The event was held at the Swiss Re Centre for Global Dialogue and simultaneously online.
The televised proceedings and the slides are now available via the agenda.
With the kind permission of Swiss Re, this website pulls together the slide’s proceedings, the speaker's notes and the speaker’s links.
If you would like to make specific comment or ask questions regarding the contents of these presentations, you can easily do so by downloading this survey.
Non-communicable diseases (NCDs) kill 41 million people each year, equivalent to 74% of all deaths globally. Obesity, type-2 diabetes and metabolic ill-health disorders such as insulin resistance are significant drivers of NCDs resulting in increasing mortality and morbidity around the world.
The mitochondrial and cellular mechanisms of insulin resistance affect all cells in the body – not just fat, liver and pancreatic cells. Many intervention programs are achieving remarkable success - improving many metabolic markers and even putting type-2 diabetes into remission.
In addition, an exciting new area of research and clinical implementation for improving metabolic health is the area of metabolic psychiatry. Case studies, mechanisms, and evidence of the interplay between metabolic health and psychiatry is another important way that improving metabolic health can enhance health and wellbeing globally.
Swiss Re believes by improving metabolic health we can help prevent many chronic diseases. The Fixing Metabolic Health conference will bring together experts to share their research on the mechanisms and root causes of insulin resistance and metabolic ill-health, as well as the connection to historical and current nutritional policy. We will build on the publications and core research of Food for Thought 2023: rising to the challenge of obesity and diabetes. Understanding practically how interventions achieve success, looking at the evidence of their outcomes, and being aware of the challenges they face in changing lifestyle behaviours, especially nutrition, are important for health systems, providers and payers considering implementing such programmes.
Finally, some of the trailblazing psychiatrists and researchers focusing on metabolic health and its impact on the brain will share insights, including using metabolic health as part of their clinical interventions.
“I want to put a ding in metabolic ill-health”
Dr John Schoonbee, (Cape Town University, 1995) became Swiss Re's Global Chief Medical Officer in 2017 after 20+ years in the industry and works with a team of over 15 permanent and consultant medical doctors, focusing on underwriting, R&D and key global health topics. He initiated the Food for Thought Series a collaboration between Swiss Re and the BMJ. This is the third event where the focus is on reassessing Nutritional Science taking into account the clear link between diet and non-communicable diseases.
Life insurers benefit when policy holders live longer healthier lives. John was instrumental in creating the new granular cardiometabolic calculator in Swiss Re's Life Guide, adding lifestyle factors, in addition to guidance for diabetes remission.
Dr John Schoonbee 08:35 - What is Metabolic Health? Financial burden and impact of metabolic ill-health.
You can access the Swiss Re Life Guide Here
Learn more about John Schoonbee on LCdirectorymhm.com
Nina Teicholz is a prominent science journalist, author, and nutrition advocate known for her bestselling book The Big Fat Surprise, which challenged conventional views on dietary fat. A graduate of Stanford and Oxford, she has lectured internationally and appeared in major media outlets, including the New York Times and Wall Street Journal. Teicholz also writes the "Unsettled Science" newsletter and has published in academic journals like BMJ and PNAS Nexus. She is the founder and Board Chair of the Nutrition Coalition, a nonprofit advocating for evidence-based nutrition policies, significantly impacting the Dietary Guidelines for Americans.
The Nutrition Coalition 2025 Dietary Guidelines: https://www.nutritioncoalition.us/2025-dietary-guidelines
More about Nina Teicholz on LCdirectorymhm.com
Professor Arne Astrup, MD, DMSc, is a leading figure in nutrition and obesity research, currently serving as Senior Vice President at The Novo Nordisk Foundation in Denmark and leading the Department of Obesity and Nutritional Sciences. A past President of the World Obesity Federation, he is the founding editor-in-chief of Obesity Reviews and serves as Editor for the American Journal of Clinical Nutrition. With a Google Scholar H-index of 137 and over 88,000 citations, Astrup has supervised 42 PhD students and published extensively on the impact of diet on weight management, cardiovascular health, and metabolic disorders. His research has significantly advanced understanding of dietary interventions for obesity. Widely recognized for his expertise, Astrup has served on numerous expert panels and advisory boards focused on public health and nutrition policy.
