Solving The Puzzle:

ME, CFS & Fibromyalgia

Protocol Approaches

1
 The Optimum Health Clinic

More Than
Just a Clinic
The Optimum Health Clinic (OHC) is an award-winning
clinic offering personalised and evidence-based
solutions and support for fatigue-related conditions such
as ME, CFS and Fibromyalgia.

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OHC was set up in 2004 by Alex Howard (author of WHY ME? My Journey
from ME to Health and Happiness and Decode your Fatigue) and is
recognised for its innovative approach of systematically researching and
testing different approaches, and integrating them together in the most
effective way. With over half the team having had personal experience of
ME/CFS, the clinic is also well known for its caring and empathic approach.

The clinic’s team of over twenty practitioners has supported thousands of

clients with ME/CFS/Fibromyalgia in over 50 countries around the world.
The OHC client range is vast, and covers the complete spectrum from
medical doctors and board members of FTSE 100 companies, to students
and those in their mid-life. Although a private clinic, OHC’s primary
purpose is to support the fatigue community it serves and increase access
to its services, and so the majority of any profits are invested directly into
research & development.

Research
OHC’s research department has so far had studies published in peer
reviewed journals such as Psychology and Health, Journal of Integral
Theory and Practice, Medical Hypothesis and The Nutrition Practitioner.
In November 2012 the team had a prospective preliminary study published
in the British Medical Journal Open demonstrating statistically significant
changes at three months using the OHC approach.

Ethics approval was recently gained for the first stage of a randomised
controlled trial of the OHC approach, working with NHS patients, and the
intervention stage of this study is due to begin in the coming year.

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 Introducing
The Puzzle
Pieces
Understanding how the different kinds of pieces come
together, and your unique experience of them is critical
to solving your health puzzle.

A diagnosis of ME/CFS tells us very little about what is really going on. It
doesn’t tell us why we got ill, why some interventions help at one point and
not another, or what is actually going on in our body. This experience can
feel overwhelming, deeply frustrating, and at times desperate. Put another
way, ME/CFS can feel like a puzzle with too many pieces, and no picture
of how it all fits together. In this report, we hope to help you begin to make
more sense of your experience and explain how to put together the pieces
of the jigsaw for improved health.

At The Optimum Health Clinic, we have spent 18 years supporting over

10,000 OHC clients in more than 50 countries. We don’t have all of the
answers for everyone, but we do have a lot of answers that seem to
benefit a lot of people. In a recent survey of 188 of our clients, 93% said
they had benefitted from working with the clinic, and in 2012 we had a
study published in the British Medical Journal Open finding statistically
significant improvement at three months in all treatment groups. This
report is only a very small introduction to our approach, but we hope it is a
useful start.

Please note: Definitions of ME, CFS, Fibromyalgia, post-viral fatigue syndrome, chronic fatigue,
immune dysfunction syndrome and so on, will be used interchangeably in this document.
Although we accept for the reader this is far from ideal and that the real story is more
complicated, we appreciate your understanding for the sake of simplicity.

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Subtypes
Help us understand why you got
ill in the first place and how we
prevent relapse after recovery.
There are 9 subtypes.

1 Stages
Help us understand why

2
some clinical approaches can
help at one point, and not
another. There are 3 stages.

Systems
3
Help us understand what is actually going
on in your body and the reason you actually
have certain symptoms such as fatigue.
There are 11 body systems.

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 1
1 Subtypes

Why did you get ill

in the first place?
The key to understanding the 9 subtypes is realising that
there is no one factor alone that causes us to develop
ME/CFS. It is the combination of a number of these pre-
disposing factors that results in a state of burnout in the body.

