Nutritionists and Dietitians in Darien, CT

Photo of Lellieth Keize, Nutritionist/Dietitian, MS, RDN, CDCES
Lellieth Keize
Nutritionist/Dietitian, MS, RDN, CDCES
Darien, CT 06820
Struggling with diabetes, weight, or digestive issues? I help clients uncover the root causes of symptoms—like inflammation, hormone imbalance, or gut dysfunction—and create personalized, sustainable plans that fit real life. With 16+ years as an RDN and CDCES, I guide you with evidence‑based, functional nutrition so you can lower A1C, improve digestion, boost energy, and feel confident in your health again.
Struggling with diabetes, weight, or digestive issues? I help clients uncover the root causes of symptoms—like inflammation, hormone imbalance, or gut dysfunction—and create personalized, sustainable plans that fit real life. With 16+ years as an RDN and CDCES, I guide you with evidence‑based, functional nutrition so you can lower A1C, improve digestion, boost energy, and feel confident in your health again.
(475) 258-8349 View (475) 258-8349
Photo of Christine Updegraff, Nutritionist/Dietitian, MS
Christine Updegraff
Nutritionist/Dietitian, MS
Darien, CT 06820
My ideal client is a woman with PCOS who feels frustrated by vague advice and lack of answers. She may struggle with irregular cycles, fertility concerns, weight changes, or fatigue—and she wants clarity, not confusion. Her goal is to restore balance, improve confidence, and finally feel in control. Through my PCOSynergy program, she’s seeking expert guidance, a plan tailored to her unique physiology, and compassionate support to achieve lasting results.
My ideal client is a woman with PCOS who feels frustrated by vague advice and lack of answers. She may struggle with irregular cycles, fertility concerns, weight changes, or fatigue—and she wants clarity, not confusion. Her goal is to restore balance, improve confidence, and finally feel in control. Through my PCOSynergy program, she’s seeking expert guidance, a plan tailored to her unique physiology, and compassionate support to achieve lasting results.
(475) 275-9987 View (475) 275-9987
Photo of Michelle Didner - Michelle Didner Nutrition, Nutritionist/Dietitian, MD, CNS, CDN
Michelle Didner Nutrition
Nutritionist/Dietitian, MD, CNS, CDN
Serves Area
With a focus on personalized nutrition counseling, GI support, and lifestyle management, my unique approach applies therapeutic functional nutrition integrated with tools to balance hormones and the nervous system. Looking at your unique story, biochemistry, and goals; your prescription will bridge the space between where you are and your optimal health, not just for today, but for years into the future.
With a focus on personalized nutrition counseling, GI support, and lifestyle management, my unique approach applies therapeutic functional nutrition integrated with tools to balance hormones and the nervous system. Looking at your unique story, biochemistry, and goals; your prescription will bridge the space between where you are and your optimal health, not just for today, but for years into the future.
(203) 689-0163 View (203) 689-0163
Photo of Daniela Jannette, Nutritionist/Dietitian, MS, RD, LD
Daniela Jannette
Nutritionist/Dietitian, MS, RD, LD
Online Only
I understand that life’s challenges are complex and unique to each individual. Busy schedules, limited nutrition resources, and complicated relationships with food are just some of the many factors that contribute to failed diet and lifestyle changes. I’m here to help you establish a healthy relationship with food and guide you through the connection between mind, body, and spirit to accomplish your goals. I firmly believe that wellness is a dynamic process of change and growth, “a state of complete physical, mental, and social well-being, and not merely the absence of disease“.
I understand that life’s challenges are complex and unique to each individual. Busy schedules, limited nutrition resources, and complicated relationships with food are just some of the many factors that contribute to failed diet and lifestyle changes. I’m here to help you establish a healthy relationship with food and guide you through the connection between mind, body, and spirit to accomplish your goals. I firmly believe that wellness is a dynamic process of change and growth, “a state of complete physical, mental, and social well-being, and not merely the absence of disease“.
