Are you stuck feeling like you're heading in the wrong direction? Regain after WLS can really be defeating.  Here's a quick bite on how to handle it, and what might be the sneaky contributors ;)

Are you stuck feeling like you're heading in the wrong direction? Regain after WLS can really be defeating.&nbsp; Here's a quick bite on how to handle it, and what might be the sneaky contributors ;)

On the Australian Weight Loss Surgery Podcast, we share tips, insights and recommendations from leading Bariatric specialists to help you achieve and maintain your weight loss goals and live a life of health and vitality.


Qualified Nutritionist Jacqui Lewis and her guests dive into aspects of diet, fitness, wellbeing, mindset and lifestyle that come together to achieve great results on your Weight Loss Surgery journey.

On the Australian Weight Loss Surgery Podcast, we share tips, insights and recommendations from leading Bariatric specialists to help you achieve and maintain your weight loss goals and live a life of health and vitality.
 Qualified Nutritionist Jacqui Lewis and her guests dive into aspects of diet, fitness, wellbeing, mindset and lifestyle that come together to achieve great results on your Weight Loss Surgery journey.

Australian Weight Loss Surgery Podcast

On the Australian Weight Loss Surgery Podcast we share tips, insights and recommendations from leading bariatric specialists, to help you achieve and maintain your weight loss goals and live a life of health and vitality.


Nutritionist Jacqui Lewis and her guests dive into aspects of diet, fitness, wellbeing, mindset and lifestyle that come together to achieve great results on your weight loss surgery journey.

On the Australian Weight Loss Surgery Podcast we share tips, insights and recommendations from leading bariatric specialists, to help you achieve and maintain your weight loss goals and live a life of health and vitality.
 Nutritionist Jacqui Lewis and her guests dive into aspects of diet, fitness, wellbeing, mindset and lifestyle that come together to achieve great results on your weight loss surgery journey.

Weight Regain

What if the simple act of stepping on the scales is doing more harm than good?

Dr. Cal Paterson challenges something we've all accepted as routine: weighing patients. We explore why weight and obesity aren't the same thing, how the scales have become a measure of worth rather than health, and why this seemingly innocent medical procedure deserves far more thought than it gets.

Cal walks us through the changing landscape of obesity medicine, where patients with lived experience now sit on panels alongside doctors, and where the conversation is shifting from "what do you weigh?" to "how are you living?" We discuss the collision of the eating disorder and obesity worlds, the problems with BMI as our go-to measure, and why grip strength might tell us more about health than a number on the scales ever could.

If you've ever felt that tightness in your chest before a weigh-in, or watched a patient's face fall when they see the number, this conversation matters.

Dr Cal Paterson has shared some additional materials:
Cal will be hosting a webinar for IFSO later this month on the role of psychology in obesity surgery across the Asia-Pacific region. Details: https://us06web.zoom.us/meeting/register/4_1X1jtQTO6fug9OjMVRPA#/registration
Cal’s paper will be published in the Journal of Public Health Ethics in the new year. Journal link: https://academic.oup.com/phe

 

Episode Highlights:
Why weight and obesity are two completely different things
How weighing functions as a medical procedure that requires consent and care
The role shame and stigma play in perpetuating poor health outcomes
Why doctors rarely define success by weight, yet it dominates consultations
Alternative ways to measure health and progress
What patients can actually control versus what they're blamed for

About Our Guest:

Dr Cal Paterson is a clinical psychologist working in Sydney. He has practiced as a clinician, teacher, and consultant in mental and chronic health since 1997. Cal has presented papers and workshops on obesity care, eating disorders, and behaviour change in Australia and internationally. Cal completed a Clinical Psychology Doctorate in 2007 with the acceptance of his thesis titled “Great Expectations; Applying common factors theory to practice in treatment for Anxiety and Depression." He is a founding member of the Australian Clinical Psychology Association, and Vice-chair of the Integrated Health committee of the International Federation of Surgery and other Therapies for Obesity Asia-Pacific chapter. Cal is the author of papers and book chapters on topics ranging from child development, to CBT, to the role of placebo in psychology treatment. He most recently had a discussion paper accepted for publication by the Journal of Public Health Ethics, titled: “Should Weight be Given Less Weight in Obesity?”

