Using your health insurance to cover your Dietitian’s appointment
Using your private health insurance to cover the cost of the services of a dietitian. Most UK residents are entitled to free healthcare from the NHS, however more and more of us are adding the additional cost of private healthcare insurance to our already stretched outgoings or have this included as a work perk. In the event of anything going wrong you have the peace of mind that you can get the treatment you need in a reasonable length of time. As with all insurance there are different levels of care and clauses on how much and often you can claim. So it is really important to know these details when purchasing. The ins and outs of private health insurance I think private health insurance companies offer wonderful extras to incentivise staying healthy and avoiding ill health. This is all very impressive and I am delighted to see people using these. It is however under the surface when you are looking for advice from a Dietitian that the disappointment occurs. I wear several hats as a Dietitian. I have the knowledge and tools to prevent ill health, I can also, when required, diagnose and treat ill health in relation to a plethora of nutritional issues or assist in optimising health when part of a long term illness or acute injury. Patients are referred to me with one or multiple different health issues and with a thorough assessment I know I can treat them with the programmes that I provide. The problem arises in relation to the insurance fee to cover the treatment. Receiving a thorough assessment Dietitians do not operate like Doctors in terms of assessment and advice. Doctors on average see a patient for up to 20 minutes and within this time they have assessed the patient, written a summary letter for any further tests/scans or onward referrals and included a review appointment if required. The end. Dietitians require a full and detailed history of health, diet and lifestyle before they discuss the details as to the illness in relation to dietary changes and then provide verbal nutritional advice for that individual. An initial appointment usually lasts 1 hour. My patients, as with many Dietitians, have their programme written up for them in a detailed multi-page document with additional advice which can include recipes, shopping lists, blood test requirements, supplements to take etc. A write up on average can be 2-3 hours. A review appointment is necessary to ensure the patient has been successful in following the advice, taking supplements and checking blood results. Further verbal and follow-up written advice is then required after the review appointment. The frustrations with health insurance So why am I frustrated?! Health insurance companies are all about keeping the patient in tip top health – track your weight, track your steps, reduce your costs……but clearly they haven’t joined up the dots when you need expert nutritional advice. Payment allowed for individuals attending Dietitians is not reflective of all the background work provided and it creates a shadow of negativity around the patient journey. It is very hard to explain to someone that they are not fully covered for the programme they are most certainly requiring to get better and optimise health longer term and know they need. I appreciate what some of you may be thinking – why not cut down your information to match the costs offered? Sadly I have tried this and it does not work, the fees just barely cover the first 1 hour appointment, let alone fees for office staff, rental etc. I have trained and educated myself daily for many hours in addition to the work I do and over the past 22 years I have accumulated the knowledge to fix people from cellular level up. I don’t charge much as my passion is for helping fix others. This is surely a win-win for the health insurance companies???? It is obvious that the insurance company will still be receiving the yearly insurance fee but the individual, if following the specialist advice correctly, will not require repeat hospital or doctor consults as possibly needed and thus keep profits healthy! I would even go as far to say a Dietitian can assist in highlighting and preventing further illness that may be lurking for a future episode of health insurance spend. I think they are missing a trick!! Just saying this guy got it right and this was around 310 BC!!! If you are interested in seeing a Dietitian and have private health insurance, do check the cover they offer and question why if not enough to pay for a full programme. The more they become aware of this the hope they will see the benefits. 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]
The truth about nutritional supplements revealed by a UK leading Dietitian
One of the most commonly asked questions we hear at 121 Dietitian is “What supplements should I be taking?” With this in mind, Director and Principal Dietitian Gillian Killiner discusses the topic of supplements and who should be taking what. It might surprise you to learn that the term ‘dietary supplements’ actually applies to a wide group, including; vitamins, herbs, enzymes, amino acids, minerals, protein drinks, sport aids, weight loss pills, anti aging tonics etc. According to a report in Optimum Nutrition Magazine, the nutritional supplement market in the UK in 2016 was valued at £431 million and this is expected to double in the next 5 years. People in the U.K. take dietary supplements for a variety of different reasons. Athletes and bodybuilders may take supplements to gain performance improvements and to bulk up. Others take supplements to get protein and vitamins into their diets as part of an overall focus on a healthier lifestyle. Pregnant and