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Acne Nutritionist London & Online
Private, Bespoke Skin Support
Acne is rarely just a skin concern. In many of the clients I work with, it reflects deeper imbalances in hormones, metabolism, gut health or inflammation.
You can have an excellent skincare routine — and still experience persistent breakouts.
As a London Nutritionist, I offer a private, highly personalised approach to acne, focused on identifying and addressing the internal drivers affecting your skin.
Consultations are available from my private clinic in Marylebone, Central London, conveniently located for clients in Marylebone, Harley Street and the wider Central London area, as well as discreetly online.
Why Clients Choose to Work With Me
- Clinical, root-cause approach — I look beyond surface symptoms to understand what is driving your acne internally.
- Highly personalised support — no generic plans; every recommendation is tailored to your physiology, lifestyle and goals.
- Experience with complex cases — many clients come to me after trying multiple treatments without lasting results.
- Whole-body perspective — I consider hormones, digestion, metabolism, stress and lifestyle together, not in isolation.
- Private, discreet service — consultations are designed to be calm, confidential and tailored to your needs.
- Focus on long-term results — the aim is not quick fixes, but sustainable improvements in both skin and overall health.
A More Refined Approach to Acne
Most acne advice is generic. Your physiology is not.
Rather than applying one-size-fits-all protocols, I work with you to understand:
- Why your acne is presenting in your specific pattern
- What internal systems may be under strain
- Which interventions are most relevant for your body
This is not about eliminating everything or following rigid plans. It is about precision, clarity and sustainable results.
You can explore more insights on skin-focused nutrition within my skin health nutrition hub.
What We Address — The Root Causes of Acne
Hormonal Patterns
Breakouts around the jawline, chin or lower face often reflect hormonal shifts.
This may be relevant if you experience:
- Cyclical acne before your period
- Irregular cycles
- Symptoms associated with PCOS or perimenopause
Explore further via my hormone-focused nutrition support.
Blood Sugar & Metabolic Stability
Even subtle fluctuations in blood sugar can influence oil production, inflammatory pathways and hormonal signalling.
This is one of the most overlooked drivers of persistent acne.
For those managing more complex metabolic conditions, such as blood sugar dysregulation, you can also explore my type 1 diabetes nutrition support.
Gut Health & the Microbiome
Digestive health and skin are closely connected.
If you experience bloating, IBS-type symptoms or food sensitivities, these may be contributing to your skin.
Learn more on my gut health nutrition page.
Inflammatory Load
Chronic low-grade inflammation — driven by diet, stress or lifestyle — can amplify acne severity and slow skin recovery.
Nutrient Status
Skin repair relies on adequate levels of zinc, omega-3 fatty acids, antioxidants and key vitamins involved in skin turnover.
Deficiencies can impair the skin’s ability to heal efficiently.
Who This Is Designed For
- Those who have tried multiple treatments without lasting success
- Individuals experiencing hormonal or adult acne
- Clients noticing patterns linked to stress, travel or lifestyle
- Those seeking a private, tailored and clinically informed approach
For broader support, explore my skin nutrition services.
What It’s Like to Work Together
This is a one-to-one, highly personalised process designed around the needs of the individual client.
Your consultation includes:
- Detailed dietary and lifestyle analysis
- Hormonal and metabolic assessment
- Digestive health evaluation
- Identification of key contributing factors
- A tailored, realistic nutrition strategy
The focus is on clarity, not overwhelm.
Learn more on my consultation page.
Private Clinic in Marylebone & Online Consultations
- In-person consultations at my private clinic in Marylebone, Central London
- Online consultations for UK and international clients
This Central London location is convenient for private clients seeking a discreet, premium consultation experience near Marylebone and Harley Street.
Online sessions are equally personalised, discreet and efficient.
You can also work with me via my online nutritionist service.
Acne Nutritionist vs Dermatologist vs GP — A More Considered Perspective
Many clients I see have already consulted multiple professionals. Each plays a different role.
If you would like a more detailed breakdown, you can read my full comparison on nutritionist vs dietitian in the UK.
GP — First-Line Medical Support
A GP can provide initial assessment, prescriptions and referrals. However, consultations are often brief and may not explore deeper contributing factors.
Dermatologist — Specialist Skin Treatment
Dermatologists diagnose and treat skin conditions, particularly in more severe or scarring cases. Their focus is primarily on symptom management.
Acne Nutritionist — Root-Cause Focus
I focus on internal contributors including hormones, blood sugar regulation, gut health, inflammation, nutrient status and lifestyle factors.
This approach is particularly valuable for persistent or adult acne.
As a skin-focused nutritionist, I look at the full picture.
The Most Effective Approach
In many cases, combining dermatological care with nutrition support provides the most effective results.
My Position
I complement medical care by addressing underlying drivers and supporting long-term skin health.
Timeline — What to Expect
- 4–6 weeks: reduced inflammation and fewer breakouts
- 6–12 weeks: clearer, more stable skin
- 3+ months: sustained improvement
The goal is lasting change, not quick fixes.
When This Level of Support Is Most Valuable
- Persistent or worsening acne
- Suspected hormonal imbalance
- Digestive symptoms alongside skin issues
- Previous treatments have not worked
For complex cases, a holistic nutrition approach may be beneficial.
