to manage your symptoms more effectively.

We do not provide medical care directly through this site but the information included will help to advise where you can receive the best and most appropriate management for your condition. If you would like a consultation with Sian Shepherd or Dr Andrew Millar we will provide the contact numbers to help you make an appointment.

You can be confident that we base our guidance on robust scientific evidence and a complimentary blend of medicine, food and nutrition aimed at keeping you and your gut healthy.

Being very much ‘foodies’ ourselves we will help to enhance your lifestyle with advice on trying great new recipes for food and drinks. These will include some alcoholic beverages as in small quantities we believe in the life enhancing qualities of great wines, in particular.

Over time Sian will share with you some of her own delicious recipes and culinary recommendations, through the ‘begoodtoyourgut’ Instagram and Twitter accounts.

Andrew will provide a caring patient-orientated service delivering evidence-based care, working closely with colleagues, including Sian, who will provide specialist dietetic management together with other experts in radiology, physiology and surgery.

Our Thoughts

Latest from our blog

Our Photos

Latest from our Instagram

Attention all miniature schnauzers, there is a waiting list for most good North London groomers at present, hence the eyebrows!

My ‘day bed’ arrived today & not before time with my first winter rapidly approaching.

I am still not giving up on ‘her’ lap entirely, but know I have to compromise a little as ‘her indoors’ chair is not that big & if I am really honest, ‘she’ is not getting any smaller.

Wondering when the @hampstead heath schnauzer walks will resume.. do DM if you know?

Happy Wednesday fellow miniature schnauzers 🐕‍🦺 !

#minatureschnauzer #schnauzer #schnauzersofinstagram #schnauzerpuppy
...

After the dark days & lockdowns of 2020/21, it was marvellous to head out for afternoon tea @fortnums with my youngest daughter.

We had successfully purchased my ‘mother of the bride’ outfit in advance of her forthcoming Christmas wedding, so we were definitely in the mood to celebrate! Fortnums did not let us down.

The food & service were absolutely exemplary & we were actively encouraged to have regular ‘top ups’ from their exquisite range of teas, finger sandwiches & super delicious cakes & pastries. 2 hours of sheer Fortnum bliss whilst seated in their very comfortable & moreover gracious Diamond Jubilee Tea Salon.

Not the cheapest London tea venue, but certainly one of my favourites.

#fortnumandmason #afternoontea #afternoontealondon #dietitian #londondietitian #begoodtoyourgut.co.uk
#fortnums
...

Every dog owner needs a Julian!

We are very fortunate in having a capable & highly professional dog walker with a fantastic sense of humour 😃.

It allows some dedicated time to work, exercise, see friends etc without having to think about ‘treats’ or ‘poo bags’ for a nanosecond.

Don’t get me wrong, Digby is an absolute treasure & brings enormous joy, lashings of love & increased physical activity into our lives but.. it’s good for him & us to have short breaks particularly he is now a ‘teenager’.

He adores his time with Julian & the other dogs. I suspect this is because dogs like to be members of a ‘pack’ albeit quite a disparate one.

Julian is always planning an adventure for his brood & I am sharing one of his stories now.

I know having a dog walker maybe seen by some as highly extravagant, but I see it as an excellent small investment for Digby & us alike.

#dog #dogsofinstagram #dogs #dogwalking #dogwalker #dogwalk #schnauzersofinstagram #schnauzerworld
...

As September is PCOS month, our post included a brief explanation about the condition & how to help self manage it

We also promised a delicious & easy to prepare low Glycaemic Index (GI) recipe.

Low GI foods help stabilise blood glucose levels, manage insulin resistance & as such relieve symptoms, so here it is:

Pasta and Beans
(Serves 4)

Ingredients:

• 2 sausages
• 250g conchiglie pasta
• 2 tablespoons olive oil
• 1 finely diced white onion
• 2 crushed garlic cloves
• 400g can chopped tomatoes
• 3 dried bay leaves
• ½ cup vegetable stock
• Salt and pepper, to taste.
• 400g can cannellini beans,
rinsed, drained
• 100g kale
• Toasted seeded bread

Method

1. Cook the sausages as per
instructions (I usually bake in
the oven)
2. Cook the pasta as per
instructions and drain.
3. Meanwhile, heat oil in a
saucepan over medium heat.
Add the onion, and cook for
2-3 minutes, until softened.
Add the garlic and cook for a
further minute.
4. To the onion and garlic, add
the chopped tomato, bay
leaves and stock, season,
then simmer for around
10-15 minutes, until slightly
thickened.
5. Cut the sausages. Remove
the bay leaves.
6. Stir the sausages, pasta,
beans, and kale through the
tomato mix.
7. Serve on seeded toast and
enjoy! 😊

#pcos #pcosawareness #pcosawarenessmonth #pcosdiet #glycaemicindex #gidiet #dietitian #londondietitian #begoodtoyourgut.co.uk
...

