The Sourdough School

BALM – Proven as one of the healthiest approaches to bread in the world.

Based in the walled gardens of Dr. Vanessa Kimbell's beautiful Victorian home in rural Northamptonshire, UK, we tutor individuals and train bakers and healthcare professionals in Baking as Lifestyle Medicine (BALM). Personalising bread to your lifestyle, gut microbiome, and unique genetics for optimal health—tailoring fermentation, fibre, and diversity so that your daily bread becomes the foundation of your health.

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When not to Prescribe BALM

Part of our mission is about democratising bread. Sadly there are some circumstances where BALM social prescription may not be suitable for certain individuals or circumstances.

The following are reasons why BALM social prescription might not be appropriate:

  1. Lack of Access to Basic Resources: BALM requires patients to have access to a kitchen with baking facilities and basic baking equipment. Suppose a patient does not have access to these resources, such as a suitable device with an internet connection, an oven, or baking equipment. In that case, they may not be able to participate in the BALM activities fully. In such cases, alternative forms of social prescribing that are better suited to their resources and capabilities should be considered – perhaps an in-person course or another kind of social prescription altogether.
  2. Language Barriers: As BALM courses and materials are currently available only in English, patients who do not have a good command of the English language may face difficulties in understanding and following along with the tutorials and educational resources. Language barriers can hinder effective engagement and limit the potential benefits of the BALM approach. In such cases, alternative resources and interventions that are accessible in the patient’s preferred language should be explored.
  3. Pre-existing Medical Conditions or Allergies: BALM may not be suitable for individuals with certain medical conditions, allergies, or intolerances related to ingredients used in BALM recipes. For example, individuals with coeliac disease, wheat-induced asthma, severe allergies, or intolerances may be at risk of adverse reactions or complications when participating in BALM activities. In such cases, alternative social prescribing interventions that do not pose a risk to their health should be considered.
  4. Safety and Emergency Concerns: It is crucial to prioritize patient safety and well-being when considering BALM social prescription. If a patient is experiencing severe mental distress, expresses suicidal thoughts, or scores poorly on the self-assessment form, immediate professional help should be sought. BALM may not be appropriate as a standalone intervention for individuals facing acute mental health crises or requiring intensive professional care.
  5. Age Restrictions and Safeguarding: BALM prescriptions are primarily designed for adults, and there are limitations in place to safeguard minors within the digital environment. While BALM may be beneficial for teenagers under the supervision and consent of a parent or guardian, special considerations and precautions must be taken to ensure their safety and well-being.

It is important to remember that social prescribing interventions should be tailored to the individual needs, circumstances, and capabilities of each patient. A comprehensive assessment, considering factors such as available resources, medical history, language proficiency, and safety concerns, should guide the selection of appropriate social prescribing interventions. The goal is to provide the most suitable and effective support to enhance the patient’s well-being and overall health outcomes.

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All reasonable care is taken when advising about health aspects of bread, but the information that we share is not intended to take the place of treatment by a qualified medical practitioner. You must seek professional advice if you are in any doubt about any medical condition. Any application of the ideas and information contained on this website is at the reader's sole discretion and risk.

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