Research & Innovation Nutrition Consultancy

Does Your Research Project Need Experienced Dietitians You Can Rely On?

Experienced clinical leadership and registered dietetic support for clinical trials, pharmaceutical research, healthcare innovation and product development.
From study planning and participant consultations to clinical liaison, reporting and service delivery, we provide an organised dietetic team that can support projects nationally and internationally.

BRITISH EQUESTRIAN FEDERATION

Looking for an Experienced Dietetic Team?

Whether you are planning a clinical trial, developing a new healthcare service or requiring specialist nutrition input for an innovation project, we can build a dietetic delivery model around your requirements.

Can You Rely on Your Dietetic Team to Deliver When the Study Demands It?

Finding the Right Dietitians.

Recruiting appropriately qualified dietitians with the clinical experience required for a specialist project can be difficult, particularly when several practitioners are needed.

Maintaining Consistent Delivery.

Using individual clinicians from different organisations can result in variable availability, communication, consultation standards and reporting.

Responding to Participant Timelines.

Randomisation, study reviews and medical appointments do not always fit within standard clinical hours. Limited practitioner availability can delay consultations and disrupt study processes.

Managing Multiple Practitioners.

Coordinating several independent dietitians can create additional administration for project managers and medical teams.

Identifying and Escalating Concerns.

Clinical concerns, adverse reactions and changes in participant health must be identified, documented and communicated promptly through an agreed escalation process.

The truth is…

Dietetic support should strengthen the study infrastructure, not create another service for the research team to manage.

What Changes When Dietetic Delivery Is Properly Coordinated?

One Organisation and One Point of Contact

Access the dietetic team through one provider, with communication, availability and delivery personally overseen by Claire Fudge.

An Experienced Clinical Team

Work with qualified Registered Dietitians selected for their relevant clinical knowledge, consultation skills and ability to operate within multidisciplinary research environments.

Greater Flexibility

Dietitians can provide consultations at different times of the day to accommodate randomisation, participant reviews, medical appointments and study deadlines.

Consistent Participant Consultations

We establish clear consultation processes, documentation standards and participant pathways to support a consistent standard of dietetic care throughout the project.

Prompt Clinical Escalation

Potential adverse reactions, safety concerns and clinically significant changes are raised promptly through the agreed medical and project-management channels.

Clear Oversight and Reporting

An organised review and reporting process enables project and medical teams to see who has been consulted, when appointments have taken place and whether any concerns require attention.

National and International Delivery.

Our UK-based team includes dietitians working across different geographical locations. Consultations can be delivered remotely or in person, depending on the requirements and location of the project.

Why Seamless Dietetic Delivery Matters

01

Consistent Support for Every Participant

When all participants receive dietetic care through one coordinated team, consultations are delivered to a consistent standard. This creates a clearer participant experience and reduces variation in the advice, follow-up and support provided throughout the trial.

02

Clinical Safety and Experienced Decision-Making

Experienced Registered Dietitians are better placed to recognise changes in nutritional status, emerging symptoms, potential adverse reactions and wider clinical concerns. This supports safer care and ensures that important information is escalated promptly to the appropriate medical team.

03

One Dietetic Team. One Point of Liaison.

A single dietetic provider gives the trial team one clear point of contact for scheduling, clinical queries, practitioner coordination and reporting. It also provides confidence that every participant is being supported within the same dietetic service, rather than across disconnected practitioners.

04

Timely Feedback, Continuity and Participant Retention

Prompt feedback allows project and medical teams to understand who has been seen, what support has been provided and whether any concerns need attention. Consistent access to the same coordinated dietetic team can also strengthen trust, continuity and engagement, supporting participants to remain involved throughout the trial.

Meet Claire Fudge

Clinical Dietitian. High-Performance Sports Nutritionist. Nutritional Engineer. Endurance Athlete.

As Clinical Director of 4th Discipline, I bring together more than 23 years of clinical nutrition, elite sport and high-performance fuelling experience.

