Advertise on podcast: Australian Weight Loss Surgery Podcast

Weight regain after bariatric surgery is one of the most feared — and most misunderstood — parts of the journey. So when does it become a problem, and what can you actually do about it?   In this episode, Accredited Practising Dietitian and Dietetics Lead Jennifer Tsoutsoulis from Melbourne Weight Loss Solutions unpacks why some degree of weight regain is a normal part of the post-surgery curve and how to tell the difference between a natural rebound and a genuine red flag.   Jennifer explains why the first 12 months after surgery is the "honeymoon period," what happens to hunger hormones beyond that window, and how changes in portions, food quality, and eating routine quietly drive regain over time. She also covers the role of the body's set point, why the scale will often settle slightly above your lowest post-surgery weight and why that's not failure.    For anyone seeing the numbers creep up and wondering whether to panic, Jennifer offers a clear, practical threshold: when to pause, what to check, and who to reach out to first. Tune in to find out what to do next. Episode Highlights: Why weight regain is multifactorial and always expected to some degree What the "honeymoon period" means and why hunger changes after 12 months How ghrelin, portion creep, and food quality combine to drive regain The body's set point explained and what a normal rebound actually looks like The 5kg rule: when to pause, check in, and reconnect with your team Why GLP-1 medications are now a legitimate tool in managing post-surgical regain The iceberg analogy: why dietitians, psychologists, and surgeons all have a role Why obesity being treated as a chronic disease is changing the conversation About Our Guest: Jennifer Tsoutsoulis is an Accredited Practising Dietitian and Dietetics Lead at Melbourne Weight Loss Solutions, with over 8 years of experience in both surgical and non-surgical weight management. She is passionate about supporting individuals through evidence-based nutrition care, delivering practical and personalised strategies that empower clients to achieve sustainable, long-term results. Jennifer holds a Bachelor of Human Nutrition, majoring in Genetics, along with a Master of Dietetic Practice. Her professional approach combines scientific expertise with a compassionate, client-centred philosophy, helping individuals improve their health, build confidence, and enhance their overall quality of life.   Connect with Jennifer Jennifer Tsoutsoulis LinkedIn | www.linkedin.com/in/jennifer-tsoutsoulis-69316315a Melbourne Weight Loss Solutions | mwls.com.au See omnystudio.com/listener for privacy information.

What should women know about preparing for pregnancy after bariatric surgery? And how can nutrition during this time support both maternal health and a baby’s long-term development? In this episode, Advanced Accredited Practising Dietitian, Melanie McGrice explains why the period before conception and through a child’s first two years is one of the most important windows for nutrition. She focuses on what women who have had bariatric surgery need to consider when planning a pregnancy, including weight stability, nutrient levels, and timing. Melanie discusses why weight management can become more complex after pregnancy and how nutritional status before conception can shape fertility outcomes. She also explores how epigenetic programming may influence a baby’s future health. Melanie breaks down practical guidance for bariatric patients who want to start or grow their family. She explains how to time weight loss before conception, what adequate protein and micronutrient intake looks like with a restricted stomach, and why the folate conversation is more nuanced than many prenatal supplements suggest. For anyone navigating pregnancy preparation after bariatric surgery, this episode offers clear, evidence-based guidance on supporting both mother and baby during this critical stage. For health care professionals: Home - Early Life Nutrition Alliance For public: Nutrition Plus Dietitians - Fertility, PCOS, Pregnancy & Paediatrics Episode Highlights: Why women often can't reverse weight changes that started during pregnancy — and the science behind it What epigenetics actually means, and why the first thousand days sets a child's lifelong health trajectory The landmark mouse study that changed how we think about what mothers eat during pregnancy Folate vs. folic acid vs. methylated folate — Melanie's practical middle-ground recommendation How to manage nausea-driven eating in the first trimester without compromising nutrition Why bariatric patients need specific micronutrient and protein targets before and during pregnancy The timing strategy Melanie uses for weight loss before IVF egg collection Why nutrition should come before IVF — not after multiple failed cycles About Our Guest: Melanie McGrice is an advanced accredited practising dietitian and one of Australia’s leading experts in early life nutrition. With over 20 years’ experience, she specialises in fertility, pregnancy, and the first 1,000 days, helping individuals and families optimise health during life’s most influential nutritional window. Melanie is the founder of the Early Life Nutrition Alliance, a global community of dietitians dedicated to improving health outcomes through evidence-based nutrition care. She also leads consumer-focused services through Nutrition Plus, supporting people with fertility concerns, hormonal health challenges, and complex conditions such as PCOS, Endometriosis, and metabolic changes related to bariatric surgery and GLP-1 medications. A regular media commentator, researcher, and educator, Melanie is passionate about making high-quality nutrition science accessible, practical, and compassionate. Her work empowers individuals to feel confident, supported, and informed as they navigate significant health decisions and transitions. Connect with Melanie McGrice Website | www.melaniemcgrice.com.au Instagram | www.instagram.com/melaniemcgrice Facebook | www.facebook.com/MelanieMcGriceDietitian YouTube | www.youtube.com/channel/UCEMqzbbepjpirMANLvA2TEQ X (Twitter) | @MelanieMcGrice LinkedIn | www.linkedin.com/in/melanie-mcgrice-91885638/ See omnystudio.com/listener for privacy information.

