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Posts Tagged ‘gut health’

10 signs of SIBO

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10 signs SIBO & difference between IBS and SIBO. The FODMAP diet and why it’s not for everybody. Most digestive problems like IBS are formed by lifestyle; our nutrition & our daily stress. Digestive complaints — constipation, diarrhoea, heartburn and bloating are very common.

The IBS diet

Most digestive problems like IBS and SIBO are formed by lifestyle; our nutrition and our daily stress. Digestive complaints — constipation, diarrhoea, heartburn and bloating are very common. SIBO can leave us feeling tired all the time. SIBO or IBS? (read on)…

We shouldn’t have to live with them though.


SIBO is Small Intestinal Bacterial Overgrowth. It’s often confused with IBS (Irritable Bowl Syndrome).
Dysbiosis is a microbial imbalance on or inside the body. 10 Signs of SIBO — read on…

FODMAP, GAPS paleolithic diet, pegan diet, sirtfoods, sugar free. What’s our take on these?

London Nutrition expert Susannah at The Bulgari Hotel, Knightsbridge and The Chelsea Private Clinic uses a functional approach. This can help identify between SIBO and IBS.

Digestive issues affect gut healthLondon naturopath and osteopath Susannah looks at total body wellness. Her gut health assessment links dysfunction to skin issues, stubborn belly fat, tiredness, low immunity, musculoskeletal pain, etc…
— How can you actually use this? —

SIBO test

SIBO test

10 signs of SIBO

1. Gas 2. Bloating 3. Diarrhoea 4. Abdominal pain or abdominal cramping 5. Constipation (much less common than diarrhoea) 6. Diagnosis of IBS or IBD irritable bowel syndrome or inflammatory bowel disease
7. Food intolerances such as
and more
Can we get rid of food intolerance for good? Drop us a line. How can we help answer your food intolerance questions?
8. Chronic illnesses such as: fibromyalgia : chronic fatigue syndrome : diabetes : neuromuscular disorders
autoimmune disorders
9.  Nutrient deficiencies and their associated symptoms: Vitamin B12, A, D, E, iron, other B vitamins, fat, protein and carbohydrate malabsorption.
Carbohydrate intolerance-symptoms se.g. bloating or pain or gas or fatigue after eating.
Fat malabsorption.
10. Joint pain

SIBO test

SIBO Breath Test This is the gold standard. However, it’s quite cumbersome. Individuals must fast for 12 hours, breathe into a small balloon, ingest a precise amount of sugar and repeat breath samples every 15 minutes for 3 or more hours. Abnormal breath tests also can signify pancreatic insufficiency and celiac disease.

Organix Dysbiosis Test or Urine Organic Acid Test This functional medicine lab test the urine for by-products of yeast or bacteria in the small intestine. If your small intestine is housing a yeast or bacterial overgrowth, byproducts will appear in your urine, indicating their presence. This test is much easier for patients and only requires one single urine specimen. This is the test I use most often in my clinic.

Comprehensive Stool Test This is also a functional medicine lab test looking at the flora of the large intestines.

History By listening to our patient’s history and symptoms oftentimes, this can reveal far more than any test. The question is, can we make a diagnosis of SIBO in order to effectively treat it?

SIBO diet

The goals of treatment for SIBO and IBS are In The Four Phases.

PHASE 1) correct underlying cause PHASE 2) provide the 2 PHASE plan: nutrition support to target the cause 3) Nutritional support to treat side-effects of malabsorption 4) treat bacterial overgrowth

The standard treatment for SIBO is an antibiotic called Xifaxan or Rifaximin. You may be prescribed this by a prescribing physician as part of our clinic team. Because Xifaxan isn’t well absorbed throughout the body, it mostly stays in the gut. So, it’s effective against SIBO. The antibiotic – probiotic combination is carefully considered @ Susannah Makram Clinics. The right amount of probiotic is incorporated into your FOUR PHASE treatment.

Nutrient supplementation is only effective to target your primary health concern when administered in this supervised manner.