September is Polycystic Ovaries Syndrome (PCOS) awareness month.

PCOS affects millions of women worldwide and affects 1 in 10 women in the UK. It is an endocrine syndrome, affecting fertility and metabolic health.

Signs of PCOS include irregular periods, excess body and facial hair, thinning hair from the head, and acne.

To be diagnosed you must have 2 out of the following 3:

irregular/ infrequent periods, high blood androgen levels, scans showing polycystic ovaries.

Independent of body weight, about 50-95% of PCOS patients have insulin resistance. Insulin is a hormone which controls our blood sugar levels.

Insulin resistance can lead to food cravings, weight gain, irregular periods, and problems with fertility – all of which are common symptoms in PCOS.

High blood sugar levels are also a key component in ‘metabolic syndrome’ – a combination of diabetes, high blood pressure and living with obesity.

While we cannot cure PCOS, dietary and lifestyle changes can help manage insulin resistance and relieve symptoms.

The Glycaemic Index (GI) of foods is a measure of how quickly they cause our bloods sugar levels to rise. Foods with a low GI diet may help to manage insulin resistance in PCOS patients.

Low GI foods include high fibre foods such as wholemeal bread, beans and legumes, brown rice, porridge oats, and some fruits and vegetables (berries, leafy greens, and peppers).

We will show you a sample low GI meal recipe later this week.

Always talk with a Registered Dietitian or Registered Nutritionist for support with dietary changes.

#polycysticovariessyndrome #PCOSanddiet #PCOSandglycaemicindex #lowglycaemicindexrecipe

https://www.nhs.uk/conditions/metabolic-syndrome/
https://academic.oup.com/edrv/article/33/6/981/2354926?login=true
https://link.springer.com/chapter/10.1007/978-0-387-09718-3_4
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5884373/
...

Fresh lemonade, made with local lemons (disclosure: not ours & I added an orange..) is as refreshing as it is delicious.

Very # quick to prepare, I adapted a @deliasmith recipe:

Ingredients:

6 large lemons

150g sugar (I used 120grams)

METHOD

1️⃣ scrub the lemons in warm water. Remove the outer zest from 3 of the lemons thinly using a potato peeler.

2️⃣ Try to remove any white pith from the strips of zest with a sharp knife – that is to prevent the lemonade tasting bitter.

3️⃣ Put the zest into a large bowl and add the squeezed juice of all the lemons and sugar.

4️⃣ Pour in 2½ pints (1.4 litres) of boiling water, stir well.

5️⃣ Cover and leave overnight in the fridge.

6️⃣ Stir again and taste to check for sweetness, adding a little more sugar if need be.

7️⃣ Strain through a coarse sieve. Pour into bottles, using sterilised corks, then chill.

8️⃣ Serve with an icecube.

Enjoy!

#lemonade #freshlemonade #vitaminc #nonalcoholicdrink #nonalcoholicdrinks #dietitian #londondietitian #begoodtoyourgut.co.uk
...

September is sourdough month!

Firstly, what is sourdough? It is a naturally leavened bread, meaning yeast is not used to help it rise. Instead, the process of making sourdough includes a “starter” which is a fermented flour and water mix. This “starter” mix contains wild yeast and benefical bacteria which help produce that delicious slightly sour flavour and chewy texture in the bread.

Did you know, sourdough is one of the oldest forms of grain fermentation, dating back thousands of years!

To bake a simple sourdough bread, all you need is the ‘starter’, strong white or wholemeal bread flour, water, and salt!

Sourdough bread is deservedly popular, but are there benefits from eating sourdough? The nutrition profile of sourdough is generally quite similar to other breads, and so contributes to our starch (carbohydrate) intake which is our body’s main source of energy!

It is however is a fermented bread, and this process affects its nutritional profile. Certain nutrients such as zinc may/may not be more available to the body. The jury is still out on this one.

100% spelt sourdough is considered low-FODMAP, and many of my patients with digestive disorders, find they can tolerate it a lot better than other breads.