What if everything you've been told about willpower and weight loss is wrong? Obesity Specialist GP and dietitian Dr. Mais Hussein reveals why obesity isn't a character flaw—it's a chronic disease driven by over 100 hunger hormones working against you. We explore why GLP-1 medications like Ozempic and Wegovy are powerful tools, not magic fixes, and what happens when people use them without proper nutritional support. Dr. Mais breaks down the three critical pathways GLP-1s work on—inflammation, hunger suppression, and food addiction—and why pairing them with resistance training and adequate protein is non-negotiable. She shares why eating very little is actually your worst enemy, how emotional eating is a symptom, and what post-bariatric patients need to know about long-term support. If you've been stuck in the diet-shame-motivation cycle or wondering whether GLP-1s are right for you, this conversation offers a science-backed path forward that treats obesity as the treatable chronic disease it actually is.   Episode Highlights: Why GLP-1s are tools, not solutions—and what happens when used without lifestyle support The three pathways GLP-1s work on: inflammation, hunger hormones, and reward systems Why muscle loss is inevitable with any weight loss method—and how to prevent it How hunger levels differ between people with and without obesity Why "eat less, move more" fails when you're fighting 100 hormones The shocking truth about food addiction and emotional eating What bariatric surgery patients need to know about lifelong vulnerability About Our Guest: Dr Mais Hussein is a medical doctor with 16 years of experience and an obesity specialist for the past 3 years, with a strong background in nutrition and lifestyle medicine. She works at the intersection of medicine, metabolism, and real life , translating complex clinical frameworks into practical, sustainable strategies. Her upcoming program, Weight Loss & Beyond, is designed to move people past generic advice and endless trial-and-error, offering evidence-based guidance without extremes, shame, or quick fixes — focusing on long-term health, not just the number on the scale.   Connect with Dr. Mais Hussein Website | www.weightlossandbeyond.com.au See omnystudio.com/listener for privacy information.

