Nicola Drabble - Bariatric Dietitian South Africa

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Nicola Drabble - Bariatric Dietitian South Africa I specialize in bariatric surgery, obesity, diabetes, gastroentology and group wellness programs Hello! I’m Nicola. Perfection! It was hard work but a lot of fun.

I was first introduced to dietetics at a careers evening at my school when I was in Grade 9. I met a dietitian there and after hearing about what she does, I thought it was the perfect job for me – I get to help people and talk about food all day! After practicing for 23 years, I still love what I do. My career started at the end of 2000, 2 days after writing my final exams, I flew over to Switzerland where I worked as a private chalet girl, preparing menu plans, doing budgets and cooking 3 course meals for up to 20 guests. I did that for a couple of winter seasons and in the summer and for the 8 years that followed, I worked in the NHS in the UK seeing inpatient surgical patients and outpatient clinics working with obesity, weight loss, diabetes, gastroenterology. After many grey rainy days in the UK, in 2008 I moved to sunny Spain and had a private practice working alongside a surgeon who was practicing Bariatric Surgery. I loved this field of medicine as it was a marriage of my two loves – surgery and diseases of lifestyle. It was there that I started to specialize in bariatric surgery. I moved back to South Africa in April 2010 and joined an internationally accredited bariatric center. I’m an anti diet dietitian - I don’t even have a scale in my office. You wouldn’t think that with my specialities! I like to focus on overall health, centimeters, gut health, sleep and energy ensuring you can live your best life. After working with so many different people over the years, and acknowledging how hard it is to change lifestyle habits, I have put together a 12 Fixes to Healthy group challenge. Small changes, made over a 12 week period are sustainable in the long term and will help improve overall quality of life, energy levels, concentration, boost gut health, loose centimeters and age well. So get some friends together and look out for those starting days! My other loves are my two kids, Maya (5) and Jordan (2), my husband Jono who is my #1 cheerleader, triathlons, mountain biking, travelling and of course all things food! I’d love to hear from you,
Nicola

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Thank you Mari Lee for sharing this with me. I thought I'd share it here too, as I see many post op woman doing exceptio...
26/09/2026

Thank you Mari Lee for sharing this with me. I thought I'd share it here too, as I see many post op woman doing exceptionally well in their training and not considering themselves athletes...you know who you are and we'll done!

I was giving a keynote earlier this year to a room full of active women, and asked them to raise their hand if they considered themselves an athlete. I’d say maybe less than a quarter of hands went up. The rest looked around, unsure.

The scientist in me had been curious about this for a while, so it wasn't entirely surprising, but it still told me something. I know for a fact there were badass athletes in that room, and plenty of dedicated exercisers too. So why the hesitation?

My guess: many women who grew up in the ‘80s and ‘90s absorbed the idea that competing seriously in sport was for men, not for them. It sounds outlandish to say out loud in 2026, but the residue lingers; “athlete” still feels like a label reserved for someone else.

Here’s my pushback: if you exercise on purpose, you're an athlete. It has nothing to do with your pace, your division, or whether anyone pays you to do it. It has everything to do with how you approach your training. And that’s actually good news, because it means thinking like an athlete is a mindset shift, not a fitness threshold you have to cross.

​Let's dive in >>> https://bit.ly/3SYQXUJ

16/09/2026

Metabolic and bariatric surgery is not simply a weight-loss procedure.
The article in South African Journal of Surgery, 2026 highlights evidence showing that surgery can provide superior remission or control of conditions such as:

* type 2 diabetes;
* high blood pressure; and
* abnormal cholesterol and lipid levels.

The goal of treatment is broader health improvement: reducing disease risk, improving physical function and supporting a longer, healthier life.

Treatment decisions must always be based on an individual’s health, disease severity, risks and personal circumstances.

*Source:* Smit JGM and Lubbe JA, South African Journal of Surgery, 2026.

14/09/2026
01/09/2026

Weight loss is important—but it is not the only outcome that matters.

Dr Smit and Dr Lubbe’s article cites recent analyses reporting that metabolic and bariatric surgery produced stronger long-term outcomes than GLP-1 receptor agonist treatment when mortality and major cardiovascular events were compared in studied populations with obesity and type 2 diabetes.

This does not mean that one treatment is suitable for everyone. Medication, surgery, nutrition, movement and psychological support each have a place. The right pathway depends on the individual patient.

*Source:* Smit JGM and Lubbe JA, South African Journal of Surgery, 2026.



Educational information only. Not intended as medical advice. Consult a qualified healthcare professional regarding your individual health needs and treatment options.

01/09/2026

Address

Intercare Sandton, 200 Rivonia Road
Johannesburg

Opening Hours

Monday 09:00 - 17:00
Tuesday 08:30 - 19:00
Wednesday 08:30 - 19:00
Thursday 08:30 - 19:00

Telephone

+27791533262

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