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1
Nutritional Subtypes
Adrenal Type may have been hard
wired to react to stress in an unhelpful
way physically, which can then have
knock on effects throughout a range
of functions in the body. Stress may
have been ongoing through life and/
or specifically at the time leading up to
symptoms.
Immune Type tend to have had a history
of infections when they were younger,
but there could also have been a final
trigger of a virus which they have never
quite recovered from.
Digestive Type can have a history of
food intolerances that they may or may
not be aware of, or have a history of IBS
type symptoms that have never been
identified. This can limit the ability to
absorb nutrients from food and impact
on many physical functions.
Toxicity Overload Type may have had
a pre-existing genetic issue or been
exposed to toxins through a specific
event or consistent exposure. Early signs
can be sensitivity to smells.
Structural Type tend to have some sort
of structural imbalance that can impact
on many different systems and result
in a range of symptoms. This sort of
imbalance can trigger conditions such
as hypermobility or postural tachycardia
syndrome (POTs) and symptoms such as
headaches or migraines.
Psychology Subtypes
Helper Type constantly place the needs
and wants of others above their own.
They value themselves by their helping
and supporting of others, and can often
be giving from a place of inner lacking.
Achiever Type constantly push
themselves to do and be more than they
are currently capable of. This can also
show up as perfectionism and always
trying to ‘get it right’ and effectively
means they are always pushing their
own limits.
Trauma Type trauma can either be a
major event such as a natural disaster,
or some kind of physical, mental,
emotional or sexual abuse. It can also
be what is known as developmental
trauma (otherwise known as covert
trauma) where there is no single event,
but where someone has grown up in an
‘unheld and unsupported environment.’
Anxiety Type have an internal sense of
fear, danger, and threat. They deal with
this either by being an outwardly fearful
type, or by becoming the opposite and
constantly trying to convince themselves
and others they are not afraid. Under the
surface is an ongoing sense of things
‘not being okay.’
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 2 Stages

Why do some
interventions
help at one point
and not another?
Different interventions are appropriate at different
2
stages. Understanding which stage we are at is critical.

A Key Breakthrough
A key breakthrough in our understanding of ME/CFS was the realisation
that there are different stages of recovery. Interventions that help at one
stage can actually cause problems at another.

Stage 1: Crash stage

Characterised by sleeping a lot and very little physical, mental or emotional
capacity. There may be poor function in the nervous system, mitochondria,
adrenals, gastrointestinal system and possibly detoxification systems at
this stage.

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2 Stage 2: Tired and wired stage
Many ME/CFS symptoms often experienced – pain, physical fatigue, poor
sleep, head symptoms, digestive symptoms, flu symptoms, etc. Head can
feel very busy while body is exhausted, very hard to relax or feel grounded.

Stage 3: Reintegration stage

Have found a baseline, understand the body more, and able to respond
appropriately. Energy is definitely increasing and less overall symptoms.
Can get stuck between being symptom free at rest and symptoms flaring
when doing too much.

To help us to understand the importance of stages, consider why rest,

support and repair can be an important key focus in Stage 1, whereas paced
activities and working to bounce energy boundaries can be very helpful in
Stage 3 – but this same approach in Stage 1 may be very unhelpful.

After ten years as a trustee of Action for ME, and

after struggling to get clarity when I wrote a book on
ME in the late nineties, I just wish that the thorough
and integrated approach at The Optimum Health
Clinic had been available then.

Gill Jacobs

Now we’ve looked at Subtypes and Stages, let’s explore Systems.

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 3
3 Systems

What is actually
going on in your
body?
Our body is made up of a number of different systems,
and it is widely accepted that ME/CFS affects multiple
systems. Given that most of these systems are
interrelated, it is likely as you read this in conjunction
with your health history and symptoms, that you may get
a sense that several of them are relevant for you.

The human body is comprised of 11 systems: integumentary (skin),

muscular, skeletal, nervous, circulatory, lymphatic/immune, respiratory,
endocrine, urinary/excretory, reproductive and digestive.

Although elements of the OHC approach will often explore individual

systems, integral to the overall approach is the idea that all systems are
inextricably linked and that ME/CFS are conditions that can affect multiple
systems.

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3
For example, the maladaptive stress response which originates in the
nervous system can affect our endocrine system by generating excess
cortisol and adrenaline. This may lead to poor absorption in our digestive
system, and may result in our immune system being over sensitive (food
intolerances and chemical sensitivities). Some examples of how individual
systems can be affected are:

Nervous System
In ME/CFS we can find the nervous system in a state of over-stimulation
(we refer to this as maladaptive stress response) which can result in a
feeling of being “tired and wired” and that despite being exhausted, we
can’t fully rest.

Digestive System
Many of those with ME/CFS report digestive symptoms. When our
digestion is not working effectively, it can have a substantial effect on
energy creation, brain fog/concentration and many other bodily systems.

Lymphatic and Immune System

Those with ME/CFS report a range of immune-related issues, ranging from
hypersensitivities/intolerances to foods and chemicals, to a weakened
immune system and “catching everything that goes around.”

Endocrine System
A sub-group of those with ME/CFS can experience hypo-thyroidism and
sub-optimal adrenal function is a common result of ongoing stress (either
leading up to getting ill, or as a consequence of).

