Nutritionists and Dietitians in San Francisco County, CA

Photo of Jessica Michelle Coghill, MS, CNS, Nutritionist/Dietitian
Jessica Michelle Coghill
Nutritionist/Dietitian, MS, CNS
Verified Verified
San Francisco, CA 94117
90% of health conditions and diseases can be prevented by proper nutrition and lifestyle modifications. Not only does management and prevention of chronic health conditions improve the quality and satisfaction of living, it also adds years and saves money later in life. The sooner you take the steps to a healthier life, the sooner you’ll feel better, happier, more energized, and more confident about your appearance. I’m here to help you set the foundation of a more fulfilling life you can enjoy with family and friends in years to come!
90% of health conditions and diseases can be prevented by proper nutrition and lifestyle modifications. Not only does management and prevention of chronic health conditions improve the quality and satisfaction of living, it also adds years and saves money later in life. The sooner you take the steps to a healthier life, the sooner you’ll feel better, happier, more energized, and more confident about your appearance. I’m here to help you set the foundation of a more fulfilling life you can enjoy with family and friends in years to come!
(415) 842-1916 View (415) 842-1916
Photo of Erica Kirmayer @ The Connective, MS, CNS, LDN, Nutritionist/Dietitian
Erica Kirmayer @ The Connective
Nutritionist/Dietitian, MS, CNS, LDN
Not Verified Not Verified
1 Endorsed
San Francisco, CA 94102
When clients come to see me, many of them are struggling with mental health concerns, digestive issues, and a poor sense of health. Many have had a recent mental or digestive health diagnosis that feels challenging and like they have little guidance on how to move forward. My goal is to provide you with the latest evidence-based tools so you can tune back into your body and start making decisions that meet your actual needs, while providing a clear path towards improved health. My anti-diet, "all-foods-fit" approach allows flexibility versus rigidity, leading to long lasting behavior change & better relationship to food.
When clients come to see me, many of them are struggling with mental health concerns, digestive issues, and a poor sense of health. Many have had a recent mental or digestive health diagnosis that feels challenging and like they have little guidance on how to move forward. My goal is to provide you with the latest evidence-based tools so you can tune back into your body and start making decisions that meet your actual needs, while providing a clear path towards improved health. My anti-diet, "all-foods-fit" approach allows flexibility versus rigidity, leading to long lasting behavior change & better relationship to food.
(628) 216-7337 View (628) 216-7337
Photo of Dr. Lillie Luu Nguyen, DCN, CNS, LDN, Nutritionist/Dietitian
Dr. Lillie Luu Nguyen
Nutritionist/Dietitian, DCN, CNS, LDN
Verified Verified
1 Endorsed
San Francisco, CA 94115
Navigating the path to better nutrition and well-being can be challenging, but you don't have to go it alone. Using doctorate-level education rooted in evidence-based science, I'm here to support you with a personalized nutrition plan that not only tastes great, but also nourishes your body. We'll take a holistic approach to your health, considering all aspects of your life. If you're curious about lab tests, supplements, or assessments, we can explore those options together.
Navigating the path to better nutrition and well-being can be challenging, but you don't have to go it alone. Using doctorate-level education rooted in evidence-based science, I'm here to support you with a personalized nutrition plan that not only tastes great, but also nourishes your body. We'll take a holistic approach to your health, considering all aspects of your life. If you're curious about lab tests, supplements, or assessments, we can explore those options together.
(415) 322-5629 View (415) 322-5629
Photo of Nikki Karetov, RD, Nutritionist/Dietitian
Nikki Karetov
Nutritionist/Dietitian, RD
Verified Verified
San Francisco, CA 94116  (Online Only)
Are you looking to make healthful changes in your diet to combat a current chronic illness or to prevent disease? I offer virtual nutrition coaching for adults who want to make lasting changes in their diet with a food-as-medicine approach.
Are you looking to make healthful changes in your diet to combat a current chronic illness or to prevent disease? I offer virtual nutrition coaching for adults who want to make lasting changes in their diet with a food-as-medicine approach.
