Booking takes two minutes of reading first. This page covers the fees, the process, and who the work suits — then choose your call time.

Working together

What to expect
from PFoley Clinic

Please read this before booking a call. It covers the fees, what the work involves, and whether this is likely to be the right fit for you. The goal is that you arrive on the call with no unanswered questions about the process.

Paul does not offer general wellness advice. He works with people who have a specific health objective — and are serious about reaching it.

Paul takes on a deliberately limited number of new clients at any one time, so that every case receives the depth of clinical attention this work requires.

A note from Paul

Entering a functional medicine process is, for many people, one of the most thorough health investigations they will ever undertake. In the initial consultation we cover your history in a level of detail and precision that few other therapeutic approaches attempt — from neonatal period and early life through to the present day. Inflection points, exposures, illnesses, antibiotics, significant stressors, the sequence of how symptoms emerged. The order of events often matters as much as the events themselves.

I have written this page so you can get a clear sense of what the journey looks like before we speak — and so you can decide whether it feels like the right next step for you. I look forward to our call: to hearing what has brought you here, and to beginning to weave together a clinical picture that could help you reach the outcomes you are looking for.

— Paul

Next steps

What happens
on the call

This call is not a mini-consultation. Paul will not give clinical opinions, interpret results, or suggest investigations during it. It is a focused conversation to establish clinical fit — before either of you commits further time. There is no obligation to proceed.

Your Clarity Call 15 MINUTES Brief Overview ~5 min ? Your Questions ~7 min Clinical Fit Assessment ~3 min
Your pathway

Where this call
fits in

From first contact to a working clinical programme — eight steps. You are at step one.

1
You Are Here
2
Clarity Call
3
Intake Forms
4
Pre-consultation
5
Initial Consult
6
Clinical Report
7
Programme
8
4–6 wk Review
Fees

Fees, stated clearly.

Consultation type
Investment
Initial Consultation
90 minutes
£400
Follow-up Appointment
45 minutes
£200

Laboratory investigations and supplements, if recommended, are costed separately and discussed before anything is ordered. There are no hidden charges.

Supplements are a key part of most treatment programmes. They are sourced privately, and full instruction is given on product, source and dose.

A typical engagement over the first 3–4 months involves the initial consultation and two to three follow-up appointments — from £1,000 in professional fees. Laboratory testing, where clinically justified, is costed separately and agreed before anything is ordered (typically £300–£1,200).

If this level of investment isn't realistic right now, The Root Cause Letter is the right place to start.

What's included

The initial consultation
in full

1
Pre-consultation preparation Your intake, timeline, and prior investigations are reviewed before the appointment. The 90 minutes is spent on reasoning and planning — not on data gathering that should have happened beforehand.
2
Systems-based case history History-taking follows a timeline approach — mapping inflection points, exposures, antibiotic use, significant stressors, and the sequence in which symptoms emerged. The order of events is often as important as the events themselves.
3
Review of existing investigations Blood work, scans, and specialist reports are reviewed and interpreted in context — not just noted as present. Patterns across multiple normal results are often clinically significant.
4
Clinical reasoning — working hypothesis The core of the consultation. Paul will walk through the working hypothesis: what the evidence suggests is happening, what alternative explanations were considered, and what would need to be confirmed or ruled out. You will understand the reasoning, not just the conclusion.
5
Transparency about uncertainty Where the evidence is unclear, Paul will say so. Where a finding could be interpreted multiple ways, that will be explained. You will not be given false certainty.
6
Targeted investigation plan Tests are recommended only where results would directly change clinical decisions. Each test is explained, costed, and agreed before anything is ordered. Broad panels ordered for completeness are not part of this practice.
7
Staged therapeutic framework A sequenced plan of three to five priorities — dietary, lifestyle, and supplement-based — calibrated to what your presentation requires and what you can realistically sustain. Not a long list. A coherent order of operations.
8
Written clinical summary Sent within 48 hours. Written in clinical language suitable to share with your GP or specialist. Includes the working hypothesis, reasoning, investigation plan, and therapeutic priorities — a document that functions as a clinical record, not a wellness summary.
9
Between-appointment communication Brief queries by secure message are included between appointments. Substantive clinical questions — results interpretation, protocol changes — are addressed at follow-up, not by message.
10
Honest scope assessment Where a presentation falls outside what functional medicine can meaningfully address, Paul will say so directly and suggest appropriate referral. Not every problem is the right problem for this approach.

