Birch Health & Wellness | Home
For exhausted women over 40

Your blood tests came back “normal.”
So why are you still exhausted?

You deserve a better answer than “everything looks normal.”

There isn’t just one kind of tired. My free quiz tells you which pattern you have, so you know exactly where to focus on getting your energy back.

Toki, Birch Health and Wellness

“Normal” doesn’t always mean well.

Standard blood tests are designed to rule out serious illness. That’s an important distinction. But they don’t always explain why you feel like you have to drag your body around.

Always exhausted. Waking around 3am. Feeling like your body has completely lost the memo on what you want from it.

You get on with it anyway, because that’s what you do. You push through with caffeine. Run out of steam by 2pm. Find yourself reading the same email three times without taking it in.

“Your results are normal” and “nothing’s wrong” aren’t the same thing.

Instead of only asking, “Is there disease?”, functional medicine asks, “Where’s the imbalance making your body work harder than it should?”

There isn’t just one kind of tired. The way out of tired but wired fatigue is different from the way out of an afternoon slump. Bone deep depletion needs a different approach from stress driven burnout. And if your blood sugar, nervous system, hormones, and nutrition are all feeding on each other, guessing what to do rarely helps.

We start with the foundations first, because advanced testing is only useful when your body has the basics it needs to respond appropriately. If you’re still experiencing symptoms after that, we choose the right test or combination of tests as deemed necessary, which may include blood, stool, urine, hair or DNA testing.

That’s why I created the Fatigue Pattern Quiz. Once you know which tiredness pattern applies to you, you have somewhere specific to start, rather than trying everything at once and wondering why nothing you’ve tried has helped.

Toki Birch

Hi, I’m Toki. I’m a Functional Medicine Practitioner, Nutritionist, and Health Coach specialising in fatigue that doesn’t always show up on standard blood tests.

I came to this work after my own experience of feeling completely shattered while being told, again and again, that everything looked fine.

Now I work with women over 40 who are still showing up for everyone else, but privately wondering how much longer they can keep going like this. My approach starts with the foundations: nutrition, sleep, blood sugar, and the nervous system. If symptoms need a closer look after that, I use the right test for the right question, without turning your health into a shopping list of labs.

Read My Story

Because when you’re already running on empty, complicated plans don’t help. Clear next steps do.

Ways to work together. Here’s how to find the right one for you.

Once you know your fatigue pattern, the next step becomes much clearer. Here’s what each option is for and who it works best for.

Which of these sounds most like where you are right now?

The Exhaustion Decoder
£14

The Exhaustion Decoder

Know your exhaustion pattern, how severe it is, and exactly where to focus first.
A 5-10 minute symptom assessment with a PDF workbook and online tool. You’ll get a decision map with your top three next steps, plus a Doctor Advocacy Guide with the exact words to use at your next GP appointment.

Start With the Decoder
The FUEL Method
From £147

The FUEL Method

Build the kind of energy that makes it to the end of the day without crashing.
Six modules covering blood sugar, nutrition, and nervous system support, in the right order. You finish with a personal energy plan built around your life.

Explore the FUEL Method
Behind the Numbers
£97

Behind the Numbers

Get a detailed video walkthrough of your blood results you can actually understand.
In plain English, what your results mean, what might be sitting just outside ‘normal’, and three actionable next steps so you know exactly what to do.

Book a Blood Test Review
Energy Restore Programme
Application Only

The Energy Restore Programme

For women whose symptoms go beyond exhaustion and need proper, personalised investigation rather than a one-size-fits-all programme.
Six months working directly with Toki across fatigue, hormonal symptoms, digestive health, poor recovery, and more. Personalised labs chosen for your specific picture, a plan built around what they show, and clinical support throughout. Application only.

Apply for 1:1 Support
Monthly Meal Plans
From £7.99

Meal Plans & Recipes

Stop guessing what to eat. Get tasty, nourishing meal plans that support your energy goals.
If you’re tired of opening the fridge when you’re already drained, these plans are for you. Designed for women over 40. Simple, nourishing meals the whole family can eat without spending hours in the kitchen.

Explore Meal Plans & Recipes
Free Webinar Training
Free

Free 15-Minute Webinar

Discover why you feel exhausted when your tests look normal. Learn the same steps I use with clients to start rebuilding lasting energy.

Watch Free Training

Women who felt exhausted and out of answers started having more energy again.

Results from women who stopped guessing and started working with the right information.

Your questions answered.

Things women usually ask before they start, and what you actually need to know.

Yes, and this is exactly who I work with most. “Normal” on standard bloods means no serious disease was flagged. It doesn’t mean optimal. Functional medicine looks at the same results through a different lens, asking where function is slipping even when disease isn’t present.

No referral needed. My work sits alongside conventional medicine. If anything comes up that warrants GP follow-up, you’ll be informed.

No. Nutrition is one foundation, but it’s not the whole picture. The FUEL Method covers blood sugar balance, nervous system regulation, sleep, and the more complex reasons fatigue keeps returning, because for most women, food alone doesn’t fix it.

Most fatigue support assumes you have enough energy to tackle everything at once. I meet you where you’re at. We start with your pattern, because Tired but Wired and Bone Deep depletion need completely different approaches. Once we know what we’re dealing with, the work is built around what you can cope with and then we go from there. The nutrition approach is different too. Rather than handing you a list of things to remove, we focus on what to add in. Most people find that easier to sustain, and it tends to get better results.

Start with the quiz. It takes under 2 minutes and tells you which fatigue pattern is most likely at play. From there, the right next step becomes much clearer, whether that’s the FUEL Method, a blood test review, or working with me privately.

Yes. I work with many women who are already seeing other practitioners. My role is to look at and address what may be causing or worsening your symptoms beneath the surface of what standard medicine checks for.

Both. Energy Restore works well for women who are already experiencing symptoms, and for those who feel generally well, but want to optimise their health further.

Fatigue Quiz Mockup
Which Type of Tired Are You?

Your fatigue pattern can tell you where to start.

Take the free quiz to find out which fatigue pattern may be draining your energy, and what your next step should be.

Seven quick questions. Find out if you’re Tired but Wired, Bone Deep, Soul Tired, or Crash and Burn.

Find My Fatigue Pattern

BLOG