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Issue 6/18 November/December 18
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Welcome to the November/December final Nutritional Supplement edition of 2018. We have another article on coaching from Faye Hall - Programme Leader for the Nutrition Coach Diploma, as well as news on how CNELM are incorporating the new GDPR regulations into working life.

We also have an interesting student contribution on Hypothalamic Amenorrhea, designed to open up further discussion for the new year, so please, as always, send me your thought on this and anything else to coriander@cnelm.co.uk 

Enjoy! 
SSM Sessions

I would like to take the opportunity to introduce myself for those new students who may not be familiar with me and my role. As Student Support Manager (SSM), I offer both formal and ad hoc sessions to all students at various points throughout the year.  

Formal SSM sessions run twice yearly and offer students a formal opportunity to provide feedback on your experience of the course, which is then anonymously analysed and reported back to CNELM in order to enhance services to students.

Aspects of your studies covered in formal sessions include:- 
-    Gauging whether you are on track with your study programme
-    If you generally are happy with the level of feedback received for assessments 
-    If teaching and administrative staff are accessible and supportive 
-    If the learning resources are accessible and suitable to your needs 

The focus of the formal sessions is therefore mainly academic.

Ad hoc sessions run monthly throughout the year and provide confidential pastoral support. They serve to offer students additional pastoral support for those of you experiencing extenuating issues impacting on your studies in some way – this might be personal/family reasons, health issues, financial worries or anything else which you need emotional support with.. 

Both formal and ad hoc sessions also cover guidance for students with known or self-suspected Learning Needs or other disabilities.

A Zoom meeting will be set up for both formal and ad hoc sessions, which last for 15-30 minutes. If further time is required then this can be arranged via a separate session. 

Here is the link for participation in the next SSM formal feedback sessions for an opportunity to feedback on your experience of being a student at CNELM, which will run from 3rd-7th December. This poll is ONLY for the formal sessions; if you require an ad hoc pastoral appointment with me at another time, please email me directly at coriander@cnelm.co.uk.

The next ad hoc opportunity will take place on the following date:-

•    13th November 

In order to book an ad hoc pastoral appointment with me on this date, please email me directly at coriander@cnelm.co.uk.
Please ONLY use the Doodle poll for the formal sessions. Further dates for 2019 will be sent out in January.

You are of course welcome to email me directly with any queries, for example if you need to speak to me on any different date. 
Coaching Opportunity


Faye Hall, Nutritional Therapist, NLP Coach, Head of Coaching CNELM:
You may have noticed the rise in popularity of incorporating a coaching approach in the Nutritional Therapy process and the development of new professional roles for health and nutrition coaches across the industry.  

For those of you who have completed a BSc in Nutritional Therapy or have more recently completed our Nutritional Therapy Practice Diploma you will know that coaching training is a fundamental part of CNELM's philosophy, strategy and training. 

So, we are very pleased to be able to offer you an opportunity to obtain a coaching qualification to add to your CV and enable you to become eligible to apply for membership of the Association for Coaching. 

The new Diploma in Business & Life Coaching course is available at CNELM on 3/4 November 2018 to qualified NLP practitioners only. Completing this course provides the opportunity to build on your NLP Practitioner Certificate and gain a further insight into using coaching models that can be used for lifestyle management coaching, business or corporate consulting. 

This is available to any student, graduate or external student who has completed and NLP Practitioner Certification. If you have a recognised NLP Practitioner certificate you can apply for this course. 

If you wish to book your place, follow the link below and complete this google form

COURSE DETAILS: 
Diploma in Business & Life Coaching. (Recognised by the Association For Coaching)

The course will be run at CNELM on Saturday 3 and Sunday 4 November 2018 at a cost of £450 for the training and assessment process (please note registration to become a professional member and ongoing annual membership with the Association for Coaching will be an additional cost). The course will be delivered and assessed by Tony Nutley from UKCPD

Workshop Content Overview:
Day One:
 
An Overview of Coaching: A Brief History & Current Developments. 
The Coaching Process 
Core Coaching Competencies (AC & ICF)
The Structure of the Coaching Conversation
Practical Use of the Coaching Wheel
Coaching Models 
WHAT
GROW
SUCCESS
APROCESS 
SMART
Seven-Step NLP Coaching Model
AND MORE

Delegates will explore each of these models and run coaching sessions using each and reflect on the benefits and or drawbacks of each. 