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Photo of Katie Diehl, Nutritionist/Dietitian, MS, CNS, LDN
Katie Diehl
Nutritionist/Dietitian, MS, CNS, LDN
Online Only
Katie understands and values the importance of proper health and is passionate about educating clients on the ‘WHY’ to nutrition. Katie believes that if you understand nutrition then you'll better know how to apply it for longevity. Katie is passionate about identifying the ROOT cause of health concerns. Katie specializes in gut health (IBS, Crohns/UC, Celiac/Gluten Intolerance, GERD, SIBO, H. pylori, autoimmune, leaky gut, digestive discomfort, food sensitivities, etc.), weight management, sports nutrition, women's health, cardiovascular health, intuitive eating, behavioral habits, and preventative health.
Katie understands and values the importance of proper health and is passionate about educating clients on the ‘WHY’ to nutrition. Katie believes that if you understand nutrition then you'll better know how to apply it for longevity. Katie is passionate about identifying the ROOT cause of health concerns. Katie specializes in gut health (IBS, Crohns/UC, Celiac/Gluten Intolerance, GERD, SIBO, H. pylori, autoimmune, leaky gut, digestive discomfort, food sensitivities, etc.), weight management, sports nutrition, women's health, cardiovascular health, intuitive eating, behavioral habits, and preventative health.
(203) 816-6024 View (203) 816-6024
Photo of Francine G Blinten, Nutritionist/Dietitian, MBA, MS, CCN, CNS
Francine G Blinten
Nutritionist/Dietitian, MBA, MS, CCN, CNS
Serves Area
I am a certified clinical nutritionist who helps clients meet their nutritional goals. I believe in tailoring a food plan to a client's individual health profile and life style needs. Especially rewarding is helping clients with unresolved health issues.
I am a certified clinical nutritionist who helps clients meet their nutritional goals. I believe in tailoring a food plan to a client's individual health profile and life style needs. Especially rewarding is helping clients with unresolved health issues.
(203) 403-2900 View (203) 403-2900
Photo of Suzanne Henrick, Nutritionist/Dietitian
Suzanne Henrick
Nutritionist/Dietitian
Serves Area
What does 35 years of experience bring you? I have enjoyed a substantial private practice with a specialty in eating disorders and weight control. Your difficulties are my puzzles, and we will solve them together to make your goals attainable. I can do metabolic testing to verify roadblocks, or as a tool in learning to trust eating and your body signals. I use body fat testing for an emphasis on health, not numbers on a scale. My goal is to have to learn tools to understand yourself, make better choices regarding wellness, and to enjoy your time with me! I bring a sense of lightness to things and text outside sessions for support
What does 35 years of experience bring you? I have enjoyed a substantial private practice with a specialty in eating disorders and weight control. Your difficulties are my puzzles, and we will solve them together to make your goals attainable. I can do metabolic testing to verify roadblocks, or as a tool in learning to trust eating and your body signals. I use body fat testing for an emphasis on health, not numbers on a scale. My goal is to have to learn tools to understand yourself, make better choices regarding wellness, and to enjoy your time with me! I bring a sense of lightness to things and text outside sessions for support
(203) 403-2877 View (203) 403-2877

More Dietitians and Nutritionists Nearby

Photo of Rachael Utstein, Nutritionist/Dietitian, MS, RD, CDN, LDN
Rachael Utstein
Nutritionist/Dietitian, MS, RD, CDN, LDN
Online Only
Hello, I'm Rachael! I am a registered dietitian specializing in disordered eating, eating disorders, and body image. I believe that people of all body sizes and identities deserve a peaceful relationship with food and their bodies. I help my clients ditch diets & diet culture and support them in finding ways to nourish themselves, both physically & mentally, that actually feel good. Whether you are in recovery from an eating disorder, have been on & off diets for what seems like your whole life, or feel loads of stress, confusion or guilt surrounding your food choices, you've come to the right spot.
Hello, I'm Rachael! I am a registered dietitian specializing in disordered eating, eating disorders, and body image. I believe that people of all body sizes and identities deserve a peaceful relationship with food and their bodies. I help my clients ditch diets & diet culture and support them in finding ways to nourish themselves, both physically & mentally, that actually feel good. Whether you are in recovery from an eating disorder, have been on & off diets for what seems like your whole life, or feel loads of stress, confusion or guilt surrounding your food choices, you've come to the right spot.
