About Synthesis Clinic
An Award-Wining UK Integrative Medicine Practice specialising in integrative Oncology from prevention to treatment and beyond, including cancer risk reduction, on-treatment support, cancer survivorship, integrative CANCER pain care and family and carer support services
Synthesis Clinic Team
Dr Nina Fuller-Shavel
AWARD-WINNING PRECISION HEALTH and INTEGRATIVE MEDICINE PHYSICIAN
HEAD OF INTEGRATIVE CANCER CARE
FOUNDER AND DIRECTOR OF SYNTHESIS CLINIC
Dr Raj Joshi
precision health and integrative medicine physician
UROLOGICAL, LUNG AND GI CANCER SUPPORT
integrative cancer care
Dr Deepak Ravindran
CONSULTANT PAIN AND MSK MEDICINE
LIFESTYLE MEDICINE PHYSICIAN
HEAD OF INTEGRATIVE PAIN CARE (cancer pain and cancer treatment-related pain)
Damián Allegretti
LICENSED ACUPUNCTURIST, chinese medicine herbalist, movement therapist and SCar THERAPY practitioner
CANCER SURVIVORSHIP and INTEGRATIVE CANCER CARE
Dr Fiona Vij
Precision health AND Integrative medicine physician
Cancer risk reduction, survivorship care and carer support
Integrative cancer pain care
Dr Karen Clough (PhD)
CLINICAL PSYCHOLOGIST AND PSYCHOLOGY LEAD
CANCER SURVIVORSHIP and INTEGRATIVE CANCER CARE
Kate French
BANT REGISTERED NUTRITIONIST &
NUTRITIONAL THERAPY PRACTITIONER
INTEGRATIVE CANCER CARE
Dr Lauren Watts
PRECISION HEALTH AND INTEGRATIVE MEDICINE PHYSICIAN
Breast cancer support
INTEGRATIVE CANCER CARE
Dr Jennifer Cooney (PhD)
HEALTH PHYSIOLOGIST
CERTIFIED HEALTH and lifestyle medicine COACH
CANCER SURVIVORSHIP and Integrative Cancer Care
Dr Emma Davies
PRECISION HEALTH and INTEGRATIVE MEDICINE PHYSICIAN
INTEGRATIVE CANCER CARE
Becki Drewett
REHABILITATION LEAD AND SENIOR PHYSIOTHERAPIST, BANT REGISTERED NUTRITIONIST
INTEGRATIVE CANCER CARE AND INTEGRATIVE PAIN CARE
Olena Jones
BANT REGISTERED NUTRITIONIST &
NUTRITIONAL THERAPY PRACTITIONER
INTEGRATIVE CANCER CARE
Roshni Kothari
integrative clinical PHARMACIST
Superintendent pharmacist and pharmacy manager
Marcia Mercier
YoGA THERAPIST AND YOGA FOR CANCER TEACHER
INTEGRATIVE CANCER CARE
Aga Kehinde
HEALTH AND EMOTIONAL WELLBEING COACH
EFT PRACTITIONER
Diogo Madureira
chief of staff, NURSE PRACTITIONER and prescriber
PHLEBOTOMY AND INFUSION SUPPORT
INTEGRATIVE CANCER CARE
Giuseppe Scapellato
HCPC REGISTERED DIETITIAN
BANT REGISTERED NUTRITIONAL THERAPY PRACTITIONER & HERBALIST
INTEGRATIVE CANCER CARE
Elizabeth Yull
PHYSIOTHERAPY SPECIALIST IN ONCOLOGY REHABILITATION, EXERCISE ONCOLOGY, MUSCULOSKELETAL CARE AND SCAR THERAPY
INTEGRATIVE CANCER CARE, pain care and CANCER SURVIVORSHIP SUPPORT
Vania Rodrigues
registered nurse, health coach and mindfulness coach
CANCER SURVIVORSHIP and integrative pain care
Emma Marshall
BANT REGISTERED NUTRITIONIST &
NUTRITIONAL THERAPY PRACTITIONER
INTEGRATIVE CANCER CARE
Linda Sims
BANT REGISTERED NUTRITIONIST &
NUTRITIONAL THERAPY PRACTITIONER
INTEGRATIVE CANCER CARE
Karolina Zakrzewska
BANT REGISTERED NUTRITIONIST &
NUTRITIONAL THERAPY PRACTITIONER
INTEGRATIVE CANCER CARE
Katherine Secker
CLINIC COORDINATOR
integrative cancer care
Pedro Bessa Pereira
registered NURSE PHLEBOTOMY AND INFUSION SUPPORT
adult INTEGRATIVE CANCER CARE
Leo Ashton
Practice manager
Synthesis clinic
Becky Hogan
Business development Manager
BANT REGISTERED NUTRITIONIST &
NUTRITIONAL THERAPY PRACTITIONER
INTEGRATIVE CANCER CARE
Sara Rooney
MEDICAL HERBALIST
CANCER SURVIVORSHIP, integrative cancer care and pain care teams
Chau Lai Wong
licensed acupuncturist and chinese medicine practitioner
INTEGRATIVE CANCER CARE, pain care and CANCER SURVIVORSHIP SUPPORT
Mikayla Bargh
REceptionist and CLINIC administrator
clinic coordinator for Cancer survivorship and carer services
Sian Palmer
CLINIC COORDINATOR and pharmacy technician
INTEGRATIVE CANCER CARE
Dr Annelies Billen
PRECISION HEALTH and INTEGRATIVE MEDICINE PHYSICIAN
Consultant haematologist
INTEGRATIVE CANCER CARE
Lisa Williams
CLINIC COORDINATOR
INTEGRATIVE CANCER CARE
Raquel Salgado
CLINIC COORDINATOR
Integrative cancer PAin care and integrative cancer care
Important Notice
Important notice - Dr Nina Fuller-Shavel is currently fully booked, and we are not accepting new referrals (with the exception of existing oncology partners) at the moment. Most of our other doctors across the integrative cancer care, integrative cancer pain care and cancer survivorship support departments currently have some availability.
