The programme is designed specifically for women and men suffering from Irritable Bowel Syndrome (IBS), as well as unexplained digestive issues, such as bloating, diarrhoea, constipation and heartburn.

The programme starts with a comprehensive nutritional consultation in my Central London or Teddington clinic; or online via Skype for out of town patients, followed by a comprehensive stool test for pathogenic bacteria, parasites, inflammation, digestive function, integrity of the gut lining, as well as the balance of friendly and unfriendly bacteria in your gut.

My 5R Approach


  1. Remove:  Remove allergic/intolerant foods, parasites, bad bacteria, yeast. This may include an ‘elimination diet’ to find out what foods are causing the symptoms.
  2. Replace: Replace digestive secretions, such as hydrochloric acid, digestive enzymes or bile salts, that are required for proper digestion and that may be compromised by diet, drugs, diseases, ageing, and other factors.
  3. Reinoculate: Populate your gut with probiotics and prebiotics.
  4. Repair: Help the lining of the gut repair itself by supplying the key nutrients.
  5. Rebalance: Address the lifestyle factors that may affect your gut function.

The 90 Day Irritable Bowel Syndrome (IBS) Programme includes:

• Initial consultation in clinic or via Skype (60 minutes)
(What to expect from your nutrition consultation)
• Comprehensive gut testing with the leading nutritional laboratory Genova Diagnostics. I will post the test kit directly to you, to complete the 3 day stool test at your convenience, in the comfort of your own home. The courier fee to the laboratory is not included and is paid by you.
• 3 Targeted follow-up consultations in clinic every 3 weeks (3 x 45 minutes)
• Ongoing email support
• Progressive personalised nutrition and lifestyle recommendations
• Personalised supplement recommendations
• Laboratory testing recommendations
• Recipes and meal ideas

London Nutritionist Milena Kaler