Dr Richard Ralph

f you’ve been told you have fatty liver disease, you’re not alone. The good news is, in many cases, it’s reversible. The most effective treatment isn’t complicated, it’s sustainable weight loss. However, what’s changing, is how people achieve and maintain that weight loss. Alongside lifestyle changes, tools like GLP-1 medications – and importantly, strength training – can make results safer, more durable, and easier to maintain long term.

If you’re in perimenopause and finding yourself forgetting words mid-sentence, losing your train of thought or feeling like your brain is wrapped in cotton wool, you’re not imagining it. “Brain fog” is one of the most common – and most frustrating – perimenopausal symptoms. The good news is, there are clear biological reasons for it, and there are practical ways to improve it. In particular, the right kind of exercise (and, for some women, gradual weight loss) can make a meaningful difference.

Most people don’t think about bone health until they’re facing a problem, but osteopenia develops quietly, often years before symptoms appear. The good news is, you can rebuild and maintain bone strength at any age with the right approach. Let’s explore who’s most at risk and the practical steps that make the biggest impact.