Medical Nutrition Therapy (MNT) Nutritionists and Dietitians in 01440

Photo of Rachael Lenthall, Nutritionist/Dietitian, MS, RD, LDN
Rachael Lenthall
Nutritionist/Dietitian, MS, RD, LDN
Online Only
As a registered dietitian specializing in fertility nutrition, I am passionate about helping women navigate their fertility struggles and achieve their dream of starting a family. With a focus on conditions like PCOS and other reproductive challenges, I provide personalized nutrition plans designed to support hormonal balance, improve ovulation, and optimize overall health. By addressing the root causes of fertility issues through science-backed nutrition strategies, I empower women to take control of their fertility journey with confidence.
As a registered dietitian specializing in fertility nutrition, I am passionate about helping women navigate their fertility struggles and achieve their dream of starting a family. With a focus on conditions like PCOS and other reproductive challenges, I provide personalized nutrition plans designed to support hormonal balance, improve ovulation, and optimize overall health. By addressing the root causes of fertility issues through science-backed nutrition strategies, I empower women to take control of their fertility journey with confidence.
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More Dietitians and Nutritionists Nearby

Photo of George Mandler, Nutritionist/Dietitian, CLT, CNS, LDN, LicAc, FABORM
George Mandler
Nutritionist/Dietitian, CLT, CNS, LDN, LicAc, FABORM
Stow, MA 01775
I am a Massachusetts Chinese Medicine doc and Licensed Dietitian. I studied Functional Medicine before it became a buzzword 15+ years ago, although no longer use expen$ive testing but focus on Chinese Medicine diagnosis and treatment. I have a special interest in the areas of digestive issues such as bloating, gas, diarrhea, IBD, IBS, and reflux but see SIBO as a symptom rather than a cause. I do not give out SIBO diets, but work on fixing the underlying issue. If you have GYN issues such as heavy bleeding, menopausal symptoms, or pain during periods I can almost certainly help you with Chinese Medicine.
I am a Massachusetts Chinese Medicine doc and Licensed Dietitian. I studied Functional Medicine before it became a buzzword 15+ years ago, although no longer use expen$ive testing but focus on Chinese Medicine diagnosis and treatment. I have a special interest in the areas of digestive issues such as bloating, gas, diarrhea, IBD, IBS, and reflux but see SIBO as a symptom rather than a cause. I do not give out SIBO diets, but work on fixing the underlying issue. If you have GYN issues such as heavy bleeding, menopausal symptoms, or pain during periods I can almost certainly help you with Chinese Medicine.
(978) 248-0318 View (978) 248-0318
Photo of Karen Kiver Patalano, Nutritionist/Dietitian, RD, LDN, CDE, MBA
Karen Kiver Patalano
Nutritionist/Dietitian, RD, LDN, CDE, MBA
2 Endorsed
Westford, MA 01886
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) 859-4113 View (508) 859-4113
Photo of Kim Greene Murachver, Nutritionist/Dietitian, MS, RD, LDN, CDE
Kim Greene Murachver
Nutritionist/Dietitian, MS, RD, LDN, CDE
Acton, MA 01720
Learn to use nutrition to help manage medical conditions, reach health goals, and cultivate a more positive relationship with food and with yourself.
Kim Murachver, MS, RD, LDN, CDE is the founder and owner of Greene Nutrition. She is a registered dietitian/nutritionist, certified diabetes educator, and certified intuitive eating counselor. She believes that how we feed our body and our mind matters. She emphasizes foods that taste good and make you feel good, as well as the important of balance and self-compassion in all aspects of our life. She utilizes a non-diet approach/intuitive eating principles and her love of food and cooking in her practice to help bring joy back to the eating experience for her clients.
Learn to use nutrition to help manage medical conditions, reach health goals, and cultivate a more positive relationship with food and with yourself.
Kim Murachver, MS, RD, LDN, CDE is the founder and owner of Greene Nutrition. She is a registered dietitian/nutritionist, certified diabetes educator, and certified intuitive eating counselor. She believes that how we feed our body and our mind matters. She emphasizes foods that taste good and make you feel good, as well as the important of balance and self-compassion in all aspects of our life. She utilizes a non-diet approach/intuitive eating principles and her love of food and cooking in her practice to help bring joy back to the eating experience for her clients.
