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Are you frustrated by persistent bloating, digestive discomfort, changes in bowel habit, IBS, SIBO or symptoms that feel hard to explain?
Individualised Nutritional Therapy and Functional Medicine for Gut Health
with particular interests in Autoimmunity and Hypermobility
Living with persistent gut symptoms can feel exhausting and isolating. Daily activities that others take for granted - eating out, socialising or simply getting through the day - can become a challenge when you're dealing with ongoing bloating, digestive discomfort, changes in bowel habit or unpredictable symptoms. When digestive problems occur alongside autoimmune conditions, hypermobility or other complex health concerns, it can become even harder to understand how everything fits together.
As a registered Nutritional Therapist with Functional Medicine training, alongside previous medical training and experience as an NHS doctor, I work with adults experiencing persistent digestive symptoms or more complex health concerns. Together, we look at the wider picture through individualised nutritional therapy, practical diet and lifestyle support and, where appropriate, microbiome testing. This helps you understand what may be contributing to your symptoms, make meaningful changes, and feel more confident managing your health.
Do any of these sound familiar?
Digestive issues such as bloating, IBS, SIBO or food sensitivities
Autoimmune flare-ups and chronic inflammatory patterns
Digestive symptoms alongside hypermobility such as hEDS/HSD or POTS/orthostatic intolerance
Persistent fatigue that isn't resolved by rest
Poor sleep quality despite good sleep habits
A range of symptoms that seem unrelated or unexplained
If you feel stuck in a cycle of chronic symptoms, a different approach may help. By exploring the deeper drivers of your symptoms, we can work towards a clearer understanding of your health and support you in moving forward.
Ways to work with me
Everyone's health situation is different, and I offer two ways to work together depending on your needs and the level of support you're looking for. Some people want a focused consultation to gain clarity and direction, while others prefer ongoing support as they make changes and see how their symptoms respond.
For those who want to explore their health in greater depth, the 3-month programme provides a structured and supportive approach, allowing time to look at the wider picture, introduce personalised strategies and review progress over time.
What's Included
A calm and compassionate client-centred environment where your experiences are taken seriously.
A comprehensive intake process to gather essential information before your first appointment.
A detailed health assessment, including medical history, family history, and a full diet and lifestyle review.
Access to optional functional testing (priced separately), with tailored interpretations and recommendations.
Discounted pricing available for most recommended testing and/or supplements.
Personalised nutrition and lifestyle guidance working at a pace that your body can tolerate.
Written summary and recommendations.
Online consultations.
Health Strategy
Consultation
75 MINUTE SESSION
A focused strategic consultation to understand priorities and next steps
Designed for individuals wanting to explore digestive symptoms or complex health concerns as a starting point, providing a clear direction for further support at a later stage.
We will explore key issues relevant to your health and identify likely contributing factors, priorities and potential strategies for moving forward.
Ideal for those seeking initial clarity on their health concerns, through an approach that considers the wider picture.
75-minute assessment
Opportunities for follow-up consultations as appropriate
£295
Foundations of Health
3 MONTH PROGRAMME
A structured supportive programme for meaningful change over time
Designed for individuals experiencing persistent digestive symptoms or more complex health concerns, including autoimmunity or hypermobility, who are looking for consistent, ongoing support.
Over 12 weeks, we explore in depth the nutrition, gut and lifestyle factors that may be influencing your current health. Individualised recommendations are developed to build lasting foundations for improved health.
Ideal for those who would benefit from integrating findings into a tailored, evolving plan over time.
Initial 75-minute assessment
2 x 50-minute follow ups
£695
Optional 20-minute check-ins between programme appointments can be arranged for those who would like a little extra support (£50 each).
The Foundations of Health programme is structured to support consistent progress, with appointment times arranged to suit you.
Follow-up appointments are available after either the Health Strategy consultation or the Foundations of Health programme.
Metagenomic microbiome 'test and review' appointments are also available on request.
Not sure which option is right for you? Book a complimentary 20-minute consultation
About Me
I’m Nikki Paiba. I have a longstanding interest in health, with a medical degree and an NHS clinical background. Over time, I recognised that in some cases conventional approaches can have limitations when addressing complex chronic conditions, particularly those involving multiple interacting systems.