Day Two:
NLP: Its Place in the Coaching Industry 
Applied NLP Models In Coaching 
Disney
Logical Levels 
Meta Programmes
Coaching v Mentoring
Life Coaching / Corporate Coaching
Contracts 
Supervision / CPD
Professional Memberships 

The requirements of the qualification assignments will be fully explained and templates for recording coaching sessions will also be supplied.    

This is a professional qualification with the UK’s leading coaching professional body. To gain this diploma and add a coaching qualification to your C.V. you will need to:

Attend our APL NLP Coaching Weekend on 3/4 Nov
Complete 20 hours of documented coaching
A 2000 word reflective essay on the 20 coaching hours. (template provided)

We have limited places for this course!

If you are interested in attending a course and cannot make these dates please register you interest for future courses by email to me faye@cnelm.co.uk 

If you are interested but feel you would like to refresh you basic coaching skills you can apply to us to attend part of the NLP Practitioner course prior to attendance.
Exam Dates

Please note the upcoming exam dates as follows:

Tuesday 27th November 10.30am, Applied Physiology Level 4  

Thursday 29th November 10.30am, Nutraceuticals & Pharmaceuticals Level 5 

 
Case Discussions

I would welcome a selection of brief reflections on your studies, student experience, or clinic or coaching clients that you think would be helpful to other students. We would really like to develop this section of the Student Newsletter over the coming year. Please email me at coriander@cnelm.co.uk with your input. 

This edition’s case discussion comes from me as editor and was an interesting case which saw a simple protocol lead to fairly dramatic results. 

Read the case discussion here and please do send me your thoughts on this case study for discussion in the next edition at coriander@cnelm.co.uk 
Nutrition as a Career

We welcomed a new cohort of students in September, who are hopefully settling in now and finding their feet again – perhaps after a long break from formal study or perhaps fresh off the back of a prior degree programme. 

We are interested to know for all; what inspired you to study nutrition? Have you always been interested and involved in it, or is it a complete career change?

It would be great to have some input from all students – new or old – to share your stories with each other.
Please email me at coriander@cnelm.co.uk with your personal story about how you came to follow the nutrition career path. 
 
Your Contributions
Libby Porush (BSc NS student) opens this discussion on Hypothalamic Amenorrhea (HA) and presents some facts as well as consideration for clinical interventions. Any student who has views to share on this topic or the practitioners among our students and staff with clinical or other experience of HA would be welcome. 

"This hormonal disorder was brought to my attention recently, when someone I know well shared her story with me following the diagnosis of HA three years after her periods had stopped. She had recovered from anorexia ten years earlier, and had since married and had a child, but her sister being diagnosed with cancer led to a recurrence of her unhealthy eating habits as a coping mechanism, and only when she resumed a healthy eating pattern did she start menstruating regularly after this 3 year period.  