Sibo Treatment

So now you know the 10 signs of SIBO. Generally, it’s advised to adopt a long-term diet low in carbohydrates. Specifically, refined carbohydrates. HOWEVER, Candida overgrowth is more common in those susceptible to SIBO. So we may set ourselves up for more issues with low carbohydrate diets thus.

EAT DRINK TAKE MAKE for SIBO and IBS. What it is. Personalised nutrition in the 4) phases. What it’s not: a generic FODMAP Diet or the GAPS Diet – in fact it’s not a diet at all! Functional Nutrition with Susannah is designed to be effective by its practical nature that fits into your lifestyle as well as the specially designed methodical approach it takes to heal your gut.

Gut Microbiome Diet

Gut health

Gut health diet; our nutrition influences our gut microbiome. Diet influences the function of the gut #microbiota in the long term.
It’s not clear yet how rapidly our microbiota is affected by short-term dietary change.

Gut health is well aligned with our environment and our food choices. Gut health is well aligned with our environment and our food choices.

As it remains unclear how rapidly and reproducibly the human gut microbiome responds to short-term macronutrient change we personalise functional nutrition. big shift in what we’re feeding our bodies i.e. consumption of diets composed entirely of animal or plant products – alters microbial community structure and overwhelms inter-individual differences in microbial gene expression.

DNA contains instructions for building all the parts of the body. The DNA in our bodies is wrapped around proteins called histones. Both the DNA and histones are covered with chemical tags. This second layer structure is called the Epigenome.
The epigenome shapes the physical structure of the genome. It tightly wraps inactive genes making them unreadable. It relaxes active genes making them easily accessible.

gut microbiome diet

gut microbiome diet

Different sets of genes are active in differential types. The DNA code remains fixed for life but the epigenome is flexible. Epigenetic tags react to signals from the outside world such as diet and stress. The epigenome adjusts specific genes in our genomic landscape that responds to our rapidly changing environment

Beneficial Metabolic Effects of the Enteric Microbiota

5 Ways Diet Affects Our Gut Microbiome

1. Biotransformation of bile salts. Bile Acids as Metabolic Regulators.
2. Production of micronutrients (e.g., vitamin K, biotin and folate).
3. Participation in the fermentation of otherwise indigestible polysaccharides by colonic bacteria
to short chain fatty acids.
4. Aiding in the metabolism and/or activation of medications (e.g., sulfasalazine, digoxin). This can support healthy weight loss.
5. Prevention of luminal colonisation by pathogenic microorganisms. This can assist with improving low immunity symptoms.

Alkaline Foods Diet

Alkaline Foods Diet

Is plant based healthy? Alkaline food is it all a lie? The alkaline diet myth is threefold. Before we reveal it, let’s break down the alkaline diet

In simple terms — Hollywood celebs on the alkaline foods diet aren’t saying much. So is it working short or long term — at all?

The Alkaline Diet

Let’s look closely at this science. The premise: the alkaline diet – also known as the alkaline ash diet or acid alkaline diet – can help you lose weight. Also, this weight loss is seemingly healthy. So gut health and hormonal balance are positively  maintained. Seemingly.

The acid alkali method claims acid-forming diets lead to indigestion (acid indigestion). This eventually creates a condition known as ‘acidosis’ or ‘chronic acidosis’ which acidify body tissue. What awful acidic food are culprit to avoid on the alkaline acid diet?

The science behind the alkaline diet

The science behind the alkaline diet

There are three basic claims of the alkaline foods diet hypothesis. If we eat acid-forming foods, we get sick. If we eat alkaline-forming foods, we’ll be healthy. Also we will be protected against disease.

Food For Thought: High serum Parathyroid i.e. serum PTH is linked with low bone mineral density, high bone turnover, and an increased risk of (osteoporotic) fractures. How does high serum PTH arise and can we reverse this by diet alone?

