London & Online

Learn how I can help you with Multiple Sclerosis (ME)



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Multiple sclerosis (MS) is a chronic and potentially disabling autoimmune disease that affects the central nervous system (CNS), which includes the brain and spinal cord. In Multiple Sclerosis, the immune system mistakenly attacks the protective covering of nerve fibers, called myelin, leading to inflammation and damage.

The damage to myelin disrupts the normal flow of electrical impulses along the nerves. This can result in a wide range of symptoms, including fatigue, difficulty walking, numbness or tingling, muscle weakness, problems with coordination and balance, vision problems, and issues with cognition and concentration.

Multiple Sclerosis is considered a chronic condition with varying patterns of disease progression. Some people may experience periodic relapses and remissions, while others may have a more gradual progression of symptoms.

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 Multiple Sclerosis (MS) 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 Multiple Sclerosis (MS). If you are struggling with your health 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 health.

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.



The symptoms of Multiple Sclerosis (MS) can vary widely and may depend on the location and extent of nerve damage in the central nervous system. Common symptoms include:

  • Fatigue
    This is one of the most common and often debilitating symptoms of Multiple Sclerosis.
  • Difficulty Walking
    Problems with coordination, balance, and muscle weakness can make walking challenging.
  • Numbness or Tingling
    Sensations of numbness, tingling, or pins and needles may occur, often in the extremities.
  • Muscle Weakness
    Weakness in the muscles, particularly in the legs, can occur.
  • Spasticity
    Stiffness or involuntary muscle spasms can affect movement.
  • Vision Problems
    Multiple Sclerosis can cause optic neuritis, leading to blurred vision, eye pain, and sometimes loss of vision.
  • Dizziness and Vertigo
    Problems with balance and coordination can lead to dizziness or a spinning sensation (vertigo).
  • Cognitive Impairment
    Some patients may experience difficulties with memory, attention, and problem-solving.
  • Emotional Changes
    Mood swings, depression, and anxiety are common in people with MS.
  • Bladder and Bowel Dysfunction
    Multiple Sclerosis can affect the control of the bladder and bowel, leading to issues such as incontinence or constipation.
  • Speech and Swallowing Difficulties
    Multiple Sclerosis can impact the muscles used for speech and swallowing.

It’s important to note that not everyone with Multiple Sclerosis will experience all of these symptoms, and the severity and combination of symptoms can vary from person to person. Additionally, symptoms may come and go or progress over time.


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, Marylebone, 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.


Multiple Sclerosis Nutrition Consultations in Harley Street, Central London and Online

Multiple Sclerosis Nutritionist in Harley Street, Central London W1

10 Harley Street

Multiple Sclerosis 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.