Learn more about Arnes Astrup on LCdirectorymhm.com
Professor Benjamin Bikman Department of Cell Biology, Brigham Young University Benjamin Bikman earned his Ph.D. in Bioenergetics and was a postdoctoral fellow with the Duke-National University of Singapore in metabolic disorders. Currently, his professional focus as a scientist and professor (Brigham Young University) is to better understand the role of elevated insulin and nutrient metabolism in regulating obesity, diabetes, and dementia.
Ben Bikman is a fascinating public educator, watch out more:
What Do Vegetable Oils Do To Your Body? https://www.youtube.com/watch?v=uToFD8bS9HM
Ben not only lectures - this podcast discusses how he combined research with clinical practice:
Insulin and ketons with Ben Bikman, PhD — Diet Doctor Podcast https://www.youtube.com/watch?v=rkQxqodIADI
Learn more about Ben Bikman on LCdirectorymhm.com
Thousands of people improving metabolism and reversing diabetes across difference countries, all using a similar low carb. intervention. These interventions are growing all over the world.
Examples could easily have also been chosen from for example:
India: https://www.dlife.in/
Dlife India will be hosting a virtual conference 28-30 October with presenters from many countries - some more details below.
Register for Free: http://live.imagicahealth.com/mch2023/
YouTube live stream link: https://youtube.com/@shashiiyengar
In South Africa, there is a major initiative led by the Noakes Foundation: South Africa: https://thenoakesfoundation.org/
Wim Tilburg, Founder of Your Lifestyle as Medicine Foundation.
Having lost 37kg, ceased diabetes medication and ceased medication for bipolar symptoms, Wim now runs marathons. His foundation has 2,200 active online T2 members and groups covering on type 1 diabetes, rheumatoid arthritis, migraine, IBD, and mental health. In local communities in several Dutch cities the Foundation organizes neighbourhood-based support groups reaching out to low SES type 2 diabetes patients. The Foundation’s medical basis lies in the metabolic disfunction philosophy as developed (in the Netherlands) by Yvo Sijpkens, internist at Haaglanden hospital and medical adviser to the Foundation. The foundation contributes to scientific research and Wim has He has been invited to take part in several Dutch government advisory teams on the organization of lifestyle health care.
Learn more about Wim Tilburg on LCdirectorymhm.com
"T2 Diabetes? Just eat nutrient foods that don't put your blood sugars up" Dr David Unwin"
Dr. David Unwin, a family doctor at Norwood NHS Surgery in Southport, UK, has been caring for 9,700 patients since 1986. He is renowned for achieving drug-free remission in 129 patients with type 2 diabetes, representing a 50% remission rate for those on a low-carb diet. Dr. Unwin is an expert clinical advisor on diabetes for the UK Royal College of General Practitioners and was named their National Champion for Collaborative Care in Obesity & Diabetes in 2015. Awarded NHS Innovator of the Year in 2016, his research emphasizes lifestyle changes over drug therapy. His work, including widely recognized sugar infographics, has been featured in major media and published in top journals, with a BMJ Nutrition paper voted 'paper of the year' in 2021. His practice notably spends £68,000 less annually on diabetes drugs than expected.
Link to Dr David Unwin’s published researches: https://lcdirectorymhm.com/u#f6ed6178-79ee-44e4-addd-cac333af286d
Learn more about David Unwin on LCdirectorymhm.com
*Photo: Norwood surgery – Saving the NHS thousands Slides 2023
Adam Wolfberg, MD, MPH, is the chief medical officer at Virta Health. Previously, he was the CMO at Current Health (acquired by Best Buy) and Ovia Health (acquired by LabCorp). Before that, he worked in medical affairs at Athena Health and Ariosa Diagnostics (acquired by Roche). Adam trained in OB/GYN and maternal-fetal medicine and practices at Cambridge Hospital. Before going to medical school, he was a print journalist. He blogs at www.adamwolfberg.com and has written for magazines and websites including the Boston Globe Magazine, Slate.com, Huffington Post, and WSJ.com. His first book, Fragile Beginnings, was published by Beacon Press in 2012.
