Eating Disorders Nutritionists and Dietitians in 02138

Photo of Sarah Butler, Nutritionist/Dietitian, MS, RDN
Sarah Butler
Nutritionist/Dietitian, MS, RDN
Serves Area
I am a licensed registered dietitian with a background in nutrition therapy for eating disorders, and a passion for providing fat positive, weight inclusive care.
Nourishing oneself and feeling comfortable in the body we have is not always easy. Difficulties can arise due to a number of factors such as: chronic illness that makes it difficult to figure out what to eat that will not aggravate symptoms or use up your energy preparing; a wonderful brain that sometimes forgets to remind you to eat, or passionately dislikes foods you're told you should eat more of; a history of disordered eating with an old rulebook you're looking to let go of; an inner critic that makes living in the body and taking care of it hard; weight stigma that has created doubt around your own body wisdom.
I am a licensed registered dietitian with a background in nutrition therapy for eating disorders, and a passion for providing fat positive, weight inclusive care.
Nourishing oneself and feeling comfortable in the body we have is not always easy. Difficulties can arise due to a number of factors such as: chronic illness that makes it difficult to figure out what to eat that will not aggravate symptoms or use up your energy preparing; a wonderful brain that sometimes forgets to remind you to eat, or passionately dislikes foods you're told you should eat more of; a history of disordered eating with an old rulebook you're looking to let go of; an inner critic that makes living in the body and taking care of it hard; weight stigma that has created doubt around your own body wisdom.
(339) 230-2893 View (339) 230-2893
Photo of Natalie Marsh - Actualize Counseling & Nutrition, Nutritionist/Dietitian, MEd, RDN, LDN
Actualize Counseling & Nutrition
Nutritionist/Dietitian, MEd, RDN, LDN
Online Only
Many people struggle to know how to take care of themselves when food, health, or family routines become complicated. I work with individuals and families navigating ADHD, picky eating, intuitive eating, and recovery from disordered eating. Whether you're feeling overwhelmed by nutrition advice, supporting a child with selective eating, or trying to reconnect with your body's natural cues, I help clients build a healthier and more trusting relationship with food.
Many people struggle to know how to take care of themselves when food, health, or family routines become complicated. I work with individuals and families navigating ADHD, picky eating, intuitive eating, and recovery from disordered eating. Whether you're feeling overwhelmed by nutrition advice, supporting a child with selective eating, or trying to reconnect with your body's natural cues, I help clients build a healthier and more trusting relationship with food.
(617) 446-5456 View (617) 446-5456
Photo of Vanessa Beauregard - Actualize Counseling & Nutrition, Nutritionist/Dietitian, MS, RD, LDN
Actualize Counseling & Nutrition
Nutritionist/Dietitian, MS, RD, LDN
Online Only
” I specialize in helping individuals recover from eating disorders—including binge eating, anorexia, bulimia, and chronic dieting—while rebuilding trust in their bodies through intuitive eating and a sustainable relationship with food.
I’m a trauma-informed, weight-inclusive registered dietitian specializing in eating disorder recovery, body image healing, and intuitive eating. My work focuses on helping clients move away from restrictive dieting and toward a more flexible and compassionate approach to nutrition. Together we address cycles of restriction, bingeing, or guilt around food.
” I specialize in helping individuals recover from eating disorders—including binge eating, anorexia, bulimia, and chronic dieting—while rebuilding trust in their bodies through intuitive eating and a sustainable relationship with food.
I’m a trauma-informed, weight-inclusive registered dietitian specializing in eating disorder recovery, body image healing, and intuitive eating. My work focuses on helping clients move away from restrictive dieting and toward a more flexible and compassionate approach to nutrition. Together we address cycles of restriction, bingeing, or guilt around food.
(857) 524-3543 View (857) 524-3543
Photo of Lisa Keovongsa - Actualize Counseling & Nutrition, Nutritionist/Dietitian, RDN, LDN
Actualize Counseling & Nutrition
Nutritionist/Dietitian, RDN, LDN
1 Endorsed
Online Only
As the founder and lead clinician of Actualize Counseling & Nutrition, I specialize in helping clients navigate emotional eating, eating disorders, and the frustrating cycle of restricting and overeating.
