Is this a dietitian appointment?
No, and the distinction matters. This is a GP consultation about diet and metabolic health — practical, evidence-based, and grounded in blood results.
A registered dietitian is the right professional for coeliac disease, inflammatory bowel disease, complex allergy, kidney or liver disease requiring modification, tube feeding, and the low-FODMAP diet for IBS — which is genuinely difficult to do correctly unsupervised and is not meant to be permanent. We refer.
Which diet actually works?
The one you will still be doing in a year. That is not a dodge — head-to-head trials of low-carb, Mediterranean, low-fat and intermittent fasting show remarkably similar average results, and adherence predicts outcome far better than the approach does.
So the useful question is not which diet is best but which one fits your life, your budget and your cooking.
Should I get food intolerance testing?
No, and we will not arrange it. IgG food intolerance panels are not clinically validated, they produce positives for foods you eat regularly and tolerate perfectly well, and they lead to unnecessary restriction — occasionally to genuinely poor nutrition.
What is worth testing is coeliac disease, which is a real, common and testable condition. And genuine food allergy, which is diagnosed on history plus specific IgE or skin prick testing, not on a panel.
Do I need supplements?
Only where a deficiency is measured or the risk is well established. Worth taking: vitamin D through the autumn and winter, which applies to essentially everyone in the UK; folic acid before and during early pregnancy; and B12 if you are vegan.
Beyond that, most supplements produce expensive urine. We would rather measure than guess.
Can I get weight loss injections here?
Where clinically appropriate — see weight management. But read what nobody puts in the advert first, particularly the part about weight returning when you stop and the muscle you lose without deliberate effort.
The other thing worth doing first is checking there is no reversible cause — thyroid disease, PCOS, or a medication that causes weight gain.
My weight will not shift despite genuinely trying.
That is worth investigating rather than trying harder. An underactive thyroid, PCOS, Cushing's rarely, and a long list of ordinary medications — some antidepressants and antipsychotics, steroids, insulin, certain beta blockers — all cause weight gain directly.
Sleep matters too: short or fragmented sleep measurably worsens appetite regulation and insulin sensitivity, and untreated sleep apnoea makes weight loss considerably harder.
Is my relationship with food a problem?
Worth raising if any of this fits: preoccupation with food or weight that crowds out other things, restricting then bingeing, guilt or compensating after eating, or avoiding meals with others.
Eating disorders occur at every body size — including in people considered overweight, who are frequently missed for that reason. We will help you reach the right service, and we will not give weight-focused advice that could make things worse.
What should I stop worrying about?
A few things that take up more attention than they deserve: eating late at night matters far less than total intake; "detoxes" and cleanses do nothing your liver and kidneys were not already doing; superfoods are a marketing category; and meal timing matters much less than what and how much.
The boring answers — more vegetables, more protein, less liquid sugar, more movement, better sleep — remain the ones with evidence behind them.