lactating women may take dietary supplements to provide enough nutrients to support their growing babies. Children from ages six months to five years may be given supplements to make certain that they are getting enough vitamins while they are growing. The government recommends that children in this age group are given supplements of vitamins A, C and D. People also take dietary supplements to help lose weight, while older adults take supplements to help to maintain their health as they age. This sounds and is, for the main part, acceptable. When supplements are advised and taken correctly, they can enhance an individual’s health and thus improve life outcomes and I am all for this when following an expert’s advice. However, this needs to be after a full health assessment. What is most worrying is that I find frequently in my clinical practice individuals taking supplements for several years or maybe longer and they really have no idea the quality of the supplement they are taking (often cheap shop brand) the quantity of the ingredient dose they are taking and the risks associated with this or on the reverse that they might not be absorbing the ingredients at all. Sadly, I have had several patients who have significant liver damage as a direct result of high dose supplementation taken for an extended period of time. Truth be told, I am a supplement nerd and I am meticulous in sourcing the correct therapeutic supplements for each individual based on their; health, lifestyle, age, sex, metabolic status and most importantly, blood test results. The supplements that I select are chosen because they have: No nasty chemicals which can often trigger additional issues with gut/skin health. Selected for optimal dosage and from natural sources so the body can absorb them easily. Purest for no toxicity. Dose administered to assist their optimal absorption. If using several supplements they are introduced over time to monitor for any reactions. During the time a patient is with me, bloods and symptoms are monitored to ensure health is assisted and the supplements taken for the correct time frame at the correct dose. So where does that leave you? For those of you that do supplements: Do remember you can’t expect supplements to take care of a bad diet or lifestyle – research has proven this to be more harmful. If you take supplements please do consider there are positives and negatives to these and be aware that they could be unnecessary, toxic or just making expensive urine! Don’t mix food supplements and medicines. Some food supplements can interact with medicines. So if you are taking any medication, seek advice from either a GP or dietitian. Your body is like a finely tuned engine of a car – all the parts have to work in harmony to ensure you are in top gear. Too much or too little of anything and your won’t be firing on all cylinders! 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]
Obesity Statistics and Health Risks
While obesity stats might be shocking, the good news is that there is still time to do something about it. Here, we get clear on the obesity statistics and share how 121 Dietitian has been successfully helping patients to lose weight for good. A person with obesity (BMI – Body Mass Index of 30 and above) is: 6 times more likely to develop high blood pressure 4 times more likely to develop diabetes 2 times more likely to develop arthritis 6 times more likely to suffer gall bladder disease More likely to be infertile More likely to suffer from back and joint problems More likely to have problems with asthma exacerbated Increased risk of suffering depression More likely to suffer sleep problems such as sleep apnoea Increased risk of heart problems and stroke And have a shortened lifespan (1 in every 11 deaths in the UK is linked to obesity related problems) More likely to have nutritional deficiencies Reverse these obesity statistics This is not a scare tactic message, but rather, we feel, an important message to highlight the negative health implications associated with obesity that we treat every day. It may surprise you to know that many of the men and women who come to our clinics are unaware of the risks associated with obesity. When informed they are so grateful they could do something about it before their problems became irreversible. If you wish to reverse the risks as mentioned above, the good news is something can be done. Losing weight and lowering your BMI (body mass index) to normal or lower levels, or with a 5-10% reduction in weight as a starting point will significantly reduce your likelihood of developing these potentially serious medical conditions. Significant weight loss can resolve many pre-existing conditions associated with obesity. Of course there are also many, many psychological benefits in losing excess weight. People become more confident, feel less isolated, feel more attractive and feel more assertive as well as the obvious benefits associated with feeling healthy like a new wardrobe! HOW TO LOSE WEIGHT AND ENJOY DOING SO! Our team are highly skilled weight management Dietitians, providing a unique evidence based programme, tailored to each individual. Over the years, we have helped many people to successfully lose weight, when they have struggled in the past. You will learn how to enjoy foods and how to manage your diet, weight and health for life. No kcal counting, macros…. If you need to lose more weight, then you can safely do so, as you will know exactly how to do it safely for optimizing health for life. 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 this has been expertly created 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] Information checked & correct on 16th May 2018 rechecked Jan 2021.