(415) 534-3961 View (415) 534-3961
Daria Iakovishina
Nutritionist/Dietitian, MS
Verified Verified
San Francisco, CA 94133
After encountering several health issues that lead to weight gain, constant bloating, depression, and infertility, I worked with multiple healthcare professionals to help myself get back on track. After years of ups and downs, I finally decided to take my health in my own hands and entered into a MS program to learn more about nutrition and functional medicine. It allowed me not only solve my health issues that no one could, but also to get pregnant after multiple years of unsuccessful attempts. Your daily nutrition is either a poison or a medicine, and I am excited to help you find an optimal balance between health and food!
After encountering several health issues that lead to weight gain, constant bloating, depression, and infertility, I worked with multiple healthcare professionals to help myself get back on track. After years of ups and downs, I finally decided to take my health in my own hands and entered into a MS program to learn more about nutrition and functional medicine. It allowed me not only solve my health issues that no one could, but also to get pregnant after multiple years of unsuccessful attempts. Your daily nutrition is either a poison or a medicine, and I am excited to help you find an optimal balance between health and food!
(628) 313-3613 View (628) 313-3613
Photo of Kit Situ, Nutritionist/Dietitian
Kit Situ
Nutritionist/Dietitian
Verified Verified
San Francisco, CA 94132
Are you ready to promote a higher quality of life? Tired of struggling with digestive and gut health? Need help managing pre-diabetes, diabetes, renal disease, and/or heart disease? You're not alone. I can support you every step of the way in your health and wellness journey.
Are you ready to promote a higher quality of life? Tired of struggling with digestive and gut health? Need help managing pre-diabetes, diabetes, renal disease, and/or heart disease? You're not alone. I can support you every step of the way in your health and wellness journey.
(415) 853-6873 View (415) 853-6873
Photo of Haley Mannix, CNC, Nutritionist/Dietitian
Haley Mannix
Nutritionist/Dietitian, CNC
Verified Verified
1 Endorsed
San Francisco, CA 94115
I work with motivated and curious individuals looking to dive deep and investigate the root causes of digestive issues, acne and other skin problems, poor sleep, adrenal/sex/circadian hormone imbalances and blood sugar dysfunction. Healthy, gradual and sustainable improvements are prioritized over quick-fixes. My overarching goal is not only to find the root cause of imbalance, but to optimize your long term health by harboring intuition around nutrition and lifestyle practices so that you feel empowered and in control of your body, health and wellbeing.
I work with motivated and curious individuals looking to dive deep and investigate the root causes of digestive issues, acne and other skin problems, poor sleep, adrenal/sex/circadian hormone imbalances and blood sugar dysfunction. Healthy, gradual and sustainable improvements are prioritized over quick-fixes. My overarching goal is not only to find the root cause of imbalance, but to optimize your long term health by harboring intuition around nutrition and lifestyle practices so that you feel empowered and in control of your body, health and wellbeing.
(415) 594-5248 View (415) 594-5248
Photo of Stacy Roy, MS, CNE, BCHN, Nutritionist/Dietitian
Stacy Roy
Nutritionist/Dietitian, MS, CNE, BCHN
Verified Verified
San Francisco, CA 94116
Have you been suffering with digestive issues for years? Or are you experiencing hormone imbalances such as endometriosis, PCOS, or fibroids? I am here to listen and help! I am a Clinical Nutritionist, Board Certified in Holistic Nutrition®, and Women's Health Educator. My practice offers a holistic approach to wellness which acknowledges our bio-individuality and the different relationships we all have with food. As a nutritionist, I work with clients around the world to improve their daily well-being, health, and happiness.
Have you been suffering with digestive issues for years? Or are you experiencing hormone imbalances such as endometriosis, PCOS, or fibroids? I am here to listen and help! I am a Clinical Nutritionist, Board Certified in Holistic Nutrition®, and Women's Health Educator. My practice offers a holistic approach to wellness which acknowledges our bio-individuality and the different relationships we all have with food. As a nutritionist, I work with clients around the world to improve their daily well-being, health, and happiness.
(628) 222-4355 View (628) 222-4355