(978) 631-2978 View (978) 631-2978
Photo of Lienna May, Nutritionist/Dietitian, MS, CNS, LDN
Lienna May
Nutritionist/Dietitian, MS, CNS, LDN
1 Endorsed
Marlborough, MA 01752
Health concerns are deeply personal and impact various aspects of your life. I am here to offer you personalized support. I believe in addressing the root causes of health issues. Together, we'll explore the underlying causes of your health issues, addressing them at their roots rather than merely alleviating symptoms. My goal is to empower you with the knowledge and tools needed to make sustainable, positive changes for long-term well-being.
Health concerns are deeply personal and impact various aspects of your life. I am here to offer you personalized support. I believe in addressing the root causes of health issues. Together, we'll explore the underlying causes of your health issues, addressing them at their roots rather than merely alleviating symptoms. My goal is to empower you with the knowledge and tools needed to make sustainable, positive changes for long-term well-being.
(941) 352-8505 View (941) 352-8505
Photo of Amber Cross, Nutritionist/Dietitian, RD, LDN, MBA
Amber Cross
Nutritionist/Dietitian, RD, LDN, MBA
Serves Area
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.
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 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 Carlson, Nutritionist/Dietitian, MS, RDN, CYT
Jennifer Carlson
Nutritionist/Dietitian, MS, RDN, CYT
Auburn, MA 01501
For the past decade, she has provided medical nutrition therapy to clients as a licensed dietitian.
Learn to eat and live in a way that nourishes a powerful body, mind and spirit. Stay accountable to yourself as you work to achieve your food related goals! Medical nutrition therapy for: Diabetes, High Cholesterol, Irritable Bowel Syndrome & Weight Management. For additional conditions please inquire! Your health insurance may cover the cost!
For the past decade, she has provided medical nutrition therapy to clients as a licensed dietitian.
Learn to eat and live in a way that nourishes a powerful body, mind and spirit. Stay accountable to yourself as you work to achieve your food related goals! Medical nutrition therapy for: Diabetes, High Cholesterol, Irritable Bowel Syndrome & Weight Management. For additional conditions please inquire! Your health insurance may cover the cost!
(774) 484-1477 View (774) 484-1477
Photo of Cynthia Milner Woodman - Risk Management Incorporated - Health Services, Nutritionist/Dietitian, MS, RDN, LDN
Risk Management Incorporated - Health Services
Nutritionist/Dietitian, MS, RDN, LDN
Shirley, MA 01464
Cindy: More than as a Medical Nutrition Therapist.
Individual Nutrition Assessment/Counseling : Weight Management, Eating Disorders (anorexia, bulimia, binge eating disorders) Diabetes Mellitus, Lipid Disorders, High Blood Pressure, Hypoglycemia, PCOS. Corporate Wellness Programs. Lectures and Interactive Presentations for Businesses, Schools, and Municipal Health Agencies. Expert Witness Services.
Cindy: More than as a Medical Nutrition Therapist.
Individual Nutrition Assessment/Counseling : Weight Management, Eating Disorders (anorexia, bulimia, binge eating disorders) Diabetes Mellitus, Lipid Disorders, High Blood Pressure, Hypoglycemia, PCOS. Corporate Wellness Programs. Lectures and Interactive Presentations for Businesses, Schools, and Municipal Health Agencies. Expert Witness Services.
(978) 616-4084 x12 View (978) 616-4084 x12
Photo of Gwen G Johnson, Nutritionist/Dietitian, RD, LDN
Gwen G Johnson
Nutritionist/Dietitian, RD, LDN
Pepperell, MA 01463
Gwen is a Registered Dietitian with over 25 years of experience in the field of Nutrition and the owner of Sage Nutrition Solutions, LLC. She is a Licensed Dietitian Nutritionist in both Massachusetts and New Hampshire. Gwen is an advocate of balanced nutrition and has an all foods can fit into a healthy lifestyle philosophy. Using a science-based, individualized approach, Gwen's nutritional counseling, support, and guidance will help you manage your overall health, prevent and treat new or chronic conditions, optimize exercise performance, and build a healthy relationship with food and body.
