What Brings People Here
Many people arrive having already been told that everything looks “normal”. Yet the fatigue, weight changes, brain fog, low motivation or loss of resilience are very real. Over time, many simply adapt to functioning below their potential. My approach is focused on understanding the bigger picture — helping patients better understand their health and regain a sense of control over how they feel.
Many people spend years adapting to feeling unwell. They are told their blood tests are “normal”, that fatigue is stress, brain fog is burnout, weight gain is ageing, or poor recovery is simply part of getting older. Over time, people stop expecting to actually feel healthy again. I believe there is almost always room to improve how you feel, function and experience life — regardless of age or where you are starting from.
Hormone Imbalances
“I was told my results were normal, but I knew something wasn’t right.”
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Low Energy & Motivation
“I thought I was just tired from life. No one looked any further.”
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Weight & Metabolic Dysfunction
“I was doing everything right and still couldn’t shift it.”
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Poor Recovery & Resilience
“I kept pushing through, not realising my body was struggling to keep up.”
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This programme is designed for individuals who are ready to take ownership of their health. It is designed for women across different stages of hormonal health, including:
Our Care
We treat the whole system — not isolated symptoms. Hormones, metabolism, mitochondrial function, gut health and stress physiology are assessed together, because that is how the body actually works.
Our Approach
Every protocol begins with a thorough investigation. We use advanced diagnostics to understand what is actually happening — not just what falls outside a standard reference range. No generic plans. No guesswork.
About Us
This work is driven by genuine curiosity and a commitment to continuous learning. Medicine should be dynamic — grounded in evidence, but always open to deeper understanding. Our goal is to restore function before dysfunction becomes disease.
Comprehensive Care Tailored to Your Unique Needs
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Hormone Optimisation
A personalised medical programme designed to restore hormonal balance, improve energy, mood, body composition and long-term health.
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Metabolic Health & Weight Management
This service goes beyond standard weight-loss care by taking a comprehensive view of physiology — addressing not only calorie balance, but also insulin resistance, appetite regulation, hormonal influences, mitochondrial function, energy production, stress physiology and broader systemic factors.
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Longevity & Functional Medicine
True longevity is not just about living longer — it is about maintaining vitality, cognitive function and physical resilience as you age.
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Functional / Root-Cause Medicine
At Dr. Irina Mladenova, we focus on uncovering the underlying factors that impact your hormone balance and longevity. Instead of just treating symptoms, our approach aims to restore your body’s natural harmony, so you can feel vibrant and energized every day.
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Frequently Asked Questions
Do you accept insurance?
We operate as a private practice focused on personalised, in-depth care that goes beyond what standard insurance-covered consultations typically allow. This model gives us the time and freedom to investigate thoroughly and build truly individualised protocols. We are happy to discuss fees during a free initial consultation.
What is Functional Medicine?
Functional medicine seeks to understand and address the root cause of symptoms — not simply manage them. Rather than treating each organ system in isolation, it looks at how hormones, metabolism, gut health, inflammation and stress physiology interact, and uses that understanding to restore optimal function.
How do I get started?
The first step is a free, no-obligation consultation. This is a conversation to understand your concerns, explain how we work, and determine whether our approach is the right fit for you.
Where are you located?
We also offer remote consultations for patients who are unable to attend in person.
Can I keep my primary care physician?
Absolutely. Our work is complementary to your existing medical care. We focus on optimisation and root-cause investigation, and we are happy to collaborate with your GP or specialist to ensure a coordinated approach.
What kind of specialised testing do you do?
We use advanced diagnostics that go beyond standard blood panels — including comprehensive hormone profiles, metabolic markers, thyroid deep-dives, gut health assessments, inflammatory markers and nutrient status testing. The goal is to uncover what routine testing often misses.