Author: trish

What causes bloating? IBS, Acid Reflex?

Bloating, IBS, acid reflux are all common symptoms but would you like to know what causes them?

State of the art tests to get to the root cause of your digestive symptoms.

The ultimate gut health and microbiome stool test using state of the art technology to provide a comprehensive analysis of the your unique digestive ecosystem and chronic disease-related markers which include bacteria, yeast, parasites.

Science meets nutrition to ensure you gain data that is personalised and accurate.

This is a simple and easy home testing kit to help get to root cause of your digestive symptoms.

Included in the results are:
– 7 x health markers to assess inflammation, immune function, digestion, gut barrier health, and occult blood
– 63 x microbial markers including markers related to IBD, mucin degradation and gut barrier impairment, SCFA production, SIBO, H. pylori, dysbiosis, inflammation.

Samples are collected from one stool test and results are available after 15 days.

Get in touch and book a free call here if you would like to book a comprehensive GI mapping test.

Biohack for Bulletproof Coffee to support your brain and your hormones

Do you love coffee?

I encourage you to limit caffeine intake as it can be dehydrating plus it can put a strain on the adrenals and the hormones. if you’re like me and you love your one coffee a day or encourage you to try this recipe.

 

What is Biohacking?

Biohacking is the process of making changes to your lifestyle in order to “hack” your body’s biology and feel your best. Biohacking is improving the health of your body using external tools, and the term is gaining popularity as part of an increasing move toward improving health and wellness.

Here are a few simple biohacks I recommend to my perimenopausal and menopausal clients

  • Do not use alarms to wake yourself up with a sudden jolt; start waking yourself up naturally and gradually
  • Incorporate smart supplementation into your diet to support the adrenals and your gut health. Vitamins A, C, D, magnesium and zinc are all fundamental to gut health and hormone balancing.
  • Incorporate some good fat into your daily diet. Coconut oil, avocado, hemp oil and cashews are all good fats that help hormone harmony.
  • Try breathing deeply throughout the day. Diaphragmatic breathing is a great way to control stress and support the digestive system
  • Love dark chocolate? Try eating sugar-free dark chocolate.
  • Track your sleep length and quality; start trying to get at least 8 hours every night. The earlier you go to bed the better it is for happy hormones.
  • Try bulletproof coffee

 

What is Bulletproof Coffee?

Bulletproof coffee is a type of coffee used to enhance cognitive abilities. Concentration, attention, focus, and intelligence are all cognitive abilities that affect the performance of our social and professional lives. Bulletproof coffee is one way to enhance that performance and stay alert in all situations.

Bulletproof coffee is becoming increasingly popular among athletes and business people to improve their cognitive abilities and attain higher levels of energy.

The magic ingredient in bulletproof coffee is unsalted grass-fed butter. Yes, this coffee has butter in it, but it also has the highest performance and lowest toxin level. It has all the benefits of healthy fats without the casein proteins found in milk.

 

How to Make Bulletproof Coffee

Here is a simple recipe for bulletproof coffee for improved cognitive abilities and energy.

 

Ingredients:

Organic coffee beans ground fresh

Unsalted grass-fed butter

MCT Coconut oil

 

Recipe:

Using filtered water, brew 1 cup of coffee just off the boil along with 2½  tablespoons of coffee beans that have been freshly ground. Gradually add about 1 tablespoon of MCT oil to the hot coffee. Follow with 1–2 tablespoons of grass-fed, unsalted butter. If you do not have unsalted grass-fed butter, you can use grass-fed ghee. Blend until it is frothy for 20-30 seconds.

 

 

 

The best foods to support your thyroid

If you are struggling with weight gain, poor memory, low libido, feeling tired all the time and brain fog it may well be due to your thyroid.

Your thyroid helps regulate metabolism, hair growth, body temperature and digestion. Your body contains a TSH (Thyroid Stimulating Hormone) The TSH comes from your brain and goes to your thyroid glands, signalling them to produce T4, your inactive thyroid hormone. The T4 travels within your tissues and your bloodstream until it gets converted into T3, which is your active thyroid hormone. T3 gets into your cells to reach your nuclear receptor to increase your metabolism.

Thyroid is a butterfly-shaped gland present in our neck which plays a huge role in the proper functioning of the body. It releases T4 (thyroxine) and T3 hormones which helps in maintaining heart rate, breathing, digestion and body temperature in the optimal range. Improper functioning of the thyroid can affect you in a number of ways.