Trying to navigate the overwhelming world of nutrition, weight, and metabolism advice can feel exhausting. With endless blogs, posts, and conflicting messages about what we “should” or “shouldn’t” eat, many people find themselves stuck in cycles of rigid food rules, guilt, and anxiety around eating. I help individuals break free from these patterns and rebuild a healthier, more compassionate relationship with food and their bodies through personalized, evidence-based nutrition counseling.
As the founder and lead clinician of Actualize Counseling & Nutrition, I specialize in helping clients navigate emotional eating, eating disorders, and the frustrating cycle of restricting and overeating.
Trying to navigate the overwhelming world of nutrition, weight, and metabolism advice can feel exhausting. With endless blogs, posts, and conflicting messages about what we “should” or “shouldn’t” eat, many people find themselves stuck in cycles of rigid food rules, guilt, and anxiety around eating. I help individuals break free from these patterns and rebuild a healthier, more compassionate relationship with food and their bodies through personalized, evidence-based nutrition counseling.
(857) 688-5927 View (857) 688-5927
Photo of Katherine L Fernald, Nutritionist/Dietitian, MS, RD, LDN, Reiki, Master
Katherine L Fernald
Nutritionist/Dietitian, MS, RD, LDN, Reiki, Master
Online Only
Referrals and inquiries accepted for nutritional concerns including: eating disorders, weight control issues for all ages, Alzheimers, diabetes, digestive disorders, and other medical concerns.
I am very comfortable with all types of people who have all kinds of concerns. I speak the language of 12 steps and am experienced with people in Overeater's Anonymous and other Anonymous groups related to food or other issues. I help with any co-occurring medical nutritional problem.
Referrals and inquiries accepted for nutritional concerns including: eating disorders, weight control issues for all ages, Alzheimers, diabetes, digestive disorders, and other medical concerns.
I am very comfortable with all types of people who have all kinds of concerns. I speak the language of 12 steps and am experienced with people in Overeater's Anonymous and other Anonymous groups related to food or other issues. I help with any co-occurring medical nutritional problem.
(508) 955-0579 View (508) 955-0579
Photo of Rachael Utstein, Nutritionist/Dietitian, MS, RD, CDN, LDN
Rachael Utstein
Nutritionist/Dietitian, MS, RD, CDN, LDN
Online Only
I am a registered dietitian specializing in disordered eating, eating disorders, and body image.
I utilize a non-diet approach to nutrition. This approach rejects restriction of any kind and promotes the principles of Intuitive Eating and Health at Every Size. Through the process of unlearning diet culture, my clients are able to re-learn how to trust their bodies and build a more positive relationship with food and their bodies.
I am a registered dietitian specializing in disordered eating, eating disorders, and body image.
I utilize a non-diet approach to nutrition. This approach rejects restriction of any kind and promotes the principles of Intuitive Eating and Health at Every Size. Through the process of unlearning diet culture, my clients are able to re-learn how to trust their bodies and build a more positive relationship with food and their bodies.
(475) 241-7938 View (475) 241-7938
Photo of Emily Blake, Nutritionist/Dietitian, MS, RD, LDN
Emily Blake
Nutritionist/Dietitian, MS, RD, LDN
Online Only
We live in a challenging time in regards to food, nutrition and body image. We are submerged in nutrition myths, quick fix diets and “perfect” bodies on social media. We feel immense pressure to change our bodies, and work tirelessly to eat and move in a way that will do just that, only to find ourselves defeated, exhausted, and back where we started. Over time, we forget that eating and movement should be pleasurable and nourishing.
We live in a challenging time in regards to food, nutrition and body image. We are submerged in nutrition myths, quick fix diets and “perfect” bodies on social media. We feel immense pressure to change our bodies, and work tirelessly to eat and move in a way that will do just that, only to find ourselves defeated, exhausted, and back where we started. Over time, we forget that eating and movement should be pleasurable and nourishing.
