Medically Supervised Weight Loss in Sydney inner west Leichhardt: extended clinic hours

The formula for successful and sustainable weight loss?*. Think the opposite of The Biggest Loser: careful assessment of your metabolic profile coupled with precise lifestyle/exercise advice based on current best practice and 25 years of health and fitness experience. This sets you up for a lifetime of successful health and happiness.

*This is the first and last time I will use the term weight loss because it is outdated and irrelevant. It’s all about changing body composition and your blood profile and your capacity to work.

We have the technology to measure your body composition using DEXA. We focus on targeting peripheral fat loss, visceral fat loss and muscle gain. We also measure what your optimal training zone for maximal fat loss is. We do this using a cardiorespiratory test called the VO2 max test.

We use this test not only to measure your cardiorespiratory fitness, but also to determine what training zone you need to work in to optimise body fat as your major source of energy. We calculate this by measuring gas exchange and your blood lactate levels. The optimal carbon dioxide expiration/oxygen inspiration ratio for burning body fat is 0.7. As your exercise intensity increases and the ratio exceeds .85, your primary energy source becomes carbohydrate.

During the VO2 max test the mask you wear over your mouth and nose captures the oxygen and carbon dioxide gas exchange which we can measure. During the test, there is an increase in exercise intensity every 1 or 3 minutes (depending on what protocol we want to use) Each increase in exercise intensity involves a finger prick to test your blood lactate level.

The lactate level also tells us the energy system you are using. When your exercise intensity increases your ability to use oxygen and fat as your primary energy source decreases. This level is called your lactate threshold. When you exercise past this threshold you will be using carbohydrate and lactic acid as your primary energy source.

We correlate the maximal speed/power and heart rate with the peak fat burning zone which you can then use this as a guide when you exercise. The level of intensity is actually quite moderate. You just need to work out the “sweet spot” to maximise the investment you made into your training program.

It is still important to improve your engine. You do need to exceed your lactate threshold to do this, but you only need to do a few bouts per week.

We will teach you how hormones such as insulin inhibit fat burning. You will learn key exercise and nutrition principles to maximise your outcome.

This unique program is available to all and is rebatable on your health insurance. We have had great success with clients previously struggling with their metabolic health. Our services have reached all members of the community, including members of our community with disabilities, morbidities and the elderly.