Photo of Dr. Rosa M Keller - Rosa Keller Nutrition, PhD, RD, Nutritionist/Dietitian
Rosa Keller Nutrition
Nutritionist/Dietitian, PhD, RD
Verified Verified
San Francisco, CA 94123
As a nutrition scientist and registered dietitian, my goal is to help you pin-point the current challenges you are facing with your health and nutrition. Through remote Telehealth services, we will work together to create actionable steps towards long-term healthy habits. Whether that means understanding how to improve your relationships with food, weight management, fuel exercise performance, finding a meal pattern that improves digestive symptoms, managing chronic disease and more.
As a nutrition scientist and registered dietitian, my goal is to help you pin-point the current challenges you are facing with your health and nutrition. Through remote Telehealth services, we will work together to create actionable steps towards long-term healthy habits. Whether that means understanding how to improve your relationships with food, weight management, fuel exercise performance, finding a meal pattern that improves digestive symptoms, managing chronic disease and more.
(415) 712-2516 View (415) 712-2516
Photo of Lacou Flipse, BS, Nutritionist/Dietitian
Lacou Flipse
Nutritionist/Dietitian, BS
Verified Verified
San Francisco, CA 94112
I work with women to help them come into alignment with their own unique rhythm with food + weight. Over the past 7 years, I've developed a method called The Pleasure Eating Process which is a simple practice for developing the lifelong skill of leading a pleasurable and easeful relationship with food + body.
I work with women to help them come into alignment with their own unique rhythm with food + weight. Over the past 7 years, I've developed a method called The Pleasure Eating Process which is a simple practice for developing the lifelong skill of leading a pleasurable and easeful relationship with food + body.
(925) 235-0098 View (925) 235-0098
Photo of Anjuman J. Shah, MS, RDN, Nutritionist/Dietitian
Anjuman J. Shah
Nutritionist/Dietitian, MS, RDN
Verified Verified
1 Endorsed
San Francisco, CA 94114
Anjuman holds a M.S. in Nutrition Education from Columbia University and a B.S. in Psychology from UCLA. She completed her dietetic internship through Columbia University, where she discovered her passion for digestive health, disordered eating, and chronic disease management.
Anjuman holds a M.S. in Nutrition Education from Columbia University and a B.S. in Psychology from UCLA. She completed her dietetic internship through Columbia University, where she discovered her passion for digestive health, disordered eating, and chronic disease management.
(628) 258-7651 View (628) 258-7651
Photo of Elena Zorn, MS, MA, CNP, CNE, FMCHC, DSS, Nutritionist/Dietitian
Elena Zorn
Nutritionist/Dietitian, MS, MA, CNP, CNE, FMCHC, DSS
Verified Verified
San Francisco, CA 94115  (Online Only)
Over the years, I've developed a protocol to break unhealthy habits like excessive sugar consumption, late-night eating, snacking, and negative self-talk. This promotes healthier habits such as enjoying vegetables and making better food choices. I prioritize nutrition and emotional health in healthcare, focusing on interventions for chronic, degenerative, and autoimmune diseases, cancer support, energy and brain health, food intolerances, chronic infections, disease prevention, and optimal wellness. I also specialize in supporting diabetes management, weight control, and addressing food cravings effectively.
Over the years, I've developed a protocol to break unhealthy habits like excessive sugar consumption, late-night eating, snacking, and negative self-talk. This promotes healthier habits such as enjoying vegetables and making better food choices. I prioritize nutrition and emotional health in healthcare, focusing on interventions for chronic, degenerative, and autoimmune diseases, cancer support, energy and brain health, food intolerances, chronic infections, disease prevention, and optimal wellness. I also specialize in supporting diabetes management, weight control, and addressing food cravings effectively.
(628) 250-4892 View (628) 250-4892
Photo of Whitney Lau, RDN, Nutritionist/Dietitian
Whitney Lau
Nutritionist/Dietitian, RDN
Verified Verified
San Francisco, CA 94105
Diagnosed with PCOS? Struggling with digestive issues, period problems, thyroid problems, or fertility challenges? Experiencing symptoms of fatigue, low energy, bloating, acne, and/ or hair loss? If you’re finding it difficult to get answers from your doctor, or if you were simply told "your labs look normal", and are tired of the trial-and-error approach, wasting time and money on random supplements and treatments, know that there's a better solution. You deserve to have the tools to learn how to manage your health issues, heal your body, and feel like yourself while living a life you love to its fullest potential.
