My Approach

See how this approach shapes my work in paediatrics, neurodivergence, queer and trans health and disability support.

Book below, send me a message using the message box at the bottom of this page, or email jack@barkdietetics.com.au.

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Weight-inclusive dietitian in Kilsyth and online

I'm Jack, an Accredited Practising Dietitian. My care is weight-inclusive and Health At Every Size (HAES) informed. I focus on habits that support your health and wellbeing, and I don't set weight loss as the goal.

Why I don't focus on weight

Many larger-bodied people face weight stigma throughout their lives: at school, at work, and in health care [1]. That experience can make it harder to seek care at all. I want my appointments to be a place where your body isn't the problem we're trying to fix.

Diets also don't work the way they promise. Most people lose some weight in the short term, but regain often starts around 8 months after a diet [2]. In a review of high-quality long-term studies, people were back to their starting weight about 4 years later, on average [3]. Some reviews found one third to two thirds of dieters regain more weight than they lost [4]. Repeated loss and regain, often called weight cycling or yo-yo dieting, is linked with a higher risk of heart disease and death [5]. A similar pattern shows up when people stop weight loss medications. After people stop liraglutide or semaglutide, they typically regain about two thirds or more of the weight they lost within a year, unless they stay on the medication or add exercise [6,7].

A focus on weight and dieting can also change how you relate to food and your body. It can make it harder to notice and trust your hunger, fullness and other body signals [1].

What I focus on instead

  • Eating well, in a way that works for you. I use the Australian Dietary Guidelines as a starting point: a variety of foods from the five food groups, with plenty of whole foods [8]. We adapt it to your tastes, culture, budget and energy levels.

  • Movement you enjoy. Movement for fun, connection or feeling good, not as a punishment or a way to "earn" food.

  • Connection with others. Community and relationships are part of health too.

  • Kindness towards yourself. Working on a more respectful relationship with your body and with food.

What this means in a session

I only weigh you when there's a medical reason to. For example, when you're taking a GLP-1 medication (like Ozempic or Mounjaro), when you're at risk of malnutrition, or when your body is holding extra fluid. You can always choose not to see the number. Just tell me, and I'll keep it to myself.

What a session looks like

  • The first appointment is 60 minutes. We talk about what's going well, what feels hard and what you'd like from our time together. You decide what we focus on, and we go at your pace.

  • Follow-up appointments are 30 minutes. I see people in person in Kilsyth on Saturdays and Sundays, and by telehealth from Wednesday to Sunday.

  • The first appointment costs $180 and follow-ups cost $110.

Frequently Asked Questions

Send a message and we’ll figure things out together.

References

  1. Tylka TL, Annunziato RA, Burgard D, Daníelsdóttir S, Shuman E, Davis C, et al. The weight-inclusive versus weight-normative approach to health: evaluating the evidence for prioritizing well-being over weight loss. J Obes. 2014;2014:983495. Available from: https://pubmed.ncbi.nlm.nih.gov/25147734/

  2. Machado AM, Guimarães NS, Bocardi VB, da Silva TPR, Carmo ASD, de Menezes MC, et al. Understanding weight regain after a nutritional weight loss intervention: systematic review and meta-analysis. Clin Nutr ESPEN. 2022;49:138-53. doi:10.1016/j.clnesp.2022.03.020

  3. Nordmo M, Danielsen YS, Nordmo M. The challenge of keeping it off, a descriptive systematic review of high-quality, follow-up studies of obesity treatments. Obes Rev. 2020;21(1):e12949. doi:10.1111/obr.12949

  4. Mann T, Tomiyama AJ, Westling E, Lew AM, Samuels B, Chatman J. Medicare's search for effective obesity treatments: diets are not the answer. Am Psychol. 2007;62(3):220-33. Available from: https://pubmed.ncbi.nlm.nih.gov/17469900/

  5. Zou H, Yin P, Liu L, Liu W, Zhang Z, Yang Y, et al. Body-weight fluctuation was associated with increased risk for cardiovascular disease, all-cause and cardiovascular mortality: a systematic review and meta-analysis. Front Endocrinol. 2019;10:728. Available from: https://www.frontiersin.org/articles/10.3389/fendo.2019.00728

  6. Van Baak MA, Mariman ECM. Physiology of weight regain after weight loss: latest insights. Curr Obes Rep. 2025;14. doi:10.1007/s13679-025-00619-x

  7. Jensen SBK, Blond MB, Sandsdal RM, Olsen LM, Juhl CR, Lundgren JR, et al. Healthy weight loss maintenance with exercise, GLP-1 receptor agonist, or both combined followed by one year without treatment: a post-treatment analysis of a randomised placebo-controlled trial. eClinicalMedicine. 2024;69:102475. doi:10.1016/j.eclinm.2024.102475

  8. National Health and Medical Research Council. Australian Dietary Guidelines. Canberra: NHMRC; 2013. Available from: https://www.eatforhealth.gov.au/

  9. Clifford D, Ozier A, Bundros J, Moore J, Kreiser A, Morris MN. Impact of non-diet approaches on attitudes, behaviors, and health outcomes: a systematic review. J Nutr Educ Behav. 2015;47(2):143-55. doi:10.1016/j.jneb.2014.12.002

  10. Bacon L, Aphramor L. Weight science: evaluating the evidence for a paradigm shift. Nutr J. 2011;10:9. Available from: http://www.nutritionj.com/content/10/1/9

  11. Mauldin K, May M, Clifford D. The consequences of a weight-centric approach to healthcare: a case for a paradigm shift in how clinicians address body weight. Nutr Clin Pract. 2022;37(6):1291-306. doi:10.1002/ncp.10885