Treatments
See below for treatment information, tests, screening and pricing. Dr. Roked is an experienced doctor with a focus centred on hormone balancing and optimisation, treating menopause, perimenopause, PMS, Fibroids and testosterone replacement therapy. With more than 10 years’ experience in bio-identical and body-identical hormones, Dr. Roked works with a functional, holistic and integrative medicine approach.
Suffering from low mood, low energy and weight gain? These symptoms may be related to thyroid health and can have a huge impact on quality of life...
Whether it’s mood issues, fatigue, irregular or heavy bleeding, aching or focus problems, women with a menstrual cycle have a unique set of issues that can be helped...
Dr Roked's experience and combined approach using medications, hormone balancing, gut health testing and lifestyle advice has had superb results...
Our collection of tests provide critical insights into your body's function and overall health, enabling personalised treatment plans and preventive care...
Treatments
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Book a consultation here. At your appointment, Dr. Roked will review symptoms, medical history and any testing needed.
CONSULTATION
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Dr. Roked will put together an individualised plan encompassing hormone treatment options, recommended supplements and lifestyle changes.
INDIVIDUALISED PLAN
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Patients generally feel their best within 2-3 months. After a check-in, we will simply review every 6 months. Annual testing is recommended to ensure you have the best health plan for you.
CHECK-IN
Menopause & Perimenopause
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Hot flushes, sweats
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Fatigue, insomnia or interrupted sleep
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Low mood, anxiety, irritability
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Aches, pains, headaches, tingling
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Brain fog, memory issues, dizziness
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Low sex drive, vaginal dryness
Dr. Roked has helped thousands of women regain their spark during Menopause and Perimenopause. Experienced in prescribing bio-identical hormone therapy, she customises wellness plans to improve focus, energy and sleep, finally eliminate those hot flushes and sweats and alleviate the symptoms that are holding you back from feeling yourself.
After an initial consultation looking at your medical history, symptoms and lifestyle, Dr. Roked will arrange blood tests and any other areas to investigate and prescribe treatment options such as hormone therapy, supplements and lifestyle changes. Results are reviewed at 2-3 months and then every 6 months once stable. Dr. Roked also recommends annual testing including mammograms, breast screenings, or scans of the womb and ovaries to widen knowledge in order to tweak ongoing treatments effectively so you can continue to live life to the full.
Thyroid Health
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Underactive Thyroid
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Overactive Thyroid
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Hashimoto's Thyroiditis
The impact of an underactive thyroid can significantly affect your quality of life. With symptoms including low mood, low energy, and weight gain, there are various causes that could be to blame...
Dr. Roked, an expert in thyroid health, offers thorough thyroid function tests and examines other hormone interactions, lifestyle, nutrition and supplements to improve symptoms. She also treats overactive thyroid conditions like Hashimoto’s Thyroiditis, characterised by symptoms such as racing heart, irritability and shaking, and can refer to specialists if needed. Dr. Roked provides advice on managing raised thyroid antibodies, including dietary changes, supplementation and medications like Low Dose Naltrexone (LDN). Routine tests include TSH, T4, T3, Reverse T3 and thyroid auto-antibodies. Embodying the future of medicine in this evolving field, Dr. Roked’s whole-person approach identifies and treats other imbalances, creating personalised health plans that incorporate several lifestyle factors to achieve optimal health and wellness.
Male Health & Testosterone Replacement
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Low libido, erectile dysfunction
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Tiredness, lack of focus, concentration & motivation
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Decrease in strength, muscle mass & exercise ability, weight gain
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Low mood, poor sleep, irritability
Are you feeling tired, grumpy or unmotivated but aren’t sure why? The impact of the gradual decline in testosterone can be disconcerting and upsetting for many. If your physical performance, sex drive and sleep is lacking, you could be experiencing symptoms of andropause, often called the ‘male menopause’.
Many men mistake these symptoms for depression or unwillingly accept them as part of the ageing process, but Testosterone Replacement Therapy (TRT) can be both transformative and life-changing. TRT, available as gels, creams, or injections, addresses the gradual decline in testosterone that impacts energy and well-being and works to restore vitality and whole-body wellness. After an initial assessment and relevant testing, Dr. Roked will personalise a wellness plan combining nutrition, exercise advice, hormone treatments, and supplements tailored to you, with regular reviews to optimise results. Dr. Roked’s Comprehensive Approach Includes: - Hormone optimisation, including TRT - Fitness assessments (e.g., vO2max testing) - Nutrition and lifestyle guidance - Personalised supplementation plans - Cardiovascular screening and preventative tests - Body composition and bone strength assessment
Female
Hormone Health
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PCOS - Poly Cystic Ovarian Syndrome
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PMDD – Pre Menstrual Dysphoric Dysfunction
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Irregular, abscent or heavy periods
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Endometriosis, Fibroids, fertility issues
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PMS, brain fog, mood swings, fatigue
Dr. Roked believes that when it comes to female hormone health, knowledge is power. It’s simply not true that women should just accept and endure symptoms or issues as a normal part of life.
