Areas I Support
I support a wide range of health concerns in both adults and children, from common digestive, hormonal and immune issues through to complex chronic, neuroimmune and environmentally driven presentations
General Health
Gut and Digestive Health
Digestive symptoms can have many different underlying causes. Although the gut microbiome is hugely important, it is rarely as simple as just adding a probiotic.
Symptoms may include bloating, gas, reflux, abdominal discomfort, constipation, diarrhoea, IBS-type symptoms, food reactions, poor digestion, fatigue and sluggishness.
Possible underlying factors include gut microbiome imbalance (dysbiosis), microbial overgrowth such as SIBO, Clostridia and Candida, low stomach acid, digestive enzyme insufficiency, malabsorption, gut barrier dysfunction (leaky gut), inflammation, infections and parasites.
My role is to clinically analyse the full picture and, where needed, use specialist testing to identify what may be contributing and guide a targeted approach to gut healing and healthier digestive function.
Allergies, Food Intolerances & Environmental Sensitivities
Food reactions, intolerances, environmental allergies and sensitivities can affect the gut, skin, respiratory system and immune system, sometimes across several areas at once.
These reactions may be influenced by gut health, immune dysregulation, histamine activity and environmental exposures.
My approach looks at the wider factors influencing immune reactivity, including the gut–immune relationship, to help identify what may be driving or maintaining these reactions.
Skin Health
Skin symptoms reflect what is happening elsewhere in the body, particularly within the gut and immune system, so I focus on underlying contributors rather than symptom suppressing treatments that may further disrupt gut or immune function.
This includes eczema, acne, psoriasis, rosacea, hives, persistent rashes, fungal skin issues and other inflammatory or recurring skin concerns.
Gut health, immune activity, histamine, hormones, nutrient status, inflammation and environmental exposures can all form part of understanding why the skin is reacting in the first place.
Hormonal Health
Hormonal changes can affect energy, mood, sleep, metabolism, menstrual health, weight and overall quality of life.
Common concerns include PMS, PMDD, mood changes, painful or heavy periods, irregular cycles, PCOS, oestrogen dominance, perimenopause and menopause, hot flushes, vaginal dryness, changes in libido, thyroid-related symptoms, stress-hormone dysregulation and unexplained changes in weight or energy.
Cardiovascular, Metabolic & Mitochondrial Health
This area includes blood pressure changes, cholesterol and lipid abnormalities, blood sugar instability, insulin resistance, metabolic dysfunction, palpitations, POTS and other forms of dysautonomia, post-exertional fatigue, reduced exercise tolerance and unexplained changes in energy or weight,
These concerns can involve interconnected factors including blood sugar regulation, inflammation, circulation, autonomic nervous system function, cellular energy production and mitochondrial health.
Mood, Brain Fog & Cognitive Health
Changes in mood and cognition can reflect much more than psychological factors alone.
Symptoms may include anxiety, low mood, irritability, brain fog, poor memory or concentration, mental fatigue, dizziness, feelings of disconnection or spaciness, and obsessive or intrusive thoughts.
I consider how physiological and environmental factors may be influencing brain and nervous system function, particularly where symptoms are persistent, complex or difficult to explain.
Sleep Issues & Ongoing Fatigue
Fatigue may be persistent, chronic or difficult to explain, affecting both physical and mental energy. It can range from reduced stamina and poor motivation to post-viral or post-exertional fatigue, profound exhaustion and difficulty recovering after even minimal activity.
Sleep problems can include insomnia, difficulty falling asleep, waking during the night, restless or unrefreshing sleep, nightmares, night sweats or hot flushes and frequent waking to urinate.
Because good-quality sleep is fundamental to energy, mitochondrial health, physical and mental health, repair and recovery, I investigate what may be disrupting sleep, cellular energy production and the body’s ability to recover.
Specialist Areas
Complex Chronic Illness
Some health concerns simply do not fit neatly into one diagnosis or one body system.
This can include persistent, multisystem or difficult-to-explain combinations of chronic fatigue, brain fog, pain, neurological symptoms, post-viral illness, POTS, multiple sensitivities and recurrent infections, including conditions such as ME/CFS and fibromyalgia.
These presentations can vary considerably in severity, from those struggling to manage everyday activities to individuals who are severely debilitated, housebound or bedbound.
Complex chronic illness is typically multilayered, with several factors interacting at the same time. This is where I dig deeper to analyse the whole picture and identify possible root drivers, triggers and underlying contributors.
Autoimmune Conditions
Autoimmune disease is a significant and growing chronic health concern, with rates now at an all-time high. Conventional treatment often focuses on managing symptoms and suppressing immune activity, without necessarily exploring the underlying factors that may have contributed to the loss of immune tolerance in the first place.
Conditions include Hashimoto’s thyroiditis, Graves’ disease, rheumatoid arthritis, coeliac disease, Crohn’s disease, ulcerative colitis, psoriasis, vitiligo, lupus, Sjögren’s syndrome, multiple sclerosis and other autoimmune or inflammatory presentations.
Immune Health and Dysregulation
Immune dysfunction can present in different ways, including frequent or persistent infections, viral reactivation, post-viral illness such as Long COVID, prolonged recovery after illness, and overactive, suppressed or misdirected immune responses.
My approach focuses on investigating what may be disrupting, suppressing or continually challenging the immune system, including potential infectious, nutritional, gut-related, genetic and environmental contributors, with the aim of supporting healthier immune regulation, resilience and recovery.
