Dr Colleen Nell

Dr Colleen Nell I am a general practitioner. My fields of interest are managing lifestyle diseases like Obesity, Hypertension and Diabetes.

I also do botulinum toxin injections for aesthetic purposes and medical conditions (Migraines, Jaw clenching, excessive sweating).

Perimenopause is the transitional phase before menopause, and it can begin as early as your mid to late 30s. Many women ...
25/11/2025

Perimenopause is the transitional phase before menopause, and it can begin as early as your mid to late 30s. Many women think, “This is just getting older,” but in reality, your body is going through a pretty big hormonal shift.

During perimenopause, your ovaries gradually produce less estrogen and progesterone, which affects your menstrual cycle, metabolism, mood, sleep, and energy. Because hormone levels fluctuate, symptoms can feel unpredictable and frustrating.

Some of the signs I see in my patients include:

✨ Irregular periods or changes in flow
✨ Hot flashes and night sweats
✨ Mood swings, anxiety, or irritability
✨ Fatigue and low energy
✨ Brain fog or difficulty concentrating
✨ Changes in weight, metabolism, or body composition

These symptoms can be overwhelming (both physically and emotionally) but you don’t have to navigate them alone.

At GESOND, we take a personalised, holistic approach:

🩺 Hormonal evaluation to understand your unique shifts
🥗 Guidance on diet, lifestyle, and supplements to support your hormones and energy
💉 Targeted IV infusions to boost vitality, mental clarity, and overall wellbeing
🧘 Practical strategies to manage stress, sleep, and mood

Perimenopause is a normal stage of life, but with the right support, you can feel in control, confident, and like yourself again. Your body is speaking and it’s time to listen. 💛

Inflammation is a normal part of your body’s defence system. It helps you heal when you’re injured or fighting an infect...
20/11/2025

Inflammation is a normal part of your body’s defence system. It helps you heal when you’re injured or fighting an infection. But when it becomes chronic, it can quietly affect almost every part of your health; from your joints and gut to your energy, skin, and even mood.

Some common signs your body might be struggling with chronic inflammation include:

✨ Persistent fatigue or low energy
✨ Joint or muscle pain
✨ Digestive issues, bloating, or discomfort
✨ Skin problems like redness, breakouts, or dullness
✨ Mood swings or brain fog

Many factors contribute to inflammation: stress, poor diet, lack of sleep, hormonal imbalances, or underlying medical conditions.
At GESOND, we take a holistic approach to helping your body regain balance. This might include:

💉 Nutritional IV infusions targeted to reduce inflammation and replenish essential nutrients
🥗 Guidance on anti-inflammatory diet and lifestyle changes
🩺 Medical evaluation to uncover underlying causes

Inflammation doesn’t have to control your life. By understanding your body, supporting it with the right interventions, and making small but meaningful lifestyle changes, you can reduce its impact and feel healthier, more energetic, and more vibrant. 🌿

Acne doesn’t always stop when you leave your teens. Many adults experience breakouts well into their 20s, 30s, and even ...
18/11/2025

Acne doesn’t always stop when you leave your teens. Many adults experience breakouts well into their 20s, 30s, and even beyond, and it’s often more than just a cosmetic issue.

Adult acne can be caused by a variety of factors:

✨ Hormonal fluctuations: perimenopause, menstrual cycles, or stress hormones like cortisol
🥗 Diet and lifestyle: high sugar intake, dairy, or inflammatory foods
💧 Skin barrier issues: using harsh products or not properly hydrating your skin
🧠 Stress and fatigue: chronic stress can exacerbate inflammation and trigger breakouts

So when should you consult a doctor?

If your acne is persistent, painful, scarring, or affecting your confidence, it’s worth getting a professional opinion. Together, we can uncover what’s driving your breakouts and create a personalised plan.

At GESOND, options include:

💉 Skin Rejuvenation IV Infusions that contain vitamins, antioxidants, and minerals delivered directly to your cells to help skin renewal and reduce inflammation.
🩺 Targeted therapies to balance hormones.
🧴 Skincare guidance tailored to protect and nourish your skin.

Acne in adulthood isn’t something you have to live with silently. There’s support, solutions, and a way to bring out your healthiest, most radiant skin. 🌸

If you’ve spent any time on social media lately, you might think cortisol is the villain behind every health issue,  fro...
13/11/2025

If you’ve spent any time on social media lately, you might think cortisol is the villain behind every health issue, from fatigue to stubborn weight, poor sleep, and even anxiety.

But here’s the truth: cortisol isn’t your enemy. In fact, you need it to survive. It helps you wake up in the morning, maintain blood pressure, regulate your metabolism, and respond to stress.

The real issue isn’t cortisol itself; it’s imbalance. When your body stays in a constant state of “fight or flight,” cortisol levels remain elevated for too long, and that’s when problems start to appear include:

😴 Poor sleep and fatigue
🍫 Sugar cravings
💭 Brain fog
⚖️ Weight changes
💢 Mood swings

At the same time, too little cortisol can leave you feeling depleted, anxious, and unmotivated. So rather than trying to “eliminate cortisol,” the goal is balance and supporting your body so it can regulate this hormone naturally.

