Marion Gluck in partnership with The Mews Practice

Dr Marion Gluck trained as a doctor in Hamburg more than 30 years ago and has since gained global acclaim for her work in women’s health and bio-identical hormone replacement therapy.

She started working in Australia 20 years ago and began to see the need for a better understanding of hormone therapy and more widespread treatment options for women experiencing issues. Marion believed that every person should have access to bio-identical hormone replacement therapy and the benefits needed to be discussed with patients and widely understood.

It became her mission to educate and empower people to take control of their hormonal well-being. Too often people ignore symptoms or fail to seek help because they simply don’t realise that anything is wrong. It was for this reason that she founded The Marion Gluck Clinic. Along with her team of highly trained doctors, she has helped thousands of women and men achieve optimum health and balance. She also set up our own compounding pharmacy, Specialist Pharmacy, where each prescription is prepared to the unique specifications of the patient. It is this personalised approach that has always put the Marion Gluck Clinic at the head of the pack and enabled her to offer the best possible care to the patients treated.

Dr Gluck has also developed a unique training course for doctors looking to offer bio-identical hormone replacement therapy to their patients, ensuring that more and more people have access to this treatment every day.

Bio Identical Hormones

Men and women need a balanced endocrine system as hormones regulate our bodily functions. Throughout different stages in our lives our bodies change. As we age our hormones (oestrogen, progesterone and testosterone) decline, which impact our behaviour and our functioning.

BHRT is a process of re balancing the naturally occurring hormones which have depleted due to age.

Bio-identical hormone replacement therapy can provide relief from a wide range of symptoms associated with:
Menopause
Andropause (male menopause)
other hormone-related conditions
Premenstrual syndrome (PMS)
Endometriosis,
Polycystic ovarian syndrome
Thyroid dysfunction.

The symptoms:

•      Fatigue
•      Mood swings and depression
•      Hot flushes and night sweats
•      Sleep disturbances
•      Anxiety
•      Low libido
•      Sexual dysfunction
•      High cholesterol
•      Osteoporosis
•      Memory loss
•      Dry and wrinkled ski

Bio identical Hormones are plant- derived hormones that are identical in chemical structure to those found in the human body.  The hormones are prescribed and produced based on each individual requirement. They are prepared in a compounding pharmacy.

Bio-identical Hormones for Men

For men, testosterone is linked to a great deal of functions that not only determine your quality of life, but quality of health. As men age, testosterone decreases. This can begin as early as 30. Most laboratory tests give an acceptable range for testosterone between 250 and 1000. This is a wide scope but symptoms can arise at levels of 300-500 as well. The rate of testosterone decline and symptom occurrences varies by individual

As testosterone and andropause levels decrease men will feel a difference in the points below:

•  Decreased erection frequency and firmness
•   Low libido
•  Depressed mood
•  Difficulty losing weight
•  Trouble gaining muscle with exercise
•  Decreased exercise performance
•  Fatigue

Men at risk of low testosterone

•     Overweight and obese
•     Diabetics
•     Smokers
•     Drug Users (heroine, prescription pain killers, or ADD/ADHD medicine)

How can Bioidentical hormones help?

Testosterone is made mainly in the testes and is under tight regulatory control of the brain and its hormones in the pituitary gland and the hypothalamus. The body controls testosterone production by using testosterone levels as a stimulus to the brain to either make more (in times when levels decrease) or make less (when levels are normal). This delicate system involves 3 separate sets of hormones that act as a checks-and-balances system that keeps levels optimal. Even subtle imbalances in this system can lead to decreased testosterone levels. Testosterone production will decrease through normal aging due to decreased testicular production despite a proper brain stimulus. This is one of the most common reasons for med to have symptoms and seek therapy. Other reasons for Low testosterone  include certain types of brain tumors, obesity, and unknown reasons why the brain simply does not respond to low levels and does not stimulate production

Treatment Schedule

Initial Consultation
60 minutes

During the initial consultation the doctor will take a full comprehensive history to understand the present concerns.
The doctor may take bloods or arrange sputum tests. (There will be additional charges for these tests).

Follow up Consultation ( after return of tests) between 1 week and 1 month
40 minutes

During this consultation the blood / sputum results are discussed and a plan of prescription mediation is devised specifically for you.

3 month follow up – 40minutes

This is to discuss how the medication is working and arrange further prescriptions

From then 6 monthly follow ups –    40 minutes

Medication reviews, medical check up and examination where needed.

Members receive a 10% discount on the service.