You take your vitamins religiously for the first year after surgery, your labs look fine, so you stop. What could go wrong? Kate Fuss, Physician Assistant-Certified and founder of Banana Bariatrics, has watched patients arrive at clinics unable to walk straight down the hallway, their teeth cracking, skin deteriorating—all because they believed vitamins were temporary.  In this episode, she reveals why your "normal" lab results might be hiding serious deficiencies, what irreversible brain damage from thiamine deficiency actually looks like, and why your body will break down your bones before letting your calcium levels drop. She also shares myths that leave patients vulnerable years after surgery. Kate explains why eating healthy will never be enough, how to spot vitamin deficiencies before they become emergencies, and why one patient's hair loss was actually the least of her problems.  If you've ever thought "my calcium is always normal" means you could skip supplements, or wondered why you're exhausted despite eating well, this episode could prevent serious complications. $1 for a week trial membership Episode Highlights: Why "normal" lab ranges don't tell the whole story for bariatric patients The two-week thiamine window that separates prevention from brain damage How your body sacrifices bone health to maintain blood calcium levels Warning signs of vitamin deficiency that mimic other conditions Why malabsorptive procedures require different supplementation than gastric sleeve The real cost of skipping vitamins: from hospital admissions to irreversible damage About Our Guest: Kate Fuss, PA-C is a Surgical Residency trained Physician Assistant from Yale / Norwalk hospitals in Connecticut. She obtained her Masters of Medical Science at Wake Forest School of Medicine in NC. Kate has over 12 years of clinical and operative experience in Bariatrics, General, and Plastic & Reconstructive Surgery. She additional obtained a Board Certification as a Specialist in Obesity and Weight Management. Her passion lies in serving weight loss surgery patients throughout their entire operative journey. She carries a special interest in serving those struggling with post-operative weight regain and believes in a whole foods nutritional approach for overall health and wellness. When Kate has extra time on her hands, she enjoys pouring it inside Banana, being present with her two daughters and husband, and traveling the world with her family to experience new cultures and cuisines.   Connect with Kate Fuss Website | bananabariatrics.com Instagram | @banana.bariatrics Facebook | www.facebook.com/groups/bariatricweightlosssurgery Providers | bananabariatrics.com/private-practice/ See omnystudio.com/listener for privacy information.

What if the pain, heavy bleeding, and chaos you've accepted as "normal" isn't normal at all? Naturopath and author Lara Briden reveals why your menstrual cycle is the most underrated health report card you'll ever get—and what it's actually telling you about insulin resistance, inflammation, and metabolic health. We explore why hormonal birth control isn't regulating your period (it's suppressing it), how dairy might be the key to lighter, pain-free cycles, and why perimenopause doesn't have to be the health crisis it's become. Lara walks us through the hidden metabolic consequences of decades on the pill, the real drivers behind PCOS and endometriosis, and practical strategies that actually work—from antihistamines to magnesium to simply quitting alcohol during perimenopause.  If you've been told your symptoms are "just hormones" or that you need to live with the pain, this conversation offers a different path forward.   Lara Briden's Books Period Repair Manual: Natural Treatment for Better Hormones and Better Periods Hormone Repair Manual: Every Woman's Guide to Healthy Hormones After 40 The Metabolism Reset VIDEO: The Hidden Story of Endometriosis: Pain, Lesions, and the Microbiome Episode Highlights: Why pill bleeds aren't real periods—and what that means for long-term health How to tell if you're actually ovulating and why it matters beyond fertility The link between dairy, histamine, and heavy, painful periods What normal menstrual flow actually looks like—and when to seek help Why hormonal birth control may be undermining metabolic health Practical strategies for navigating perimenopause without losing your mind About Our Guest: Lara Briden is a naturopathic doctor and the bestselling author of Period Repair Manual, Hormone Repair Manual, and The Metabolism Reset. She has consulting rooms in Christchurch, New Zealand, where she treats women with PCOS, PMS, endometriosis, perimenopause, and many other hormone- and period-related health problems.    Connect with Lara Briden Website | www.larabriden.com Facebook | www.facebook.com/LaraBriden X | @LaraBriden Instagram | @larabriden YouTube | www.youtube.com/larabriden TikTok | @larabriden See omnystudio.com/listener for privacy information.

