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Specialisations

What we actually work on

Seven areas clients most often arrive with. Each one sets out what usually drives it, how we'd approach it, and the markers worth looking at before anything changes on your plate.

Metabolic

Type 2 Diabetes

If this sounds like you
  • Your HbA1c keeps creeping up even though you've cut out sugar
  • You crash an hour after lunch and can't think straight
  • You were handed a printed diet chart that ignores how your family actually eats
  • You're on medication and nobody has explained the food side of it
What's usually driving it

Type 2 diabetes is rarely about one dessert. Insulin resistance builds quietly over years: your cells stop responding well to insulin, and the pancreas works harder to compensate. By the time glucose shows up on a report, the process has been running a long time. Sleep, stress, muscle mass and meal timing all feed into it, which is why food alone is never the whole answer.

How we work on it
  • Meal sequencing and pairing, so the same roti spikes you less
  • Carb quality and portioning, instead of blanket carb elimination
  • Protein and fibre floors at every meal, built for an Indian kitchen
  • Movement placed where it does the most for your glucose
  • Coordination with your physician, who stays in charge of medication
What we'd look at first
HbA1cFasting glucoseFasting insulinHOMA-IRLipid profileVitamin DB12
Certified Diabetes Educator · MSc Diabetes & Cardiac Nutrition
Autoimmune

Type 1 Diabetes

If this sounds like you
  • Readings swing unpredictably even when you've done everything right
  • Carb maths is exhausting, and eating out feels like a gamble
  • You spend more energy managing hypos than living your day
  • Festivals, travel and shift changes throw the whole system off
What's usually driving it

Type 1 is autoimmune. The body doesn't produce insulin, and no change to your food alters that fact. Insulin stays with your endocrinologist, always. What nutrition can change is how predictable your days feel: how well you can anticipate a meal's effect, dose with confidence, and stop treating food as something to be afraid of.

How we work on it
  • Carb counting you actually trust, instead of educated guesswork
  • Understanding how fat and protein delay a rise for hours afterwards
  • Planning around exercise, and cutting down hypo surprises
  • Eating out, travel and festival strategies that don't cost you control
  • Working alongside your diabetes team, never in place of them
What we'd look at first
CGM or logbook patternsTime in rangeHbA1cHypo frequencyCurrent ratios set by your doctor
Type 1 Diabetes Educator (SPEED)

Nutrition support here works alongside your endocrinologist and your insulin regimen. It never replaces either, and we will never advise you to change an insulin dose.

The early window

Prediabetes & Insulin Resistance

If this sounds like you
  • Your report came back "borderline" and you were told to check again in six months
  • Weight has settled around your middle and won't shift
  • Afternoons are a write-off, whatever you had for lunch
  • There are dark patches on your neck or skin tags you've never asked about
What's usually driving it

This is the stage where change is cheapest and most effective, and the stage most people are told to simply wait through. Insulin resistance can run for years before fasting glucose ever looks abnormal, which is why fasting insulin, a test most standard panels skip, often tells the story long before HbA1c does.

How we work on it
  • Meals that hold your blood sugar steady without tipping into restriction
  • Strength work and movement, to give glucose somewhere to go
  • Sleep and stress treated as glucose levers, because that's what they are
  • Tracking the markers that move first, rather than only the scale
What we'd look at first
Fasting insulinHbA1cHOMA-IRTriglyceride:HDL ratioWaist measurementVitamin D

Prediabetes is the one stage where the effort you put in has the largest return. It's also the one most often left alone until it isn't prediabetes any more.

Hormonal

PCOS & Hormonal Health

If this sounds like you
  • Your cycle is irregular, late, or has gone missing entirely
  • Weight resists everything that seems to work for everyone else
  • Acne, hair fall or unwanted growth that nobody connects to the rest of it
  • Every account you follow tells you something different, and confidently
What's usually driving it

PCOS is never caused by one thing. Insulin resistance, inflammation, the stress axis and thyroid function can each sit underneath it, and the mix is different for every person. That's exactly why a plan that transformed someone else may do nothing at all for you. Working out which driver is dominant in your case is the whole job.

