Learn how I can help you with Hashimoto's Disease

London & Online


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Milena has changed the way I think about food and also improved several physical symptoms I was experiencing with her tailored plans. I feel so much more full of energy, and also better able to make wise decisions about what I am putting into my body. It has really been transformational for me.


I am really happy to have found Milena and I am looking forward to continuing the journey with her. I have Hashimoto disease and Milena is helping me manage nutrition to feel better. I have also lost some stubborn kgs in the last few months, which was a plus! Definitely recommended.



Hashimoto’s disease, also known as Hashimoto’s thyroiditis or chronic lymphocytic thyroiditis, is an autoimmune condition where the immune system attacks the thyroid gland. This leads to inflammation and often results in an underactive thyroid gland (hypothyroidism).

This small, butterfly-shaped gland located at the base of your neck plays a critical role in regulating metabolism, energy production, and overall hormonal balance. The thyroid’s role is to produce hormones that regulate many bodily functions, so when it is underactive, it can cause a variety of health issues.

Hashimoto’s disease affects more and more people, mostly middle-aged women, but it can also affect young women, men and even children. Hashimoto’s disease often develops asymptomatically throughout many years.

My Approach

As a Nutritionist and Nutritional Therapist, when working with patients in my clinic in Harley Street, London, and online, I take a holistic approach. Rather than suppressing the symptoms, I work on finding the root cause of Hashimoto’s disease and restoring the balance using diet, supplements and lifestyle.

The gastrointestinal system, especially the gut, houses a significant portion of the immune system. Approximately 70% of the body’s immune cells are found in the gut-associated lymphoid tissue (GALT). This high concentration of immune cells in the gut is essential for monitoring and responding to potential threats from ingested microorganisms and antigens.

The interaction between the gut and the immune system is complex, involving a balance between protecting the body from harmful pathogens and tolerating beneficial substances.

Changes in this balance, such as disruptions in the gut microbiota or increased permeability of the intestinal lining, have been suggested to play a role in the development or exacerbation of autoimmune diseases.

My 5R Approach 


Remove allergic/intolerant foods, parasites, bad bacteria, yeast. This may include an ‘elimination diet’ to find out what foods are causing the symptoms.


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.


Populate your gut with probiotics and prebiotics.


Help the lining of the gut repair itself by supplying the key nutrients.


Address the lifestyle factors that may affect your gut function.


Working with a Nutritionist can be transformative if you suffer from Hashimoto’s disease and struggling to lose weight. If you are struggling to lose weight despite your best efforts, it may be time to seek professional help. You can get help from your Nutritionist in developing a personalised nutrition plan, identifying nutrient deficiencies, and help you in addressing any other underlying medical issues that might be negatively impacting your attempts to lose weight.

Your Nutritionist can work with you to develop a personalised nutrition plan that is catered to your unique needs and goals. The Nutritionist can also offer recommendations on the best supplements to take and lifestyle choices that can affect your weight, like getting enough sleep and managing your stress.

Book an appointment
today if you feel like you need more assistance or direction to reach your goals.

Online consultation with a Nutritionist is available for clients who live outside the London area or who are unable to come to my London office. You can enjoy the online consultation from the comfort of your home or office and you will be given the same level of personal attention and care that you would experience coming to see the Nutritionist in person.



  • Unexplained weight gain
  • Fatigue and lethargy
  • Frequent colds and infections
  • Mood changes
  • Depression
  • Anxiety
  • Memory and concentration problems
  • Increased sensitivity to cold, feeling cold even on warm days
  • Pale, dry skin
  • Swollen face
  • Constipation
  • Brittle nails
  • Hair loss
  • Muscle weakness
  • Joint pain and stiffness
  • Miscarriages
  • Long periods


  1. TSH
  2. Anti-TPO antibodies (Thyroid Peroxidase Antibody)
  3. Anti-TG antibodies (Thyroglobulin Antibody)
    Antibody tests can detect Hashimoto’s disease very well, often many years before TSH increases.
  4. FT3
  5. FT4
  6. Thyroid ultrasound


Milena Kaler is a is a qualified London Nutritionist, autoimmune disease, digestive health, as well as stubborn weight loss (including PCOS, Hashimoto’s thyroiditis and hypothyroidism) and sports nutrition specialist. She is trained in the principles of Functional Medicine and practices from her clinic in Central London, Harley Street, as well as providing online consultations.

Milena has helped thousands of people to lose weight and keep it off. Scientific and holistic in approach Milena looks at all aspects of a client’s health. She embraces a systems-oriented approach aiming to get to the root cause of health and weight issues instead of simply focusing on the symptoms.

Milena’s expertise has been sought by celebrities, and she has been featured as a nutrition expert in reputable magazines including Women’s Health, Elle, Harper’s Bazaar, GQ, Cosmopolitan, Glamour, Women’s Fitness, Peak Brain Training, and Metro.

As a full member of the British Association for Applied Nutrition and Nutritional Therapy (BANT), and the Complementary and Natural Healthcare Council (CNHC), the only register for Nutritional Therapy recognised by the government and NHS, Milena is committed to upholding their strict Code of Ethics. Additionally, Milena is a member of the Primary Care Society for Gastroenterology (PCSG).

Milena sees patients with chronic health conditions, as well as clients looking for support to optimise their health. Some of the areas Milena can help with include: weight loss, digestive, and hormonal health.

Milena sees every person as an individual with different problems and different goals. She takes time to listen to her clients’ specific concerns to develop customised nutrition and lifestyle plans, based on laboratory test results. Having overcome her own chronic health and weight loss issues, Milena really understands how it is to feel overwhelmed by poor health and can relate to her clients when they first come to see her.


Hashimoto’s Disease Nutrition Consultations in Harley Street, Central London and Online

Hashimoto’s Disease Nutritionist in Harley Street, Central London W1

10 Harley Street

Hashimoto’s Disease Nutritionist in Teddington, South West London TW11

Orange Tree Clinic
23A Broad Street
TW11 8QZ

An online consultation is available for clients who live outside the London area or who are unable to come to my office in Harley Street, Central London.