
Women’s Health at Synthesis Clinic
Our Approach to Women’s Health for cancer risk reduction, cancer survivorship and menopause care and family and carer support
We use both Precision Health (including Functional Medicine) and Lifestyle Medicine models at our practice, providing truly personalised healthcare plans based on root causes of illness instead of the ‘sticky plaster’ symptom-based approach. We use a truly integrated approach where members of our multidisciplinary team meet regularly to discuss their approach to each individual and to ensure everybody in the team is united behind you.
Our key areas of focus for the women’s health team are:
1) Women’s health optimisation and risk reduction support for women with a high risk of cancer (primary prevention), based on family history, germline genetics (BRCA, PALB2, CHEK2, Lynch syndrome etc) or other high risk medical history (including persistent high risk HPV as one example)
2) Cancer survivorship services, including a whole person health menopause and cancer service
3) Family and carer whole person wellbeing support service
Our specialist women’s health team
Consultant-Led Integrative Women’s Health Support
Dr Clementina La Rosa
CONSULTANT ENDOCRINOLOGIST AND PAEDIATRICIAN
Women’s Health optimisation (cancer Risk Reduction/primary prevention)
Whole Person Menopause and Cancer service
Dr Fiona Vij
Precision health AND Integrative medicine physician
Women’s Health optimisation (cancer Risk Reduction/primary prevention)
Integrative cancer pain care
Herbal Medicine for Whole Person Wellbeing and Menopause Support
Sara Rooney
Medical Herbalist
Whole Person Menopause and Cancer service
Family and carer whole person wellbeing support
Women’s Health Coaching
Dr Jennifer Cooney
HEALTH PHYSIOLOGIST
CERTIFIED HEALTH AND WELLNESS COACH
Women’s Health optimisation (cancer Risk Reduction/primary prevention)
Whole Person Menopause and Cancer service
Laboratory Testing and Diagnostics
We conduct a whole range of laboratory tests in our specialist domains of hormones and women’s health and mental wellbeing.
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We work with a number of trusted laboratory partners to provide the following tests:
Health check profiles - full blood count, biochemistry (including kidney and liver function), cholesterol, inflammatory markers
Nutrient tests - blood levels of vitamins and minerals (including B12 and B complex vitamins, vitamin D, antioxidant levels, full iron studies, toxic and nutrient mineral levels)
Expanded hormone panels - female sex hormones (FSH, LH, oestrogen, progesterone, testosterone), full thyroid panel (TSH, T4, T3, thyroid autoantibodies, reverse T3), pituitary hormones, tests for specific hormonal disorders
Food or airborne allergy antibodies, food sensitivity antibodies (where appropriate)
Autoimmune markers, including specific autoantibodies
Our doctors and phlebotomists perform the blood draws at our Care Quality Commission registered clinic, and we can also organise blood draws at the Doctor’s Laboratory in London and a mobile phlebotomist anywhere in the UK if needed.
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Salivary cortisol and DHEA levels to look at adrenal function
Hormone metabolite panels (particularly relevant in hormonal imbalance and oestrogen dominance-linked conditions, e.g. endometriosis, PCOS, breast and gynaecological cancer)
DNA SNP testing, e.g. Lifecode Gx and DNA Life
Breath tests for SIBO (small intestinal bacterial overgrowth) and lactose/fructose intolerance
Stool tests to examine digestive function, gut inflammation and the microbiome
Organic acid testing to examine metabolic health, neurotransmitter metabolites, nutrient levels, as well as urinary bacterial and fungal metabolites
Methylation panels
Histamine/mast cell activation syndrome testing
Organic pollutants and heavy metals
NEW - TruCheck screening test for early detection of up to 70 types of solid tumours
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What conditions can we help with at Synthesis Clinic?
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Women’s health optimisation and risk reduction support for women with a high risk of cancer (primary prevention), based on family history, germline genetics (BRCA, PALB2, CHEK2, Lynch syndrome etc) or other high risk medical history (including persistent high risk HPV as one example)
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Our integrative oncology and women’s health teams work together to provide a comprehensive multidisciplinary service to help people diagnosed with cancer thrive after their treatment. This includes both a comprehensive cancer thriver plan to support post-treatment recovery and recurrence risk management and our whole person health menopause and cancer integrative medicine service, ranging from body identical and bioidentical HRT to nutrition, lifestyle, herbal medicine, acupuncture and other modalities.
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We know that a cancer diagnosis affects family and carers and that a whole person wellbeing approach can help support everyone going through cancer treatment and beyond. We offer services that support both physical and mental wellbeing for family and carers, including both children and adults.
Please note that Synthesis Clinic is not a specialist eating disorder clinic, and we are not able to take on patients with an active eating disorder. We are only able to support individuals who are in stable long-term remission from a past eating disorder. Please note that some general nutrition education handouts provided may include foods to include and foods to limit, so if this may be triggering in any way, finding specialist support outside our practice would be best.
How Does Your Approach Work?
Thorough clinical assessment through detailed intake forms and in-depth initial consultation
Additional testing may be needed but we strongly believe in clinical history as the foundation for first steps.
Co-creating a personalised plan to address your health goals, aimed at tackling the root causes of your symptoms.
This may involve a single specialty at the clinic, such as seeing a doctor, medical herbalist or health coach, or incorporate a team approach, tailored to your unique situation with aligned input from several professionals to support you to feel better faster.
Regular review and reassessment, dynamically adjusting your care plan to change with you as your needs evolve.
Discharge from the clinic when the desired improvement has been achieved, providing you with a health maintenance plan and individual SOS resources to help you keep on track.
Programme Costs
Please see individual programme costs via the links below:
WOMEN’S HEALTH optimisation, cancer survivorship and family/carer support doctor
Whole person menopause and Cancer - consultant ENDOCRINOLOGIST
Women’s HEALTH and menopause COACHING
Specialist nutrition support during and after cancer treatment
Please contact Josephine, our Women’s Health Clinic Coordinator, to discuss the programmes and book in.
Please contact Josephine Lowe, our Women’s Health Clinic Coordinator, for further information about any of our women’s health services or if you are unsure what will work best for your individual situation.
Women’s Health Consultations
We offer online consultations with our women’s health doctors, nutrition, health coaching, physiotherapy, scar therapy, herbal medicine and emotional wellbeing professionals (including integrative psychiatry support) for adults living in the UK.
Synthesis Clinic is located in Berkshire. You’ll find us within easy reach of Reading, Twyford, Maidenhead, Henley-on Thames and Marlow.
Hours
Monday–Friday
9am–5pm
Phone
01628 964330
FAQs
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Prior to your first consultation, you will be sent a confirmation email with the details of the appointment, any paperwork that needs to be completed and, in most cases, a link to complete your health and lifestyle history forms. Please note that this is an extensive form and you will need to allow around 30 minutes to complete it. Please have any supplements or medications you take to hand when you fill in the form.
You will need to complete and return the forms and any other associated paperwork, such as the 3-day nutrition and lifestyle diary, at least 2 working days prior to the appointment. It is crucial for our professionals to have the right information prior to seeing you in person, so that we can use our time together in the most effective way possible.
Please note that all appointments are invoiced for in advance and are payable before the consultations. There is a 48-hour cancellation policy for all appointments.
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During the initial 75-90 min consultation, one of our practitioners will review your health goals, take a full history of your symptoms, family history, current and past medical problems and treatment and any recent test results. We would also have a detailed discussion of lifestyle including nutrition, sleep, physical activity, stress management and environmental factors. We would also discuss what may be underlying the issues you are experiencing and recommend any further testing needed and any associated costs.
Following the initial appointment, you will receive a full management plan, including any recommendations on further testing, lifestyle measures (including supplementation where necessary) and other advice as needed within 5-10 working days (usually within a week). If you are on a package, you will be provided with contact details for your clinic coordinator who will help you make further appointments, order tests and answer queries about how the clinic works.
Please note that we are happy to answer 1-2 emails after the consultation to clarify any points in the plan but beyond that, all non-urgent queries will be answered at your next consultation. Any email advice from our professionals beyond the 1-2 email limit would be chargeable due the time involved in answering further queries and would be subject to the professional’s availability.
Integrative and Lifestyle Medicine is not a quick fix, and commitment to a 3-6 month programme is required (although complex cases may need a longer period of support from the clinic).
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Please contact your clinic coordinator to book in your blood tests and to arrange test kits. Some tests will need to be ordered directly by you and you will be advised if that is the case.
An overview of our diagnostic test offering is available here.
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If you booked a package with one of our doctors, a 3-month package with our nutrition team or a health coaching package, you will be contacted by the clinic coordinator to help schedule your follow-up appointments. Three contact attempts will be made but following that, it will be up to the individual to contact the clinic to request a follow-up appointment within the package timeframe. It is important to note that all nutrition packages are designed to be completed within 3 months and a maximum of 6 months, and no further package appointments can be made beyond this time. Unfortunately we cannot hold time in practitioner diaries indefinitely for package appointments, and any remaining sessions that are not taken up within 6 months (or as per package Ts&Cs) would be null and void.
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That depends on the professional you are seeing but follow-ups with our doctors are usually every 6-8 weeks. Health coaches and yoga therapists usually start with weekly appointments, and nutritional professionals usually see their clients every 2-4 weeks, depending on the stage of the process. Psychiatry support, including psychotherapeutic input, starts off weekly or fortnightly, although this can be tailored to your own individual circumstances.
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We do require a significant amount of paperwork to help us with pre-consultation assessment, monitoring of outcomes and clinical audit, so we suggest setting aside at least 30-45 minutes to complete the paperwork and having your medical letters and any recent test results to upload. It is also not possible to be precise about lifestyle recommendations without having a regular nutrition and lifestyle diary completed, so we usually ask for it at every medical and nutrition consultation unless it is a very brief review. This is according to clinic procedures to help us provide effective personalised support. Please learn more about about how we work by reading our clinic overview and FAQ here.
In our integrative cancer care division, it is essential that we know about everyone involved in your care (NHS, charity, private practitioners) to help support you in the most effective way possible. Where there are clashes between our integrative and collaborative approach vs alternative or possibly unsafe methods available on the Internet, we may need to ask you to consider which approach you would like to go forward with. Unfortunately there are certain practices out there that we would not support or recommend. You are advised to check with the clinic coordinator in the first instance and discuss further during the discovery call (where available) to ensure you are happy with the approach and everyone on the team is aligned. If anything is unresolved or requires further attention, please contact the Practice Manager, Emma Eastman, on emmaeastman@synthesisclinic.co.uk.
Additionally, please note that we are a UK-based adult only clinic, and we will only offer appointments to those over 18. Unfortunately, we are not able to offer an opportunity for other people to pay for the patient’s treatment without their knowledge of the costs as per clinic policy. While we appreciate the wonderful offer of support, payments are processed via the person’s portal, and we strongly believe that clients and patients should have full knowledge about and engagement with their care.
Please note that coming to see our team is not a substitute for standard NHS care, including usual GP care, acute/emergency care and out-of-hours services.