How we work on it
  • Identifying which driver is actually leading in your case
  • Blood-sugar-stable eating that doesn't collapse into restriction
  • Undoing the under-eating and over-exercising trap PCOS advice often creates
  • Nutrients commonly low here: Vitamin D, B12, iron, omega-3
  • Working alongside your gynaecologist, not around them
What we'd look at first
Cycle historyFasting insulinHbA1cThyroid panelVitamin DFerritinAndrogens, where advised

Himanshi was diagnosed with PCOS at sixteen. This is the one she has lived, not only studied. Read her story

Digestive

Gut Health & IBS

If this sounds like you
  • You're fine in the morning and visibly bloated by evening
  • Your list of "safe" foods keeps getting shorter
  • Eating out has quietly become something you dread
  • You've been told it's just stress, and left there
What's usually driving it

Gut symptoms are rarely traceable to one bad food. Specific fermentable carbohydrates, meal rhythm, fibre type and the gut-brain axis all interact. Stress genuinely does change gut motility, so "it's stress" isn't wrong, it's just incomplete without an actual plan attached to it.

How we work on it
  • A structured low-FODMAP phase, where it is genuinely indicated
  • The reintroduction phase most people are never guided through
  • Meal rhythm and fibre rebuilt gradually, not all at once
  • Gut-brain tools running alongside the food work
  • Any red-flag symptoms referred straight back to your doctor
What we'd look at first
Symptom, food & timing diaryCoeliac screening where indicatedThyroid panelMedication & antibiotic history
Low FODMAP Diet Specialist · Monash University, Australia

Restriction is a diagnostic phase, not a destination. The goal is always the widest diet your gut can comfortably hold.

Body composition

Sustainable Weight Management

If this sounds like you
  • You've lost it before, and it came back with interest
  • You're eating less than you ever have and the scale hasn't moved
  • You're either completely on plan or completely off it, with nothing in between
  • You're tired of logging every bite to stay in the same place
What's usually driving it

A plateau usually isn't a willpower problem. Metabolic adaptation, too little protein, muscle lost during previous attempts, poor sleep and chronic stress all slow things down. And underneath it there is often an undiagnosed driver, such as thyroid dysfunction, PCOS or insulin resistance, that no amount of eating less will fix.

How we work on it
  • Ruling out the underlying driver before touching calories at all
  • Protein and fibre floors instead of calorie ceilings
  • Protecting muscle, so your metabolism doesn't fall with the weight
  • A deficit you can hold, rather than one you have to survive
  • Habits built around your real schedule, travel and family food
What we'd look at first
Thyroid panelHbA1cFasting insulinVitamin DB12FerritinBody composition trend

Results vary from person to person, and no timeline can be promised in advance. What can be promised is that we look for the cause before we ask you to eat less.

Cardiac

Cholesterol & Heart Health

If this sounds like you
  • Your lipid report is full of numbers nobody has explained to you
  • There's heart disease in the family and you want to get ahead of it
  • You're weighing up a statin conversation with your doctor
  • You've been told ghee is both the problem and the cure
What's usually driving it

Cholesterol is one part of a much larger picture. Triglycerides, ApoB, insulin resistance and inflammation often matter as much as the LDL number everyone fixates on. And in Indian kitchens the fat question is usually less about ghee versus oil, and more about total quantity, cooking temperature, and what that fat is arriving alongside.

How we work on it
  • Translating your report into what actually needs attention
  • Fat quality and quantity, in a real Indian kitchen
  • Soluble fibre targets, which most plans skip entirely
  • Sodium in everyday foods, including the ones that don't taste salty
  • Alongside your cardiologist or physician, who leads on medication
What we'd look at first
Full lipid profileApoB or Lp(a), where advisedHbA1cBlood pressure trendFamily history
MSc Specialised Dietetics · Diabetes & Cardiac Nutrition

Nutrition care supports the treatment your doctor provides. It does not replace medical diagnosis, prescriptions, or your specialist's advice. Not sure which of these fits you? Start with a conversation.

Next step

Not sure which one is yours?

Plenty of people arrive with two or three of these at once, and they're usually connected. A first conversation is where that gets untangled.

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