Irritable Bowel Syndrome (IBS)- everything you need to know..
Struggling with bloating, cramps, or unpredictable bowels? You might be one of the millions affected by Irritable Bowel Syndrome (IBS). In this blog, expert Dietitian Gillian Killiner explains the causes, symptoms, and evidence-based strategies to manage IBS — including how personalised nutrition and lifestyle changes can help you take control of your gut health.
Low FODMAP Diet Plans – limitations for Irritable Bowel Syndrome
Relying solely on Low FODMAP meal plans from the internet may not be the panacea for all IBS sufferers
How Gillian Killiner, Specialist GI Dietitian, Transforms Digestive Health
Gillian Killiner RD, a renowned Specialist GI Dietitian and the founder of 121 Dietitian, is on a mission to revolutionise digestive health care. With her wealth of experience and dedication to patient-centric care, Gillian empowers individuals with gastrointestinal (GI) conditions to navigate their dietary challenges and reclaim their well-being. In this blog, we delve into Gillian’s expertise and explore how she leverages her skills to make a positive impact on the lives of her patients. Meet Gillian Killiner: A Pioneer in GI Dietetics Gillian Killiner stands at the forefront of GI dietetics, pioneering innovative approaches to dietary management for individuals with GI conditions. With a passion for improving patient outcomes and a commitment to evidence-based practice, Gillian’s work has earned her widespread recognition as a leader in her field. Founding 121 Dietitian Driven by a desire to bridge the gap between nutrition and gastrointestinal health, Gillian founded 121 Dietitian 2008, a specialised dietetic service dedicated to supporting individuals with GI conditions. Through 121 Dietitian, Gillian offers personalised dietary guidance, empowering patients to achieve optimal digestive wellness. Gillian’s Approach to Patient Care Personalised Dietary Assessments At the heart of Gillian’s practice lies a commitment to individualised care. Through comprehensive dietary assessments, Gillian gains insights into each patient’s unique nutritional needs, medical history, and lifestyle factors. This personalised approach enables her to develop tailored dietary plans that address the specific challenges faced by her patients. Evidence-Based Interventions Gillian’s recommendations are grounded in the latest scientific research and best practices in GI dietetics. By staying abreast of emerging trends and advancements in the field, Gillian ensures that her patients receive the most up-to-date and effective dietary interventions available. Holistic Support and Education Beyond dietary recommendations, Gillian provides holistic support and education to her patients, empowering them with the knowledge and tools needed to manage their condition effectively. Through one-on-one counselling sessions, educational resources, and ongoing support, Gillian equips individuals with the skills to make informed choices and take control of their digestive health. How Gillian Helps Patients Navigate GI Conditions Managing Irritable Bowel Syndrome (IBS) Gillian specialises in assisting patients with conditions such as irritable bowel syndrome (IBS), offering tailored dietary strategies to alleviate symptoms and improve quality of life. By identifying trigger foods, implementing dietary modifications, and providing ongoing support, Gillian helps individuals with IBS regain control over their digestive health. Navigating Inflammatory Bowel Disease (IBD) For those living with inflammatory bowel disease (IBD), Gillian offers invaluable support in managing their condition through diet. By addressing nutritional deficiencies, optimising nutrient absorption, and advising on disease-specific dietary approaches, Gillian empowers patients with IBD to better manage their symptoms and enhance their overall well-being. Conclusion Gillian Killiner, Specialist GI Dietitian and founder of 121 Dietitian, is a beacon of hope for individuals struggling with gastrointestinal conditions. Through her expertise, compassion, and unwavering dedication to patient care, Gillian transforms lives by empowering her patients to navigate their dietary challenges with confidence and resilience. With Gillian’s guidance, individuals with GI conditions can embark on a journey towards improved digestive health and enhanced quality of life. If you want to book your programme TODAY we would love to help you. You can book a 121 Dietitian Programme today by clicking on the link below BOOK TODAY
Patient review -121 dietitian fixes my health
Patient review – suffering from a major depressive disorder and gastrointestinal issues, which included a range of symptoms. Pat shares how thanks to 121 Dietitian’s expert guidance, her health has drastically improved. “My road to recovery began on January 2019 after years of chronic health problems, some of which included major depressive disorder and a malfunctioning bowel of an inability to evacuate normally, therefore having to resort to mechanical means to empty my bowel daily. I was also diagnosed with Irritable Bowel Disease and Metabolic Syndrome. I am 59 years old. Having done extensive research into my gastrointestinal issues and undergone many tests, investigations, and commenced on a plethora of prescribed medications over the years I discovered Dietitian Gillian Killiner at www.121dietitian.com. I was so impressed with her online portfolio that I decided to contact