Nutrition & Exercise Clinic

About the Monash Nutrition & Exercise Clinic

The Monash Nutrition & Exercise Clinic provides a range of sports nutrition consulting and exercise testing services to help active people of all levels to achieve their goals. Services are provided by Accredited Sports Dietitians in our clinic and research laboratory.

The Monash Nutrition & Exercise Clinic Team:

  • Dr Ricardo Costa (Senior Lecturer, SDA Advanced Sports Dietitian)
  • Alan McCubbin (Lecturer, PhD Candidate, SDA Advanced Sports Dietitian)
  • Chris Rauch (SDA Provisional Accredited Sports Dietitian)

Clinic Consultations

Our Accredited Sports Dietitians provide one-on-one sports nutrition consultations to assist athletes of all levels, from complete beginners to elite. Whether it’s changing body composition, coming up with strategies to optimize health and performance in training and competition, or managing a medical condition at the same time, we have a service to suit your needs, with access to our laboratory testing services from the same person, in the same location (see below).

All services are eligible for private health insurance (extras) rebates. These rebates vary greatly depending on individual insurance policies. Please contact your insurer to check your eligibility, and the expected rebate amount.

  • Sports Dietetic Initial Consultation - 1 hour - $120
  • Sports Dietetic Review Consultation – 30min - $70
  • Dietary Analysis & Report - $120
    • Review and analysis of a 7 day food record by an Accredited Sports Dietitian, and follow up consultation to inform sports nutrition planning.
  • Sports Dietetic Package - $380 Includes the following
    • Initial sports dietetic consultation
    • Anthropometric assessment (skinfolds, lengths and girths)
    • Dietary analysis, report and feedback session
    • 1 review sports dietetic consultation
  • Ultra-endurance Sports Nutrition Package – quoted on a case-by-case basis
    • Refer to "Ultra-Endurance, Adventure, and Expedition Nutrition Support Packages" section for details.

Exercise Testing Services

The Monash Nutrition & Exercise Clinic provide the same exercise testing techniques used in our research studies, in the same laboratory and on the same equipment. This includes techniques that are unique to Monash University, as developed in our research program [1].

As these services are provided by Accredited Sports Dietitians, they are eligible for private health insurance (extras) rebates. You will be given an invoice which you can use to claim the rebate, if eligible. These rebates vary greatly depending on individual insurance policies. Please contact your insurer to check your eligibility, and the expected rebate amount. Eftpos and Credit Card facilities available.

VO2max test with energy contribution (running or cycling) - 1 hour - $160

VO2max fitness test for athletes, conducted either running on a treadmill or on the athlete’s own bike attached to a Wahoo KICKR ergometer. Assessment includes a report outlining VO2max, VO2peak, and the contribution of carbohydrate and fat to energy production.

PLEASE NOTE: For safety reasons this test requires signed medical clearance from a GP or other suitable medical practitioner.

VO2max test with energy contribution and lactate responses (running or cycling) - 1 hour - $200

VO2max test with lactate measured and data provided

PLEASE NOTE: For safety reasons this test requires signed medical clearance from a GP or other suitable medical practitioner.

Submaximal O2 test with energy contribution – 1 hour - $160

For those not medical suitable for VO2max testing, this fitness test allows an estimation of VO2max and includes the contribution of carbohydrate and fat to energy production during exercise. Does not require medical clearance.

Anthropometric Assessment – 30min - $80

Assessment of surface anthropometry (skinfolds, girths and breadths) by an Accredited Sports Dietitian who is also accredited with ISAK (International Society for the Advancement of Kinanthropometry).

iDXA Body Composition Assessment – 30min - $80

Assessment of total body fat mass, fat free mass and bone mineral content using Dual-Energy X-Ray Absorptiometry (DXA), on our state-of-the-art GE Lunar iDXA scanner. Scans are performed by a qualified Radiographer with over 30 years experience in body composition scanning.

PLEASE NOTE: A referral from a medical practitioner, Accredited Practising Dietitian/Accredited Sports Dietitian or Accredited Sports Scientist/Exercise Physiologist is required for iDXA scans, as per the national code of conduct for the responsible use of medical radiation.

For more information click here

Resting Metabolic Rate (RMR) Assessment – 1hr 30min - $230

Assessment of metabolic rate using a state-of-the-art ventilated hood system, following the same protocols used for measurement in laboratory research. Completed by an Accredited Sports Dietitian. Allows for assessment of energy needs, and detection of RMR suppression due to overtraining and Relative Energy Deficiency in Sport (RED-S).

Hydration Status Assessment – 2hrs - $280

Assessment of sweat fluid losses and provision of a fluid replacement plan for exercise, completed b an Accredited Sports Dietitian.

