Things you should know before going gluten-free

Did you know…

that a gluten free diet can be quite harmful if not closely controlled by an experienced dietitian?



It seems to me that it is getting very fashionable to leave out gluten in diets in adults as well as in children without any proof for a genuine intolerance.

Gluten-free diet firstly will lead to missing out on fiber, although this may be partly compensated by consuming more whole grains like amaranth, kasha, millet and quinoa, and from fruits, vegetables and nuts.

Consumer Reports also found that some gluten-free foods have more fat, sugar and/or salt than their regular counterparts, and are short on nutrients like iron and folic acid – found in foods with enriched-wheat flour.

Many products also replace wheat with rice. This is a concern because the U.S. Food and Drug Administration has been monitoring rice and rice products for the presence of small amounts of arsenic, which finds its way into rice from both natural and human sources. So, it’s important not to overload on this grain, even whole-grain brown rice.

Finally a large study led from 2009 to 2012 in the USA showed higher levels of various heavy metals in bloods of people following a gluten free diet,  which they attributed to higher consumption of rice, leafy vegetables, fish and shellfish. So while consuming fish once a week seems to raise IQ in children by 4 points according to a recent study, it would however not be advisable to have it much more often.

So a strict gluten free diet should be reserved for patient with genuine autoimmune gluten intolerance also called celiac disease

If you suspect having issues with gluten you should see your doctor will be able to rule out or to a great extent confirm celiac disease by blood testing, and if necessary will look at other causes for your complaints

At Roseneath Medical Practice we will be happy to perform these assessments.

Dr Robert Arlt MD as been a practicing Paediatrician (children’s doctor) since 1992 and has experience of working in Germany, France and the UK and is offering his services (private Consultant Paediatrician) at Roseneath Medical Practice in Richmond.

Did you know? Few facts about alcohol consumption…

Did you know that your body can only process one unit of alcohol an hour?

Regularly drinking too much or binge drinking puts your health at serious risk.

alcohol consumption
How much is too much?

-The UK Chief Medical Officers’ guidance is now the same for both men and women- a limit of 14 units of alcohol a week should not be exceeded.

– Fourteen units is the equivalent of : – six pints of beer (4%); six glasses (175ml) of wine (13%); 14 glasses of 25ml spirits (40%)

– In pregnancy it is advised not to drink alcohol at all, to minimise risk to baby

What are the potential health risks of alcohol?
  • Disturbed sleep patterns
  • Weight gain
  • Cardiovascular disease- increased risk of diabetes, high blood pressure, stroke
  • Acid reflux
  • Liver disease
  • Reduced fertility and sexual dysfunction,
  • Cancers of the mouth, head/neck, liver, bowel, pancreas
  • Osteoporosis
  • Memory loss, dementia, depression and anxiety, stress and anger problems
Is alcohol good for the heart?

The advice on this can be confusing.  The potential health benefits to the heart are considered  to be outweighed by other health risks ( as listed above) and only occur if the limit of fourteen units is spaced out during the week (ie not binge drinking). Drinking within the recommended limit is key.

How can we help?

See Dr Soori at Roseneath Medical Practice for an assessment of your drinking pattern and complete evaluation of your resulting physical and emotional health. Blood tests can be done at the practice, with same day results. Depending on the findings advice  and management will be provided to improve your health and prevent potentially serious illnesses.


New Year’s resolutions

Did you know it is estimated that three-quarters of New Year’s resolutions are abandoned by the end  of February?

Why do people give up on their resolutions so quickly?

  • It takes time to make a new habit, or to lose a less healthy one. Any new exercise regime or diet takes a while to bed in.
  • We often set unrealistic goals and targets- for example, deciding to eat no sugar, give up carbohydrates completely or exercise every day for an hour.

How can you improve your chances of success?

  • Knowing your current health status is a good way to start-your cholesterol level, blood sugar level, blood pressure, body mass index, and being aware of your ideal measurements .
  • A good way to do this is to have a Health Assessment, personal to you, taking account of your age, gender, family history and lifestyle.
  • By knowing these parameters as well as others, your individual risk for heart disease can be calculated.  Other potentially serious conditions can also be screened for eg lung disease, cancers,  mental health problems. This means you can set goals that really improve your personal health, which are safe and realistic for you.


health assessment


How can we help?

