Acupuncturist Philippa Summers suggests some local classes suitable from pregnancy to preschool and highlights which of the WNT team can support you around this busy, nurturing stage of life.
As the nights begin to draw in and we withdraw inside a little more it can be more challenging to plan your days with a baby or toddler, and to look after your own well-being and fitness. Well, the good news is there are a wealth of opportunities out there, activities you can do with your baby or children and classes for yourself with your baby or at those precious moments you have to yourself. Just getting out and meeting up with other mums and dads can make a whole world of difference as you adjust to parenthood. Maybe you are looking for something specific or just want to browse and see what’s out there.
I came across a website, Happity, that makes searching for classes and events in your area a doddle. It covers everything from pregnancy through the baby and toddler years to age 5. Prices vary, some are free and some low cost from as little as £2.
Among them are:
I know from my own experience and that of probably every parent I know just how important these groups are through this phase of life. If you are struggling with post-natal depression Happity also have a dedicated area of their website which includes links to useful resources. Check out their blog, too.
I’d like to make a special mention for Gather-ed as they offer something a little different and I think much needed. They offer 1:1 support, workshops and group gatherings with experienced facilitators including midwives - ‘gently facilitated discussions on themes and topics relevant to parenthood…and are a space for honest, authentic conversations’. Wednesday mornings at Knowles in West Norwood, other classes in East Dulwich.
Pregnancy Treatments at West Norwood Therapies
Finally, we can help to support you throughout your pregnancy with our treatments at West Norwood Therapies:
Acupuncture: Some women choose to have regular acupuncture to support them throughout their pregnancy, but commonly it will be to help with a particular issue. In the early stages of pregnancy women often seek help for morning sickness and at the latter stages for breech presentation and birth preparation. For birth preparation there are advantages to starting treatment at 36 weeks but with the all-clear from your midwives we can also offer treatments when you are overdue and facing an induction.
If you are trying to conceive Laura and Philippa also offer fertility focussed treatments, too.
Please just get in touch if you’d like to find out more.
Acupuncturist Philippa Summers looks at what women can experience from perimenopause onwards and how exercise and swimming can be of great benefit around these years.
At a recent party on a chilly evening in the garden I asked a friend in a strappy dress if she was warm enough, she lightly replied “Oh, yes, I have my own personal weather system”. Made me chuckle but menopause is no laughing matter. Some women sail through but for others the symptoms can be unbearable and debilitating and can take a huge toll on just about every aspect of life. It can be a time when women feel at a loss with the changes that are happening to them, bewildered by them. Getting the balance between seeing them as a medical issue and a transformative time of adjustment can be helpful in easing women through this phase of life with greater serenity and joy, with a combined approach offering great benefits.
Among the most common symptoms are hot flushes, night sweats, mood changes, tiredness, vaginal discomfort, loss of libido and brain fog, but it affects women very differently and you may experience a range of other physical, mental and emotional symptoms. They can start as women enter the perimenopausal phase, often in their mid 40s, sometimes earlier, usually but not always accompanied by changes in their menstrual cycle.
From a medical perspective getting diagnosed is the first step to understanding the changes you are going through and finding solutions that suit you, including HRT. The options can be simple with far reaching benefits. Finding the right choices for you will not only help you to feel better but importantly also help to protect your future health, particularly cardiovascular and bone health.
From a lifestyle perspective nutrition, exercise, sleep, relaxation and strong social and emotional connections provide the foundations for your wellbeing, regardless of whether or not you take HRT. Acupuncture can also play a supportive role in helping women ease through the transition, connecting mind with body, with proven benefits for some of the associated symptoms including hot flushes, low mood and anxiety, poor sleep, aches and pain.
I have included a link to a resource with a wealth of info at the end, including medical, lifestyle, social and political info. Now, for an overview of exercise and then a brief focus on swimming, our topic for this summer newsletter, in relation to menopause.
From perimenopause onwards physical activity can help to prevent muscle loss which occurs naturally as we age, support a healthy weight reducing the risk of chronic disease and improve cardiovascular, respiratory and bone health. Exercise will build strength, support the joints and alleviate the aches and pain, and the mood enhancing benefits of exercise can help in the way we perceive pain. Additionally, it can help with sleep and generally help you to feel better. If you have specific health issues that limit your activity then seek appropriate advice and support.