I work with professional and Olympic-level athletes, elite performance pathways and world-class programmes, collaborating with medical, coaching and sports-science teams to ensure athletes receive the highest level of joined-up care.

As a Registered Clinical Dietitian and High-Performance Sports Nutritionist, I look beyond food alone. I consider the full performance picture: physiology, medical history, training load, recovery, gut health, body composition, energy availability and long-term health.

I also understand the demands personally. As an endurance athlete and business owner, I know what it takes to work hard, train hard and continue performing when time, energy and recovery are under pressure.

That describe myself as a Nutritional Engineer! 



I identify what may be limiting performance, connect the clinical and sporting data, and build a personalised fuelling strategy designed around the athlete, not just giving a generic plan.
The aim is not simply to produce a result at the next competition. It is to build robust, resilient athletes who can perform at a high level now while protecting their health and sporting longevity.

Investment POA

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“exceptionally supportive …excellent knowledge of nutrition both in terms of supporting sports performance but also in optimising health. Claire’s background in long distance triathlon herself means that she is able to support in ways others wouldn’t …..her race and training experiences. I (would) recommend Claire for anyone who is looking for support with their nutrition – either for optimising everyday health and wellness or for enhancing and supporting sports performance”

~ Julia Business professional and Ironman triathlete
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Struggling with allergies, intolerenaces and anxiety around food for many years had a huge umpact in my daily life, being able to properly fuel for marathon training, recovery and race days. Symptoms have improved dramatically, my training is much more efficient and my confiedence around food has grown. I have lost count of the different diets and plans that I have tried; I have seen a really positive change. I really couldn’t recommend Claire any more highly.

~ Rhys Accountant and Marathon runner
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I’ve been running for quite a few years, but I just kept running out of energy. Training for a marathon, I got in touch with Claire. I thought she would just give me a food plan, but she basically educated me on what I needed to eat and the right food groups to eat together. It was just an absolute game changer. I did my marathon with absolutely no problems—didn’t once run out of energy.

~ Joanne Managing Director and Athlete
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“before my first 70.3 …we identified my intolerances for everyday life, (she helped) fuel my training sessions and put together a plan for the lead up to my race and race day itself. “Claire being a triathlete herself, her advice is second to none”

~ Jordan Triathlete
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Great first meeting and assessment with Claire. A huge amount to take in but Claire guided me through the first stage. Have some clear first steps to work on in my journey to improving my hydration and nutrition to support improved training and race performances.

~ Giles C. Finance Director – Retired and Ironman Age Group Athlete
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I really enjoyed the discussions with Claire. She gave me really good and relevant advice which helped me a lot to overcome my problem.

~ Anonymous Business professional
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Just wanted to email you with a big thank you for helping me to manage my eating regime. I was very pleased with my race results.

~ Anonymous Athlete
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“helped me relearn that “Food is food”.Fed up of seeing zero results through yo-yo dieting, I had tried intermittent fasting, Keto and various other diets. I wanted a lifestyle change and wanted to be able to enjoy food without the guilt associated with “bad food”. I can now enjoy eating fruit without feeling guilty! I’m confident I will reach my goal weight comfortably and remain constant”

~ Charmaine Business professional
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I had a sweat test done by Claire – I’ve yet to put the results into practice, but really enjoyed our discussion. She explained the process and how to put the results into practice very clearly. She also seemed to me to have a very balanced view (it was not just a sales pitch for Precision Hydration!) which gave me a lot of confidence in her advice.

~ Kevin
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“ I could write so much more . Claire has done an amazing job, and been great, provided consistent, caring support along a tough path to improve my nutrition and expert, individualised advice for fuelling (…) Claire is so well informed, not only in sports nutrition and supplements but also (…) in other areas, including sleep; protein, and ageing (in the context of) a healthy balanced nutritious diet to meet daily and training needs. I have learnt so much and feel so much more equipped to fuel”

~ Mary R. Doctor and Ironman Age Group triathlete and Endurance Athlete
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The work we have done together has covered race day nutrition, everyday nutrition, and has helped me have a better relationship with food. So often we have coaches for the sports we do, yet no guidance or coaching when it comes to nutrition. Working with Claire has really helped up my performance. Thanks to Claire and Fourth Discipline for all the continued support.