The Alkaline Diet Myth

  • One is that alkaline foods diet affects the pH of our blood.
  • Number two would be that our urine pH is an accurate indicator of our health. By extension, we can use these urine test strips to test whether our blood is acidic by measuring our urine acidity. Secondly, by extension, we can use these urine test strips to determine our health.
  • The third claim is that acid-forming diets contribute to modern disease.



Alkaline Foods Diet

Alkaline Foods Diet


  1. Because the pH range of our blood is so tightly controlled by our body it is not possible to alter blood pH just by what we eat. In fact, even slight changes in the pH or acidity of our blood can lead to serious consequences. This includes death. You will not find any reliable medical studies or textbooks that claim that what we eat affects the pH of our blood, as claimed in the alkaline diet hypothesis.
  2. The pH of our urine is not related to the pH of our blood. However, the pH of our urine, does indicate potential kidney function. You will actually find some studies that claim urine pH is an accurate indicator of health. Some claim that our urine pH is a good reflection of our serum pH.
    There are far more studies that have found the pH of our urine does not in any way reflect the pH of our blood. In these studies urine pH isn’t a reliable indicator of anything other than how well our kidneys are functioning. This is because one of their main jobs is to buffer the blood and remove any excess acid that might accumulate from protein digestion. The pH of our urine is not related to the pH of our blood. 
  3. Alkaline foods diet basics.
    Acid forming foods
    : High PRAL Score Foods – Meat and meat products, high protein cheese – Parmesan Cheese, processed cheese, low fat cheddar. Alkaline foods: whole fruits and vegetables and certain whole grains, which are low in caloric density.  5 high quality studies debunk myth 3 by proving that if you eat more protein, you will pee out more acid and calcium, but the amount of calcium in your body does not change. Journal of Bone and Mineral Research, Nutrition Journal,  American Journal of Kidney Diseases, July 2009, The Bone Journal 2009  These studies found a strong positive association between protein intake and bone health. There have also been controlled trials where they have experimentally induced protein deficiency i.e. dramatically restricted protein intake in subjects and that has led to deterioration of bone mass, microarchitecture, and strength; the hallmarks of osteoporosis.

Diet Secret Of The Stars Exposed

There are three potential mechanisms through which a higher dietary protein intake can positively impact bone health.

1) Protein contains various amino acids that are integral to bone.
2) Eating more protein increases IGF-1 levels and IGF-1, in turn, increases bone growth and bone mass.
3) Eating more protein lowers levels of serum parathyroid hormone – serum PTH – and we know that high levels of serum parathyroid hormone are associated with low bone mineral density, high bone turnover, and an increased risk of (osteoporotic) fractures.


Nutrition: The Secret To Success


Naturopathic medicine & its principles are historically powerful evidence-based methods of treating the signs of ageing. The secret to success by nutrition, by naturopathy all begins here

Subscribe to Susannah Makram TV so you don’t miss the unique video mini series – 4 Simple Strategies to Getting Your Energy Back.      [tweetthis]Subscribe to Susannah Makram TV for 4 Simple Strategies to Getting Your Energy Back[/tweetthis]

SAFE. clinical assessment and examination can prevent CLINICAL. investigation and if this is not needed to scan for serious disease then it must be divisive to PRACTICAL. personalised nutritional treatment to be EFFECTIVE.

As liaison’s officer to the British Naturopathic Journal, I find this to be more so a priority within the sets of my responsibilities. As founder of The Body Youth Code, founder of The Functional Healthcare Group, I do and I train.

Intrinsic ageing is not a disease but a natural process. This is why, when my client feels let down by unsuccessful treatment, balance is our goal. Repair to solve extrinsic signs of ageing comes next. This is weight loss; hair loss & skincare; chronic Fatigue (or unexplained fatigue)


Gut health – The human intestinal tract harbours a diverse and complex microbial community which plays a central role in human health. So, when treating the body as a whole, it makes sense to address to the cause of skin conditions, low energy levels, unhealthy weight gain etc. to what we put inside our bodies. i.e. our gut health

Professional athletes are reaching their full potential. They’re at the top of their game by taking their nutrition seriously. We start by wanting to take ownership of their health. Effective personalised nutrition – what’s yours? 