Healthy Food like your body
Over the years, studies have looked at the relationship between food and their impact on the body and in particular, it’s fascinating to learn that healthy food can help certain organs that resemble their same shape! While there are many theories, we have put together a selection of our favourites, showing the power of food and its function. A sliced carrot looks just like the human eye. Cut one open to reveal the pupil, iris and radiating lines, which look just like the human eye. And what’s more, science shows that carrots greatly enhance blood flow to and function of the eyes, so while that old adage of carrots helping you see in the dark might not be entirely true, there is some logistic in the statement. A tomato has four chambers and is red, just like the heart. Current research indicates that tomatoes are indeed pure heart and blood food, so up your intake today! Grapes hang in a cluster that adopts the shape of the heart, and when opened, each grape looks like a blood cell. Recent studies show that grapes are a profound heart and blood vitalizing food. A walnut looks like a little brain, with a left and right hemisphere, upper cerebrums and lower cerebellums. Even the wrinkles or folds on the nut are just like the neo-cortex. What’s more, we now know that walnuts help develop over 3 dozen neuron-transmitters for brain function. Kidney beans actually heal and help maintain kidney function and yes, they look exactly like the human kidneys. Celery, bok choy, rhubarb and more look just like bones. These foods specifically target bone strength. Bones are 23% sodium and these foods are 23% sodium. If you don’t have enough sodium in your diet the body pulls it from the bones, making them weak. These foods replenish the skeletal needs of the body. Onions look like body cells. Today’s research shows that onions help clear waste materials from all of the body cells. They even produce tears which wash the epithelial layers of the eyes! Shaped like the pancreas, ironically, the ‘sweet’ potato has great health benefits for an organ that helps with sugar load in the body! Despite its name, a sweet potato actually helps the pancreas do its job, balancing the glycemic index of diabetics. Resembling the shape of ovaries, olives assist the health and function of the ovaries. The healthy fats, vitamins and minerals found in these tasty fruits of the olive tree have been shown to reduce the risk of ovarian cancer. Furthermore, olive oil is excellent treatment for skin and hair, delays old age and treats inflammation of the stomach. 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 with healthy food Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed] Information checked & correct on 16th May 2018.