HA:
  • Whilst several years ago this disorder was fairly unknown, doctors are starting to diagnose HA more accurately and regularly. It is often misdiagnosed as PCOS (as both conditions present with irregular periods and cysts on the ovaries).
  • When a patient reports amenorrhea for a period of 3 months or more, they will run blood tests (characterised by low FSH, LH and oestrogen levels). This usually prompts a request for an MRI, to rule out the possibility of a tumour on the pituitary gland causing the abnormalities. Progesterone pills will also fail to induce a withdrawal bleed in patients with HA.
  • It is hypothesised that the cause of the hormonal imbalance is strain on the body, causing the hypothalamus to shut down in an attempt to preserve energy and nutrients for the 'fight/flight' response. Patients presenting with the disorder will usually be under unusual emotional stress, undereating and/or over exercising.
  • Once a diagnosis is reached, the contraceptive Pill is commonly prescribed in order to protect bone density, as low oestrogen can lead to ongoing bone loss. This places patients at higher risks of developing osteoporosis. However, this is not a long-term solution and does not take into account the further implications of an imbalanced hormone profile, besides for fertility.
  • Usually, a reduction in exercise, increase of calorific intake and the implementation of healthy stress management techniques will bring about the reappearance of menstruation in patients. However, a percentage will need to be treated for infertility with HRT.
As a nutritional science student this condition was especially fascinating to me, as it brings to light many of the intervention techniques we learn on the BSc, such as:
  • Implementation of the Functional Medicine model and considering the impact of the client's emotional stressors besides the physical aspects
  • Bearing in mind how lack of menstruation may affect other systems in the body besides fertility or bone density: there will likely be a negative impact on defence and communication, reproduction and stress hormones.
  • Considering an NLP practitioner to employ techniques to help those with eating disorders to redesign the negative thought patterns and prioritise their health rather than body image and control.
  • Ensuring the increased calorie intake encompasses a wide range of nutrients, specifically omega-3s and other micronutrients associated with fertility and hormone health. Low levels of GnRH prevent adequate levels of FSH, LH, and oestrogen in HA, which leads to a halt in ovulation and menstruation.
  • Bearing in mind lifestyle strategies to support the parasympathetic nervous system and HPA axis balance. 
Further reading:
  1. https://www.uptodate.com/contents/functional-hypothalamic-amenorrhea-evaluation-and-management
  2. https://endocrinenews.endocrine.org/no-easy-answers-new-hypothalamic-amenorrhea-treatment-guidelines/
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4207953/

Helen Halliday, 2016 Graduate PG Dip + NTPD:
“3 weeks ago I had the pleasure of attending the AFMCP (Applying Functional Medicine in Clinical Practice) 5 day course. I had deliberated for many months whether I should invest the time and money to do this as I had learnt the Functional Medicine Model during my training at CNELM and had been using it in my clinical practice. However, I was beginning to speak with more people who had attended it previously who were raving about it and after 2 years in practice I was beginning to see more complex cases and felt it was time to expand my knowledge. 

The 5 day course was hosted by Clinical Education in London with various representatives from IFM presenting in different subjects. The lectures explored each of the 7 core clinical imbalances and discussed the key factors that can underlie dysfunction, the role each one may play in chronic diseases and options for nutrition and lifestyle interventions to address imbalances. Throughout, the emphasis was on personalisation through the use of the Functional Medicine model and using the tools to gather, organise, initiate and track plans. Outside of lectures there was the opportunity and plenty of time to chat to test labs, supplement companies and network with other nutritionists, GP’s and a wide range of other medical practitioners.

So what did I gain?
At a basic level it refreshed my knowledge and gave me the self-belief in myself as a practitioner along with the confidence to take time and dig deeper in searching for the root cause in complex cases that I see in clinic. When you’re busy seeing clients it can be easy to overlook seemingly small parts in their health history that are hugely significant and stepping back for 5 days and working through case studies reminded me of the importance and benefit to take more time to truly understanding the root cause of what may be driving my clients illness or symptoms. It has also extended my knowledge and understanding into the different health areas and I feel more equipped on the range of interventions available to choose from backed by new research. Three weeks later I am already making changes in my practice through the use of new paperwork and tools, I have started using lab tests I had not previously considered, I have switched some current client’s protocols and I have a new network of professionals to cross share information with.

I am most certain that I made the right choice and look forward to furthering my knowledge in this area over the coming years.”

If anyone has been to any conferences it would be great to share your experiences here – please email me at coriander@cnelm.co.uk 

Faye Hall

BSc Nutritional Therapy
Faye graduated in 2012 with a BSc and again in 2016 from the cPNI course. She is the coaching course Module Leader for Advanced Coaching, Programme Leader for the Nutrition Coach Diploma Course, and Professional Mentor at CNELM and also runs her own clinic. 

Read her story here...
Student Resources


This article from Clinical Education discusses the mechanisms by which probiotics can affect mood by modulating inflammatory cytokines 

This interesting article delves deeper into why a calorie differs from one person to the next. 