Please note that coming to see our team is not a substitute for standard NHS care, including acute care and out-of-hours services. We do not provide any emergency or acute medical care.
Please note that for integrative cancer support we always aim to work with your oncology team to support best practice and clinical outcomes.
We believe in supporting people, not generic protocols.
Synthesis Clinic Services
We offer services in our specialist areas of integrated cancer care (integrative oncology), cancer survivorship and carer support and integrative cancer pain care alongside your oncology team. Our services are available to UK-based patients, we are not able to support people living and receiving their main medical care outside the UK.
Cancer risk reduction, survivorship care and family/carer support
Integrative cancer pain care, including medical cannabis clinic
Integrative cancer care (integrative oncology)
Health coaching for cancer survivorship and menopause after cancer, pain management and cancer support
oncology Physiotherapy and cancer rehabilitation - in clinic and online
Clinical psychology for cancer support
TCM (Traditional Chinese Medicine) Acupuncture and Herbal Medicine
What Is Integrative Medicine?
Integrative Medicine is a model that synthesises the best of multiple therapeutic approaches, including conventional, psychological, lifestyle medicine and complementary medicine, within a multidisciplinary whole person-centred approach. This means we bring a whole therapeutic toolkit to bear on the health issues you are facing with your goals and needs front and centre.
What Is Precision Health?
Precision health takes into account differences in people’s genes, environments and lifestyles and formulates wellbeing support, health promotion and disease treatment strategies based on the individual’s unique backgrounds and conditions. We aim to marry both high-tech and high-touch approaches to tailor healthcare recommendations to the unique biology and life circumstances of each individual. Precision Health represents a fundamental shift to more proactive and personalised care that empowers people to lead healthy lives. It is a transformation from a ‘sick-care’ based model of medicine to personalised healthcare.
What Is Functional Medicine?
Functional Medicine is a unique personalised biological systems-based model that enables practitioners to work with clients to address the underlying causes of symptoms and health issues in order to promote optimal wellbeing. It is the medicine of ‘why’, focusing on the roots of disease rather than purely symptom management. For example, we dig into causes and triggers of IBS (a stomach upset on holiday, heavy antibiotic exposure etc) or what is really underlying fatigue in an individual.
The Functional Medicine model starts with a thorough exploration of each client’s genetic, biochemical and lifestyle factors and utilises this information intelligently to direct personalised treatment plans. Functional Medicine combines science, evidence and clinical insight and brings the art of medicine and the whole-person approach back into the therapeutic relationship between practitioner and client.
What Is Lifestyle Medicine?
Lifestyle medicine is a branch of evidence-based medicine in which comprehensive lifestyle changes (including nutrition, physical activity, stress management, social support and environmental exposures) are used to prevent, treat and reverse the progression of chronic diseases by addressing their underlying causes.
What Is Integrative Oncology?
Integrative oncology (IO) as a patient-centred, evidence-informed field of cancer care that utilises psychological, nutritional, lifestyle and complementary interventions alongside conventional cancer treatments. Integrative oncology aims to support better quality of life, improve resilience, minimise the side effects of treatment and improve outcomes.
At Synthesis Clinic we do not offer conventional oncology input but our approach is to always work alongside your medical team to provide additional expert care, and we collaborate with a number of private oncology providers.
To find out more about our integrative cancer support philosophy, please read our Director’s blog for the Oncio app here, and learn more about the integrative oncology services we provide at Synthesis Clinic HERE.
“I feel very fortunate to have found the clinic and to be able to access so much clinical knowledge & experience. It is the first time in approx. 12 years that I’ve felt that someone understands all of my issues, can explain them & can actually help.
