Symptoms, and whether this is for you
What symptoms do you actually help with?
Usually some combination of the same things. Tiredness that sleep does not fix. Sleep that breaks at 3am. Brain fog, low mood, or anxiety that feels new. Periods that have changed. Weight that has settled around the middle. Hair thinning, joint aches, feeling the cold. Or simply a sense that something has been off for long enough that you have stopped mentioning it. On its own each one has an obvious explanation, which is exactly why they get waved away. Together they are usually a pattern, and the pattern is the useful part.
My GP said my bloods are normal. Why would this be any different?
A reference range describes a population, not you. It tells us whether your result is unusual compared with thousands of other people, not whether it is right for you. We read your numbers alongside your history and your symptoms, and we look at how they move over time rather than judging one snapshot.
Who is this for, and who is it not for?
Our services are for adults aged 18 and over, and everything we do is built around female reproductive and hormonal physiology, from the panels we choose to the way we read a result. That is a limit on what we are set up to interpret safely rather than a judgement about anybody. The full wording is on the blood test page, and if what you need sits outside it we will say so early and guide you towards someone better placed.
Is this evidence based, or is it wellness?
Evidence based, and sometimes that means telling you something popular does not hold up. We will say when a test is unlikely to change what we do next, rather than selling it to you, and we will not offer a supplement to fix something a supplement cannot fix. Where the evidence is genuinely thin, we say that too instead of dressing it up.
Testing and treatment
Do I have to start with a blood test?
No, though most women do, because it gives us something real to work from rather than guesswork. If testing would not change what we do next, we will tell you so rather than sell it to you.
Is the at home blood test difficult, and does it hurt?
The kit uses a small device that sits on your upper arm. It punctures the skin to collect a few drops, so it is not needle free, but there is nothing going into the crook of your elbow and nothing you have to watch. Some markers can only be measured properly from a venous sample. If yours are among them we will tell you honestly, and arrange for a phlebotomist to come to you instead.
What can you actually offer once you know what is going on?
It depends on what is found, and we will not pretend otherwise. Broadly, that means correcting things that are genuinely low, targeted work on food, movement, sleep and stress, medication where it is the right tool rather than the first one reached for, and a plan that is reviewed as you change rather than handed over once. Where something sits outside what we can do, we tell you who can look at it and how to reach them.
Do you prescribe hormone therapy?
Hormone therapy is one of the things that may be discussed, and whether it suits you is a clinical decision reached with you rather than something any clinic should promise on a website. We do not write prescriptions ourselves. Where a prescription is appropriate, it is written by a qualified prescriber after their own assessment. It is also worth saying plainly that hormone therapy is not the answer to everything, and quite often the more useful conversation is about what else is happening at the same time.
How long before I notice a difference?
That depends on what is found and what is causing it, so anybody offering you a number on a website is guessing. Some things move in weeks and some take months. What we will do is tell you honestly which one you are looking at, rather than letting you assume the quick version and lose heart when it is not.
How this fits with the rest of your care
Is this instead of my GP?
No, and we would not want it to be. We work alongside NHS care. Where something needs a service we cannot provide, we tell you who can look at it and how to reach them, and we write it down for you. Please also know that your GP is not obliged to act on a result from a private test, and some will not. If that happens, tell us and we will tell you what the alternatives are and what they cost.
Who will actually be looking after me?
A small team rather than one person. Prescribing and clinical review, laboratory testing and interpretation, and nutrition and lifestyle medicine. The same record is seen by more than one discipline, so your care is looked at from more than one angle.
Do I have to travel to be seen?
No. Everything here is online, so you can be seen from wherever you are in the UK, and blood tests happen at home too. We do not currently see patients in person. The only person who ever comes to you is a phlebotomist, and only if you choose that option for your blood test.
What if you cannot help me?
Then we will say so, early, and guide you towards the clinic or the service that can. We would rather lose the appointment than take money for something that is not going to help.