Frequently Asked Questions
COULD I BENEFIT FROM A METABOLIC HEALTH ASSESSMENT?
A Metabolic Health Assessment is ideal for anyone who wants to enjoy best possible health.
Central abdominal weight gain – abdominal circumference >31.5 inches in women, >37 inches in men
Mother, Father, Brother or Sister with a history of Type 2 Diabetes Mellitus or Hypertension
Personal diagnosis of Type 2 Diabetes Mellitus, Prediabetes, Polycystic Ovarian Syndrome (PCOS), Hypertension, historical Gestational Diabetes
Symptoms of skin tags, acanthosis nigricans (dark patches in armpit/creases) or food cravings soon after eating
My clients understand that prevention is far superior to cure so take the opportunity for real change whilst they can.
WHAT BLOOD TESTS ARE INCLUDED IN THE METABOLIC BLOOD PANEL?
The metabolic blood panel includes tests that reflect the way your body is supplied and uses energy. These tests will specifically help reveal how insulin resistant your body is. They will help exclude other causes of symptoms such as fatigue. It is important for accuracy that these tests are performed fasted.
Full Blood Count
Urea & Electrolytes (Kidney function)
Liver Function including AST and GGT
Bone Profile
Plasma viscosity
Ferritin
Vitamin B12 & Folate
Vitamin D
Thyroid Function Tests
Full Fasting Lipid Panel
Apolipoprotein B
HbA1c
Fasting Insulin
HOMA-IR
WHO IS THE ELEVATE METABOLIC CLINIC NOT FOR?
This programme is not for the following clients:
Are currently being treated with chemotherapy
Are pregnant or breast feeding
Are acutely medically or have a severe mental health condition
Have a current eating disorder. Clients with historic eating disorders may be accepted after further discussion.
WHERE IS THE ELEVATE METABOLIC CLINIC BASED?
At present, all sessions are offered in person at The Regency Medical Practice, Cheltenham, UK with Dr Caroline Butler. On street parking in available with car parks nearby such as The Regency Arcade and Bath Road car parks.
I am currently awaiting CQC registration in order to offer this service remotely to UK clients.
CAN YOU GUARENTEE RESULTS?
Whilst every effort will be made to help clients address health challenges by providing the best available evidence informed interventions using behavioural change techniques to coach and support these changes, I cannot be held accountable to my clients’ actions as to see positive change, you will need to act on the recommendations made. As such, it is not possible to guarantee you will achieve the outcome you desire.
WHAT ARE YOUR QUALIFICATIONS?
I am a qualified Medical Doctor, GP, Lifestyle Physician, Health & Nutrition and Transformational Coach and have trained extensively in Metabolic and Women's Health. I have over 20 years experience working in the NHS in general medicine, haematology and general practice.
I am passionate to help my patients bulletproof their health by demonstrating that the power to change their health is in their hands and is not necessarily predetermined by their genes.
CAN YOU OFFER PRESCRIPTIONS AND INVESTIGATIONS?
As a qualified Medical Doctor, I will spend time evaluating your health and addressing any medical problems. I can help find solutions that might include suggestions to optimise medications to manage your symptoms better or minimising harm from prescribed medication.
Where indicated, I may recommend you have further investigations performed at additional cost or signpost you to further support.
By understanding your health and the options available to you, my aim it for you to feel empowered to know your health care options.
It is important that prescription changes for ongoing medications are initiated by your regular Healthcare Provider as they hold your full medical record and can then continue prescriptions beyond this programme. Some patients take medication that requires rapid adjustment when introducing dietary changes, it would therefore be necessary to gain the support of your regular Healthcare Provider advance to support such changes.
ARE ADDITIONAL SERVICES OFFERED?
Additional 1:1 sessions can be arranged where the need arises such as for discussion around medication adjustment, CGM monitoring, refresher sessions or simply where a client wishes to the extend coaching duration. Costs will be discussed with the individual and will depend on the requirement.