Virginia Nutritional Therapy

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Virginia Nutritional Therapy

Nutritional Therapist •International Lipedema Nutritionist• Women's Health Advocate I also offer zoom consultations worldwide.
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Virginia Ziulu DipNT mNTOI

I am passionate about good Food and Nutrition and I strongly believe that every person is unique and therefore has different dietary requirements. My aim is to provide you with the best possible tools and knowledge in order to improve your quality of life. I offer 1:1 private consultations in the Active Body Clinic, Portlaoise and Roches in Dublin. Areas of expertise:

Lipedema and Lymphedema,Thyroid dysfunctions,Menstrual irregularities:Endometriosis, Fibroids, PCOS, Peri-Menopause, Menopause. Men's Wellness support: Sport and athletic performance

Fatigue, Sleep disturbances,Immune health. Healthy weight management support: Mindset coaching, Food education. Digestive wellbeing, Sleep fundamentals. Stress and lifestyle coaching, lifestyle support tools.

14/08/2026

📣Wild Poppy Emporium is delighted to invite you to their very first Menopause Wellness Workshop in Clane this September. 🌸

Are you experiencing perimenopause, menopause or post-menopause symptoms? If so, this workshop is for you.

A relaxed, enjoyable and carefully structured day covering hormonal awareness, practical nutrition and lifestyle advice, with time to slow down, reflect and unwind.

The speakers on the day are going to be Virginia Ziulu|The_Inflammation_Specialist and Deirdre Comerford and we will share more details soon.

📅 Sunday, 20 September 2026
🕙 10am–3pm
📍 The Westgrove Hotel, Clane
🎟️ Ticket Price €75 — including lunch and a complimentary goody bag worth €30

We’ve designed the day to be welcoming, informative and easy to understand — whether you’re just beginning to experience changes or are further along your menopause journey.

Pre-booking is essential and places are limited.

Book online at wildpoppy.ie, through Eventbrite, or pop into Wild Poppy in Clane.

We’re really looking forward to sharing this day with you. 🌸

10/08/2026

➡️Follow Virginia Ziulu|The_Inflammation_Specialist for all things Lipedema, inflammation&hormonal health.

🟪CVI and Lipedema

Up to 50% of Lipedema patients will have a form of chronic venous insufficiency. The numbers are high and I strongly encourage all patients to get a comprehensive Duplex ultrasound done.

I recently had a full body colour Duplex scan to assess my venous health( my full exam body was done for other reasons and not exclusively for Lipedema) and I was diagnosed with CEAP C1 which is a mild stage of chronic venous insufficiency( at the spider veins stage). This is confined to my calves.

This is what I'm doing to avoid worsening of CVI into later stages:

1️⃣ Wear medical grade compression( Class II) and or use pneumatic pumps( which I recently purchased and love them) daily. This would be non-negotiable.

2️⃣Reduce my overall body fat and limb circumference to reduce pressure on the veins and micro circulation. Continue to take microdosed Tirzepatide which is also showing to have a protective effect on the cardiovascular system.

3️⃣ Take Diosmin&Hesperidin daily which have been shown to be the most beneficial compounds to support venous tone, have anti inflammatory and and anti oxidant proprieties. Other compounds that be of support are Butchers broom, horse chestnut, red vine leaf.

4️⃣Continue with strength training and mobility exercises that supports blood flow and circulation. Building muscle alone is a major advantage in improving venous health.

Next I'm going to share how hormones can influence venous health and why you see a worsening on your luteal phase of your cycle.

Do you have CVI?

07/08/2026

🌞😎Summer 2026

I had a little break from social media while I was away and honestly It was the break I truly needed. I spent 5 weeks in my beautiful Sardinia this year and I enjoyed every moment of it....aside from the heat which nearly broke me as it was record high this summer and not good for my Lippy legs and my dysautonomia 🥵

What I enjoyed most was the simple things, the old friends chats and laughs, the slow days and the beach days. Family time, new projects and space for my brain to take in new things. One of the promises I made to myself is to have more breaks during the year, plan the trips and rest more. I am such a high achiever and I give a lot in my job but if I don't get to recharge I cannot give anything out anymore. This will be the biggest gift of my 40s.

I hope you are all having a great summer so far. Content will slowly resume with more to come. A lot happening in the next month alone and I'm ready for it 🙌

💕💕

13/07/2026

🔒Progesterone resistance and Lipedema

Let's clear this concept once and for all.

Lipedema is not a high estrogen condition but a tissue "sensitivity" to it or signalling issue. Women have been scared to death about estrogens and how bad they are for Lipedema when in reality most of the women I have seen had low to normal estrogen levels but very low progesterone or something called progesterone resistance.

