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Pregnancy Tips

We’re all trying to keep our bodies fit and toned. We all want a good sex life. Sometimes the best we can hope for is a sex drive. However, there comes a time when we start to think about the possibility of starting a family. Starting a family or adding to our small family. We might only be thinking about it but the thoughts are inevitable.

fertility nutrition

fertility nutrition


So, it is that we ask how our modern lifestyle – our environment and the choices we’re making are going to impact our fertility journey. Does it stop at our choices? 

Fertility nutrition is a lifestyle. Your fertility journey isn’t the same as every other couple. Susannah sees mothers who want to add to their beautiful and healthy family. She sees couples who’ve been through fertility testing and fertility treatment. This includes Assisted Reproductive Technology ART -most commonly IVFSusannah sees couples who place value on a holistic and natural approach. Balance within our bodies helps create the right environment to step into our life’s journey.


Trying To Get Pregnant

Trying To Get Pregnant

Being present in that health journey means offering functional and practical advice. Being relaxed is one of the things couples trying for a baby hear constantly. It’s also one of least helpful pregnancy tips!

Trying to get pregnant

Susannah answers readers and couples’  questions on fertility. Couples trying to get pregnant ask pertinent lifestyle questions. Wanting for a healthy pregnancy journey starts with questions. From ovulation to birth control to the most effective sex positions to “fertility windows”.

Getting pregnant can prove to be a minefield of facts, fads and questions. They can send our stress levels through the roof.  Ironically this can do more harm than good when it comes to improving chances of conception.

To help clear the confusion, Get The Gloss asked Naturopath and fertility nutrition expert Susannah Makram for her top tips for getting pregnant. Whether you are wondering when you are most fertile or how to work out the inner workings of your ovulation cycle, here are Susannah’s 15 key tips to bear in mind should you be on the path to pregnancy.

We spend our whole lives taking take of our body for us. Suddenly we consider another journey for this amazing biological wonder. It’s a life change that’s changing us and challenging us in different ways in modern times.

Read the full article here

Getting Pregnant – Facts For NOW

Diet for pregnancy

diet for pregnancy

diet for pregnancy

With 1 IN 6 Couples currently experiencing difficulty getting pregnant, Get The Gloss caught up with their Expert in Naturopathic Nutrition and osteopathySUSANNAH MAKRAM covers the facts we should all know before embarking on the road to fertility.

Infertility is a rising problem. According to recent statistics, ‘one in six couples has problems starting a family, with the number of couples seeking medical help having risen dramatically.’  [tweetthis hidden_hashtags=”#nutrition”]What you need to know now if you’re thinking about getting #pregnant[/tweetthis]

Fertility and lifestyle

Most experts suggest these increasing problems with couples trying to get pregnant are due to larger amounts of environmental chemicals. These chemicals affect the body’s hormones, in men and women. Also, societal and cultural changes see more women choosing to delay starting a family until established in their careers. The older both men and women become, the more likely it is to encounter difficulties conceiving, for the woman to become pregnant.

The problem however, is that unless specifically trying to get pregnant, most women don’t know enough about fertility and the factors that can affect our chances. So, with the aim of getting us all a little more clued-up we reached out to fertility and nutrition expert, Susannah Makram, for a little more information on the possibilities and problems getting pregnant.

Read the full article here

Tightening up the Kardashian way

Waist Shapers

Tightening up the Kardashian way



Khloe Kardashian’s dramatic before and after picture illustrating her impressive weight loss was not the only thing we noticed on her Instagram account last week.

Posing in her Nike workout wear in her shoe wardrobe mirror (as you do) we couldn’t help but notice her microscopic looking waist, held in by what could only be described as a corset.

Waist trainers or waist shapers, whatever you call them, they’ve all one thing in common. People are obsessed. You see them on celebs like Kim K and the Kardashians, Madonna, Jessica Alba.

Tightening up the Kardashian way

Having investigated Waist Gang Society a little further it appears that this ‘Waist Shaper’ isn’t just an extreme version of Spanx. It doesn’t just function to ensure you fit into that dress but… Waist shapers are actually a WEIGHT LOSS METHOD itself in themselves!