 

Connect with Dr. Cal Paterson
LinkedIn | https://au.linkedin.com/in/cal-paterson-19891b26
X (Twitter) @obesitypsych

What if the simple act of stepping on the scales is doing more harm than good?
Dr. Cal Paterson challenges something we've all accepted as routine: weighing patients. We explore why weight and obesity aren't the same thing, how the scales have become a measure of worth rather than health, and why this seemingly innocent medical procedure deserves far more thought than it gets.
Cal walks us through the changing landscape of obesity medicine, where patients with lived experience now sit on panels alongside doctors, and where the conversation is shifting from "what do you weigh?" to "how are you living?" We discuss the collision of the eating disorder and obesity worlds, the problems with BMI as our go-to measure, and why grip strength might tell us more about health than a number on the scales ever could.
If you've ever felt that tightness in your chest before a weigh-in, or watched a patient's face fall when they see the number, this conversation matters.
Dr Cal Paterson has shared some additional materials:
<ul>
<li aria-level="1">Cal will be hosting a webinar for IFSO later this month on the role of psychology in obesity surgery across the Asia-Pacific region. Details: <a href="https://us06web.zoom.us/meeting/register/4_1X1jtQTO6fug9OjMVRPA#/registration">https://us06web.zoom.us/meeting/register/4_1X1jtQTO6fug9OjMVRPA#/registration</a></li>
<li aria-level="1">Cal&rsquo;s paper will be published in the Journal of Public Health Ethics in the new year. Journal link: <a href="https://academic.oup.com/phe">https://academic.oup.com/phe</a></li>
</ul>
&nbsp;
Episode Highlights:
<ul>
<li aria-level="1">Why weight and obesity are two completely different things</li>
<li aria-level="1">How weighing functions as a medical procedure that requires consent and care</li>
<li aria-level="1">The role shame and stigma play in perpetuating poor health outcomes</li>
<li aria-level="1">Why doctors rarely define success by weight, yet it dominates consultations</li>
<li aria-level="1">Alternative ways to measure health and progress</li>
<li aria-level="1">What patients can actually control versus what they're blamed for</li>
</ul>
About Our Guest:
Dr Cal Paterson is a clinical psychologist working in Sydney. He has practiced as a clinician, teacher, and consultant in mental and chronic health since 1997. Cal has presented papers and workshops on obesity care, eating disorders, and behaviour change in Australia and internationally. Cal completed a Clinical Psychology Doctorate in 2007 with the acceptance of his thesis titled &ldquo;Great Expectations; Applying common factors theory to practice in treatment for Anxiety and Depression." He is a founding member of the Australian Clinical Psychology Association, and Vice-chair of the Integrated Health committee of the International Federation of Surgery and other Therapies for Obesity Asia-Pacific chapter. Cal is the author of papers and book chapters on topics ranging from child development, to CBT, to the role of placebo in psychology treatment. He most recently had a discussion paper accepted for publication by the Journal of Public Health Ethics, titled: &ldquo;Should Weight be Given Less Weight in Obesity?&rdquo;
&nbsp;
Connect with Dr. Cal Paterson
<ul>
<li aria-level="1">LinkedIn | <a href="https://au.linkedin.com/in/cal-paterson-19891b26">https://au.linkedin.com/in/cal-paterson-19891b26</a></li>
<li aria-level="1">X (Twitter) <a href="https://twitter.com/obesitypsych">@obesitypsych</a></li>
</ul>

Why Weighing Patients Isn't as Simple as We Think with Dr. Cal Paterson

What if you could stop guessing what works for your body and actually see what's happening inside?

John Wright from Metabolic Health Solutions joins me to talk about something we don't discuss enough: metabolism and how it actually works. We dig into why the number on the scale doesn't tell us much about our health, and how testing your metabolism gives you real information you can use. John explains what his ECAL technology measures, how it works, and why knowing how your body uses oxygen and produces carbon dioxide matters more than you might think. We talk about muscle mass, why protein matters, the role of alcohol in weight management, and how personalized data can help you make better choices instead of trying every diet that worked for someone else.

If you're tired of stabbing around in the dark with your weight loss efforts, this episode offers a different way forward. 

John has shared some additional materials:
Check your metabolism with MHS for Patients:www.MHS.clinic
A White Paper on Indirect Calorimetry with GLP-1RA therapeutics
A summary paper on METS_iQ as a companion diagnostic for GLP-1 optimisation*

Episode Highlights:
What metabolism is and why it matters more than weight
How ECAL technology measures your body's fuel use
Where fat goes when you lose it
Why carbohydrate intake affects fat burning
The role of muscle mass in metabolic rate
Movement versus structured exercise
Why personalized data helps with adherence and outcomes

About Our Guest:

John Wright is a global healthcare business manager with considerable leadership, business development and strategic management experience in startups, SMEs, and multi-billion-dollar corporations. He has also led the development of clinical trial and regulatory teams in therapeutic areas including oncology, respiratory diseases, and metabolic disorders.

John built, grew, and exited a global clinical health data business to NYSE listed Rogers Corporation. During this time, he led the team to develop the first 3 physician real time training portals including programs for the European Society of Cardiology and the European Society for Medical Oncology.

John is the co-founder of Metabolic Health Solutions Pty Ltd, a device and digital health company focused on delivering evidence based clinical solutions for weight and associated metabolic health.