As a guide try to get about 30 minutes of moderate exercise 5 times a week but if you are new to exercise then start light with 10 mins a day and build up gradually.
Aim for a combination of exercise each week:
Cold water swimming is anecdotally very helpful to relieve hot flushes and some of the other symptoms of menopause. It has proven stress relieving and anxiety reducing benefits which can last for several days, and also helps immunity. We are fortunate to have Tooting and Brockwell Park lidos on our doorstep. During the winter especially, they are places with a strong sense of community and camaraderie. If you intend to swim into the winter months then start swimming during the warmer summer and autumn months so that you can gradually acclimatise. As the temperatures cool check out the cold water swimming guides so that you adjust safely and do not overdo your exposure to the cold.
If you are seeking more information the Balance-Menopause website, set up by menopause specialist Dr Louise Newson, is a good place to start for understanding more about the perimenopause and menopause and finding support, with an app to track symptoms if you wish. Their mission is to make menopause support inclusive and accessible to everyone globally, with some extremely useful free resources. If you have symptoms then seek out a menopause trained specialist to confirm diagnosis and guide you through treatment choices - HRT, alternative options and lifestyle advice all have a role to play.
Acupuncturist Mihaly Rosta shares some information about the Chinese Medicine concept of 'dampness' in the body and factors that might cause and help this.
Is diet just about what you eat?
Sluggishness (especially) in the mornings;
Heaviness of body and mind;
Loose, sticky stools;
These are only a few symptoms of Dampness in the body.
Imagine a clear beautiful river gracefully flowing through a forest. Now what if this river is being filled with debrish? It slowly becomes cloggy and turn into dirty mud.
The most common cause for this muddiness to develop in the body is improper DIET.
Excessive intake of fried, greasy, raw food; as well as alcohol, sugar, dairy, and even meat may result in the symptoms described above.
However before removing unhealthy, overly processed foods from the diet, it’s important to intorduce new, appropriate foods in your diet.
On the picture you may see a simple stir-fry dish, perfect for lunch or even breakfast -accompanied by some soup or tea.
Bitter and slightly pungent/aromatic food like kohlrabi and romain lettuce are excellent at transforming congealed body fluids.
Add some radish and leeks in order to strengthen the Lungs (Metal/Autumn) and clear any damp/phlegm that may reside there.
Kidney -especially Aduki- beans are great source of protein in this case. Complementing the dish I also used garlic, thyme and parsley to help clear excessive mucus.
To make this dish more seasonal, add some water and cook it on low heat. In order to introduce the sour balancing flavour of autumn (Metal) you may finish your dishes by squeezing some lemon/lime juice over them.
Making small changes in the diet is an excellent tool for becoming more healthy over time. However if an already developed illness (or any of the symptoms above) are present, acupuncture treatment may be especially beneficial in order to address those issues.
Please note that we always advise patients to see a professional Acupuncturist in order to determine the accurate diagnoses, which allows us to make personalised recommendations.
For any seriously health concerns please see your GP.
#diet #damp #acupuncture #bloated #sluggish #autumn
Acupuncturist Philippa Summers delves into the world of healthy bacteria - microbiome - and gives some helpful insights and tips as to how this can benefit us along with a delicious saurkraut recipe to help us along.
Did you know that your body contains roughly as many bacterial cells as human cells? Along
with viruses and fungi, and their collective DNA, they make up our microbiome. The
microbiome varies hugely from person to person and plays a crucial role in determining our
health. There is a whole eco system living on your skin and within you, in your respiratory
tract, your reproductive tract, in breast and other tissue, but primarily in the intestines – the
gut microbiome. Among them are vitally important beneficial microbes that help to keep
the disease-causing pathogens at bay, while also enhancing and interacting with many of
the vital internal processes that work to keep us well.
The Benefits of a Healthy Gut Microbiome
A healthy gut microbiome has benefits that extend throughout the body and is considered
by some to be equivalent to an additional organ, such is its importance. It plays a crucial role
in helping to maintain and support metabolic function, immunity, plus cardiovascular,
respiratory, reproductive and menopausal health, as well as helping with sleep, mental well-
being and brain function. It is an area of intense research, with more being discovered all
The scope of its influence cannot be overstated. A healthy gut microbiome is anti-
inflammatory and helps to combat the development and progression of a whole range of
chronic health issues and to reduce infections throughout the body, helping in the fight
against antibiotic resistance. Type 2 diabetes, obesity, kidney disease, Parkinson’s,
atherosclerosis, high cholesterol, hypertension, dementia, urinary tract infections,
respiratory infections, vaginal infections, asthma, allergies, autoimmune diseases, IBS, IBD,
some cancers...the list goes on... have all been shown to have an association with an
unhealthy balance in the gut microbiome. It is the subject of ongoing research to determine
the processes and balance of cause and effect between disease and the microbiome.