FOLLOW us and keep up-to-date with innovative and new beauty and weight loss methods of the stars. 

Known as PreMadonna87 to its 400k+ Instagram following, Waist Gang Society have gained a name for themselves as the go-to brand for people wanting to get a Kardashian-like waist. AKA tightening up the Kardashian way. Featured on a hat trick of Kardashian Instagram accounts – Kim, Khloe and Kourtney have all posted selfies wearing the brand – its founder is not shy of sharing the millions she has made via her social media account as a result. Kim even says she sometimes wear two body shapers when she’s feeling heavy.

Read the full article at Get The Gloss

Horse Fertility Nutrition, Personalised


Horse Fertility Nutrition, Personalised

The horse genome was sequenced in 2007 with the final report published in late 2009.
This research enables scientists to better understand the molecular and biological processes responsible for equine health and performance. As a Naturopath and as an osteopath, I use a functional approach that resonates with my equine osteopathic and veterinary colleagues.

Horse nutrition

Horse fertility nutrition, is personalised as it is for humans. It teaches us a lot about this exact science of eating for health. This approach enables us to learn from research. We can apply what we learn accordingly for personalised fertility nutrition for humans.

Treating the cause of reproductive challenges or fertility concerns, as with complex cases treated at Susannah Makram clinics, requires an integrative healthcare approach. It is also how I came across special laboratory investigations or tests that we now use to choose the best treatment and optimise efficacy of treatment. This functional healthcare model relies on careful use of accurate methods of laboratory investigations when results impact nutritional therapy. Good nutrition is the cornerstone to healthy weight management in pre-conceptual care and treatment of factors affecting fertility in males and females and throughout pregnancy.

I was introduced to the latest advancement to male fertility testing by an avid horse breeder in Sussex, where I went to boarding school, enjoyed the stables and grounds. For many hours I blissfully recreated my childhood in Dhahran, Saudi Aramco horse riding at the Hobby Farm.

Semen Analysis And Stallion Fertility

The Society for Theriogenology has established guidelines for classifying stallions as to breeding potential. For a satisfactory rating, the Society requires that light-breed stallions ejaculate at least four billion total sperm in the first ejaculate after a period (typically one week) of sexual rest. The second ejaculate, collected about an hour after the first, should contain at least two billion total sperm.

Semen analysis
Sperm count
Sperm motility
Sperm morphology

These have typically been carried out on male human patients whereby; the results of the above show good fertility readings, the partner is similarly ‘fertile’ and after the couple undergo IVF cycles they are couple are given the diagnosis of: ‘unexplained infertility’.

My interest in treating the cause of infertility led me to this discovery – Sophisticated tests that can be performed on stallions:

Karyotype Analysis
Chemical Analysis of Seminal Plasma
Transmission Electron Microscopic Analysis of Sperm
Sperm Chromatin Structure Assay–The sperm chromatin structure assay is a procedure that has been developed to evaluate the structural integrity of sperm chromatin. This assay defines abnormal chromatin structure as a heat- or acid-induced susceptibility to DNA denaturation (destruction of the substance). Lower fertility occurs when greater sperm denaturation is found. The sperm chromatin structure assay may have potential for identifying some stallions as subfertile when routine breeding soundness examination fails to do so.
Antisperm Antibody Tests
Hormonal Assays

Sperm Chromatin Structure Assay is of interest to me as it offers information regarding the quality of sperm and this can only be improved upon by lifestyle changes. The right nutrients taken through diet and supplementation (for the first 2-3 months, dependent on the percentage of sperm DNA damage) reverse the damage.
Fish oil, for example, improves the quality of shipped semen in horses. Supplementing with natural-source vitamin E, a potent antioxidant, improves sperm quality also. There are several types of antioxidants: enzymatic antioxidants that are synthesized in the body and non-enzymatic, or nutritional, antioxidants like vitamin E, vitamin C, and selenium that are provided in a horse’s diet. Such antioxidants increase libido and semen quality in stallions and positively affect fertility in mares.