~ Allysha Krall Triathlon Coach and USA Pro Triathlete
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Claire challenged my unhealthy food beliefs in an empathic manner and suggested changes that were specific and achievable whilst continuing in my recovery from anorexia. “her knowledge and support have been really valuable in the progress I have made over the past few months and I would definitely seek her advice in the future.

~ S Business Professional
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Just wanted to email you with a big thank you for helping me to manage my eating regime. I was very pleased with my race results.

~ MS Business professional and Runner
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I felt at the time when I started with Claire that the quality of my life wasn’t very high and I was really struggling to enjoy my training. I certainly wasn’t enjoying food and it’s safe to say that she worked with me every step of the way to transform my life everyday.

~ Laura Business Tech Marketing Professional and Athlete
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“Claire’s methods didn’t leave me feeling hungry or depleted of energy like fad diets can, in fact I couldn’t quite understand how I was able to eat quite so much and feel so full and strong………what a difference having a nutrition plan to work with made. My performance rocketed and I completed my two dreams in one season. Medalling at the European Middle Distance AG triathlon and smashing my first ironman”

~ Toni Director and Triathlete
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A friend who is a no nonsense athlete was working with Claire and I thought she would be good for me as although not a ‘real’ athlete myself, I wanted to understand how to fuel for 70.3 training and simultaneously sort out my ongoing chaotic relationship with food and eating for ‘normal life’. I knew Claire had an understanding of and worked in both areas.

~ Penny Teacher and Triathlete and cyclist
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I first met Claire Fudge of 4th Discipline in the summer of 2021 for sweat rate test to better understand his electrolyte and hydration requirements for training for a Guinness World Record attempt for an endurance event.
I came away thinking I would like to work with the 4thdiscipline team as they provide nutrition coaching for performance to professional athletes and people like me who have been blundering through the nutritional needs of heavy training.
4thdiscipline know their stuff and their engagement with me was focussed on my individual needs basing my education and planning on science. At all times they worked with me in a calm, supportive and realistic fashion.
For anyone looking to improve their understanding and knowledge of food and sport I can highly recommend them!

~ Seamus IT consultant and Squash
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I went to visit Claire for a sweat test. This was really useful and informative experience and Claire is very knowledgeable and helpful.

~ Jeffrey
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I have worked with Claire for over a year having suffered with disordered eating from an early age. I knew I needed to do something to change it.

~ Annie Business professional and Runner
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training for my first Ironman I knew how important getting my nutrition right would be leading up to the race and on race day. Claire has helped me more than I could have imagined. Lifestyle changes we have discussed and implemented have meant that unlike any fad diets before; I am leaner and letting my food be the proper energy and recovery source it should be. Claire is always supportive, really cares about the people she works with and I love her approach to nutrition; working with what you have to make the best out of your body.

~ Vicki Business professional and Triathlete
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In Claire, I have found a dietitian who not only is a specialist in nutrition, but also really understands the specific demands of an athlete. She acknowledges that one size does not fit all and really considers all the different aspects in optimizing nutrition for me as an individual. Most importantly, she helps me understand every little step of the process so that I know how to fuel myself even when she’s not around.

~ Sabrina Stadelmann Economist and Professional Swiss Triathlete
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“have really appreciated the holistic approach to your guidance that reflects a genuine desire to teach me the skills I need to become the healthiest and strongest athlete I can be”

~ Rosalind Business professional and Triathlete
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A big thank you for helping me to manage my eathing regime. Meal advice before the race seemed to really help keep my stomach settled on race day. I was very pleased with my race results. Really impressed by how good I feel and not so tired. A lot of this has to do with my new meal plans for training and racing.

