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Professional Cosmetic Surgery and Healthy Ageing Clinic

Mr Jeya Prakash M.S. F.R.C.S.(Ed) 94 Harley Street London W1G 7HX
020 7224 1622

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Age Management Treatment

The treatment program involves nutrition charting and advice, core training exercise, hormone modulation, nutraceuticals, stress response management and adoption of the Longevity Llifestyle.  Normally, a follow-up will be in 3-6 months to assess the effects of the treatment programme and make any changes if necessary.

The main treatment programme modules are:


Optimum Nutritional Lifestyle

The greatest threat to health today is most likely a result of what you are eating. Food while being a source of energy is also vital to your physical and mental well-being. Optimal nutrition plays a major role in improving functional fitness, prevention of certain diseases and in the general psychological and physiological well being.

A good nutritional lifestyle does not include, just purchasing one of the thousands of diet books and mindlessly following it’s recommendations. A healhy nutritional lifestyle is an act of mindfully, intentionally and consciously engaging in life through food.

Some of the simple things that can aid a healthy nutritional lifestyle are

  • Consciously making good choices about what and when you eat instead of grabbing whatever you find at the last minute or eating take-outs.
  • Buying fresh farm produce where possible. Always choosing fresh produce over  frozen wherever possible
  • Being mindful of what you are eating and not being distracted by the television, improves digestion and helps keep weight gain at bay.
  • Listen to your body and what it has to tell you about it’s needs. After some meals you might feel mentally alert and full of energy whereas after some meals you might feel more drained and drowsy. This is good indication of what suits your body. Being aware  of how you feel, is the most important step in improving your nutritional habits.

The above are some simple steps that anyone can take to work towards a healthy nutritional lifestyle. Following the results of your evaluation, you will be given a personalised nutrition programme, which will work with your existing physiological strengths and weaknesses, towards achieving Healthy Aging.

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In most cases boosting your physical activity can decrease your biological age by atleast 8 to 10 years. Exercise can negate many of the adverse effects from other risk factors such as smoking, high BP and high blood sugar. The more frequent the exercise, the higher the benefits. Exercise also improves mood and reduces impact of other health risks.

With so many benefits to regular exercising, it is essential that a portion of each day is allocated for it. As with all things it is possible to overdo, under do or not do it correctly. Following your evaluation results you will be given an individualised exercise programme, taking into account your weaknesses and disabilities if any.

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Hormonal Balance

According to Neuroendocrine theory of aging “ we age because our hormones decline. Our hormones do not decline because we age.” Hormones are chemical substances in our bodies that are released to have an effect on tissues somewhere else in the body. They act as biochemical messengers; they turn cell functions on and off. Hormones control our responses to illness by controlling our immune system, our responses to stress, our sexual development, our growth and our metabolism. When hormone levels are balanced and at optimal levels in our bodies, we are more likely to enjoy good health, provided our lifestyle choices are also healthful. Optimal hormone levels occur for most people during their twenties and thirties, and may continue for another 15-20 years with a subtle decline. Beginning in the late thirties hormone levels steadily decline; in most cases though you might not notice its effects until the early forties and in some cases until late forties or early fifties. As the hormonal communication decline the aging happens more rapidly. Any decline in the hormonal system has a negative consequences on the quality of life and longevity.   

Hormonal balance and optimisation does not result simply by taking a prescription for hormones. The greatest benefits are achieved only by following the below 3 steps :

  • The first order of priority is to balance hormones, that contribute to inflammation, pain, excessive blood clotting and other physiological conditions.
  • The next order of priority is to enhance your own natural production and secretion of hormones, and improve the sensitivity of their cellular hormone receptors. This combines a balanced nutritional lifestyle with a programme of regular exercise, stress management, with targeted nutritional supplementation.
  • If intervention at the first 2 levels fails to optimise hormones fully, only then prescription of hormone replacement is recommended.

Some of the key hormones that have a significant effect on our general well being and functional fitness are DHEA, Melatonin, Pregnenolone, Thyroid, Testosterone, Oestrogen and Progesterone. These hormone levels are used as an indication, of one’s biological age.  The levels of these hormones (with periodical checks)  are used as one of the points of references, for the evaluation of the efficacy of the treatment plan.

