Consultation

How does it work?

This clinic uses the Functional Medicine http://www.glaucoma.org.il/ to address the findings from diagnostic testing and includes current nutritional status. We do not prescribe pharmacological agents but will, with your permission, liaise with your doctor or specialist consultant to ensure that you get the very best all round health care.

The duration of the first consultation is an hour, which focuses on your medical history, dietary requirements and formulation of a specific nutrition plan based on the information provided by you. Your health deserves more than 5 minutes of telephone conversation or short email correspondence. This very important first step in addressing your health concerns is the time for me to really listen attentively to you sharing your history in detail. You are unique and a complex being and as an expert I gather relevant information to connect all the dots, a process that requires extensive experience, knowledge and understanding. This ultimately rules out guesswork and assumptions which are not only irresponsible but not in your best interest. You, the patient, matter a great deal to me.

It is imperative that we establish the route that took you to reach this stage where your symptoms have become a great cause of concern despite you probably having consulted with a host of other health care professionals. Ill health does not happen overnight and there are a myriad of contributing factors that need to be considered before agreeing on a personal health protocol. This process takes time and in order for me to continue being an excellent practitioner I need to spend time with you. My ultimate aim is to help you reach your health goals in the shortest time possible and achieve a longterm solution. Your health is foremost in my approach.

Telephone and Skype consultations can be booked in relaxed, professional and strictly confidential surroundings. In my many years of experience I have observed the benefits of an initial consultation even when the patient is certain they have pinpointed the root cause or their ill-health. An objective expert view of all the facts yields infinitely better results when health is at stake.

Often it is necessary to do investigative testing to pinpoint any specific physiological imbalances. You may have been symptomatic for a long time and feel that getting to the root of the problem is the best starting point in achieving your stated health goals. During your hour long consultation we will discuss what type of test may be needed to identify biological imbalances which demand immediate attention thereby facilitating improved health. The results of these non-invasive, home tests determine a tailored, personalised protocol to re-establish an equilibrium, i.e. getting your body to function well again. Testing ensures that specific imbalances are targeted instead of a more general approach which may take longer to yield results and may even be ineffective.

It would be of great assistance if you could bring along any information including test results and past dietary and medical information that you are comfortable in sharing with me. It is very important for me to know what medication and supplementation protocol you are currently following as I will have to establish any drug/nutrient interactions. That includes all over the counter medication and oral contraception as well.

During consultation we will discuss how you go about implementing a health regime to reach the goals you have set out. This will take into account your likes, dislikes, lifestyle choices and budget constraints.

A follow-up consultation should ideally be scheduled 4-8 weeks after the initial meeting. Follow-up consultations are necessary to assess your progress, discuss your specific protocol and answer any questions that may have arisen since our first contact. The ultimate goal is for you to reach your health goals and further consultations serve to provide you with reinforcement and accountability towards your desired health outcome. This ensures that I, your chosen consultant, give you the best possible service.

If you decide to test for specific imbalances, I suggest that we meet for the follow-up consultation as soon as your results are available so that a more specific protocol can be formulated. Remember, any test result is only as good as the protocol implemented to address the findings.

 
For any queries, to order a test kit or to make an appointment please contact The Goodbye PMS Clinic by email.
 
If you would like to speak to Wilma Kirsten direct, call +44 (0)787 608 4829
 
Alternatively email your telephone number and Wilma Kirsten will contact you at a convenient time to discuss how to proceed without any cost to you.
 
For more information on Wilma Kirsten including her experience and qualifications please click here
 

NOTE:

I do not comment on existing supplementation regimes without additional investigation into the root cause of your presenting symptoms.

Testing and possible supplement recommendations are not covered in the consultation fee.

I am not licensed to prescribe any medication and will refer you to your GP or consultant if required.

I am very happy to liase with your GP or consultant if required but only with your explicit permission.
 

Bloating Relief

Order a non-invasive Comprehensive Stool Analysis to investigate the underlying cause for your bloated stomach.

Email me direct to order your test. Here is a look at the latest statistics.

