Diagnostic Consultations
Diagnostic Consultations
Diagnostic Consultations at The Health Equation focus on clinical interpretation and physiological regulation in patients whose symptoms remain unresolved despite conventional investigations or treatment. These consultations integrate multi-system assessment to identify underlying contributors and inform appropriate next steps.
When seeking medical care, conventional providers such as GPs, doctors, and medical specialists typically focus on identifying or excluding disease processes. While serious pathology is relatively uncommon, many persistent symptoms arise from disturbances in physiological regulation rather than identifiable structural disease.
At The Health Equation, Diagnostic Consultations are led by Mr Gerry Gajadharsingh DO, with over 38 years of clinical experience, and are designed to provide coherent clinical interpretation where symptoms remain unresolved despite prior investigations or treatment.
Is This Consultation Right for You?
This diagnostic consultation is designed for people who continue to experience symptoms even though previous medical tests have been normal or inconclusive.
You may find it helpful if:
- You have seen several clinicians but still lack a clear explanation
- Your symptoms involve more than one body system
- Symptoms fluctuate, overlap, or worsen with stress or fatigue
- You feel your symptoms are being managed, but not fully understood
Rather than focusing on a single diagnosis or isolated symptom, the consultation looks at how different systems in the body are working together, such as breathing, circulation, the nervous system, hormones, and stress regulation.
The aim is to provide a clear, integrated understanding of what may be contributing to your symptoms, and to outline appropriate next steps in a considered and proportionate way.
How This Differs From a Standard Appointment
- The focus is on understanding patterns, not rushing to treatment
- Time is spent making sense of your history and previous tests
- Recommendations are tailored to your situation and priorities
- Where appropriate, findings are shared with your GP or specialist
Who This Consultation Is For
This consultation is appropriate for patients who experience one or more of the following:
- Ongoing symptoms despite normal or inconclusive investigations
- Fatigue, poor recovery, or post-exertional symptoms
- Breathlessness, dysfunctional breathing, chest tightness, or air hunger
- Dizziness, anxiety, poor stress tolerance, or sleep disturbance
- Acute or chronic pain that is difficult to integrate within a single diagnosis
- Fluctuating or multi-system symptoms without a clear unifying explanation
- Symptoms influenced by stress, hormonal, metabolic, inflammatory, or autonomic factors
- Recurrent, unexplained, or overlapping symptoms
- A sense that symptoms are being managed, but not fully understood
Patients are often referred by healthcare professionals, or self-refer, seeking diagnostic clarity and clinical coherence, rather than symptom-based treatment alone.
A Comprehensive Diagnostic Approach
A Diagnostic-First, Systems-Based Approach
Diagnostic Consultations at The Health Equation are grounded in a systems-based clinical framework, with particular attention to how different physiological systems interact. The approach includes:
- Integration of clinical history, examination findings, and relevant investigations
- Consideration of cardiovascular, neurological, respiratory, endocrine, metabolic, inflammatory, and autonomic systems, as indicated by the presentation
- Attention to physiological regulation, including breathing patterns, autonomic balance, and stress response
- Clinical interpretation rather than protocol-driven treatment
- Collaboration with existing medical care and specialist input where appropriate
The focus is on identifying dominant system contributors and patterns of dysregulation, rather than isolated findings or symptom labels.
We integrate clinical history, examination, and targeted investigations, with particular attention to cardiovascular, respiratory, neurological, neuromusculoskeletal (NMSK), endocrine, and autonomic systems, to understand the underlying patterns contributing to persistent symptoms.
Discover Diagnostic Consultations that unite complementary & conventional medicine to evaluate your whole health—body and mind.
Please click the image above to download our Diagnostics & Treatment brochure.
The Complex Patient An Integrated Approach
Click Article to read in Full
For further information on Gerry explaining his functional approach to Osteopathic Medicine, please click the link below
Reoccurring chest infections were putting a real damper on my training, with over six infections in one year that usually lasted 2 to 3 weeks; with one bout lasting two months during some of my busiest cycling events. Conventional medical routes had me on antibiotics, steroid inhalers and rest; this was not a prescription that fitted in with the demands of my sport.
