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Story of health

Tired all the time? Is it chronic fatigue syndrome? Insomnia, stress, susceptibility to back pain, stubborn fat, recurring infections like thrushskin conditions – these are all commonly seen by Susannah here. It’s not coincidence. We’re getting sicker and fatter – as a nation but also, our health concerns keep coming back. Why?
Currently, we go to the GP. Everything’s “within normal range” we’re told. But they’ll keep an eye on it. Then it’s already happening. We’re on metformin. Statins. We’re on drugs for life.

Modern medicine

Modern medicine

A transformation in healthcare is underway. We’re transitioning from the science and art of treating disease to the science of health and lifestyle healthcare. Standard GP tests don’t offer any insight into our health. They only test for markers that indicate a specific disease or absence thereof.

Story of health

Reference ranges are based on a severely unhealthy population. These ranges only indicate the levels at which we HAVE the disease or the illness. Rather, at Susannah Makram Clinics we’re looking at what’s OUR basic requirement for optimum health.

You see, we might know when we’ve high cholesterol at the moment we need statins or lipid lowering drugs. But what if there was more to this story? What if we have metabolic syndrome. Does it matter? At Susannah Makram Clinics we believe it does. Why? We’re talking about a whole other treatment in that case.

Lifestyle medicine

Lifestyle medicine

Our modern lifestyle may highlight the very need for this transformation, this change. we’re assessing the state of health of our body to see

i) The interactions between systems of our body
ii) How the patterns of these these interaction influence our health

We analyse our functional test results in this way. So we can give you our special formula:
EAT DRINK TAKE MAKE In The Four Phases.

Functional Blood Chemistry Analysis (FBCA)

Blood Chemistry and CBC Analysis – Clinical Laboratory Testing from a Functional Perspective, is currently used as a teaching tool in medical schools and institutes of higher learning in the US, Canada, Australia and New Zealand, and is the go-to blood chemistry reference manual on the desks and in the clinics of thousands of physicians and healthcare practitioners worldwide.

Pattern analysis of blood chemistry can effectively identify physiological imbalances and nutritional deficiencies by viewing and understanding the complex relationships that exist among blood chemistry factors.

Why blood and who takes it? Blood testing is a medically accepted, proven and a reliable assessment procedure providing a wealth of information on the health and status of our patients. At Susannah Makram Clinics we arrange it so you can have your blood sample drawn at the location you choose. But there is one requirement. The centre must have a centrifuge. This is a device used to spin the blood sample.

Story to health

Story of health

Blood Reference Guide – Clinical Conditions

Blood Chemistry and CBC Analysis – Clinical Laboratory Testing from a Functional Perspective helps thousands of practitioners worldwide. Clinical knowledge cannot be replaced but use of FBCA can help you in your day-to-day practice. Do you want to know more about Functional Blood Chemistry Analysis? Contact us.

Answers before drugs

Imagine having answers about eczema or psoriasis. Knowing the triggers or why you have it in the first place. Knowing why stubborn belly fat remains – even after slogging it out in the gym. What about finding small changes we can make to boost our performance, nip excess belly fat in the bud – before it severely affects our health. A way to successfully sleep at night, healthy weight loss, fat burning, get your energy back. A way to look younger, have clear skin, perform, live, grow.

Better health with drugs

At Susannah Makram Clinics we work with the medical community. What can we  achieve after we’re on the slippery slope of necessary pharmaceutical intervention? Well, it’s hard to say exactly. But if we can help manage symptoms to improve function, mobility, energy levels, we find how we do this at your consultation. We can make every day count and better still, pains and aches that persist, can be manageable. We’re here to help manage chronic disease, not cure it. We’re here to improve health, quality of life i.e. function. 