There is also some, albeit limited research to suggest that sourdough bread has probiotic properties. Probiotics are beneficial bacteria, which when consumed in adequate amounts may have benefits on the individual’s health.

What else can we make with sourdough? Sourdough pizza bases, croutons, even cinnaon rolls, and more!

Let us know in the comments below if you’ve made sourdough, and what you’ve used it for!

#sourdoughseptember #sourdoughbread #sourdoughideas #sourdoughnutrition #fermentedfoods #fermentedfood #probiotics
...

Sometimes it’s good to look back & remember good times, particularly the opportunity to travel pre-Covid.

When I was 60, my daughter kindly arranged an Australian road trip of mammoth proportions.

We covered over 3000 miles taking in dives off the outer Queensland Barrier reefs, walking through the rainforest, cycling around Perth, whale watching, racing across the sands at Fraser Island, climbing the ‘bridge’ & finishing off in Sydney opera house listening to La Boheme (I think..)!

Anyway, we had a brilliant time & made mum/daughter memories that will last a lifetime.

I am really fortunate not to have had a big birthday during Covid and are acutely aware, not everyone is so fortunate.

Hopefully travel will gradually open up again including to Australia, albeit maybe we should be considering a self-limit on our annual recreational air miles or changing our means of travel where ever possible.

PS. Don’t cycle certain beaches in Port Douglas 🐊🤣

#mumlife #mumanddaughter #sydney #sydneyharbourbridge #sydneyharbourbridgeclimb #memoriesforlife #begoodtoyourgut
...

Our next blog which will be posted hopefully next week is on the subject of movement & gut health.

Exercise appears to be an environmental factor that can determine changes in both the quality and quantity of our gut microbial composition.

Exercise also appears able to enrich the microflora range (or diversity) which is positive for many reasons.

It could potentially contribute to reducing weight, obesity-associated diseases, and gastrointestinal disorders.

Exercise can stimulate bacteria capable of producing substances that protect against gastrointestinal disorders and colon cancer such as, short chain fatty acids (SCFAs) production.

Further studies are certainly needed to fully understand the mechanisms that determine changes in the composition and functions of the microflora caused by exercise.

Most importantly, exercise or movement should be seen as fun and can be undertaken in many different formats.

It does not have to be working out hard in the gym or running a marathon. It can be simply, taking a walk in nature, cycling in the park or down a country lane or dancing in the kitchen to your favourite music tracks.

Do what you enjoy as it is far more likely to be repeated on a regular basis.

We know exercise is great for our cardiac, mental health & also protects us against many diseases, but press our start video button, to get a glimpse of how it impacts on our gut health.

We shall of course let you know also when the full blog is posted!

#guthealth #gut #guts #exercise #exerciseeveryday #exerciseroutine #microbiome #gutmicrobiome #londondietitian #dietitian #dietitiansofinstagram #begoodtoyourgut #begoodtoyourgut.co.uk
...

Summer days, long may they last 🥰. ...

Family life in 2020/21 has been a rollercoaster. Very sadly far too many people in the U.K & overseas, particularly the USA, Brazil and India have lost their lives.

It was therefore particularly special to spend an entire week in Cowes with my eldest daughter @lauradesmondlondon, her beautiful family & our son @james_sheps

Lots of fun and family time at @tapnellfarmpark @robinhillcountrypark despite some pretty dreadful weather for August! Where did the promised heatwave go .. ?

Sadly our lunch @thehutcolwell got cancelled, yes, Covid again, but we had fab food @northhouse.cowes and @thecowtapnellfarm @thegeorgehotelisleofwight and thebestdressedcrab in Bembridge (no Insta handle) & so worth a visit.

We had a wonderful time met up with two very beautiful, capable nieces, we even managed to prepare fruit bars as snacks from@hummingbbakery cookbook.

I hope your summer is going well & you also manage a well deserved break x
...

12 minutes to go & then a ‘nail biting’ 90 minutes or so.. plus injury time.

I am no ‘footie’, but this is an exceptional group of talented & respectful young men, headed up by the unflappable Gareth Southgate.

Any team including @marcusrashford & @sterling7 would have my vote for what they have achieved off the pitch, leave alone their immense footballing skills on it.

Go England team, we are so very proud of how far you have got so far & maybe, just maybe, this is the night we break a 55 year dry spell of silverware.

Whatever happens the entire country is immensely proud of your success & also how you all present as role models to the next footballing generation.

#football #euro2020 #euro2021 #england #englandfootball #threelions #footballscominghome #goengland
...

