Tura Beach Medical Centre
Personal Care in a quality environment

Weight Loss Management

Being Overweight is a Genuine Medical Condition

A study by Monash University in May 2011 found more than 1.7 million Australians were obese – having a body mass index (BMI) over 30.

Importantly, we now understand this is not because of a lifestyle choice or a personal weakness. Scientists have discovered several genes, which predispose someone to obesity – including the FTO, PCSK1 and ENPP1 genes.
 
This finally explains why obesity often runs in families and why, for the majority of sufferers, diet and exercise are simply ineffective.

It’s time to recognise that obesity is a medical problem and should be treated without guilt or prejudice. Our doctors have a number of appetite regulation treatments through.

Do I have Obesity?

If the extra weight you are carrying gives you a Body Mass Index over 30, then from a medical perspective you have obesity. Click here to go back to the home page where you can check your BMI using our calculator on the right hand side of the page

Obesity is Often a Result of Excessive Appetite

Patients with obesity frequently report being hungry all the time, or need big meal portions to feel satisfied. Hunger is regulated by the Hypothalamus- the part of the brain that controls the body’s metabolic mechanisms.

It is thought that the hunger-regulating part of the hypothalamus does not function correctly in people with obesity - it continues to stimulate hunger and food desire all the time, even when your body has plenty of energy reserves. Perhaps it is like the low-fuel warning light in a car constantly flickering on even though you’ve just filled the tank. This is frequently genetic and promotes both overeating and poor food choices, and over time leads to obesity.

Another important observation is that people who are constantly hungry often seem drawn toward foods that are rich in calories. Such foods are often high in sugar and fat, such as chocolate, fried foods, and sweets. Treatment is highly effective by using appetite control procedures such as either the gastric band or sleeve.

Obesity may also be Caused by Emotional Eating

Comfort eating by turning to food to cope with stress, anxiety and low mood is very common. Chocolate, ice-cream, lollies and chips are usually used as they give a temporary 'hit'.

Psychologists believe that we are programmed from birth to be soothed by food - we have all seen the way a baby stops crying when put on the breast. Sometimes a serious or traumatic life event may trigger a person to revert back to using food to help feel better.

Of course we all know that this doesn't really work logically, and often we might actually feel worse about ourselves after an episode of comfort eating. However, emotions can be very powerful and at times control our actions.

Fortunately, emotional eating can be overcome. Patients can be treated with a combination of regular individual and group psychological counselling combined with physically limiting the amount of food that can be consumed during emotional episodes.

Whatever the reason for one's obesity, doctors all agree it must be treated because of the health risks associated with being dangerously overweight.

Why is Obesity Dangerous?

Having a serious weight problem is associated with a huge number of other medical problems. It adversely affects every body system and has become the second highest cause of preventable death in Australia after tobacco smoking.

Data from Western Australia has revealed that obesity shortens average life expectancy by 4 years, whilst an American study has found that people aged 25–35 years who are severely obese are 12 times more likely to die early than those of a healthy weight.

The following are just some of the medical problems that are strongly associated with obesity:
Type -2 Diabetes
Heart Disease
Infertility And Polycystic Ovaries
Fatty Liver Disease
Osteoarthritis And Joint Pain
Adult Onset Asthma
Abdominal Hernias
High Blood Pressure
Stroke
Raised Cholesterol
Gallstones
Bowel Cancer
Blood Clots
Depression
Sleep Apnoea
Heartburn And Reflux
Breast Cancer
Recurrent Leg Cellulitis
Bladder Incontinence
Blood Clots
Migraine
At least 80% of people with obesity will develop at least one of these conditions, and 60% will develop at least three. These and many other reasons explain why being overweight is such a risk to your health.

For us, the other major issue with obesity is the reduced quality of life
  • Do you constantly feel tired, with simple tasks like walking up steps leaving you feeling exhausted? 
  • Does even light exertion make you sweaty and uncomfortable? 
  • Does thinking about your weight get you down and depressed? 
  • Obesity takes away a person's right to a happy and fulfilled life.
Fortunately, obesity can now be treated. We specialise in appetite and portion control procedures combined with our renowned in-house dietary, psychological and medical support to help you get the best results possible.

Nutritional Medicine Clinic

Why don’t diets often work?

Because everyone is different and most diets focus on a one size fits all approach. Our nutrition experts acknowledge that you are unique and therefore require specific, tailored dietary advice to get the best possible health outcomes.

