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 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

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Dr Clementina La Rosa

CONSULTANT ENDOCRINOLOGIST AND PAEDIATRICIAN

THYROID and Women’s Health optimisation

Whole Person Menopause and Cancer service

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Dr Raj Joshi

precision health and integrative medicine physician

UROLOGICAL, LUNG AND GI CANCER SUPPORT

integrative cancer care

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Dr Deepak Ravindran

CONSULTANT PAIN AND MSK MEDICINE

LIFESTYLE MEDICINE PHYSICIAN

HEAD OF INTEGRATIVE PAIN CARE (cancer pain and cancer treatment-related pain)

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Dr Fiona Vij

Precision health AND Integrative medicine physician

Women’s Health optimisation

Integrative cancer pain care

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Dr Lauren Watts

PRECISION HEALTH AND INTEGRATIVE MEDICINE PHYSICIAN

Breast cancer support

INTEGRATIVE CANCER CARE

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Becki Drewett Rehabilitation Lead Senior Physiotherapist and Nutritionist Synthesis Clinic

Dr Jennifer Cooney (PhD)

HEALTH PHYSIOLOGIST
CERTIFIED HEALTH and lifestyle medicine COACH

Women’s Health and Adult Integrative Cancer Care

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Dr Emma Davies

PRECISION HEALTH and INTEGRATIVE MEDICINE PHYSICIAN

INTEGRATIVE CANCER CARE

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Becki Drewett

REHABILITATION LEAD AND SENIOR PHYSIOTHERAPIST, BANT REGISTERED NUTRITIONIST

INTEGRATIVE CANCER CARE AND INTEGRATIVE PAIN CARE

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Olena Jones

BANT REGISTERED NUTRITIONIST &
NUTRITIONAL THERAPY PRACTITIONER

INTEGRATIVE CANCER CARE

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Roshni Kothari

integrative clinical PHARMACIST

Superintendent pharmacist and pharmacy manager

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Marcia Mercier

YoGA THERAPIST AND YOGA FOR CANCER TEACHER

INTEGRATIVE CANCER CARE

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Aga Kehinde

HEALTH AND EMOTIONAL WELLBEING COACH
EFT PRACTITIONER

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Diogo Madureira

chief of staff, NURSE PRACTITIONER and prescriber

PHLEBOTOMY AND INFUSION SUPPORT

INTEGRATIVE CANCER CARE

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Giuseppe Scapellato

HCPC REGISTERED DIETITIAN

BANT REGISTERED NUTRITIONAL THERAPY PRACTITIONER & HERBALIST

INTEGRATIVE CANCER CARE

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Chau Lai Wong

licensed acupuncturist and chinese medicine practitioner

INTEGRATIVE CANCER CARE, pain care and women’s health

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Vania Rodrigues

registered nurse, health coach and mindfulness coach

WOMEN’S HEALTH and integrative pain care

Emma Marshall

BANT REGISTERED NUTRITIONIST &
NUTRITIONAL THERAPY PRACTITIONER

INTEGRATIVE CANCER CARE

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Linda Sims

BANT REGISTERED NUTRITIONIST &
NUTRITIONAL THERAPY PRACTITIONER

INTEGRATIVE CANCER CARE

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Pedro Bessa Pereira

registered NURSE PHLEBOTOMY AND INFUSION SUPPORT

adult INTEGRATIVE CANCER CARE

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Dr. Amy Savage

clinical psychologist

integrative cancer care

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Leo Ashton

Practice manager

Synthesis clinic

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Katy Bradbury

BANT REGISTERED NUTRITIONIST AND
NUTRITIONAL THERAPy pRACTITIONER

WOMEN’S HEALTH

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Becky Hogan Nutrition for Bowel Cancer Support Synthesis Clinic

Becky Hogan

Business development Manager

BANT REGISTERED NUTRITIONIST &
NUTRITIONAL THERAPY PRACTITIONER

INTEGRATIVE CANCER CARE

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Sara Rooney

MEDICAL HERBALIST

WOMEN’S HEALTH, integrative cancer care and pain care teams

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Mikayla Bargh

REceptionist and CLINIC administrator

junior clinic coordinator

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Dr Annelies Billen

PRECISION HEALTH and INTEGRATIVE MEDICINE PHYSICIAN

Consultant haematologist

INTEGRATIVE CANCER CARE

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Zarish Aslam

CLINIC COORDINATOR

INTEGRATIVE CANCER CARE and women’s health

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Raquel Salgado

CLINIC COORDINATOR

Integrative cancer PAin care and integrative cancer care

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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 currently have 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 women’s health and hormones (including gut health, mental wellbeing and complex multisystem cases) and integrative cancer support 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.