CEOs and diplomats and anyone susceptible to stress – any one, in other words! – testify to this fact. Making this manageable in today’s world need not be difficult. It is possible. iStock_000051960718_Small

To all people food is knowledge. It’s not just fuel for the body and its systems.

On a cellular level, nutrition is a vital part of managing the undesirable signs of accelerated ageing [tweetthis]#Nutrition is a vital part of managing the undesirable signs of accelerated #ageing [/tweetthis]

A gut that is functioning optimally provides the environment necessary for inside out health. Our body works as a functional unit.

It takes a lot of energy to break down food with a gut that is not working properly….  [tweetthis]It takes a lot of energy to break down food with a gut that is not working properly[/tweetthis]    for whatever reason!

If we want our nutrition to fuel our body instead of making us unwell and tired all the time, we need to have good gut function.  a healthy gut This in turn directs energies towards cell renewal which is the number one mechanism to reverse the signs of ageing. Tapping into this store of energy successfully, from one individual to the next, is a process that requires the clinical expertise.

Energy by nutrition enhances cell turnover rate to reverse the signs of ageing.   [tweetthis]Direct energy by nutrition towards enhancing your cell turnover rate & reverse ageing.[/tweetthis]


The Body Youth Code is solutions-based. We examine and see how the body is functioning – as a whole. Osteopathy and Naturopathy use such holistic methods .

Osteopathy looks at what factors are causing the body to stop functioning at its best.  The better that this is understood, the better your treatment results. This is equal for back pain, neck pain as for naturopathic nutrition. Personalising this is for your healthy weight loss. Nutrition for healthy skin and nutrition for hair loss require an understanding of the problem from its root. Fertility nutrition and nutrition for tiredness, weakness or fatigue have often more than one cause.

The Body Youth Code has roots in osteopathic and naturopathic principles. The pathophysiology of disease and its specific effect on the neuroendocrine system needs understanding.

“Diagnosis”means to know… through and through, the Greek roots “dia”, meaning ‘through’ (as in diagonal – an angle through) and “gnosis” meaning ‘essential knowing.’

Hungry All The Time

Why Hungry All The Time

HUNGRY all the time? After a meal do you FEEL FULL or STILL HUNGRY.. moments later? Trying to lose weight?Following a strict diet? May be DOING A DETOX or cleanse? The weight is not shifting, however.

Being on a healthy eating plan may be a radical change or too many changes all at once. Sometimes we’re pretty good at sticking to this. But when stubborn fat like belly fat sticks, we lose our motivation. Excess “water weight” or feeling bloated  is exceptionally uncomfortable. It also affects our posture and can strain muscles in our upper back.

Here are some reasons why and how you can change this pattern and find your successful weight loss solution.

Hungry All The Time

  1. You did not include enough fibre in your meal – gluten free diets that are prescribed for individuals with gluten intolerance or allergies need to make sure their uptake of dietary fibre (soluble, insoluble) is adequate and supplement accordingly.
    Hungry All The Time

