Adults / RED-S
ADULTS · RED-S
Specialist nutrition support for RED-S and low energy availability
Training hard but always tired, struggling to recover or noticing changes in your menstrual cycle? These can be signs your body is not getting enough energy to support both training and everyday health.
All consultations online
Secure video, wherever you are
Online across the UK and worldwide
HCPC-registered dietitians
4.9/5 from 119 Google reviews
What is RED-S?
Relative Energy Deficiency in Sport (RED-S) happens when the energy you take in through food does not meet the demands of your training and everyday body functions. This low energy availability can affect menstrual function, bone health, metabolism, immune function, cardiovascular health, psychological wellbeing and performance.
RED-S can affect any active person, whatever their age, gender or sport. It is common but often overlooked, and if it is not addressed it can increase injury risk and affect long-term health and performance. Chronic under-fuelling is a serious athlete-health concern, not a sign of dedication.
Our specialist dietitians and practitioners support people with suspected or diagnosed RED-S through personalised, evidence-based nutrition care, delivered online. Where symptoms suggest hormonal, bone-health or other medical complications, we recommend medical assessment and work alongside your GP, sports physician and wider healthcare team.
How our RED-S support works
Recovery from RED-S usually needs ongoing monitoring rather than a single appointment.
01
Comprehensive RED-S assessment
A 60-minute online consultation with a specialist, including a RED-S risk screening assessment, followed by a personalised treatment strategy.
Training volume, intensity and recovery
Energy and nutrient intake
Menstrual or hormonal health, injury and bone history
Relationship with food and eating behaviours
02
Investigations where indicated
Where clinically indicated, we may recommend blood tests or medical investigations, or suggest you speak with your GP or sports physician.
Iron status and ferritin
Vitamin D, B12 and folate
Thyroid function and reproductive hormones
03
Your RED-S nutrition plan
An individualised strategy to restore energy availability while supporting training, recovery, hormonal health and bone health.
Fuelling before, during and after training
Meal and snack timing
Recovery and competition nutrition
Supplements where clinically indicated
04
Ongoing follow-up support
Regular online follow-ups to monitor how you are doing and adjust your plan as your health and training change.
Energy, fatigue and training tolerance
Menstrual or hormonal changes
Gut symptoms, injury and bone health
Check-in questionnaires and food diary
05
Multidisciplinary care
RED-S can affect physical and psychological health, so we work alongside or recommend referral to other professionals when needed.
Sports physicians
Sports psychologists or eating disorder specialists
Physiotherapists
Your GP
06
Relationship with food
Where food, body image or fear of fuelling are part of the picture, our practitioners with eating disorder expertise can support you with care.
Who this is for
Athletes and active adults experiencing low energy availability
Active people with irregular or missing periods
Athletes with recurrent injuries, stress fractures or slow recovery
Anyone with unexplained fatigue or a decline in performance
Athletes with a history of disordered eating alongside high training loads
Anyone with diagnosed or suspected RED-S who wants specialist support
How it works
Three simple steps, all online.
Book
Choose an initial consultation, or start with a free discovery call.
1
Meet your specialist
A 60-minute video consultation to understand your health and goals.
2
Get your plan
A clear, personalised plan, with follow-ups to review progress.
3
Initial consultation
£159
60 minutes
Follow-up
£89
45 minutes
Follow-up packages
from £79
per session, 4 to 12 sessions
Personalised meal plan
£75
where clinically needed
Not sure who to see?
We match every enquiry to the right specialist on our team.
Questions
I am not sure if I have RED-S. Should I still book?
Yes. If you are unsure whether you have RED-S or may be at risk, the first step is an initial consultation. Your practitioner will assess your energy availability, training demands, symptoms and health history, and advise on the most appropriate next steps.
What are common signs of RED-S?
Common signs include persistent tiredness even on rest days, a plateau or drop in performance, frequent injuries or stress fractures, slow recovery, getting ill more often, mood changes, irregular or missing periods in female athletes, and low testosterone in male athletes. These symptoms can have other causes, which is why proper assessment matters.
Can you diagnose RED-S?
We provide specialist nutritional assessment and support for low energy availability and RED-S. Where symptoms suggest hormonal, bone-health, cardiovascular or other medical complications, we recommend medical assessment, for example with your GP or a sports physician, and can work alongside them.
How much does RED-S support cost?
The initial consultation (60 minutes, self-pay) is £159. An individualised nutrition plan, where clinically indicated, is £75, and follow-up consultations (45 minutes) are £89. Follow-up packages of 4, 6, 9 or 12 sessions are available at £79 per 25-minute session or £89 per 45-minute session.
Does RED-S only affect female athletes?
No. RED-S can affect anyone who is active, regardless of age, gender or sport. In male athletes it may show up as low testosterone, fatigue or loss of strength, as well as injury and performance changes.