Pain and Gut Inflammation

As a London Osteopath offering a complete care pathway for low back pain and musculoskeletal strains and sprains we do need to include the element of nutrition for total body wellness. Chronic pain change our bodies internal environment

  1. Pain and gut inflammation – what is pain? Defining it  & Redefining it  – A gold standard method for measuring Pain does not exist in practice. There is no universally recognised unit that can, in the present day, be called into existence.
  2. Background – History of Pain – Pain Discovery – Measuring Pain – In the 1940s, a group of doctors at the University of Cornell set out to create a unit of pain intensity. Using the “dol” as a unit, the physicians created a 21-point quantitative scale. Their hot pursuit of knowledge was perhaps reflected in the means by which they gathered relevant data. They tested pain reactions on medical students and women in labor between contractions. Also, they did this by burning their subjects. Understandably, such methods were deemed controversial and “dol” never quite caught on as a unit of pain measurement. Subsequent attempts at method justification, for the sole purpose of recruiting a unit measurement of pain, did not receive the required research grants. It would seem that inflicting pain artificially, or allowing for the natural occurrence of this experience, could not morally accommodate for a study of pain that would be of significant future benefit to the suffering individual.

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Consequently, the National Institute of Nursing Research reference that “Pain remains a uniquely personal experience that cannot be measured objectively.”        [tweetthis]#Pain remains a uniquely personal experience that cannot be measured objectively[/tweetthis]


  1. Two definitive categories should be used to inform the pain medicine practice of all health care professionals: Acute Pain – This can be defined as pain that lasts less than 6 weeks, or pain that is directly related to tissue damage. The pain that is experienced from a paper cut or from standing on a tack is acute pain. Pain that is felt after an operation is acute pain; it is severe, but we expect it to go away. Chronic Pain – This can be defined as pain that lasts longer than 3 months. There are at least two different types of chronic pain problems — pain that has an identifiable cause, (an injury), and pain with no longer an identifiable cause (the injury has healed). Most of chronic pain is of musculoskeletal origin.
  2.  Other terms used to describe or define pain include: Neuropathic Pain – Mechanical
    Inflammatory – Chemical (Metabolic) – Somatic – Visceral Referred & Ischaemic Pain
  3. Clinically, the most common tests to diagnose inflammation include measuring erythrocyte sedimentation rate (ESR), white blood cell count, and albumin levels (and other biomarkers) These tests are nonspecific; that is, an abnormal result might result from a condition unrelated to inflammation. Such non-specific tests do not account for IBS and SIBO for example.
  4. If you are seeking solutions by way of nutritional therapy, recognising signs and symptoms of gut health and acute, sub-acute and chronic inflammatory process, as well as being able to interpret laboratory reports thus, is unique and invaluable when it comes to getting results for healthy weight loss, unexplained fatigue etc.
  5. The principles of Naturopathy were first used by the Hippocratic School of Medicine in about 400 BC. The Greek philosopher Hippocrates believed in viewing the whole person in regards to finding a cause of disease, and using the laws of nature to induce cure. It was from this original school of thought that Naturopathy takes its principles.


Other Referenced Definitions Of Pain

Pain is what the person says it is, existing when and where the person says it does.” (McCaffery & Beebe, 1999)
Margo McCaffery is a Nurse Consultant who has published widely about pain medicine. What she is saying here is that pain is individual to the patient, the best judge of the intensity of the pain is the patient, and that the patient should be believed. This definition of pain is taught to all nursing and medical students.
The International Association for the Study of Pain (IASP) defined pain as: “An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” (IASP, 1979)
The importance of this definition is that it includes pain that may occur without any recognised stimulus, and it also introduces recognition that pain is influenced by our emotions.
The British Pain Society have a useful glossary of medical terminology, on which pain is defined as:-
“…An emotion experienced in the brain, it is not like touch, taste, sight, smell or hearing. It is categorised into Acute pain – less than twelve weeks duration and Chronic pain – of more than twelve weeks.
Pain can be perceived as a warning of potential damage, but can also be present when no actual harm is being done to the body.”

French Way To Eat

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French Way To Eat

We know what we eat is important. What about how we eat — does this impact our health? Can the way we eat impact our healthy weight loss goals?