➡️In Lipedema the adipose tissue is very sensitive to all hormone fluctuations especially estrogens but this may well be because the progesterone is not there to compensate. Or if it is there it's not effective( progesterone resistance).

I have been testing tissue estrogen levels for many years now on myself and on my clients and I have seen the patterns. Estrogens is divided into 3 different types which are:

E1: Estrone( predominantly made in menopause)
E2: Estradiol( predominantly made in reproductive years)
E3: Estriol( predominantly made in pregnancy)

I have seen elevations in E3 on myself and other Lipedema clients since I have started testing hormones in my clinic. But wait I'm not pregnant so how am I making more E3 and practically zero E2? 🤔

↪️E3 can be made in the adipose tissue as a metabolic breakdown of the other estrogens like E1 and E2. But E1 remains the primary estrogen made within the adipose tissue( Estrone).

So although my E2 is very low I am still presenting with symptoms of estrogen "dominance" because Estriol and Estrone are still dominating and because my progesterone is not doing its job.

There are currently no "official" testing to diagnose progesterone resistance but it has been shown to be more prevalent amongst conditions like adenomyosis and endometriosis. It is a hormone receptor issue not an actual elevation issue.

Lipedema is in fact a hormone receptor issue which involves a cascade of metabolic issues like Insulin&Leptin resistance that affect way more than just the adipose tissue. Lipedema is a systemic condition.

Did you know this?

27/06/2026

When my heart belongs 💙

14/06/2026

💩 And estrogen balance

MJ and other 🌶️ tides slows down gastric emptying successfully but they also slow down your liver and gallbladder function. Hence why you can see gallstones and elevation of HbA1C, the latter usually comes first as a sign that your gallbladder is not functioning well.

Constipation is not just a side effect but a lot more than that. It means your dose is too high and your system has now become sluggish which means:

1️⃣You are now not clearing your estrogens properly alongside other toxins that must be removed trough the stool. This can reflect in ⏫menstrual changes ⏫acne ⏫high circulating estrogens which are stronger and more potent ⏫stall progress

2️⃣Sluggish bile is one of the leading triggers of silent reflux( LPR) . Bile reflux is less acidic than stomach acid but can cause direct irritation, persistent cough and feel of lump in the throat.

3️⃣If genetically you are a low estrogen methylator you don't want to get your system even more sluggish as that can have a profound impact on your body detoxification system.

As I always say side effects are always dose dependent. There are many things you can do to support your digestive system and make sure your detoxification pathways are not impaired.

The benefits of MJ are many and it is a very powerful tool for Lipedema patients and women with PCOS, endometriosis, adenomyosis and autoimmune conditions. But the dose is the key! Higher dosages do not provide more benefits as these can be seen with very little dosages.

Did you experience digestive issues while on MJ and how have you dealt with them?

Do you have constipation on MJ/Tirz?

12/06/2026

🟣HRT and Lipedema

I have asked to talk about this topic for the Awareness month. A lot of women with Lipedema are afraid to start HRT due to possible worsening of their condition and a lot of misinformation. But I'm here to tell you once you follow these steps HRT can actually be very beneficial for you and you can discuss this with your provider.

Things to consider:

1️⃣Oral estradiol hormone therapy is the least favourable for Lipedema as it goes trough first pass liver metabolism compared to transdermal forms where it bypasses the first initial liver clearance. **However while the initial absorption completely bypasses the liver, the estrogen circulating in your blood does eventually get cleared by the liver, much like the estrogen your body naturally produces. The liver continuously breaks down excess estradiol into metabolites to be safely excreted via bile and urine.

2️⃣Clearance of estrogens is crucial to minimize unwanted build up of inflammatory metabolites that may worsen lipedema. Understanding your own clearance pathways is crucial to the outcome of the therapy and you can monitor and alter this via a urine comprehensive hormone test. This is what I work on with my clients on HRT or thinking about HRT.

3️⃣Getting the right dosage combined with micronised progesterone is crucial even if you had a hysterectomy. Progesterone receptors are all over the body and not confined to the uterus. The coil is not progesterone but synthetic progestin and only provides localized benefits confined to the uterus.

⏩If you comment the word "hormones" i will send you more details about this test and why it's important to know your metabolites.

What is your experience with HRT therapy and Lipedema?

Are you on HRT therapy and have Lipedema?

Address

Active Body Clinic
Port Laoise
R32K295

Website

http://virginiashealthcorner.ie/

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