A few ways to help your cortisol stay in check:

🌿 Prioritise consistent, good-quality sleep
🥗 Eat balanced meals with protein and healthy fats
🚶‍♀️ Move your body daily (even gentle walks help)
🧘‍♀️ Manage stress with mindfulness, boundaries, or therapy
💧 And when needed, medical testing and targeted treatment can make a world of difference

So no, cortisol isn’t the culprit behind everything. It’s a messenger, helping your body adapt and respond. The key is listening to what it’s trying to tell you.

As we move closer to December, I’m seeing more and more patients who are simply exhausted. The mental load of the year (...
11/11/2025

As we move closer to December, I’m seeing more and more patients who are simply exhausted. The mental load of the year (constant deadlines, family responsibilities, emotional stress) all start to add up.

This kind of fatigue isn’t just “in your head.” When your brain and body are under prolonged stress, your nutrient stores get depleted, your energy production slows, and your mood and focus begin to suffer.

That’s where targeted support can make a difference.

The Healthy Mind IV Infusion is designed to:

💧 Replenish essential nutrients for brain health and energy.
⚡ Reduce the effects of stress and burnout.
🌿 Support emotional balance and focus.

It’s not a quick fix; it’s about giving your mind and body the support they need to finish the year strong.

If you’re already counting the days until the December break, this is your reminder to take care of yourself now, before exhaustion takes over. A little proactive care goes a long way toward restoring balance and resilience.

When people hear “Botox,” they often think of smoother foreheads and softer fine lines but did you know that Botulinum T...
06/11/2025

When people hear “Botox,” they often think of smoother foreheads and softer fine lines but did you know that Botulinum Toxin has many important non-aesthetic medical uses too?

As a doctor, I often use Botulinum Toxin to help patients manage conditions that impact their quality of life far beyond appearance. Here are just a few examples:

🧠 Chronic migraines: Regular injections can help reduce both the frequency and severity of debilitating headaches.
💦 Excessive sweating (Hyperhidrosis): For those who sweat excessively, even without heat or activity, Botulinum Toxin can block overactive sweat glands and bring lasting relief.
💆‍♀️ Jaw clenching and teeth grinding (Bruxism): Targeted injections in the jaw muscles can help relax tension, reduce pain, and even prevent tooth wear.
💢 Neck and shoulder tension: Many people carry chronic tightness here; treatment can reduce pain and restore comfort.
🌙 TMJ discomfort and headaches: When muscle overactivity contributes to pain, Botulinum Toxin can provide remarkable relief.

By calming specific muscle activity or nerve signals, these treatments can make a real difference in how you feel every day, beyond what you see in the mirror.

So yes, Botulinum Toxin can smooth wrinkles…
But it can also ease tension, reduce pain, and restore balance to your body and mind.

If you’ve ever wondered whether it could help with something you’re struggling with, let’s talk.

“I just can’t seem to sleep properly anymore.”It’s something I’ve been hearing from many patients lately and you’re not ...
04/11/2025

“I just can’t seem to sleep properly anymore.”

It’s something I’ve been hearing from many patients lately and you’re not alone.

Sleep issues are on the rise, and they’re not always solved by “just going to bed earlier.” 💤

Poor sleep can stem from many interconnected causes:

✨ Chronic stress: constant mental load keeps your nervous system on alert, even when your body is exhausted.
🥗 Eating habits: too much caffeine, late-night snacking, or even nutrient imbalances can interfere with sleep hormones like melatonin.
⚖️ Hormonal shifts: fluctuations during your menstrual cycle, perimenopause, or thyroid dysfunction can all impact sleep quality.
💻 Screen time and overstimulation: blue light exposure disrupts your circadian rhythm and delays the release of sleep hormones.
🧠 Emotional strain: anxiety, burnout, and even unprocessed thoughts from the day can prevent your mind from switching off.

The result? You wake up tired, irritable, and foggy creating a cycle of exhaustion that affects every part of your health.

But here’s the truth: sleep isn’t a luxury; it’s a biological necessity.

It’s when your body repairs, your brain detoxifies, and your hormones rebalance.
If you’re not sleeping well, your system is running on an empty tank and no amount of coffee can fix that. ☕

If this sounds familiar, it might be time to look deeper. At GESOND, we work to uncover why you’re not sleeping (whether it’s stress-related, hormonal, nutritional, or a combination) and help you find sustainable ways to restore true rest.

Because when you start sleeping well again, everything else starts improving too. 🌸

We often think of nutrient deficiencies as something that only happens when diets are extreme or unhealthy, but in reali...
30/10/2025

We often think of nutrient deficiencies as something that only happens when diets are extreme or unhealthy, but in reality, even people who eat “well” can experience low nutrient levels.