The genomic revolution has propelled the development of several new technologies in science and in the health industry. The data such technology provides is game changing in our industry when knowledge is effectively and is used to its full potential to translate science into practical and effective clinical nutritional therapy.
For horses this means that a report can be produced that measures the bioavailability of various nutrients to find out what works best for the animal.
Measuring the bioavailability of nutrients, as this is as unique to every human as is their DNA, is an invaluable tool we are using now at Susannah Makram Clinics to improve quality of life in humans. Prevention is better than cure.
Genetic screening tests for mares can account for primary infertility and reduced fertility rates.

Primary infertility in mares

The most commonly encountered chromosomal abnormality in horses, XO Gonadal Dysgenesis, was first described 1975. The condition is similar to Turner syndrome in human females. Prognosis for fertility is extremely poor. The syndrome has been diagnosed in diverse horse breeds throughout the world including Thoroughbred, Arabian, Welsh Pony, Tennessee Walking Horse, Standardbred, American Saddlebred, Paso Fino, Belgian, Quarter Horse, Appaloosa, as well as in grade horses.
The second most common finding in infertile mares with inactive gonads is the karyotype of a male horse (64,XY)(XY Gonadal Dysgenesis, XY Sex Reversal, Testicular Feminization). The problem may have a genetic origin. It has been encountered in Arabians, Thoroughbreds, Quarter Horses, Appaloosas, Morgans, Standardbreds and a pony of unknown pedigree. Fertility has been reported in XY mares, but is extremely infrequent.
Reduced fertility
The first example – that has been associated with chromosomal rearrangements called balanced reciprocal translocations – has been described in a mare and it is anticipated that others will be identified as the power of karyotyping tests to diagnose the basis of certain kinds of infertility becomes more widely known.

Weight of horse

Overweight mares have reduced fertility just as overweight stallions do. This is why DNA testing for weight management improves the overall health of humans and horses alike. Obesity increases risk of cardiovascular disease and can lead to insulin re that affects the male’s ability to maintain an erection for example.
Obesity can lead to insulin resistance in females that has correlations to PCOS that can cause fertility concerns or infertility.

For both horses and humans a bristle style cheek swaps is sufficient to collect the required DNA sample to test for the genes that impact metabolism and exercise.
A tailored nutritional plan that prescribes the right amount of food energy sources in the right measure in order that body fat composition is reduced in cell size and number than then be applied accurately.

Potential Future Applications
Sequencing the horse genome is just the start. The future will be how to use it in more and more effective ways for the benefits of the horse, the overall health and wellbeing.
The science of nutrigenomics looks to find out how diet affects gene expression and hence metabolism. Reversing (sperm) DNA damage using nutritional therapy and supplementation improves fertility rates, offers reason for previously diagnosed ’unexplained infertility’ and guides humans to the right fertility treatment where they have the best chances of conceiving.
It is already known that food components like fats, vitamins or minerals not only provide vital nutrition for the body but also affect the way genes are expressed. Selenium, for example, a trace mineral, is known to be essential for fertility. This would be a very useful area for equine science to investigate, in light of how this has progressed fertility rates and outcomes in other species, to include humans.

Susannah is a Naturopathic Doctor of Nutrition with a clinical background in osteopathy

Osteopath vs Chiropractor

Should I see a Physio, a Chiropractor or an Osteopath for my pain?

How to fix back pain (today) is the number one enquiry at Susannah Makram Clinics. It starts by choosing the right treatment for your specific back pain. Osteopathy can help reduce symptoms of pain, to restore form and function to the body as a whole.

To an osteopath, for our body to work well, its structure must also work well. So osteopaths work to restore our body to a state of balance, where possible without the use of drugs or surgery.
Osteopathy includes touch, physical manipulation, stretching and massage to increase the mobility of joints, to relieve muscle tension, to enhance the blood and nerve supply to tissues. This help our body’s own healing mechanisms.