The vitamins that are found to be most deficient among clients who suffer from any thyroid disorder, are vitamins B12, D, A, B2, and C, and the most important of these is vitamin D. Its anti-inflammatory properties help the flexibility of the immune system and are critical in helping insulin resistance. Vitamin A is essential for eyesight but also is important in the production of TSH and the conversion from T4 to T3. Vitamin A is very important for the entire metabolic process. Deficiencies in vitamin B suppresses the functioning of your thyroid.

Eating a diet that includes foods rich in calcium and vitamin D supports the thyroid and your liver.

Foods that can help include saffron, bananas, baked fish, seaweed and fresh seafood.

Around 1,000 mg of calcium a day will reduce risk of brittle bones. The best way to eat 1,000 mg calcium is by consuming seaweed and leafy greens. It is a common misunderstanding that dairy is a rich source of calcium. Many of us are allergic or prefer not to consume too much dairy because of the increase in mucus. Eating more white beans, salmon, dried figs, bok choy, black eyed peas, tofu, oatmeal and fresh pressed fruit juices are all good ways to increase calcium in your diet.

Other foods high in calcium include spirulina, barley grass, kombu, kelp, sardines, almonds, parsley, brazil nuts, kale, sunflower seeds and quinoa. Magnesium rich foods are also necessary to help absorb calcium into your bones. Foods that are an excellent source of magnesium include dried seaweeds, soy, mung, black and lima beans, whole grains like buckwheat, corn, millet, barley, rye and rice, almonds, cashews, sesame seeds, spirulina and wheatgrass. Osteoporosis can be serious, so introduce calcium rich foods well before perimenopause.

So how do you know how your thyroid is performing?

If you are struggling with FATIGUE, DEPRESSION, LOW LIBIDO, POOR MEMORY or BRAIN FOG, WEIGHT GAIN or INABILITY TO LOSE WEIGHT, CONSTIPATION, HAIR LOSS or THINNING HAIR or EYEBROWS, COLD EXTREMITIES, and LOW STAMINA are common signs and symptoms of inadequate thyroid function.

Thyroid hormone supports serotonin function, and serotonin contributes to the release of pituitary TSH. Thus, low serotonin can be a compounding factor in hypothyroidism. High levels of GABA may have an inhibitory effect on thyroid function. Excess cortisol negatively effects thyroid homeostasis in at least four different ways.

With relation to the sex hormones, estrogen elevates thyroid binding globulin, which decreases the amount of free thyroid hormone available – thus inhibiting overall thyroid function.

Progesterone and testosterone are associated with improving thyroid function.

You may benefit from a sex hormone evaluation and possibly body identical hormone replacement to optimize thyroid function.

A comprehensive thyroid panel is suggested for all of my clients struggling with these symptoms.

Get in touch if you want to test.   Functional medicine tests are a thorough way to get to the root cause of your symptoms.

KEY NUTRIENTS

  • Multi with B’s, iodine, selenium and zinc (& possibly iron if needed)
  • Vitamin C – 500mg – 3000mg per day (split dose)
  • Vitamin D
  • Magnesium – 200 – 400mg per day

If you would like me to review your current supplement regime, please get in touch. Book a call here

Link to podcast here

The benefits of Sauerkraut and how to prepare it

While you can certainly make sauerkraut from red or white cabbage. Red cabbage has a strong concentration of anthocyanin polyphenols and 6 x more vitamin C.

This recipe has huge health benefits including anti-inflammatory and antioxidant capacities as well as being a powerful tonic for your gut.

Red Cabbage also more iron and vitamin A than white cabbage.

I love the combination. The colour is gorgeous.

It is especially beneficial in the treatment of ulcers and bloating.

A little bit every day is a great accompaniment to any meal.

 

Ingredients

1 head white cabbage

1 head red cabbage

– organic is better but if you can’t find it the fermentation process does help kill off any pesticides.

2 1/2 tablespoons grey Celtic salt or the best salt you can find. Use 1 Tablespoon salt for each 1 kg of cabbage

1 1/2 tablespoons juniper berries

1 tablespoon caraway seeds. These are optional. I have also used fennel seeds in the past.

