London & Online

Learn how I can help you with Systemic Lupus Erythematosus (SLE)



Featured In:



Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease that can affect various parts of the body. In autoimmune diseases, the immune system, which is supposed to protect the body from harmful invaders like bacteria and viruses, mistakenly attacks its own tissues. Systemic Lupus Erythematosus (SLE) is characterized by inflammation in multiple organs and tissues, leading to a wide range 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 Systemic Lupus Erythematosus (SLE) 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 Systemic Lupus Erythematosus (SLE) 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 the Nutritionist in person.


The symptoms of Systemic Lupus Erythematosus (SLE) can vary widely among individuals, and they may come and go over time. Some common symptoms include:

  • Joint Pain and Swelling
    SLE often causes arthritis, leading to pain, swelling, and stiffness in the joints. This can affect multiple joints, and the symptoms may resemble those of rheumatoid arthritis.
  • Skin Rashes
    A characteristic butterfly-shaped rash on the face (across the cheeks and nose) is often associated with SLE. Other skin manifestations can include discoid lupus rash, photosensitivity (sensitivity to sunlight), and skin lesions.
  • Fatigue
    Persistent and overwhelming fatigue is a common symptom in individuals with SLE.
  • Fever
    Fever is a common feature, especially during disease flares.
  • Kidney Involvement
    SLE can affect the kidneys, leading to symptoms such as proteinuria (protein in the urine), haematuria (blood in the urine), and impaired kidney function.
  • Chest Pain and Breathing Difficulties
    Inflammation can occur in the lungs and heart, causing chest pain, pleurisy (inflammation of the lining around the lungs), and difficulty breathing.
  • Raynaud’s Phenomenon
    This involves the fingers and toes turning white or blue in response to cold or stress, followed by redness and warmth when they return to normal.
  • Neurological Symptoms
    SLE can affect the nervous system, leading to symptoms such as headaches, seizures, cognitive dysfunction, and mood disorders.
  • Hematologic Abnormalities
    SLE may cause abnormalities in blood cells, leading to anemia, leukopenia (low white blood cell count), and thrombocytopenia (low platelet count).
  • Gastrointestinal Issues
    Some patients with SLE may experience abdominal pain, nausea, and vomiting.

It’s important to note that the severity and combination of symptoms can vary widely from person to person.


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.


Nutrition Consultations in Harley Street, Central London and Online

Systemic Lupus Erythematosus (SLE) Nutritionist in Harley Street, Central London W1

10 Harley Street

Systemic Lupus Erythematosus (SLE) 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.