~ Anne Athlete
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“ frankly i hadn’t got any knowledge….Claire was amazing! She helped me plan out my nutrition… to make sure i was getting the best performance (this) allowed me to fully concentrate on the competition.. “best competitive season of my life so far, gaining my first GB senior vest competing at the Athletics World Cup, 2nd place at the British Championships and becoming England Champion gaining my first England Senior International vest”

~ Sophie Physiotherapist and GB pole vaulter
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“help with a long standing issue, It was her personality, honesty and openness which gave comfort in trying her methods. Over the year that I have spent working with her, I have gained the knowledge and insight to manage my symptoms, giving me a new found sense of freedom. I would wholeheartedly recommend Claire to anyone who needs nutritional advice.”

~ Richard Business owner and Triathlete
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“I run better, I feel better, I’m not getting injured, and I sleep well”. “I thought I needed a diet plan; but that is exactly what I didn’t need. I gained the knowledge and support and the balancing of everyday life around training along with personal life too”.

~ Sam Lt Cdr Thompson MBE RN, Senior Naval Instructor Wildcat Training Centre, and Ironman Age Group Triathlete
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“Your encouragement means a lot at a time when work and training is difficult and I cannot see the journey back to ‘normal’….. your positivity is highly contagious – I feel better already “

~ Caroline Business professional and Triathlete
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instrumental in uncovering my coeliac disease, supporting me to make the necessary changes to a gluten-free lifestyle, which alleviated by IBS symptoms. This in turn positively impacted my fertility. Can’t thank her enough for her tailored expertise which also extended to advice around diabetes management during pregnancy!

~ Jen Psychologist and Yoga
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The moment someone says to you, ‘you know the symptoms you are experiencing are not normal’. Was really the moment the journey began to experiencing a normal existence. “years with food intolerances, …. impossible to control …..I am now free to live my life without symptoms and all of the related issues I was experiencing (anxiety about going places, worrying if I was going to be ill when I went out, the list continues…) . all of the guesswork (was removed) ….introducing each element in bitesize chunks ensured it wasn’t in anyway daunting, and allowed the outcome to be obvious . Having the support and expertise throughout was such a huge benefit, and now I can everyday apply the principles learnt with confidence, knowing they are specific to my needs. Being normal feels amazing!”

~ Sarah Director and Adventure Endurance Cyclist
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“You quite literally changed my life; I could not have done this without you”

~ Charlie R. Business Owner, Entrepreneur, and Ironman and Endurance Age Group Athlete
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I went to Claire looking for a quick fix, however Claire explained in detail the process and why I needed to take a different approach to hit my goals. Claire was very encouraging, providing weekly support and further analysis on my progress.

~ Stephen Business professional and Triathlete
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Since working with Claire, she’s made a huge difference to the way that I’ve been able to execute my training sessions, bring the energy that I need at the right times to competition, and get the most out of recovery. I wholly recommend giving Claire a call. The biggest thing to take away is that everything that we do is absolutely manageable!

~ Georgie Cohen Marketer and Professional Skeleton Athlete
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I couldn not recommend working with Claire enough – it was a relef to find someone that could relate and understand my nutritional needs for ironman training/racing and recovery!

~ Emily Business professional and Ironman triathlete
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I’ve learned so much stuff I didn’t even know existed, different types of proteins, when to take, when to take dairy, how to stay full, what’s a good probiotic to boost my immune system…I’m always learning, I think I’ve really improved” . –

~ Morgan Pearson Professional Triathlete USA and Double Olympic Silver Medalist
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“ Claire went into a lot of detail, preparing nutrition plans for me and for ½ and full races and also assisted me with recovery nutrition. She is very supportive and knowledgeable. I would highly recommend her”

~ Seanin Law professional and Triathlete

Frequently Asked Questions

Limited monthly availability
Which service is right for me?

The right service depends on whether you are looking for support as a driven professional, a professional who competes, an athlete, a team, a research organisation or an event organiser.
If you are unsure where to begin, book a discovery call and we will guide you towards the most appropriate pathway.