  • At Roseneath Medical practice, Dr Sumi Soori offers a broad range of Health Assessments- Men, Women’s, Comprehensive health assessments,  Healthy heart, Cognitive assessments, Child health,  Fertility, Mental health etc all with same day results.  Referrals can be made as necessary to other health professionals, some on-site eg physiotherapy.
  • Making new habits and behaviours requires us to understand our responses to stress and other triggers. Dr Soori can help you to do this  through Cognitive Behavioural therapy, which can help increase your chance of sticking to you goals and achieving your resolutions.
  • So for 2018, rather than embark on fad diets or fitness regimes that you can’t keep to, why not book a health assessment to fully understand your current health status, and receive advice and support you to successfully achieve your goals.

Roseneath Medical Practice offers a 10% discount for health assessment bookings in January and February ‘18

Health assessments – prevention is better than cure

Roseneath HP Medical June 16

Did you know?… by Dr Aranzazu Rodriguez-Guerrero (Private Doctor at Roseneath Medical Practice)

Almost a third of the causes of death are considered avoidable or preventable.

How healthy am I?

Being healthy is not merely the absence of disease. Health is also a state of complete physical, mental, and social well-being. In other words, feeling well does not mean that you are healthy.

You can assess your health status for your age, gender, personal and geographical characteristics with your doctor. According to the findings your doctor will help you design a care plan focused on your health improvement and prevention instead of treatment. A health assessment is a plan of care that identifies your specific needs and how those needs will be addressed by changes in your lifestyle.

Can I live longer?

Early diagnosis and better treatment as well as a few key lifestyle changes and preventive medicine can help reduce your risk of getting these illnesses. The main silent killers are: heart disease, high blood pressure, cancer, stroke, lung diseases from tobacco, liver problems from alcohol, sexually transmitted diseases, obesity from physical inactivity, and air pollution.

How can I live well and longer?

Love your heart. If you are overweight it is best to check your cholesterol and sugar levels. Your doctor can calculate your cardiovascular risk in 10 years, give advice to prevent diabetes development, and develop an exercise and weight-loss plan according to your requirements

Reduce your risk of cancer. Prevent lung cancer by quitting smoking. Visit the countryside and reduce your pollution intake. Try a Mediterranean diet to prevent pancreatic and oesophageal cancer. Reduce your alcohol intake to prevent breast and liver cancer. Prostate, cervical and breast cancer can be tackled by timely testing.

Think of your brain. Strokes are the third leading cause of death and the leading cause of disability. By regularly checking blood pressure and reducing the amount of caffeine and salt in your diet you can lower your risk of stroke.

Breathe. Chronic obstructive pulmonary disease develops slowly and you could have reduced your lung function without knowing it. If you are or were a smoker or you have been exposed to fumes then it is best to carry out lung function tests with your doctor.

Protect your liver and kidneys before they silently fail. This can be done by cutting down your drinking, losing weight and getting the hepatitis B vaccination.  Simple checks of your renal and liver functions, BMI and a sexual health check will shed light on the state of these vital organs.

No room for tiredness. Engage in an active lifestyle. If you continue to feel tired or experience a low mood then it may be that you suffer from anaemia, thyroid problems, vitamin D deficiency or other diseases.

Can I measure my health status?

Through a health assessment you can check the milestones of your present and future health. From a personalised approach, a future care plan can be designed to improve your health status, avoid and prevent future diseases. Usually a health assessment includes your medical history, a consultation, physical examination, emotional status review, and blood tests. According to your personal characteristics, lung function test, electrocardiogram, smear test, mammography or cancer biomarkers can also be included among other investigations. A health assessment would help you reduce your stress levels, calculate your risk of cardiovascular diseases and tackle them.  You can design a personalized diet, prevent cancer, or simply feel better both mentally and physically.

Because prevention is better than cure, ask one of our private GPs about the best health assessment for you.

Author: Dr Aranzazu Rodriguez-Guerrero (MD, PhD) is a Private General Practitioner. She completed her specialization in Family and Community Medicine and regularly publishes medical articles for international medical conferences. Our Practice, which is located in the heart of Richmond,  is open 7 days a week and offers same day appointments. For further information, visit