Gastrointestinal (GI) Nutritionists and Dietitians in 01104

Photo of Stacy Garvey - Wellpoint Health Solutions, Nutritionist/Dietitian, MSHS, RD, LDN, CDN
Wellpoint Health Solutions
Nutritionist/Dietitian, MSHS, RD, LDN, CDN
Serves Area
We are a group of Dietitians and Nurse Practitioners here to help you manage and treat a whole host of conditions with lifestyle education including obesity, diabetes, IBS, high cholesterol, high blood pressure, reflux, food allergies and many more. We offer Integrative Nutrition and Wellness one-on-one support, group classes, personal training and supplements to help you reach your health goals. We have a solution that will work for everyone!
We are a group of Dietitians and Nurse Practitioners here to help you manage and treat a whole host of conditions with lifestyle education including obesity, diabetes, IBS, high cholesterol, high blood pressure, reflux, food allergies and many more. We offer Integrative Nutrition and Wellness one-on-one support, group classes, personal training and supplements to help you reach your health goals. We have a solution that will work for everyone!
(413) 225-8962 View (413) 225-8962

More Dietitians and Nutritionists Nearby

Photo of Marit Harney, Nutritionist/Dietitian, RDN, LDN, IFNCP
Marit Harney
Nutritionist/Dietitian, RDN, LDN, IFNCP
Hadley, MA 01035
She specializes in digestive wellness (IBS, Celiac Disease, IBD, food allergies and sensitivities, GERD etc), though she also commonly helps with the following health concerns: Diabetes, Cardiovascular Disease, Hypertension, Hypercholesterolemia, Autoimmune Diseases, Prenatal nutrition, and skin issues (acne, psoriasis, eczema, etc).
Her approach is holistic in nature. She focuses on nutrition, but also changing other aspects that affect health such as stress management, sleep quantity and quality, environmental toxins, exercise, and emotional balance. She practices functional medicine, which focuses on addressing the root cause of diseases or symptoms.
She specializes in digestive wellness (IBS, Celiac Disease, IBD, food allergies and sensitivities, GERD etc), though she also commonly helps with the following health concerns: Diabetes, Cardiovascular Disease, Hypertension, Hypercholesterolemia, Autoimmune Diseases, Prenatal nutrition, and skin issues (acne, psoriasis, eczema, etc).
Her approach is holistic in nature. She focuses on nutrition, but also changing other aspects that affect health such as stress management, sleep quantity and quality, environmental toxins, exercise, and emotional balance. She practices functional medicine, which focuses on addressing the root cause of diseases or symptoms.
(413) 320-4550 View (413) 320-4550
Photo of Amber Cross, Nutritionist/Dietitian, RD, LDN, MBA
Amber Cross
Nutritionist/Dietitian, RD, LDN, MBA
Westfield, MA 01085
I specialize in helping you achieve sustainable weight management, optimize sports performance, and navigate GI conditions like IBS and EoE.
Do you feel like you've tried every diet and exercise program out there, only to end up more confused and frustrated than when you started? Are you tired of losing and regaining the same weight over and over? Trying to reach performance goals in the gym but exhausted? Or maybe you are dealing with chronic health conditions, such as EoE or IBS and don't know how to eat. You deserve support from someone who gets it! Someone who won't judge your past attempts, has been there before, and can help you build lasting habits that fit your real life, your health conditions, and your goals.
I specialize in helping you achieve sustainable weight management, optimize sports performance, and navigate GI conditions like IBS and EoE.
Do you feel like you've tried every diet and exercise program out there, only to end up more confused and frustrated than when you started? Are you tired of losing and regaining the same weight over and over? Trying to reach performance goals in the gym but exhausted? Or maybe you are dealing with chronic health conditions, such as EoE or IBS and don't know how to eat. You deserve support from someone who gets it! Someone who won't judge your past attempts, has been there before, and can help you build lasting habits that fit your real life, your health conditions, and your goals.
(413) 225-4533 View (413) 225-4533
Photo of Jacqui Campbell, Nutritionist/Dietitian, MS, RD, CDN, LDN
Jacqui Campbell
Nutritionist/Dietitian, MS, RD, CDN, LDN
Serves Area
My goal with all my clients is to help them form and foster a healthy relationship with food. I do not do diets or quick weight loss. I help people eat to nourish their bodies and minds, overcome fear foods and food rules and eat with freedom. I work with clients of all ages and health concerns. I have several years experience working with eating disorders.