Wonderful weekend in Cambridge just coming to an end, but what a treat!

@curiocollection Cambridge a great new boutique hotel. A short walk to the centre allowing easy access to the river, colleges, markets & meadows. Great pool & a well equipped gym!

Fantastic river punt with @rutherfordspunting with a truly amusing yet extremely knowledgeable guide. I love that combination.

Wish we had brought our bikes & would have tried the new Voi scooter if they rented helmets, but a very good excuse to return.

Fantastic Italian meal last night @alpomodorocambridge and heading to @theivycambridge now for lunch.

But.. . sooo excited about tonight’s game & now need to get back asap to watch it, collecting our Digby 🐶 en route.

It’s been refreshing & necessary weekend break, particularly with the significant social isolation & stresses of the pandemic.

Cambridge was full of people seemingly doing similar & it was great seeing people in numbers enjoying themselves, particularly the largest number of ‘hen parties’ most of which were on the river.

#cambridge #weekend #puntingincambridge #punting #weekend #weekendaway #dietitian #hiltonhotel #curiohotelcollection
...

Very proud today to have been part of the great NHS throughout my career and so grateful to have them there when needed & we all will! It’s truly a ‘cradle to grave’ service & we must treasure it.

It is humbling that the Queen has today honoured the organisation with the George Cross but..

So many staff have worked tirelessly throughout the pandemic & are now working just as hard catching up with much needed diagnostics, patient care & delayed surgeries.

So why after all this dedicated service throughout the pandemic, loss of staff lives (at least 230 by Feb 2021), cancelled leave, excessive /unpaid working hours, many experiencing severe physical & emotional distress, does the government then choose to give them a totally inadequate 1% pay rise?

Now @sajidjavidmp has an opportunity as the new health minister, to really acknowledge their worth, by reviewing this but in the meantime Happy 75th Birthday NHS!

#nhs #nhsbirthday #nhsheroes #nhsstaff #nhsworkers
...

It’s hot, hot, hot & it’s Nutrition & Hydration Week!

This year has been tough for many. We would like to say an enormous thank you to all NHS front line staff & everyone else who has supported the community throughout the recent pandemic.

A recent study of healthcare workers found that during Covid-19 ‘peaks’, less than 50% of staff were able to consume 500-1000mls/day of liquid per shift.

Did you know that approximately 60% of the adult human body is made up of water?

Dehydration is dangerous & can lead to us feeling tired, dizzy or lightheaded. Dehydration ranges from mild ie a loss of no more than 5% of our body weight to moderate, to severe which is a loss of over 10% of body weight. This is life threatening & requiring urgent medical care.

So look out for dehydration particularly in very hot weather:

1️⃣ Check colour of urine as darker urine is an indicator we are not having enough
2️⃣ drink in response to thirst. If you are feeling thirsty, this is a biological mechanism simply telling us we need to drink.

It is recommended we have 6-8 glasses of fluid per day & here are some tips for increasing your fluid intake a little more:

✅ try & drink tap/or filtered tap water throughout the day. Add lemon slices, mint or a few berries or try sparkling water (my favourite) either alone or diluting it with some fresh juice.
✅ remember other drinks also count towards our fluid intake including decaffeinated coffee, fruit/herbal or weak breakfast teas, unsweetened juices, infused or flavoured waters.
✅ limit caffeine intake to 400mgs/day (approx 4 cups coffee/day).
✅use a refillable water bottle & carry it with you. Challenge yourself to drink it by lunchtime or dinner.

Employers have a responsibility under health & safety regulation FFP2/3 to ensure you have regular rest breaks & easy access to fluids & food throughout the working day.

Nutrition & Hydration Week is in essence a gentle reminder to us all of a basic human requirement, that sometimes get overlooked for staff, patients & care home residents alike.

#nhweek #nutritionandhydrationweek #nutritionandhydrationweek2021 #dietitian #dietitiansofinstagram #dietitians #londondietitian
...

Leading on from our recent 2 reels on delicious milk & water based kefir drinks.. let’s discuss a little bit more about fermented foods in general.

Fermented foods have been used for over 10000 years, notably for their preservation properties & their ability to change the function of food/drinks & enhance both sensory & nutritional value.

In recent years, fermented foods have been increasingly known for their potential beneficial effect on our gut health. This maybe through increasing the microbial diversity of the gut or the ratio of beneficial bacteria in our gut.

But how strong is the research?