(475) 241-7938 View (475) 241-7938
Photo of Elizabeth Jackowitz, Nutritionist/Dietitian, MS, CNS, CDN
Elizabeth Jackowitz
Nutritionist/Dietitian, MS, CNS, CDN
Fairfield, CT 06824
In a world where information is around every corner or click, it can be challenging to know what foods and supplements are right for YOU! Whether you are looking to improve a current health condition or an out of range lab result, maintain a healthy weight or you simply want to feel better; diet and lifestyle can help! I will work with you to create a highly personalized and sustainable nutrition plan AND teach you how to make small and sustainable changes that, over time, yield BIG results.
In a world where information is around every corner or click, it can be challenging to know what foods and supplements are right for YOU! Whether you are looking to improve a current health condition or an out of range lab result, maintain a healthy weight or you simply want to feel better; diet and lifestyle can help! I will work with you to create a highly personalized and sustainable nutrition plan AND teach you how to make small and sustainable changes that, over time, yield BIG results.
(475) 330-3422 View (475) 330-3422
Photo of Ilyse Schapiro, Nutritionist/Dietitian, MS, RDN
Ilyse Schapiro
Nutritionist/Dietitian, MS, RDN
Greenwich, CT 06831
As a Credentialed Registered Dietitian, I work with clients to develop plans that are gimmick-free and easy to follow. Fad diets don't work and ultimately lead to disappointment. I take a balanced and realistic approach to help you live a healthier life. In our first session, I develop a comprehensive and customized meal plan that addresses your specific health needs, lifestyle and nutrition concerns without deprivation. Follow up sessions support your goals, and in between office visits, I am available via phone, email or text to answer questions and offer encouragement.
As a Credentialed Registered Dietitian, I work with clients to develop plans that are gimmick-free and easy to follow. Fad diets don't work and ultimately lead to disappointment. I take a balanced and realistic approach to help you live a healthier life. In our first session, I develop a comprehensive and customized meal plan that addresses your specific health needs, lifestyle and nutrition concerns without deprivation. Follow up sessions support your goals, and in between office visits, I am available via phone, email or text to answer questions and offer encouragement.
(203) 489-6192 View (203) 489-6192
Photo of Kerry Elisabeth St Pierre, Nutritionist/Dietitian, MS, CNS, LDN, DipACLM, MA
Kerry Elisabeth St Pierre
Nutritionist/Dietitian, MS, CNS, LDN, DipACLM, MA
1 Endorsed
Stamford, CT 06905
The Nutrition Attaché designs individualized nutrition and lifestyle plans to address cardiometabolic diseases, oncology-related needs, autoimmune conditions and functional gastrointestinal disorders. A demanding life requires innovative strategies in order to be effective and sustainable. Telehealth and In-Person appointments available.
The Nutrition Attaché designs individualized nutrition and lifestyle plans to address cardiometabolic diseases, oncology-related needs, autoimmune conditions and functional gastrointestinal disorders. A demanding life requires innovative strategies in order to be effective and sustainable. Telehealth and In-Person appointments available.
(475) 203-1456 View (475) 203-1456
Photo of Julia Cobuzzi, Nutritionist/Dietitian, RDN, CDN
Julia Cobuzzi
Nutritionist/Dietitian, RDN, CDN
Serves Area
​It is our goal to help fine-tune your personal nutrition. Whether you want to lose or gain weight, help prevent or treat a disease, tackle a food allergy, or just want to learn how to eat healthily, NutriGreene will create an individualized meal plan to help you reach your goals.
​It is our goal to help fine-tune your personal nutrition. Whether you want to lose or gain weight, help prevent or treat a disease, tackle a food allergy, or just want to learn how to eat healthily, NutriGreene will create an individualized meal plan to help you reach your goals.
(203) 446-2125 View (203) 446-2125
Photo of Ryan Warren Mancini, Nutritionist/Dietitian, MS, RDN, CDN
Ryan Warren Mancini
Nutritionist/Dietitian, MS, RDN, CDN
Online Only
My ideal client is someone living with Crohn’s disease, ulcerative colitis, or another gastrointestinal condition who is motivated to use food and nutrition as a key part of their healing journey. They are open to making sustainable dietary changes, eager to understand how nutrition impacts their gut health, and committed to improving their quality of life through evidence-based guidance and compassionate support.
