Clinic

Women's Health Nutrition

Specialist, evidence-led dietetic care across women’s health and nutrition throughout life.

Nutrition for women, through every stage of life.
Specialist care shaped around your health, your body and what matters now.

Three generations of women
Across the lifespan

Changing needs, specialist care.

Nutrition can form an important part of care across reproductive and gynaecological health — from supporting nutritional needs through fertility, pregnancy and the postnatal period to the management of gynaecological, hormonal and metabolic conditions.

Dr Bujtor provides specialist dietetic assessment, intervention and ongoing care, considering nutritional needs alongside symptoms, physical health, medical treatment and the wider clinical picture. She works collaboratively with gynaecologists, GPs and the wider multidisciplinary team where appropriate.

Key stages of change for women across the lifespan

  1. 1

    Puberty & adolescence

    Growth, menstruation and rising nutritional needs

  2. 2

    Reproductive years

    Menstrual, hormonal and metabolic health

  3. 3

    Fertility & preconception

    Preparing the body for pregnancy

  4. 4

    Pregnancy & postnatal

    Nutrition for mother and baby, recovery and breastfeeding

  5. 5

    Perimenopause

    Hormonal change, body composition and symptoms

  6. 6

    Menopause & beyond

    Bone, muscle, cardiometabolic health and healthy ageing

01

Reproductive & Gynaecological Health

Dietetic care across gynaecological and reproductive health, fertility, pregnancy and the postnatal period.

Gynaecological & hormonal health

  • PCOS and associated metabolic features
  • Endometriosis
  • Menstrual health and heavy menstrual bleeding
  • Iron deficiency and iron-deficiency anaemia
  • Nutritional and metabolic health alongside gynaecological care

Fertility, pregnancy & postnatal nutrition

  • Preconception and fertility nutrition
  • Nutrition throughout pregnancy
  • Gestational diabetes
  • Postnatal nutrition and recovery
  • Breastfeeding nutrition
  • Nutritional adequacy and supplementation
Dietetic assessment & management may include
  • Comprehensive dietary and nutritional assessment, including nutritional adequacy and micronutrient risk
  • Assessment of dietary intake, symptoms, weight and relevant metabolic markers within the wider clinical picture
  • Individualised dietary management of PCOS and associated metabolic features
  • Assessment and optimisation of iron, vitamin D, folate and other micronutrients
  • Preconception, fertility, pregnancy and postnatal dietary planning
  • Dietary management of gestational diabetes
  • Evidence-based supplementation advice where indicated
  • Liaison with gynaecology, obstetric, fertility and primary care teams where appropriate
02

Perimenopause & Menopause

Nutrition through midlife and beyond

Perimenopause and menopause are associated with changes in hormonal status, body composition and metabolism, with important implications for bone, muscle and cardiometabolic health. Specialist dietetic care can support nutritional adequacy, management of weight and body composition, and longer-term health through midlife and beyond, working alongside medical and HRT management where appropriate.

  • Nutrition during perimenopause and menopause
  • Weight and body composition changes
  • Bone health and osteoporosis prevention
  • Cardiometabolic health, cholesterol and blood pressure
  • Muscle mass, protein intake and preservation of strength
  • Changes in appetite and dietary intake
  • Nutritional adequacy and micronutrient requirements
  • Nutrition alongside HRT
  • Healthy ageing and longer-term health
03

GLP-1 & Medical Weight Management

Specialist dietetic care alongside pharmacological treatment

GLP-1 therapy can be an effective part of medical weight management, but substantial reductions in appetite and food intake can make it more difficult to meet nutritional requirements and maintain dietary quality. Specialist dietetic care focuses on protecting nutritional adequacy, preserving muscle and bone health, managing nutrition-related side effects, and establishing an eating pattern that is sustainable during treatment and beyond.

Nutritional assessment & adequacy

  • Baseline dietary and nutritional assessment
  • Protein, energy and overall nutritional adequacy
  • Micronutrient intake and supplementation where indicated

Eating during treatment

  • Managing reduced appetite, early satiety and altered food tolerance
  • Practical strategies for gastrointestinal side effects
  • Nutrition during dose changes, maintenance and discontinuation

Body composition & longer-term health

  • Preservation of muscle mass and bone health
  • Longer-term dietary strategies for cardiometabolic health
  • Supporting nutritional transition following treatment

Liaison with the prescribing clinician where nutritional or clinical concerns arise.