Ketosis & Cognitive Decline
New research into the effects of the ketogenic diet suggest it may help reduce cognitive decline, with the results indicating that ketogenic-type diets can protect neurovascular and metabolic function. The first study in mice showed that those that became ketogenic through diet had improved blood flow to the brain and better bacterial balance in the gut, as well as lower blood glucose, lower body weight and increased clearance of beta-amyloid protein in the brain. The researchers hypothesise that the reasons for these results in the inhibition of the nutrient sensor mTOR. The second study suggested that caloric restriction improved neurovascular and metabolic functioning in ageing mice

Mediterranean Diet & Breast Cancer

Recent research suggests that the Mediterranean diet may influence microbial communities in breast tissue to influence a cancerous environment. The participant Macaque monkeys fed a Mediterranean diet showed 10 times the level of Lactobacillus in their breast tissue as that measured in those that ate the Western diet - breast cancer tumours have been shown to contain lower levels of Lactobacillus bacteria species compared with non-cancerous growths. The monkeys also had other markers consistent with a lower risk of breast cancers, which researchers say warrants further investigation into the effects of diet on microbial communities in areas other than the gut.

Diet & Weight in Response to Bipolar Treatment

New research suggests that diet and a healthy weight may improve the efficacy of treatments for bipolar and other mood disorders, particularly the depressive episodes of the disorders. Participants who were a healthy weight or who ate a healthy anti-inflammatory diet with abundant phytonutrients showed a better response to nutraceuticals such as NAC, which targets inflammation, than those who ate a high amount of refined starches and alcohol. The researchers note it is necessary to see the work replicated in a larger study as the findings were not the main result that they were testing.

Omega-3 & Anxiety

A recent meta-analysis suggests that omega-3 supplementation may decrease symptoms of anxiety. The analysis studied 19 trials with a total of 1,203 participants and noted a significant reduction in anxiety in the groups treated with omega-3's compared with the placebo groups. The combined effect of all the data was significantly significant, particularly in people with clinical diagnoses. The authors conclude that the small sample size is a limitation and that further research in this area is needed.
"Paleo" Banana Bread
Please email me your favourite recipes to coriander@cnelm.co.uk and how you came to find them!

Ingredients:
350g over-ripe bananas
50g chopped or ground almonds
50g chopped walnuts
180g buckwheat flour
2 eggs, beaten
170g maple syrup
3 tablespoons of ground flax seeds
1 tablespoon of cinnamon
1 tsp mixed all spice
2½ tsp baking powder
4 tbsp melted butter or coconut oil, slightly cooled
1 tsp salt

Method:
Start by pre-heating the oven to 160C. Then blend the almonds in a food processor so that they form a flour. Remove the flour and add it to a mixing bowl with the buckwheat flour, salt, seeds, all spice, baking powder and cinnamon, mixing them all together.
Next mash the bananas together until smooth before stirring them into the bread mix, at this point the mixture should be really nice and sticky.
Put the maple syrup, eggs and melted butter or oil in a large bowl and use an electric mixer to whisk them until pale and slightly increased in volume. Fold in the bananas and the dry ingredients until you can see no more flour, then fold in the walnuts.
Grease a loaf tin with then pour in the mix and allow it to bake for about an hour.
All times are UK time unless specified.