My ideal client is someone living with Crohn’s disease, ulcerative colitis, or another gastrointestinal condition who is motivated to use food and nutrition as a key part of their healing journey. They are open to making sustainable dietary changes, eager to understand how nutrition impacts their gut health, and committed to improving their quality of life through evidence-based guidance and compassionate support.
(475) 242-2242 View (475) 242-2242
Photo of Chloe Ring, Nutritionist/Dietitian, MS, CNS
Chloe Ring
Nutritionist/Dietitian, MS, CNS
1 Endorsed
Online Only
Are you struggling with irregular cycles, GI disturbances, weight fluctuations, or conditions like PCOS? Feeling constantly fatigued? You’re not alone. I'm passionate about empowering and educating my clients to support their hormones and overall health. With so much nutrition information available, it's easy to feel lost. That's why my goal is to help you navigate the landscape and create sustainable changes. I offer evidence-based guidance and understand that there's no one-size-fits-all solution when it comes to nutrition therapy. I use an integrative approach combining diet and lifestyle to help you tap into your power.
Are you struggling with irregular cycles, GI disturbances, weight fluctuations, or conditions like PCOS? Feeling constantly fatigued? You’re not alone. I'm passionate about empowering and educating my clients to support their hormones and overall health. With so much nutrition information available, it's easy to feel lost. That's why my goal is to help you navigate the landscape and create sustainable changes. I offer evidence-based guidance and understand that there's no one-size-fits-all solution when it comes to nutrition therapy. I use an integrative approach combining diet and lifestyle to help you tap into your power.
(929) 470-0680 View (929) 470-0680
Photo of Colleen D Webb, Nutritionist/Dietitian, MS, RDN, CLT
Colleen D Webb
Nutritionist/Dietitian, MS, RDN, CLT
Serves Area
Eat well, feel well. As a Registered Dietitian Nutritionist, I help people with digestive issues figure out what foods make them feel their healthiest, strongest, and most energized so they can live life to its fullest. I work closely with my patients to identify and overcome barriers to healthy eating, and I personalize each visit to meet the individual needs and preferences of my clients. I love food and so I focus a lot on what to eat and how to make foods taste good.
Eat well, feel well. As a Registered Dietitian Nutritionist, I help people with digestive issues figure out what foods make them feel their healthiest, strongest, and most energized so they can live life to its fullest. I work closely with my patients to identify and overcome barriers to healthy eating, and I personalize each visit to meet the individual needs and preferences of my clients. I love food and so I focus a lot on what to eat and how to make foods taste good.
(646) 791-3597 View (646) 791-3597
Photo of Brooke Rosenfeld, Nutritionist/Dietitian, MS, RDN, CDN
Brooke Rosenfeld
Nutritionist/Dietitian, MS, RDN, CDN
Online Only
My goal is to help you improve your relationship with food & ditch the fad diets. My goal is to not only help my clients lose weight but also the skills you will need to maintain results you achieve by building a solid foundation of baseline habits that will serve you for the rest of your life. Whether you want to lose weight, help aid in preventing or a plan that will help you treat a disease, you want to just improve your overall health & wellness, I am here to help you! I accept insurance as well as private pay.
My goal is to help you improve your relationship with food & ditch the fad diets. My goal is to not only help my clients lose weight but also the skills you will need to maintain results you achieve by building a solid foundation of baseline habits that will serve you for the rest of your life. Whether you want to lose weight, help aid in preventing or a plan that will help you treat a disease, you want to just improve your overall health & wellness, I am here to help you! I accept insurance as well as private pay.