My goal with all my clients is to help them form and foster a healthy relationship with food. I do not do diets or quick weight loss. I help people eat to nourish their bodies and minds, overcome fear foods and food rules and eat with freedom. I work with clients of all ages and health concerns. I have several years experience working with eating disorders.
(860) 200-3742 View (860) 200-3742
Photo of Amanda K Mittman - Happy Valley Nutrition, PC, Nutritionist/Dietitian, MS, RDN, LDN
Happy Valley Nutrition, PC
Nutritionist/Dietitian, MS, RDN, LDN
Amherst, MA 01002
Do you ever eat beyond the point of fullness or feel guilty for what you ate? Do you find yourself eating for reasons other than hunger? Have you tried a diet (or a lifetime of diets) and "failed," only to put the weight back on...and then some? Are you frustrated by your relationship to food and your body? Do you know what to do but have a hard time following through? If you answered YES to any of these questions, you are not alone and you are in the right place! Happy Valley Nutrition is the Pioneer Valley's ONLY group practice of weight-inclusive, fat-positive, HAES-aligned RDs.
Do you ever eat beyond the point of fullness or feel guilty for what you ate? Do you find yourself eating for reasons other than hunger? Have you tried a diet (or a lifetime of diets) and "failed," only to put the weight back on...and then some? Are you frustrated by your relationship to food and your body? Do you know what to do but have a hard time following through? If you answered YES to any of these questions, you are not alone and you are in the right place! Happy Valley Nutrition is the Pioneer Valley's ONLY group practice of weight-inclusive, fat-positive, HAES-aligned RDs.
(413) 461-2260 View (413) 461-2260
Photo of Jennifer Belanger - Jen Belanger Nutrition LLC, Nutritionist/Dietitian, MS, RD, LDN
Jen Belanger Nutrition LLC
Nutritionist/Dietitian, MS, RD, LDN
1 Endorsed
Belchertown, MA 01007
Jen Belanger Nutrition is a pediatric consultative services practice specializing in nutrition, feeding therapy, occupational therapy, and lactation consulting. The RDs specialize in pediatric and adolescent nutrition including eating disorders. The OTs offer sensory based therapy for autism, ADHD, sensory processing disorders, and more. Our breastfeeding medicine physician is an IBCLC offering lactation support.
Jen Belanger Nutrition is a pediatric consultative services practice specializing in nutrition, feeding therapy, occupational therapy, and lactation consulting. The RDs specialize in pediatric and adolescent nutrition including eating disorders. The OTs offer sensory based therapy for autism, ADHD, sensory processing disorders, and more. Our breastfeeding medicine physician is an IBCLC offering lactation support.
(413) 327-9745 View (413) 327-9745
Photo of Jennifer Carlson, Nutritionist/Dietitian, MS, RDN, CYT
Jennifer Carlson
Nutritionist/Dietitian, MS, RDN, CYT
Serves Area
Jennifer has a master of science degree in food and nutrition, is a Registered Dietitian and a yoga teacher. She provides both in person as well as virtual services. For over 15 years, she has provided nutrition related services to thousands of people in a variety of settings including hospitals, psychiatric facilities, community health centers, schools, cafes, bakeries, restaurants and more. For the past decade, she has provided medical nutrition therapy to clients as a licensed dietitian. In 2021 she opened her private practice, Peace and Power LLC. Learn more at www.peaceful-nutrition.com!
Jennifer has a master of science degree in food and nutrition, is a Registered Dietitian and a yoga teacher. She provides both in person as well as virtual services. For over 15 years, she has provided nutrition related services to thousands of people in a variety of settings including hospitals, psychiatric facilities, community health centers, schools, cafes, bakeries, restaurants and more. For the past decade, she has provided medical nutrition therapy to clients as a licensed dietitian. In 2021 she opened her private practice, Peace and Power LLC. Learn more at www.peaceful-nutrition.com!