What if the biggest obstacle after weight loss surgery isn't the stalls, the food aversions, or even the physical recovery—but the voice in your head? Alex Lauren takes us five months into her bariatric journey, beyond the highlight reel most people share online. She unpacks the hypercritical inner dialogue that emerged during her first stall, the unexpected ways her autoimmune condition shaped her approach to food and movement, and why preparation for surgery started eight months before she ever stepped into the operating room. This isn't another "I lost X kilos" story. Alex reveals how she used GLP-1 medication strategically before surgery, rebuilt her relationship with food through therapy and journaling, and learned to decenter weight loss when chronic pain demanded it. We explore the comparison trap that dominates bariatric communities, why vulnerability became her most powerful tool, and how showing up authentically online created connections she never knew she needed. If you've ever wondered what really happens when the scales don't move as expected, or how to navigate bariatric life when your body has its own rules, this conversation matters. Episode Highlights: Why the first weight loss stall hits harder psychologically than physically How intentional pre-surgery preparation shaped seamless post-op life Using bariatric surgery as a reset to identify autoimmune food triggers The hidden cost of comparison in Facebook groups and online communities Why expressing emotions replaced emotional eating Balancing chronic pain management with weight loss goals About Our Guest: Alexandra has just hit five months post-op following weight-loss surgery and shares her journey online with a strong focus on honesty, sustainability, and mindset. She lives with ankylosing spondylitis, an autoimmune condition, so her experience includes navigating surgery alongside chronic pain, inflammation, and medication, something that’s shaped her approach to both food and movement. Online, she creates engaging, no-shame content that focuses on building a healthy relationship with food, dismantling diet culture, and showing what real life after surgery actually looks like, not just the highlights.   If you need something shorter:  Alexandra is five months post-op and shares her weight-loss surgery journey online with an honest, no-shame approach. Living with ankylosing spondylitis, she speaks to the realities of balancing surgery, chronic illness, and mindset, while showing what real life after surgery looks like beyond the highlights   Connect with Alex Instagram: @keepingupwithalexlauren TikTok: @keepingupwithalexlauren See omnystudio.com/listener for privacy information.

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 See omnystudio.com/listener for privacy information.

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 See omnystudio.com/listener for privacy information.

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 See omnystudio.com/listener for privacy information.

Why do successful women still struggle with money decisions, even when they have the knowledge and resources to make better choices? The answer often lies not in their bank accounts, but in the stories they tell themselves about money. Melissa Meagher spent over 20 years in finance working as a financial planner, stockbroker, and seminar delivery specialist before discovering that technical knowledge alone doesn't solve money problems. In this episode, she shares how she combined traditional financial planning with money story work after realizing her own limiting beliefs were sabotaging her business. Melissa explains why money beliefs form before age seven, how these show up in adult relationships and career decisions, and shares a powerful story about a client who couldn't buy herself an Apple Watch due to childhood trauma. She also explores the physical stress of financial worry, why money creates "mental gymnastics," and how understanding your money story can free up mental space for better decisions. Listen in to discover how money work goes far beyond budgeting and why addressing both the practical and emotional sides of finance can transform more than just your bank balance. Melissa’s Retreat & Special Offers Melissa is also hosting an incredible Retreat designed to help people reset, reconnect, and step fully into their abundance. Retreat Details & Tickets: Click here - they have a special offer ongoing. Bring a friend and both pay half price…so 2 for 1! Buy a ticket between midnight Wednesday and midnight Friday and receive a free 1:1 follow-up session with Melissa valued at $500. Melissa is also offering our listeners a complimentary 3-/0-minute Discovery Call. Book your session here: Discovery Call. Episode Highlights: The difference between knowing financial facts and having a healthy relationship with money How money beliefs form by age seven through family conversations  Workplace challenges women face in the financial industries How societal expectations around women and money create additional barriers. The connection between personal worth and money decisions How addressing personal money issues impacts children and future generations Examples of how to teach financial skills to young people. About Our Guest: Melissa has had over 20 years’ experience in the financial services industry - working previously as a financial planner, stockbroker and seminar delivery specialist across a broad range of employers – from the big guys to the smaller boutique firms.  Then around 10 years ago Melissa had a realisation…a realisation that she was a non-conformist and never really fitted into the box of being employed (think star fish formation!) She knew there was something more for her She knew that she definitely didn’t want to be employed anymore And she knew she wanted to be 100% available for her young children So, Melissa consolidated all her amazing knowledge and experience around money and finances coupled with her deep desire to help and support people and created her own Money Coaching business called Talking Money! Talking Money is about transforming people’s lives; by providing the tools, support and framework to empower them to have clarity, awareness and efficiency around their money. To show motivated and dynamic individuals who are open and ready to claim their worth for ultimate financial independence, activating their abundance, freeing themselves from limiting beliefs and truly stepping into their power. Melissa’s Super-Power is public speaking. She has spoken extensively both in her own business and as a Guest Speaker (including Business Chicks) and has also been a contributor to various media outlets (including Marie Claire Australia). Melissa has been a member of the Financial Planning Association since 1997. Melissa holds a Bachelor of Commerce (Finance), Diploma of Financial Planning, and is a Certified Financial Planner (non-practicing) Melissa likes to keep fit and healthy and enjoys spending time with her two children Olivia and Lachlan. Good company, food and wine are essential!   Connect with Melissa Meagher Website | https://melissameagher.com.au LinkedIn | https://au.linkedin.com/in/talkingmoney Facebook | www.facebook.com/talkingmoneyaus Instagram | @melissa_talkingmoney See omnystudio.com/listener for privacy information.