My approach focuses on investigating the underlying factors that may be disrupting, suppressing or misdirecting immune responses, including infectious, nutritional, gut-related, genetic and environmental contributors. The aim is to support healthier immune regulation and resilience, reduce the frequency and severity of autoimmune flares, slow disease progression where possible and support the potential for remission and recovery.
PANS/PANDAS & Neuroimmune Conditions
PANS (Paediatric Acute-onset Neuropsychiatric Syndrome) and PANDAS (Paediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) are characterised by a marked change in neuropsychiatric function.
Symptoms can include OCD or intrusive thoughts, emotional lability, depression, rage, separation anxiety, sleep disturbance, sensory changes, tics, regression or baby talk, deterioration in school performance, changes in handwriting or motor function, brain fog, memory difficulties, urinary frequency or bedwetting, and severely restricted eating or ARFID-type presentations.
These symptoms do not need to occur all together, and the pattern can vary considerably from one child to another.
PANDAS is specifically associated with Group A Streptococcal infection, while PANS is broader and may be associated with other infectious, immune or environmental triggers, including viral illness, Mycoplasma and vector-borne infections such as Lyme disease and Bartonella.
PANS/PANDAS is often described as rare, but under-recognition and underdiagnosis remain significant issues, particularly where symptoms are viewed only through a behavioural or psychiatric lens.
Because these are neuroimmune conditions, my focus is on identifying the root causes, triggers and drivers behind the presentation. They are typically multifactorial, with several contributing factors needing to be addressed together.
PANS/PANDAS and complex neuroimmune presentations are a specialist area of my practice, supported by ongoing specialist training and collaboration with international clinicians and experts working in this field.
Learn more about PANS/PANDAS →
Lyme Disease & Vector-Borne Infections
Chronic Lyme disease and other vector-borne infections are a specialist area of my practice. This remains a clinically complex and sometimes controversial area, particularly when symptoms persist or several infections may be involved.
This can include Lyme disease (Borrelia), Bartonella, Babesia and other vector-borne infections, which can affect the neurological, immune, musculoskeletal, cardiovascular and energy systems.
These presentations can also overlap with immune dysregulation, viral reactivation such as Epstein–Barr virus (EBV), MCAS, POTS, PANS/PANDAS and other complex multisystem or neuroimmune presentations.
My approach considers both the infectious burden and its wider effects on the body, using detailed clinical investigation and specialist testing where needed.
I am a member of the International Lyme and Associated Diseases Society (ILADS) and have undertaken specialist training in Lyme disease and associated vector-borne infections.
Learn more about Lyme Disease & Vector-Borne Infections →
Mould Related Illness, CIRS & Environmental Exposures
Environmental exposures can place a significant burden on the body, particularly when symptoms are persistent, multisystem or difficult to explain.
Mould exposure, mycotoxins, heavy metals, pesticides, herbicides and other environmental toxins can affect multiple systems and may contribute to fatigue, brain fog, neurological symptoms, gut dysfunction, immune dysregulation, sensitivities, inflammation, oxidative stress and impaired cellular function. Some mycotoxins can be particularly immunosuppressive and neurotoxic.
These exposures are not always routinely assessed in conventional care, despite the potential for significant effects on health. Specialist testing can help assess mycotoxin and environmental toxin exposure and provide a clearer picture of overall toxic burden.
Learn more about Mould Related Illness, CIRS and Environmental Exposures →
Histamine Intolerance & MCAS
Histamine intolerance and mast cell activation can affect multiple systems at once, with symptoms including flushing, itching, hives, nasal or respiratory symptoms, headaches, palpitations, digestive symptoms, food reactions, multiple sensitivities, anxiety, mood changes, brain fog, sleep disturbance and other neuropsychological symptoms.
Awareness is growing, but these presentations can still be under-recognised within conventional care, despite commonly occurring alongside chronic illness, immune dysregulation and inflammatory conditions.
The underlying drivers always need to be explored, but reducing the symptom burden can also make day-to-day life far more tolerable while the deeper work is being addressed.
Neurological & Neurodegenerative Health
Neurological health can be influenced by a complex interaction of genetic, metabolic, inflammatory, mitochondrial and environmental factors.
This can include presentations such as Parkinson’s disease, Alzheimer’s disease, cognitive decline, tremor, neuropathy and other persistent neurological symptoms.
My focus is on exploring the wider factors that may be contributing to neurological stress or dysfunction and building a more targeted supportive approach.
Neurodevelopmental Presentations
Autism, ADHD and other neurodevelopmental presentations are complex and can involve an interplay between genetics, epigenetics and underlying biomedical factors.
Alongside the neurodevelopmental presentation itself, there may be issues involving gut health, nutrient status, immune function, inflammation, infections, mitochondrial function, metabolism, sleep and environmental exposures that add to the overall clinical picture.
This is particularly important where there is regression, loss of skills, significant behavioural change, chronic gut symptoms, sleep disturbance, fatigue, pain, food reactions, recurrent infections or increasing sensitivities.
My approach is to look beyond the label and understand the wider biomedical picture, identifying the physical health factors occurring alongside the neurodevelopmental presentation and addressing them in a targeted way.
“It is more important to know what sort of person has a disease than to know what sort of disease a person has.”
“Hippocrates“
