Could LCLMH
help you?
Our expertise has already helped hundreds of people improve their lives and their future health. Read on below to see if we could help you too…
Our Expertise
We specialise in the prevention, reversal, and long-term management of most chronic disease, as well as promoting longevity.
BRAIN HEALTH
Alzheimer’s Disease
Cognitive Decline
Stroke
Mental Health
METABOLIC HEALTH
Diabetes
Obesity
Metabolic Syndrome
PCOS
HEART hEALTH
Heart Attack
Angina
High Cholesterol
High Blood Pressure
lONGEVITY
Nutrition
Exercise
Sleep
Ageing
Example Case Studies
Example 1
Martin, 43 years old, contacts us after both his parents are diagnosed with Alzheimer’s Disease, within a few years of a each other. He is an ex-smoker, and has recently been diagnosed with high blood pressure, but his GP has given him an otherwise clean bill of health.
We arrange a time to speak to him on the phone for an initial free consultation, and he mentions he is most concerned about his risks of developing Alzheimer’s Disease himself. He decides to come and see us in clinic.
He has a 2-hour consultation, including a detailed dietary, lifestyle, and medical history, formal neurological and cardiac examination, and bedside cognitive assessment. His BMI is normal, but his blood pressure and waist circumference are high. The remainder of the assessment is unremarkable. He decides to have some highly specific blood tests, but further investigation with MRI scans and formal neuropsychometric assessment are not indicated at this stage.
Despite being given the all clear by his GP, his blood tests show that he has significant metabolic dysfunction, and while he has no symptoms, his current lifestyle puts him at increased risk of significant metabolic disease in the future. His blood also shows he has 1 copy of the Apolipoprotein E (ApoE) ε4 gene, which puts him at a moderately high lifetime risk for developing Alzheimer’s disease. However, with our counselling, he understands that these risks can be reduced considerably, and we work with him to devise a bespoke dietary and lifestyle makeover.
After 2 months, Martin attends follow-up clinic and relates that, as well as feeling like he has more energy and better concentration throughout the day (despite not feeling particularly un-energetic or lacking for concentration prior), he has also lost 3 inches off his waist-line, and his blood pressure is now normal. Repeat blood tests show improved metabolic function.
On discussion, further follow-up is not felt necessary, and we wish him all the best.
Example 2
Susan, 67, was diagnosed with Type 2 Diabetes over a year ago. We speak on the phone for an initial free consultation. She has struggled with her weight all her life, despite having tried to follow what she believed was a healthy diet and lifestyle. She also has high blood pressure, and has high amounts of “total” and “bad” cholesterol, and low amounts of “good” cholesterol. At the time of diagnosis, her GP had explained to her that the underlying common factor for all her medical problems was her weight and poor dietary habit, and she had started her on a blood pressure tablet, and a statin, and referred her to a dietician to help her to lose weight. The dietician had suggested a diet low in fat and high in complex carbohydrates. Susan had pointed out that this was essentially how she had been eating for the last 40 or so years, but her dietician seemed sceptical. However, despite following the dietician’s advice for 7 months, she had still not lost much weight, and her blood HbA1c and fasting glucose levels had not improved. Her GP had started her on Metformin 6 months ago to help keep her blood sugars under control, but this has also had little effect and she was concerned she might need escalation to additional drugs.
She has suffered with 2 migraine headaches per month since her mid-teens, but takes no medication for these. She also mentions mild numbness in her feet and toes for the last 2 years or so. Her walking is unaffected. Her father died of a heart attack when he was in his 50s. She has never smoked.
She subsequently decides to have a digital consultation with us.
The consultation lasts 2 hours, and we take a detailed medical, family, dietary and lifestyle history. She provides us with her own self-reported assessments of blood pressure, height, weight, and abdominal circumference. She also forwards her blood tests from her GP. The elevated HbA1c and fasting blood glucose levels are consistent with the diagnosis of Type 2 Diabetes. The remainder of her bloods demonstrate changes suggestive of metabolic dysfunction. We advise that she might benefit from a couple of extra blood tests, including a few specialised markers of systemic and arterial inflammation, and she arranges these herself.
Overall, we explain that she has probably been pre-diabetic, and possibly an undetected diabetic, for a number of years, and that her risk of developing heart attack, stroke, and even dementia are high. We also explain that she may have early diabetic nerve damage, but she decides not to have formal investigation for this at this stage. We agree with her GP that her diet is key, but explain to her that an alternative dietary strategy to what her dietician has recommended would be critical. We also explain to her that type 2 diabetes is potentially reversible, and we work with her to devise a bespoke 12–week Metabolic Reset plan.
She has a follow-up digital consultation with us in 14 weeks, and reports she has lost nearly 10 kg in weight, and her blood pressure is low enough that her GP is considering stopping her blood pressure medication. Her repeat HbA1c has improved considerably, and while it is still not normal, she is now technically in the “pre-diabetic” range. Her GP has still suggested staying on the Metformin for the time being. She has not had a migraine headache in the last 2 months.
She decides to continue the Metabolic Reset plan for another 8 weeks. On a follow-up digital consultation in a further 10 weeks, she reports that she has lost another 5 kilograms, and is now off her blood pressure medication. Her HbA1c and blood glucose levels are further improved, and her GP has agreed to stop her Metformin.
We advise her on a suitable Maintenance plan once her bloods normalise, but do not feel she needs further routine follow-up, and wish her all the best for the future.
Example 3
Andrew, 58 years old, contacts us because his mother passed away from a sudden heart attack a few months ago. His father also died from a heart attack, but in his 60’s. He is naturally concerned about his own risk. He mentions he is very busy with work, and would like us to see him at home, ideally on the weekend.
We speak on the phone for an initial free consultation. He has a high-pressure job requiring long hours and frequent trips abroad. He has mild osteoarthritis affecting his knees, but this does not affect his ability to walk. He has high blood pressure, controlled with a single pharmaceutical agent. He drinks alcohol most days, and he is a smoker. He and is trying to give up both alcohol and smoking, with the help of his GP, and has recently hired a personal trainer. He has no symptoms of angina or breathlessness on exercise. He has a slightly high BMI, with most of his weight around his abdomen. His HbA1c and glucose are within normal range, as are his blood count, and liver and kidney function. He has already had some specialised assessments, including markers of systemic and arterial inflammation, and is awaiting specialised cardiac investigation. He has also seen a dietician who has suggested a specialised diet to reduce systemic inflammation.
We advise Andrew that he is already being managed quite well by his GP and dietician. We suggest some further specialised tests he might wish to consider, as well as a few other lifestyle changes he could make to further minimise his risk, but decide that he wouldn’t benefit much more from a consultation with us, and we wish him all the best.