Just to let you know that I’ve spoken to my GP who was very impressed with the results of the comprehensive stool analysis that you use – Mrs R

Bloated Stomach Relief

The Goodbye-PMS Clinic specializes in providing solutions to symptoms associated with PMS including finding relief for the discomfort of a bloating stomach. We use non-invasive tests to establish the causes of sufferers problems. Via a friendly consultation process, The Goodbye-PMS Clinic can then look at ways of treating or alleviating these symptoms through the use of dietary changes.

How can the Goodbye-PMS Clinic give you relief for your bloated tummy? – Identifying the causes of a bloated stomach

The fact you are looking at this website would indicate that you have probably been experiencing problems with bloating for some time and have possibly tried a number of cures including over the counter remedies, products bought from the internet, or even medicines prescribed by your doctor most likely with limited or little long term relief.

One cure does NOT solve all bloating problems

It is important to understand that there is not a generic cure or solution to all bloating issues.  The solution to your stomach bloating problems is dependent on the cause.  Establishing the cause of your bloated stomach is key to finding the solution.

Many practitioners simply dispense out medicines or advice which treat the symptoms of bloating often with limited or short term results.

Through experience the Goodbye-PMS Clinic has found that the best way of providing long term relief from bloating is by first establishing the cause of the problems and then looking for ways to prevent the symptoms occurring in the first place.

What are the reasons for a bloated stomach?

A bloated stomach can occur for many different reasons. The most obvious instance is when we overindulge at one meal and our stomachs distend naturally to accommodate the amount of food that we have just eaten. For many women bloating occurs prior to their menstrual period. Preceding a woman’s period fluid is retained by the body as it prepares for a possible pregnancy. For some women and excess of fluid retention causes a bloated, uncomfortable feeling.

More often we seem unable to identify the triggers for recurring bloating. A long term solution to bloating is dependent on correctly establishing the cause of the bloating.

What are the triggers commonly associated with abdominal bloating?

  • Irritable Bowel Syndrome (IBS)
  • Fluid retention due to PMS linked with the menstrual cycle
  • Food Intolerances / Allergies
  • Candida or yeast overgrowth
  • Hormonal Imbalance
  • Lack of digestive enzymes
  • Intestinal permeability, commonly referred to as Leaky gut
  • Parasites, including Blastocystis hominis, Dientamoeba fragilis, Endilomax nana, Entamoeba hartmanni, Strongyloides stercoralis, and Giardia lamblia
  • Bacterial infections, including Citrobacter freundii, Klebsiella pneumoniae, Staphylococcus aureus, Enterobacter cloacae, Klebsiella oxytoca, Escherichia coli, Citrobacter braakii
  • Insufficient good gut bacteria such as Lactobacillus and Bifidobacterium
  • Stress, which is related to abnormal or elevated cortisol secretion

Each of these causes typically requires different methods of dealing with them. Therefore, it is essential that we first understand why bloating is occurring in order that we can establish the best solution likely to give the most long term relief to this problem.

How does the Goodbye-PMS Clinic identify the causes of stomach bloating?

The Goodbye-PMS Clinic approach is to identify specific imbalances and triggers by means of non-invasive testing (stool, urine or saliva). These tests are sent to your home where you can carry them out in your own time and in privacy. The samples are then sent directly to the laboratory for analysis. Once the results are obtained a clear picture of what is causing your symptoms can be established and a plan to overcome them devised.

Two options for bloating relief

Option One – Initial Test Kit Analysis followed by Clinic Consultation

Some sufferers prefer to order a relevant test kit as the initial step in their pursuit of a solution to their bloating problems. A phone or email communication with the Goodbye-PMS Clinic will help to determine which test kit is most suitable for the individual’s circumstances.

Once agreed, the test kit is rapidly sent out to the patient to complete in the privacy of their own home. The completed test is then sent directly to the laboratory for analysis.

When the results have been obtained a consultation can be booked to discuss the results and to agree a detailed plan for overcoming the sufferer’s condition.

