
Medical Conditions We Treat
Weight loss is powerful medicine. Our evidence-based approach treats multiple health conditions through sustainable weight management.
Conditions Managed at Downscale Weight Loss Clinic
At Downscale Weight Loss Clinic, Justin Black, Nurse Practitioner, provides whole-person care for adults and families. With 25+ years across general practice, paediatrics, emergency departments, and telehealth, Justin delivers safe, evidence-based care that's practical for busy lives.
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- Why can't I lose weight?
Nine medical reasons weight stops moving, and the tests that tell you which one applies.
- Thyroid and weight
What an underactive and overactive thyroid do to weight.
- Stress, cortisol and weight
Why stress can add weight without overeating.
- Medications that cause weight gain
Common prescribed medicines that affect weight, and what to ask.
- PCOS and weight
Does PCOS cause weight gain, or the other way around? Both, and why that matters.
- Blood tests worth asking for
The list, what each test shows, and why it matters.
Weight-Related & Metabolic Conditions
Structured plans that combine nutrition, movement, sleep, and behaviour change, with clinical review and ongoing follow-up.
Metabolic assessments, nutrition strategies, activity planning, and regular monitoring to improve blood-sugar control.
Lifestyle interventions, home monitoring, and cardiovascular risk reduction with regular reviews.
Diet and activity changes; monitoring of lipid trends; personalised prevention goals.
Coordinated plan addressing waist circumference, blood pressure, glucose, and lipids; staged reviews.
Gradual weight reduction targets, nutrition guidance, and liver-health monitoring.
Menstrual, fertility, and metabolic support with weight-centred lifestyle planning.
Symptom review, appropriate testing, and whole-health strategies to support energy, mood, and weight.
Screening, weight-linked risk management, and coordination with sleep services when needed.
Holistic review of sleep, nutrition, iron/thyroid/metabolic markers, and stress.
Symptom mapping, bone-health and weight-gain prevention, lifestyle strategies, and regular check-ins.
Root-cause review, relapse-prevention strategies, and sustainable maintenance plans.
Non-judgemental coaching, trigger management, and practical meal-timing routines.
Early intervention with targeted weight goals and habit coaching to prevent progression.
Low-impact movement programs and pacing strategies to protect knees, hips, and back.
Meal-pattern review, trigger identification, and weight-aware gut strategies.
Personalised risk scoring, lifestyle planning, and routine follow-up to track improvements.
Integrated approach to sleep, activity, routine, and supportive counselling.
Goal-setting around fat loss and strength, with realistic tracking and review.
"Keep-it-off" plans, relapse-prevention skills, and scheduled check-ins.
General Practice & Family Health
Supportive consults, practical coping plans, and stepped-care follow-up.
Safe, family-friendly care for common childhood conditions (respiratory, skin, ear/ENT, tummy upsets) and development checks.
Menstrual, perimenopause/menopause, pelvic and general wellbeing; respectful, evidence-based advice.
Screening, performance and wellbeing discussions, cardiovascular risk checks, and routine follow-up.
Assessment, action plans, and prevention strategies; inhaler technique education where relevant.
Eczema, dermatitis, acne, infections, and routine skin checks; trigger and routine care planning.
Strain, arthritis, and back/neck pain management with pacing, movement, and recovery plans.
Reflux, IBS-type symptoms, and bowel habit concerns with diet patterns and symptom tracking.
Blood pressure, lipids, glucose, and lifestyle risks; personalised prevention plans.
Sensible, guideline-aligned testing and clear interpretation; follow-up on results.
Age- and risk-appropriate vaccinations and screening reminders.
Thyroid and other hormone-related symptoms reviewed in context of energy, mood, and weight.
Confidential screening, treatment, and education; respectful, stigma-free care.
Pre-conception wellbeing, nutrition, and risk factor review.
Practical routines, light/screen hygiene, and stepwise plans to improve sleep quality.
Identification of triggers, daily-routine adjustments, and stepped-care management.
Safe assessment, home-care planning, and monitoring.
UTI assessment and management; hydration and prevention advice.
Evidence-based care for sinus, ear, and throat illnesses; safety-netting and review.
Support for stress, alcohol moderation, screen time, and sustainable habit change.
Our Care Principles
Downscale Portal
Existing patient? Continue in the Portal
Access relevant resources alongside your care, keep personal health metrics in one place, search the Portal, or ask the virtual receptionist for non-clinical help finding your way around.
- Personal health metrics
- Searchable resources
- Non-clinical receptionist help
From $45 for existing patients (Portal only)
New to Downscale? View appointment options.
Portal information is general and does not replace a consultation or provide clinical advice.