her and she agreed to come to see me mid-January 2019 for a home assessment, which was great as I rarely left the house. To say that I was impressed is an understatement as Gillian blew me away with her extensive knowledge and experience of the workings of the human anatomy and physiology. Having told Gillian my medical history of depression, abdominal obesity, bowel problems with associated persistent nausea, dry mouth, repeated fungal infections and abdominal pain and discomfort and poor sleeping pattern, she listened attentively and compassionately to my myriad of issues. She grasped every word that I spoke with a sincere understanding and knowledge surpassed by all professionals with whom I had come in contact over the years. Her plan of action for me was personalised and tailored specifically to my problems. My individualised care plan was put into action and included, not a diet as such, but a healthy lifestyle food plan and high-end specific supplements following the results of a series of blood tests. I met with Gillian again mid-March 2019 at my home and was excited to relate to her the changes she made to my quality of life. Gone are the nausea, dry mouth and fungal infections as well as the abdominal pain and discomfort. My bowels are functioning somewhat better and I’ve managed to scale back on some of my prescribed medications. My mood has markedly improved and I have a better quality of sleep. I’m also 14lbs lighter and continuing to lose weight at a healthy pace. To summarise I have to say that during all my years of contact with the different healthcare providers (of which before retirement I was one of them) I can say without doubt that Gillian’s extensive expertise on nutrition and general health is worthy of note and I have the utmost confidence in her abilities and talents to help people vastly improve their quality of life. Gillian’s professional, courteous, warm and affable nature affords her the highest recommendation in her chosen field of wide-ranging nutritional, health and well-being aspects of the individual.” – Pat Morgan If you feel you could benefit from the expertise of a dietitian, get in touch today. If you are unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed]
FODMAP – all you need to know to get results..
Here, Gillian Killiner, Principal Dietitian at 121, discusses the Low Fodmap Programme and in particular, why seeking the help of a qualified and experienced Dietitian is key to implementing it successfully. The Low Fodmap Programme has been around for over 10 years. I heard about it in its infancy and thought: “Wow! This is excellent for gut dysfunction and IBS”. And so in 2010/2011, I packed my bags and returned from Belfast to London on three separate weeks to go back to my training hospital, Guys and St Thomas’s to learn all about it – the first course of its kind outside of Monash University, Australia. The work load was intense but exciting. After qualifying with my certificate in Low FODMAP practice, I took my first guinea pigs patients and we followed the information I had learned from the course. I can’t lie. It was hard work. Now over the 7 years I have been practicing the Low FODMAP programme daily, much has changed in the way I deliver, advise and support because everyone is different. My high success rate of 97% is due to my expertise of using the programme daily. The gut is not just about absorption. It’s microbiota has a complex network of links to emotions, stress, activity, genetics, medical history, medication, lifestyle, food and fluids… We as individuals are not all uniform. We do not all follow the same diet and lifestyle. This is the basis of my increasing frustration and the fiasco I find myself in. People are coming to me more and more in desperation, telling me they have tried the Low FODMAP programme and it hasn’t worked. AhhHHHHH!! Another emotional boundary to cross. I have found that with the programme’s popularity and success has come the internet dippers. They take a bit from one website that they like and mix it with another and believe they have completed the programme. Wrong… The other – and most frustrating way that these people are not succeeding. They are being handed a “sheet” from their Consultant or GP and left to get on with it. Excuse me… WHAT??? A little more respect to the programme please! A sheet or a smorgasbord will not get results but in fact dangerously add to people’s fears around food and restriction is dangerous in the wrong hands. Low FODMAP Dietitian -why use one? A patient came to me recently and had been told by a local health food shop to avoid a major list of foods. She did so and over two years of carefully following the advice she to me gravely ill, malnourished, depressed and still her stomach issues continued. Appalling. If you have a gut health problem that has not resolved with medication, dietary changes, or visiting a health shop to pay and hold two balls in the air and told to eat very little, don’t despair – do get in touch. Gillian Killiner is an expert in all areas of Gut Health. Unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop which has been expertly created especially for you. If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed]
Eat right for mental health and overall wellbeing