What if the key to fertility isn't about trying harder, but about understanding your body's fundamental needs first? Sleep might matter more than your hormone levels when it comes to conception. Kirsten Karchmer has spent 25 years working in women's health and fertility after her own health crisis led her to Chinese medicine. She shares her journey from competitive gymnast with MS to fertility expert who has helped thousands of couples conceive. She explores why IVF might be starting backwards, how the menstrual cycle serves as a monthly health report card, and why energy levels are the most important metric she tracks. Kirsten explains her approach to precision medicine for fertility, the five key categories she evaluates, and how she created an AI app that actually outperformed her clinic results. She covers the fertility stress paradox, why "doing everything" often backfires, and how to focus on the right interventions at the right time. Whether you're trying to conceive or simply want better hormonal health, Kirsten's insights will change how you think about your body's signals. Episode Highlights: How sleep impacts fertility more than hormone levels like AMH The connection between energy levels and reproductive health Why exhaustion from over-exercise can harm fertility through cortisol pathways Why starting with IVF might be backwards The difference between getting pregnant and staying pregnant How to build a "conceivable cycle" before attempting conception Using monthly cycles to diagnose underlying health issues How Chinese medicine principles apply to modern fertility treatment The five categories that predict conception success: energy, blood, temperature, stress, and hormones How "trying too hard" can prevent pregnancy through stress responses Why focusing on pregnancy instead of healthy babies misses the point The importance of preparing the body for a successful pregnancy, not just conception About Our Guest: Kirsten Karchmer, MS, M.Ed, is a health tech pioneer and women’s health expert and is the founder and CEO of Conceivable Technologies, which developed, patented, and validated the use of use patent-pending assessment and prescriptive AI techniques to help identify the underlying factors impacting their ability to get and stay pregnant – then curate a multi-disciplinary intervention to fix them while improving long-term health outcomes at the same time. As one of the first board-certified reproductive acupuncturists in North America, and the former President of the American Board of Oriental Reproductive Medicine, Kirsten spent 20 years in her clinical practice and has helped more than 10,000 infertile women. In 2013, Kirsten translated her successful clinical programs into technology-enabled platforms that provide an affordable and scalable fertility solution. Conceivable was named one of the most innovative health tech startups by MedTech in 2015 and Best Fertility App by Healthline in 2016 and has been featured in TechCrunch, Fox News, The New York Observer, PSFK, The Daily Dot, and Huffington Post. She also has more than 300,000 devoted Tiktok followers. A highly sought-after speaker, Kirsten has presented at SXSW, Health 2.0, Fertility PlanIt, and lectures internationally on infertility, PCOS, endometriosis, women’s health, the future of integrative medicine, and using technology better to serve patients, providers, and healthcare systems. Kirsten has been recognized as one of the top female start-up founders to watch, the recipient of the Texas Trailblazer award for innovation in health care, and is a contributor to Huffington Post, MindBodyGreen, and Goop Magazine. Follow Kirsten on Facebook, Twitter, and LinkedIn. Connect with Dr. Avi Charlton Website | www.kirstenkarchmer.com X | @Baby_Makers LinkedIn | www.linkedin.com/in/kirsten-karchmer-0139808 Facebook | www.facebook.com/KirstenKarchmerOfficial Tik Tok | @yourfertilityexpert See omnystudio.com/listener for privacy information.