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Nutrition Supplementation

Micronutrients (vitamins, minerals and other agents such as anti-oxidants) are essential for life but in lesser quantities than macronutrients. Vitamins and minerals act as co-enzyms which are at teh heart of every bodily and neural function. Numerous enzyme processes are dependent on micronutrients.

The bulk of micro-nutrients must come from the food you eat. Taking nutritional supplements as though they are nutritional replacements for real food and a balanced diet is a mistake. A healthful diet is necessary, for many nutritional supplements to even provide any benefit. If you are eating an optimally nutritionally balanced diet you will be getting most of the essential vitamins, minerals and other nutrients you require for optimal health. It is however possible that you are not ingesting sufficient quantities. The government published recommended daily allowances (RDA) for vitamins and other supplements are the bare minimum required for survival. They are not enough to prevent the degenerative changes associated with aging. To acquire micro-nutrients in quantities sufficient to prevent aging related disease and dysfunction, it is likely you will need a source in addition to your food.

The recommended targeted vitamins, minerals and other supplements are Vitamin A, B1, B2, B3, B5, B6, B12, C, D3, E, K, Biotin, Choline, Folate, Inositol, (Minerals) Boron, Calcium Citrate, Chromium, copper, iodine, iron, magnesium, manganese, molybdenum, potassium asparastate, selenium, vanadium, zinc (Botanicals and neutraceuticals) Alpha lipoic acid, bilberry, carnosine, chondroitin, citrus bioflavonoids, CoQ10, garlic, Ginkgo Biloba, Glucosomine, Glutamine, Glutathione, grape seed extract, green tea extrct, Omega 3, probiotics and Turmeric. As part of the age management programme, you will be prescribed a personalised combination of vitamins and supplements at strengths to suit your needs. The contents of this individualised chart will depend on the results of your evaluation tests.

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Stress Response Management

DNA research shows that  “ stress response” has been part of life for at least 700 million years. When a threat is perceived, the endocrine system is powered up. Muscles tense, breathing and heart rate speed up, blood pressure increases and various hormones are released to produce energy such as cortisol and adrenaline. All these changes are part of the “flight or fight” response, useful for escaping predators or dealing with life-or-death situations. In most modern situations, however, where neither flight or fight responses are particularly necessary, there is no appropriate way for the release of the built-up energy after a highly stressful event. If this situation occurs often enough or chronically, it has a negative impact on overall health and well-being – reduced immune response, high BP, silent inflammation, cognitive decline, hormonal imbalances, heart attacks and strokes. Furthermore, Chronic stress promotes unhealthy lifestyles, such as drug and alcohol abuse or over eating or under activity.

Some of the conditions that will benefit from effective stress management are Anxiety, Asthma, Breast cancer, chronic pain, cononary artery disease, depression, Diabete Type I, Fibromyalgia, Head ache, hypertension, irritable bowel syndrome, multiple sclerosis and Rheumatoid arthritis. As part of the age management programme, you will be advised on ways and means of managing stress effectively along with appropriate meditation and yoga programmes to calm your mind and maintain good health.

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Longevity Lifestyle

Most pathological diseases of ageing are a result of lifestyle choices – behavioural and interactions with the environment. Fewer than 30% of aging related disease incidences are associated to inherited genetics. With this view, it is apparent how good lifestyle has a direct impact on normal and premature aging. The age management programme, is a life time commitment towards improving and maintaining your good health and quality of life. If you are willing to make this commitment, we are able to draft a Longevity lifestyle programme for you ,that encompasses a number of aspects of your everyday living, which you can work on, to achieve a higher quality of life and delayed aging. Some of the aspects of this programme are:

  • How to protect yourself from environmental, chemical substance and toxin exposure. (skin protection, detriments of tobacco usage, protection from environmental toxins, food that should be avoided, protection when travelling)
  • Measures for Health maintenance (dental hygiene, infectious disease prevention, regular screenings –dental, eye, skin examinations, mammograms, pap smears, colonoscopy, bone density examinations, prostrate screeing, FPG, Lipid profile, thyroid profile, BP, ovarian cancer screening)
  • How to address your health problems and risk factors
  • Nurturing your mind and intellect
  • Managing you time and priorities
  • Improving emotional longevity
  • Nurturing your senses

Please bear in mind that the above information is a guideline to what will be offered and is by no means an exhaustive treatment guide or a set in stone treatment schedule. Your personalised plan will be discussed with you at your consultation.

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