Nutritional therapy, naturopathy and functional medicine in central London (Marylebone).
Nutrition, supplements and lifestyle changes may help in the following:
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For prices of consultations in Devon (South Hams) see Nutritional Therapy in Totnes. For Zoom, Skype or telephone consultations see Nutritional Therapy Online on Zoom, Skype or Phone.
Please note that although I may sometimes offer some basic recipe ideas and point you towards books or websites with further recipes I do not offer meal plans, as these need to be tailored to individual tastes and budget and would be very time consuming. If you need a few ideas you can ask me and we can set a side some time during the consultation to find a few simple meals that would work for you.
Initial consultation – up to 80 minutes – £250
The initial consultation lasts up to 80 minutes and consists of my analysis of a four day diet dairy and a detailed health questionnaire I ask you to complete in advance and further information gathering in person. During this time I will explain possible underlying factors and suspected imbalances contributing to your symptoms in simple terms or at least in terms aimed at your level of understanding and interest so as to motivate you rather than overwhelm you. I will also make suggestions and decide with you on the most effective dietary and lifestyle changes that you are ready to make and the most appropriate lab tests and supplements. The recommendations will be sent to you usually within a few days and always within a week as a pdf document, which also includes notes on the underlying factors and suspected health imbalances that were discussed, so that you do not need to make any notes during the consultation itself. I allocate 45 minutes to prepare for the consultation and usually process the first half of the questionnaire in advance and cover the second half of the questionnaire during the consultation itself, the second half of the questionnaire usually being much faster to process.
Questionnaire filling appointment – up to 80 minutes – £150
If you find filling in a long health questionnaire online stressful, we can sit down together and I can ask you the questions and fill in the form for you. If we do not complete the form we can add to it in the initial consultation which will follow.
Follow-up consultation – up to 80 minutes – £250
Lab test results are explained in follow-up consultations, when the dietary, lifestyle and supplement recommendations are updated and any challenges from the previous consultation are addressed. Changes are incremental and aimed at moving you in the right direction at a pace that is realistic for you, and thus usually take several consultations or more if you are working with a more serious and chronic condition. How many consultations it will take depends on your health goals, your current state of health and on the pace at which you can realistically make changes without excessive stress. You will again be sent the recommendations as a pdf document usually within a few days and always within a week, which also includes notes on the lab test interpretation and any new underlying factors and suspected health imbalances that were discussed.
Follow-up consultations are typically every 4-6 weeks but may be up to 8 weeks in certain cases and can even be every fortnight if you need more support. More frequent consultations can be helpful if weight loss is your goal or if you are working with addiction or cravings.
Lab test interpretation – £50 per hour
Interpretation fees are included in the cost of functional lab testing. If you would like me to consider and interpret test results that you have not ordered from me I charge £50 per hour. The test results need to be in digital format and sent to me by e-mail after being labelled as described here.
E-mail correspondence
Only urgent and necessary short e-mail correspondences in between sessions are permitted, such as ordering lab tests or any questions about how to do the lab tests that have not already been covered, informing me if lab test kits have not arrived in time, booking, cancelling or re-arranging consultations, if supplements I have recommended are out of stock, if something is not clear in the nutrition plan I have sent you, if some genuinely unforeseeable circumstances have arisen that require urgent changes to your nutrition plan, or to send me test results or any other information I have requested from you. In a few cases I do ask for certain updates but otherwise please save your updates for your next consultation. There are days when I am too busy to answer e-mails, especially on days when I need to travel for clinics or seminars in London and Devon. I do not generally answer e-mails on weekends nor when I am away from home or on holiday. Please take this into account when you need a response from me. Before considering working with me it is essential that you read my e-mail policy and guidelines.
Telephone support in between consultations – £80 for 45 minutes, £60 for 30 minutes, £40 for 15 minutes
If you have questions in between consultations I generally recommend you make a note of them and ask me at your next consultation. However you may want to book a short telephone call with me if the questions are more urgent, perhaps regarding how you implement the advice I have given you, or if I have given you a protocol to follow for an extended period of time before your next consultation and you would like some support before then. If you are working with weight loss or addiction it may help you to send me a diet diary to discuss in a weekly phone call. Prices include a charge for 15 minutes for me to look through my notes for your most recent consultation before the phone call. If your questions require my looking back at my notes from earlier consultations I will do so during the phone call itself.
30 minute coaching phone calls – £40
Coaching calls are also recommended in between nutritional therapy consultations and can prove to be an indispensable support to help you deal with the emotional, psychological and spiritual challenges of dietary change. I use motivational interviewing techniques as well as coaching skills learned in more informal settings. These calls are not an opportunity to ask for technical support nor to make changes to your nutrition protocol as I will not be spending any time consulting my notes before or during the phone call.
Package – £1040
4 consultations of 80 minutes each (including the initial consultation or all follow-ups) and 3 coaching phone calls. Coaching calls can each be replaced by 15 minute support calls. Valid within 9 months of booking. Please note packages are non-refundable.
Availability, frequency of consultations and continuity of care
Please bear in mind that I am often booked up 6-8 weeks in advance and cannot guarantee to have an available appointment for a follow-up consultation within 6-8 weeks of booking. It is therefore your responsibility to arrange follow-up appointments in good time. In order to guarantee continuity of care for current clients by offering consultations at 6-8 week intervals I do not take on new clients when I am fully booked for 8 weeks. If you require more frequent support than at 6-8 week intervals you are advised to book more than one appointment at a time.
Laboratory testing
The above fees do not include any laboratory testing.
Nutrigenomics – £500 (not including laboratory fees)
2-hour consultation for advice that is personalised according to your genetics. A nutrigenomics consultation usually follows nutritional therapy so that Tom can relate your genetics to how they are actualising in your current state of health and with your current diet and lifestyle. Nutritional therapy is generally more useful than nutrigenomics analysis for most people and is certainly the more useful focus in the early stages of working with Tom. Click here for laboratory fees for genetic testing.
Free 20-minute telephone appointment
Book a free no-obligation 20-minute telephone appointment using the box to the right to find out more about how Tom can help you before booking an initial consultation. Please note that for legal reasons I cannot give dietary or lifestyle advice in this short conversation. Before considering working with me it is essential that you read my e-mail policy and guidelines.
Further information
For the cost of functional testing please consult with me.
Consultations after 6pm may sometimes be possible but are charged at 1.5 times the normal rate.
Fees are normally paid by bank transfer two weeks in advance of the consultation. If paying by cheque add a £30 administration fee. Any bank transfer charges must be paid by you.
The above prices reflect the time in between consultations on researching the most effective and safe way to support your health according to your individual circumstances, interpreting any laboratory testing and the time and money spent on continuing professional development at the cutting edge of a field that is rapidly growing.
Prices are subject to change. You can ask me in the free telephone consultation about expected price changes and expected dates of price changes.
Consultations are held at Charterhouse Clinic.
Please note: Tom does not offer medical advice nor is his work a substitute for medical care. In the interests of your safety you will be required to agree to Tom’s Terms and Conditions.