(774) 484-1477 View (774) 484-1477
Photo of Karen Kiver Patalano, Nutritionist/Dietitian, MBA, RD, LDN, CDE
Karen Kiver Patalano
Nutritionist/Dietitian, MBA, RD, LDN, CDE
Online Only
Areas of specialty include weight management, avoiding or lowering medications for diabetes, blood pressure, and cholesterol as well as food sensitivities and sports nutrition. I focus on individual's specific nutritional needs from healthy cooking ideas to supporting extreme fitness endeavors. You will receive recommendations for diet and lifestyle changes to meet your personalized needs and goals. Clients keep a detailed food intake and exercise record using a free online log. By supporting gradual changes over time, the priority is to instill a greater balance in clients thereby creating a more permanent transformation to achieve weight, medical and lifestyle goals.
Areas of specialty include weight management, avoiding or lowering medications for diabetes, blood pressure, and cholesterol as well as food sensitivities and sports nutrition. I focus on individual's specific nutritional needs from healthy cooking ideas to supporting extreme fitness endeavors. You will receive recommendations for diet and lifestyle changes to meet your personalized needs and goals. Clients keep a detailed food intake and exercise record using a free online log. By supporting gradual changes over time, the priority is to instill a greater balance in clients thereby creating a more permanent transformation to achieve weight, medical and lifestyle goals.
(508) 841-3561 View (508) 841-3561
Photo of Cara Schrager, Nutritionist/Dietitian, MPH, RDN, LDN, CDCES
Cara Schrager
Nutritionist/Dietitian, MPH, RDN, LDN, CDCES
Online Only
I am a Registered and Licensed Dietitian and Diabetes Care and Education Specialist passionate about helping you achieve your nutrition goals. I have over a decade of experience in nutrition counseling with a special focus in working with people with diabetes and weight management. I follow a nonrestrictive "all foods fit" approach and I will help you feel empowered with your nutrition choices. As an avid marathon runner, I am also passionate about sports nutrition, helping individuals learn how to optimally fuel their bodies.
I am a Registered and Licensed Dietitian and Diabetes Care and Education Specialist passionate about helping you achieve your nutrition goals. I have over a decade of experience in nutrition counseling with a special focus in working with people with diabetes and weight management. I follow a nonrestrictive "all foods fit" approach and I will help you feel empowered with your nutrition choices. As an avid marathon runner, I am also passionate about sports nutrition, helping individuals learn how to optimally fuel their bodies.
(508) 501-7872 View (508) 501-7872

Online Dietitians and Nutritionists

Photo of Ellen Harris, Nutritionist/Dietitian, EdM, RDN, LDN, CLT
Ellen Harris
Nutritionist/Dietitian, EdM, RDN, LDN, CLT
Natick, MA 01760
Would you like to work on weight or chronic health conditions: diabetes/pre-diabetes, metabolic syndrome, hypothyroid, fibromyalgia, arthritis, skin reactions, GERD/reflux, gout, kidney stones, migraine, or brain fog? I work with you to target inflammation and food sensitivities using Integrative Nutrition Therapy combining western and complementary approaches. This regularly results in reducing or eliminating the need for medication. It repeatedly comes down to what you eat -- or don't eat — as well as stress management and exercise. My goal is to help you enjoy better health now and to reduce the risk of long-term complications.
Would you like to work on weight or chronic health conditions: diabetes/pre-diabetes, metabolic syndrome, hypothyroid, fibromyalgia, arthritis, skin reactions, GERD/reflux, gout, kidney stones, migraine, or brain fog? I work with you to target inflammation and food sensitivities using Integrative Nutrition Therapy combining western and complementary approaches. This regularly results in reducing or eliminating the need for medication. It repeatedly comes down to what you eat -- or don't eat — as well as stress management and exercise. My goal is to help you enjoy better health now and to reduce the risk of long-term complications.
(617) 209-4796 View (617) 209-4796
Photo of Kristin Hatch, Nutritionist/Dietitian, RDN, LDN, CDCES
Kristin Hatch
Nutritionist/Dietitian, RDN, LDN, CDCES
1 Endorsed
Lakeville, MA 02347
Kristin is a Registered Dietitian Nutritionist (RDN) and Certified Diabetes Care and Education Specialist (CDCES) who has worked with clients of all age groups in a variety of settings for over 30 years. She believes compassion, empathy, and encouragement are the greatest markers of care. She is passionate about helping clients improve quality of life while managing health concerns and understanding how the body works.
