Optimal with Dr Liz

Optimal with Dr Liz Optimal with Dr Liz

A bespoke, science-led retreat for midlife renewal.

Combining nutrition, movement, and meaningful travel - guided by science, soul, and strategy. ๐ŸŒฟ

When people hear the word nutrition, they often think about healthy eating, weight management, or dietary advice. Clinic...
04/09/2026

When people hear the word nutrition, they often think about healthy eating, weight management, or dietary advice.

Clinical nutrition is something quite different.

It sits within healthcare, where nutrition becomes part of the treatment plan rather than simply a lifestyle choice.

Across oncology, acute care, aged care, rehabilitation and chronic disease management, the priorities are often to:
โœ” Preserve muscle mass and physical function
โœ” Prevent and treat malnutrition
โœ” Manage the metabolic effects of disease and treatment
โœ” Support recovery and quality of life through individualised nutrition care

These are complex clinical decisions informed by nutritional science, medical history, functional status, symptoms, treatment goals and the patient's overall health.

Clinical nutrition is not about prescribing the "perfect" diet.

It is about applying evidence-based nutrition to improve treatment tolerance, support recovery, preserve independence and optimise health outcomes throughout the healthcare journey.

As healthcare becomes increasingly personalised, nutrition continues to play an essential role - not alongside clinical care, but as part of it.

If you've been through a cancer diagnosis, you've probably encountered a lot of nutrition advice.Some helpful. Some conf...
01/09/2026

If you've been through a cancer diagnosis, you've probably encountered a lot of nutrition advice.

Some helpful. Some confusing. Some completely at odds with the evidence.

On Saturday 12 September, I'm speaking at The Haven Women's Cancer Support Inc. on the Gold Coast - covering what the evidence tells us about nutrition during cancer treatment, where the science is heading, and how to navigate the diets, supplements and nutrition claims that can feel overwhelming at an already difficult time.

I'll also be gathering some informal perspectives from the women there for research I'm preparing on hype versus hope in cancer nutrition.

If you've been through treatment, your experience is genuinely valuable to this work.

๐Ÿ“ The Haven, 12 Nerang Street, Nerang QLD 4211
๐Ÿ—“๏ธ Saturday 12 September 2026
โฐ Arrive 9:15am | Start 9:30am

Free for Haven members. Open to all.

Book at womenscancersupport.com.au

One wound. Many perspectives. One person at the centre.One of the things I loved most about Wounds Australia 2026 was se...
31/08/2026

One wound. Many perspectives. One person at the centre.

One of the things I loved most about Wounds Australia 2026 was seeing so many different professions, disciplines and nationalities coming together with a common purpose: improving outcomes for people living with wounds.

Wound care, like nutrition, really does cross boundaries. Whatever our area of expertise, we each bring a different piece of the puzzle.

But one message from the conference particularly stayed with me.

As health professionals, we can become very focused on what ๐˜„๐—ฒ see as the goal:

๐˜๐˜ฆ๐˜ข๐˜ญ ๐˜ต๐˜ฉ๐˜ฆ ๐˜ธ๐˜ฐ๐˜ถ๐˜ฏ๐˜ฅ.

For the person living with that wound, success may look quite different.

It might be reducing exudate or odour enough that they feel comfortable going back to their local cafรฉ.

It might be being able to wear their favourite shoes again, sleep better, get back to work or simply feel more confident being around other people.

It was a lovely reminder to ask a very simple question:

โ€œ๐—ช๐—ต๐—ฎ๐˜ ๐—ฑ๐—ผ๐—ฒ๐˜€ ๐—ฎ ๐—ด๐—ผ๐—ผ๐—ฑ ๐—ผ๐˜‚๐˜๐—ฐ๐—ผ๐—บ๐—ฒ ๐—น๐—ผ๐—ผ๐—ธ ๐—น๐—ถ๐—ธ๐—ฒ ๐—ณ๐—ผ๐—ฟ ๐˜†๐—ผ๐˜‚?โ€

The best care brings together the evidence, the expertise of the multidisciplinary team and what actually matters to the person in front of us.

And, of course, nutrition needs to be part of that conversation.

Healing places significant demands on the body, and identifying and addressing nutrition needs is an important part of supporting the whole person, not just the wound.

Thank you Wounds Australia for a few days of learning, connection and some important reminders.

Body weight is one of the most commonly measured indicators in healthcare. But it doesn't always answer the clinical que...
28/08/2026

Body weight is one of the most commonly measured indicators in healthcare.

But it doesn't always answer the clinical question we're trying to ask.

While BMI remains a valuable population health measure, it cannot distinguish between muscle mass and adiposity. Yet these two factors independently influence treatment tolerance, physical function, recovery, and long-term health outcomes.