Virta Health Research: https://www.virtahealth.com/research
Virta Slides 2023: https://www.swissre.com/dam/jcr:0f845014-8502-4efb-8eff-8da2f7c4444d/2023-10-sri-adam-wolfberg-presentation.pdf
Watch the groundbreaking ‘TEDx talks’ from the Virta health founder, Dr Sarah Hallberg (in memorium)
Charlotte Summers is the Founding Chief Operations Officer (COO) at DDM Health* (and diabetes.co.uk -Europe’s largest support website for diabetics, founded in 2010). Honorary Clinical Scholar at Warwick Medical School, University of Warwick.
With a decade of experience in behavior change psychology and habit optimization, Charlotte's focus lies in creating and delivering health interventions with proven health outcomes and cost savings.
The DDM Low Carb health program is tailored to patient goals, health, ethnicity, gender and age, the NHS approved behavior change app supports patients to achieve their health goals through reducing carbohydrates.
Diabetes.co.uk https://www.diabetes.co.uk/
Members forum https://www.diabetes.co.uk/forum/
*DDM owns diabetes.co.uk and the Low Carb Program.
Emmal Coles is Co-CEO at Voeding Leeft, and a nutrition and digital health expert. Voeding Leeft is a Dutch charity that develops lifestyle treatments including an innovative program to reverse type 2 diabetes that has helped more than 4,000 people. Emma is responsible for program quality and operational excellence, digital health and finance.
Emma studied Electronic Engineering at the University of Nottingham (United Kingdom) and has an MBA from IESE Business School (Spain) and a Masters in Nutritional Therapy from the University of Worcester (United Kingdom). Emma has worked in the food industry and healthcare and is working to support individuals to regain control of their health in an obesogenic environment.
Published research: Early years interventions to improve child health and wellbeing: what works, for whom and in what circumstances? Protocol for a realist review https://pubmed.ncbi.nlm.nih.gov/26047950/
Allison Hull, DO is a practicing, dual board-certified Adult Internist and Pediatrician with Florida Medical Clinic in Tampa Bay.
As founder and co-creator of an evidence-based, clinically proven multidisciplinary wellness program, Well-Being, Dr. Hull has become nationally recognized in the field of metabolic health. Her strategic protocol, focusing on the science of behavior change, has proven effective to both prevent and reverse multiple metabolic disease states, including diabetes and Non-Alcoholic Fatty Liver Disease.
As an Associate Professor with the University of South Florida, Dr Hull conducts clinical research on carbohydrate-restriction and ketogenic nutrition as a metabolic therapy. As the creator of an award-winning corporate wellness program, Dr Hull has utilized her expertise to foster the culture of companies and the lives within them.
Most recently, Dr Hull has become the Co-Founder and Chief Medical Officer of Journeys Metabolic whose mission is to reverse metabolic disease at a population health level. Journeys Metabolic serves as an extension of the digital therapeutic door with an interoperable solution, supporting both patients and healthcare providers to prevent and improve metabolic disease states. She is a speaker, educator, and advocate with the goal of transforming patient care.
Learn more about Allison Hull on LCdirectorymhm.com
Behavior changes and sustainability of nutritional and lifestyle interventions, including mechanisms of appetite regulation.
Going Low Carb is simple, but not necessarily easy.
Check out what is happening in Poland at 47:30 minutes!
Dr. Diana Rancourt currently is an Associate Professor and Director of Clinical Training in the Psychology Department at the University of South Florida in Tampa, Florida.
Her work demonstrates the importance of hunger and satiety-specific interoception to disordered eating and the utility of a two-dimensional model of food craving to predict different eating patterns. Dr Rancourt has over 70 peer-reviewed publications and has received research support from the National Institutes of Health and DexCom, Inc.
Published Research: The role of craving in emotional and uncontrolled eating https://pubmed.ncbi.nlm.nih.gov/29253669/
Learn more about Diana Rancourt on LCdirectorymhm.com
Beth A. Zupec-Kania, RDN, CD, owner of Ketogenic Therapies LLC, has specialized in ketogenic therapies since 1991.