Kristin is a Registered Dietitian Nutritionist (RDN) and Certified Diabetes Care and Education Specialist (CDCES) who has worked with clients of all age groups in a variety of settings for over 30 years. She believes compassion, empathy, and encouragement are the greatest markers of care. She is passionate about helping clients improve quality of life while managing health concerns and understanding how the body works.
(508) 413-3131 View (508) 413-3131
Photo of Kate Thomas - Karuna Wellness Studio, Nutritionist/Dietitian, MS, RD, LDN
Karuna Wellness Studio
Nutritionist/Dietitian, MS, RD, LDN
Norwood, MA 02062
You’re managing chronic disease, disordered eating, digestive issues, anxiety, picky eating, or meal planning burnout—and you’re done with diets and one-size-fits-all advice.
Our team of Registered Dietitians offers weight-inclusive, trauma-informed nutrition counseling. We specialize in mental health, GI conditions, disordered eating, and chronic illness across the lifespan—from pediatrics to adults. We support practical, health-promoting behavior change through a holistic, lifestyle-based approach.
You’re managing chronic disease, disordered eating, digestive issues, anxiety, picky eating, or meal planning burnout—and you’re done with diets and one-size-fits-all advice.
Our team of Registered Dietitians offers weight-inclusive, trauma-informed nutrition counseling. We specialize in mental health, GI conditions, disordered eating, and chronic illness across the lifespan—from pediatrics to adults. We support practical, health-promoting behavior change through a holistic, lifestyle-based approach.
(781) 296-8084 View (781) 296-8084
Photo of Lauren Adler Dear - Dear Nutrition, Nutritionist/Dietitian, MS, RDN, LDN
Dear Nutrition
Nutritionist/Dietitian, MS, RDN, LDN
1 Endorsed
Cambridge, MA 02140
At Dear Nutrition we specialize in digestive health and eating disorders and have a particular interest in how the two intersect.
For clients navigating an eating disorder, chronic dieting, or disordered eating, our goal is to help you develop a better relationship with food. We use an Intuitive Eating framework and practice a non-diet approach influenced by the principles of Health at Every Size.
At Dear Nutrition we specialize in digestive health and eating disorders and have a particular interest in how the two intersect.
For clients navigating an eating disorder, chronic dieting, or disordered eating, our goal is to help you develop a better relationship with food. We use an Intuitive Eating framework and practice a non-diet approach influenced by the principles of Health at Every Size.
(617) 544-2647 View (617) 544-2647
Photo of Christianna Moran - Cultivate Nutrition Consulting, LLC, Nutritionist/Dietitian, MS, RD, LDN, CNSC
Cultivate Nutrition Consulting, LLC
Nutritionist/Dietitian, MS, RD, LDN, CNSC
Natick, MA 01760
My primary goal: help you love food. I grew up in a household where food was fun, varied, and adventurous. My Mother was a home economics teacher turned preschool teacher. She taught me how to prepare food in fun ways and to be an adventurous eating. We learned to love food because it was good for our bodies AND because it tasted delicious!
My primary goal: help you love food. I grew up in a household where food was fun, varied, and adventurous. My Mother was a home economics teacher turned preschool teacher. She taught me how to prepare food in fun ways and to be an adventurous eating. We learned to love food because it was good for our bodies AND because it tasted delicious!
(508) 658-9239 View (508) 658-9239
Photo of Jaimie Winkler - Navigate Nutrition with Jaimie Winkler, LLC, Nutritionist/Dietitian, RD, CEDS-C
Navigate Nutrition with Jaimie Winkler, LLC
Nutritionist/Dietitian, RD, CEDS-C
Arlington, MA 02476
You are the expert on you, but don't know where to start. The expanse of the internet often provides confusing, unprofessional, and potentially harmful information about nutrition, weight, and health. I am not focused on "perfect" nutrition. Does it even exist? Let's look at the health and weight messages that influence you and find out what's relevant to YOU. Person versus population. We will have an honest conversation about what you need to focus on and how to make it happen. People expect a dietitian to judge them - but most people leave my office with hope, feeling like they are supported in making incremental change.
You are the expert on you, but don't know where to start. The expanse of the internet often provides confusing, unprofessional, and potentially harmful information about nutrition, weight, and health. I am not focused on "perfect" nutrition. Does it even exist? Let's look at the health and weight messages that influence you and find out what's relevant to YOU. Person versus population. We will have an honest conversation about what you need to focus on and how to make it happen. People expect a dietitian to judge them - but most people leave my office with hope, feeling like they are supported in making incremental change.