A High Fibre Diet supports the Microbiome
Our environment, where we live, who we live with, how we interact with our environment
but particularly our diet has a huge influence on the microbiome, and for each of us our
microbial fingerprint will be unique and changing dynamically all the time.
A poor low fibre diet of refined carbohydrates like white flour, white rice and particularly
simple sugars will encourage inflammation and take the balance of good bacteria to bad inan unhealthy direction. A healthy high fibre diet on the other hand will help to support the
community of beneficial bacteria, which ferment more complex carbohydrates that we
cannot otherwise digest, into nutrients with anti-inflammatory and metabolic health
The beneficial bacteria lie mainly in the colon at the far reaches of our intestines and to feed
and support them we need a diet where the carbohydrate portion of what we eat can pass
through the upper reaches of the intestines to the colon without previously being
completely broken down. Simple and refined carbs get broken down too high up in our guts
but high fibre complex carbohydrates (wholegrains, vegetables, nuts, seeds and fruit) make
it all the way to where they are needed. Aim for a wide variety of colourful plant foods
including herbs and spices to aid digestion, and of course include proteins and healthy fats
for a balanced diet.
We feed these bacteria and they in turn feed us with the beneficial by-products of their
meal. Think good housemates - you provide the healthy ingredients, and they cook up a
feast! The healthy foods we provide them with are the prebiotics, the healthy ‘bugs’ are the
Choosing Probiotic Foods and Supplements
Some species of these healthy bacteria will have established themselves as long term
residents of our gut, beginning at birth and supported early on by breastfeeding. We can
augment this existing population by eating fermented foods containing other beneficial live
bacteria, or for convenience and maybe for specific health issues by taking them as
supplements. To reap the benefits, we need to choose those that are alive and can survive
through the upper reaches of the gut all the way to the colon as many cannot survive the
acid of the stomach.
How our individual microbiome interacts with our own metabolism and diet is complex and
more in-depth studies that take a personalised approach are the subject of ongoing
research, one of the largest being the Zoe PREDICT studies. A peek at these studies will
show you how complicated a field it is. People with a histamine sensitivity may not tolerate
probiotics and care should be taken by people with bowel conditions like IBS and IBD.
Deciding which strains are most beneficial is a complex subject which varies from person to
person and according to the health issues being addressed, and I suspect is obscured by the
commercial nature of supplements and the influence on research. Lactobacillus and
Bifidobacterium are the most widely recommended in supplements, with many species and
strains of each offering different benefits. A little more of that below in relation to women’s
health and gut health but to go into more detail is beyond the scope of my experience or
If you prefer to take supplements in my opinion Optibac are a reliable good value brand and
provide a simple useful guide with formulas for a variety of situations: every day, after
taking antibiotics, for women’s health including during pregnancy and for gut health.
Symprove receives wide recommendation but is much more expensive and is limited to a
single multi-strain formula. I am not suitably knowledgable to offer any wholeheartedrecommendations but those are a couple of reliable options. You can eat fermented foods
as well or instead.
For Women’s Health including fertility and menopause
Lactobacillus species support a healthy vaginal microbiome where they help to keep disease
causing yeasts and bacteria at bay, by maintaining a favourable protective acidic
environment. From the research so far, implantation and reduced incidence of early
pregnancy loss are also supported when the predominant species in the uterus are
Lactobacilli. They are of benefit when taken orally, even for colonising the reproductive
Lactobacillus species can also be helpful at alleviating some of the symptoms of menopause
via the two-way interaction between oestrogen levels and the gut microbiome.
Yoghurt, kefir and Sauerkraut are all high in Lactobacillus species and other lactic acid
For Gut Health
For people with gut issues like IBS and IBD I would recommend seeking guidance from a
dietary or nutritional specialist. Some of the otherwise healthy prebiotic foods can
contribute to symptoms, and some probiotic strains can be helpful while others may
Probiotic Fermented Foods
For general health benefits why not try a range of different live unpasteurised probiotic
foods such as kefir, yoghurt, kombucha, kimchi, miso or sauerkraut to see which you like
and which suit you? Or try making your own. They can be more potent than probiotics
supplements and much cheaper, too, and all have different microbial profiles and benefits.