She is a prolific Keto author and co-author of research on keto therapy in Prader Willi syndrome, anorexia nervosa and canine epilepsy. She’s co-organized four global ketogenic symposia, trained over 300 medical centers and co-designed Keto Mastery Therapeutics, live and virtual training for medical professionals. Designer of KetoDietCalculator, consultant to The Charlie Foundation, & board member of various non-profits including Glut-1DS Foundation, International Neurologic Ketogenic Society, Keto Live Europe, Baszucki Family Foundation.
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Published Research: Optimal clinical management of children receiving dietary therapies for epilepsy: Updated recommendations of the International Ketogenic Diet Study Group
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Learn more about Beth on LCdirectorymhm.com
Barbara Kerstens is Co-CEO at Voeding Leeft, a behavioral change expert, Voeding Leeft is a Dutch charity that develops lifestyle treatments including an innovative program to reverse type 2 diabetes that has helped more than 4,000 people.
Barbara studied Organisation Science (Amsterdam, the Netherlands) after completing the Hoge Hotelschool (Maastricht, the Netherlands) and has a deep interest in people, behavior, transformation and natural leadership.
Find out more about Barbara Kerstens here: https://voedingleeft.nl/team/barbara-kerstens
Dr Mariela Glandt is an endocrinologist trained at Harvard & Columbia with 20 years+ experience in treating metabolic disease.
She is the co-founder of OwnaHealth, a virtual diabetes clinic that combines optimal medicine, nutritional science, technology and behavioral therapy in order to reverse type 2 diabetes.
She is the director of Glandt Center for Diabetes Care in Tel Aviv, a multidisciplinary clinic that uses ketogenic diets as the main tool for the treatment of diabetes. She also co-founded Eatsane (low carbs foods no artificial sweeteners), and Metabolix – a non-profit in Israel aimed at educating people to help them achieve metabolic health.
Learn more about Mariela Glandt on LCdirectorymhm.com
Dr Robert Cywes is Dual Board Certified in General Surgery and in Pediatric Surgery and specializes in Metabolic healthcare including Pediatric and Adult obesity, diabetes, insulin resistance, lipidology, metabolic brain development including Autism Spectrum Disorder, PCOS, Lipedema and other endocrine disorders.
Dr Cywes is a strong proponent of Therapeutic Carbohydrate Restriction. Dr Cywes works in a private practice alongside LowCarb specialist RD Dieticians, Certified Diabetic Educators and psychologists and psych Nurse Practitioners focused on behavioral health transformation.
Robert Cywes has been doing bariatric surgery for 18 years performing 8000 surgeries and now advocates low carbohydrate diets.
Learn more about Robert Cywes on LCdirectorymhm.com
Jan Ellison Baszucki acts as president of Baszucki Group. A former Silicon Valley fintech marketing executive, Jan is a writer, parent, mental health advocate and aspiring citizen scientist. She is the author of the national bestselling debut novel, A Small Indiscretion, which was a San Francisco Chronicle recommended book of 2015. Her essays have appeared in publications like The New York Times, The Wall Street Journal and Writer’s Digest, and her short fiction has received numerous awards, including an O. Henry Prize for her first published story.
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Nutritional ketosis, or a keto diet, could help improve symptoms of mental illnesses such as bipolar disorder, schizophrenia, depression, anxiety and more.
But please don’t start a keto diet to treat mental illness without first understanding common pitfalls and risks. A keto diet alters physiology in ways that could potentially initially worsen symptoms of mental illness. These alterations are typically short-lived but it’s important to manage them carefully, preferably under the guidance of a clinician.
What You Need to Know BEFORE Starting a KETO DIET for Mental Health - Dr Bret Scher:
https://www.youtube.com/watch?v=Hja4VURshKA
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Metabolic Mind Podcast: https://www.youtube.com/@metabolicmind
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Learn more about Jan Ellison Baszucki on LCdirectorymhm.com
Dr Christopher M. Palmer is a Harvard psychiatrist and researcher working at the interface of metabolism and mental health. He is the Director of the Department of Postgraduate and Continuing Education at McLean Hospital and an Assistant Professor of Psychiatry at Harvard Medical School.
For over 25 years, he has held administrative, educational, research, and clinical roles in psychiatry at Harvard. He has been pioneering the use of the medical ketogenic diet in the treatment of psychiatric disorders -conducting research in this area, treating patients, writing, and speaking around the world on this topic. Most recently, he has proposed a comprehensive theory of what causes mental illness, integrating existing theories and research into one unifying theory -the brain energy theory of mental illness.
