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Nutritional Therapy

At YEHS, we also offer tailored check-ups for men and women to assess and manage specific conditions. Each package includes a full face-to-face consultation with a Private GP, who will provide personalised healthcare advice and referrals to specialists if required.

Our specialised clinics include:

  • Weight Loss Clinic: Personalized programs to help you achieve and maintain a healthy weight through nutrition and lifestyle changes.
  • Menopause Clinic: Assess symptoms and health changes associated with menopause, providing tailored management plans and support.
  • Infertility Clinic: Comprehensive evaluation of reproductive health to identify potential causes of infertility and recommend appropriate interventions.
  • Erectile Dysfunction Clinic: Assessment and treatment of erectile dysfunction, focusing on underlying causes and providing effective management options.

At YEHS, our goal is to provide personalised, high-quality care to help you achieve optimal health and well-being. Our experienced medical professionals are dedicated to addressing your unique health needs with the utmost care and expertise.

What is Weight Loss Clinic

At our Weight Loss Clinic, we are dedicated to helping you achieve your weight loss goals through personalised, medically supervised programs. Our expert team of healthcare professionals provides comprehensive assessments, customised plans, and continuous support to ensure safe and effective weight loss.

What is Our Weight Loss Clinic About?

Our clinic offers a holistic approach to weight loss, combining medical expertise with nutritional guidance, lifestyle counselling, and advanced weight loss medications. We focus on understanding the underlying causes of weight gain and creating sustainable strategies for long-term success.

Key Features:

  • Comprehensive Assessments: Initial consultations include detailed health evaluations to understand your unique needs.
  • Personalised Plans: Customised weight loss plans tailored to your lifestyle, preferences, and medical history.
  • Continuous Support: Ongoing monitoring and support from our team to ensure you stay on track and adjust your plan as needed.
Weight Loss Medication: What is Wegovy?

Wegovy (semaglutide) is an FDA-approved prescription medication specifically designed for chronic weight management in adults. It mimics a hormone called GLP-1 (glucagon-like peptide-1) that targets areas of the brain involved in regulating appetite and food intake.

How Wegovy Works:
  • Appetite Suppression: Wegovy helps reduce hunger and increase feelings of fullness, leading to lower calorie intake.
  • Metabolic Effects: It may also improve insulin sensitivity and aid in better glucose control, which can support weight loss efforts.
Side Effects of Wegovy

While Wegovy is effective for weight loss, it may cause side effects. Most side effects are mild and diminish over time as your body adjusts to the medication.

Common Side Effects:

  • Nausea
  • Diarrhoea
  • Vomiting
  • Constipation
  • Abdominal pain
  • Headache
  • Fatigue

Serious Side Effects:

  • Pancreatitis
  • Gallbladder issues
  • Kidney problems
  • Increased heart rate
  • Allergic reactions

If you experience severe side effects or symptoms that persist, contact your healthcare provider immediately.

Who Can Take Wegovy?

Wegovy is typically prescribed for adults who meet the following criteria:

  • Body Mass Index (BMI): A BMI of 30 or higher (obesity), or a BMI of 27 or higher (overweight) with at least one weight-related condition such as hypertension, type 2 diabetes, or high cholesterol.
  • Medical Evaluation: A thorough medical evaluation by a healthcare professional to ensure Wegovy is appropriate and safe for you.
When to Stop Taking Wegovy

You may need to stop taking Wegovy if you experience significant side effects, or if it is not effectively contributing to your weight loss goals. Additionally, your healthcare provider may advise discontinuation under the following circumstances:

  • Severe Side Effects: If you experience serious side effects such as pancreatitis or severe allergic reactions.
  • Lack of Efficacy: If there is insufficient weight loss after 16 weeks on the full dose.
  • Medical Concerns: If new health issues arise that contraindicate continued use of the medication.
    Always consult with your healthcare provider before stopping or adjusting your medication regimen.
Take the First Step Towards a Healthier You

Achieving your weight loss goals is possible with the right support and resources. Contact us today to schedule your initial consultation and learn more about our comprehensive weight loss programs, including Wegovy. Our dedicated team is here to guide you on your journey to better health.

Welcome to Our Menopause Clinic

At our Menopause Clinic, we specialise in assessing and managing the symptoms and health changes associated with menopause. Our goal is to provide tailored management plans and ongoing support to help you navigate this significant life transition with ease and confidence.

What is Our Menopause Clinic About?

Our clinic offers comprehensive services designed to address the unique needs of women experiencing menopause. We understand that menopause can bring a range of physical and emotional changes, and our expert team is here to support you through every step of the process.