It is also important to recognise that while popular diets appear to show initial success, it is a well-documented fact that this is often short-lived with weight-regain being an issue in the longer term. Our team make it a priority to provide eating strategies that are effective in the long term.

We offer nutrition and lifestyle advice aimed to:
  • Stop the yo-yo dieting cycle
  • Address non-hunger driven eating behaviour
  • Improve health outcomes, such as blood sugar control or cholesterol levels
  • Address emotional or binge eating behaviour
  • Improve your energy levels and overall levels of fitness
  • Enjoy food without feeling guilty
  • Improve your body image
  • Advice on supplements, vitamins and eating plans
If you need help with any of the above, or if you are truly confused about how to achieve a healthy, nourishing diet for you and your family, you will benefit greatly from a consultation with one of our specialists. We are passionate about what we do and look forward to working with you to achieve your health goals.

Eating Psychology

Eating disorders are psychological disorders related to abnormal eating habits. A psychological assessment and treatment can be effective for:
  • Eating disorders and disordered eating
  • Body image concerns
  • Non-surgical weight management
  • Optimising outcomes following weight loss surgery
  • Support with chronic conditions

Food Intolerances

Food intolerance is characterized by difficulty in digesting particular foods.

The food contains proteins, vitamins, carbohydrates, fats and natural chemicals that add to its flavour and smell. Some of these can trigger symptoms of food intolerance.

Food intolerance differs from food allergies, where even a small amount of the allergenic food can cause a mild to severe immune response. Food intolerance usually develops gradually and may occur when you consume too much of the particular food, too often.

Irritable Bowel Syndrome (IBS)

IBS is a chronic disease. While it can be mild and manageable for some, for others it can severely affect their quality of life and interfere with daily activities.

Irritable bowel syndrome has a set of gastrointestinal symptoms such as abdominal pain, discomfort, cramping and bloating occurring together due to the abnormal functioning of the gastrointestinal tract (usually the large intestine). Symptoms of IBS include:
  • Changes in bowel movements
  • Abdominal pain and cramps
  • Bloating and gas
  • Diarrhoea
  • Constipation
  • Presence of whitish mucus in stools.
IBS can be treated to relieve symptoms; however, this condition cannot be cured. Your doctor will be able to manage this condition with the help of:
  • Lifestyle changes
  • Dietary changes
  • Medications

Coeliac Disease

Coeliac disease is a condition characterised by inflammation of the lining of the small intestine due to an autoimmune reaction (body’s immune system mistakenly attacks own healthy tissues) against gluten.

Gluten is a protein found in foods such as oats, wheat, rye and barley.

Coeliac disease usually causes an inflammatory reaction that leads to various gastrointestinal and malabsorptive problems. The condition may sometimes be associated with dermatitis herpetiformis, an itchy skin rash.

Weight Checks

If you’re trying to lose weight or just trying to manage your weight in a certain range, we suggest that checking your weight regularly can help.

Our doctors can advise if you are a healthy weight range and what to consider if you are not.

A weight check generally involves:
  • Recording your Body Mass Index (BMI) 
  • Considering your lifestyle and diet choices
  • Updating your medical history and examining your health issues
If your BMI is above or below the normal range, our doctor may consider: 
  • Performing tests if required
  • A follow up of any problems identified
  • Advice and information on how to improve your health.
There are a number of health checks recommended at different stages of life.

If you’re already at moderate risk of developing heart disease you’ll need to have your waist circumference and weight checked more frequently every 6 to 12 months.

Obesity Counselling

Hunger is the most powerful trigger to eat and weight loss surgery will help you to feel satisfied with smaller amounts of food and to stay satisfied for longer.

When you make a commitment to yourself to manage your weight more effectively it is important to also think about the other reasons why we eat such as habit, emotions, fatigue and stress.

Working on lifestyle and behavioural changes will enhance the outcome that you can achieve with surgery. Making these changes is not easy, which is why using a support team to help make the behavioural changes you need to achieve your goals is important.

We can help guide our patients to a healthy outcome.

Weight Loss Surgery

Australia has one of the highest prevalences of obesity in the developed world. Furthermore, obesity is the greatest contributing factor, along with ageing, to the chronic disease burden in our society.

Sometimes bariatric surgery or weight loss surgery can be a good choice for patients. Our doctors can help on this journey.
Share by: