For perimenopause, menopause and wider hormone-related symptoms

• Detailed history: cycles, symptoms, sleep, mood, libido, brain fog, weight, family history

• Review of medicines, contraception, previous HRT and relevant medical conditions

• Interpretation of existing blood tests and assessment of cardiovascular / breast / VTE risk

• Discussion of options: HRT, testosterone (if appropriate), non-hormonal treatments and lifestyle approaches

• Clear explanation of benefits, risks, uncertainties and what realistic improvement looks like

• Check for contraindications and red-flag symptoms, with advice on when to seek urgent care

• Personalised treatment and monitoring plan, with a summary that can be shared with your NHS GP

• Full weight, metabolic and medical history (including PCOS, diabetes, fatty liver, sleep apnoea etc.)

• Exploration of eating patterns, emotional triggers, sleep, stress, hormones, activity and medications

• Baseline checks: blood tests (where available / arranged), blood pressure and cardiometabolic risk

• Assessment of safety and suitability for GLP-1 / GIP injectables and other weight-loss medicines

• Discussion of medication pros/cons, side-effects, monitoring and what happens if you stop

• Practical, sustainable plan for nutrition, movement and habits – not just “eat less, move more”

• Follow-up and monitoring plan (weight, bloods, BP, side-effects), so you’re not left alone after prescribing

• Safety-netting advice on red-flag symptoms and when to contact urgent or emergency services

(e.g. type 2 diabetes, high blood pressure, high cholesterol, heart failure, CKD)

• In-depth review of how your conditions affect daily life, symptoms and health goals

• Structured medicines review: effectiveness, side effects, interactions, concordance and pill burden

• Detailed review of recent blood results, blood pressure and home monitoring (e.g. glucose, BP logs)

• Optimisation using current NICE and specialist guidelines, including newer evidence-based treatments

• Deprescribing where safe to reduce unnecessary medication and simplify regimens

• Clarifying individual targets for HbA1c, blood pressure, cholesterol and kidney function

• Lifestyle and self-monitoring advice, including use of tools like CGM or BP logs where appropriate

• Written plan and recommendations to share with your NHS GP / specialist, including when follow-up is due

• Comprehensive review of medical and family history, symptoms and current concerns

• Discussion of energy, breathlessness, chest symptoms, palpitations, sleep, stress, mood, weight and hormonal health

• Cardiometabolic assessment: blood pressure, heart rate and overall cardiovascular / diabetes risk

• Review of existing blood tests; arranging additional tests where clinically appropriate, such as:

  • Full cholesterol profile

  • HbA1c and fasting glucose

  • Kidney and liver function

  • Thyroid and other hormone panels where indicated

• Consideration of digital tools such as home BP monitoring, ECG devices or CGM where suitable

• Integrated explanation of what’s reassuring, what’s borderline and what needs action

• Clear, prioritised recommendations: lifestyle, medications, tests and referrals, including what should be done in NHS care vs privately

• Safety-netting around red-flag cardiac or neurological symptoms and when to seek urgent assessment