 

Instructions

Prepare your fermentation vessel or glass jar. Make sure it is clean and sterile and the lid fits well.  This will make enough for 4- 5 medium size glass jars. If you have a tray to sit your glass jars on once full, this will prevent the juices overflowing and staining your shelf.

Clean the cabbage – Begin by removing the outer leaves of the cabbage if a bit old. Wash to remove potential contaminants.

Slice the cabbage into fat ribbons about 1 cm wide. The end result seems to work better when cutting with a sharp knife rather than grating or using the food processor.

Keep the dense end of the cabbage -it makes a handy lid for the ferment to help keep the contents submerged under the juice.

Place in a large bowl and add salt and spices, juniper berries and caraway seeds. Toss, bash, pound and massage the sliced cabbage with the salt and let sit for 30 minutes or until it starts to sweat.  The cabbage will be ready once you can squeeze juice and you begin to see a purple liquid at the bottom of the bowl.

Begin the process of filling your fermentation vessel or glass jar. Push down hard and compress out any air as you go.

Fill the jar but allow a small gap at the top as the contents will bubble when fermenting. Include any liquid at the bottom of the bowl.

Compress down hard using a pounder, rolling pin or your fist. You can place a weight on top of the cabbage to effectively submerge the contents of the jar.  The dense end of the cabbage is very handy for this. Your goal is to have the liquid cover the cabbage completely to provide an anaerobic environment within which the fermentation can take place.

After several hours you may be able to press the contents down further. If the cabbage looks a little dry add some filtered water to the top and stir in gently. Make sure a nice seal is made around the edge to keep oxygen and other potential contaminants out.

After 3 days you will need to burp your ferment. Open the jar carefully and submerge any cabbage that has come to the top. If you need to add a little more liquid or a weight to keep the cabbage submerged this will help keep oxygen out and allow the anaerobic process to occur.

Wait impatiently – Let it sit for a minimum of 2-3 weeks. You can easily leave it for 6 weeks or even months if desired. It will simply become sharper and sourer over time. Once you have reached your desire level of taste you can keep it in the fridge or on your shelf for many months to come.

I recommend a small amount of sauerkraut each day. It goes well with salad, broth and veggies for breakfast or a bowl of rice and steamed veg.

Play around with the flavour you like. Be brave in experimenting with flavour.  Fermenting is a combination of agitation and alchemy. Create magic in the kitchen and enjoy the benefits of this wonderful prebiotic for your gut.

The 7 simplest ways to improve your gut health and support your hormones

How are you going with your September health goals?

I hosted a retreat day last Saturday. 10 ladies had fun juicing, fermenting, sprouting, eating delicious food, and learning about gut health and hormones.

The next retreat is scheduled for the 27th November in Wales.

After that I will be doing a mini series of talks in my kitchen here in Minchinhampton.

Keep up to date with announcements in the Thriving Gut health FB group here

At the end of the day, we all committed to doing three things to support our goals. Here is a summary of those new commitments.

This may seem like a simple list but if you did all of these, I guarantee you will feel less bloated. You will sleep better; have more energy and you will feel less stressed.

 What can you add?

  • Drink plenty of water?
  • Take little breaks during the day?
  • Deep breaths before your meal?
  • Chew food well?
  • Veggies for breakfast?
  • Diversity of vegetables on the plate?
  • Change shopping habits to include a bigger range of veg, herbs, seeds, fruit.

When you shop you are better off picking 2-3 of every type of veg rather than sticking with the basics you normally buy.

What can you add to your shopping list this week?

Buy at least:

  • Four green fruit and vegetables.
  • Two red fruit and vegetables.
  • Two yellow fruit and vegetables.
  • One orange fruit and vegetables.
  • One Purple fruit and vegetables.

One spice and one herb you have never tried. Choose a variety.  Choose one of every veg and fruit.  Think about all the colours of the rainbow. This is great preparation for the recipes that follow. Add in two types of nuts, preferably organic or in the shell. Add a new cold pressed virgin oil you have never used before.