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Published Research: Christopher M. Palmer.
Ketogenic diet as a metabolic treatment for mental illness
https://pubmed.ncbi.nlm.nih.gov/32773571/
Ketogenic Therapy in Serious Mental Illness: Emerging Evidence https://pubmed.ncbi.nlm.nih.gov/32573722/
Ketogenic diet for schizophrenia: clinical implications
https://pubmed.ncbi.nlm.nih.gov/31192814/
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Learn more about Christopher Palmer on LCdirectorymhm.com
Dr Shebani Sethi is a Clinical Assistant Professor in the Department of Psychiatry and Behavioral Sciences at Stanford University, where she founded the first academic Metabolic Psychiatry Clinical program in 2015. She is board-certified in Psychiatry and Obesity Medicine, with specialized expertise in adult eating disorders. Dr. Sethi completed her Psychiatry residency at Stanford and received advanced training in Obesity Medicine at Duke Medical Center. She earned her MD jointly from Duke University School of Medicine and the National University of Singapore, and holds a Master’s degree in Biotechnology from Johns Hopkins University.
She coined the term "Metabolic Psychiatry" to define the integrative study and treatment of metabolic dysfunction in relation to mental illness. Her treatment approach emphasizes the detection and management of metabolic abnormalities alongside principles of obesity medicine, nutrition, and metabolism. Dr. Sethi has received funding from the Obesity Treatment Foundation and Baszucki Brain Foundation to investigate a low-carbohydrate ketogenic diet's effectiveness in patients with bipolar disorder or schizophrenia and metabolic issues.
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Published Research: Ketogenic diet as a metabolic treatment for mental illness https://pubmed.ncbi.nlm.nih.gov/32773571/
Low carbohydrate ketogenic therapy as a metabolic treatment for binge eating and ultra processed food addictionhttps://pubmed.ncbi.nlm.nih.gov/32773576/
The Role of Ketogenic Metabolic Therapy on the Brain in Serious Mental Illness: A Review
https://pubmed.ncbi.nlm.nih.gov/36483840/
Treating binge eating and food addiction symptoms with low-carbohydrate Ketogenic diets: a case series https://pubmed.ncbi.nlm.nih.gov/32010444/
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Learn more about Shebani Sethi on LCdirectorymhm.com
Georgia Ede M.D. is a Harvard-trained psychiatrist specializing in nutrition science, brain metabolism, and mental health. She has more than two decades of clinical experience including many years as a college psychiatrist and nutrition consultant at Smith College and Harvard University Health Services, where she was the first psychiatrist to offer nutrition-based approaches as an alternative to conventional care for students, faculty and staff. Her pre-medical experience includes seven years as a research assistant at the Joslin Diabetes Center in Boston, the Institut für Diabetesforschung in Munich, and other academic laboratories in the fields of biochemistry, immunology and metabolism. Through her virtual consultation practice, she uses nutrition and metabolic interventions including paleo diets, ketogenic diets, intermittent fasting, and elimination diets to help people around the world address root causes of mental health conditions, improving their metabolic health and often reducing the need for psychiatric medications. Dr. Ede speaks internationally about dietary approaches to psychiatric disorders, nutrition science, and nutrition policy reform. She is also the creator and director of the first medically accredited course in ketogenic diets for mental health practitioners. In 2022, she co-authored the first inpatient study of the ketogenic diet for serious mental illnesses and was honored to be named a recipient of the Baszucki Brain Research Fund’s first annual Metabolic Mind Award. Her forthcoming book Change Your Diet, Change Your Mind will be published by Hachette Book Group in English-speaking markets worldwide on January 23, 2024.
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Published research: The Ketogenic Diet for Refractory Mental Illness: A Retrospective Analysis of 31 Inpatients https://pubmed.ncbi.nlm.nih.gov/35873236/
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Learn more about Georgia Ede on LCdirectorymhm.com
Dr Campbell Murdoch is a UK GP with a special interest in metabolic health, a clinical director in the NHS, and the cofounder of Preventative Healthcare Group. He has a background in quality improvement for healthcare, person-centred care, and sports and exercise medicine. He has published on low carbohydrate diets for type 2 diabetes. Campbell's main areas of interest include the development of metabolic health educational resources, alongside the delivery of behaviour change programmes within the NHS, metabolic health retreats, corporate sector, and public sector.