Sample report

If you want to see the standard of clinical reasoning and written documentation you can expect, a sample initial consultation report is available here — drawn from a real case, anonymised.

View sample report →
Clinical fit

Who this is
right for

This is likely the right fit if —
  • You have had symptoms for months or years and conventional investigation has not found a cause
  • You have been told your results are normal, but you know something is wrong
  • You are managing a diagnosis but not improving as expected despite treatment
  • You want to understand the mechanism behind your symptoms, not only manage them
  • You are prepared to engage seriously — tracking, testing, and protocol adherence over time
  • You are looking for a clinician who will read your history in full and think independently
This is probably not the right fit if —
  • You are looking for a quick answer or a single-session resolution
  • The investment of £400 is a genuine financial barrier
  • You want confirmation of decisions you have already made, or validation of a self-diagnosis or specific protocol you have already decided on
  • You are in acute crisis or require emergency medical attention
  • You are not yet ready to make sustained changes to diet, lifestyle, or supplementation
  • You would prefer to remain within NHS pathways only

If you have recognised yourself in the list above, you are in the right place. The seriousness of this page reflects the seriousness with which your case will be treated.

Clinical outcomes

Anonymised
case examples

Case 01
Presenting
Four-year history of progressive fatigue, cognitive impairment, and recurrent infections. Multiple normal blood panels. Previous GP and immunology referral unremarkable.
Investigation
Organic acid testing and mycotoxin urine screen identified significant biotoxin exposure consistent with prior mould-affected property.
Outcome
Structured binder protocol, mould-avoidance plan, and targeted nutritional support. Significant functional improvement sustained at six-month review.
Case 02
Presenting
Eight-year history of IBS-D with secondary anxiety and disrupted sleep. Colonoscopy and coeliac screen normal. Multiple elimination diets trialled without resolution.
Investigation
Comprehensive stool analysis identified small intestinal bacterial overgrowth and a significant dysbiosis pattern with reduced short-chain fatty acid producers.
Outcome
Phased eradication and gut restoration protocol. Sustained functional improvement confirmed at twelve-month follow-up.
Case 03
Presenting
Post-viral fatigue syndrome, eighteen months duration, following acute respiratory illness. Previous GP, cardiology, and neurology workup unremarkable.
Investigation
Mitochondrial function markers, salivary cortisol mapping, and inflammatory panel identified HPA axis dysregulation and elevated oxidative stress burden.
Outcome
Phased energy restoration protocol with pacing framework. Sustained functional improvement over four months; returned to full-time work at six months.

All case examples are anonymised. Individual outcomes vary. These examples are intended to illustrate the clinical process, not to imply guaranteed results.

About Paul Foley

The
practitioner

Paul Foley is a Certified Functional Medicine Practitioner (CFMP) and Nutritional Therapist, trained at the College of Naturopathic Medicine and Functional Medicine University. He holds full membership of BANT and is registered with the CNHC.

With over 15 years of clinical practice, his work focuses exclusively on complex, unresolved presentations — cases that have not responded to conventional investigation or treatment. He works entirely online, with clients across the UK and Ireland.

Qualification
Dip. Naturopathic Nutrition
College of Naturopathic Medicine
Certification
CFMP — Certified Functional Medicine Practitioner
Functional Medicine University
Professional Body
BANT Full Member
British Association for Nutrition & Lifestyle Medicine
Regulatory Register
CNHC Registered Nutritional Therapist
Reg. No. CNHC02258
Experience
15+ years, complex presentations
Online — UK & Ireland
Common questions

Before you
ask on the call

Does the £400 consultation fee include laboratory tests or supplements?
No. The consultation fee covers Paul's clinical time only. Any investigations recommended will be discussed and costed clearly before anything is ordered. Supplements, if prescribed, are a separate cost. There are no packages or bundles — everything is itemised and agreed in advance.
Can I continue working with my GP or specialist alongside this?
Yes. Paul works alongside existing medical care, not instead of it. He routinely liaises with GPs where appropriate and will flag anything that requires urgent conventional medical attention.
What if I'm not sure this is the right approach for me?
That is exactly what the clarity call is for. Come with your questions. There is no pressure to proceed, and Paul will give you an honest assessment of whether he thinks he can help.
Step 2

Comfortable with
what's involved?

The next step is a free 15-minute clarity call — a focused conversation to establish whether this is the right fit. No obligation either way.

Choose your call time →

Not ready? The Root Cause Letter is the right place to start.