Here is a list of foods that will support your gut health and hormones:

Protein

  • Chicken
  • Turkey
  • Game
  • Fresh fish
  • Eggs
  • Organic soy -if tolerated (milk, tofu, edamame beans, miso,tempeh, natto)
  • Grass fed Beef
  • Lamb
  • Pork
  • Venison
  • Veal
  • Liver

 Oils

For dressing:

  • Avocado
  • Flaxseed
  • Hemp
  • Walnut
  • Extra virgin olive
  • Sesame

For cooking:

  • Avocado
  • Coconut
  • Extra virgin olive (up to 180° only)
  • Goose/duck fat/lard
  • Butter

 Dairy alternatives

  • Almond milk (unsweetened)
  • Hazelnut milk (unsweetened)
  • Cashew milk (unsweetened)
  • Coconut milk (full fat)
  • Oat, hemp, rice milks (unsweetened)
  • Coconut oil (for butter)
  • Coconut yoghurt
  • Nutritional yeast flakes

(for cheese)

  • Organic soy milk and yoghurt

 Nuts & Seeds

  • Coconut
  • Almonds
  • Brazils
  • Hazelnuts
  • Cashews
  • Macademias
  • Walnuts
  • Pecans
  • Pine nuts
  • Nut butter (not peanut)
  • Sesame seeds
  • Sunflower seeds
  • Pumpkin seeds
  • Hemp seeds
  • Chia seeds
  • Flaxseeds (or linseeds)

 Fruits

All fruits, including:

  • Avocado
  • Apples
  • Apricots
  • Bananas
  • Berries
  • Cherries
  • Citrus
  • Cranberries
  • Kiwi
  • Nectarine
  • Orange
  • Peach
  • Pears
  • Pomegranate

Avoid dried fruits, fruit juice and other fruit products. Look for sulphur free dried fruits.

Grains & Pulses

  • Amaranth
  • Buckwheat
  • Millet
  • Gluten free oats
  • Quinoa
  • Rice (brown or wild)
  • Chickpeas, beans, or lentils
  • Hummus or other bean dips
  • Gluten free pasta (brown rice, chickpea)
  • Gluten free noodles (rice, soba/buckwheat, zero noodles)

Flours:

  • Almond
  • Coconut
  • Rice
  • Tapioca
  • Buckwheat.

 

It is easy to get stuck in habits of buying the same food.

What can you try this week?

In the 8-week gut healing hormone balancing program we cover this and so much more.

If you are struggling with your symptoms and want to get to the root cause – book a call here

Love Trish

Easy Ways To Improve Your Appearance During Menopause

Ladies, we want to look our best during the Menopause. After all, it can boost your self-esteem and make you feel better about yourself. Dieting and exercising are important in the transition to menopause but so is your gut health.

As effective as these are, they aren’t the only ways to improve your appearance. You also wouldn’t need to do something as drastic as cosmetic surgery. Instead, you could implement a few changes into your daily routine to help balance your hormones and improve your digestion. 

As minor as these may seem, they can have a much larger impact on your appearance than you’d think. Combining them together will maximize this impact.

I know you are here to improve digestion, beat belly bloat and perhaps lose some weight.
Here are my top 7 tips to get you started. Sometimes it is the simple things that will make a massive difference.
Do you do these already?
 Drinking plenty of water?
 Taking little breaks during the day?
 Deep breathing before your meal?
 Chewing well?
 Veggies for breakfast?
 Diversity on your plate?

How To Look Better During Menopause

Take Care Of Your Mouth and Oral Microbiome

Your smile is one of the first things that many people notice when they see you. While it mightn’t be something they focus on, it can drastically affect how you look. You’ll need to look after it. The easiest way of doing so is by brushing regularly.

You might need to have certain things done, however. These can range from teeth whitening to a root canal treatment. It’s recommended that you get these done as early as possible. Alongside helping to improve your smile, most treatments focus on preventing future issues.

Oil pulling is a gentle technique for improving the microbiome in the mouth. It can be done with olive sesame or coconut oil. Put one dessert spoon of oil in the mouth and swish around for two minutes. Add either two drops of peppermint or two drops of tea tree oil to help improve the texture and the coating on the tongue. Followed by tongue scraping this technique helps remove bacteria from the mouth. You can watch some techniques here. 

Take Care Of Your Personal Hygiene

While personal hygiene is an obvious thing to focus on, it may be something that many people overlook. There are quite a few aspects involved in this, with brushing your teeth being notable.

Showering or bathing several times a week is also mandatory. Getting a skincare routine by adding in extra nutrients in your diet will help you navigate a smooth menopause. 