(781) 680-5381 View (781) 680-5381
Photo of Emily Stewart, Nutritionist/Dietitian, MS, RD, LDN, CDN
Emily Stewart
Nutritionist/Dietitian, MS, RD, LDN, CDN
Online Only
With experience working at the partial hospitalization, intensive outpatient, and outpatient levels of eating disorder care, I am well-versed in treating clinical and sub-clinical eating disorders as part of a multidisciplinary team.
Hi! I'm Emily. I am dedicated to helping individuals develop a healthier relationship with food, movement, and their body. I support my clients in breaking free from the grip of diet culture by realigning their values and behaviors, challenging rigid thoughts and beliefs, and building flexibility in all areas of life. As an eating disorder-informed registered dietitian and certified Pilates instructor, I support my clients in reclaiming trust in their bodies, discovering freedom with food, and reconnecting with the joy of movement.
With experience working at the partial hospitalization, intensive outpatient, and outpatient levels of eating disorder care, I am well-versed in treating clinical and sub-clinical eating disorders as part of a multidisciplinary team.
Hi! I'm Emily. I am dedicated to helping individuals develop a healthier relationship with food, movement, and their body. I support my clients in breaking free from the grip of diet culture by realigning their values and behaviors, challenging rigid thoughts and beliefs, and building flexibility in all areas of life. As an eating disorder-informed registered dietitian and certified Pilates instructor, I support my clients in reclaiming trust in their bodies, discovering freedom with food, and reconnecting with the joy of movement.
(475) 335-8069 View (475) 335-8069
Photo of Alexis Beck, Nutritionist/Dietitian, MPH, RD, LDN
Alexis Beck
Nutritionist/Dietitian, MPH, RD, LDN
Online Only
NutritionRx is a concierge private practice offering personalized, evidence-based nutrition and weight management solutions. Led by Alexis Beck, RD, an Advanced Practice Nutritionist specializing in Medical Obesity, NutritionRx collaborates with top obesity physicians in Boston. Alexis creates custom nutrition plans tailored to your lifestyle, challenges, and goals, promoting sustainable, non-deprivation wellness.
NutritionRx is a concierge private practice offering personalized, evidence-based nutrition and weight management solutions. Led by Alexis Beck, RD, an Advanced Practice Nutritionist specializing in Medical Obesity, NutritionRx collaborates with top obesity physicians in Boston. Alexis creates custom nutrition plans tailored to your lifestyle, challenges, and goals, promoting sustainable, non-deprivation wellness.
(617) 606-5360 View (617) 606-5360

More Dietitians and Nutritionists Nearby

Photo of Jennifer Heinen - Nourish for Life, LLC, Nutritionist/Dietitian, MS, RDN, LDN
Nourish for Life, LLC
Nutritionist/Dietitian, MS, RDN, LDN
Cambridge, MA 02140
Each of our RDNs specialize in different concerns, including eating disorders, GI disorders, women's health, transgender health, and sports nutrition.
If you are looking for compassionate dietitians who are dedicated to helping you find balance with food and movement, you have found the right practice! Our skilled dietitians will gently guide you toward your health goals while helping you heal your relationship with food using mindful and Intuitive Eating. We work collaboratively to create attainable and sustainable changes that work for YOU. We take the time to get to know you, to individualize nutrition and movement plans that work for your lifestyle and health needs.
Each of our RDNs specialize in different concerns, including eating disorders, GI disorders, women's health, transgender health, and sports nutrition.
If you are looking for compassionate dietitians who are dedicated to helping you find balance with food and movement, you have found the right practice! Our skilled dietitians will gently guide you toward your health goals while helping you heal your relationship with food using mindful and Intuitive Eating. We work collaboratively to create attainable and sustainable changes that work for YOU. We take the time to get to know you, to individualize nutrition and movement plans that work for your lifestyle and health needs.