(860) 854-7199 View (860) 854-7199
Photo of Adriana Brayman - Unconditional Nutrition , Nutritionist/Dietitian, RD, LDN, CEDS, IEC
Unconditional Nutrition
Nutritionist/Dietitian, RD, LDN, CEDS, IEC
Serves Area
We are a group of weight inclusive dietitians, Certified Eating Disorder Specialists, Intuitive Eating Counselors and trauma informed. Our passion is to help people who struggle with chronic dieting and eating disorders. We help develop a healthy REAL Intuitive relationship with food, by stopping the "food worrying" and labeling food as "good or bad" and becoming their own experts when it comes to listening to their bodies. Our approach is very unique and individualized. We work with children, adolescents, college students, adults and all genders, we also love working in areas of nutrition such as GI disorders and women health.
We are a group of weight inclusive dietitians, Certified Eating Disorder Specialists, Intuitive Eating Counselors and trauma informed. Our passion is to help people who struggle with chronic dieting and eating disorders. We help develop a healthy REAL Intuitive relationship with food, by stopping the "food worrying" and labeling food as "good or bad" and becoming their own experts when it comes to listening to their bodies. Our approach is very unique and individualized. We work with children, adolescents, college students, adults and all genders, we also love working in areas of nutrition such as GI disorders and women health.
(401) 466-4310 View (401) 466-4310
Photo of Lisa Bunce, Nutritionist/Dietitian, MS, RD
Lisa Bunce
Nutritionist/Dietitian, MS, RD
1 Endorsed
Redding, CT 06896
I act as your coach and help you identify obstacles that inhibit healthful eating behaviors and take a new look at your daily lifestyle to help you make simple changes for better nutrition, disease prevention and health promotion. I help you examine your attitudes affecting your health choices and help you to focus on moderation not elimination. You will learn new skills for shopping, food selection, food preparation, and portion control. The goal is to make your health changes maintainable and sustainable. I offer you long term solutions for healthier living for you and your family.
I act as your coach and help you identify obstacles that inhibit healthful eating behaviors and take a new look at your daily lifestyle to help you make simple changes for better nutrition, disease prevention and health promotion. I help you examine your attitudes affecting your health choices and help you to focus on moderation not elimination. You will learn new skills for shopping, food selection, food preparation, and portion control. The goal is to make your health changes maintainable and sustainable. I offer you long term solutions for healthier living for you and your family.
(203) 490-0029 View (203) 490-0029
Photo of Margot Whitney - Margot Whitney Nutrition, Nutritionist/Dietitian, MS, RD, LDN
Margot Whitney Nutrition
Nutritionist/Dietitian, MS, RD, LDN
Serves Area
I'm a Registered Dietitian who specializes in helping women navigate the unique challenges of fertility, pregnancy, and postpartum. I support women in improving their relationship with food, feeling better in their bodies, and reaching their nutrition goals. Whether you’re trying to conceive, pregnant, newly postpartum, or in the throes of motherhood, I will meet you where you are with a personalized, judgment-free approach. I accept Blue Cross Blue Shield and cash pay (plus superbills upon request)
I'm a Registered Dietitian who specializes in helping women navigate the unique challenges of fertility, pregnancy, and postpartum. I support women in improving their relationship with food, feeling better in their bodies, and reaching their nutrition goals. Whether you’re trying to conceive, pregnant, newly postpartum, or in the throes of motherhood, I will meet you where you are with a personalized, judgment-free approach. I accept Blue Cross Blue Shield and cash pay (plus superbills upon request)
(781) 805-3408 View (781) 805-3408
Photo of Abby Kolbrener Greenspun - Abby Greenspun Nutrition, Nutritionist/Dietitian, MS, RD, CD-N
Abby Greenspun Nutrition
Nutritionist/Dietitian, MS, RD, CD-N
Westport, CT 06880
My goal is to help adults and children incorporate healthy eating habits and heighten their awareness of the importance of health and nutrition. I find satisfaction in knowing that I helped change someone's life in a positive way. There is nothing better than watching a patient's health and well being improve as a result of implementing a healthy diet.
My goal is to help adults and children incorporate healthy eating habits and heighten their awareness of the importance of health and nutrition. I find satisfaction in knowing that I helped change someone's life in a positive way. There is nothing better than watching a patient's health and well being improve as a result of implementing a healthy diet.
(203) 403-2863 View (203) 403-2863
FAQs - About Nutritionists and Dietitians

How can I find a dietitian or nutritionist in Darien?

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.