Make Sure To Stay Hydrated

Few people think of how hydration can affect how they look. If you’re dehydrated, you’ll look so. The more dehydrated you are, the more it will affect your appearance. Typically, it’ll make you look worn out and tired, which you should want to avoid.

There are other ways that dehydration can affect your body. These will go farther beyond how you look, as it can affect energy levels, how well your body operates, and much more. Keeping well-hydrated will be essential for avoiding all of this.

The fact that it can help you improve your appearance is a nice benefit on top of this.

Wrapping Up

As much as each of the above can improve your appearance during menopause, they’re no replacement for looking after yourself physically and mentally. Proper dieting and exercising are recommende. Adding some other methods on top of this will help support hormones and improve diegstion. 

Make time to exercise regularly. These tips can be helpful in maintaining an attractive appearance during your transition to menopause. If you would like further support for your menopause journey book a free half hour call here to see how I can help. 

Don’t Eat And Drive: The Shocking Truth About Road-Based Snacking

All drivers understand the risks of drink driving, yet many of us wouldn’t think twice about snacking during even the shortest of trips. As a nutrition gut specialist helping busy women I recommend you think twice about eating while driving. Regardless of what you’re eating, evidence increasingly points to the fact that multitasking your meals while driving can significantly slow digestion, and even facilitate hormone imbalances as gut health goes speeding off in the other direction.

Here, we consider why digestion and on-road snacks are so opposed, and what exactly that means for gut health and digestion. 

Unfortunately, as well as posing the significant risk of blocking your view, creating a distraction, and causing you to take both hands off the wheel, in-car snacking is increasingly rearing its ugly head with regards to overall gut health, and we’re afraid to say that the findings so far aren’t great.

Sympathetic vs parasympathetic processes

In the most simple sense, driving and eating are such a bad pairing because they are diametrically sympathetic and parasympathetic processes. While browsing a Bentley dealership for your next vehicle can most certainly help you to relax and enjoy a few feel-good hormones, driving a high-end vehicle like this, especially, is a wholly sympathetic bodily process that triggers fight or flight responses to keep you aware, safe, and looking after your vehicle.

By comparison, digestion relies on parasympathetic processes that depend on rest, saving energy, and most certainly keeping your heart rate down. Eating while in a heightened sympathetic state (e.g. while driving) altogether prevents the digestion necessary for the proper absorption of nutrients, efficient fat stores, and the regulation of blood sugars among other things.

The fast nature of road-based food

As the above point proves, even healthy snacking while on the road isn’t great. To make matters worse, few of us think to pack a bag of nuts when we head out for a long drive. Instead, we either pick up the first thing we see on the shelf at the garage (often crisps or sweets) without stopping to read the food label, or we fall foul to the temptation of drive-through takeout that’s almost always dripping with unhealthy, saturated fats. Both toxic and inflammatory, these quick-fire snack options pose significant risks to healthy gut functioning, increasing levels of destructive gut bacteria and ultimately harming your gut microbiome. 

Missed mindfulness

When you’re eating while driving, it’s highly unlikely that you’re paying any real attention to what you’re ingesting, or even how full you feel. This is terrible news in light of links discovered between mindful eating and effective digestion. Worse, the distracted overeating inherent in snacking of this nature can see you overfilling on foods that, ideally, you shouldn’t be eating in the first place. 

Luckily, offsetting each of these risks is as easy as making an effort to eat an informed, relaxing meal at least an hour or so before you head off on a long or short road trip. That way, you give your digestion the best possible head start, as well as avoiding the risk of fast food stop-offs that can cause such catastrophic consequences for all-important gut health and your health goals.

If you would like to join the 8 week TOTAL BODY RESET CHALLENGE this month please get in touch.

Get a free APP, support, motivation and workouts to help you achieve your goals. Let me be your support person.

 

Top Tips For Achieving Your Best Smile

Achieving your best smile is possible. Your best smile is one that you feel your most comfortable and confident in. Whether you lack confidence in your smile or simply want to achieve a better, brighter, and happier smile, then follow this guide.  Your oral microbiome is directly linked to your gut health.  It is important to look after the good bacteria in your mouth and crowd out the unwanted bacteria. 

Oil pulling is a gentle technique for improving the microbiome in the mouth. It can be done with olive sesame or coconut oil. Put one dessert spoon of oil in the mouth and swish around for two minutes. Add either two drops of peppermint or two drops of tea tree oil to help improve the texture and the coating on the tongue. Followed by tongue scraping this technique helps remove bacteria from the mouth.

