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At your first meeting, you will meet with a medical professional for preliminary testing. Certain states require that patients meet directly with a physician for the initial consult. In those locations, you will meet with a board-certified MD (medical doctor) or DO (doctor of osteopathic medicine). Some, but not all of the doctors, have additional training or credentials in obesity medicine.
Your home and work environment. If you are surrounded by people who consume a typical American diet at home and work, you may have a harder time sticking to this plan. Most common foods (starchy carbohydrates like bread, pasta, rice, baked goods) are not included in a ketogenic diet. Cravings for these foods may be difficult and even intolerable at times.

Some patients have a need for other consultations (for example, with a consultant psychiatrist/ full course of psychological therapy, or a sleep apnoea consultant), or may require blood tests, electrocardiograms, echocardiograms, or overnight sleep oximetry; these would all be separately charged. If a patient requires more frequent support or help – including additional consultations or weekly support, these will be charged in separately.
Kajal is an experienced Clinical Psychologist with over 14 years’ experience specialising in working with children and young people, and their parents/carers and families. Her specialism is in helping with anxiety, low mood, low confidence/ lack of self-esteem, difficulties with relationships and friendships, behavioural challenges and parenting support/ consultation and family work.
You don’t have to be an athlete to notice how nutrition can impact your performance. For you it could be your performance at work, in the gym, or at home with your family. Performance tells us a lot about your physiology. Whenever you feel low or are finding your performance is suffering, your motivation and desire to continue with the recommendations will diminish.
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