Energy
Understanding how our body manufactures energy on a cellular level is
hugely important to explaining not only the fatigue but delayed fatigue
response.

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 System Example 1

Energy
Your mitochondria are effectively the powerhouses of
your cells, and therefore responsible for your energy
production at a cellular level.

Mitochondria are the equivalent of the engine in a car. If you’ve ever

wondered what on earth is actually causing so many people to feel
fatigued, the research suggests this area is critical.

You have 50 trillion or so cells in your body, and nearly all of them have
little component parts in them called ‘mitochondria’. The mitochondria
produce A.T.P. (adenosine tri-phosphate) which is the “energy currency”
of your body. When A.T.P. releases a phosphate molecule (P) energy is
created and the A.T.P. becomes A.D.P. (adenosine di-phosphate).

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So A.D.P. must be continually recycled back to A.T.P. by adding back
another phosphate molecule. When this recycling is going too slowly,
your energy can become severely rationed, and in desperation, the body
converts the remaining A.D.P. to A.M.P. (adenosine mono- phosphate),
which releases a bit more energy, but A.M.P. can’t be recycled effectively.

So your A.T.P. supply runs out — people with chronic and persistent
fatigue often describe this as “like someone pulling the plug.” Your body
then has to re-make A.T.P. and this is why it can take days or even weeks
to recover from a ‘crash.’ What is particularly interesting about this for
those with fatigue-related illness is that it explains the delayed fatigue
response, where they can be fine doing a particular activity, fine even the
day after, and then suddenly ‘out of nowhere’ they ‘crash’; it is at this point
that the A.T.P. runs out. Prior to this, there is often a day or so of feeling
‘hyper’ and unable to relax.

The key to working with this is understanding what is hampering A.T.P.

production and giving the body the support it needs to rebuild its reserves
by correcting the underlying imbalances.

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 System Example 2

Maladaptive
Stress Response
The maladaptive stress response is the state of ‘high
alert’ the body often goes into in reaction to chronic
ongoing stress— often exacerbated by the experience of
an illness such as ME/CFS.

For some people, their stress ‘load’ prior to getting ill with ME/CFS may
have been enough to cause the body to function at a higher level of ‘alert’
over a prolonged period of time than is normal or healthy. Yet even if this
were not the case, the actual experience of ME/CFS is a trauma in itself.
For example, not knowing what is wrong, why it is wrong, will you ever
recover, are you going to relapse, all creates a massive state of ‘danger’
within the nervous system.

This combination of circumstances mean that as far as your body is

concerned, your survival is under threat. As a result, it goes into a state
of “fight, flight or freeze”. The body is designed to sustain this state for
a short period of time only — yet what we observe in these kinds of
conditions is that because this sense of ‘danger’ is ongoing, the body
begins to normalise this state — the exact opposite of the state that you
need to be in in order to heal. This failure to adapt is why it is called the
maladaptive stress response.

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There are very real physical effects of being in this state:

Digestive System
Reduced ability to absorb nutrients from food.

Immune System
Adverse reaction to supplements.

Nervous System
‘Tired But Wired’: Exhausted all day, but unable to sleep at
night.

Approaches such as Reverse Therapy and The Lightning Process have

become popular over recent years for working with ME/CFS from a
psychological perspective. Although looking at different aspects of the
maladaptive stress response, the OHC sees these approaches as only
being partial in their understanding (each see some but not all of the
subtypes for example). Furthermore, the traditional approach of Cognitive
Behavioural Therapy (CBT) is offered to many individuals. Although having
its place, once again the OHC approach sees it as only working on some
elements, especially ignoring the role of the unconscious. Many sufferers
also feel frustrated at the CBT approach not fully understanding the very
real physical nature of ME/CFS.

The problem is that because such approaches are only partial in their
understanding (not understanding for example different subtypes, stages
of recovery etc), they can sometimes be counterproductive, further
adding to the confusion and frustration already being felt by those with
long term fatigue. Critical to the OHC approach is understanding that
the maladaptive stress response, although sometimes a key piece of the
puzzle, it is rarely the only piece.

Having explored the 3 S’s and key components of the OHC approach, let’s
now look at what we can do about this. There are two key perspectives to
the OHC approach to solving your puzzle: psychology and nutrition.

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 Psychology
At the heart of the OHC approach is the principle that
the mind and body are intrinsically interlinked, so working
with one will impact the other.

