Many people experience adverse metabolic effects as a result of their prescribed drugs; patients who have received cancer treatment, antidepressants, antipsychotic medicines, diuretics, antivirals, immunosuppressants, and immunotherapy are especially at risk of this. Such patients are recommended to undergo specific testing and personalised supervision under Dr Mbagaya’s clinical expertise.

Patients planning substantial life changes and health changing medical treatments such as pregnancy, IVF treatment, or surgery may require metabolic optimisation to ensure that they are in optimal health for such changes. Similar factors are faced by patients following major surgery, chemotherapy or prolonged hospitalisation. These patients require monitoring of blood tests and support in replacement of any nutrients. This may also be relevant for patients with rapid weight loss or weight gain.

Investigation and management of metabolic conditions can be challenging to many doctors as these conditions are rare. It is not unusual for patients to have delayed diagnosis of their metabolic condition. This impacts on many patients’ quality of life. Dr Mbagaya undertakes comprehensive investigations to identify these conditions. He also treats patients with conditions such as homocystinuria, disorders of glucose and fat metabolism, unexplained hypoglycaemia, metabolic fatigue, fish odour syndrome (trimethylaminuria) and other malodour syndromes. He also has an interest in the investigation and management of metabolic effects of menopause, COVID and Long COVID.