Sandra Ishkanes is a Functional Medicine specialist. She takes a whole-body approach to healthcare, combining nutrition, lifestyle and cutting-edge medical testing.
Find out if it’s right for you.
Please share your recent blood test results (from the last 3-6 months) with me by emailing photos of the print outs to firstname.lastname@example.org.
It is also important to know all medications and supplements that you are taking. Please have these handy during your visit so that I can evaluate them accurately and thoroughly.
You can read more about what to expect here.
Yes I do. Fitting in self care is a challenge. Telemedicine is a modern day solution that makes getting good care more convenient. No waiting at the clinic and less time away from work and family.
My practice was built to facilitate virtual consultations, and connecting with clients remotely is easy. There’s no need for fancy software on your end, as long as you're comfortable with using the internet. Functional medicine lab kits and supplements can be shipped directly to your house.
Ideally I like to have the first consultation in person, but this is not absolutely necessary. Established clients routinely follow up by phone or secure video.
Functional Medicine is an individualised, client-centered, science-based approach that empowers clients and practitioners to work together to address the underlying causes of disease and promote optimal wellness. Read more here.
I work with a wide variety of clients, some of whom are looking to optimise their health and others with specific health concerns. Some commonly addressed conditions include:
Attention Deficit Hyperactivity Disorder
Cardiovascular disorders (hypertension, high cholesterol)
Chronic Fatigue Syndrome
Depression and Anxiety
Diabetes and Pre-diabetes
Digestive Disorders (IBS, SIBO, candida overgrowth, parasites, IBD, reflux, H. Pylori)
Female Disorders (PCOS, low libido, PMS, peri/menopause)
Food Allergies and Sensitivities
Infections (acute and chronic low-grade such as Candidiasis etc.)
Insomnia and Sleep Disorders
Irritable Bowel Syndrome (IBS)
Male Disorders (hair loss, low libido)
Mercury and Heavy Metal Toxicity
Metabolic Syndrome (pre-diabetes, insulin resistance)
Migraines and Headaches
Mold and Mycotoxins
Multiple Chemical Sensitivities
Preconception, Pregnancy and Postpartum Health
Sleep Disorders (insomnia)
Skin Disorders (acne, eczema, psoriasis, vilitigo)
Stress-related Conditions and Adrenal Disorders
Weight or Metabolism Concerns
Please see details here. These fees do not include lab tests and interpretation fees.
I request standard blood tests via your GP. I also order specialised functional laboratory testing through GI Map, Doctor's Data, Great Plains, Genova, DUTCH, CYREX, Nutrition Genome and others. This includes but is not limited to comprehensive stool testing, urine organic acids, nutrient levels, food sensitivity, complete hormones, cortisol (adrenal), heavy metals, genetics, mycotoxins and environmental chemicals.
Lab costs will be discussed with you during your visit, as they will require an investment on your part. Most clients an average of £55 - £450 in advanced lab testing at their initial visit.
When you call and schedule an appointment, time is reserved especially for you and no one else, and cancellations are significant interruptions to the clinic. Thus, a minimum of 7 days notice is required for cancellations of new client visits and 3 days notice for existing clients. There will be a 100% office visit charge for “no-shows” or late cancellations.
I specialise in functional medicine and my practice does not allow me to be available at the level of acuity necessary for a primary care practice. I am your functional medicine consultant, and require that you maintain your primary care doctor (a GP) for routine screening exams such as pap smears, colonoscopies, prostate exams, etc. and for urgent situations requiring immediate care or hospitalisation. I am happy to work collaboratively with your GP and/or specialists and ask that you continue that relationship.