PCOS Dietitian London: Nutrition Support for PCOS

The PCOS Metabolic Reset is a 3-month programme: £750 online (or 3 monthly payments of £279), or £850 at our London clinic in Marylebone (or 3 monthly payments of £329). That covers a monthly consultation with your dietitian, personalised meal plans, the Nutrium app and unlimited email and app support between appointments. If you would rather start with a single appointment, the Personalised Clinical Review — one consultation plus a written plan — is £279 online or £329 in the clinic. Every price is listed on our packages and pricing page.

For the PCOS Metabolic Reset, yes. PCOS is diagnosed by a GP, gynaecologist or endocrinologist using the Rotterdam criteria, as refined in the 2023 international guideline: two of irregular or absent ovulation, signs of raised androgens (on examination or a blood test), and polycystic ovaries on ultrasound — or, in adults, a raised AMH blood test instead — once other causes have been ruled out. If you have symptoms but no diagnosis, see your GP and book a Personalised Clinical Review with us in the meantime. We can help with food; we cannot diagnose.

Yes. Many women with PCOS are not overweight — this is sometimes called “lean PCOS” — and insulin resistance is still common: clamp studies cited in the 2023 guideline found it in 75% of lean women with PCOS. For you, weight loss is not the goal. We work on insulin sensitivity through meal structure and muscle, on steady energy, cycle support and long-term risk, and we make sure you are not cutting out foods you do not need to cut out. Body-composition analysis shows changes in muscle and fat that the scale would miss.

There is no single best one, and anyone selling you one has not met you. The 2023 International PCOS Guideline found no evidence that any one diet composition is better than another — low-carb, Mediterranean, high-protein or otherwise. What helps consistently is a balanced pattern you can keep: protein and fibre at every meal, lower-glycaemic carbohydrates such as wholegrains, pulses, vegetables and fruit in place of refined ones, regular meals, and fewer sugary drinks and ultra-processed foods. A good PCOS diet plan is one built around your food, your culture and your week.

It can support fertility, but it does not treat infertility, and we will not pretend otherwise. Where weight is higher, even modest weight loss can help ovulation become more regular, and good nutrition before conception matters for you and for the pregnancy — including folic acid, which the NHS recommends for everyone trying to conceive (some women are advised a higher dose, so check with your GP). If you are trying for a baby, you should also be under the care of your GP, gynaecologist or fertility clinic. We work alongside them and fit the plan around any treatment.

Possibly, but not by default. The 2023 guideline says inositol could be considered as a personal choice: it carries limited harm and may improve some metabolic measures, but shows limited clinical benefit for ovulation, excess hair or weight, and no specific type or dose can yet be recommended. Evidence for vitamin D and omega-3 in PCOS is mixed, although the NHS advises everyone in the UK to consider 10 micrograms of vitamin D a day in autumn and winter. We recommend supplements only where there is a clear reason, and we check they sit safely alongside any medication you take.

Yes. Many of our PCOS patients take one or both, and nutrition works alongside them rather than instead of them. Stomach side effects from metformin are common at first, and the way you structure and time your meals can make it easier to live with. Long-term metformin can also lower vitamin B12 levels, as the 2023 guideline notes, so we look at your intake and tell you when to ask your GP about a check. We never advise starting, stopping or changing medication — those decisions stay with your GP or specialist.

Honestly, weeks for some things and months for others. Energy, cravings and how steady you feel after meals often shift within the first few weeks of a new meal structure. Cycle changes, if they come, take longer, because each cycle is a month long. Skin and hair are slowest, over many months. HbA1c reflects roughly the previous two to three months of blood glucose, which is one reason the programme runs for three. Results vary between individuals, and we do not promise any particular outcome.

Both work well. The online programme has the same consultations, meal plans, app and support, and it is what most of our UK-wide and international patients choose. The London clinic at 33 Cavendish Square, in the Harley Street medical area of Marylebone, adds in-person consultations, body-composition analysis on the Tanita MC-780U at every visit — useful when you are building muscle and the scale barely moves — and optional DNA diet and food intolerance testing. Choose whichever you will actually keep turning up to.

It does. “Dietitian” is a protected title in the UK; “nutritionist” is not, so anyone can use it. Dietitians are regulated by the HCPC and trained to work with medical conditions, blood results and medication. So if you are searching for a PCOS nutritionist in London, a registered dietitian is usually what you actually need. You can check any of our team on the HCPC register — Raquel Britzke is DT28960, listed as Raquel Britzke Tezone.

Some policies cover dietetic input, particularly for a diagnosed condition such as PCOS, and some ask for a GP or specialist referral first. We can provide an invoice with the details your insurer needs to process a claim. Cover varies a great deal between insurers and policies, so check with yours before you book — including any limit on outpatient sessions, and whether a 3-month programme fee is claimable or only individual consultations.

Yes, if it has been prescribed for you. Some women with PCOS are prescribed semaglutide or tirzepatide for weight management. We do not prescribe, supply or adjust these medicines, but we make sure you eat enough protein, keep your muscle and manage side effects. Two things to raise with your prescriber: the MHRA advises against GLP-1 medicines if you are pregnant or trying to conceive, and Mounjaro may make the oral pill less reliable in people who are overweight. If medication is central to your plan, see our GLP-1 dietitian page.