Srav Health

Care philosophy · Working document · 2025

Our approach to integrative women's health

Our promise

We help women understand the root causes of their health concerns and build a personalised, multi-modal care plan that addresses them — the only platform where modern medicine, TCM, functional medicine, and Ayurveda work together.

This document sets out the principles that govern how care is designed and delivered at Srav Health. It is shared with all practitioners and clients as a foundation for every conversation, care plan, and clinical decision made on the platform. These principles are not fixed — they are reviewed regularly with our care team and updated as our model evolves.

Care principles
1

Safety is the first gate

Before any care pathway begins, red flags are identified and addressed. Where a concern requires specialist diagnosis or care outside Srav Health, the client is referred without delay.

Applies at intake and at any point mid-programme when a provider identifies a new concern. The CGO is informed within 24 hours of any red flag identification.

Non-negotiableAlways first
2

Systems based

We address dysregulated systems instead of a label or a diagnosis. A woman is not her condition — she is a person whose systems have fallen out of balance, for reasons that are almost always interconnected. Our job is to find the pattern — which systems, in what order, require balancing.

This principle shapes how we talk to clients, how we frame care plans, and how we measure outcomes. We support women with PCOS, perimenopause, and other conditions by restoring the systems behind them.

Root CausesPattern recognitionSystems restoration
3

Root cause first — mapped across modalities

Each modality has its own language for root cause. We translate them into shared therapeutic targets. The root cause map is built from intake data and prior diagnostics and history. Root causes become the shared foundation every provider works from.

We connect the dots across everything the client has already been through before ordering anything new. TCM, Functional Medicine, Modern Medicine and Ayurveda are held together.

Shared mapDistinct lensesPractitioners approve
4

Sequence by priority in conversattion with the client

Once root cause is mapped, care is sequenced by what matters most to the client and which path offers the highest benefit with the least burden. We stabilise the most disruptive concern first, then go deeper. The care plan is built with the client — their readiness and preferences are crucial inputs.

We do not overwhelm. One clear focus at a time, with depth added as the client builds capacity and confidence.

Highest benefitLeast burdenClient preference
5

Modality equity with evidence-informed defaults

No modality holds structural authority over others. Modern medicine is one lens, not the lead always. For each presenting condition, we establish an evidence-informed and client preference based pathway. We always consider whether an integrative approach — two or more modalities working together — serves the client better than any one alone.

Client history, preference, and response always modify the recommendation. The most integrative path is preferred where evidence supports it.

Condition defaultsClient modifierIntegration preferred
6

Diagnostics serve the care plan — we collect and analyze before we order

We read what already exists before asking for more. Prior diagnostics, previous treatments, what worked and what didn't — all are synthesised into the root cause map. New diagnostics are ordered only when intake and history create a specific rationale that existing data doesn't fill.

Ordered by the GP after intake review. Panels are use-case specific, not universal. The care plan is not built around a panel — the panel answers a question the team already has.

Connect dots firstOrder only what's needed
7

Track, review, adjust — always

We measure what matters to the client across physical, functional, and emotional domains using our 47-question baseline assessment. Care plans are reviewed at regular intervals and adjusted based on real response. The measure of success is how much better the client feels, functions, and lives — tracked against their own baseline.

Anchored on our proprietary 47-point assessment plus condition-specific markers: cycle regularity, energy, digestion, sleep, mood, and self-efficacy. Review every 4–6 weeks by the care lead; full team quarterly.

47-point assessment3-month re-baselineClient baseline
8

Build capacity and Self Sufficiency

Our goal is not ongoing reliance on the platform. It is the client understanding their own health well enough to sustain it. We invest in their health literacy. A successful outcome is a client who has improved meaningfully and knows how to maintain it.

Client self-efficacy is a tracked outcome. This shapes how care plans are presented, how reviews are conducted, and how we define success.

Health literacySelf-efficacySustained improvement
What we measure
Input
Root cause clarity
Client understands their root cause map. Shared therapeutic targets agreed and documented across all active modalities.
Process
Care plan adherence
Sessions attended. Protocol followed. Adjustments made on time. Client-reported engagement and readiness at each review.
Output
Quality of life improvement
47-point assessment score vs. baseline at 3 months. Condition-specific markers. Self-efficacy rating. Symptom burden reduction.
The five systems we map

Every client's care plan is built around these five interconnected systems. The order reflects clinical priority — upstream drivers first.

System What it captures Relationship to others
Mind-Body Life context, emotional landscape, meaning, significant events, intimacy, psychological burden Upstream driver — shapes your nervous system state over time
Nervous System HPA axis state, sleep architecture, energy patterns, cognitive function, neurological signals Central regulator — when dysregulated, pulls all others out of balance
Hormonal Axis Sex hormones, thyroid, cycle patterns, reproductive health, weight distribution Primary visible symptom layer — often where you first notice something is wrong
Gut & Estrobolome Digestive function, microbiome, oestrogen clearance, liver detox load, food relationship Metabolic foundation — dysbiosis amplifies hormonal imbalance
Inflammatory State Immune regulation, tissue inflammation, body burden, circulatory/structural signals Consequence and amplifier — shows up across all other systems when they're dysregulated
On modality equity

At Srav Health, no single modality holds structural authority over others. The GP/CGO anchors clinical governance and safety — but this is a regulatory role, not a clinical hierarchy. TCM, functional medicine, and Ayurveda are not complementary add-ons to a medical core. They are primary lenses with distinct and valid frameworks for understanding health.

In practice this means: the lead provider for any client is determined by the best fit to the presenting concern and the client's preference.

Every provider on the Srav Health platform is asked to work within this principle and is selected in part for their comfort with it.