True healing begins not with medicine, but with food, breath, and daily habits.  In this episode, Dr. Avi Charlton, a Melbourne-based General Practitioner with over 20 years of experience shares her inspiring journey from being a traditional GP to becoming a passionate advocate for therapeutic carbohydrate reduction and holistic lifestyle medicine. Prompted by a personal wake-up call about her own health, she explored low-carb nutrition, which not only transformed her own body but significantly improved outcomes for her patients, including those with obesity, diabetes, and even mental health conditions. Dr. Arvi discusses the six pillars of her lifestyle approach—nutrition, movement, stress management, sleep and sunlight, community support, and addiction awareness and highlights the profound benefits of prioritizing protein, managing stress through breathwork, and reconnecting with natural circadian rhythms. Through her clinics, courses, and breathwork workshops, she empowers others to heal, thrive, and pursue longevity through practical, sustainable changes. Tune in to discover how simple lifestyle changes—like breathwork, better sleep, and a low-carb diet—can radically transform your health and well-being. Episode Highlights: How Dr. Avi Charlton’s personal weight loss journey led her to discover low-carb nutrition Why she shifted from traditional medicine to a holistic, lifestyle-focused approach How therapeutic carbohydrate reduction can reverse diabetes and reduce medication The six lifestyle pillars Dr. Avi uses  Insights into low-carb eating The truth about calorie counting and why it often does more harm than good The critical role of sleep, stress, and sunlight in weight loss and mental health Simple tools for breathwork and why it’s key to managing stress and inflammation How mouth taping and nose breathing improve sleep quality and reduce snoring The connection between adverse childhood experiences and chronic disease Dr. Avi’s passion for teaching breathwork and her new business Practical tips for staying nourished and organized in a busy modern lifestyle Why protein-first is essential for everyone Her vision for preventive care, longevity, and empowering patients to take charge of their health About Our Guest: Dr. Avi Charlton is a Melbourne-based General Practitioner with over 20 years of experience. Her passion for lifestyle medicine stems from her personal journey. A few years ago, feeling overweight, tired, and juggling life with young kids, a patient mistakenly asked if she was pregnant. Determined to make a change, she joined an 8-week body transformation challenge, following a diet prescribed by her personal trainer and incorporating running. This sparked a transformation—she lost weight, regained energy, and embraced a healthier lifestyle. Inspired by her success, Dr. Charlton founded the Melbourne Low Carb Clinic, where she helps patients lose weight, reverse type 2 diabetes, and reduce medications through sustainable nutrition and lifestyle changes. She has seen remarkable improvements in her patients’ health, proving that natural solutions can lead to lasting results. Her interest in breathing techniques led her to become a certified Functional Breathing Instructor with The Oxygen Advantage. She now integrates breathwork into her clinical practice to help patients manage anxiety, stress, and overall well-being. In 2024, she launched Breathe In Health, offering coaching, workshops, and retreats to promote functional breathing. Dr. Charlton also hosts Prescribing Lifestyle, a podcast educating listeners about the importance of lifestyle changes and featuring inspiring interviews. Passionate about empowering others, she is dedicated to helping patients thrive through holistic, practical approaches to health. Connect with Dr. Avi Charlton Website | breatheinhealth.com.au Facebook | www.facebook.com/people/Breathe-In-Health Linked In | www.linkedin.com/in/avi-charlton Instagram | @breathe.in.health Youtube | www.youtube.com/@avicharlton See omnystudio.com/listener for privacy information.