When dietetic input may be particularly helpful

Dietetic assessment may be particularly valuable where there is:

  • Very low or progressively reducing food intake
  • Rapid or substantial weight loss
  • Difficulty meeting protein or other nutritional requirements
  • Concern about loss of muscle mass or strength
  • Persistent gastrointestinal symptoms affecting eating or hydration
  • Restricted or increasingly narrow dietary intake
  • Suspected or identified micronutrient deficiencies
  • Pre-existing medical or nutritional complexity
  • A need for support during longer-term treatment, maintenance or discontinuation

Multidisciplinary support at Springbank Clinic

SUSTAIN — Lifestyle, Health & Weight Support

SUSTAIN provides multidisciplinary support for people considering or using GLP-1 medications, and for those reducing or stopping treatment.

We support people throughout the GLP-1 pathway — from preparing for treatment and establishing good nutritional and lifestyle foundations, through active treatment, dose changes and longer-term use, to maintenance or discontinuation where appropriate.

Nutrition, movement and psychological support are brought together within one coordinated service, with a focus on nutritional adequacy, preserving muscle and physical function, managing changes in appetite and food intake, supporting sustainable eating and movement patterns, and building the skills and strategies needed for longer-term health.

Delivered by Dr Melissa Bujtor, HCPC Registered Dietitian · Sarah Westrap-Boon, Medical Personal Trainer · Dr Lindsay Gorrill, Clinical Psychologist

SUSTAIN does not prescribe GLP-1 medications or provide medical management. Where medication is being used, our support works alongside the individual’s prescribing clinician and wider medical care.

Visit the SUSTAIN website →
04

Metabolic & Gastrointestinal Health

Dietetic assessment and management of metabolic, gastrointestinal and nutritional conditions

Metabolic health

  • Insulin resistance and type 2 diabetes
  • Dyslipidaemia and cardiometabolic risk
  • Weight and body composition
  • Dietary management alongside chronic disease

Gastrointestinal health

  • IBS and functional gastrointestinal symptoms
  • Inflammatory bowel disease (IBD)
  • Coeliac disease
  • Reflux, constipation and altered bowel habits
  • Food intolerances and dietary restriction

Wider dietetic care

The practice also provides dietetic assessment and management across a broader range of clinical and nutritional needs, including PoTS and complex health conditions, vegetarian and vegan diets, restricted diets, nutritional deficiencies, and nutrition alongside chronic illness and medical treatment.

Enquire about women’s health →
Three generations of women

Care shaped around the individual woman, her health and her stage of life.

Women’s health

Scope of this service

Who this service is for

Women have distinct nutritional needs that change throughout life. Hormonal and reproductive changes — from puberty and menstruation through fertility, pregnancy, perimenopause and menopause — can affect nutritional requirements, body composition, bone and metabolic health, and the way nutrition interacts with symptoms and longer-term health.

Specialist support may be helpful during a particular life stage, in response to symptoms or a diagnosed condition, or simply to ensure nutritional needs are being met as health and circumstances change. This can include fertility and preconception, pregnancy and postnatal nutrition, PCOS, endometriosis, perimenopause and menopause, bone health, metabolic health, gastrointestinal concerns and healthy ageing.

Working alongside medical care

Nutrition can play an important role in women’s health, but some symptoms and conditions require medical investigation, diagnosis or treatment alongside nutritional care. Where appropriate, Dr Bujtor may recommend involvement from a GP, gynaecologist, endocrinologist or another medical specialist.

Where eating difficulties, body image or psychological wellbeing are also a concern, additional psychological or mental health support may be recommended. Dr Bujtor can work alongside other professionals involved in your care so that nutritional support forms part of a coordinated approach.

Questions

Before you begin

Do I need a referral?+

No. Families and individuals are welcome to self-refer, and GPs, consultants and other clinicians are welcome to refer directly.

Are appointments in person or online?+

Both — in clinic at Springbank Clinic in Sevenoaks, or online tele-health across the UK.

What happens at the first appointment?+

A full assessment: history, current intake, relevant medical and developmental background, and what daily life actually looks like. You leave with initial direction, and a written plan follows.

Can you write to my GP or consultant?+

Yes, with your consent. Where care is shared, a summary letter helps keep everyone working from the same picture.

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