Even if you’re not in (peri)menopause, you may need hormone treatment to optimise your wellness throughout the entirety of your cycle. Symptoms like fatigue, mood swings, heavy bleeding, and focus problems can be linked to hormonal imbalances... Dr. Roked specialises in understanding and treating these imbalances. She uses relevant testing, including blood tests or DUTCH tests, to diagnose hormone levels at specific points in your cycle and look to treat various conditions related to your cycle. Treatments may include bio-identical hormones, supplements, and lifestyle changes, particularly targeting imbalances in progesterone and testosterone.
Bio-Identical Hormone Therapy
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Menopause & Perimenopause
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PMS, fertility concerns, Endometriosis, Fibroids
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Low testosterone (Andropause)
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Chronic fatigue, Fibromyalgia, Adrenal fatigue
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Depression, post-natal depression
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Urinary symptoms, Osteoporosis and more...
Dr Sohère believes hormone balance is the foundation of health. Integrated alongside nutrition, exercise and other lifestyle factors, you can achieve optimum wellness and live your best life with the support of bio-identical and body-identical hormone therapy (BHRT).
Having been trained in the US and having seen thousands of hormone patients over more than 10 years, Dr. Roked is one of the UK’s leading specialists in BHRT and has guided thousands of patients towards better health. Bio-identical and body-identical hormones are plant-based hormones with the same chemical structure as those made naturally by the human body and are metabolised in the same way, providing a safe, reliable and effective solution to a number of health concerns. Hormones Used… - Oestrogen: Treats hot flushes, skin/hair issues, and protects against several diseases. - Progesterone: Improves mood, sleep and menstrual health, and protects against cancers. - Testosterone: Enhances libido, energy and cardiovascular health. - DHEA: Reduces fat, boosts immunity and has anti-cancer properties. - Melatonin: Enhances sleep and immune function. - Pregnenolone: Enhances memory and repairs cells. - Thyroid Hormones: Ensures optimal thyroid function. With her whole-body approach, Dr. Roked takes a thorough history and conducts relevant tests to create a personalised plan, including BHRT, nutrition, supplements and lifestyle changes. Treatment is monitored and refined every 8-12 weeks initially, every 6 months to maintain and optimise results ongoing, and once stable annual reviews are acceptable.
Gut Health
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Bloating, abdominal pains, inflammation
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Loose stools, constipation
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Feeling sluggish, low mood, low energy, shakiness
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Increased weight
A healthy gut and optimised microbiome are crucial for our wellbeing as they impact our immune systems, mood, weight, energy and digestion. Poor gut function can hinder our body’s natural functions, nutrient metabolism and hormone processing and even cause disease and inflammatory conditions.
Dr. Roked's comprehensive approach to managing gut health includes: - Eliminating Irritants: Removing pathogens or problematic foods. - Parasite Testing: Identifying and addressing parasitic infections. - Repairing Gut Lining: Treating increased gut permeability. - Supplementation: Using probiotics, enzymes, and other necessary supplements to improve and diversify your microbiome. - Identifying Imbalances: Addressing other factors affecting gut health. With a focus on personalised treatment plans and education around nutrition to achieve improved digestion, energy levels and well-being, Dr. Roked’s protocol enhances your overall health and wellbeing.
Weight Loss
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Hormone balancing
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Cortisol management
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Early treatment of insulin resistance
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Medications for hunger hormones (leptin and ghrelin)
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Nutrition recommendations
Dr. Roked is an experienced prescriber of weight loss medication, having worked with these medications for over 8 years. Her combined approach using these medications, hormone balancing, gut health testing and lifestyle advice has had superb results for her patients.
While good nutrition and exercise are key to healthy weight, hormones are a significant factor. By balancing hormones like estrogen, progesterone, and testosterone Dr. Roked helps patients enhance fat-burning and muscle-building. Managing cortisol and addressing insulin resistance early also play crucial roles in reducing inflammation and preventing diabetes to promote healthy weight loss. Using her expertise, Dr. Roked tailors individualised wellness plans to promote weight loss and in turn revive vitality and improve confidence for a better quality of life.
