No. Therapeutic Keto is a whole-food ketogenic approach that I use specifically for metabolic health.

There is a lot of information online about keto, and not all of it is particularly useful. Eating something because it says “keto” on the packet doesn't necessarily make it a good choice, and somebody else's macros aren't automatically right for you.

Some people don't need to count macros at all once they are eating the right foods. Others need much tighter carbohydrate control, particularly when we are dealing with insulin resistance, weight-loss resistance or Type 2 diabetes.

Protein and dietary fat also need to reflect the person.

Some people may need a higher-fat approach, while others do better with higher protein and less added dietary fat.

Women entering menopause or post menopausal, for example, need a completely different plan than a woman who still has a regular cycle.

There isn't one set of keto macros or foods that instantly suits everybody.

Yes.

A year ago, if you had asked me whether I would work specifically with people using GLP-1 medications, I probably would have said no.

But my thinking has changed.

There has been some really interesting research into using GLP-1 medication alongside ketogenic nutrition, including short-term research looking at tirzepatide combined with a ketogenic approach. The early findings around fat loss, muscle preservation and resting metabolic rate particularly caught my attention.

I now see the medication as a tool that can be used alongside the nutritional changes, rather than as the answer on its own.

For some people, reducing hunger, cravings and food noise can make the move into Therapeutic Keto and ketosis much easier. That gives us an opportunity to get the food right, prioritise protein and muscle, and establish a way of eating that isn't relying entirely on the medication.

This has become an important area of study for me because I am seeing more and more people using these medications without really understanding how important their nutrition still is.

I can also help you put a nutritional exit strategy in place if your aim is eventually to stop using the medication, so we are thinking about what happens beyond it rather than waiting until you stop.

I provide Nutritional Therapy and don't prescribe GLP-1 medication.

Medication decisions should always be made with your GP or prescribing healthcare practitioner.

Absolutely.

You do not need to arrive already eating Keto.

Where we start depends on where you are now, your metabolic health, what you are eating and what we are trying to achieve.

Not necessarily.

Food is always where I start. Supplements aren't automatically added to everybody's plan.

If something comes up during your assessment or reviews that gives me a reason to consider a particular supplement, I will discuss it with you and explain why I think it may be useful.

No.

Some people are ready to make the change straight away and that's absolutely fine. Others are coming from a very different way of eating and need to make the changes more gradually.

There are also situations where I may want somebody to be much more precise from the beginning because of what we are trying to address.

That's why I assess the person rather than deciding beforehand exactly what everybody is going to eat.

No. Weight loss may be the reason you found me, but this is about your metabolic health too.

How your body handles and uses energy, your relationship with food, sleep, stress, hormones, habits and ultimately your health and longevity.

Because, lets face it, we all want to live as long as possible.