FACT: Healthy weight loss — even the way we’re eating has an impact.  [tweetthis twitter_handles=”#nutritiontips”]Even when it comes down to weight loss, the way we are eating has an impact. [/tweetthis]
Sick and tired of having an app or device telling us far we’ve come or how limited or movement or breathing is? Technology isn’t answering OUR BODY’S NEEDS. We’ve got to take ownership. In our modern instalife our eyes are bigger than ever. So, it’s not easy. We’ve got to use this lifestyle, however. It’s the biggest vehicle for this change.

1. The French Way to Eat to absorb More Nutrients and Energy From Your Food

Chewing our food properly breaks it down from large particles into smaller particles. It’s these smaller particles that are more easily digested.

Small particles make for easier digestion and nutrient absorptionPathogens – bacteria and parasites – don’t often forcibly invade or take over our digestive system. Instead they are opportunistic organisms. So basically they’re able to flourish when there is undigested food or excessive waste products for them to feed upon. Pathogens can then multiply out of control, excreting their own waste products and damage the walls of our intestine. Leaky gut can result. It’s a serious problem where partially digested foods, fungi, bacteria and parasites enter into the bloodstream. This can cause a wide range of adverse effects to your health.

French way to eat

French way to eat

Chew your food properly! The first stage of digestion starts in the mouth. Without complete coating in saliva it is unlikely that proper carbohydrate digestion will occur.

Recent research presented at the 2013 Institute of Food Technologists Annual Meeting and Food Expo in Chicago showed, in fact, that when participants chewed almonds longer, the smaller particles were better and more quickly absorbed by the body.

Fast Fact! Chewing your food properly means chewing up to 32 times per bite of food on average

French Way To Eat

How Are You Eating?

Choosing certain food affects our health but even after those greens – that surely can’t be bad for me… Why am I still feeling bloated and tired and generally not on form? Is this you?

2. The French Way to Eat to Turn Your Digestive System into Your Personal Powerhouse

Simply changing the way that you eat can improve your slumped energy levels & symptoms of (chronic) fatigue.  

Saliva contains digestive enzymes. So the longer you chew, the more time these enzymes have to start breaking down your food. This makes digestion easier on your stomach and small intestine. One of these enzymes is lingual lipase, an enzyme that helps break down fats, for example.

French Way To Eat

French Way To Eat

The chewing process predigests your food into small pieces. This partially liquefies it, making it easier to digest. Digestion is actually a very demanding task for your body. It requires a great deal of energy that can be expended on other things, equally, throughout the day.

You feel more refreshed, calm and alert as a result of not overloading Your Personal Energy Powerhouse! – Your Digestive System.  thanks you, your body thanks you. You are hearing that look younger but even better, you feel it!

3. The French Way to Eat: Don’t Let It Linger

When large particles of improperly chewed food enter your stomach, they may remain undigested when they enter your intestines.

The right environment is necessary to avoid excess bacteria lingering in your intestines. Bad bacteria here will begin to break the larger food pieces down. In other words they will start to putrefy, potentially leading to gas and bloating, diarrhoea, constipation, abdominal pain, cramping and other digestive problems.

Fast fact! It takes time (generally about 20 minutes) for your brain to signal to your stomach that you’re full!   [tweetthis twitter_handles=”#weightlosstips”]It takes about 20 mins for your brain to signal to your stomach that you’re full[/tweetthis]

4. The French Way to Eat: Enjoy and Taste Your Food

At consultation the “glazed” look is common. It is the one that comes over a patient asked about their ‘typical’, day-to-day diet or even what they ate a movement ago!

If you don’t remember your food, your food will find it harder to work for you. To lose weight healthily, optimise energy levels and stabilise levels of hormones, essential nutrients, and blood sugar etc. you need your food to work for you. Make sure you have what you eat covered in your EAT DRINK TAKE MAKE.

 


Safe, clinical, practical and effective.


Call  020 7060 3181