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The Marion Gluck Clinic

WHAT TO EXPECT

We want you to feel confident that you know exactly what to expect from your experience with the Marion Gluck Clinic. Although your treatment path will be completely bespoke and as individual as you are, your patient journey with us will follow a specific route, which we’ve outlined below.

You can rest assured that we’re here with you every step of the way.

* It is recommended that you contact the clinic if you experience any adverse symptoms and book an appointment sooner with your doctor.

When you are ready to book, you can call our Patient Care Team on 020 7191 2378, email us at secretary@mariongluckclinic.com or fill in our booking form. All appointments are remote so you’ll need to specify whether you would prefer your consultation via telephone or video call. In order to secure your booking we require payment for the initial consultation over the phone. Please note availability is according to specific doctors’ diaries.

Once your appointment is booked, a confirmation email will follow. Nearer the appointment date, a reminder text and email will be sent.

What do I need to prepare for my Initial Consultation?:

  • Medical history
  • List of medications
  • Ensure the registration and informed consent for BHRT form in your appointment confirmation email has been completed beforehand.
  • If you have a pelvic ultrasound scan and/or mammogram dated within the last year, please do send them as a PDF document to secretary@mariongluckclinic.com before your Initial Consultation.

Whether you have booked a video or telephone consultation, 30 minutes prior to your Initial Consultation our Patient Care Team will call you to check you are prepared and will also ensure your doctor has any test results or documents you would like to share.

If you booked a video consultation, our Patient Care Team will share the video link with you via text and email, will check you have good WiFi signal and that your video and sound are working. At the time of your appointment you will need to join the video call using the information sent to you.

If you have booked a telephone consultation, our Patient Care Team will phone you to check you have a good signal. At the time of your appointment, your doctor will call you on the agreed phone number.

Your Initial Consultation is 45 minutes and very comprehensive. Your doctor will be there to listen to your concerns and find out how you are feeling. They will discuss your medical history, symptoms, goals, and the importance of hormone balance. They will also introduce you to BHRT and explain how it may help restore your hormone health.

During your consultation your doctor will advise on further supplementation, lifestyle changes, and will recommend any specific investigations tailored to your symptoms.

24 hours after your consultation a Patient Care Advisor will be in touch with you to book your Review Appointment. At this point you will be required to pay for any tests recommended by your doctor (see prices), and your Review Appointment. Your Patient Care Advisor will also send a copy of your personalised treatment plan, referral letter(s), information about blood tests and copies of prescriptions.

Cancellation policy: We have a 2 working day cancellation policy.

Whilst under our care, your doctor may request a number of blood tests (these will be at-home finger prick blood test(s) for your convenience) and other examinations such as a pelvic ultrasound scan and mammogram. These give your doctor a full picture of your health and hormones. One of our Patient Care Advisors will be on hand to help with these.

If your doctor has recommended you have a pelvic ultrasound scan and/or mammogram, we help organise a referral to have these carried out by one of our partner clinics.

Your doctor will want to see the results of these examinations before they prescribe you hormones, therefore, your Review Appointment may only take place after we have received all the results of your investigations. Please call us to arrange this, if you have not done so already.

Please note: Tests and examinations are charged separately to your appointment.

What do I need to prepare for the Review Appointment?:

  • Any questions you have
  • Details of changes to medications
  • Details of changes to symptoms since your initial consultation

Your Review Appointment will be over the phone or via video call (according to your preference) once the results of any blood tests and investigations are received.

During the Review Appointment, your doctor will explain to you the results of your tests and examinations, and review any issues.

Your doctor will discuss your personalised treatment plan and the options for bespoke medication tailored to your needs. They will also issue your prescription(s), which will be sent directly to Specialist Pharmacy.

Please note: If you do not see your doctor for more than 2 years, you will be treated as a new patient and will need to book an Initial Consultation.

Cancellation policy: We have a 2 working day cancellation policy.