Tailored Wellness
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Tiredness, poor sleep, low libido
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Muscle aches and pains
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Reduced memory and concentration, low mood
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Increased weight, bloating
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Rashes and skin changes
Dr. Roked believes in prevention before cure and so optimising and maintaining your health and wellbeing is key to living your best life. Her comprehensive, whole-person approach and individualised wellness plans are sculpted around several health and lifestyle factors that support your journey to vitality...
Hormone Optimisation: Hormones are the foundation of health. Dr. Roked assesses adrenal, thyroid and gender-specific hormones, along with insulin levels, to ensure stability and maximise the benefits of nutrition and exercise. Nutrition: Personalised nutritional plans are designed based on individual body needs and lifestyles. Exercise: Fitness assessments and vO2max testing help create realistic exercise plans tailored to your fitness levels. Health Screening: A variety of screenings, including arterial, bone density, body composition and pelvic ultrasound, assess your biological age and health status. Investigations for diabetes and cardiovascular risk are also available. Gut Health Testing: Analyses bacteria, enzymes, stomach acid, parasites, inflammation and absorption to guide gut-healing programs. Stress & Lifestyle Assessment: Stress levels are assessed using heart rate variability monitoring, with guidance on stress management and lifestyle improvements. Vitamin & Mineral Analysis: In-depth analysis of vitamins, minerals, amino acids and fatty acids to tailor supplement and nutrition plans. Telomere Testing: Measures telomere length to implement lifestyle changes and slow the signs of ageing. DNA & Genetic Testing: Guides personalised nutrition, supplements and lifestyle changes based on genomics.
Tests & Screening
From detailed hormone assessments and nutritional evaluations to advanced genetic and telomere testing, this comprehensive collection of tests provide critical insights into your body's function and overall health, enabling personalised treatment plans and preventive care tailored to your unique needs for optimal health.
A saliva test taken throughout the day measures stress hormone fluctuations and cortisol awakening response, as well as sIgA for immunity. This is also measured on the DUTCH test.
A range of blood tests are offered to check women's hormones at a certain point in their cycle and 4-6 hours after taking HRT to monitor absorption and efficacy. A thorough male hormone profile is offered for men looking for Testosterone Replacement Therapy (TRT)
A range of blood tests is available to measure cholesterol, sugar, insulin, kidney and liver function, full blood count, iron, autoimmune diseases, viruses, mercury and other disease biomarkers.
Stool tests enable us to measure gut health. An imbalance in gut bacteria, parasites, pathogens and gut permeability significantly impacts health, influencing autoimmune disease, cancer risk, cardiovascular health, the immune system and obesity.
The Small Intestinal Bacterial Overgrowth (SIBO) test detects bacterial overgrowth in the small intestine, a rising issue linked to lifestyle and diet, causing bloating, diarrhoea, vomiting, fatigue, joint issues and mood changes.
Dr. Roked is able to perform detailed thyroid tests, TSH, T3, T4, thyroid antibodies and reverse T3 which can reveal if the thyroid is working as it should.
Dr. Roked uses the quick and simple Pulsecor machine, endorsed by Imperial College London, to assess artery health and heart attack risk without the need for an invasive angiogram. Artery screening is generally only carried out by the NHS after angina symptoms persist.
Your genetics can reveal more about your health than you might think. A simple cheek swab analyses over 100 genetic markers to inform personalised diet, exercise, methylation, detoxification, hormone balance, and allergy management for preventative health.
Dr. Roked uses blood tests and the DUTCH test (Dried Urine Test for Complete Hormones) to analyse hormone levels, cortisol, hormone metabolism, B vitamins, antioxidants, melatonin, adrenaline, and dopamine, with timing tailored to your menstrual cycle.
Telomeres protect our genetic material - their length can be a good prediction of longevity and so testing them can provide a reliable biological age to guide Dr. Roked on necessary treatments, supplements and further tests focusing on lifestyle habits, stress and nutrition.
Blood and urine tests can check levels of amino acids, omega-3, B-vitamins, zinc, magnesium, iodine, vitamin D, and antioxidants to assess diet absorption and personalise your supplementation and/or nutritional plan to support overall wellness.
Ready to optimise your wellness?
Ready to begin your journey to optimum vitality? Click below to see our pricing and visit our FAQs for more information. For detailed pricing and personalised plans, please get in touch to book a consultation.
Begin Your Journey to Vitality Today
What makes me great at my job is not just my experience. I listen, I put the patient’s needs first and I’m approachable, down to earth, curious and open-minded. I use whatever modalities are needed to get the results of you feeling great again. If you are seeking optimal health, book an appointment with me and I’ll create a plan that’s right for you.