Well, one of the most researched foods is kefir. A fermented drink made by adding kefir grains (colonies of yeast & lactic acid bacteria) traditionally to cows or goats milk. This is left to ferment for around 48 hours, the grains are then removed & the kefir is ready to drink.

See our ‘step by step’ reels with details on how to prepare 2 yummy kefir drinks.

Current research shows that regular consumption of kefir can improve our digestion & tolerance to lactose. It may also have an anti-bacterial effect, in addition to helping lower cholesterol & blood pressure.

If we however take a step back, most of the current research has been undertaken in animals or in laboratory studies which dilutes the ability to apply these directly to humans.

So whilst we cannot say definitively there is sufficient research to support kefir in improving our health, it is a low cost, safe & tasty drink enjoyed by many thousands of people.

It can certainly form part of a balanced diet. Milk kefir is a rich source of protein & it’s more easily digested due to the fermentation process. People who cannot tolerate lactose often find they can tolerate kefir in small quantities.

Kefir contains Vits A, B1, B2, B5, C & K as well as calcium, magnesium & phosphorus.

Research for other fermented foods such as kombucha, soy & kimichi is at present minimal.

#fermented #fermentedfoods #fermenteddrinks #probiotics #probiotic #guthealth #guthealthmatters #gut #digestivehealth #londondietitian #dietitians #dietitiansoninstragram
...

Great to spend some time with the legendary @grahamsimpsontravel from @simpsontravel during his recent visit to Meganisi.

Graham & his team have been working tirelessly to ensure Simpson villas are ready and waiting to receive their discerning clients.

Thank you @simpsontravel.

#simpsonstravel #ionianislands #ioniansea #summer #mediterraneanlife #greece #ionianislands #meganisi_island #meganisi
...

Two (approx) 40 gram portions of fresh fruit, a small bowl of whole grain granola including a handful of nuts & I have made an excellent & delicious start to achieving 30 grams fibre today aimed at optimising my gut health 😊.

For me this has to be accompanied by great cup of coffee & freshly squeezed juice.

Happy Friday everyone, the weekend is almost here 👍!

#gut #guthealth #digestivehealth #breakfast #mediterraneandiet #dietaryfiber #fibre #dietitian #dietitiansofinstagram #londondietitian #symprove #begoodtoyourgut.co.uk
...

UK hospitality is finally opening up ‘cautiously’!

I had the great pleasure of meeting a friend for The Picnic afternoon tea @tinglondon @shangrilalondon on Wednesday afternoon.

We consumed everything on offer from asparagus & cheese quiche to Yorkshire rhubarb mousse, whilst savouring the iconic landscape views from the 35th floor @theshardlondon.

It was a special treat after months of lockdown, as we caught up on news whilst enjoying first class hospitality & drinking delicious champagne & the occasional cup of fruit tea (pictured).

Thank you to @tinglondon for looking after us so very well. I shall return!

#afternoontea #afternoontealondon #theshard #theshardlondon #lockdownlifting
...

Testimonials

What our clients have to say

I was initially referred to Mrs Shepherd following a diagnosis of IBS in 2012. At that time she introduced me to a low fermentable carbohydrate (FODMAP) diet which was a complete revelation. Within a three month period, I noticed a significant improvement in all of my symptoms and, with Mrs Shepherd’s professional expertise and guidance, […]
DC
Teacher
Sian was my saviour through my treatment. She instilled so much confidence in me that I followed her advice on foods I could and could not eat. She is a professional and knowledgeable in her trade, her service was impeccable. I had regular consultations with Sian who also worked closely with Dr Karp, my oncologist. We were overwhelmed that my bloods were good, including my iron levels and blood cells. This was due to changes in my diet.
SM
Higher Education Tutor
It was lovely to meet you today. I was so excited for your information that I instantly installed the ap. You have given me great hope and I feel it will work. You have such a wonderful way of doing your job and sympathising with what I am going through. Having met many doctors with my symptoms, I feel there is finally light at the end of the tunnel. I am just grateful Dr Miller recommended you.
JS
Company Director
I visited Sian after being recommended by a gastroenterology consultant I have a non alcohol fatty liver. After my first session with Sian she introduced the idea that the cause may be that I binge eat. 
Having the open, honest and calming conversation with Sian really opened my eyes to my eating habits. 
She recommended a programme for me to improve my liver health and I now feel so much better. 
Thank you Sian for your coaching.
CP
Local Government IT Consultant

MAKE AN APPOINTMENT

We make it a priority to offer flexible appointment times to accommodate your other commitments.