Prior to this, my health problem have been often dismissed as a chronic issue I need to live with. I now have hope that my health & quality of life can improve. In the last year, I feel I have more answers & made more progress than over the last 12 years put together. And for this, I am so grateful.”
— Patient Testimonial
FAQs
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Prior to your first consultation, you will be sent a confirmation email with the details of the appointment, any paperwork that needs to be completed and, in most cases, a link to complete your health and lifestyle history forms. Please note that this is an extensive form and you will need to allow around 30 minutes to complete it. Please have any supplements or medications you take to hand when you fill in the form.
You will need to complete and return the forms and any other associated paperwork, such as the 3-day nutrition and lifestyle diary, at least 2 working days prior to the appointment. It is crucial for our professionals to have the right information prior to seeing you in person, so that we can use our time together in the most effective way possible.
Please note that all appointments are invoiced for in advance and are payable before the consultations. There is a 48-hour cancellation policy for all appointments.
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During the initial 75-90 min consultation, one of our practitioners will review your health goals, take a full history of your symptoms, family history, current and past medical problems and treatment and any recent test results. We would also have a detailed discussion of lifestyle including nutrition, sleep, physical activity, stress management and environmental factors. We would also discuss what may be underlying the issues you are experiencing and recommend any further testing needed and any associated costs.
Following the initial appointment, you will receive a full management plan, including any recommendations on further testing, lifestyle measures (including supplementation where necessary) and other advice as needed within 5-10 working days (usually within a week). If you are on a package, you will be provided with contact details for your clinic coordinator who will help you make further appointments, order tests and answer queries about how the clinic works.
Please note that we are happy to answer 1-2 emails after the consultation to clarify any points in the plan but beyond that, all non-urgent queries will be answered at your next consultation. Any email advice from our professionals beyond the 1-2 email limit would be chargeable due the time involved in answering further queries and would be subject to the professional’s availability.
Integrative and Lifestyle Medicine is not a quick fix, and commitment to a 3-6 month programme is required (although complex cases may need a longer period of support from the clinic).
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Please contact your clinic coordinator to book in your blood tests and to arrange test kits. Some tests will need to be ordered directly by you and you will be advised if that is the case.
An overview of our diagnostic test offering is available here.
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If you booked a package with one of our doctors, a 3-month package with our nutrition team or a health coaching package, you will be contacted by the clinic coordinator to help schedule your follow-up appointments. Three contact attempts will be made but following that, it will be up to the individual to contact the clinic to request a follow-up appointment within the package timeframe. It is important to note that all nutrition packages are designed to be completed within 3 months and a maximum of 6 months, and no further package appointments can be made beyond this time. Unfortunately we cannot hold time in practitioner diaries indefinitely for package appointments, and any remaining sessions that are not taken up within 6 months (or as per package Ts&Cs) would be null and void.
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That depends on the professional you are seeing but follow-ups with our doctors are usually every 6-8 weeks. Health coaches, yoga therapists, physiotherapists and acupuncturists usually start with weekly appointments, and nutritional professionals usually see their clients every 2-4 weeks, depending on the stage of the process. Psychological support starts off weekly or fortnightly, although this can be tailored to your own individual circumstances.
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We do require a significant amount of paperwork to help us with pre-consultation assessment, monitoring of outcomes and clinical audit, so we suggest setting aside at least 30-45 minutes to complete the paperwork and having your medical letters and any recent test results to upload. It is also not possible to be precise about lifestyle recommendations without having a regular nutrition and lifestyle diary completed, so we usually ask for it at every medical and nutrition consultation unless it is a very brief review. This is according to clinic procedures to help us provide effective personalised support. Please learn more about about how we work by reading our clinic overview and FAQ here.
In our integrative cancer care division, it is essential that we know about everyone involved in your care (NHS, charity, private practitioners) to help support you in the most effective way possible. Where there are clashes between our integrative and collaborative approach vs alternative or possibly unsafe methods available on the Internet, we may need to ask you to consider which approach you would like to go forward with. Unfortunately there are certain practices out there that we would not support or recommend. You are advised to check with the clinic coordinator in the first instance and discuss further during the discovery call (where available) to ensure you are happy with the approach and everyone on the team is aligned. If anything is unresolved or requires further attention, please contact the Practice Manager on practicemanager@synthesisclinic.co.uk.
Additionally, please note that we will only offer appointments to those who have their main medical care in the UK. Unfortunately, we are not able to offer an opportunity for other people to pay for the patient’s treatment without their knowledge of the costs as per clinic policy. While we appreciate the wonderful offer of support, payments are processed via the person’s portal, and we strongly believe that clients and patients should have full knowledge about and engagement with their care.
Please note that coming to see our team is not a substitute for standard NHS care, including acute care and out-of-hours services. For integrative cancer support we always aim to work with your oncology team to support best practice and clinical outcomes.