    Hungry All The Time

  2. BPA – BPA is the lining often found in cans that prevent corrosion. BPA is also found in some plastics, like water bottles and other food packaging materials. If you are obese and leptin-resistant, your body is not getting a clear message from the leptin that you are full; you feel hungry because your body still thinks you are starving so your chances of experiency true satiety are merely reduced. So if you are tackling obesity by trying to lose weight, the chances are you might be leptin resistant and as BPA increases leptin levels in the body, and leptin is meant to decrease hunger, this tactic will not work for you.
  3. LEPTIN RESISTANCE  – Do you have a problem where you HAVE TO EAT immediately BEFORE BED to fall asleep — even if you’re not hungry? Do you  wake up in the middle of the night and have to eat again to fall back to sleep? these may be signs of leptin resistance which can be treated directly Leptin, adiponectin, and resistin are produced by the adipose tissue. The protein leptin, a satiety hormone, regulates appetite and energy balance of the body. Leptin resistance is a hallmark of obesity, but its etiology is unknown, and its clinical measurement is elusive.
  4. Your genes – DNA testing for weight loss is a science that makes the way your body reaches its healthy weight loss goal unique. You are as unique as your DNA. Safe, Clinical, Practical, Effective = your weight loss Naturopathic Portfolio  Fat metabolism, obesity and satiety are governed by the genetic influence of APOA2 -265 T>Cgenetic-makeup
  5. You are not eating the right balance of fat, protein and carbohydrate based on your personal weight magnet genetic test report
  6. 90% of human illness can be traced to an unhealthy gut. The role of diet-induced intestinal inflammation as an early biomarker and mediator of obesity, and insulin resistance warrants further study. If your dietary intake is feeding the “bad bacteria” in your gut, this physiological process may be key to putting a halt on your unsuccessful weight loss that has so far been frustrating.
  7. Nutrients from your food or diet are not being fully absorbed. Side effects of malabsorption are that heavy feeling you get in your gut. Bloating, fatigue and ultimately a reduction in digestive enzyme activity are not a recipe for burning fat. Fat burning may be your healthy weight loss goal. Ultimately, this inability to break down food  can lead to an accumulation of stubborn unwanted fat.

Bad Gut Health Symptoms

Bacteria in gut

BEST SELLING PRESCRIPTION DRUGS. These drugs are changing our gut bacteria. What does this mean when we’re after good gut healthEVERY YEAR there’s a list of the top selling prescription drugs. (Read on to find out what these are).

Nutrition expert Susannah assesses gut health  our gut health reflects our overall health.

At our London clinics we find patterns in YOUR HEALTH STORY. What does this mean exactly? Gut health and gut bacteria is a topic of overwhelming interest in functional healthcare right now.


The types of bacteria in our gut are summarised here. Gut bacteria are either growing in number or dying.
Our gut microbiome depends on 1) nutrition 2)lifestyle 3) environment. READ ON for 7 SIGNS we have an UNHEALTHY GUT
Gut bacteria rely on what we’re feeding them. The good bacteria we hear about is the one we try to cultivate. More about good and bad gut bacteria and gut health probiotics can be found here.

The top 25 best selling prescription drugs

The top drugs prescribed to the world include cholesterol-lowering drugs or statins. Also, drugs for chronic pain. Top of the chronic pain list are Humira an anti-inflammatory for arthritis   and oxycontin and vicodin. These tally high for pain relief consistently. Insulin glargine injection for type 1 diabetes, metformin for type 2 diabetes and asthma medications like albuterol also rank in the top ten. Several antacids like omeprazole and other drugs for indigestion always rank high.

Research firm IMS compiles a rolling 12-month history in the US. The pharmaceutical industry publication Genetic Engineering and Biotechnology News (GEN) do as well.

Gut Health

Gut health refers to the function or dysfunction of the gastrointestinal (GI) tract.

How do we maintain gut health? Any impairment of the Gut lining can increase the risk of developing infectious, inflammatory and functional GI diseases. An example of gut lining impairment is leaky gut syndrome.

As well, impairment can increase risk of extra-intestinal diseases, such as immune-mediated and metabolic disorders. GI barrier impairment can increase risk of immune-mediated & metabolic disorders.


Bad Gut Health

Bad Gut Health

Less clear, however, is whether GI discomfort in general can also be related to GI barrier functions. In any case, methods of assessing, improving and maintaining gut health -related GI functions are of major interest in preventive medicine. It is worth looking out for your body’s bad gut health symptoms.

A healthy gut

When we feel something’s not quite right, often it’s more than just a gut feeling. As powerful as those are, our precious health calls for understanding and finding solutions. The more we know, the more we can do. Signs of an unhealthy gut are below.

  1. You have a lowered immune response. 70-80% of our immunity to infection and disease is controlled by your gut microbiota.      [tweetthis]70-80% of your immunity to infection and disease is controlled by your gut microbiota[/tweetthis]      Your immune system launches a response, resulting in inflammation. This response might include recent developments of food allergies or food intolerances that you are experiencing later on in life.