Reduce the risk of prostate cancer with dietary changes
Reduce the risk of prostate cancer. In recent years, more and more research has been devoted to the link between diet and prostate cancer and reducing its likelihood with dietary changes. Every year in the UK, 35,000 men are diagnosed with prostate cancer, resulting in one fatality every hour. What we do currently know about the condition is that men are more likely to get it if they are over the age of 60, have a family history of prostate cancer or are of African decent. Furthermore, Asian men are less likely than Western men to develop this cancer form but those who have migrated to Western countries are found to develop the same risk as those who have been there their entire lives. What this suggests is that there are in fact some fixed factors which increase the risk of prostate cancer, so much so that the World Cancer Research Fund (WCRF) is continuing research into the link between lifestyle factors and prostate cancer. However, until these finding have concluded and been published, based on the current consensus science, the following tips can play a role in protection against most types of cancer, including prostate cancer. Here, we take a look at the diet and lifestyle changes you can make in order to reduce the risk of prostate cancer Maintain a healthy weight through the principle of keeping active and eating a healthy, balanced diet. Moderately exercising for just 30 minutes a day is recommended. If your busy lifestyle doesn’t permit this, try shorter sessions throughout the day. Aim for a healthy BMI of between 18.5 and 25. Not sure what your BMI currently is? Check out this handy calculator on our website here. When it comes to your diet, one which is varied and balanced containing the right proportions from the five food groups is essential. Use the above plate as a guide on your daily food intake. As a good indicator, at each mealtime, fill half your plate with fruit and vegetables, a quarter with protein and a quarter with starchy carbohydrates. Up your water intake to the recommended 6 – 8 glasses of fluid per day, one of which can be a small serving of fruit juice. Limit sugar-laden drinks to special occasions only. Ensure your diet is rich in whole grain food options, aiming for the recommended 3 portions of 16g wholegrain products per day. As a guide, one portion = x2 heaped tbsp brown rice, or x1 medium slice wholemeal bread or x3 tbsp wholegrain rice, or 1/2 a wholemeal pita bread. Ensure your daily intake of fruit and veg is high, striving for 7 portions per day. This is the equivalent of 1 medium apple, 3 dates, half a grapefruit, 2 small tangerines, 1/3 aubergine, 3 heaped tbsp carrots or 1 heaped tbsp tomato puree or a handful of mangetout. Limit your trans fat intake, keeping within the recommended guidance for 70g of fat and keep processed saturated fat low. Small tips to help with this include, for example, trimming fat from meat, cooking with healthier fats such as olive oil and upping your intake of nuts, seeds and avocados as healthier fat options. Reduce your sugar intake but keep below the recommended 30g per day with simple steps such as cutting down on sugary treats including cakes, biscuits and snack foods, limit your intake of fruit juice and fizzy soda, replacing with water or low sugar squash varieties and halve the amount of sugar consumed in tea, coffee, cereal, cooking and baking where possible. These simple steps will go a long way in preserving your future health and you’ll be surprised at how quickly your palate gets used to it. Be aware of hidden salt and keep to 6g per day. Swap the addition of salt while cooking for herbs and spices. These are a fab alternative and there are so many tasty choices out there, so get experimental and creative when cooking. Ditch the processed meals which are high in salt, instead aiming to cook simple meals from raw ingredients. It’s amazing how quickly a healthy and tasty meal can be prepared. Check out, for example, our Incredible Hulk Cannelloni recipe here. Finally to r educe the risk of prostate cancer, get up to speed on food labelling systems in order to choose foods that are low in fats (<3p per 100g fat, <1.5 saturated fat per 100g), sugar (<5g per 100g) and salt (<0.3g per 100g). For more information on prostate problems. 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 reduce the risk of prostate cancer Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed] Information checked & correct on 16th May 2018 and 1st January 2023.
Hashimoto’s and me – part 2…
For me I could not imagine how I would be coping if I had not been able to recover my health after my Hashimoto’s Hypothyroidism diagnosis. Well sorry for the very long pause, things always happen when you least expect them. My mother who is disabled with MS was in a car accident and badly broke her leg in June. This meant all my extra time outside of work and family was directed at her care and attention and to keep her mentally strong. It is an ongoing slow process but she is getting there. To get to the level I am at now did take a big decision as I was, pre 2010, not an ‘elimination of foods’ Dietitian! My motto was to increase food choice and enhance variety in all my patients diets (obviously not those with allergies and specific ill health but the people who required help with healthy eating). The big leap was that I removed gluten from my diet, and I can only say I am happy I did. My symptoms like constipation and skin irritation did not change greatly but I knew it was scientifically worth the change – even if removal was to prove it was the wrong path, I could save my patients from possibly making the decision. It is 2 years since I made the change and I am continuing with this. I feel the scientific evidence is there and unfolding at present there is not enough research written up and so I will continue this route while I await further results to unfold. 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] Information checked & correct on 16th May 2018.