Connect with Metabolic Health Solutions:
Facebook: Metabolic Health Solutions
LinkedIn: Metabolic Health Solutions

Connect with John Wright
Facebook: John Wright
LinkedIn: John Wright

What if you could stop guessing what works for your body and actually see what's happening inside?
John Wright from Metabolic Health Solutions joins me to talk about something we don't discuss enough: metabolism and how it actually works. We dig into why the number on the scale doesn't tell us much about our health, and how testing your metabolism gives you real information you can use. John explains what his ECAL technology measures, how it works, and why knowing how your body uses oxygen and produces carbon dioxide matters more than you might think. We talk about muscle mass, why protein matters, the role of alcohol in weight management, and how personalized data can help you make better choices instead of trying every diet that worked for someone else.
If you're tired of stabbing around in the dark with your weight loss efforts, this episode offers a different way forward.&nbsp;
John has shared some additional materials:
<ul>
<li aria-level="1">Check your metabolism with MHS for Patients:<a href="http://www.mhs.clinic/"> </a><a href="http://www.mhs.clinic">www.MHS.clinic</a></li>
<li aria-level="1"><a href="https://t36823765.p.clickup-attachments.com/t36823765/b913e9d2-020b-4253-a4d2-6e13e6fe1840/GLP-1%20RA%20Metabolism%20Monitoring_WPFinal.pdf">A White Paper on Indirect Calorimetry with GLP-1RA therapeutics</a></li>
<li aria-level="1"><a href="https://t36823765.p.clickup-attachments.com/t36823765/b14ba2d7-04d3-4ef8-aa5f-90af72e6b2d6/METS_iQ%20as%20Companion%20Diagnostic%20.pdf">A summary paper on METS_iQ as a companion diagnostic for GLP-1 optimisation*</a></li>
</ul>
Episode Highlights:
<ul>
<li aria-level="1">What metabolism is and why it matters more than weight</li>
<li aria-level="1">How ECAL technology measures your body's fuel use</li>
<li aria-level="1">Where fat goes when you lose it</li>
<li aria-level="1">Why carbohydrate intake affects fat burning</li>
<li aria-level="1">The role of muscle mass in metabolic rate</li>
<li aria-level="1">Movement versus structured exercise</li>
<li aria-level="1">Why personalized data helps with adherence and outcomes</li>
</ul>
About Our Guest:
John Wright is a global healthcare business manager with considerable leadership, business development and strategic management experience in startups, SMEs, and multi-billion-dollar corporations. He has also led the development of clinical trial and regulatory teams in therapeutic areas including oncology, respiratory diseases, and metabolic disorders.
John built, grew, and exited a global clinical health data business to NYSE listed Rogers Corporation. During this time, he led the team to develop the first 3 physician real time training portals including programs for the European Society of Cardiology and the European Society for Medical Oncology.
John is the co-founder of Metabolic Health Solutions Pty Ltd, a device and digital health company focused on delivering evidence based clinical solutions for weight and associated metabolic health.
Connect with Metabolic Health Solutions:
<ul>
<li aria-level="1">Facebook:<a href="https://www.facebook.com/p/Metabolic-Health-Solutions-100063784823408/"> Metabolic Health Solutions</a></li>
<li aria-level="1">LinkedIn:<a href="https://au.linkedin.com/company/metabolic-health-solutions"> Metabolic Health Solutions</a></li>
</ul>
Connect with John Wright
<ul>
<li aria-level="1">Facebook:<a href="https://www.facebook.com/john.wright.808052/"> John Wright</a></li>
<li aria-level="1">LinkedIn:<a href="https://au.linkedin.com/in/john-wright-mhs"> John Wright</a></li>
</ul>

Testing Your Metabolism: The Missing Piece in Weight Management with John Wright

Dr. Melissa Beitner, a bariatric surgeon and obesity medicine specialist who brings a comprehensive understanding of both surgical and medical weight loss treatments. Her work at 360Surgical reflects a multidisciplinary approach to treating obesity as the chronic disease it is.

In this episode, we explore the evolving landscape of obesity treatment, from understanding who qualifies for GLP-1 medications versus bariatric surgery, to what happens when treatments are combined or used sequentially. We discuss the reality of insufficient weight loss, weight recurrence, and why some patients might need surgery after medications or vice versa. We cover emerging research, including studies on weight maintenance after GLP-1 discontinuation, and why bariatric surgery might be considered as a weight maintenance strategy rather than just a weight loss tool. We also touch on the importance of multidisciplinary care, nutritional considerations for long-term medication use, and how financial factors influence treatment decisions.

Listen to this episode to understand how modern obesity treatment is moving away from either-or decisions toward integrated approaches that consider each person's unique circumstances, goals, and health needs.