(339) 300-4925 View (339) 300-4925
Photo of Amanda K Mittman - Happy Valley Nutrition, PC, Nutritionist/Dietitian, MS, RDN, LDN
Happy Valley Nutrition, PC
Nutritionist/Dietitian, MS, RDN, LDN
Serves Area
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 Maddie McSweeney, Nutritionist/Dietitian, MS, RDN
Maddie McSweeney
Nutritionist/Dietitian, MS, RDN
3 Endorsed
Serves Area
Maddie is a Registered Dietitian dedicated to helping people achieve their goals while feeling inspired and empowered. She is committed to enhancing individuals' quality of life and guiding them toward becoming the best, healthiest version of themselves through diet and lifestyle changes.
Maddie is a Registered Dietitian dedicated to helping people achieve their goals while feeling inspired and empowered. She is committed to enhancing individuals' quality of life and guiding them toward becoming the best, healthiest version of themselves through diet and lifestyle changes.
(415) 881-1547 View (415) 881-1547
Photo of Kara Lydon - Kara Lydon Nutrition, Nutritionist/Dietitian, RD, LDN
Kara Lydon Nutrition
Nutritionist/Dietitian, RD, LDN
Boston, MA 02130
Our practice specializes in: Intuitive eating, eating disorders/disordered eating, body image, digestive disorders, PCOS, sports nutrition, and general health and wellness concerns.
Do you spend all day worrying about how food impacts your health and body? If you’re ready to make peace with food, heal your relationship with your body, and are ready to free up space and energy to start living the life you desire, then we want to help you get there. Get ready for a radical approach to nutrition that is actually sustainable. Awarded “Best of Boston Dietitian” by Boston Magazine, our weight-inclusive practice consists of dietitians who are certified or specialized in Intuitive Eating, practice from the Health at Every Size(R) (HAES) framework, and are here to help you on your journey in finding food freedom.
Our practice specializes in: Intuitive eating, eating disorders/disordered eating, body image, digestive disorders, PCOS, sports nutrition, and general health and wellness concerns.
Do you spend all day worrying about how food impacts your health and body? If you’re ready to make peace with food, heal your relationship with your body, and are ready to free up space and energy to start living the life you desire, then we want to help you get there. Get ready for a radical approach to nutrition that is actually sustainable. Awarded “Best of Boston Dietitian” by Boston Magazine, our weight-inclusive practice consists of dietitians who are certified or specialized in Intuitive Eating, practice from the Health at Every Size(R) (HAES) framework, and are here to help you on your journey in finding food freedom.
(617) 819-0844 View (617) 819-0844
Photo of Amanda Ruth Stegmann, Nutritionist/Dietitian, MS, LDN, LSW
Amanda Ruth Stegmann
Nutritionist/Dietitian, MS, LDN, LSW
Marblehead, MA 01945
As a Dietitian and Licensed social worker, I'm well versed in mental health and its impact on nutrition and relationship with food. I like to collaborate with my clients to make SMART goals with their participation to provide support to manage disordered eating thoughts and behaviors, conquer fears, and implement intuitive eating techniques to enjoy food freedom while improving your healt. I enjoy helping clients make food choices that meet their lifestyle (and also taste good). For others who like the structure of a meal plan, I can provide custom meal plans with grocery lists, recipes, and an app for logging with private messaging
As a Dietitian and Licensed social worker, I'm well versed in mental health and its impact on nutrition and relationship with food. I like to collaborate with my clients to make SMART goals with their participation to provide support to manage disordered eating thoughts and behaviors, conquer fears, and implement intuitive eating techniques to enjoy food freedom while improving your healt. I enjoy helping clients make food choices that meet their lifestyle (and also taste good). For others who like the structure of a meal plan, I can provide custom meal plans with grocery lists, recipes, and an app for logging with private messaging
(617) 712-0411 View (617) 712-0411
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 Matt Stranberg, Nutritionist/Dietitian, CSSD, MS, RDN, LDN, CSCS
Matt Stranberg
Nutritionist/Dietitian, CSSD, MS, RDN, LDN, CSCS
1 Endorsed
Boston, MA 02135
I have cofounded research-based programs and initiatives to treat athletes struggling with eating disorders, and aim to distill the knowledge and wisdom needed to translate nutrition and exercise science into practical solutions to help you achieve your dreams.