As a sponsored athlete training for the UCI World Masters, the added pressure of delivering results was always in the back of my mind. I was conscious of every day missed in training, during the 6 months of peak training; clocking up to 800 miles of intense sessions on the bike was fairly normal. This, on top of a physical day job, placed a huge stress on my body and consuming enough calories always seemed to be a large chore. Advice from my previous coach was to take on both a post training protein recovery drink and a nighttime protein drink, along with a supplement of iron and colostrum.
With a trust in the integrated medicine practiced at The Health Equation and safe in the knowledge that, as an elite sportsman himself, Gerry Gajadharsingh would offer a solution that would fit in with my goals for the season. After an in-depth consultation on both training goals, health issues and a review of my food diary, Gerry offered a number of options including some laboratory investigations.
As an athlete, keeping control of the factors affecting training and performance are paramount and form part of a strict training regime, where marginal differences make a huge impact on results. Being able to discuss the tests and options for change were a liberating approach from the usual prescriptive GP advise and limited physiological knowledge on the coaching front; where advice generally follows current trends in sports nutrition, and at my level of competition are not based on sound evidence.
Blood samples and Capnometry (breathing evaluation, ETCO2, breathing rate and Heart Rate Variability) were completed in the clinic with a comprehensive adrenal stress saliva test (cortisol and DHEA hormones) and an optional stool test done at home. The results offered a platform from which to make changes with sound physiological decisions underpinning the reason for change. From my point of view, this suited my desire to understand the physiological impact of the changes being made and how they would fit into my regimented daily routine.
The keys changes made, which had the most impact on my sports performance, were a change in breathing patterns. When tested by ET, CO2 levels were quite low, the knock on effect of how oxygen is taken up in the muscles was fairly significant. Easy to follow breathing exercises brought my CO2 levels back to normal, thus increasing O2 utilisation, and I was able to extend my maximal effort outputs for longer.
Changing from a grazing style eating pattern allowed me to consume more food, much to the entertainment of my male teammates who I currently eat under the table. My energy levels have doubled and my regular “hitting the wall” or “feeling the knock” on the bike have abated to the point where I can do my easy 3-hour rides just on water, and my legs don’t suddenly give up on me.
I have not had a protein recovery drink for a year and have no noticeable decrease in recovery times, and my kidneys are thankful for not having to breakdown excess protein. The quality of carbohydrates and variety of protein, recommended by Gerry, have ensured my recovery times have improved and energy levels have a more consistent output.
All I was hoping for from my consultation with Gerry was to avoid regular chest infections, which I have not had since my consultation and have not missed a single day of training. What I wasn’t expecting to have was; increased energy levels, a more balance eating routine, which fitted so easily into my training regime; and lest of all, an in-depth understanding of the physiological impact my poor habits were having on my internal organs, especially those responsible for energy production in the body.
My year ended on a high with two cups from the World Masters and a new sponsor for 2011.Peta McSharry is a sponsored masters cyclist, updates are available on her blog http://racingwoman.wordpress.com
Diagnostic Consultations
New Patient Diagnostic Consultation
All new patients attending the London clinic are required to book a Diagnostic Consultation (60 minutes) with Mr Gerry Gajadharsingh DO.
Many patients presenting for diagnostic consultation have already consulted multiple practitioners and arrive with complex or persistent clinical presentations.
The consultation includes a comprehensive written clinical report, provided within two working days. A clear, structured report outlining clinical impressions and recommendations, shared with the patient and, where appropriate, with the referring clinician to support continuity of care.
Depending on the complexity of the case, there may or may not be time for treatment during this initial appointment. The primary focus of this session is diagnostic assessment and clinical interpretation.
Marlborough Clinic – Simple Musculoskeletal Problems
At the Marlborough practice, alongside the New Patient Diagnostic Consultation for complex presentations, we also offer a shorter New Patient Consultation (45 minutes) for patients presenting with simple or discrete musculoskeletal (MSK) problems.
This consultation:
- Is offered at a reduced cost compared with the full Diagnostic Consultation
- Does not include a written clinical report
Suitability for this appointment type is based on the nature and complexity of the presenting problem.