Some ferments like kefir and kamboucha contain a range of yeast and bacteria while others
like yoghurt, sauerkraut and kimchi are predominantly bacterial. Additionally, as they have
fermented over a period of time the fermented product will contain high amounts of more
easily digestible nutrients that are a by-product of the fermentation process.
Making your own fermented foods
If you fancy making a home-made ferment you can try the simple sauerkraut recipe below.
Incidentally, I was surprised to learn that sauerkraut, despite its German name, originated
around 2000 years ago in China and came to Europe in the 1600s. Making Kimchi, a spicy
Korean ferment, is similar and there are plenty of recipes online. If you really want to get
into ferments then I recommend Fermentation by Asa Simonsson which covers a whole
range of fermented foods and drinks including vegan dairy, or check out the many websites
and blogs on fermenting.
You will need a container in which to ferment the veg before transferring it to smaller jars
for storage, and you will also need weights to hold the veg below the surface of the liquid
while it ferments. You could use a large wide necked jar with a lid but you will need to keep
an eye on it and keep releasing the gas that will build up inside. Or you may wish to buy a
fermenting jar or a crock pot which allow the gas to release automatically. Some come with
weights, others don’t.
1kg finely chopped white or red cabbage (you can substitute some of the cabbage with
grated carrot, beetroot and apple to make a total of 1kg veg)
15g sea salt
1 tbsp chopped garlic/ginger
1 tsp caraway seeds, chili flakes, peppercorns, seaweed etc
• Place the veg, salt and spices in a large clean bowl mix well and massage with your
hands for 5 mins. Leave for 5 mins.
• Massage and squeeze again for about 20-25 mins until you have plenty of juice and
the veg has softened.
• Pack into the fermenting jar or crock, add the weight so that all the veg is completely
submerged in the briny liquid. This is very important as the fermentation will spoil if
the veg is exposed to the air.
• Put on the lid and leave at room temperature to ferment. The fermenting jars have a
valve, the crock has a sunken rim that you fill with water so the gases release
automatically. Keep checking that the water level around the rim is above the notch
in the lid.
• Leave for anything from 5 days to 4 weeks depending on the room temperature and
how sour you like it. I leave mine for about 10 days.
As the sauerkraut ferments is becomes more acidic which most bugs can’t tolerate and
you’ll end up with a tasty ferment rich in acid tolerant Lactobacillus. The result should be a
crisp, slightly sour, flavoursome kraut. If it becomes mouldy, slimy or smells rotten then
something has gone wrong, so discard.
Pack into clean jars, pressing the veg below the surface of the liquid and store in the fridge.
Keeps for weeks, months according to the experts but I’ve never left it that long. Great in a
sandwich, salad or as a meal accompaniment.A word of warning - as your body adjusts to fibre and probiotics you may find you are a bit more flatulent, but it should settle down after a few days, start with a little and build up. In any case, a little every day is better than larger quantities less frequently.
Acupuncturist Philippa Summers shares the nourishing effects of our recent team picnic and the ingredients that helped make it.
The plan was a midsummer 3 day social / retreat in Scotland, meeting up for the first time in her homeland with WNT founder, Jennie Duck, who manages WNT remotely from rural Ayrshire. After all the social cancellations, postponements and thwarted arrangements that Covid wrought on us all we had thought that this one was in the bag. We meet regularly on Zoom and Jennie makes the occasional trip South, but this was to have been our first trip to see her there since she moved several years ago and our first residential social together.
Planned in March, excitement seeded, accommodation reserved, trains booked and therein lay the rub. It wasn’t covid that scuppered our plans it was the train strike. Driving that distance was out of the question with all train traffic moving to the roads so we cancelled. We were all gutted.
So, plan B a picnic in Brockwell Park! Sadly no Jennie, of course. And, just to be clear this was a ‘keep it simple’ kind of picnic – not a wicker basket or gingham tablecloth in sight. Bring a sandwich, with the emphasis on getting together and making the most of the sunshine. Lauren, bless her, did however make the most gorgeous lemon and poppyseed cake with gooey tangy lumps of lemon flesh, elevating it up a notch or two! It was a glorious lunchtime together, a modest affair, a chance to catch up face to face. Alas, not quite what we had planned but when life cancels the trains and gives you lemons, make the delicious lemon and poppy seed cake below and have a picnic.