I am available for in-person consultations in the Boston area as well as Telemedicine. Sessions can be scheduled at any time of day and on the weekends.
I have cofounded research-based programs and initiatives to treat athletes struggling with eating disorders, and aim to distill the knowledge and wisdom needed to translate nutrition and exercise science into practical solutions to help you achieve your dreams.
I am available for in-person consultations in the Boston area as well as Telemedicine. Sessions can be scheduled at any time of day and on the weekends.
(617) 231-9373 View (617) 231-9373
Photo of Enjely Mora, Nutritionist/Dietitian, MS, RDN, LDN, CPT
Enjely Mora
Nutritionist/Dietitian, MS, RDN, LDN, CPT
Boston, MA 02116
I'm a bilingual registered dietitian and a military veteran who specializes in sports nutrition/performance, disordered eating/ eating disorders, and general nutrition.
As a Registered Dietitian, Sports Nutritionist, and Personal Trainer, I offer personalized support in sports nutrition, eating disorders, and fitness coaching. Whether you’re looking to fuel performance, heal your relationship with food, or build strength, I provide compassionate, science-based guidance in English and Spanish.
I'm a bilingual registered dietitian and a military veteran who specializes in sports nutrition/performance, disordered eating/ eating disorders, and general nutrition.
As a Registered Dietitian, Sports Nutritionist, and Personal Trainer, I offer personalized support in sports nutrition, eating disorders, and fitness coaching. Whether you’re looking to fuel performance, heal your relationship with food, or build strength, I provide compassionate, science-based guidance in English and Spanish.
(857) 380-2778 View (857) 380-2778
Photo of Ashley Vazquez, Nutritionist/Dietitian, MS, RD, LDN, CEDS-C
Ashley Vazquez
Nutritionist/Dietitian, MS, RD, LDN, CEDS-C
1 Endorsed
Medway, MA 02053
Ashley Vazquez is a non-diet certified eating disorder specialist and IAEDP approved consultant working to help individuals with eating disorders, disordered eating, negative body image, and chronic dieting, improve their relationship with food since 2012.
Ashley Vazquez MS, RD, LDN, CEDS-C completed her Master's Degree in nutrition science and Dietetic Internship through Boston University. Ashley previously worked as Director of Nutrition services at a national treatment center and currently holds an Approved Consultant status through IAEDP.
Ashley Vazquez is a non-diet certified eating disorder specialist and IAEDP approved consultant working to help individuals with eating disorders, disordered eating, negative body image, and chronic dieting, improve their relationship with food since 2012.
Ashley Vazquez MS, RD, LDN, CEDS-C completed her Master's Degree in nutrition science and Dietetic Internship through Boston University. Ashley previously worked as Director of Nutrition services at a national treatment center and currently holds an Approved Consultant status through IAEDP.
(774) 854-8675 View (774) 854-8675
Photo of Sarah Patten Wilder, Nutritionist/Dietitian, RD, LDN, CEDRD
Sarah Patten Wilder
Nutritionist/Dietitian, RD, LDN, CEDRD
Concord, MA 01742
Feeling at peace with our eating habits and our bodies can feel rare in a world full of constantly changing messaging about what we should eat, how much, how often, etc. Working on your relationship with food, exercise, and your body can be transformational in building trust in your body's ability to tell you what it needs and your ability to listen. If you're tired of swinging from one end of the eating spectrum to the other, I can help!
Feeling at peace with our eating habits and our bodies can feel rare in a world full of constantly changing messaging about what we should eat, how much, how often, etc. Working on your relationship with food, exercise, and your body can be transformational in building trust in your body's ability to tell you what it needs and your ability to listen. If you're tired of swinging from one end of the eating spectrum to the other, I can help!