Option Two – Initial Clinic Consultation

Other sufferers prefer to start the process with an initial consultation. At this meeting the patients symptoms, lifestyle and diet will be discussed and specific tests will be identified which will give the patient the most value and benefit. During this meeting initial specific dietary alterations will be suggested that will fit in with the patient’s lifestyle. Once the results of any tests have been analysed a review of the best strategy for alleviating or preventing the symptoms that have been presenting can be finalised.

PLEASE NOTE

  1. TESTING IS NOT COVERED BY THE CONSULTATION FEE
  2. TESTING RESULTS WILL ONLY BE DISCUSSED OR COMMENTED ON DURING A CONSULTATION

For any queries, to order a test kit or to make an appointment please contact The Goodbye-PMS Clinic by email.

If you would like to speak to Wilma Kirsten direct, call +44 (0)787 608 4829

Alternatively email your telephone number and Wilma Kirsten will contact you at a convenient time to discuss how to proceed without any cost to you.

For more information on Wilma Kirsten including her experience and qualifications please click here

PMS

Order a non-invasive Female Hormone Profile today to investigate the underlying cause for your PMS. Email me direct to order your test
 

[box type=”shadow”]Women of reproductive age are at increased risk of anaemia because of chronic iron depletion during the menstrual cycle. It is estimated that worldwide there are 469 million anaemic women of reproductive age. – WHO 2011 [5][/box]

Why choose the Goodbye PMS Clinic?

Goodbye PMS specialises in the treatment of Premenstrual Syndrome (PMS) sometimes known as Premenstrual Tension (PMT). PMS Symptoms are wide ranging and can include sore or tender breasts, mood swings, tearfulness and irritability. These symptoms can make patients feel like they are only coping part of every monthly cycle and can significantly impact on their quality of life, both work and socially related.
 
We use a selection of non-invasive tests to identify the causes of your PMS before developing a comprehensive natural approach using dietary changes to combat these symptoms.
The Goodbye PMS Clinic method is simple but effective and all consultations are confidential and handled in a sensitive manner.
If you are looking for a sympathetic and understanding style from a qualified female clinician who can put you at your ease whilst developing a sensible, natural plan that will not impinge on your lifestyle then Goodbye PMS is the clinic for you!
 
[box type=”shadow”]Latest research indicate that the earlier a woman starts to smoke, the more severe the symptoms of PMS.
 
Zaka M, Mahmood KT (2012) Pre-menstrual syndrome – a review. Journal of Pharmaceutical Sciences and Research, Vol. 4, No 1, pp. 1684-1691[/box]
 

Treatment and Symptoms of PMS

Symptoms of PMS

It is not uncommon for many family members who live with a woman between the ages of about 13 to 55 to complain about a complete behavioural change at a certain time of the month. Many jokes about Premenstrual Syndrome (PMS) have been told which, to the sufferer, just isn’t that funny.

PMS is associated with a variety of symptoms that usually occur 10 days before the start of the menstrual cycle. Symptoms may vary and will not necessarily all appear at once or even every time. It is postulated that around 95% of women of reproductive age suffer with PMS to some degree [1]. About 5 – 10% of women describe their symptoms as debilitating [2]. PMS does not favour women from specific cultures or socio-economic backgrounds and just seems to affect most women, most of their lives.

Recently a lady informed me that PMS had ruined her relationship completely. She was now separated from her partner as a result. Her story is not unique as I have been in conversations with a lot of ladies who end up in tears due to their symptoms of PMS impacting on both their work and social life. The isolation one feels because of PMS can further diminish your enjoyment of life. Having to decline an offer to socialise with your friends because you are in pain, bloated, or completely fatigued due to PMS is what we at the Goodbye PMS Clinic want to help you to change.