Gwen is a Registered Dietitian with over 25 years of experience in the field of Nutrition and the owner of Sage Nutrition Solutions, LLC. She is a Licensed Dietitian Nutritionist in both Massachusetts and New Hampshire. Gwen is an advocate of balanced nutrition and has an all foods can fit into a healthy lifestyle philosophy. Using a science-based, individualized approach, Gwen's nutritional counseling, support, and guidance will help you manage your overall health, prevent and treat new or chronic conditions, optimize exercise performance, and build a healthy relationship with food and body.
(978) 581-1903 View (978) 581-1903
Photo of Colleen Elizabeth Johnson, Nutritionist/Dietitian, MS, RDN LDN, CDCES
Colleen Elizabeth Johnson
Nutritionist/Dietitian, MS, RDN LDN, CDCES
Worcester, MA 01602
I am dedicated to empowering individuals to achieve lasting health and wellness through personalized medical nutrition therapy.
My specialties include: Adult, Young Adult, and Pediatric Care, Weight Management and GLP-1 Nutrition, Newly Diagnosed Diabetes + Diabetes Remission, Gestational Diabetes and Postpartum Nutrition, Type 1, Type 2, and LADA Diabetes Care, Cancer, Cardiac Care. I service all ages and have both in-person and telehealth availability.
I am dedicated to empowering individuals to achieve lasting health and wellness through personalized medical nutrition therapy.
My specialties include: Adult, Young Adult, and Pediatric Care, Weight Management and GLP-1 Nutrition, Newly Diagnosed Diabetes + Diabetes Remission, Gestational Diabetes and Postpartum Nutrition, Type 1, Type 2, and LADA Diabetes Care, Cancer, Cardiac Care. I service all ages and have both in-person and telehealth availability.
(508) 625-6212 View (508) 625-6212
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 Cindy Crowninshield, Nutritionist/Dietitian, RDN, LDN, HHC
Cindy Crowninshield
Nutritionist/Dietitian, RDN, LDN, HHC
Online Only
My ideal patient is someone who wants to learn about clean eating and healthy ingredients to put into AND onto their body and how just one ingredient can promote health or disease. For example, spinach or chicken may be toxic to my patient but healthy to someone else. Through customized nutrition treatment plans, genetic testing, application of Chinese medicine (when clinically appropriate), and meal planning my patients learn how to eat compatible, real foods for their body to eliminate the source of symptoms and health issues.
My ideal patient is someone who wants to learn about clean eating and healthy ingredients to put into AND onto their body and how just one ingredient can promote health or disease. For example, spinach or chicken may be toxic to my patient but healthy to someone else. Through customized nutrition treatment plans, genetic testing, application of Chinese medicine (when clinically appropriate), and meal planning my patients learn how to eat compatible, real foods for their body to eliminate the source of symptoms and health issues.
(781) 786-7216 View (781) 786-7216
Photo of Kate Killion, Nutritionist/Dietitian, MPH, RDN, LDN
Kate Killion
Nutritionist/Dietitian, MPH, RDN, LDN
Online Only
Waitlist for new clients
First, we will discuss your (or your child's!) medical history, food likes and dislikes, and lifestyle.
Deciding what to eat can be exhausting, especially if you or your child struggle with physical or mental health. Food allergies, Autism, ADHD, ARFID, and chronic illness diagnoses can make eating even more frustrating for children and adults alike. If you are looking for a neurodiversity-affirming provider who can help you make eating easy again, I invite you to reach out!
First, we will discuss your (or your child's!) medical history, food likes and dislikes, and lifestyle.
Deciding what to eat can be exhausting, especially if you or your child struggle with physical or mental health. Food allergies, Autism, ADHD, ARFID, and chronic illness diagnoses can make eating even more frustrating for children and adults alike. If you are looking for a neurodiversity-affirming provider who can help you make eating easy again, I invite you to reach out!
(508) 625-5959 View (508) 625-5959
Photo of Rachel Haggard, Nutritionist/Dietitian, RD, LDN
Rachel Haggard
Nutritionist/Dietitian, RD, LDN
Online Only
Rachel has been working in the nutrition field since 2016 with a main focus on gut and mental health. ‘Sunflower Nutrition’ stems from Rachel’s love of positivity and hope in good things to come. She herself has dealt with multiple chronic conditions like IBS, SIBO, mood disorders and Migraines with Auras. She takes a guided and therapeutic approach with clients to provide them the best support they need without overwhelming them with too many changes.
