THE NEW YOU - 9386 2634

Dietitians

Sarah Flanagan

BSc, Grad Dip (dietetics), MDAA, APD, AN
Accredited Practising Dietitian, Accredited Nutritionist.
Sarah Flanagan divides her time between her private practice and being a mother of two busy children. Born and raised in Perth, Sarah went on to study Dietetics at Curtin University before working in the Goldfields and South East Coastal region of WA. It was there that she met her husband David and decided to travel and work overseas. Sarah gained a broad range of dietetic experience working as a Dietitian overseas (London, Guernsey and Ghana). Then returning to Western Australia, working at a number of Perth hospitals before taking on the role of Public Health Dietitian at The National Heart Foundation of Australia where she worked for over 2 years.
In 2004 and after having her 2 children, Sarah started her own private practice. For over 10 years, Sarah has been working predominantly in the field of bariatric (weight loss) surgery. In addition to this, Sarah provides on-going mentorship for Dietitians and has worked with Edith Cowan University as a Clinical Supervisor.
Sarah is a Patron for the Charity, Kalparrin, and devotes a lot of her spare time promoting the importance of supporting families of children with special needs and disabilities.
Email: sarah@advancesurgical.com.au


ADVANCE SURGICAL

Dietitians are available for appointments both prior and post operatively.

Phone 9386 2634 to make an enquiry/appointment

 


Margaret Hays

Bsc (Nutrition), Grad Dip Dietetics, Grad Dip Diabetes Education.
Margaret has been a Dietitian for 28 years and currently works in Private Practice seeing clients one on one in Corporate Health. Margaret also works in Indigenous remote communities with Chronic Disease Specialist Teams and has worked as both a Community Nutritionist and a Dietitian in the Food Industry both here and overseas.
Preventative Health is one of Margaret’s passions, so working with clients to lower their risk of Chronic Disease is a high priority for her. She also works with people that already have Diabates, Heart Disease, Weight Issues and other Health Conditions to improve their health through better food and nutrition choices. She is able to help clients make lasting changes to their food and lifestyle habits in a manner that is helpful, supportive, practical and friendly.
As a Senior Media Spokesperson for the Dietitians Association of Australia, Margaret is often called upon to provide both Diet and Nutrition related comments for National TV, Newspaper and Radio.
Email: margaret_hays@iinet.net.au



All our dietitians have a keen interest in obesity management and are experienced in:

  • Preoperative assessments and counselling
  • Managing low calorie diets preoperatively
  • Counselling post surgery for the long term management of laparoscopic band procedures or tube / sleeve gastrectomies

Read on for some common questions asked by sleeve patients:

Are there any foods that I won’t be able to eat with the sleeve?
Gastric sleeve patients are encouraged to eat and enjoy all foods in appropriate quantities. Patients do experience early satiety with bulky foods such as bread, rice and pasta. While you can still enjoy these foods, it will be in small amounts. It is recommend these foods are eaten last, following the meat/protein and vegetable portions of the meal.
Is it possible to not lose any weight with the sleeve?
There are certain factors that will predict success with the sleeve, such as:

  • How ready a person is for surgery
  • The individual’s level of awareness of the reasons for their weight gain
  • A person’s level of commitment to support and follow up
  • Personal responsibility for the lifestyle adjustment that’s required
  • As part of the program and Western Obesity surgery you will discuss these things with your Surgeon and Dietitian and decide if surgery is right for you.

I eat very quickly, will this be a problem?
It’s important to chew your food well and eat slowly enough so that you can sense the feeling of fullness. If you eat too quickly, you may experience discomfort and even vomiting. It?s also recommended that you wait leave about 20 minutes either side of eating before drinking anything.
How much will I be able to eat?
The quantity does vary between individuals and also depending on the texture of a food. A tall person will eat more, because their stomach sleeve will be longer. If a food is in a liquid form such as soup, more will be tolerated than if it is a more solid food. For example egg nog (or egg mixed in milk) will be less filling than eating a boiled egg.
How much weight can I expect to lose?
On average, people lose about 65% of the excess weight they are carrying. So, if someone was carrying an extra 50kg for their height, they can expect to lose about 32 kilos. It is possible for someone to lose all of their excess weight.
Will the sleeve cure my diabetes?
Because excess weight plays such a large role in the development of metabolic diseases such as diabetes, high blood pressure /cholesterol, it is possible that by restoring a healthy body weight, the severity of these conditions and dependence on medication can be reduced and in many cases reversed completely.
Will I be able to get all the nutrients I need?
Given that sleeve patients are not able to consume regular quantities of food, it is even more important to ensure that the choices that are made are nutritious ones. All patients will need to take vitamins post operatively and levels will be checked annually via a blood test. A fibre supplement is also recommended. Patients are encouraged to see the Dietitian for meal planning and lifestyle support to ensure that they make the best of sleeve.
What about fluids? Will I be able to get enough?
It can be difficult to guzzle down lots of fluid in one sitting and It?s also a good idea to wait 20 minutes either side of eating before drinking because the two don’t fit in the small stomach together! So the trick is to
drink regularly.
How does my body know when to stop losing weight?
Eventually the body adapts to the reduced intake of calories and weight loss stabilises. Your body stabilises at a new set point by re-prioritising the way it burns up calories. In order to prevent early weight stabilisation, it is recommended that sleevers do regular exercise, especially the sort that builds muscle as muscle is a good fat burner.
Do I have to exercise?
People report an improved tolerance for exercise with the reduction in body weight. They generally become more active because it?s easier to move around, so they are doing more accidental exercise. Planned exercise is also recommended, as this will support long term maintenance of body weight. Research has shown that those who don?t exercise will not be as healthy and lose as much weight as those who do.
Why is it called a gastric sleeve or tube?
Quite simply, because the shape of the newly shaped stomach looks like a shirt sleeve or tube
Will the staples set off airport security systems?
No, they are non-magnetised titanium so they will not set off airport detectors.
Can the staples fall out?
No, they are initially used to hold the new stomach in place but within two weeks they do not have a structural role. If you were to go in and have a look at the stomach two weeks after the operation, you would not see the staples. The stomach tissue grows around them like a lattice or framework and they are then incorporated into the stomach, permanently.