  2. You experience unexplained changes in your weight. Bowel and bladder habits are affected. E.g. IBS, digestive issues such as gas and bloating.
  3. You suffer from tiredness that is unexplained. As featured by the Mayo Clinic, studies are connecting bacteria to its effect on energy absorption. “Researchers have identified a difference in the types of bacteria found in a lean person’s gut versus those that live in the gut of someone who is obese. The amount of energy is small, but researchers wonder if over time this could be a factor in weight maintenance.”
  4. You suffer from mood swings, anxiety disorders, depression, poor memory, poor concentration, ADHD or ADD. These may be due to inflammation in the gut. The gut-brain axis explains this.
  5. You have or have had autoimmune disease. Autoimmune diseases examples are alopecia areata, Coeliac disease, RA, MS, vilitgo, Raynauds, SLE, reactive arthritis, Addison’s disease, Psoriasis etc.
  6. You have skin conditions that are recurrent. Typically your skin issues are non responsive to medication. they don’t respond well to medical grade topical solutions and treatments. Or, they are a temporary solution, until the next outbreak. An example is adult acneacne vulgaris or eczema or rosacea
  7. You have diabetes or insulin resistance. This can be affecting your fertility, whether you are male or female.

Vitamin D2 and D3

Vitamin D Guidelines

Should we all take Vitamin D tablets? As response to prevalent vitamin D deficiency signs seen globally Vitamin D from food is more readily available. This is mainly because it has been added. Vitamin D fortified food is plentiful because few foods are natural sources of vitamin D. There’s a vast array of vitamin D supplements on the market.

Giving obese teenagers extra vitamin D pills can elevate their cholesterol and fat-storing triglycerides levels.

Vitamin D, Obesity, Adolescence

Researchers from the Mayo Clinic conducted a study. The paper was published in the journal Pediatric Obesity. They investigated obesity and discovered that Vitamin D does not bring any benefits to obese teens when it comes to heart health or diabetes risk. Moreover Vitamin D can on the contrary be harmful, leading to increased levels of cholesterol and triglycerides.

The findings of the study could be influenced by the fact that the study involved only a small number of participants lasted for a short period of time. Larger, placebo-controlled studies are required to examine the long-term effects of vitamin D supplementation on teens and children, however.


Differences between D3 and D2 d Vitamins

The term “vitamin D” refers to several different forms of this vitamin. Two forms: Vitamin D2 and D3 are important in humans: vitamin D2 – which is made by plants – and vitamin D3, which is made by human skin when exposed to sunlight.

Vitamin D, Obesity

Vitamin D, Obesity

Foods fortified vitamin D2 and D3.

The process by which the body makes vitamin D is complex. It starts when the skin absorbs rays in the invisible ultraviolet B (UVB) part of the light spectrum. The liver and the kidneys also participate to make a form of the vitamin that the body can use.

Vitamin D Deficiency

Vitamin D deficiency — when the level of vitamin D in your body is too low — can cause your bones to become thin, brittle or misshapen. The role of vitamin D and insulin resistance, high blood pressure, and immune function — and how these relate to heart disease and cancer — is under investigation.

Vitamin D, Obesity, Adolescence

Vitamin D, Obesity, Adolescence

Although the amount of vitamin D adults get from their diet is often less than what’s recommended, exposure to sunlight can make up for the difference. For most adults, vitamin D deficiency is not a concern. However, some groups — particularly people with dark skin and adults older than age 65 — may not get enough vitamin D in their diet or get enough sunlight for their bodies to produce it.

RDA Vitamin D

The recommended dietary allowance (RDA) for adults is 600 IU of vitamin D a day. That goes up to 800 IU a day for those older than age 70.

To meet this level, choose foods that are rich in vitamin D. For example, choose fortified foods such as milk and yoghurt and fatty fish such as salmon, trout, tuna and halibut.