If you are not a regular to Brockwell Park do checkout it’s many surprises. The walled garden, the Community Greenhouses, the views of the city from between the café and the tennis courts, the lido, children’s paddling pool and playground. Our beloved park has so much to offer everyone.
Enjoy your summer!
Lemon and Poppy Seed Cake
This cake is huge with deliciously tangy pieces of lemon pulp to tantalise the tastebuds, so great for sharing at large summer picnic. Says it serves 10-12 but goes further than that. Not healthy (don’t even look at how much sugar it contains) but hey, once in a while!
7-10 unwaxed lemons (1kg)
210g unsalted butter, melted
95g grapeseed or other neutral oil
6 large eggs
1 egg yolk
530g plain flour
25g black poppy seeds
5g baking powder
5g bicarb of soda
For the glaze:
250g icing sugar
2 lemons juiced
Grease and flour a 2.8 litre Bundt Pan.
Heat oven to 190C, fan 175, Gas 5.
Zest the lemons (outer yellow only), reserving the zest.
On a plate to catch the juice, cut ends of each lemon and cut away peel. Remove the pulp from the membranes. Keep all the juice and the pulp cut into 1 inch chunks. Squeeze extra juice from the membranes and discard. This should give about 15g zest, 170g pulp, 70g juice. Top up with extra lemons. That is the fiddly bit done.
Whisk together dry ingredients. In a separate large bowl whisk together wet ingredients. Mix wet and dry and stir well to combine. Add lemon zest, pulp and juice and mix well.
Pour batter into bundt pan and bake 60-70 mins, checking after 60 mins – press top of cake and it should bounce back.
Cool cake in the pan for 45 minutes, loosen with a spatula and carefully turn onto a wire rack, with a wide pan underneath to catch any excess glaze.
To make the Glaze simply whisk the ingredients together and then pour over the cake in a steady stream. Leave to set for 15mins.
Acupuncturist and massage therapist Mihaly Rosta shares some interesting thoughts around the 'how' of our eating habits being as, if not more, important than the 'what'.
ow important is it to have the right food on your plate?
I usually see a divide amongst my friends and clients when it comes to diet and food.
Some people just eat for the joy of it, not caring much about if they eat a lot of carbs or meat. Whilst other people can be “almost” obsessive about what they eat. May that be superfoods, very specific vegetables and meat, etc.
So what is the correct attitude to diet?
Well, I of course could not give a simple answer to such an important question. Especially as I am not a dietician.
However when it comes to Chinese medicine, we always strife for balance. Walking the middle path.
Sure, it is important to have a varied diet -according to both food energetics, colours, food groups- but I find it much more important to look at how people eat and digest.
In my experience, our mental health and eating habits combined has a much stronger effect on our digestion and general health than the types of food we eat. Do not get me wrong, I am not saying that we should all eat white bread, milk and sugar 3 times a day. I am referring to the fact that if you have a varied intake of vegetables, fruits and meats/nuts, you should not worry too much about whether it is organic or not, or how many superfoods and brown rice you include in your diet.
What is important then?
1. Structure and rythmn
It is generally important to follow a rythmn in our daily life. Structuring our days around our meals and sleep can provide with a healthy l. So we priorities ourselves, our nourishment amongst other responsibilities.
Taking breaks between meals (3-4 hours) gives our digestive system a rest, as opposed to continuous snacking which will overwork our Spleen and Stomach.
3. Focus /mindfulness
Eating should be about the food and our nourishment. The taste, texture, colour, smell of our food should be in the focus of our mind when we eat. Not TV, Netflix, news, daily tasks or plans for the week.
Let’s do ourselves a favour and eat mindfully. Just when we decide on the food we eat, we should apply the same mindfulness during our time of nourishment.
There is a Chinese saying that you should only fill your belly 2/3 of the way, so there is space for Qi to do the digestion.
Overeating is overtaxing on our digestive system. Finding the correct amount of food that does not leave us hungry, but also doesn’t makes us sleepy is essential.
It is important to drink plenty of fluids during the day, however it is best to avoid drinking with our meal. If you have a weak digestion, you may find it beneficial to drink digestives 20 minutes prior to your meals. Or if your meal seems to settle in heavy (lots of fats/oils) you may find drinking a (half) shot of clear spirit (I recommend Bison vodka for flavour 😛) also very beneficial.