Diagnosed with PCOS? Struggling with digestive issues, period problems, thyroid problems, or fertility challenges? Experiencing symptoms of fatigue, low energy, bloating, acne, and/ or hair loss? If you’re finding it difficult to get answers from your doctor, or if you were simply told "your labs look normal", and are tired of the trial-and-error approach, wasting time and money on random supplements and treatments, know that there's a better solution. You deserve to have the tools to learn how to manage your health issues, heal your body, and feel like yourself while living a life you love to its fullest potential.
(510) 726-4221 View (510) 726-4221
Photo of Kristin Paver, RDN, LDN, Nutritionist/Dietitian
Kristin Paver
Nutritionist/Dietitian, RDN, LDN
Verified Verified
1 Endorsed
San Francisco, CA 94114  (Online Only)
Kristin is a Registered Dietitian Nutritionist who practices out of Health Loft, specializing in working with adults and adolescents with Eating Disorders, Disordered Eating, Digestive issues, Crohn's, Celiac, PCOS, and interested in Weight Management. Kristin enjoys collaborating with her clients and supporting them on their journey towards making sustainable lifestyle changes and believes health relies on the balance of nutritional, mental, social, emotional, physical and spiritual wellness. She whole heartedly believes that food is information for our cells and what we eat is critical to how we reveal ourselves to the world.
Kristin is a Registered Dietitian Nutritionist who practices out of Health Loft, specializing in working with adults and adolescents with Eating Disorders, Disordered Eating, Digestive issues, Crohn's, Celiac, PCOS, and interested in Weight Management. Kristin enjoys collaborating with her clients and supporting them on their journey towards making sustainable lifestyle changes and believes health relies on the balance of nutritional, mental, social, emotional, physical and spiritual wellness. She whole heartedly believes that food is information for our cells and what we eat is critical to how we reveal ourselves to the world.
(415) 881-1547 View (415) 881-1547
Photo of Madison Martin, MS, CNS, Nutritionist/Dietitian
Madison Martin
Nutritionist/Dietitian, MS, CNS
Verified Verified
1 Endorsed
San Francisco, CA 94102
I use a functional and integrative model to get to create evidence based and completely personalized nutrition programs. The functional approach allows us to get to the root cause of disease and address the source(s), not just put a bandaid over the symptoms. If you need help with fertility, balancing hormones, blood sugar, fighting fatigue or brain fog, or healing your gut, I can help get you there. Together we will work to make realistic and sustainable changes that optimize your health and cater to your unique biology.
I use a functional and integrative model to get to create evidence based and completely personalized nutrition programs. The functional approach allows us to get to the root cause of disease and address the source(s), not just put a bandaid over the symptoms. If you need help with fertility, balancing hormones, blood sugar, fighting fatigue or brain fog, or healing your gut, I can help get you there. Together we will work to make realistic and sustainable changes that optimize your health and cater to your unique biology.
(628) 277-3923 x700 View (628) 277-3923 x700
Photo of Kelly Powers, MA, RD, Nutritionist/Dietitian
Kelly Powers
Nutritionist/Dietitian, MA, RD
Verified Verified
San Francisco, CA 94122
Hi, I'm Kelly. I specialize in the Mediterranean diet, recipe and meal plan development, intuitive eating, and sustainable behavior change. I practice a holistic approach to nutrition and health, helping my clients implement sustainable behavior change to improve their lives and relationship with food. Whether you want to build better eating patterns and habits, optimize nutrition and health, eat more intuitively, or stop dieting for good – I can help. I work with adults to create practical and enjoyable lifelong nutrition and wellness plans. I also provide personalized meal plans and kitchen management services to families.