Do not over do it, though. Very high levels of vitamin D have not been shown to provide greater benefits. In fact, too much vitamin D has been linked to other health problems.

The National Institute of Clinical Excellence (NICE) recommends supplements for pregnant or breastfeeding women and their children from six months to four years.

If you are concerned about whether you are getting enough vitamin D and whether this might be the cause of your health concerns you should discuss these with your health specialist. See what they can do for you straight away. If a vitamin supplement is be beneficial to you, the right supplement that is bioavailable, is prescribed as part of an up-to-date Naturopathic Portfolio.

Why I do Surgical Observation

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Learning For Health

Surgical observation is good practice for physical therapy practitioners – the osteopath, chiropractor, physiotherapist –  working in an integrative way as a team is the difference between a chiropractor and an osteopath? What is the difference between an osteopath and a physio?


Why I do surgical observation boils down to 4 simple things that distinguish the way I work from other physical therapists.

  1. Anatomy Safe, Clinical, Practical, Effective
  2. Tissue Health is dynamic Safe, Clinical, Practical, Effective
  3. Gut Health is dynamic Safe, Clinical, Practical, Effective
  4. Functional Medicine Safe, Clinical, Practical, Effective

– Anatomy – Structure Governs Function – Osteopathic Principle in practice

Guess what? The human body is not a textbook. Guess what else? A live human body with live tissue structures is unique.

Functional healthcare

Personalised Nutrition

Personalised Nutrition

Functional Medicine incorporates the latest in genetic science, systems biology, and understanding of how environmental and lifestyle factors influence the emergence and progression of disease.  At Susannah Makram Clinics we use this model in our Naturopathic approach to nutrition as prescription

Functional Medicine addresses the underlying causes of disease, using a systems-oriented approach and engaging both patient and practitioner in a therapeutic partnership.

Susannah Makram believes in knowing the right treatment that is best for the patient at every step. This begins by booking a consultation with Susannah to find out the factor or factors influencing your complaint.

Doctor comes from the Latin Docere which means to teach and this is applied throughout Susannah’s time with patients during the ongoing treatment or treatment. Consistent reassessment in order to confirm or reject a diagnosis and offer a prognosis based on the decision made by the patient to progress with treatment requires clear and effective communication between the patient and Susannah.

– Tissue Repair & Gut Health – Health is more than the absence of disease

An MRI scan or CT scan or an x-ray do not expose the integrity of tissues inside and outside of joint capsules to the degree that an endoscopic surgical procedure can.

At Susannah Makram Clinics we carry out consultations and a physical exam and any special testing to include:

Orthopaedic testing. Cranial and peripheral nerve function assessment. Blood pressure, pulse, and further special testing related to gut health. We carry out saliva or buccal swab testing if this is the accurate and convenient way to capture data by testing.

Capturing genetic material for use in healthy weight loss for stubborn fat or weight gain using The Obesity Gene Map  Blood work is sent for when necessary to produce accurate results. These are sent back to Susannah and used to help personalise your treatment for your complete care. Skin prick testing for food allergies, testing for hormonal imbalances and food intolerance test may also be recommended for this purpose.

Functional Health

Functional Health


Naturopaths use a holistic approach and recognise that health is more than the absence of disease. Naturopathic nutrition is a type of nutritional therapy that relies on the background of your practitioner.  Osteopaths are highly competent healthcare professionals, recognised by the NHS as fully qualified to diagnose and treat independently.

Functional care address the WHY. WHY are you unwell? this is what needs to treated in order that you are able to take ownership of your health.  Otherwise, what tends to happen unfortunately, is that a lot of effort is made but results are the same.

Good gut health relies on an environment that is conducive to nutrient absorption. pH levels must be optimal and structural obstructions or lesions in the lining of the gut must be pinpointed and their cause revealed in order that the Susannah Makram Naturopathic Nutritional Portfolio for you is safe, clinical, practical and effective. In the Four Phases.

Safe, clinical, practical and effective.

Call  020 7060 3181