This becomes particularly important in conditions such as sarcopenic obesity, where an individual may have a normal or elevated BMI while simultaneously experiencing significant muscle loss alongside excess visceral fat.

From a clinical perspective, these differences matter.

Body composition can provide additional insight into nutritional status, functional reserve, and metabolic health, informing assessment and helping guide more personalised care across oncology, healthy ageing, and chronic disease management.

As our understanding of nutrition and metabolism continues to evolve, the focus is increasingly shifting from how much a person weighs to what that weight represents.

Because weight alone doesn't always tell the whole story.

Nutrition recommendations have traditionally been developed for populations. Precision nutrition asks a different questi...
25/08/2026

Nutrition recommendations have traditionally been developed for populations.

Precision nutrition asks a different question:

Can we better identify which individuals are most likely to benefit from a particular nutrition intervention?

Researchers are increasingly exploring how factors such as nutritional status, body composition, biomarkers, metabolic health, genetics and the gut microbiome influence nutritional needs and responses.

Itโ€™s an exciting area of science with considerable potential. But the evidence is at very different stages of maturity.

Some approaches, including assessment of nutritional status, body composition and metabolic markers, can already help inform clinical decision-making. Others, including nutrigenomics and microbiome-guided nutrition, are still evolving.

This is something Iโ€™ve been thinking about a lot in our current research into nutrition and chronic wound healing.

Rather than simply asking โ€œDoes nutrition work?โ€, perhaps we need to ask:

Which patients benefit, from which interventions, at what dose, and under what circumstances?

For me, that is where precision nutrition becomes clinically interesting.

The goal isnโ€™t to adopt every new technology. Itโ€™s to identify where greater personalisation genuinely improves patient care, and where the evidence isnโ€™t there yet.

Where do you think precision nutrition is already ready for clinical practice, and where are we getting ahead of the evidence?

Successful wound healing depends on much more than what happens at the wound itself. Dressings, infection control, press...
21/08/2026

Successful wound healing depends on much more than what happens at the wound itself.

Dressings, infection control, pressure management and vascular assessment are essential. But healing also creates significant metabolic and nutritional demands.

Energy, protein and micronutrients all play important roles in tissue repair, immune function and recovery.

So perhaps the more interesting question is no longer simply:

โ€œDoes nutrition matter in wound healing?โ€

We know that it does.

The harder questions are:
๐Ÿ”น Which patients are most likely to benefit from nutrition intervention?
๐Ÿ”น How do we identify them early?
๐Ÿ”น What intervention and dose do they actually need?
๐Ÿ”น And are we measuring whether they receive it?

These are some of the questions weโ€™ve been exploring in our current research into nutrition and chronic wound healing.

Next week at Wounds Australia 2026 in Adelaide, Iโ€™ll be presenting our work on precision nutrition in chronic wound healing and what the current evidence may tell us about identifying patients most likely to benefit.

One of the messages emerging for me is that nutrition shouldn't sit alongside wound care as an optional extra.

It needs to be part of multidisciplinary wound assessment and management, while recognising that one nutritional approach is unlikely to be right for every patient.

Because perhaps the next step in wound nutrition isn't simply doing more nutrition.

It's doing the right nutrition, for the right patient, at the right time.

Malnutrition remains one of the most common - and most under-recognised - clinical conditions in healthcare.  Despite af...
18/08/2026

Malnutrition remains one of the most common - and most under-recognised - clinical conditions in healthcare.

Despite affecting an estimated 20-50% of hospitalised patients, only a small proportion are formally identified and treated.

The consequences extend well beyond nutritional status.

Malnutrition is associated with:
โžก๏ธ longer hospital stays
โžก๏ธ increased complications
โžก๏ธ higher readmission rates
โžก๏ธ greater healthcare costs

The evidence supporting routine nutrition screening and early intervention is already compelling.

The challenge is implementation.

Embedding nutrition into routine clinical pathways is not simply good clinical care. It is increasingly becoming a health system priority with measurable benefits for patients, clinicians, and healthcare services.

One of the questions that has fascinated me throughout my career is this.  If nutrition is so important for wound healin...
13/08/2026

One of the questions that has fascinated me throughout my career is this.

If nutrition is so important for wound healing, why do studies often report different results?

For decades, we've known that adequate energy, protein and key micronutrients are fundamental to tissue repair. Patients who are malnourished consistently experience poorer healing outcomes, longer recovery times and greater complications. Yet when we examine nutrition intervention trials, the findings are often more variable than expected.

Perhaps we're no longer asking whether nutrition "works." Perhaps we're beginning to ask better questions.