Prices

Non-members

Members

Initial Consultation £290

£190

Follow-up Consultation

£130

£117

2 Month Follow Up

£130

£117

6 Month Follow Up

£130

£117

Annual Follow Up

£130

£117

Telephone Advice

£130

£117

BHRT Bloods Female

£160

£160

BHRT Bloods Male

£180

£180

The Mews Screen

£340

£340

Adrenal Fatigue and Hormonal Imbalance

How do the adrenal glands help us cope with stress?
The adrenal glands sit on top of each kidney. They produce a variety of hormones including the fast acting stress hormones, adrenalin and noradrenalin, and the slower acting cortisol and DHEA. These hormones give us the energy we need to feel motivated, and deal with any stress. When we are put into a stressful position, the body releases the hormones to deal with the ‘’physical danger’’ (‘fight or flight’ response). Once the danger is over, the body should naturally go back to a relaxed state and the adrenal gland returns hormone levels back to normal. However our modern way of living can create continuous levels of stress, for extended periods of time. This in turn causes the adrenal glands to continually pump out those stress hormones. It is not just emotional stress that causes this but also diet deficiencies; pain, chronic inflammation, microbiome imbalance/digestive infections such as h pylori, parasites, SIBO, candida; lack of sleep; over training; auto immune. Eventually, the adrenals will become fatigued if they are continually stimulated. This is the exhaustion stage of stress where eventually the adrenals will produce abnormally low levels of the stress hormones (DHEA; Cortisol); we are then tired, anxious and exhausted.

How are your sex hormones connected to adrenal exhaustion?
One of the biggest hormone problems for women is low progesterone levels which is fairly common. Of course this hormone lowers naturally with menopause or perimenopause. However it can lower a little too much making you feel tired; anxious; low libido; stressed; unable to cope. Even young females maybe experiencing an unnatural fall in progesterone.
Progesterone is synthesized fairly early in the hormonal cascade, and its activity is highly influenced by the level of stress – either physical or emotional that a woman is experiencing.  To explain this further, let’s talk about pregnenolone steal or progesterone steal. Pregnenolone is the primary “precursor” hormone. The primary decision the body makes with pregnenolone is whether it wants to makes sex hormones like progesterone or stress hormones like cortisol.  If a woman is stressed, her body “steals” the pregnenolone and uses it for stress hormone production instead eg making more cortisol (especially if your levels of cortisol are dropping because the adrenals are becoming exhausted). However other hormones can be affected too in this turmoil, hence your Dr or therapist may find low hormonal levels across the board. But progesterone will be the one that is hardest hit. The body is basically ‘stealing’ this hormone to allow you to produce more cortisol in order to ‘cope’.

Common symptoms of low cortisol (which may start the progesterone steal):
•  Symptoms associated with Blood sugar imbalances (hungry all the time, the need to snack, light-headed—jittery without food) or the use of drugs, such as caffeine, sugar and alcohol to ramp up energy and mood.
•  Digestive problems
•  Poor immune system leading to frequent infections, and inflammatory symptoms.
•  Hormonal problems such as PMS, low libido, fertility problems.
•  Mental and physical fatigue
•  Depression
•  Sleep problems and insomnia
•  Headaches
•  Low blood pressure

Symptoms of DHEA deficiency include:
•  Persisting fatigue
•  Depression
•  Anxiety
•  Hypersensitivity to noise
•  Loss of libido
•  Dry eyes
•  Dry skin and hair
•  Loss of head hair

Reversing adrenal burn out and aid your hormonal balance
Saliva testing to determine cortisol levels is the first step to assessing your adrenal health. Healing happens on a cellular level, and flooding the body with nutrients to nourish, support, and rebuild the mitochondria while addressing hormone balance is a comprehensive solution. Reception can give you an adrenal stress test kit and organise our Nutritional Therapy – Functional Medicine practitioner to give you a call regarding the next steps. She will organise to meet with you once she has the results, and develop a programme to help re balance your adrenal health working in conjunction with the programme you are following with the BHRT. The adrenals stress test is a saliva test, which can be carried out in the comfort of your home and returned direct to the laboratory by you.

Membership

The Mews Practice offer an optional membership which includes 7 day access to GP appointments . This also includes 10% discount on selected services within the practice.

All services are also available to non-members.

Find out more

Meningitis B Vaccination

December 2016

Very good service. The Surgery is clean, the service was prompt, the Doctor was very informative and the staff were friendly and professional.

A.S - London

Meningitis B and Chickenpox Vaccinations

August 2017

Lovely care and attention from all staff. We feel very looked after – Thank you.

C.V - Leatherhead

GP Consultation

August 2018

After the iron injection, my life changed. More energy, more happy and healthy and all health issues gone.

E.N- GP Consultation

Petersfield Screen

August 2018

These are the best facilities that I have visited for my company medical. The staff and doctors are very friendly and efficient.

R.L- Bookham

GP consult

April 2018

Excellent service – thorough.  Easy to get appointments – flexible and accommodating.  All doctors lovely with the children.

Thank you

H.G - Leatherhead