Do you only work with professional and elite athletes?

No. I work with professional and Olympic-level athletes, athletes on talent and high-performance pathways, competitive age-group athletes and professionals who train, race or compete alongside demanding careers.

The level at which you compete is less important than your commitment to improving your health, fuelling and performance.

I also support driven professionals who are not athletes but want to improve their energy, focus, resilience and long-term health.

What is Personal Performance Precision?

Personal Performance Precision is my approach to creating nutrition support that is fit for purpose and designed around the individual.

Generic plans are built for an average person. They do not account for your physiology, health history, symptoms, training, workload, lifestyle, preferences or goals.

Personal Performance Precision brings these factors together with clinical expertise, performance science and meaningful personal data. This allows us to identify what is affecting your health and performance, then engineer a practical strategy around your specific needs.

Like a tailored suit rather than something taken straight from the rack, the strategy is shaped around you: how you live, how you move, what your body needs and what you are working towards.

The result is not simply more nutrition information. It is a clear, personalised approach designed to support your energy, health, recovery and performance now and over the longer term.

What is the difference between a dietitian, a nutritionist and a nutritional therapist?

In the UK, dietitian is a legally protected title. Dietitians are regulated healthcare professionals qualified to assess and treat nutritional problems, including those associated with medical conditions.

The titles nutritionist and nutritional therapist are not legally protected, so qualifications, training and experience can vary. Registered Nutritionists and nutritional therapists who belong to recognised professional bodies may have completed relevant training, but their scope of practice differs from that of a registered dietitian.

As a Registered Clinical Dietitian and High-Performance Nutritionist, I combine clinical assessment and evidence-based care with specialist sports and performance nutrition.

This is particularly important where symptoms, blood markers, low energy availability, gut issues, injury, REDs, disordered eating or a medical condition may be affecting health and performance.

Do you work with people with eating disorders or REDs?

Yes. I provide specialist clinical and performance nutrition support for athletes and active individuals with eating disorders, disordered eating, Relative Energy Deficiency in Sport (REDs) and low energy availability.

Support may include nutritional rehabilitation, restoring adequate fuelling, reducing nutrition-related risk, supporting training and recovery, and working alongside doctors, psychologists, physiotherapists, coaches and other members of the multidisciplinary team where appropriate.

Where clinical risk is present, the priority is always safe, coordinated and appropriate care.

Do you write meal plans or diet plans?

A clear plan for what, when and how you eat can be valuable, but lasting change requires more than a prescriptive meal plan.

Where appropriate, I provide personalised meal structures, fuelling plans, practical food ideas, competition strategies and guidance around timing, recovery and preparation.

These sit within a wider approach that considers your health, schedule, training, travel, preferences, symptoms and goals.

The aim is to give you a strategy you can understand, adapt and sustain rather than a rigid plan that only works temporarily.

Do you offer one-off consultations?

Most individual support is delivered through a structured programme rather than a single appointment.

A first consultation begins the process of understanding your symptoms, patterns, data, health history, training demands and goals. Follow-up support allows recommendations to be implemented, reviewed and refined.

One-off specialist consultations may be available for clearly defined needs, such as an expert review or sweat sodium testing.

Please contact the team to discuss the most appropriate option.

What happens after I enquire?

You will be guided towards the service that best matches your goals, health needs and performance demands.

Where appropriate, the first step will be a discovery call or initial conversation to understand the support you are looking for and whether the service is the right fit.

You will then receive clear information about the recommended pathway, what is included, the expected timescale and the investment required.

A limited number of new clients are accepted each month to maintain the depth and quality of personalised support.

Do you work on a consultancy basis with companies ?

Yes. We have dietitians available for consultancy on projects, new product development.

Do you have a team of dietitians for research trials ?

Yes. We have a team of experienced dietitians who cover research trials where companies require a team of dietitians for nutrition consultancy/ councilling as part of a project protocol.

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