Rachel has been working in the nutrition field since 2016 with a main focus on gut and mental health. ‘Sunflower Nutrition’ stems from Rachel’s love of positivity and hope in good things to come. She herself has dealt with multiple chronic conditions like IBS, SIBO, mood disorders and Migraines with Auras. She takes a guided and therapeutic approach with clients to provide them the best support they need without overwhelming them with too many changes.
(508) 504-7820 View (508) 504-7820
Photo of Suzanne Iovanni - Building Better Nutrition, Inc, Nutritionist/Dietitian, RDN, CSSD, CLT
Building Better Nutrition, Inc
Nutritionist/Dietitian, RDN, CSSD, CLT
1 Endorsed
Online Only
We are a team of Registered dietitians and Board Certified Specialist in Sports Dietetics. Building Better Nutrition specializes in eating disorders/disordered eating, sports nutrition, food sensitivities, and family wellness with health at every size approach. We offer personalized, flexible, and compassionate treatment so our clients have the tools they need to build balanced nutrition while improving their relationship with food and body to flourish and reclaim their life.
We are a team of Registered dietitians and Board Certified Specialist in Sports Dietetics. Building Better Nutrition specializes in eating disorders/disordered eating, sports nutrition, food sensitivities, and family wellness with health at every size approach. We offer personalized, flexible, and compassionate treatment so our clients have the tools they need to build balanced nutrition while improving their relationship with food and body to flourish and reclaim their life.
(978) 291-7580 View (978) 291-7580
Photo of Christina DiSegna, Nutritionist/Dietitian, MS, RD
Christina DiSegna
Nutritionist/Dietitian, MS, RD
Online Only
I’m Christina, a registered dietitian/nutritionist living in MetroWest Massachusetts. I am passionate about using evidenced-based nutrition to help people achieve their best and healthiest lives through better relationships with food. As a working mom, I know how challenging it can be to find time to make changes to improve your life. And from over a decade of working one-on-one with those undergoing and who have completed cancer treatment, I have seen first-hand how misinformation and shame surrounding food and nutrition can sabotage even those with the best intentions.
I’m Christina, a registered dietitian/nutritionist living in MetroWest Massachusetts. I am passionate about using evidenced-based nutrition to help people achieve their best and healthiest lives through better relationships with food. As a working mom, I know how challenging it can be to find time to make changes to improve your life. And from over a decade of working one-on-one with those undergoing and who have completed cancer treatment, I have seen first-hand how misinformation and shame surrounding food and nutrition can sabotage even those with the best intentions.
(508) 501-0691 View (508) 501-0691
Photo of Erin Angelillo, Nutritionist/Dietitian, RD, LDN
Erin Angelillo
Nutritionist/Dietitian, RD, LDN
Online Only
Waitlist for new clients
Hi! My name is Erin and I'm a Registered Dietitian. I help to educate and empower clients through their recovery with disordered eating and negative body image. I also specialize in complex chronic conditions including dysautonomia, POTS, and MCAS. I believe in a collaborative relationship with my clients where we work together to find what works best for them. Whether you are working on your recovery from an eating disorder or learning how to navigate food with a chronic illness, my goal is to support you with practical tools that honor your unique needs and lived experience.
Hi! My name is Erin and I'm a Registered Dietitian. I help to educate and empower clients through their recovery with disordered eating and negative body image. I also specialize in complex chronic conditions including dysautonomia, POTS, and MCAS. I believe in a collaborative relationship with my clients where we work together to find what works best for them. Whether you are working on your recovery from an eating disorder or learning how to navigate food with a chronic illness, my goal is to support you with practical tools that honor your unique needs and lived experience.
(857) 466-1820 View (857) 466-1820
Photo of Deb Orosz, Nutritionist/Dietitian, CNS, MS, CDN
Deb Orosz
Nutritionist/Dietitian, CNS, MS, CDN
Online Only
I am a licensed clinical nutritionist focusing on healthy weight loss and diabetes prevention/reversal. I see people virtually in Florida, Vermont, Connecticut, and Massachusetts and other states to maintain a healthy weight, regain energy, and prevent chronic disease. I specialize in helping clients regain a healthy weight and body in peri-menopause and menopause. I do this utilizing personalized nutrition plans, functional medicine testing, and ongoing accountability and support.