Treatment & Management Pathways After Consultation
Recommendations following assessment depend on the complexity and clinical nature of the case.
- Simple clinical problems
Follow-up treatment may be provided directly by Gerry. - More complex presentations
Management pathways are tailored to the individual and may include:- Ongoing treatment with Gerry
- Referral to relevant medical specialists
- A combined or staged approach
In determining next steps, consideration is given to clinical appropriateness, patient preferences, available resources, and the level of care required.
Diagnostic Consultations – Why Investigations Matter
When Tests Are Normal but Symptoms Persist
Modern medical care is highly effective at identifying structural disease and serious pathology. However, when investigations are normal and symptoms persist, patients may be left without a clear explanation for their experience. This situation often reflects the way care is organised, with assessment and management divided by organ system, rather than an absence of a clinical basis for symptoms.
Many persistent symptoms arise from disturbances in physiological regulation rather than identifiable disease. Conventional investigations typically assess individual parameters at a single point in time, which can limit their ability to capture dynamic processes such as autonomic balance, respiratory control, endocrine signalling, inflammatory activity, and stress physiology. These systems interact continuously and shape how the body responds to physical, psychological, and environmental demands.
When regulatory systems are under sustained strain or poorly coordinated, genuine and often distressing symptoms can develop despite the absence of structural pathology on imaging or routine blood tests. Understanding these functional patterns allows symptoms to be placed within a coherent physiological framework, helping to explain why they persist and how multiple systems may be contributing to the overall presentation.
At The Health Equation, we believe that any diagnostic test is only as valuable as the clinician requesting and interpreting it.
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Test results must always be considered in the context of the patient’s history and clinical examination.
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Many patients request laboratory testing (blood, urine and stool), such as hormonal and food intolerance tests. These are available through our clinic, but only when clinically appropriate.
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Before any testing, patients attend a comprehensive consultation where a full case history and examination are carried out. This ensures that any investigation is relevant and meaningful to their individual health concerns.
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Diagnostic tests play an important role in guiding patient care. They can:
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Exclude or confirm suspected disease processes
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Support management and treatment strategies tailored to the patient
While clinical testing can sometimes be costly, when results are interpreted by an experienced clinician, they provide invaluable insights that can accelerate the healing process and improve long-term outcomes.
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✅ This approach avoids unnecessary testing and ensures that every diagnostic investigation provides actionable insights into the patient’s health.
Gerry embodies what science tells us about the very best clinicians…he is professional, he is empathetic, he is patient, he is experienced, he is knowledgeable and up to date, he is conscientious and persistent, he takes your input seriously and works with you…he is forthright and honest
He holds my highest recommendation for the very best practice that you can completely trust and know you have seen the very best.
Gerry’s approach, to connect the physical and emotional self, was extraordinarily powerful. He helped me appreciate that change would require patience and commitment. But his skill was the catalyst. At every step, I had clarity on the what and the why. And I trusted Gerry implicitly with the how. Years later, the experience remains profound, and the impact lifelong.
I have been a patient of Gerry’s for several years for a variety of health issues. On each occasion I have been impressed with his thorough grasp and holistic understanding of the particular issue I am describing. He has an amazing ability to get to the cause of any problem together with an in depth knowledge of strategies, both complementary and conventional to tackle these. The results have been staggering. I have no hesitation in highly recommending Gerry to anyone wishing to get to the heart of any health issue they may have.
My family and I have been patients of Mr. Gajadharsingh for 20+ years. He has outstanding diagnostic abilities, and successfully integrates conventional approaches and knowledge with a holistic osteopathic philosophy. His ability to see beyond the obvious physical symptoms, his knowledge of complementary issues such as nutrition and breathing; and their impact on the body, his up to date medical knowledge, as well as his ability to think laterally, make him a sensitive, responsive and extremely effective practitioner. I know that when I leave his consulting room, I will feel far better than when I entered it, and that his treatments will provide lasting benefits. His high level of medical care is an essential part of our health maintenance.
Gerry is an excellent opinion as a complementary medical practitioner and my patients speak very highly of his service. He achieves results in those with very complex and challenging symptoms.