Meet OurExpert Team

Andy Keygan

Nurse Practitioner · Weight Management · General Practice · Emergency · Family Care

Andrew Keygan is a Specialist Weight Management Nurse Practitioner based on the beautiful North West Coast of Tasmania. With more than five years of dedicated experience in weight management — and over 18 years as a Nurse Practitioner and clinical leader - Andrew brings deep expertise, genuine empathy, and a grounded, real‑world understanding to every patient he supports.

SCOPE‑certified and extensively trained in obesity management, Andrew knows that weight is never just about willpower. It’s shaped by biology, hormones, stress, environment, and lived experience. As a husband and father of three, he understands the pressures of everyday life - the competing priorities, the fatigue, the emotional load, and the constant barriers that can make health feel like one more thing on an already full plate.

That’s why his approach is warm, holistic, and completely free of judgement. Andrew takes the time to understand each person’s story, tailoring treatment plans that combine medical therapy, behavioural strategies, and metabolic insight to create sustainable, meaningful change. His goal is simple: help people become the healthiest, happiest version of themselves - not through shame or restriction, but through support, science, and personalised care.

Patients describe Andrew as approachable, relatable, and easy to talk to. He brings the same authenticity to his consultations that he brings to his life: practical, compassionate, and deeply committed to helping people overcome the barriers that have held them back.

Your journey is unique - and Andrew is here to walk it with you, every step of the way.

Justin Black

Founder & Director — Nurse Practitioner

I'm Justin Black, a Nurse Practitioner with over 25 years of experience in weight loss, general practice, emergency care, paediatrics, intensive care, and chronic disease.

After serving as Clinical Director at one of Australia's largest weight loss clinics — where patients could see one of more than 100 clinicians, each with a different approach — I started Downscale with a simple idea: you should always know who your clinician is. Here, you see me, every time.

My approach is patient-centred, practical, and sustainable. I understand the realities of busy lives and the ups and downs of treatment. My focus is on getting people to their goal weight and, most importantly, helping them stay there — without pressure, without judgement, and without unnecessary appointments.

I also believe treatment should be as affordable as possible. There are many ways to make this work (😉) and I'll always be upfront about the best options. Patients book their own follow-ups on their terms — because this is about your life, not my schedule.

Kendall Gow

Nurse Practitioner · Clinical Nutritionist · Sexologist · Credentialled Diabetes Educator

I'm Kendall Gow, a Nurse Practitioner with over 15 years of clinical experience across women's and men's health, weight management, metabolic disease, and sexual health. My background spans advanced nursing practice, clinical nutrition, diabetes education, and sexology, allowing me to support patients in a truly holistic and evidence-based way.

I have worked in medical and surgical weight management since 2014, providing nutritional and clinical support alongside bariatric surgeons and specialist teams. Over this time, I've also led rapid weight loss programs in collaboration with urological surgeons and developed structured nutrition programs designed to help people better understand their bodies, metabolism, and long-term health.

My approach is grounded in practical, compassionate care. I focus on helping people improve their health in ways that are realistic, sustainable, and respectful of their individual circumstances. I have a particular interest in the intersection between metabolic health, chronic disease, and sexual wellbeing, recognising that quality of life is about far more than numbers on a scale.

In addition to my clinical work, I am a sessional academic at Edith Cowan University, teaching across undergraduate and master's nursing programs. I also contribute to national health education as a member of the Healthy Male Health Practitioners Advisory Board, working alongside Healthy Male and Movember to support evidence-based public health messaging in men's health and wellbeing.

I'm proud to be part of the Downscale team and to work within a model of care that values transparency, continuity, and genuinely patient-centred outcomes.

Amanda Hutchins

Nurse Practitioner

Hi, I'm Amanda and I've spent most of my career working in rural healthcare, caring for people over the last 15 years across emergency, acute and community settings. In these environments, you see the full picture of someone's health — not just one issue, but how everything connects over time, from chronic conditions to lifestyle and day-to-day challenges.

Working in rural settings has really shaped how I approach my care as a Nurse Practitioner. My style is supportive, practical and straightforward. My training focused on rural generalist practice, which is centred on improving access to care and ensuring people receive the support they need, regardless of where they live.

Through my rural healthcare experience, I've learnt that the most effective care is grounded in real life. You learn very quickly that health isn't about perfect plans or quick fixes — it's about what's realistic and important to the person so they can sustain it in their everyday lives. Access to services in rural areas can be limited, so the focus becomes about practical, meaningful changes that improve outcomes.

I'm particularly passionate about long-term health and the prevention of secondary complications, because I've seen firsthand the impact that early support and the right strategies can have. That's why I value being part of the Downscale team — their approach strongly aligns with my own, focusing on achievable, long-term outcomes and supporting people in ways that fit into real life.

Bec

Clinical Nurse Specialist & Practice Manager

Bec is a highly experienced Registered Nurse, current Cardiology clinician, and Practice Manager at Downscale. With a strong background in Emergency Nursing and the lived experience of raising five children, she brings both clinical precision and everyday compassion to everything she does.

Often described as the heart of the clinic and the go-to fixer, Bec is deeply committed to making every patient feel seen, supported, and understood.