On a different note. There seem to be a misconception about the amount of fluid we all need to drink. Generally speaking of we want to hydrate ourselves we have to include fluid-ful vegetables in our diet. Soups, curries, tomatoes, courgettes, etc.
6. 100 steps
Digestion does not stop when we finish eating. On the contrary. It’s fairly important that we rest after a meal for about half an hour. The Chinese has been recommending 100 slow steps after eating. As (slow) walking aids the intestinal movements (peristalsis) and thus digestion.
7. Avoid going to bed on a full stomach
Simple as that, we should not be wasting our energy on digestion whilst we are sleeping. More over, it is most beneficial to have a bigger gap (intermittent fasting) in our day when our digestive system is to rest.
8. Anxiety = IBS
Last but not least, looking after our mental health is perhaps the most important of tasks that we need in order to have a healthy digestion. I’ll talk about this more in detail another time.
So these are only a few points that are in my opinion are just as (if not more) important than the quality of the food we eat.
Thus if you are suffering with any digestive issues, you may find it beneficial to go through this list before you start cutting out your favourite foods.
Of course Acupuncture is an amazing tool to help/reset the digestive system. So if you feel you need some additional support in that regard. Do not hesitate to get in touch.
Acupuncturist and wholesome food enthusiast Philippa Summers shares some of the benefits and uses of bone broth and advises how to get a good batch going with insider tips and ideas to make it tasty and nutritious.
I have always had an interest in cooking wholesome food for both enjoyment and health and am guided away from processed foods by choosing ingredients that ‘ran, swam, flew or grew’ in their most natural state. Like many people I have in recent years leant towards a more heavily plant-based diet with an emphasis on a wide variety of colourful fruit and veg, wholegrains and plant-based protein like lentils, pulses, beans and tofu. However, I do still eat fish and meat, buying far less but of higher quality, higher welfare - by trying to choose largely wild fish and meat that is free-range, grass fed, preferably organic - and using every last bit which brings me to the wonders of bone broth.
It has been revered for its potent nutritional and medicinal properties by various cultures across the globe for thousands of years from ancient Greece, throughout Africa and Asia, to the infamous recuperative ‘Jewish Penicillin’. A South American proverb states ‘Bone Broth will resurrect the dead’. It had a reputation within Chinese Medicine stretching back over 2,500 years for its ability to support digestion and reproductive health – pre-conceptually for both men and women to support egg and sperm health, during pregnancy for mum and baby, and post birth to help mum rebuild her strength.
Bone broth is packed with easy to digest gelantinous protein and amino acids from the collagen in cartilage, and minerals such as magnesium, calcium, phosphorus and potassium from the bones, extracted by long slow cooking. Wide ranging potential health benefits include helping to support skin, bone and joint health, soothing gut issues like ulcerative colitis and leaky gut, supporting immune function, helping recovery from upper respiratory infections and it may also help to promote good sleep. The combination of skin, joint and sleep effects likely make it beneficial for women post menopause, a time when increasing protein and reducing carbs can be helpful.
We can get a bit caught up about what’s in food and what it is good for. Sometimes it is good just to let go of that and enjoy the wholesomeness because you know in another more intuitive way that it is nourishing. For me bone broth is one of those things. A warm soothing elixir! It is delicious drunk on its own, makes a great base for soups and stews.
For convenience you can buy bone broth ready-made, conveniently packaged and delivered frozen direct from the farm to your door but it is far cheaper and satisfying to make your own. It cooks for so long that it is more economical on fuel to cook up a big batch so I collect any chicken bones both raw and cooked in the freezer until I have a good supply, supplementing them with some chicken carcass bones from the butchers to fill a stock pot.
Chicken Bone Stock Recipe
This recipe uses chicken bones and cooks for 4-6 hours. You could make a fish version substituting the chicken for fish heads and bones usually discarded by the fishmonger so very cheap – use about 1kg per litre of water - and simmer for one hour. Strain through muslin to remove all bones.
You’ll need a large stock pot with a tight fitting lid.
Optional: Before making the stock you can roast the bones for an hour in the oven until they are golden for a richer flavour.
The effort will more than pay off for the ease with which you can prepare a tasty meal or quick warming drink that nourishes you deep to the bone. Enjoy!