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Find out more about Dr Campbell Murdoch's metabolic health guide here: https://metabolichealth.guide/
Stephen Cunnane, Professor at the Faculty of Medicine and Health Sciences in University of Sherbrooke, Stephen Cunnane has a Ph. D. in physiology. Through his clinical research, he has worked for years to understand the link between nutrition, brain energy metabolism and cognitive functions during aging. Pr. Cunnane has published over 350 peer-reviewed research articles and 5 books. Pr. Cunnane was elected to the French National Academy of Medicine in 2009. In October 2017, he received the Chevreul Medal from the French Society for the Study of Lipids for his exceptional contributions in the field of omega fatty acid metabolism and the role of ketones in optimal brain function during aging.
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Learn more about Stephen Cunnane on LCdirectorymhm.com
Dr. lain Campbell is the Baszucki Research Fellow in Metabolic Psychiatry at the University of Edinburgh.
He has a PhD in Global Health from the University of Edinburgh and is a principal investigator on a pilot trial of a ketogenic diet for bipolar disorder at The Division of Psychiatry within the Centre for Clinical Brain Sciences.
He is also a co-investigator leading workstreams on 2 Wellcome Trust grants Helios-BD and Ambient-BD.
Dr. Campbell has lived experience of Bipolar Disorder Type 2 and has experienced the benefits of ketogenic metabolic therapy for over 7 years. Dr. Campbell is also a composer interested in the intersection between bipolar disorder, creativity, and music.
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Editorial: Helping global health topics go viral online https://pubmed.ncbi.nlm.nih.gov/32257176/
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Learn more about lain Campbell on LCdirectorymhm.com
Dominic D'Agostino is a tenured Associate Professor in the Department of Molecular Pharmacology and Physiology at the University of South Florida Morsani College of Medicine.
Whilst not appearing at the Swiss Re conference in 2023, he is included here because he is
is an expert on a wide range of topics related to metabolic health, ketosis, and ketogenic diets. As one of the world's foremost experts on the ketogenic diet, Dom has personally practiced some variation of ketogenic diet for over a decade, bringing a substantial amount of practical experience along with his anecdotes from human and animal research.
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Dr. Dominic D'Agostino on Developing a Well-Designed Ketogenic Diet and Harnessing Its Benefits
https://www.youtube.com/watch?v=nUoCasS4Evg
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Learn more about lain Campbell on LCdirectorymhm.com
Could a metabolic approach become a standard of care in psychiatry, and what will it take?
17:10 Panel discussion (Moderated by Debbie Smith)
Debbie Smith is Chief Medical Officer at Swiss Re (EMEA),
leading a team of doctors supporting clients in the UK, Europe, the Middle East and Africa.
Working in insurance since 1985, she left to pursue a career in medicine, returning to the fold to work with Swiss Re from 2007. She held dual roles until recently, working as an Acute Physician in the UK's largest NHS Trust before moving full time into the CMO role for EMEA. She sits on the committee of the AMUS, acts as Scientific Officer on the LUCID committee and is a member of both the ABI Critical Illness & Genetics Working Parties.
Nicole Laurent is a Licensed Mental Health Counselor with over 15 years of experience and is licensed in Washington State, USA.
A recipient of the prestigious Metabolic Mind Award, she holds a Post-Master’s Certificate in Nutrition and Integrative Health, along with specialized training in Ketogenic Metabolic Therapy.
Currently, she serves on the Clinical Advisory Boards for Metabolic Mind and Keto Live in Switzerland, shaping strategies in metabolic psychiatry on a global scale. Notably, she has launched the first-ever NBCC-certified continuing education program on Metabolic Psychiatry for Nonprescribers, available to psychologists and other allied mental health professionals in the US and Canada.
She also develops programs to support individuals in the use and maintenance of ketogenic diets as a treatment for mental illness and neurological disorders.
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Learn more about Nicole Laurent on LCdirectorymhm.com
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