Episode Highlights:
Who qualifies for GLP-1 medications versus bariatric surgery
BMI and comorbidity requirements for each treatment option
Why obesity medications aren't routinely used before surgery
Using medications after surgery for insufficient weight loss or weight recurrence
Bariatric surgery as a weight maintenance strategy after medications
Why weight cycling harms metabolism and causes muscle loss
Future treatments including multi-agonist drugs and endoscopic options
Nutritional concerns for long-term GLP-1 use
Financial comparison between ongoing medications and one-time surgery
The importance of multidisciplinary care in treating obesity as a chronic disease

About Our Guest:

Dr. Melissa Beitner is a fellowship trained bariatric surgeon and obesity medicine specialist. She is the founder of a comprehensive, multidisciplinary weight management clinic called 360 SURGERY where she helps patients with evidence-based surgical and non-surgical weight management solutions in a supportive, judgement free environment here in Melbourne.

After completing medical school at The University of Melbourne, she undertook general surgery training at New York University followed by fellowships in bariatric surgery and minimally invasive surgery at Mount Sinai Hospital in New York as well as in Brisbane and Sydney. She is a fellow of the Royal Australasian College of Surgeons, a Fellow of the American Society of Metabolic and Bariatric Surgery and a Diplomate of the American Board of Obesity Medicine. 

Connect with Melissa Beitner
Instagram | @360surgery
Facebook | www.facebook.com/profile.php?id=100088496901783
TikTok | @drweightlossmelbourne
Website | www.360surgery.com.au

Dr. Melissa Beitner, a bariatric surgeon and obesity medicine specialist who brings a comprehensive understanding of both surgical and medical weight loss treatments. Her work at 360Surgical reflects a multidisciplinary approach to treating obesity as the chronic disease it is.
In this episode, we explore the evolving landscape of obesity treatment, from understanding who qualifies for GLP-1 medications versus bariatric surgery, to what happens when treatments are combined or used sequentially. We discuss the reality of insufficient weight loss, weight recurrence, and why some patients might need surgery after medications or vice versa. We cover emerging research, including studies on weight maintenance after GLP-1 discontinuation, and why bariatric surgery might be considered as a weight maintenance strategy rather than just a weight loss tool. We also touch on the importance of multidisciplinary care, nutritional considerations for long-term medication use, and how financial factors influence treatment decisions.
Listen to this episode to understand how modern obesity treatment is moving away from either-or decisions toward integrated approaches that consider each person's unique circumstances, goals, and health needs.
Episode Highlights:
<ul>
<li aria-level="1">Who qualifies for GLP-1 medications versus bariatric surgery</li>
<li aria-level="1">BMI and comorbidity requirements for each treatment option</li>
<li aria-level="1">Why obesity medications aren't routinely used before surgery</li>
<li aria-level="1">Using medications after surgery for insufficient weight loss or weight recurrence</li>
<li aria-level="1">Bariatric surgery as a weight maintenance strategy after medications</li>
<li aria-level="1">Why weight cycling harms metabolism and causes muscle loss</li>
<li aria-level="1">Future treatments including multi-agonist drugs and endoscopic options</li>
<li aria-level="1">Nutritional concerns for long-term GLP-1 use</li>
<li aria-level="1">Financial comparison between ongoing medications and one-time surgery</li>
<li aria-level="1">The importance of multidisciplinary care in treating obesity as a chronic disease</li>
</ul>
About Our Guest:
Dr. Melissa Beitner is a fellowship trained bariatric surgeon and obesity medicine specialist. She is the founder of a comprehensive, multidisciplinary weight management clinic called 360 SURGERY where she helps patients with evidence-based surgical and non-surgical weight management solutions in a supportive, judgement free environment here in Melbourne.
After completing medical school at The University of Melbourne, she undertook general surgery training at New York University followed by fellowships in bariatric surgery and minimally invasive surgery at Mount Sinai Hospital in New York as well as in Brisbane and Sydney. She is a fellow of the Royal Australasian College of Surgeons, a Fellow of the American Society of Metabolic and Bariatric Surgery and a Diplomate of the American Board of Obesity Medicine.&nbsp;
Connect with Melissa Beitner
<ul>
<li aria-level="1">Instagram | <a href="https://www.instagram.com/360surgery/">@360surgery</a></li>
<li aria-level="1">Facebook | <a href="https://www.facebook.com/profile.php?id=100088496901783">www.facebook.com/profile.php?id=100088496901783</a></li>
<li aria-level="1">TikTok | <a href="https://www.tiktok.com/@drweightlossmelbourne">@drweightlossmelbourne</a></li>
<li aria-level="1">Website | <a href="http://www.360surgery.com.au">www.360surgery.com.au</a></li>
</ul>

Weight Regain

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