Acupuncturist and kitchen dynamo Philippa Summers shares some guidelines for a hearty winter breakfast of champions that will warm you from the inside out and stoke your fire for the day ahead. Yum!
What do you have for breakfast? Do you even have breakfast? It’s often a meal that people skip or habitually go for something quick like a cold bowl of cereal or a couple of slices of toast on the go but when the temperatures drop there is nothing like a comforting bowl of porridge to start the day and get the warmth going from the inside. It is quick to prepare, will sustain you all morning and is a gift to your whole digestive system.
Try a water-based whole oat porridge, flavoured with a small spoonful of blood-nourishing molasses, and maybe some cinnamon and ground flax seeds.
Top with a sprinkling of pumpkin, sunflower and sesame seeds for extra goodness and a couple of spoonfuls of berries. I use frozen summer berries out of season and just warm them gently. For speed, and if you don’t mind a strangely coloured porridge just add them to the porridge towards the end of cooking. I like a splash of milk to finish it off when it’s in the bowl for that that combo of thick porridge and liquid milk. Delicious and nutritious!
If you skip breakfast you may find yourself going for less nourishing alternatives as your blood sugar drops. It can precipitate a vicious cycle of sugar spikes, drops and unhealthy snacking. Starting the day with nourishing breakfast gets your eating habits off to a healthy start and one suggestion to prompt an appetite at breakfast time might be to replace supper with something very light late afternoon or early evening for a night or two, just to kick start a breakfast habit.
Finally, try to make time to sit and enjoy your meals, including breakfast. The digestive process begins when we look at the food, anticipate it and the digestive juices start to flow. And we are more likely to chew our food well, another important part of the digestive process,if we are relaxed and not in a rush. Good digestion is as much about how we eat as what we eat.
Acupuncturist Philippa Summers looks at the 'two week wait' in menstrual and ivf cycles and how she adapts treatment during this time when supporting clients in their journey to conceive and offers some helpful self care tips for this time.
Trying to have babies when it doesn’t just happen easily can be a heart wrenchingly difficult time. There can be months even years of trying, balancing hope with uncertainty, even at times despair. Another cycle starts. Is this going to be your lucky month?
When supporting women with fertility I tend to focus treatment on the follicular phase leading up to ovulation, or in the case of IVF through the stimulation phase until egg collection and at embryo transfer. These are the times that research has shown acupuncture can have a significant influence on live birth rates (Zheng, 2012). Treatments around embryo transfer, when they can be scheduled in without adding extra stress, are also shown to have a beneficial effect on outcomes (Smith, 2019).
Ideally, men and women would also have received some preconceptual lifestyle advice during the preceding months, not least of all to support egg and sperm quality as they develop and mature. Treatment can be aimed at regulating the menstrual cycle, supporting endometrial development and addressing other issues impacting on fertility. Treatment during the follicular phase will be aimed at supporting the processes that take place throughout the menstrual cycle including the luteal phase but what about treatment during the actual luteal phase or the two-week wait as it is commonly known, which follows ovulation or embryo transfer?
How can Acupuncture help?
As I have said, I tend to focus most treatment during the follicular phase but that does not exclude treatment during the luteal phase. It is a time to be cautious with any treatments that could disturb the delicate interplay between the embryo and uterine lining around the time of implantation, but treatments aimed at relaxation and good sleep can be positively beneficial. It is often an anxious time when every little twinge seems to take on some significance. An acupuncture treatment can offer a gentle wind down from the intensity of IVF or the pressures of trying naturally, at a time when sound sleep and a feeling of calm may be quite elusive.
How can you support yourself during the two week wait?
The preparations you have taken in the preceding months, weeks and days will help to lay the foundations but here are 10 tips to support implantation and help through these two weeks:
Good luck. Remember that even under perfect conditions there is only a 1 in 4 chance of conceiving each month, so it can take a while. Please contact me if you think I may be able to help you.
Acupuncturist Philippa Summers, who has a special interest in fertility, shares some helpful resources around supporting the often overlooked area of male fertility.
here is a growing movement among men and male fertility specialists to encourage the issue of male fertility into the open, improve awareness and access to help, both specialist and peer support. Prompted by watching a BBC program on male fertility with comedian Rhod Gilbert aimed at opening up the conversation and garnering more support, I have put together some resources. I hope they will be useful to men facing fertility issues, especially if they are feeling isolated and unsure of where to turn. It is also National Infertility Awareness Week.