Key Features:

  • Symptom Assessment: Detailed evaluation of menopause symptoms, including hot flashes, night sweats, mood swings, and sleep disturbances.
  • Health Changes Monitoring: Monitoring of health changes such as bone density loss, cardiovascular health, and metabolic changes.
  • Personalised Management Plans: Customised treatment plans that may include lifestyle modifications, hormone therapy, and non-hormonal options.
  • Ongoing Support: Continuous support and follow-up to ensure effective symptom management and overall well-being.
Medication Used in Menopause Management

Hormone Replacement Therapy (HRT) is the primary medication used in managing menopause symptoms. HRT involves the administration of oestrogen or a combination of oestrogen and progesterone to alleviate symptoms caused by decreased hormone levels.

Types of HRT:

  • Oestrogen-Only Therapy: Typically prescribed for women who have had a hysterectomy.
  • Combination Therapy: Includes both oestrogen and progesterone, prescribed for women with an intact uterus to prevent endometrial cancer.

Other Medications:

  • Non-Hormonal Treatments: These may include antidepressants, anti-seizure medications, and blood pressure drugs that can help alleviate symptoms like hot flashes and mood swings.
  • Bone Density Medications: Bisphosphonates or selective oestrogen receptor modulators (SERMs) to prevent osteoporosis.
Side Effects of Hormone Replacement Therapy

While HRT can be highly effective in managing menopause symptoms, it may also cause side effects. Most side effects are mild and may diminish over time.

Common Side Effects:

  • Nausea
  • Bloating
  • Breast tenderness
  • Headaches
  • Mood swings

Serious Side Effects:

  • Increased risk of blood clots
  • Increased risk of stroke
  • Increased risk of breast cancer (with long-term use)
  • Gallbladder disease

It’s essential to discuss potential side effects with your healthcare provider to weigh the benefits and risks of HRT.

Who Can Take Hormone Replacement Therapy?

HRT may be suitable for women who:

  • Are experiencing moderate to severe menopause symptoms that affect their quality of life.
  • Have had a hysterectomy (for estrogen-only therapy).
  • Do not have a history of breast cancer, blood clots, liver disease, or stroke.

Medical Evaluation:

A thorough medical evaluation by a healthcare professional is necessary to determine if HRT is appropriate for you.

Regular follow-up appointments are essential to monitor your response to treatment and make any necessary adjustments.

When to Stop Taking Hormone Replacement Therapy

The decision to stop HRT should be made in consultation with your healthcare provider. Reasons to discontinue HRT may include:

Significant Side Effects:

If you experience severe side effects such as blood clots or signs of a stroke, you may need to stop HRT immediately.

  • Lack of Symptom Relief: If HRT does not effectively alleviate your menopause symptoms, your provider may recommend alternative treatments.
  • Health Concerns: New medical conditions or changes in your health status may necessitate discontinuing HRT.
  • Long-Term Use: HRT is generally recommended for the shortest duration necessary. Long-term use should be periodically re-evaluated to assess the ongoing need and potential risks.

Navigating menopause can be challenging, but you don’t have to do it alone. Contact us today to schedule an appointment and learn more about our comprehensive menopause management services. Our dedicated team is here to provide the support and care you need to thrive during this phase of life.

Embark on your menopause journey with confidence and support from our experienced professionals. Let’s work together to achieve your health and wellness goals during menopause.

Welcome to Our Infertility Clinic

At our Infertility Clinic, we specialise in providing a comprehensive evaluation of reproductive health to identify potential causes of infertility and recommend appropriate interventions. Our experienced team is dedicated to offering personalised care and support to help you achieve your dream of starting or expanding your family.

What is Our Infertility Clinic About?

Our clinic provides a thorough and compassionate approach to diagnosing and treating infertility. We understand that infertility can be a challenging and emotional journey, and we are here to support you every step of the way.

Key Features:

  • Comprehensive Assessments: Detailed evaluations of both partners to identify potential causes of infertility.
  • Personalised Treatment Plans: Customised interventions based on the unique needs and diagnoses of each couple.
  • Advanced Diagnostic Techniques: Utilisation of the latest diagnostic tools and technologies to ensure accurate identification of infertility issues.
  • Emotional Support: Counselling and support services to help you navigate the emotional aspects of infertility.
How We Assess Infertility

Initial Consultation: The first step in assessing infertility is scheduling an initial consultation with our clinic. During this visit, our specialists will take a detailed medical history of both partners and discuss your fertility concerns and goals.