How does our psychology department work

with ME/CFS clients?
Our psychology approach includes a combination of teaching clients
techniques to help calm their nervous system and get into a healing state,
working with underlying subtypes (such as achiever or helper patterns),
coaching strategies to help navigate the different stages of recovery, and
deeper emotional work where needed. At the heart of the OHC approach
is the principle that the mind and body are intrinsically interlinked, and so
working with one will impact the other.

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What methods are you using?
The methods we use are a combination of all of our research over the
years, together with what helped with our own experiences, and what has
worked for the thousands of people we have worked with. Some areas
that have influenced our approach are Neuro-Linguistic Programming
(NLP), The Lightning Process (Alex’s book helped establish it), Reverse
and Mickel Therapy, Emotional Freedom Technique (EFT), Cognitive
Behavioural Therapy (CBT), Life Coaching and Hypnotherapy, Acceptance
and Commitment Therapy (ACT) and Self-hypnosis.

Our approach could not be described as any of these things, but is

influenced by them all.

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 How do sessions
work?
We offer three different options through our psychology
department:

1
90 Day Reset Programme
This is our psychology-based training programme
which we recommend the majority of clients
start with as we find it to be the most effective
kickstart for the OHC approach. This is a powerful
combination of online resources and group sessions
over a period of around 90 days. This is the first truly
integrative programme, taking a holistic view which
necessarily involves the mind, body and emotions.
Optimum health is the harmony of these three
elements working together, and addressing just one
of them consequently misses parts of the puzzle.

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Individual Psychology
Programme
IPP also lasts around three months
2
(although there is flexibility to adjust
this as appropriate), and serves as the
best way to kickstart working on the
psychology side for clients unable to
attend The 90 Day Reset Programme.
IPP sessions take place either by
phone, Zoom or Skype.

3
Ad Hoc Sessions
These take place either by phone,
Zoom or Skype. The sessions last
approximately one hour.

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 1
1 Psychology

90 Day Reset
Programme
The 90 Day Reset Programme is the Optimum Health
Clinic’s groundbreaking psychology-based course. All of
the psychology practitioners who run The 90 Day Reset
Programme have had their own personal experience of
ME/CFS, which gives them a real understanding of the
kind of challenges that clients are dealing with.

One of the most challenging things that the psychology practitioners

found on their personal journeys was the overwhelming variety of different
ideas and approaches. The 90 Day Reset Programme helps take the guess
work out of the process, integrating the very best of different approaches
available. It is ultimately an approach that is greater than the sum of the
parts.

The programme is run over a period of approximately

12 weeks and offers a combination of online videos
and resources with weekly online group coaching
sessions with a practitioner at OHC.

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1
The content of The 90 Day Reset Programme has been formed from what
we call “The 3 Pillars of Healing,” and they are as follows:

1. The Healing Zone

• This section combines the latest research, along with OHC’s immense
clinical experience, to teach you practical tools to calm your nervous
system and switch off the maladaptive stress response
• You will learn to get your body consistently into the optimum healing
state and support its natural capacity to heal

2. Emotional healing
• As we learn to calm our mind and nervous system, often we will need to
work with our emotions and cultivate a new relationship with our body
• You will learn EFT (Emotional Freedom Techniques) which is at the
forefront of the new field becoming known as “Energy Psychology”
• You will also learn techniques from psychotherapy and coaching to
support your emotional healing

3. Integration
• Knowing what to do is not the same as doing what we know! Significant
emphasis will be placed on cultivating new habits and putting what you
learn into action
• You will learn the different ways we tend to sabotage ourselves
(particularly on the healing journey) and how to work with your body
and mind, not against them

The programme also ensures that you not only have the tools to make the
changes that you need, but also have the time and support to reinforce
them. The following weeks include a combination of videos, homework
and a weekly one hour Zoom session as a group where you can ask
questions and be supported to put everything you are learning into place.
The combination of group sessions and the online materials support you to
begin the process of change, and you will continue to be supported as you
implement that change.

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 2
2 Psychology

Individual
Psychology
Programme
IPP was specifically designed for clients who would
prefer to work one-to-one and for when The 90 Day
Reset Programme is not appropriate. IPP is an immensely
effective way to kick-start your healing and see real
improvements, working purely by telephone/Zoom/Skype
and home study.

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2
Delegates benefit from:

✓ Four hours of one-on-one sessions with an

experienced practitioner
The one-on-one sessions can be tailored in length depending upon
your situation, but are generally comprised of a one hour initial,
followed by four sessions of 45 minutes.

✓ A fully referenced manual

Containing all of the information to support your one-to-one sessions.