Consider dental work

If you lack confidence in your smile due to dental issues, then you might want to consider dental work. Dental work will help you achieve your best smile and return your teeth to their best condition. 

For example, you can get permanent porcelain veneers that will help you achieve a straight, bright, and confident smile. These will last years if you take good care of them so you will be able to maintain your best smile for as long as possible. 

Maintain a good diet

What you eat will affect your teeth. If you like to consume a lot of sugary foods, then you might want to consider cutting your consumption down or out completely. 

A good diet is one that involves a lot of healthy fats and proteins. For instance, eating a lot of leafy greens, lean proteins, low-fat dairy products, and nuts, is one that can help you achieve good health in general and will help you attain the best oral health. 

If you are someone who likes to snack on sweets and biscuits, then you might want to consider changing these for healthy snacks such as natural-occurring sugar in fruit, nuts, and vegetable sticks. If you are struggling with cravings, get in touch so I can guide you with ways to combat cravings. 

Smile more in the mirror

Boost your confidence will help you show off your best smile. The more confident you are in your smile, the brighter your smile will appear. A smile is the best facial expression anyone can wear. A smile can brighten up your whole face and make you seem more friendly. 

If you don’t smile often, then you should practice smiling more in the mirror. You will see how much friendlier and happier you look with a smile on your face and it will encourage you to do it more. 

Have good oral hygiene

Good oral hygiene will help you combat dental issues and achieve a brighter and whiter smile. 

Your oral hygiene routine should involve oil pulling, tongue scraping and plenty of brushing. 

How To Choose The Right GP for Your Menopause Journey

Whatever the reason you find yourself looking for a new doctor you want to be sure you choose the right one. Choosing the right doctor for you and your menopause needs is important as very little outranks your health and wellbeing. What is more, you want to visit a GP that you can confide in and trust, one you have confidence in. Here are some considerations you can make when choosing your next GP. 

Location and facilities

The location of your doctor is essential, if you are opting for an NHS doctor then you will need to research the practices near you and ensure that you are eligible for the surgery location you have chosen. Proximity is of course important as you do not want to find yourself unable to get to the doctors now or in years to come because of the distance. Can you walk there? Do you need to? What about transport links? You could do a test run to find out how easy it is to get to the practice. 

Once you are there have a good look around and get a feel for it and the facilities available. Is it accessible? Does it look professional? Clean? Welcoming? Are the staff friendly? Do they offer treatment rooms? Minor surgeries? Are there any affiliated practices such as dental or pharmacies? If you are opting for private medical treatment do they offer high end consulting rooms? Do they have the facilities you need and expect? To give you an idea of what to expect from private consulting rooms and practitioners, Medifit Design and Construct showcase some of the latest and innovative medical providers and their treatment rooms. 

Gender and ease of booking

There are times when you might wish to see a doctor of a particular gender and you are completely within your rights to do so. It may therefore be prudent to select your doctor with their gender in mind and any particular ailments you may have. Alternatively, you may wish to select a practice that enables you to see a variety of doctors and offers you the option to request a doctor of a particular gender or skillset on the day you need to see them. 

Understanding Hormones and Women’s Health 

Many surgeries now have menopause specialists so ask your receptionist for a Doctor who understands the menopause journey. While a general practitioner is qualified to treat a wide variety of medical complaints some GP’s will take a special interest in certain medical areas. For example, it could be in women’s health, minor surgeries or weight management. Does your prospective practice have a specialty or potentially several? Do you need one? Research any particular fields of interest your GP practice may have or alternatively seek out those which would benefit you.

Private Testing

With long waiting lists you may wish to consider private testing. As a Nutrition Gut Specialist, I offer private comprehensive stool, hormone, thyroid and full blood panel tests. They can be ordered promptly. Tests are done in the privacy of your own home and results are delivered quickly via a secure client portal. I can work together with your GP to get you the support you need.

Opening hours and online services

What are the opening hours and do they suit you? Some general practitioners offer early morning or late evening appointments, is this something you need? What about the online options? Doctors surgeries are moving online more and more, giving patients more flexibility. Can you book appointments online? What about undergoing consultations online or renewing prescriptions? Do you want to and will this service make your life easier? 

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