Gut Assessment – 3hrs - $480

A one-of-a-kind, detailed assessment of gut function during exercise that allows athletes with gut symptoms to determine the cause of their problems and find solutions. Reduces the trial and error that athletes normally experience when trying to diagnose their problem. Completed by an Accredited Sports Dietitian.

Exercise Gastroenterology Internship (Professional Development for Exercise Scientists and Sports Dietitians) - $1538

A full-day, one-on-one professional development opportunity, whereby exercise-related health practitioners come to the lab, receive training and take part in the gut assessment protocol to enable them to perform the protocol in their own practice.

Ultra-Endurance, Adventure, and Expedition Nutrition Support Packages

Meals

As a world-leader in ultra-endurance sports nutrition research, Monash Nutrition & Exercise clinic provides comprehensive support packages to ultra athletes, and those undertaking adventures and expeditions in all environments. Our packages can be customised to the needs of the client, but include the following services to take the guesswork out of food and nutrition planning:

  • Measurement of Resting Metabolic Rate and energy expenditure during exercise in simulated conditions
  • Determination of carbohydrate and fat use (oxidation rates) during exercise in simulated conditions
  • Gut tolerance assessment and gut training recommendations
  • Individual dietary prescription and meal provisions with BASE Essentials©.

BASE Essentials©

BASE Essentials© are a range of pre-packaged dehydrated/freeze-dried meals, specifically formulated for athletes competing in ultra-endurance and adventure events or expeditions. Everything from the flavour profile to the nutrition content has been carefully considered and optimised for the ultra-endurance enthusiast. BASE Essentials© contain the nutritional composition required to support the research-based nutritional benchmarks for physical exertion on consecutive days. Just add hot water, stir, and wait 10 minutes!

BASE Essentials© include three product ranges, designed to meet the needs of ultra-endurance athletes at different times of the day:

  • PowerPackets© : ~180g (dry weight) packets - great for breakfast or as a snack
  • ExtremeRecovery© : ~200g (dry weight) packets - sweet options ideal for immediately post-exercise or as a snack
  • ExtremeMeals© : ~190g (dry weight) packets - savoury meals, ideal for lunch and dinner

Some quick facts

  • These meals are designed for situations where high energy-nutrient requirements are coupled with the need to minimise food weight and space, such as self-supported ultra-marathons, multi-day adventure racing or expeditions.
  • BASE Essentials© deliver a MASSIVE 700-800kCal per portion, with a higher energy density than most existing commercially available products.
  • Approximate macronutrient distribution (will vary between ranges/flavours): 15% protein, 60% carbohydrate, 25% fat
  • Contains only natural ingredients to meet energy and nutrient density values.
  • We recently tested the acceptance and palatability of BASE Essentials©, as well as the nutrition status of those consuming them, compared to commercially available products (within a double-blinded randomised intervention), with competitors in the Run Larapinta multi-stage ultra-marathon in the Northern Territory. Click here to see a summary of this research.
  • BASE Essentials© can be completely customised to the purchaser's requirements, including different portion sizes, flavours and meeting any possible dietary requirements (gluten free, low FODMAP, vegetarian, vegan, etc.).
  • Pricing for the ExtremeMeals©, ExtremeRecovery© and PowerPackets©, is incorporated within the ultra-endurance nutritional support package, which makes these custom-made meals cheaper than commercially available products.
  • All profits from the support package is used to support the cost of Sports Dietetics research at Monash University.

PLEASE NOTE

  • Because BASE Essentials© are custom-made to order, orders must be placed at least 4 weeks before the meals are required.
  • There is an order minimum of 100 meals due to resource viability. Most self-sufficient ultra-marathons will require around 12-20 meals per event, so we recommend people get together and place an order to get exactly what they want.

For more information on our nutrition support packages or BASE Essentials©, please contact Ricardo Costa - ricardo.costa@monash.edu

Reference:

Costa, R.J.S., Snipe, R., Kitic, C., Gibson, P., (2017). Systematic review: Exercise-induced gastrointestinal syndrome- Implication for health and disease. Alim Therap Pharmacol, 46(3):246-265.

Costa, R.J.S., Miall, A., Khoo, A., Rauch, C., Snipe, R., Camões-Costa, V., Gibson, P., (2017). Gut-training: The impact of two weeks repetitive gut-challenge during exercise on gastrointestinal status, glucose availability, fuel kinetics, and running performance. Appl Physiol Nutri Metab, 42(5):547-557.

Miall, A., Khoo, A., Rauch, C., Snipe, R., Camões-Costa, V., Gibson, P., Costa, R.J.S., (2017). Two weeks of repetitive gut-challenge reduces exercise associated gastrointestinal symptoms and malabsorption. Scand J Med Sci Sports, (In press).