Hi, I'm Kelly. I specialize in the Mediterranean diet, recipe and meal plan development, intuitive eating, and sustainable behavior change. I practice a holistic approach to nutrition and health, helping my clients implement sustainable behavior change to improve their lives and relationship with food. Whether you want to build better eating patterns and habits, optimize nutrition and health, eat more intuitively, or stop dieting for good – I can help. I work with adults to create practical and enjoyable lifelong nutrition and wellness plans. I also provide personalized meal plans and kitchen management services to families.
(628) 266-4339 View (628) 266-4339
Photo of Brenna O'Malley, RD, Nutritionist/Dietitian
Brenna O'Malley
Nutritionist/Dietitian, RD
Verified Verified
San Francisco, CA 94117
Hi, I'm Brenna! I work with adolescents, teens and adults who are struggling with disordered eating, recovery from chronic dieting, binge-restrict cycles, body image concerns and wanting to be able to pursue health without obsession. It's common to be interested in or passionate about food, health, wellness exercise - but when those interests become inflexible, or don't allow for you to spend time and feel present doing other things that are important to you, it can be a sign to reach out.
Hi, I'm Brenna! I work with adolescents, teens and adults who are struggling with disordered eating, recovery from chronic dieting, binge-restrict cycles, body image concerns and wanting to be able to pursue health without obsession. It's common to be interested in or passionate about food, health, wellness exercise - but when those interests become inflexible, or don't allow for you to spend time and feel present doing other things that are important to you, it can be a sign to reach out.
(415) 798-9738 View (415) 798-9738
Photo of Carnelita Lombera | Diabetes Digital, RDN, Nutritionist/Dietitian
Carnelita Lombera | Diabetes Digital
Nutritionist/Dietitian, RDN
Verified Verified
San Francisco, CA 94109
Hi there! I'm Carmelita Lombera, and I’m thrilled to be part of your journey towards better health. Living with diabetes or prediabetes can feel overwhelming, but you don’t have to navigate it alone. With over ten years of experience, I’ve supported countless individuals and their families, providing personalized guidance that makes managing diabetes more manageable and less daunting. I understand the daily challenges you face – from monitoring blood sugar levels to making food choices that fit your lifestyle. My goal is to help you make sustainable changes that lead to real improvements in your health and quality of life.
Hi there! I'm Carmelita Lombera, and I’m thrilled to be part of your journey towards better health. Living with diabetes or prediabetes can feel overwhelming, but you don’t have to navigate it alone. With over ten years of experience, I’ve supported countless individuals and their families, providing personalized guidance that makes managing diabetes more manageable and less daunting. I understand the daily challenges you face – from monitoring blood sugar levels to making food choices that fit your lifestyle. My goal is to help you make sustainable changes that lead to real improvements in your health and quality of life.
(415) 639-5217 View (415) 639-5217
Photo of Client Coordinator - The Connective, Nutritionist/Dietitian
The Connective
Nutritionist/Dietitian
Verified Verified
San Francisco, CA 94102
Welcome to The Connective! We are a community of Holistic Health Practitioners who share the common goal of helping others live happier, healthier, and more meaningful lives! Our staff includes Holistic and Functional Nutritionists, Herbalists, Health Coaches, Life Coaches, and Licensed Psychotherapists.
Welcome to The Connective! We are a community of Holistic Health Practitioners who share the common goal of helping others live happier, healthier, and more meaningful lives! Our staff includes Holistic and Functional Nutritionists, Herbalists, Health Coaches, Life Coaches, and Licensed Psychotherapists.
(415) 930-9396 View (415) 930-9396
Photo of Sapna Bhalsod, MS, RD, Nutritionist/Dietitian
Sapna Bhalsod
Nutritionist/Dietitian, MS, RD
Verified Verified
San Francisco, CA 94111
I help women cut through toxic diet culture to discover how to refuel and find wellness while managing chronic disease. Using the "Mind Your Own Plate" philosophy, I've flipped the focus to encourage fueling your body with foods that promote your unique needs.
I help women cut through toxic diet culture to discover how to refuel and find wellness while managing chronic disease. Using the "Mind Your Own Plate" philosophy, I've flipped the focus to encourage fueling your body with foods that promote your unique needs.
(424) 385-0095 View (424) 385-0095
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FAQs - About Nutritionists and Dietitians