Book a Private Consultation
If you are ready to take a more structured, personalised approach to your skin, private consultations are available in Marylebone and online.
This is a one-to-one service for private clients seeking clarity, precision and long-term results.
Book your private consultation
Frequently Asked Questions
Can nutrition really improve acne?
In many cases, yes. Addressing internal factors such as hormones, blood sugar and gut health can significantly influence skin.
Will I need to follow a strict diet?
No. The approach is personalised and designed to be realistic and sustainable.
Do online consultations work as well?
Yes. Many clients achieve excellent outcomes through online consultations.
Is acne always caused by diet?
No. Acne is multi-factorial, but nutrition is often a key contributing factor.
Should I still see a dermatologist?
If acne is severe or scarring, dermatological care may be important. Nutrition support can complement this by addressing underlying factors.
My Approach
As a Nutritionist and Nutritional Therapist, when working with patients in my London clinic and online, I take a holistic approach. Rather than suppressing the symptoms, I work on finding the root cause of your acne and restoring the balance using diet, supplements and lifestyle.
The gastrointestinal system, especially the gut, houses a significant portion of the immune system. Approximately 70% of the body’s immune cells are found in the gut-associated lymphoid tissue (GALT). This high concentration of immune cells in the gut is essential for monitoring and responding to potential threats from ingested microorganisms and antigens.
The interaction between the gut and skin is complex, involving a balance between protecting the body from harmful pathogens and tolerating beneficial substances.
Changes in this balance, such as disruptions in the gut microbiota or increased permeability of the intestinal lining, have been suggested to play a role in the development or exacerbation of skin diseases.
My 5R Approach
REMOVE
Remove allergic/intolerant foods, parasites, bad bacteria, yeast. This may include an ‘elimination diet’ to find out what foods are causing the symptoms.
REPLACE
Replace digestive secretions, such as hydrochloric acid, digestive enzymes or bile salts, that are required for proper digestion and that may be compromised by diet, drugs, diseases, ageing, and other factors.
REINOCULATE
Populate your gut with probiotics and prebiotics.
REPAIR
Help the lining of the gut repair itself by supplying the key nutrients.
REBALANCE
Address the lifestyle factors that may affect your gut function.
WORKING WITH A NUTRITIONIST
Working with a Nutritionist can transformative if you suffer from acne and facing challenges with managing your health. If you are experiencing difficulties despite your best efforts, it may be time to seek professional help. You can get assistance from your Nutritionist in developing a personalised nutrition plan, identifying nutrient deficiencies, and addressing any other underlying medical issues that might be negatively impacting your health.
Your Nutritionist can work with you to create a personalised nutrition plan tailored to your unique needs and goals. The Nutritionist can also provide recommendations on suitable supplements and offer guidance on lifestyle choices that can affect your well-being, such as ensuring adequate sleep and managing stress.
Book an appointment today if you feel like you need more assistance or direction to reach your goals.
Online consultation with a Nutritionist is available for clients who live outside the London area or who are unable to come to my London office. You can enjoy the online consultation from the comfort of your home or office and you will be given the same level of personal attention and care that you would experience coming to see the Nutritionist in person.
ABOUT MILENA KALER
Milena Kaler is a qualified Registered London Nutritionist, sports nutrition, stubborn weight loss and weight management specialist (including PCOS, Hashimoto’s Disease and hypothyroidism, as well as menopause), skin health, digestive health (such as IBS, and IBD, as well as food intolerances) nutrition specialist.
She is trained in the principles of Functional Medicine and practices from her clinic in Central London, Marylebone, as well as providing online consultations.
Milena has helped thousands of people to lose weight and keep it off. Scientific and holistic in approach Milena looks at all aspects of a client’s health. She embraces a systems-oriented approach aiming to get to the root cause of health and weight issues instead of simply focusing on the symptoms.
Milena’s expertise has been sought by royalty, celebrities, and she has been featured as a nutrition expert in reputable magazines including The Telegraph, Women’s Health, Elle, Harper’s Bazaar, GQ, Cosmopolitan, Glamour, Women’s Fitness, Peak Brain Training, and Metro.
As a full member of the British Association for Applied Nutrition and Nutritional Therapy (BANT), and the Complementary and Natural Healthcare Council (CNHC), the only register for Nutritional Therapy recognised by the government and NHS, Milena is committed to upholding their strict Code of Ethics.
Additionally, Milena is a member of The Royal Society of Medicine and The Primary Care Society for Gastroenterology (PCSG).
Milena sees patients with chronic health conditions, as well as clients looking for support to optimise their health. Some of the areas Milena can help with include: weight loss, digestive, skin, and hormonal health.
Milena sees every person as an individual with different problems and different goals. She takes time to listen to her clients’ specific concerns to develop customised nutrition and lifestyle plans, based on laboratory test results. Having overcome her own chronic health and weight loss issues, Milena really understands how it is to feel overwhelmed by poor health and can relate to her clients when they first come to see her.
CLINICS
Acne Nutrition Consultations in Central London and Online
Acne Nutritionist in Mayfair, Central London W1
South Molton Street
Mayfair
London
W1K 5SL
Acne Nutritionist in Teddington, South West London TW11
Orange Tree Clinic
23A Broad Street
Teddington
London
TW11 8QZ
An online consultation is available for clients who live outside the London area or who are unable to come to my office in Mayfair, Central London.