CNELM Events: 
  • 3-4th November, 'Diploma in Business and Life Coaching': Due to popular demand, we will be running this course again. This 2-day course is delivered in collaboration with Tony Nutley from UKCPD. It provides the opportunity to further broaden your approach to coaching with NLP and, on successful completion of the course and assessment, provides the opportunity to register with the professional body, 'Association for Coaching'. Look out for an email, coming soon, with further information and the opportunity to register on this course.
  • 7th November, Deb Archibald, Product Industry Day: 
10.00 – 10.45    Igennus    Maxine Shiels    Igennus nutritionist Maxine Sheils will provide a brief overview of the clinical implications of magnesium deficiency, and how to ensure clinically effective dosing and supplementation.
10:45 – 11:30    Optibac     Christina Georgellou     Probiotics in clinical practice and beyond: As the world of the microbiome and probiotic supplementation is ever growing, one of OptiBac Probiotics experts, puts their cards on the table to discuss what’s what when it comes to recommending the most effective probiotic for the variety of symptoms you might see in clinic.
11:30 – 11.45    Break
11:45 – 12:30    Invivo Clinical     Debbie Cotton    Invivo Clinical have a number of exciting new product developments in the pipeline and will be discussing these ‘hot off the press’. In this session they discuss “Innovations to support Ecology”
12:30 – 13:15    Cytoplan    Helen Drake    Helen Drake will discuss Cytoplan’s Brain Health Programme, supported by the latest research, and in particular supplements to support cognitive health
13:15 – 14:00    Lunch
14:00 – 14:45    Biocare    (Chris Newbold tbc)    Chris Newbold from BioCare will outline an integrated clinical approach to health, incorporating genetics, environmental factors and systems biology, using the latest case studies as examples and highlighting some key products that can be used as part of your clinical toolkit.
14:45 – 15:30    Solgar    Nicola McCusker    Nicola McCusker from Solgar’s Clinical Education team, will provide an introduction to Solgar and highlight the latest research on key supplements to recommend when seeing a client.
  • 21st November, Emma Stiles and Catherine Broome, Nutrition Practice now and for the future: A review of the industry and how it has changed with the advent of social media. An overview of different types of practice and client contact and a consideration of how the NT clinic will be in the future.
Non CNELM Events: 
Biocare have launched their Adaptive Health education series autumn 2018 programme, which starts in September and are free of charge. The seminars take place in England, Scotland and S. Ireland and one at CNELM. 
Please click here for more information and to book your place. 

With Biolab London:
Gut Testing and Interpretation with Mark Howard and Sue McGarrigle
  • Saturday 10th November 10am-2pm, Dublin College House, 3rd Floor, Townsend Street, D2 Dublin
Archived Recordings: Disclaimer
CNELM occasionally circulates information regarding external events which we think may be of interest to students, graduates and/or staff. Please note that CNELM is not involved in the organisation or the content of such events and circulates all such information in good faith.

We would like to gather your feedback for CPD events at CNELM. There are several upcoming events to be held at CNELM and it would be great to gather your thoughts on these events, as well as internal events such as Lab days and other events run by CNELM staff.  

Could anyone who has attended these events please email me their brief thoughts on them to coriander@cnelm.co.uk. 
CNELM circulates by email and includes in the student newsletter a range of job opportunities. Several students at CNELM already hold qualifications enabling differning scopes of practice. All students if working in the nutrition field should keep mindful of CNELM's Fitness to Practice Policy and ensure their scope of practice or work is in keeping with existing qualifications. If ever in doubt it is best to contact Kate as Head of Quality Assurance or Dave as Centre Administrator/Practice Supervisor. 

Customer Support Nutritionist Igennus – full time:
The ideal candidate will be friendly, with a natural energy and strong desire to help others and possess a strong learning mindset.
The role is based in Cambridge, UK and will be a standalone position working in a small multi-functional team.

The role:
NUTRITION SUPPORT FOR CONSUMERS & PRACTITIONERS

•    Technical support: providing product and nutrition advice to consumers and practitioners by phone and live chat
•    Customer service support: dealing with technical customer service queries
•    Management of the in-house testing service
•    Delivery of nutrition consultations via video link 
•    Coordination of webinars
•    Conducting product training with practitioners and providing follow-up support after webinars
•    Writing content
Skills profile:
•    Able to work both autonomously and as part of a team
•    Extremely proficient with technology and software
•    Confident, with excellent oral and written communication skills
•    Customer focused and adept at problem-solving
•    Strong experience in a customer-facing role
•    Experience of working in the nutrition and health industry
•    Educated to degree level
•    Knowledge and experience of nutrition coaching and functional medicine is desirable

More on this role can be found here
 
More classifieds can be found here, here and here
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