I am a licensed clinical nutritionist focusing on healthy weight loss and diabetes prevention/reversal. I see people virtually in Florida, Vermont, Connecticut, and Massachusetts and other states to maintain a healthy weight, regain energy, and prevent chronic disease. I specialize in helping clients regain a healthy weight and body in peri-menopause and menopause. I do this utilizing personalized nutrition plans, functional medicine testing, and ongoing accountability and support.
(904) 299-1215 View (904) 299-1215

Online Dietitians and Nutritionists

Photo of Cristine Seitz, Nutritionist/Dietitian, MS , RD, LDN
Cristine Seitz
Nutritionist/Dietitian, MS , RD, LDN
Brookline, MA 02445
Cristine Seitz is a Registered Dietitian committed to providing supportive and individualized nutrition counseling focused on what feels best for your body and life. There are no food rules, but instead an attention to hunger and fullness and how your body feels.
Cristine Seitz is a Registered Dietitian committed to providing supportive and individualized nutrition counseling focused on what feels best for your body and life. There are no food rules, but instead an attention to hunger and fullness and how your body feels.
(508) 500-1229 View (508) 500-1229
Medical Nutrition Therapy (MNT) Nutritionists and Dietitians
What is medical nutrition therapy?
Medical Nutrition Therapy (MNT) involves the use of personalized dietary changes to prevent or manage chronic conditions. Typically conducted in an outpatient setting by a Registered Dietitian (RD), MNT aims to address specific health issues through tailored nutrition plans. Clients are often referred for MNT by healthcare professionals who identify conditions that could benefit from dietary and lifestyle modifications, such as diabetes, hypertension, or cardiovascular disease. The goal of MNT is to improve overall health outcomes by making adjustments to the client's diet based on their individual needs and medical conditions.

What conditions is medical nutrition therapy for?
Medical Nutrition Therapy (MNT) is often used for individuals with diseases caused or worsened by poor diet, such as type 2 diabetes, hypertension, kidney disease, and cardiovascular diseases. However, other conditions can also benefit from nutrition therapy. MNT is typically not intended to replace other treatments, such as medication, but rather to complement them. By improving a person's overall diet and health, MNT aims to prevent the exacerbation of symptoms and complement other treatments.

Is medical nutrition therapy covered by insurance?
Medical nutrition therapy is frequently covered by insurance. However, insurance coverage can vary based on factors like your specific plan details, whether you choose an in-network or out-of-network provider, and whether you have a referral for nutrition services based on a medical diagnosis. While a referral is not required to see a dietitian or nutritionist, and many individuals independently seek nutritional support without prior medical advice, a referral from a primary care physician or another medical professional may be necessary to obtain coverage for medical nutrition services. In such cases, a referral is typically made for those who have been formally diagnosed with a medical condition requiring nutrition counseling, such as diabetes or hypertension. Coverage also depends on the type of nutrition service. Typically, insurance plans only cover services provided by a licensed Registered Dietitian (RD) and do not cover those offered by nutritionists or nutrition coaches without the RD credential. If nutrition services are not covered by your insurance, some dietitians and nutritionists may offer sliding scale rates or lower-cost services for clients who cannot afford their full fee.

What does medical nutrition therapy involve?
The approach a dietitian will take in a medical nutrition therapy session will depend on a number of factors, including what conditions the client has and what the goals of the client are. An initial session often involves an assessment of the client's overall health and current dietary intake; a dietitian may also speak with a client's medical doctor prior to or following a first session to obtain information on the medical condition(s) the client is seeking nutrition therapy counseling for. The dietitian will then work with the client to create goals of medical nutrition therapy sessions, such as weight loss, eating a more plant-based diet, or reducing sodium intake. Then, in ongoing sessions, the dietitian will work with the client to meet their stated goals. These ongoing sessions often include menu planning and coaching, which involve the dietitian working with the client to develop strategies for a healthier and more balanced diet. Dietitians may suggest recipes, put together grocery shopping lists, and/or recommend tracking one's intake in order to help clients make desired changes.