Did you know that endometriosis affects an estimated 1 in 7 Australian women by age 49, yet diagnosis can still take over six years on average? In this episode, Donna Ciccia, a health advocate and co-founder of Endometriosis Australia shares her powerful journey in founding the organisation and fighting for better outcomes for people with endometriosis. She opens up about the personal challenges that led her to take action, from living with chronic pain to juggling motherhood and managing her health. Donna discusses how a small online community of just 20 people has grown into a nationwide movement that helped launch the National Action Plan for Endometriosis, significantly improving awareness, research funding, and diagnosis timelines. She highlights the urgent need for personalised, interdisciplinary care, greater investment in research including into the microbiome, nutrition, and environmental triggers and improved access to diagnosis and treatment options. With honesty, warmth, and grit, Donna underscores the physical, emotional and financial toll of endo, while offering hope and practical pathways for others to advocate for themselves and build supportive networks. Don’t miss this eye-opening episode where Donna Ciccia shares hard-earned lessons on advocacy, resilience, and how collective action is transforming the future for Australians living with endometriosis. Episode Highlights: How Donna co-founded Endometriosis Australia from a grassroots idea The early challenges of building a community and raising awareness around endometriosis Shocking statistics on endo diagnosis  Why personalised, interdisciplinary care is essential for endo patients The impact of endometriosis on work, relationships, and mental health The importance of menstrual health literacy and breaking generational myths How Australia became a global leader in endometriosis research and data Donna’s insights on integrating natural therapies with conventional medicine The role of pelvic physiotherapy and nutrition in managing chronic pain Her advocacy for a subspecialty in complex gynaecology Exciting developments like the Charli app and AI-based ultrasound for endo Donna’s thoughts on future treatments, including GLP-1 medications and microbiome research Practical advice for self-advocacy and finding the right support as a patient Her mission is to empower women and lift up other not-for-profit founders About Our Guest: Donna Ciccia is a dedicated health advocate with over 15 years of experience in non-profit leadership, specialising in women's health and chronic illness. As Deputy Chair and Co-Founder of Endometriosis Australia, Director at Chronic Pain Australia, and Director at Long COVID Australia, she has spearheaded national awareness campaigns, influenced health policy, and secured significant research funding. Passionate about amplifying patient voices, Donna is committed to driving systemic change in healthcare. Connect with Donna Ciccia Website | www.donnaciccia.com.au and endometriosisaustralia.org Linked In | www.linkedin.com/in/donna-ciccia Facebook | www.facebook.com/donnaciccia Instagram | @donna_ciccia See omnystudio.com/listener for privacy information.

When you help, you see life as weak; when you fix, you see life as broken—but when you're in service, you see life as whole and beautiful.   In this episode, Nicole Lange, a fertility and trauma-focused acupuncturist and founder of Life Healing Life, discusses her holistic approach to women’s health. Drawing from Traditional Chinese Medicine (TCM), Nicole explains how she integrates acupuncture, herbal medicine, and lifestyle support to help women navigate fertility challenges, trauma, and obesity. She shares how her practice focuses on identifying and treating patterns of imbalance rather than just symptoms, emphasizing a collaborative, person-centered model of healing. Nicole discusses the profound mind-body connection, the significance of trauma in health outcomes, and how Eastern and Western approaches can complement each other. Her analogies, like the "fire under the kettle," illustrate how digestion, emotions, and trauma are interlinked. She also highlights the importance of self-awareness, seasonal eating, and patient empowerment in achieving sustainable health outcomes.   Tune in to hear Nicole Lange share powerful insights on healing fertility, trauma, and women's health through the lens of Chinese medicine and holistic care. Episode Highlights: How Nicole Lange developed her holistic, service-based approach to healing The philosophy behind “Life Healing Life” and why healing isn't about fixing The connection between trauma, fertility struggles, and women’s health Integration of Traditional Chinese Medicine with evidence-based Western practices Explanation of how the “kettle” analogy represents digestion, stress, and imbalance The impact of chronic stress and complex trauma on fertility and weight Importance of addressing each patient’s unique constitution and pattern of imbalance How acupuncture supports fertility, digestion, emotional health, and trauma healing The role of seasonal eating and thought patterns in TCM dietary guidance Real-life outcomes from combining holistic treatment with IVF or weight loss journeys Why understanding and trusting your body is key to long-term healing Nicole’s online offerings to help patients understand and heal their own patterns About Our Guest: Nicole Lange is an acupuncturist, educator, and thought leader who has specialized exclusively in fertility, trauma, pregnancy, and post-infertility care in Minneapolis Minnesota. Through her personal healing journey and two decades of clinical practice, she has developed a groundbreaking approach that integrates cutting-edge science with Traditional Chinese Medicine principles.   Her revolutionary clinical method emphasizes: Deep listening and personalized care Nuanced, science-backed education Trauma-informed practices that enhance nervous system regulation TCM techniques applied with modern understanding True integration of body, mind, and life circumstances Show note links: Nicole’s online education — programs, mini-courses, blog, youtube channel can all be found at: https://www.lifehealinglife.com/online-fertility-education   Fertility Freebies! https://www.lifehealinglife.com/fertility-freebies   Code for $10 off any of Nicole’s online program for podcast listeners:  LHLPOD10 Connect with Nicole Lange Website | www.lifehealinglife.com Linked In | www.linkedin.com/in/nicole-lange Instagram | @notafixer Youtube | www.youtube.com/@thebabyyouwant See omnystudio.com/listener for privacy information.

