PRACTITIONER RESOURCE
Identifying Under-Fuelling & Metabolic Issues in Female Clients
includes Clinical Info & Checklists

Your client trains consistently, eats carefully and appears to be doing everything right. Yet she feels exhausted, her cycle has changed, and her recovery or performance is slipping.
Could her energy intake be falling short of what her body needs?
This ebook helps you consider this often-overlooked piece of the clinical picture.
Created by naturopath and sports nutritionist Kira Sutherland, this practical ebook encourages you to look beyond body weight and individual symptoms to recognise patterns across nutrition, training, hormonal health and recovery.
Inside the ebook:
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Six symptom and nutrition checklists covering menstrual and hormonal health, energy and recovery, muscle and performance, injury risk, metabolic and thyroid symptoms, and eating behaviours.
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Clinical context explaining how under-fuelling can present in female clients, including those who are not underweight or intentionally restricting food.
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Lab testing considerations and marker guidelines to support further investigation alongside the client’s symptoms and history.
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A six-step approach to supporting under-fuelled clients, covering energy intake, carbohydrates, sleep and stress, training adjustments, progress monitoring and collaborative care.
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Space for clinical notes alongside each checklist to record observations and questions.
This ebook is designed for health practitioners working with active female clients, particularly those presenting with persistent fatigue, menstrual changes, declining performance, slow recovery or recurring injuries.
Use it as a reference when reviewing a client’s history, preparing questions for a consultation or considering whether further assessment is needed.
The checklists support clinical observation and discussion; they are not diagnostic tools. Symptoms and pathology findings need to be considered within the full clinical picture.
Format: Downloadable PDF ebook.
Could under-fuelling be contributing to your female clients’ fatigue, hormonal changes or poor recovery?
This practical ebook by naturopath and sports nutritionist Kira Sutherland brings together practitioner checklists, clinical considerations and next steps to help you recognise patterns of low energy availability and guide further assessment.