✓ Secrets to Recovery
Lifetime access to an online resource to support the programme.

✓ Conscious Life
1 year website access to a wealth of material to support your
recovery journey.

✓ Learn to Relax
4 audio downloads.

✓ The Sleep Inducer

4 audio downloads.

If you are unable to attend The 90 Day Reset Programme, IPP is a very
powerful alternative that you can do at home at your own pace, with the
support of one of the clinic’s highly experienced practitioners.

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 3
3 Psychology

Ad Hoc Sessions
These are generally appropriate for those who:

• Have completed The 90 Day Reset Programme or IPP

and would like to focus on tailoring the approach to
their own individual needs.

• Have a significant background of complicated emotional

issues which need more one-to-one attention.

Start with The 90 Day Reset Programme or IPP and

follow on with one-on-one sessions if/when appropriate.

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3
25
 Nutrition
How does your nutrition department work with
ME/CFS clients?
Our nutrition department uses a functional approach, where we are looking
to identify sub-optimal functioning within your bodily systems. We then
work to address this using primarily dietary approaches, lifestyle tools and
supplement support to correct identified imbalances. We also use various
functional tests, including blood, urine, stool and saliva analysis.

Because of our specific and extensive experience of fatigue-related illness,

we find that many of the clients we work with benefit, even when they
come to us with existing nutrition knowledge.

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How does your approach differ from other
practitioners and clinics?
Most Registered Nutritional Therapists are ‘general’ practitioners, meaning
that they work with a great variety of of clients. This means that in an
average year they may only see one or two people with ME/CFS. During
a day in clinical practice at OHC, our practitioners will only see clients
with fatigue-related illness, therefore our Nutritional Therapists have vast
amounts of specialist experience in this area. They also continue to build
upon their skills with ongoing training from both national and international
conferences, and combine this collective and unique in-house experience
with their knowledge of the latest research in fatigue and ME/CFS to
continually develop OHC protocols.

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 Nutrition Consultations

1
Initial
Consultation
Initial consultations take place by telephone,
Zoom or Skype. You will be asked to complete an
in-depth questionnaire specifically designed by
the clinic team, which will be analysed by your
practitioner before your initial consultation.

Your practitioner will then discuss the intricacies of your case

history with you in great detail, and advice will be given as to what
are likely to be the key health issues and priorities for you now, with
an initial roadmap of the suggested way forward. Additionally, the
questionnaire will help the practitioner to analyse your nutritional
needs and the health of your key functional systems, so that your
diet can be optimised to address your individual requirements.
You will then be given an overview of key dietary and lifestyle
recommendations, along with supplement suggestions where
applicable.

You may also be recommended to carry out some simple home

tests (see over page) and possibly a functional test (such as an
adrenal stress test) before your first follow-up consultation, if
appropriate and relevant to your situation.

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Recommendations: within 3 working days (unless informed otherwise) you
will receive a pack of relevant information which will include some of the
following:

• Healthy Eating Guide and personalised dietary and lifestyle suggestions

where appropriate.

• A supplement recommendation sheet.

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 Nutrition Consultations

2
Follow-up
Consultation
Follow-up Consultation usually takes place six to
eight weeks after Initial Consultation.

Prior to your follow-up consultation, we generally ask that you

request from your G.P. a series of standard blood tests (if these
haven’t been done prior to your Initial Consultation), including the
following:

• Full blood count

• Blood glucose

• Thyroid function (Free T4, Free T3, TSH and TPO if possible)

• Uric acid

• Liver function test

• Electrolytes (including phosphorus, chloride and bicarbonate)

• Serum ferritin

• Lipid profile

• B12 and folate (“active” B12 holotranscobalamin if possible)

• ESR

• Vitamin D3

We also request that you have your blood pressure checked at the
same time.

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Your G.P. will analyse blood results from a medical and diagnostic
perspective, whereas we will re-analyse the results from an optimal or
‘functional’ perspective – meaning that we will look at these results within
narrower reference ranges. Additionally, and if relevant to your case, we
may have asked you to complete one or more home tests, including the
following, which we will also analyse if completed:

• Basal temperature (requires a thermometer)

• Metabolic and Salivary pH test (requires some pH strips)

• Various digestive system related tests (may require typical kitchen

cupboard items)

In this first follow-up, the results of any tests (recommended in the

initial consultation) and their implications will be discussed and pertinent
recommendations made. Supplement, lifestyle and dietary changes that
you have implemented will also be discussed and adjusted as necessary,
taking account of relevant test results. Below is a list of some of the
functional tests we regularly use:

• Adrenal stress index test • Toxic metals

• Comprehensive stool analysis • Mycotoxins

• Blood vitamin & mineral status • Red cell magnesium

• Organic acids • Glutathione studies

• Full thyroid panel • Small intestine bacterial

overgrowth (SIBO)
• Food & environmental
intolerances/allergies • Kryptopyrroles

• Bacterial & viral testing • Toxic organic chemical exposure

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 Nutrition Consultations

What do supplements cost?