Did you know that declining oestrogen levels during perimenopause can significantly impact not just mood and memory, but also increase the risk of metabolic conditions like insulin resistance and cardiovascular disease? In this episode, Dr. Lucy Burns, a GP with extensive experience in metabolic health, mental health, and menopause, discusses the intricate connections between hormonal changes, ADHD, binge eating, and metabolic dysfunction in midlife women. She explains how fluctuating oestrogen levels during perimenopause and menopause can exacerbate cognitive issues, emotional regulation, and insulin resistance, often triggering a cascade of physical and mental health challenges. Dr. Burns highlights the need for individualized, holistic care that considers the complex interplay of sleep, nutrition, stress, and strength training, emphasizing that weight management is about chemistry—not just calories. She shares insights from her work with Real Life Medicine and RLM Telehealth, offering wraparound care tailored to each woman’s unique needs, and encourages listeners to take proactive steps to support their long-term health and vitality. Tune in to discover how understanding the connection between hormones, mental health, and metabolism can transform your midlife health journey.   Episode Highlights: How Lucy expanded from general practice into metabolic health, mental health, and menopause The impact of perimenopause and menopause on metabolic and emotional health The link between ADHD, binge eating disorder, and hormonal changes Why estrogen is critical for brain function, insulin sensitivity, and inflammation control The role of strength training and nutrition in managing midlife weight and metabolic health How sleep deprivation sabotages metabolic and emotional well-being Importance of individualized care and uncovering the root causes of health issues Lucy’s approach to wraparound care through her Real Life Medicine and RLM Telehealth clinics How lifestyle medicine and mindset shifts can reduce reliance on medication The value of proactive hormone therapy in managing menopause symptoms and long-term health About Our Guest: Dr Lucy Burns is passionate about health. She helps women who have tried every diet under the sun optimise their health and achieve long lasting weight loss by improving metabolism and managing mindset so they can reduce the effects of chronic disease, have more energy and confidence and stop living life on the sidelines. Her passion is lifestyle medicine and using it with traditional medicine to improve patient outcomes. Her mantra with medication is always to use the lowest effective dose and optimising lifestyle allows that to happen.  She was an “expert dieter” and an “expert emotional eater”. During perimenopause, she developed obesity, fatty liver and pre-diabetes. As a medical doctor, this was mortifying.  She has completely abandoned traditional dieting and embraces a real food lifestyle.  Dr Lucy is a medical doctor, an accredited mental health GP and a certified lifestyle medicine physician. She has additional training in various facets of medical care, including metabolic health, menopause care, psychological medicine, and hypnotherapy.  She runs online holistic health and weight programs with her colleague Dr Mary Barson. They have now helped thousands of women reclaim their health. They are both very real and relatable and embody their company name - Real Life Medicine. www.rlmedicine.com  She is also the founder of RLM telehealth and has a small team of doctors who are passionate about providing collaborative care Australia-wide www.rlmtelehealth.com Connect with Lillian Dino Website | www.rlmedicine.com and www.rlmtelehealth.com Facebook | www.facebook.com/reallifemedicine Instagram | @real_life_medicine Join their online programs! The 4 week Body Rebalance - https://www.rlmedicine.com/4wbrThe 12 week program - www.rlmedicine.com/12WMBR   Click here for free resources! The Real Health and Weight Loss Podcast   Free Ebook Weight Loss is all about Hormones  👉 https://www.rlmedicine.com/weightloss-ebook   Menopause Checklist  👉 https://www.rlmedicine.com/checklist See omnystudio.com/listener for privacy information.