Comprehensive Diagnostic Testing:

  • Physical Examination: A thorough physical examination of both partners to identify any obvious physical causes of infertility.
  • Hormonal Testing: Blood tests to evaluate hormone levels that affect fertility, including thyroid function, prolactin levels, and reproductive hormones like FSH, LH, and AMH.
  • Ultrasound: Pelvic ultrasound to examine the ovaries, uterus, and fallopian tubes for structural abnormalities or conditions like PCOS.
  • Semen Analysis: For male partners, a semen analysis is performed to evaluate sperm count, motility, and morphology.
  • Hysterosalpingography (HSG): An X-ray procedure to check for blockages or abnormalities in the fallopian tubes and uterine cavity.
  • Laparoscopy and Hysteroscopy: Minimally invasive surgical procedures to directly visualise and address any abnormalities in the reproductive organs.
  • Genetic Testing: To identify any genetic conditions that may be contributing to infertility.
  • Developing a Treatment Plan: Based on the results of these assessments, our team will develop a personalised treatment plan tailored to your specific needs and circumstances. This may include medication, lifestyle changes, or advanced reproductive technologies.
Medications Used in Infertility Treatment

Various medications can be used to treat infertility, depending on the underlying cause. These medications aim to stimulate ovulation, enhance sperm production, or address hormonal imbalances.

Common Medications:

Clomiphene Citrate (Clomid):

  • How It Works: Stimulates ovulation by increasing the production of hormones that support the growth and release of a mature egg.
  • Side Effects: Hot flushes, bloating, breast tenderness, nausea, mood swings, and headaches.
  • Who Can Take It: Typically prescribed for women with irregular ovulation or anovulation.
  • When to Stop: Discontinue use if pregnancy is achieved or if advised by your healthcare provider due to side effects or lack of effectiveness after several cycles.

Gonadotropins:

  • How It Works: Injectable hormones that stimulate the ovaries to produce multiple eggs.
  • Side Effects: Ovarian hyperstimulation syndrome (OHSS), bloating, abdominal pain, multiple pregnancies, and injection site reactions.
  • Who Can Take It: Suitable for women who do not respond to Clomid or have other ovulatory disorders.
  • When to Stop: Treatment is typically stopped if OHSS occurs or if there are other severe side effects.

Metformin:

  • How It Works: Used to improve insulin resistance and regulate menstrual cycles in women with polycystic ovary syndrome (PCOS).
  • Side Effects: Gastrointestinal issues (nausea, diarrhea), vitamin B12 deficiency, and dizziness.
  • Who Can Take It: Women with PCOS who have insulin resistance.
  • When to Stop: Discontinue use if side effects are intolerable or if advised by your healthcare provider.

Letrozole (Femara):

  • How It Works: Aromatase inhibitor that induces ovulation by reducing oestrogen levels and stimulating the release of FSH (follicle-stimulating hormone).
  • Side Effects: Fatigue, dizziness, headaches, hot flashes, and joint pain.
  • Who Can Take It: Women with ovulation disorders, particularly those who do not respond to Clomid.
  • When to Stop: Treatment should be stopped if pregnancy occurs or if side effects are severe.
Who Can Take Infertility Medications?

Infertility medications are prescribed based on the specific causes of infertility identified during the comprehensive evaluation.

Suitable candidates include:

  • Women with Ovulatory Disorders: Such as PCOS or anovulation.
  • Men with Sperm Production Issues: Low sperm count or poor sperm motility.
  • Couples with Unexplained Infertility: Where no specific cause is identified, but fertility enhancement may be beneficial.
  • Patients Undergoing Assisted Reproductive Technologies (ART): Such as in vitro fertilisation (IVF).

Medical Evaluation:

A thorough medical evaluation by our specialists is essential to determine the most appropriate medication and treatment plan.

Regular monitoring and follow-up appointments are necessary to assess the effectiveness and adjust the treatment as needed.

When to Stop Taking Infertility Medications

The decision to stop taking infertility medications should be made in consultation with your healthcare provider. Reasons to discontinue medication may include:

  • Successful Pregnancy: Medications are typically discontinued once pregnancy is confirmed and sustained.
  • Significant Side Effects: If you experience severe or intolerable side effects, your healthcare provider may recommend stopping the medication.
  • Lack of Effectiveness: If there is no improvement in fertility after several cycles of treatment, alternative interventions may be considered.
  • Health Concerns: New medical issues or changes in your health status may necessitate discontinuing the medication.

Our Infertility Clinic is here to provide you with the support and care you need on your journey to parenthood. The first step is to schedule an initial consultation with our experienced team. During this consultation, we will conduct a comprehensive evaluation of your reproductive health and discuss your fertility goals and concerns.

Contact us today to schedule your initial consultation and learn more about our comprehensive infertility services. Together, we can work towards making your dream of having a family a reality.

Let us support you in achieving your family goals with our personalised and compassionate infertility treatments.

Please email us at yehs@yourexcellenthealth.org or call us on 020 3868 6581 if you are having issues booking online.

Please email us at yehs@yourexcellenthealth.org or call us on 020 3868 6581 if you are having issues booking online.