Modern life is busy, stressful, and demanding, and that constant pressure depletes the body’s reserves faster than we realise. 🧠💨

Here are some subtle signs your body might be running low on essential vitamins or minerals:

✨ Constant fatigue or sluggishness, even after rest
✨ Brain fog or poor concentration
✨ Brittle nails or thinning hair
✨ Frequent illness or slow recovery
✨ Mood changes, irritability, or anxiety
✨ Dull, dry skin or dark under-eye circles
✨ Bleeding gums or poor wound healing
✨ Muscle weakness or constant twitching

If any of these sound familiar, it may be your body’s quiet way of asking for support.

At GESOND, we offer customised IV infusions designed to replenish your system and restore balance, delivering nutrients directly where they’re needed most. 💧💪

Before starting any infusion, we’ll discuss your lifestyle, medical background, and goals to tailor a drip that supports you.

Sometimes, a little targeted nourishment makes all the difference in how you feel and how you show up in your life. 🌸

We all want to look and feel our best, but sometimes small daily habits are quietly speeding up the ageing process. Skip...
28/10/2025

We all want to look and feel our best, but sometimes small daily habits are quietly speeding up the ageing process. Skipping sleep, overloading on sugar, chronic stress, too much sun without protection, and poor hydration all take a toll; not just on your skin, but on your cells.

Here’s the good news: your DNA can tell us how your body responds to these habits. 🧬

At GESOND, DNA analysis gives insight into your unique skin needs, nutrient requirements, and susceptibility to oxidative stress. This allows us to create a personalised plan that supports your skin and overall vitality, helping you age gracefully from the inside out.

Don’t wait for fine lines and fatigue to appear, start protecting your future self today. Book your DNA analysis and personalised wellness consult at GESOND. 👉 https://www.gesond1.co.za/

✨ Your genes hold the clues. We help you act on them.

One thing I often remind my patients is that your body is always talking to you; sometimes in whispers, sometimes in sho...
22/10/2025

One thing I often remind my patients is that your body is always talking to you; sometimes in whispers, sometimes in shouts.

Fatigue, headaches, gut discomfort, irregular cycles, or changes in your skin are not just “normal parts of life.” They’re early warning signals that something in your system may be out of balance. 🔔

The truth is, most serious conditions don’t appear overnight. They build slowly, with subtle signs we often brush off because we’re “too busy” or even too scared to find out what’s wrong. But listening to your body early gives us the chance to act before things progress, often with simple, effective solutions.

👉 If something feels off, don’t ignore it. Book that check-up, run those tests, and give yourself the best chance at long-term health and quality of life.

Your body doesn’t want to scare you. It wants to guide you. Are you listening?

At GESOND, one of our most requested IV drips is the NAD+ Infusion and for good reason! NAD (Nicotinamide Adenine Dinucl...
20/10/2025

At GESOND, one of our most requested IV drips is the NAD+ Infusion and for good reason! NAD (Nicotinamide Adenine Dinucleotide) is a powerful coenzyme that fuels your cells and plays a key role in how your body produces energy.

Why it’s so popular:
🔹 Boosts energy and combats fatigue
🔹 Improves brain function, memory, and focus
🔹 Supports metabolism and weight management
🔹 Helps reduce anxiety and low mood
🔹 Slows signs of aging by repairing cells

Patients often report feeling revitalized, more focused, and with a natural “lift” after treatment. For best results, start with a full NAD+ drip (R1200) and then maintain with weekly half-doses (R700) to support long-term energy, vitality, and cellular health.

Give your body and mind the reset they deserve. Book your NAD+ IV Infusion at GESOND today 👉 https://www.gesond1.co.za/

Caring for your gut is also caring for your mental well-being.🌿🧠 Research shows that the gut and brain are linked throug...
16/10/2025

Caring for your gut is also caring for your mental well-being.🌿🧠

Research shows that the gut and brain are linked through what we call the gut–brain axis. This means that what happens in your digestive system can influence your mood, focus, and even how you handle stress.

For example:

🔹 The gut produces around 90% of your body’s serotonin; a key chemical for regulating mood.
🔹 Imbalances in gut bacteria can contribute to issues like anxiety, depression, or fatigue.
🔹 Digestive problems such as bloating, IBS, or inflammation may also trigger brain fog or low energy.

The good news is that by supporting gut health, we can also support mental clarity and emotional balance. Practical steps like eating more fibre-rich foods, limiting highly processed meals, managing stress, and ensuring quality sleep all play a role.

If you’ve been struggling with both digestive discomfort and mood-related symptoms, it may be time to look at the bigger picture. The gut and brain don’t work in isolation, they’re in constant conversation.

Address

Shop 9, Waterkloofrand Shopping Centre. Cnr Rigel Avenue & Buffelsdrift Street, Erasmusrand
Pretoria
0181

Opening Hours

Monday 08:00 - 17:00
Tuesday 08:00 - 17:00
Wednesday 08:00 - 17:00
Thursday 08:00 - 17:00
Friday 08:00 - 17:00

Telephone

+27120103650

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