 

Common symptoms of PMS include:

Physical Discomforts

  • Fluid retention / Bloating
  • Weight gain
  • Sore or tender breasts
  • Headache
  • Fatigue
  • Nausea
  • Insomnia or excessive sleep
  • Abdominal cramps
  • Muscle/joint/back pain

Negative Affect

  • Tension or anxiety
  • Increased appetite or food cravings
  • Irritability
  • Depression or sadness
  • Feelings of hopelessness
  • Restlessness
  • Tearfulness
  • Anger
  • Feeling overwhelmed

Impaired Cognitive Function or Performance

  • Difficulty concentrating
  • Distractibility
  • Forgetfulness
  • Confusion
  • Mood swings
  • Tempers outbursts
  • Accident prone
  • Poor motor coordination
  • Impulsiveness

Diagnosis of PMS

PMS sufferers can be affected by one or more of the above symptoms.
Before a definitive diagnosis is made certain underlying conditions such as endometriosis, irritable bowel syndrome (IBS), chronic fatigue syndrome (CFS), hypothyroidism and major depression should be ruled out. At the Goodbye PMS Clinic we can run simple tests to discount the majority of these disorders and if endometriosis or major depression is suspected, then our clinician will direct you to the most suitable healthcare professional for further advice and investigation.
 

Many thanks for your support and advice I got so much out of the one hour than any other consultant or professional I have been to. – Kirstyn

 

How does the Goodbye PMS Clinic Identify the Causes of Your PMS?

The Goodbye PMS Clinic approach is simple. First identify the possible causes of the sufferer’s PMS symptoms and then, once these have been established, identify a plan to alleviate these problems. Possible causes typically fall into two distinct groups – nutrient deficiencies or hormonal imbalances.

Nutrient deficiencies

Vitamins and minerals play a vital role within the functioning of the human body. Deficiencies in certain of these natural chemicals have frequently been found to be prevalent in patients exhibiting the type of symptoms typified by PMT.
Scientific studies have shown the replenishment of specific vitamins and minerals in PMT sufferers has resulted in an improvement in the symptoms experienced.
Patients to the clinic will be led through a comprehensive consultation that will help the clinician to decide the most relevant tests to perform should a nutrient deficiency be suspected. All tests are non-invasive and usually involve saliva and/or urine testing.

 

Female Hormone Imbalaces

Oestrogen and progesterone levels determine the different phases in the menstrual cycle. When the different levels deviate significantly from the expected norm, PMS symptoms appear to worsen. In order to assess specific hormonal imbalances any of the following non-invasive tests may be recommended after the initial consultation:

 
Comprehensive Female Hormone Profile (Saliva)
This is the gold standard of tests to ascertain the levels of the major female hormones in your body. Testing occurs throughout one menstrual cycle which determines the fluctuation of circulating hormones. An isolated measurement may not be sufficient to determine different levels of hormone output. Some PMS sufferers may have erratic menstrual cycles which makes pinpointing a specific day of hormone secretion rather difficult, hence the need for multiple sample collections.
 

This test measures oestradiol, progesterone, testosterone, DHEA, cortisol and melatonin.

 
Adrenal Stress Index (Saliva)
The link between sub-optimal function of the hypothalamic-pituitary-adrenal (HPA) axis and PMS has been well documented[4]. The role which cortisol and dehydroepiandrosterone (DHEA) play in the stress response can exert an effect on female hormone secretion. Simply put, when you are stressed, your female hormones may not be as well balanced compared to when you are calm and collected. Thus, prolonged stress play an important role in alleviating symptoms of PMS.
 

This test measures cortisol and DHEA levels linked with adrenal fatigue over a given day, thus giving a good indicator of how these hormones fluctuate during the time that you are awake.

 
Thyroid Hormones T3/T4 (Urine)

This test will assess Thyroid function to eliminate under-active Thyroid function (hypothyroidism) as a possible contributory factor

 

Testing for Deficiencies or Imbalances with the Goodbye PMS Clinic

Many patients prefer to first visit the Goodbye PMS Clinic for a consultation so that the most appropriate tests can be recommended after careful consideration of their symptoms and lifestyle. However, other patients prefer to undergo tests in advance of a consultation. In this case the most suitable tests will be identified via a phone discussion with the kits being rapidly despatched for the sufferer to perform in the comfort of their own homes prior to a consultation.