Women’s Health

Integrative cancer pain care, including medical cannabis clinic

Integrative cancer care (integrative oncology)

Nutrition for CANCER SUPPORT

Dietetics for cancer support

Nutrition for women’s health

Health coaching for women’s health, pain management and cancer support

Physiotherapy and rehabilitation

Clinical psychology for cancer support

Yoga therapy

Herbal medicine

TCM (Traditional Chinese Medicine) Acupuncture and Herbal Medicine

Laboratory testing

Clinic overview and FAQ

Women’s health clinic

We use both Precision Health (including Functional Medicine) and Lifestyle Medicine models at our practice, providing truly personalised healthcare plans based on root causes of illness instead of the ‘sticky plaster’ symptom-based approach. We use a truly integrated approach where members of our multidisciplinary team meet regularly to discuss their approach to each individual and to ensure everybody in the team is united behind you.

Our key areas of focus for the women’s health team are:

1) Women’s health optimisation and risk reduction support for women with a high risk of cancer (primary prevention), based on family history of cancer, genetics (BRCA1, BRCA2, PALB2, CHEK2, Lynch syndrome etc) or other high risk medical history (such as autoimmune thyroiditis, PCOS, endometriosis, endometrial hyperplasia and persistent high risk HPV and Cervical Intraepithelial Neoplasia or CIN as some examples)

2) Cancer survivorship services, including a whole person health menopause and cancer service

3) Family and carer whole person wellbeing support service - our women’s health team offers support for carers of anyone impacted by cancer, including nutrition, health coaching, psychological support and herbal medicine.

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Integrative cancer care

Synthesis Clinic is the leading multidisciplinary integrative oncology (integrative cancer care) practice in the UK. Integrative oncology (IO) is 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 our approach to integrative oncology involves a doctor-led multidisciplinary team, delivering award-winning personalised care for adults affected by cancer throughout the UK. As well as 1:1 care, we also offer integrative oncology group consultations for adults.

In addition to integrative oncology services, Synthesis Clinic offers a unique personalised integrative pain service aimed at people with cancer or cancer treatment-related pain, including CIPN (chemotherapy-induced peripheral neuropathy), generalised cancer pain and musculoskeletal joint or muscle pain related to cancer treatment, such as AIA (aromatase inhibitor-induced arthralgia). Our integrative pain care service includes medical, nutrition, physiotherapy and health coaching input, with other modalities, such as medical cannabis, acupuncture and herbal medicine included as needed.

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Please note that Synthesis Clinic is not a specialist eating disorder clinic, and we are not able to take on patients with an active eating disorder. We are only able to support patients who have been in stable long-term remission from a past eating disorder.

Please note that some general nutrition education handouts provided may include foods to include and foods to limit, so if this may be triggering in any way, finding specialist support outside our practice would be best.

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.

For example, if someone is struggling with PCOS, we could use nutrition, herbal medicine and physical activity to help with the metabolic and hormone disturbances underlying this issues.

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

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 FAQs

  • 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.

  • 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).

  • 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.

  • 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.

  • That depends on the professional you are seeing but follow-ups with our doctors are usually every 6-8 weeks. Health coaches and yoga therapists usually start with weekly appointments, and nutritional professionals usually see their clients every 2-4 weeks, depending on the stage of the process. Psychiatry support, including psychotherapeutic input, starts off weekly or fortnightly, although this can be tailored to your own individual circumstances.

  • 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 are a UK-based adult only clinic, and we will only offer appointments to those over 18. 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.

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