In couples struggling to conceive male factors contribute almost 50% of the time and are often overlooked, especially so when an identifiable contributing issue has been identified in the woman, and this can leave many male issues underdiagnosed and undertreated. It can leave couples struggling often with an over reliance on IVF, which may give you a chance of navigating around a problem but will not rectify an issue, and the emotional, physical and financial burden IVF imposes is comparatively very high.
Where male factors have been identified men often bear it alone, harbour their feelings and find it difficult to discuss these very private issues with anyone, including their partner, friends or family. It can be very isolating, impacting on almost every aspect of their life. It can also be a source of conflict within couples, allowing resentments to build up and adding to the already considerable strain.
So where can you find support, advice and treatment?
Here are some resources that you may find helpful regardless of where you are on your fertility journey, be it starting out and looking for lifestyle advice to help improve sperm and semen, or somewhere down the road and looking at getting investigations, treatment or support. Maybe to begin with you just want to find out that you are not alone and have a chance to listen to other men’s experiences and how they are coping. Be selective so that you are not overwhelmed with information. Included are resources that you can access anonymously or listen to on your own where your privacy is important.
A quick mention of the benefits of acupuncture. For men with suboptimal semen parameters acupuncture has been shown to improve the number of normal sperm by improving sperm count, movement and shape – all important factors for improving fertility. Typically the needles are placed in the arms, legs, back and abdomen – never locally! It is also extremely relaxing and helpful for coping with stress and low mood.
Fertility Network UK have plenty of good up to date information on all aspects of fertility including male fertility. This is a good starting point for information.
The Fertility Podcast website has several episodes that focus on male fertility. Each podcast is accompanied by notes to help you find those that are likely to be of most interest and relevance to you. They include personal stories, which can help to break down the stigma and isolation, and interviews with male fertility specialists to help understand where different tests and treatments fit in as well, as providing tips for improving your fertility.
Specialist Consultations and info
Your GP is usually the first port of call for accessing specialist help. Ask to see a GP in the practice with particular knowledge of male fertility. They should offer you a comprehensive semen analysis and a physical examination with NHS referral to a specialist Andrologist (men’s equivalent of a gynaecologist) where appropriate. This is something you can request giving you the same level of investigation as is routinely offered to women.
Prof Sheryl Homa and her team at Andrology Solutions , an HFEA licensed male fertility clinic, have exceptional knowledge of male fertility and provide diagnosis and support for men who are trying to conceive. They are a private clinic and you can self refer. They also have some very useful information on their website.
Consultant urologist Jonathan Ramsay is one of the leading experts in male fertility. His website has a wealth of information including the latest advances in research and guidelines. He is available for private consultation.
Nutritionist Melanie Brown specialises in helping men and women with fertility, IVF and pregnancy. The right nutrition and supplements provide a solid foundation for overall good health as well as fertility and can make all the difference.
Men Only Support Groups
Here are a couple of groups where you can connect with other men going through similar problems.
Men’s Fertility Support – a men only Facebook group where men can discuss male fertility issues anonymously. It says IVF/IUI/ICSI but may be broader than this.
Fertility Network Uk run a regular Zoom support group for men only (which you can join with your camera off if you wish to remain anonymous). On the linked page it mentions an April date but as of Feb 2021 it is still running.
Film, TV and radio programmes
Comedian Rhod Gilbert ‘Stand Up To Fertility’ on BBC2. While undergoing treatment himself comedian Rod Gilbert goes on a frank, revealing and frequently funny journey into the world of male infertility.
BBC Radio 4 Benjamin Zephaniah discusses his experience of male infertility with urologist Kevin McEleny, and also talks separately to a couple, Richard and Terri, about their experiences of male fertility issues.
Also BBC Radio 4 My Life as a Childless Man. Writer and actor Rod Silvers talks about his experience and the isolation that it can cause. He encourages men to find ways to speak about it, something he still finds difficult.
The Agora Journals podcasts – from The Agora Clinic in Hove. They treat heterosexual couples and solo parents but also have a deeper awareness than many clinics of the needs of the LGBTQ+ community, including people who are transitioning for whom egg and sperm preservation before transition is important.
I hope that among this selection you find something that helps you, whatever your circumstances.
Very best wishes,
Blogs from the WNT team. For our blogs from before June 2020 please see individual profile pages - it's a good way to get to know practitioners too.