Thank you for giving me some hope, I left your office with a spring in my step and a strong resolve to sort this out – Rachel

 

Next Steps in Finding Relief from PMS at the Goodbye PMS Clinic

The Goodbye PMS approach is based around an understanding of how the food we eat can have a major impact on our health and wellbeing. Once a probable cause of the PMT symptoms has been established our clinician will work with the patient to develop a plan of how to introduce the necessary changes to their diet that will most benefit them.

We specialise in friendly and non patronising advice from a qualified female nutrition consultant.

At Goodbye PMS we understand that the modern woman is extremely busy juggling all manner of different roles. We are sure that the last solution anyone wants for their PMS symptoms is one that involves time consuming changes to their diet. Experience has shown that many dietary solutions typically fail because they are too difficult to fit into a patient’s everyday life. That’s why during your consultation, we will talk about your lifestyle and recommend a dietary plan that will really work for you. Research [3] has shown that diet certainly plays a role in PMS symptoms and this should thus be the first step in addressing PMS.

 

Say Goodbye to PMS

For any queries, to order a test kit or to make an appointment please contact The Goodbye-PMS Clinic by email.
 
If you would like to speak to Wilma Kirsten direct, call +44 (0)787 608 4829
 
Alternatively email your telephone number and Wilma Kirsten will contact you at a convenient time to discuss how to proceed without any cost to you.
 
For more information on Wilma Kirsten including her experience and qualifications please click here

PLEASE NOTE THAT TESTING IS NOT COVERED BY THE CONSULTATION FEE.
 
References:

1. Bussell G. (1998) Pre-menstrual Syndrome and Diet. Journal of Nutritional & Environmental Medicine.; 8:65-75.
2. Pizzorno et al. (2002) The Clinician’s Handbook of Natural Medicine. Churchill Livingstone. London.
3. Stewart AC et al. (1996) Effect of nutritional programme on premenstrual syndrome and work efficiency. Complement Ther Med; 1: 68-72
4. Lombardi S et al. (2004) Adrenal response to adrenocorticotropic hormone stimulation in patients with premenstrual syndrome. Gynecol Endocrinol. Vol. 18, pp. 79-87
5. WHO (2011) Intermittent iron and folic acid supplementation in menstruating women. Guideline.
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Hormone Imbalance

Order a non-invasive Female Hormone Profile www.oakleaf-enterprise.org to investigate the underlying www.oakleaf-enterprise.org for your hormonal imbalances.

Email me direct to order your test

I am pleased to tell you that both my skin and tummy are much better. The stress in my job and the occasional diet blips do cause the odd upset stomach but on the whole it’s good. I think coming to see you was the best thing I could have done to solve my problems and would recommend you to anyone! – Jenni

 

Women and Hormonal Imbalance Symptoms

Treatment of imbalanced hormones in Women

Have your periods stopped or do you suffer with painful, heavy or irregular periods, decreased libido, anxiety, sleep disturbances or acne?

If you answer yes to any of the above, your symptoms may be caused by hormonal imbalance.

The Goodbye PMS Clinic specialises in the treatment of women suffering with the unpleasant symptoms of female hormone imbalances and PMS. We offer sympathetic and confidential support with a female clinician and use non-invasive tests to establish the causes of sufferer’s symptoms before identifying natural nutrition based solutions to help alleviate or prevent symptoms of hormonal imbalances.

Click here to read some of the success stories from patients who were treated for hormonal imbalanced symptoms.

Having reached that time of a woman’s life when the hormones started playing havoc, I knew that I had to take charge and get the situation sorted! The peri-menopause is the first time that I felt my health and well-being were being tested. Having consulted Wilma Kirsten and discussing diet recommendations I’m feeling that I’m now back on track. I have energy and balance in my life again. What I put into my body, does make a difference! I lack discipline some of the time, but I know that investing in eating well pays dividends – Sara

 

What causes hormone imbalances?

Once a female reaches puberty, surges of oestrogen and progesterone are a normal part of the monthly menstrual cycle and are expected until the onset of menopause. This rush of female hormones influence our behaviour depending on the time of the natural menstrual cycle. Key to women’s health and wellbeing is keeping a balance between these two hormones. Many factors can influence the levels of the female hormones found in the body and it is known that the absence of certain key macro- and micronutrients will affect hormone release by inhibition or causing an over secretion leading to hormone levels away from the expected norm. These hormone imbalances can lead to a variety of distressing symptoms.