This led me to pursue formal training in Nutritional Therapy and Functional Medicine to deepen my understanding of root-cause drivers and personalised care. This enables me to recognise where these approaches can offer additional insights into complex health challenges and brings a comprehensive perspective to each consultation. Nutritional Therapy and Functional Medicine integrate alongside standard medical care, rather than replace it. When needed, I liaise with other healthcare professionals to ensure you receive the most comprehensive support for your overall health.
I hold a Master's degree in Nutritional Therapy (Distinction) and am certified in Advanced Functional Medicine with the highly respected Kharrazian Institute. I have also completed the Applying Functional Medicine in Clinical Practice (AFMCP) course with the Institute of Functional Medicine. I have a particular interest in hypermobility syndromes (hEDS/HSD) and their complexities. My MSc research explored digestive symptoms in individuals with hypermobility syndromes and formed the basis of a peer-reviewed publication in the European Journal of Integrative Medicine: You can read it here.
To remain up to date with evolving science and best practice, I undertake regular continuing professional development. This includes advanced training in microbiome science, autoimmunity and EDS-ECHO modules. I am one of the first practitioners to complete the Microbiome Clinical Science Certificate programme through the Biome Learning Centre and am a Microba clinical partner. I have also completed training in micro-immunotherapy and nutrigenomics. In addition, I incorporate a neurodiversity-aware perspective in my practice, providing a supportive and inclusive environment for all individuals.
I am registered with the British Association for Nutrition and Lifestyle Medicine (BANT) and the Complementary and Natural Healthcare Council (CNHC). Registration with these professional bodies requires adherence to high standards of practice and ethics. I am also a member of the Institute for Functional Medicine and the British Network of Functional Medicine.
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Start your journey today -towards a stronger, more balanced you.
Book a complimentary 20-minute consultation to discuss your goals and explore whether this approach is right for you. It's a relaxed, no-obligation conversation to determine if we’re a good fit and to decide which options are most appropriate for your particular needs.
Following our call, if we decide to work together, we can schedule your first appointment at a time that suits you.
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Articles & Blogs
Principles of Functional Medicine
A functional medicine framework recognises the body as an interconnected whole, with nutrition and lifestyle forming the foundation of health. Rather than viewing symptoms in isolation, this model explores how the functions of different body systems, such as digestion, immunity, hormones and metabolism, may influence each other. This approach aims to identify and address underlying imbalances that may contribute to ongoing symptoms.
Where appropriate, additional functional testing may be considered to gain greater clarity. These tests are optional and can be used to complement standard medical investigations to explore underlying factors that may not have been previously identified.
Depending on your unique needs, there are a range of optional functional tests that can be considered:
Metagenomic Microbiome Stool Analysis
Advanced technology that assesses microbial composition and evaluates markers associated with digestion, gut barrier function and patterns linked to inflammation. Findings may help guide tailored nutrition and lifestyle strategies to support gut health and overall wellbeing.
Oral Microbiome Testing
Assesses microbial patterns within the oral cavity, which may be associated with patterns linked to systemic inflammation, as well as localised issues. Findings can help guide targeted nutrition and lifestyle strategies, as appropriate.
Immune Function Testing
Functional assessment of patterns of immune function and activity, which may contribute to a broader understanding of immune balance and resilience. Where appropriate, results can help guide personalised nutrition and lifestyle strategies, and may inform targeted supportive interventions, such as micro-immunotherapy, which aims to support immune regulation.
Cortisol Stress Profile Testing
Salivary sampling to evaluate cortisol patterns across the day. Findings may provide insights into factors associated with energy regulation, sleep-wake rhythms, and overall physiological balance. Results can help guide individualised nutrition, lifestyle and supportive strategies.
Any test findings are considered alongside your full health history and may contribute towards a more detailed understanding of the factors influencing your wellbeing. This enables a targeted plan to address the root causes of your symptoms through tailored nutrition, lifestyle and therapeutic support.
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