(617) 917-3217 View (617) 917-3217
Photo of Silva Barrasso, Nutritionist/Dietitian, RDN, LDN
Silva Barrasso
Nutritionist/Dietitian, RDN, LDN
Beverly, MA 01915
*Read reviews on my website's home page* Health expression is unique to the individual and requires a personalized approach, a thorough understanding of the whole lifestyle, and respect for the personal journey. I use integrative nutrition and mind-body medicine for a holistic approach to help improve chronic disease symptoms and help you reach optimal health. The earlier you begin your work towards improving your diet, increasing your physical activity, as well as reducing your mental and emotional stress, the stronger the chance of preventing a wide range of chronic illnesses with physical and mental symptoms.
*Read reviews on my website's home page* Health expression is unique to the individual and requires a personalized approach, a thorough understanding of the whole lifestyle, and respect for the personal journey. I use integrative nutrition and mind-body medicine for a holistic approach to help improve chronic disease symptoms and help you reach optimal health. The earlier you begin your work towards improving your diet, increasing your physical activity, as well as reducing your mental and emotional stress, the stronger the chance of preventing a wide range of chronic illnesses with physical and mental symptoms.
(978) 288-0281 View (978) 288-0281
Photo of Samantha McCarthy, Nutritionist/Dietitian, MS, RDN
Samantha McCarthy
Nutritionist/Dietitian, MS, RDN
Haverhill, MA 01835
If you’re here, you probably want to feel better, have more energy, and finally build habits that stick—but life keeps getting in the way. Maybe you know what to do but can’t stay consistent, your schedule makes healthy eating feel impossible, or you’re overwhelmed by mixed messages and past diets that never worked. As a registered dietitian, I help you cut through the noise, simplify nutrition, and create realistic, sustainable habits that fit your life—so you can feel confident and in control again.
If you’re here, you probably want to feel better, have more energy, and finally build habits that stick—but life keeps getting in the way. Maybe you know what to do but can’t stay consistent, your schedule makes healthy eating feel impossible, or you’re overwhelmed by mixed messages and past diets that never worked. As a registered dietitian, I help you cut through the noise, simplify nutrition, and create realistic, sustainable habits that fit your life—so you can feel confident and in control again.
(351) 666-8351 x121 View (351) 666-8351 x121
Photo of Amy Aubertin, Nutritionist/Dietitian, MS, RDN, LDN, CEDRD
Amy Aubertin
Nutritionist/Dietitian, MS, RDN, LDN, CEDRD
Leominster, MA 01453
Our relationship with food and our body can often be complicated and overwhelming, but it doesn't have to be. Do you find yourself eating mindlessly or emotionally? Wanting to get unstuck from an on/off again dieting cycle? Looking to recover from disordered eating or an eating disorder? Interested in intuitive and mindful eating? It is possible to build a healthy, sustainable and nourishing relationship with food.
Our relationship with food and our body can often be complicated and overwhelming, but it doesn't have to be. Do you find yourself eating mindlessly or emotionally? Wanting to get unstuck from an on/off again dieting cycle? Looking to recover from disordered eating or an eating disorder? Interested in intuitive and mindful eating? It is possible to build a healthy, sustainable and nourishing relationship with food.
(351) 777-8670 View (351) 777-8670
Photo of Sue-Ellen Anderson-Haynes - 360Girls&Women, Nutritionist/Dietitian, MS, RDN, CDCES , LDN, CPT
360Girls&Women
Nutritionist/Dietitian, MS, RDN, CDCES , LDN, CPT
Hopkinton, MA 01748
Are you or your loved one struggling with hormone imbalances such as insulin resistance, low libido, irregular periods, early puberty, fibroids, PCOS, early menopause, hot flashes, gut issues, constant hunger, sugar cravings, etc?
As your personal women's health dietitian I provide customized assessments and plans using our comprehensive 360health review (nutrition, fitness, beauty, & mental clarity) + medical history, nutrient analysis, hormone testing, target supplement &herbal recommendations, inbetween sessions check-ins, access to our resources like hormone balanced meals & more.
Are you or your loved one struggling with hormone imbalances such as insulin resistance, low libido, irregular periods, early puberty, fibroids, PCOS, early menopause, hot flashes, gut issues, constant hunger, sugar cravings, etc?