How can I find a dietitian or nutritionist in San Francisco County?

To find dietitians and nutritionists near you, input your city, town, suburb, zip code, or a provider's name in the search bar at the top of the page. From there, you can filter by specialty, treatment technique, and gender to find a dietitian or nutritionist who matches your needs.

When you visit a dietitian or nutritionist's profile, you can get a better idea if they're the right fit for you. Consider things like session cost, accepted insurance plans, and their location or telehealth options. If someone seems like a good match, you can email them or call the number on their profile. When speaking with a professional, pay attention to whether or not you feel comfortable in the conversation and how knowledgeable they are about your specific nutrition concerns. It may also be helpful to ask more about their general approach to nutrition and the training behind their credentials.

What is the difference between a dietitian and a nutritionist?

The terms dietitian and nutritionist are often used interchangeably. However, there are actually key credential differences between dietitians and nutritionists that are important to keep in mind when seeking a nutrition professional.

A registered dietitian (RD) or registered dietitian nutritionist (RDN) has earned at least a graduate degree from an accredited program, completed a supervised practice program, passed the Commission on Dietetic Registration exam, and continues their education regularly. The RD and RDN credentials are regulated by the Academy of Nutrition and Dietetics, the largest nutrition-related organization in the country. Only professionals who meet their standards can call themselves an RD or RDN and enjoy privileges like billing insurance. Additionally, RDs and RDNs can get board certifications in specialized areas such as gerontological nutrition (CSG), sports dietetics (CSSD), pediatric nutrition (CSP), renal nutrition (CSR), or oncology nutrition (CSO). They also need state licensure, which usually aligns with national requirements.

In contrast, the title "nutritionist" doesn't require any formal education or credentials; anyone can use the title of nutritionist, including those with very limited or no formal training in nutrition. Although there are certification programs that are marketed toward those interested in nutrition counseling, the rigor and academic requirements for such programs varies greatly. These important differences between dietitians and nutritionists are thus very important to consider when choosing the right nutrition professional for your needs. To be listed in the HealthProfs directory, Nutritionists must have a minimum of a Masters Degree in a relevant field.

When should I see a dietitian or a nutritionist?

Clients seek nutritional support from dietitians and nutritionists for various reasons, ranging from medical conditions to lifestyle concerns like weight loss or dietary requirements; however, it's always important to find a professional who is a good fit for you. Consider factors such as insurance coverage, your specific medical or dietary concerns, and the availability of professionals near you to determine whether a dietitian or nutritionist may be a better fit.

Generally, nutritionists are not covered by insurance, whereas Registered Dietitians (RDs) often are, especially for those with medical conditions. If you have a chronic medical condition like cancer or kidney disease, you might want to seek out an RD with specialized expertise, such as a Board Certified Specialist in Oncology Nutrition (CSO) or a Board Certified Specialist in Renal Nutrition (CSR). These credentials indicate advanced education and a commitment to ongoing learning within a specific area. Additionally, consider the availability of professionals in your area and their openness to telehealth sessions. While the field of dietetics is growing, there may not always be a wide selection of professionals, especially in rural areas. In such cases, focusing on the experience and expertise of the nutrition professional can be more important than their specific credentials.

Do I need a referral to see a dietitian or a nutritionist?

A referral is not required to see a dietitian or nutritionist, and many individuals independently seek nutritional support without prior medical advice. However, for a nutrition service to be covered by insurance, a referral from a primary care physician or another medical professional may be necessary. 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. If insurance coverage is critical to a client's ability to see a dietitian, they should contact their insurance provider to determine if a referral is needed for nutritional counseling and to understand any potential co-pays or coverage limits that may apply in their individual circumstance.

How much does it cost to see a dietitian or a nutritionist?

The cost of seeing a dietitian or nutritionist depends on a number of variables, including their location, their specialty, whether they take insurance, and the professional's experience and training. On average, the cost of out-of-pocket sessions with a dietitian or nutritionist within the United States ranges from $50-$150. In some cases, nutrition professionals will require a longer initial evaluation session that will cost more than ongoing follow-up sessions. Dietitians and nutritionists may also offer packages for clients interested in longer-term nutritional support; in such cases, they may charge monthly or other periodic fees for more comprehensive services, such as a combination of nutrition sessions and out-of-session coaching support. If nutrition services are covered by a client's insurance plan and they are eligible for coverage based on any referral requirements, the out-of-pocket cost of seeing a dietitian may be completely covered or significantly reduced.

Are consultations with a dietitian or nutritionist covered by insurance?

If your insurance covers nutrition services, the cost is usually lower than paying out-of-pocket. 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.

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. However, these spots are often limited and may not always be available.