How and what we eat has an overarching effect on the mental health and body. We all know that, don’t we? But really have you been doing anything about it? If you are in the camp of the invincible guts of steel, or “never taken a day off in my life” type person then you are either in luck, on borrowed time or in a minority! More and more people we find are attending 121 Dietitian’s clinics with symptoms they just can’t get answers/pills or potions for, and its having a detrimental effect on their mind and body so I thought I would write a little about it and how we have been able to help. For some people it may not have been an overnight change but crept up over a few years, or for others it may have been a bolt out of the blue. Everyone and their circumstances are different, however the symptoms are often similar, or cross over with other illnesses making diagnosis vague and frustrating. But ultimately the most detrimental outcome for each person sitting beside me is that the problem is ongoing and impacting on their quality of life. Work suffers, family life is stressed, holidays become an idea of hell than heaven…. One recent example: Jen, she attended our clinic Jan 2014, a woman in her 30’s, busy life, young family and working a full-time job, full of life, shopping wasn’t always a priority and food was from ready-made meals for her and her partner. She started out in March 2012 with some episodes of feeling tired, low in mood, then progressed to feeling very low all the time coupled with some aches and pains, loss of appetite, change in bowel habits, unable to sleep well, feeling real fatigue, colder than others, weight gain, brain fog, forgetfulness, hair thinning……. She felt alone, worried and isolated. She had been for some tests and told she had fibromyalgia, Irritable Bowel Syndrome (IBS) and needed to exercise more. She didn’t get the answers she needed so attended our clinic. She had a life before this and wanted it back. We requested a series of blood tests for her re: her nutritional status, full thyroid function and antibodies, cholesterol profile, etc, we took her body composition and waist circumference. Jen also completed our questionnaire and 7 day food diary. Tests showed that Jen was in poor nutritional health, she had multiple low levels (not out of range but very low levels sub-optimal for health) of essential nutrients in her blood. She had an elevated glucose and triglyceride level. Her macro and micro vitamins intake were minimal with a high sugar/salt, sat fat intake. These problems, you may be surprised to read, however were not addressed at this stage. This was not until we got her GUT working again, if the gut isn’t absorbing then those expensive vitamins and minerals pills and potions that you are encouraged to buy (and Jen had stack loads in her bathroom cabinet) would be a waste of time. Having a poor gut function like IBS impacts on more than the GUT and as mentioned above it has a negative effect on overall health, with prescribed antidepressants, antacids, laxatives…..being common. To fix this we guided Jen through our excellent Low FODMAP elimination programme. 8 weeks later with full support she came back a changed lady her IBS symptoms had improved significantly. Next we were ready to address the diet for her mood, total health and for her life back. As Jen was carrying extra weight she decided to enrol in our Counterweight Weight management programme, a 12 month fully supported evidence based programme. Returning for the last appointment she has now lost the weight she had been so desperate to shift, she had fixed her GUT, and is now eating a nutrient rich diet. This in turn has helped her low mood, her family life, energy levels and is now looking forward to a holiday abroad with her family, something she feared greatly when we first met her. Jen is one of many we see men, women and children are all reporting problems. Mental Health – So why is this happening? Many factors can play a part here but certainly modernisation is a big one. We are living faster lives with fast foods and less down time to relax. We have over recent centuries moved from a whole foods diet to one that is based on processed and refined foods. These processed foods are leading not only to greater ill health: obesity, heart disease and inflammatory diseases, they are also leading to greater emotional distress in the form of depression, anxiety and insomnia. Eating a diet filled with chips, fast food and fizzy drinks is leading to an epidemic of “mental illness.” We also eat too quickly, chewing food has declined and food is beige, soft and gulped down, not allowing our mouth enzymes a look in. Good Nutrition is vital for your mind and body. This does not have to be difficult, so many people are confused with all the shouting and pushing of some extremes. Adhering to veganism, vegetarianism, Low carbs or paleo is not required. If the first changes you make are by concentrating on cutting out industrial based processed foods and eating more from scratch, cooking meals in the kitchen, focusing on a whole foods diet filled with wholesome prepared meals then you are doing well. Sitting and savouring food with family and friends is a part of life and its importance should not be overlooked for total happiness and health. At 121 Dietitian we look at the full person. We spend a large amount of our time building a profile of the individual’s health by using blood results, checking symptoms, assessing the diet and body composition and most importantly discussing with the patient how they feel. Our programmes are detailed but we get the results to get people’s lives back. If your GUT is down so