Are we identifying the patients most likely to benefit? Are we adequately assessing nutritional status, or relying too heavily on weight and BMI? Are factors such as inflammation, sarcopenia, frailty and body composition influencing outcomes? Are we comparing studies involving very different wound types, patient populations and interventions?

These questions formed the basis of our umbrella review. One message emerged consistently: nutrition is not an optional adjunct to wound care. It is a core component of comprehensive wound management.

The strongest evidence supports the fundamentals โ€” early identification of malnutrition, adequate energy and protein, correction of deficiencies, and individualised assessment.

At the same time, the field is evolving. Precision nutrition, nutritional phenotyping and body composition assessment are helping explain why some patients respond well while others do not. We're moving beyond asking whether nutrition works, towards understanding who benefits most and how to deliver more personalised care.

Looking forward to sharing the latest evidence and hearing perspectives from colleagues at Wounds Australia 2026.

Among the many challenges associated with lung cancer, cancer cachexia remains one of the most clinically complex. It is...
31/07/2026

Among the many challenges associated with lung cancer, cancer cachexia remains one of the most clinically complex.

It is frequently mistaken for malnutrition, yet the underlying biology is fundamentally different.

On World Lung Cancer Day, it's worth highlighting why recognising cachexia early can influence assessment, treatment planning, and multidisciplinary care.

Lung cancer has one of the highest rates of cancer cachexia of any tumour type.

Current evidence, including ASCO guidance and a recent review published in Current Oncology, reinforces that cachexia is not simply malnutrition. Tumour-driven inflammation and metabolic reprogramming mean the body cannot effectively utilise additional calories alone.

Management requires a multimodal approach that may include:
โœ”๏ธ Individualised nutrition care
โœ”๏ธ Resistance exercise where appropriate
โœ”๏ธ Symptom management
โœ”๏ธ Pharmacological therapies for selected patients

Early recognition is critical.

Treating cachexia as "just weight loss" risks overlooking a distinct disease process with different clinical implications.

Recognising cachexia early changes assessment, treatment planning, clinical expectations, and the conversations we have with patients and families.

It also reinforces why nutrition should be integrated into multidisciplinary cancer care from diagnosis onwards, rather than introduced only after significant weight loss has occurred.

References: ASCO Guidelines; Current Oncology โ€“ Cancer Cachexia Review

Nutrition is especially vulnerable to misinformation. The evidence base is strong in many areas, but genuinely complex i...
30/07/2026

Nutrition is especially vulnerable to misinformation. The evidence base is strong in many areas, but genuinely complex in others. Meaningful dietary outcomes often take years, or even decades, to emerge, and nutrition research methodologies have real limitations that create legitimate uncertainty. Unfortunately, that uncertainty is often exploited.

Everyone also eats, which can create a false equivalence between personal experience and scientific evidence that is rarely seen in other areas of medicine.

A well-resourced supplement and wellness industry also has strong incentives to promote claims that consistently exceed what the evidence supports.

The patterns of nutrition misinformation become recognisable once you know what to look for.

โš ๏ธ Single nutrients are demonised or elevated in isolation.
โš ๏ธ Anecdotes are presented as generalisable evidence.
โš ๏ธ Animal or cell-culture studies are extrapolated directly to human dietary recommendations.
โš ๏ธ Conspiracy narratives are used to discredit evidence-based advice before it is even considered.
The clinical consequences are real.

In oncology, patients sometimes delay or decline evidence-based treatment in favour of dietary protocols with no demonstrated clinical benefit.

People living with chronic disease may make dietary changes that worsen metabolic control based on social media advice rather than individual clinical assessment.

Restrictive dietary ideologies can also reinforce disordered eating behaviours in vulnerable individuals.

Evidence-based nutrition communication looks different.

โœ… It is transparent about both the strengths and limitations of the evidence.
โœ… It uses appropriate scientific language, such as "associated with" rather than "causes" and "suggests" rather than "proves."
โœ… It focuses on overall dietary patterns rather than single nutrients or supplements.
โœ… It acknowledges individual variation, clinical context and personal preferences.
Importantly, the goal is not to dismiss every nutrition idea that sits outside mainstream guidance.

Nutrition science continues to evolve, and healthy scientific debate is an essential part of that process.

Many of the foundations of nutrition science are remarkably consistent. At the same time, we're continually learning more about individual variation, implementation, and where recommendations need to be personalised.

I'd always be a little cautious of anyone who speaks in absolutes or claims to have the one "correct" answer. Good science is confident where the evidence is strong and appropriately humble where uncertainty remains.

Seek advice from appropriately qualified health professionals, stay curious, and where appropriate, thoughtfully experiment with evidence-based strategies while paying attention to your own health outcomes. The goal isn't to find the perfect diet. It's to find an evidence-informed approach that is effective, practical and sustainable for you.

Patients deserve nothing less.

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