 

Which hormones can affect the female brain and behaviour?

Hormones are a natural chemical formed in the body that acts to control or regulate specific physiological processes, including growth, metabolism, and reproduction.

The female body contains many hormones including:

  • Oestrogen – the number 1 female hormone
  • Progesterone – the hormone that reverses the effects of oestrogen
  • Testosterone – the masculine hormone
  • Oxytocin – the nurturing hormone
  • Cortisol – the stress hormone
  • Vasopressin – the brother to testosterone and oxytocin
  • DHEA – also called “the mother hormone”
  • Androstenedione – the mother of testosterone in the ovaries
  • Allopregnenolone – the calming, soothing, anti-stress hormone

When any of these hormones are present in too high or low concentrations symptoms of hormone imbalance may be exhibited.

I am still surprised how well my skin looks and how much better I feel in such a short space of time. Thank you again. – Jane

 

Common Hormonal Imbalance Symptoms

A number of symptoms are associated with an imbalance of female hormone levels and these include:

  • Amenorrhoea, or the absence of menstrual periods in women of menstruating age
  • Sore or tender breasts
  • Painful periods or cramps
  • Heavy bleeding or irregular periods
  • Anxiety
  • Decreased libido
  • Sleep disturbances
  • Polycystic Ovarian Syndrome (PCOS)
  • Inability to lose or gain weight
  • Cravings for sweets
  • Depression
  • Acne

How can I assess my hormone balance status?

A non-invasive salivary test can measure levels of oestrogen, progesterone, melatonin, DHEA and cortisol to establish how balanced your hormones are. Contact the clinic to arrange for a specific testing kit to be sent to you for completion in the comfort of your own home.

 

How does the Goodbye PMS Clinic treat hormone imbalances?

Once the results of your saliva tests have been analysed, the first step is to assess, through a consultation whether your food choices are contributing to your hormonal imbalance.

Our consultations are conducted in a relaxed and sympathetic manner which allows for an open discussion with no fear of embarrassment or judgement.

Food plays a major part in hormone secretion. Overconsumption of nutrient void and calorie dense foods may wreak havoc with hormonal release, adversely affecting the fine balance required for optimal function.

Once the dietary component has been evaluated, a relevant test may be suggested to pinpoint specific imbalances and specific supplementation effectiveness.

Depending on your test results, supplementation with key nutrients may be deemed necessary. Our friendly nutrition consultant will guide you through specific dietary changes that will produce a real improvement in your symptoms. Click here to read some of the Goodbye PMS Clinic’s success outcomes. Our nutrition consultant will take into account your lifestyle and ensure all suggested changes to your existing diet are easy to accommodate within your current routines.

PLEASE NOTE THAT TESTING IS NOT COVERED BY THE CONSULTATION FEE.
 

Say Goodbye to Hormone Imbalance Symptoms

For any queries, to order a test kit or to make an appointment please contact The Goodbye-PMS Clinic by email.

If you would like to speak to Wilma Kirsten direct, call +44 (0)787 608 4829

Alternatively email your telephone number and Wilma Kirsten will contact you at a convenient time to discuss how to proceed without any cost to you.

For more information on Wilma Kirsten including her experience and qualifications please click here

PMS Relief

PMS Help and Relief through Diet & Nutrition

If you are one of the many women who regularly suffer from Premenstrual Syndrome (PMS, also sometimes known as premenstrual www.greenfieldstables.ca or PMT) and would like to investigate the specific causes of your debilitating symptoms, search no further. Find PMS relief here.

 

PMS Help

Goodbye PMS is a Harley street and Oxford based PMS Clinic specialising in identifying the causes of female hormonal imbalance symptoms.  We use a variety of non-invasive tests to establish the causes of sufferers’ problems and via a friendly consultation process look at ways of treating and alleviating these symptoms. Continue reading “PMS Relief”