The cost of supplements varies. Clients receive supplement
recommendation sheets with information about where they can order
the supplements for themselves. The clinic policy is to recommend the
most effective supplement to do a particular job, but all recommendations
also take into account the client’s financial and practical limitations - for
example, the budget available per month or the ability to swallow capsules
or not.

How long are consultations?

Initial consultations are charged at a fixed rate, which includes up to 1
hour directly with your practitioner. Your practitioner will spend at least
another hour on your case (often considerably more) in preparation of
your appointment, and writing up afterwards. Follow-up consultations
are charged as 1 hour — up to 45 minutes spent directly with your
practitioner and the remaining time for analysing test results and writing
up recommendations after the consultation. Any additional practitioner
time required would be chargeable on a pro-rata basis but always agreed
by you in advance.

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I’m concerned my case is complicated, will you
be able to help?
Many of our clients have complex health histories resulting in multiple
test results, supplement sensitivities, various prescribed medications
and varying dietary restrictions. Our team are highly experienced with
these kinds of complex issues and will help clients to navigate these
complexities. Each practitioner in our nutrition team will only see around
10 clients a week, and the rest of the time is spent researching, discussing
case studies with other practitioners in the department, and also receiving
ongoing internal training. For every “chargeable” hour that our team do,
there is actually about three hours of work.

A friend of mine bought me some running shoes a

couple of months ago. For the first time since I was
17 I actually went running. I was like “Oh, I can run”,
it was so cool. I also now go swimming and play
badminton.

Lindsay Oliver
In October 2008, Lindsay completed a half marathon in a very
respectable 1h 31m, raising funds for The Optimum Health Clinic.

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 Next Steps
The next step is to book a free Discovery Call to discuss
your possible way forward with the clinic; either with
psychology, nutrition, or ideally, both.

This all sounds very exciting, but are you really

saying it is possible to change my situation?
After so many years of intensely researching the areas we do, and having
worked with over 10,000 people in over 50 countries around the world,
it is now unquestionable that the people we work with see real changes.
Many clients that come to the clinic have already worked on parts of their
situation, but the real key lies in working in an integrated way with truly
specialist practitioners. Our job is to act like a detective, to systematically
work out which bits are relevant to you, and determine the most effective
ways for you to move forwards. Ultimately, our job is to help you solve your
puzzle.

I’ve tried everything...

It really can feel like that sometimes - however, the vast majority of people
we work with feel like that at the start, and yet, almost immediately after
starting work with us, discover a whole new world of possibilities opening
up. There really is no other integrative protocol like ours available. We are,
in fact, the only clinic that has integrated so many different approaches in
the unique research focused way we have.

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This sounds expensive and I have limited funds?
The level of integration of our protocol (looking at ‘the whole picture’),
means that OHC clients ultimately save a lot of money by avoiding trying
other individual approaches in isolation with practitioners who do not have
our expertise to know in advance what is likely to work. Our experience
takes the ‘hit and miss factor’ out of your journey. Our approaches are all
made as cost- effective as possible, and compared to the cost of things
not changing are actually very affordable. And, without intending to be too
political, we believe our approach should be funded by the NHS, and it is
for this reason that we are investing significant resources in supporting
research through our own in-house research department, as a first step
towards this.

What do I do next?
The next step is to book a no obligation Discovery Call to discuss your
possible way forward with the clinic; either with psychology, nutrition,
or ideally, both. Our Discovery Calls are most definitely not a sales call -
they are simply an opportunity to get your personal questions answered,
and essentially, to explore how our approaches may be of benefit to you.
Choose one of the following options to book a Discovery Call with one of
our New Client Co-ordinators.

Visit website
theoptimumhealthclinic.com 0845 226 1762
With New Client Co-ordinators

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The Optimum Health Clinic
Head Office and Training Centre
Bickerton House
25-27 Bickerton Road
London
N19 5JT

+44 0845 226 1762

enquiries@theoptimumhealthclinic.com