Posture advice

Posture advice

They may also provide advice on posture, movement work to include dynamic posture, muscle balance, recurring injury prevention.

Exercise prescription in general is a big part of physiotherapy. This works to aid recovery, to regain functionality and movement.

Osteopathy looks at the body as whole. As osteopath in West End and Mayfair, osteopath in Knightsbridge, the way our body moves influences how it functions. Myself and the osteopathic community are naturally inclined to practice functional healthcare or functional physical therapy.
The principles of osteopathy and naturopathy are excellent drives to our total body wellness, when applied using IN THE FOUR PHASES.  Osteopaths are highly competent healthcare professionals, recognised by the NHS.

Lower Back pain

One in three of us will experience low back pain at some point in our lives. Over 30,000 people every day visit an osteopath. They are suffering from a variety of conditions. Clients coming to our Chelsea and Knightsbridge osteopathy clinic  may be pregnant, mothers, or those with work related musculoskeletal strains and sprains. Find the main causes of low back pain here.

We don’t need a referral from our doctor to see our osteopath in London. Typically we’ll be able to book our osteopathy appointment efficiently. Good news when we’re stressed out and in discomfort, affecting our sleep, our performance and mood.

Osteopath appointment quickly

Osteopath appointment quickly

Osteopath vs Chiropractor

Fast Facts about osteopathy, chiropractic, physiotherapy in the UK:


1. NHS
Osteopathy and chiropractic are not available on the NHS in all parts of the country. Even in places where osteopathy is available, there may be limited availability. The same applies for Chiropractic treatment. Many physiotherapists work as part of a multi-disciplinary team. They can work from NHS hospitals, community based organisations, private hospitals and clinics, sports clubs, charities and workplaces

2. Qualifications osteopath
Osteopaths complete a four- or five-year honours degree programme (bachelor’s or master’s). This degree programme involves at least 1,000 hours of clinical training. Some osteopaths are qualified to PhD level.
Qualifications chiropractor
Chiropractors’ 4-year Chiropractic Degree programme ensures completion of bachelor of human science degree completion.
Qualifications physiotherapist
Physiotherapists complete a three-year full-time BSc (Hons) programme.

west end osteopath

west end osteopath

3. NICE Guidelines
There is good evidence that osteopathy is effective for the treatment of persistent lower back pain. The National Institute for Health and Care Excellence (NICE) recommends it as a treatment for this condition.
Currently, (NICE) recommends manual therapy that might include spinal manipulation (as practiced by chiropractors) as a treatment option for persistent lower back pain.
The National Institute for Health and Care Excellence (NICE) advises that manual therapy can be used to treat persistent lower back pain.

4. Legal – Primary Certifying Body
It is illegal to practice osteopathy in the UK unless registered with General Osteopathic Council. To practice chiropractic in the UK unless registered General Chiropractic Council; physiotherapy unless registered with the Chartered Society of Physiotherapy.

Osteopath Chiropractor Physiotherapist

Fast Facts about osteopathy, chiropractic, physiotherapy in the UK:

5.  Osteopathy is one of only two complementary and alternative medicines (CAMs) that are regulated under UK law. The other is chiropractic.

6. Chiropractic was founded as a health profession in the US in 1895 by a Canadian called Daniel David Palmer. Palmer practiced magnetic healing. He had no conventional medical training.

7. The earliest documented origins of physiotherapy (physical therapy) as a professional group date back to Per Henrik Ling. ling was the “Father of Swedish Gymnastics.” He founded the Royal Central Institute of Gymnastics (RCIG) in 1813 for massage, manipulation and exercise. In 1894 four nurses in Great Britain formed the Chartered Society of Physiotherapy

8. Andrew Taylor Still, MD, DO (August 6, 1828 – December 12, 1917) was the founder of osteopathy and osteopathic medicine in 1874. He was also a physician and surgeon. Still was also an author, inventor, Kansas territorial and state legislator.

Safe, clinical, practical and effective.

Call  020 7060 3181