London & Online

Learn how I can help you with IBD


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I’ve been going to Milena with problems with my stomach over the past 4 months. Milena has done wonders for my health, I never felt so much better !!! Still working progress but nothing is done in a short time right !!! Milena knows her job inside and out which I never had from my local doctors or hospitals. Milena has put me on the right road to being normal which I haven’t had in years. I would highly recommend going to see Milena, she’s very easy to talk to and give you confidence to getting better.



IBD stands for Inflammatory Bowel Disease. It is a group of chronic inflammatory conditions of the gastrointestinal tract. The two main types of IBD are:

  • Crohn’s Disease
    This condition can affect any part of the digestive tract, from the mouth to the anus. It often involves inflammation in patches, with areas of healthy tissue in between.
  • Ulcerative Colitis
    This primarily affects the colon and rectum, causing inflammation and ulcers on the inner lining of the colon.

Both Crohn’s disease and ulcerative colitis are autoimmune diseases, meaning the body’s immune system mistakenly attacks and damages its own digestive tract. Symptoms of IBD include abdominal pain, diarrhoea, weight loss, fatigue, and in some cases, rectal bleeding.

It’s important to note that IBD is different from IBS (Irritable Bowel Syndrome), which is a functional disorder without the inflammation seen in IBD.

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 IBD 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 transformative if you suffer from IBD and facing challenges with managing your health. If you are experiencing difficulties despite your best efforts, it may be time to seek professional help. You can get assistance from your Nutritionist in developing a personalised nutrition plan, identifying nutrient deficiencies, and addressing any other underlying medical issues that might be negatively impacting your health.

Your Nutritionist can work with you to create a personalised nutrition plan tailored to your unique needs and goals. The Nutritionist can also provide recommendations on suitable supplements and offer guidance on lifestyle choices that can affect your well-being, such as ensuring adequate sleep and managing 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 me in person.


The symptoms of Inflammatory Bowel Disease (IBD), including Crohn’s disease and ulcerative colitis, can vary from person to person and may range from mild to severe. Common symptoms include:

  • Abdominal Pain and Cramping
    Persistent or intermittent pain and cramping in the abdominal area, often in the lower right side for Crohn’s disease and in the lower left side for ulcerative colitis.
  • Diarrhoea
    Frequent and sometimes bloody diarrhoea is a common symptom of both Crohn’s disease and ulcerative colitis.
  • Weight Loss
    Unintentional weight loss may occur due to reduced appetite, nutrient malabsorption, and the body’s increased energy expenditure during inflammation.
  • Fatigue
    Chronic inflammation and the body’s response to it can lead to fatigue and a feeling of general weakness.
  • Rectal Bleeding
    In ulcerative colitis, inflammation can cause ulcers in the colon’s lining, leading to rectal bleeding.
  • Fever
    Some patients with IBD may experience fever, especially during flare-ups when inflammation is more severe.
  • Joint Pain
    Inflammation associated with IBD can affect joints, leading to pain and swelling.
  • Skin Problems
    Conditions such as erythema nodosum and pyoderma gangrenosum, characterized by painful skin nodules and ulcers, respectively, can be associated with IBD.
  • Eye Problems
    Inflammation may affect the eyes, causing redness, pain, and blurred vision.

It’s important to note that symptoms can come and go, and patients with IBD may experience periods of remission with few or no symptoms between flare-ups.


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.


IBD Nutrition Consultations in Harley Street, Central London and Online

IBD Nutritionist in Harley Street, Central London W1

10 Harley Street

IBD 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.