As your personal women's health dietitian I provide customized assessments and plans using our comprehensive 360health review (nutrition, fitness, beauty, & mental clarity) + medical history, nutrient analysis, hormone testing, target supplement &herbal recommendations, inbetween sessions check-ins, access to our resources like hormone balanced meals & more.
(508) 625-7042 View (508) 625-7042
Photo of Leslie Sanford - Sanford Nutrition Consulting, Nutritionist/Dietitian, MS, RD, LDN
Sanford Nutrition Consulting
Nutritionist/Dietitian, MS, RD, LDN
Holliston, MA 01746
Hello! I’m a registered, licensed dietitian with more than 30 years of experience helping people create healthy eating habits in a supportive and non-judgmental environment. My approach is practical and personalized, and my recommendations emphasize sustainable changes that fit your lifestyle. My areas of specialty include IBS management (and the low FODMAP diet), weight management, heart health, prediabetes, and type 2 diabetes. I offer both in person and virtual appointments and accept all major insurance plans. Please contact me by phone or visit my website to schedule an appointment or learn more about my services.
Hello! I’m a registered, licensed dietitian with more than 30 years of experience helping people create healthy eating habits in a supportive and non-judgmental environment. My approach is practical and personalized, and my recommendations emphasize sustainable changes that fit your lifestyle. My areas of specialty include IBS management (and the low FODMAP diet), weight management, heart health, prediabetes, and type 2 diabetes. I offer both in person and virtual appointments and accept all major insurance plans. Please contact me by phone or visit my website to schedule an appointment or learn more about my services.
(508) 306-8825 View (508) 306-8825
Gastrointestinal (GI) Nutritionists and Dietitians
What is gut health?
Gut health refers to the overall functioning and well-being of the gastrointestinal (GI) system. Key to gut health is the gut microbiome, which is the collection of healthy bacteria living in the gut. These bacteria are essential for the digestion and breakdown of food, and their health significantly impacts digestion. Poor gut health can result in symptoms such as bloating, gas, diarrhea, constipation, and general abdominal discomfort, which may indicate imbalances or issues with the gut microbiome.

Can diet help with GI issues?
Diet plays a major role in gut health, and changes in diet can often reduce or eliminate some of the symptoms associated with gastrointestinal (GI) issues. Often, GI distress is due to food intolerances or sensitivities, such as gluten sensitivity or lactose intolerance. In these cases, eliminating the problematic foods from the diet can resolve the issue. GI problems can also stem from a combination of environmental or genetic factors, such as in the case of irritable bowel syndrome (IBS). Disruptions in the gut microbiome, such as those caused by taking antibiotics, can also lead to GI issues. In both scenarios, maintaining a balanced diet as much as possible with foods that support a healthy microbiome—such as fruits, vegetables, whole grains, and probiotic foods—can often significantly reduce symptoms and improve gut health.

What are the best foods for gut health?
Maintaining a balanced microbiome is essential for gut health, and this is best achieved through a varied diet rich in fruits, vegetables, and probiotic foods. Fruits and vegetables provide essential nutrients and fiber, which nourish the beneficial bacteria in the gut. Probiotic foods, which are those that contain live bacteria, are also great for gut health. Consuming probiotic foods and drinks, such as yogurt, kefir, kombucha, and tempeh, can help support the microbiome by contributing to the diversity of bacteria within the gut.

When should I see a dietitian for GI issues?
Many people can benefit from seeing a dietitian for GI issues. In general, most dietitians are knowledgeable about what foods support gut health and may help clients choose foods that support a healthy GI system, such as fruits and vegetables high in fiber or foods high in probiotics. Dietitians may be especially beneficial to clients with known gastrointestinal concerns, such as irritable bowel syndrome (IBS) or gastroesophageal reflux disease (GERD). For clients diagnosed with these or similar conditions, dietitians can help clients identify food triggers and develop a meal plan for the client that minimizes symptoms. Dietitians may also work with clients who are having gastrointestinal distress (such as bloating, gas, constipation, diarrhea, etc.) but are not aware of the cause of their symptoms. In such cases, dietitians may be able to help the client identify the cause of the GI distress and coordinate with other medical professionals to help the client better manage their symptoms.