Anneke de Vries

Digestive symptoms are miserable and unusually badly served. People arrive having cut out six food groups on the internet's advice, feeling no better and now anxious about eating. My approach is to add before removing. Most people improve on more fibre variety, regular meal timing and better sleep before we consider excluding anything, and exclusions when they happen are structured and temporary rather than permanent and vague. I work with IBS, bloating, and the very common category of symptoms that have been investigated, found benign, and left with no plan. I will refer on where red flags exist, and I say clearly when something is outside my scope.