(774) 872-3216 View (774) 872-3216
Photo of Rachel Reynolds, Nutritionist/Dietitian, MS, RDN, LDN
Rachel Reynolds
Nutritionist/Dietitian, MS, RDN, LDN
Framingham, MA 01701
I enjoy working with adult clients of all ages with any of the following: weight-related concerns, eating disorders, disordered eating thoughts or behaviors, struggles with body image, cardiovascular disease, and Parkinson's Disease.
My approach is to help clients identify opportunities for developing sustainable eating habits that fit into their existing routines, preferences, budget, and lifestyle. I use a variety of evidence-based and innovative strategies tailored to each individual in a supportive, non-judgmental environment.
I enjoy working with adult clients of all ages with any of the following: weight-related concerns, eating disorders, disordered eating thoughts or behaviors, struggles with body image, cardiovascular disease, and Parkinson's Disease.
My approach is to help clients identify opportunities for developing sustainable eating habits that fit into their existing routines, preferences, budget, and lifestyle. I use a variety of evidence-based and innovative strategies tailored to each individual in a supportive, non-judgmental environment.
(617) 553-4297 View (617) 553-4297
Eating Disorders Nutritionists and Dietitians
What are the most common types of eating disorders?
The most common types of eating disorders include anorexia nervosa, bulimia nervosa, binge eating disorder, and avoidant/restrictive food intake disorder (ARFID). Individuals may also be diagnosed with "other specified feeding or eating disorder" (OSFED), which is a type of eating disorder diagnosed when a client does not meet the full criteria for anorexia, bulimia, or binge eating disorder but still experiences significant distress related to eating.

What diet is best for eating disorder recovery?
Because eating disorders vary widely in symptoms and severity, there is no single best diet for recovery. While not all individuals with eating disorders are underweight and require weight gain during recovery, those who do may particularly benefit from consuming balanced meals on a more structured schedule. This approach helps establish a regular eating pattern and regulate hunger cues. In general, eating disorder dietitians recommend that clients focus on improving their overall relationship with food and eliminating certain "food rules," while also ensuring they consume an appropriate amount. For example, clients with anorexia nervosa often have significant fears surrounding the consumption of high-calorie foods; dietitians may encourage these clients to include such foods in their diet in a balanced manner to help facilitate recovery and achieve a more normalized state of eating. Conversely, clients with bulimia or binge eating disorder may benefit from a diet that avoids foods that are particularly triggering for them to binge on. Many clients with eating disorders benefit from seeing a dietitian who specializes in eating disorders in order to ensure that their diet meets their specific recovery-related needs.

How are eating disorders treated?
Eating disorder treatment often involves a multidisciplinary team of clinicians working together to address the various aspects of the condition. A physician typically monitors physical changes and health problems, a therapist addresses underlying thoughts and emotions, and a dietitian develops a plan to help the patient achieve and maintain a healthy weight. While most individuals can be treated in an outpatient setting, some may require more intensive care provided by residential or inpatient facilities. In addition, early intervention for disordered eating can significantly increase the likelihood of a successful recovery, and ongoing support and monitoring are also crucial to prevent relapse and sustain progress.

How do dietitians help people with eating disorders?
Nutrition counseling is a crucial component of eating disorder recovery, and dietitians play a vital role in this process. They help clients develop personalized meal plans to meet their nutritional goals, which is particularly beneficial for those who need to gain weight after periods of food restriction. Dietitians also encourage healthier eating patterns by helping clients incorporate foods they may have previously avoided due to eating disorder behaviors. Additionally, eating disorder dietitians often collaborate with other members of the client's care team, such as medical doctors, psychiatrists, and therapists, to provide comprehensive support. This multidisciplinary approach is especially important for clients with medical conditions related to their eating disorder, such as heart issues or electrolyte imbalances, which require close supervision by a medical doctor in coordination with a dietitian.