I will give you my initial thoughts on what you need and we will discuss together the kind of dietary and lifestyle changes achievable for you. Functional tests may also be recommended as well as referral back for GP/NHS based tests. Changing diet is difficult. Preparing food and cooking is hard work and people have less time and are more tired because they work longer hours or are exhausted with caring obligations. Nutrition is not an easy option but I am used to helping people finding ways to work within the constraints of their lives. Changing children’s diets safely to include more vegetables and less sugar is especially challenging. The secret is to take one small permanent step at a time towards optimal health.