Your health is shaped by many interconnected factors. Understanding how they influence one another can provide valuable insights into your health, nutrition and overall wellbeing. Complex Health Concerns Living with more than one health condition can be overwhelming. You may feel as though you’re trying to piece together a puzzle, with different symptoms, diagnoses and advice that don’t always seem to fit. It can be difficult to know where to start or who to turn to. Taking a personalised, whole-person approach allows us to step back, look at how everything fits together and develop a practical plan that’s tailored to you. Conditions and Areas of Support Support may include help for conditions such as: •Complex and multiple long-term health conditions •Metabolic conditions including as type 2 diabetes, hypertension, weight management, kidney disease, cardiovascular disease. •Thyroid health •Fatigue, chronic fatigue and post-viral fatigue •Energy •Histamine conditions •Histamine intolerance •Mast Cell Activation Syndrome (MCAS) •Ehlers-Danlos syndrome (EDS) and hypermobility •Postural Orthostatic Tachycardia Syndrome (PoTS) Looking at the Bigger Picture Health concerns rarely exist in isolation. Nutrition, lifestyle, existing health conditions, medications and other factors can all interact and influence how you feel. Considering these together helps develop a personalised approach that reflects your individual needs and priorities. Personalised Support Together, we look beyond individual symptoms to support your health, nutrition and quality of life while keeping your diet as varied, enjoyable and practical as possible.

Your kidneys are important at every stage of life. Healthy kidneys play a vital role in keeping your body functioning well. Supporting your kidney health is an important part of maintaining your overall health and wellbeing. Kidney Health Your kidneys work tirelessly every day to keep your body healthy. Looking after your kidney health involves more than simply drinking enough water. Staying well hydrated, eating a balanced diet with the right amount and type of protein for your individual needs, maintaining a healthy lifestyle and managing risk factors such as diabetes and high blood pressure can all help support long-term kidney health. Kidney Function You may have been told your kidney function has changed, noticed an eGFR result that you don’t understand, be living with chronic kidney disease, or simply want to take positive steps to support your long-term health. Whatever has brought you here, nutritional support is tailored to your individual needs. Many people are told there is “nothing to worry about” or “nothing you can do” when changes in kidney function are first identified. Understanding what your results mean, recognising the factors that influence kidney health and knowing where nutrition and lifestyle can help can provide reassurance, confidence and practical ways to support your health. Kidney function is usually reported as normal when your eGFR is above 90 mL/min/1.73 m², but many people have results between 60 and 89 mL/min/1.73 m². While this does not necessarily mean you have chronic kidney disease, it can be an opportunity to take a closer look at your health. Together, we can explore factors that may influence kidney function, including hydration, medications, nutrition, existing health conditions and your individual risk factors for chronic kidney disease. This can help you better understand your kidney health and identify practical steps to support it. Chronic kidney disease If you are living with chronic kidney disease, nutritional advice is tailored to the stage of your kidney disease, your medical care and your individual health needs. The aim is to support your overall health, help manage nutritional challenges and provide safe, evidence-based advice alongside your healthcare team. Looking at the bigger picture Because your kidneys do not work in isolation, consultations also consider the wider picture. Diabetes, high blood pressure, cardiovascular health, weight, medications and other health conditions may all influence kidney health and are considered as part of your personalised plan. Education, resources and ongoing support Alongside one-to-one consultations, I am passionate about improving kidney awareness and helping people understand kidney health before problems become more advanced through education, resources and the Kidney Klub. I am a member of the Kidney Dietitian Specialist Group working group on early-stage kidney disease and prevention of progression of kidney disease.

Your body relies on histamine to support normal immune function, digestion and communication between cells. When histamine becomes imbalanced, it can contribute to a wide range of symptoms that affect everyday life. Histamine Intolerance Histamine intolerance can affect many different body systems, making it difficult to recognise. When histamine becomes imbalanced or is not broken down effectively, it can contribute to a wide range of symptoms that affect everyday life. Symptoms vary from person to person and may include digestive symptoms, headaches, flushing, skin problems, nasal congestion, palpitations and fatigue. Understanding your symptoms, identifying potential triggers and taking a personalised approach can help you better understand how histamine may be affecting your health. Histamine-Related Conditions Histamine is involved in a wide range of health conditions and symptoms. You may be living with allergies, hay fever, eczema, urticaria (hives), asthma, headache/migraine, food-related symptoms or other conditions where histamine forms part of the body’s normal immune and inflammatory response. Understanding the role histamine plays can help provide a clearer picture of your health and where nutrition and lifestyle may be able to offer additional support alongside your medical care. Mast Cell Activation Syndrome (MCAS) For some people, symptoms may be related to inappropriate mast cell activation rather than histamine intolerance alone. Because symptoms can overlap with many other health conditions, assessment considers your medical history, symptoms, nutrition, lifestyle and any existing diagnoses to help build a clearer picture and determine the most appropriate nutritional approach. Mast cell activation may also occur alongside other health conditions, including Postural Orthostatic Tachycardia Syndrome (PoTS), hypermobility spectrum disorders (HSD), Ehlers-Danlos syndrome (EDS), allergies, asthma and multiple chemical sensitivity. Hormonal changes, infections, medications, stress and environmental factors may also influence mast cell reactivity and symptom patterns. Taking these factors into account helps ensure nutritional advice is personalised to your individual circumstances. Looking at the Bigger Picture Histamine-related symptoms rarely occur in isolation. Gut health, medications, hormones, nutritional status, stress, underlying health conditions and individual triggers may all influence how symptoms develop and are experienced. Looking at these factors together helps identify practical, realistic strategies that are tailored to your individual needs. Personalised Support Whether you have recently started to question whether histamine may be affecting your health or have been living with symptoms for many years, nutritional advice is personalised to your individual circumstances. Together, we work towards improving symptom management while supporting your overall health, wellbeing and quality of life.

Good nutrition provides the building blocks your body needs to function, repair and thrive. Every cell in your body depends on a regular supply of nutrients to carry out its specialised role and support your health. Wellbeing & Quality of Life When your body is well nourished, it is better able to support your health, wellbeing, longevity and quality of life. Every cell, tissue and organ in your body relies on a regular supply of energy and nutrients to function, repair and adapt. Good nutrition provides the foundation for maintaining health, supporting recovery and helping your body respond to the changing demands of everyday life. Supporting Your Health and Wellbeing Whether you are looking to optimise your nutrition, improve your gut health or metabolic health, increase your energy, manage ongoing symptoms or live well with a long-term health condition, nutritional advice is tailored to your individual goals. Support may include: •Gut health •Metabolic health •Optimising nutrition •Living well with long-term health conditions •Symptom management •Everyday health and wellbeing Building Long-Term Health Good nutrition is about more than managing illness. It also plays an important role in maintaining health, supporting wellbeing and helping you live as well as possible throughout life. Small, realistic and sustainable changes can make a meaningful difference over time. Personalised Support Together, we look beyond individual symptoms to support your health, nutrition and quality of life while keeping your diet as varied, enjoyable and practical as possible.