Once your doctor has issued you a prescription, the clinic will send it through to the Specialist Pharmacy who will let you know when it is ready to order. This is normally within 24hrs. If you haven’t heard anything within this time frame, please do let us know.

It is advisable to check your copy of the prescription when contacting the Specialist Pharmacy, especially if ordering multiples or in bulk. Remember to order your medication before your prescription expires. Why would my prescription expire?

Your doctor will have issued you with enough medication to last you until your next appointment so remember to look out for the number of repeat prescriptions you have been issued.

Once you start your medication you should start feeling better soon – most of our patients feel the positive effects of their hormone treatment within a few days. However, bear in mind that it can take up to eight weeks to feel the full benefits. Therefore, within the first few weeks of treatment you may still experience your symptoms.

If symptoms persist after eight weeks we would advise booking a review with your doctor to discuss tailoring your medication, whether to increase or reduce your hormones according to your specific needs.

We would like to reassure you that side effects whilst on bioidentical hormones are rare. However, should you experience any mild sensitivity to the medication during the course of your treatment, please refer to our guide below.

If in doubt, please do contact our Patient Care Team by calling 020 7191 2378 or emailing secretary@mariongluckclinic.com

SYMPTOMS ACTION
Progesterone Only
• Breast tenderness
• Spotting
• Missed periods
• Headaches and nausea (rare)
• All other premenstrual syndrome (PMS) symptoms
For breast tenderness stop taking the medication and wait until symptoms have cleared before gradually restarting the medication.

For all other mild symptoms, continue taking the medication until symptoms have cleared.

Estrogen & Progesterone
• Bloating and fluid retention
• Breast tenderness
• Spotting or an unexpected period
• All other premenstrual syndrome symptoms
Stop taking the medication and wait until symptoms have cleared before gradually restarting the medication.
Testosterone
• Facial spots
• Greasy skin
• Hair loss (extremely rare)
Stop taking the medication and wait until symptoms have cleared before gradually restarting the medication.

For hair loss, do not restart medication and inform your doctor.

DHEA
• Facial spots
• Feeling wired or agitated
• Hair loss (extremely rare)
Stop taking the medication and wait until symptoms have cleared before gradually restarting the medication.

For hair loss, do not restart medication and inform your doctor.

In your first year of being a patient, it may be necessary for you to have a review as often as every three to six months, depending on your doctor’s recommendations. You may also have blood tests and other examinations at each of these consultations. This is because it may take a while to find the perfect hormone dose that balances your hormones and reduces your symptoms.

This appointment will take place over the phone or via video chat and enables your doctor to review your progress and make any adjustments to medication. Your doctor may advise further tests, adjust medication as required and issue repeats.

A lot can happen in your life in a year, and the same goes for your hormones. Your needs change as you age so we will need to monitor you with a 6-monthly or Annual Review to ensure your treatment is still working for you. The frequency of the reviews and appropriate screening (pelvic ultrasound scan to monitor endometrial thickness and health of the ovaries) will depend on your doctor’s recommendations for your individual needs and whether your symptoms have improved and/or stabilised.

Your review will consist of a 20-minute video or phone call with your doctor.

While our doctors will be there to help you every step of the way, please note that our doctors are unable to provide consultation advice via email. All advice must be by prearranged consultation, over the phone or via video chat. All consultations for both new and existing patients, review appointments, and annual reviews are via telephone or video.

You can rest assured that there are no emergencies with Hormone Balancing Therapy treatment, however if you do experience any unwanted symptoms or side effects please refer to our guide above (Symptoms & side effects).

For urgent queries a member of our clinical team will be on call during our opening hours. Out of office hours, please contact your primary care provider or local hospital.

 

Should you have any further questions please visit our FAQ page.

Ready to Begin Your Journey to Hormone Balance?

Start your journey back to optimal hormone health at Marion Gluck Clinic, the home of hormone balancing in the UK.


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