Nutritionists and Dietitians in Middlesex County, CT

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Photo of Kathy S LaBella - Peak Performance, LLC, Nutritionist/Dietitian, RDN, CDN, CMES, CPT
Peak Performance, LLC
Nutritionist/Dietitian, RDN, CDN, CMES, CPT
Old Saybrook, CT 06475
I am a registered dietitian nutritionist, certified medical exercise specialist & personal trainer with three decades of experience where I provided nutrition & fitness programs including professional athletes & musicians to television, print & radio. I also have a background in building, designing, and renovating houses where I incorporated my media experience and passions for homes designed with nutrition & fitness in mind. I am a visionary and who works with companies & individuals creating healthy homes that go beyond the kitchen providing a wellness experience that not only makes us feel good but also elevates the value home.
I am a registered dietitian nutritionist, certified medical exercise specialist & personal trainer with three decades of experience where I provided nutrition & fitness programs including professional athletes & musicians to television, print & radio. I also have a background in building, designing, and renovating houses where I incorporated my media experience and passions for homes designed with nutrition & fitness in mind. I am a visionary and who works with companies & individuals creating healthy homes that go beyond the kitchen providing a wellness experience that not only makes us feel good but also elevates the value home.
(860) 495-0116 View (860) 495-0116
Photo of Allison R Aron, Nutritionist/Dietitian, RDN, C-DN
Allison R Aron
Nutritionist/Dietitian, RDN, C-DN
Old Saybrook, CT 06475
I work with individuals seeking guidance with eating disorder recovery, chronic dieting, and anyone looking to heal their relationship with food. It can be hard to decipher all of the nutrition information we see and there is a lot of morality associated with food choices in diet culture which can add to the confusion. My goal is to help you feel confident in listening to your body and making food choices that feel the most nourishing to you.
I work with individuals seeking guidance with eating disorder recovery, chronic dieting, and anyone looking to heal their relationship with food. It can be hard to decipher all of the nutrition information we see and there is a lot of morality associated with food choices in diet culture which can add to the confusion. My goal is to help you feel confident in listening to your body and making food choices that feel the most nourishing to you.
(860) 431-2903 View (860) 431-2903
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 Brigitta Jansen, Nutritionist/Dietitian, MS, CNS, CDN, CHC
Brigitta Jansen
Nutritionist/Dietitian, MS, CNS, CDN, CHC
1 Endorsed
Online Only
I am a Certified Nutrition Specialist CNS and Certified Health Coach CHC with a MS in Human Nutrition and 7 years of experience as a nutritionist and health coach. I am passionate about helping clients achieve optimum health naturally. My areas of expertise are weight management, diabetes management and prevention, hormone balancing, anti-inflammatory diets, and autoimmune and digestive disorders. I believe restoring gut health is fundamental to improving all kinds of chronic conditions so this is a major focus of my practice. I have helped many clients who are frustrated and don't know what to eat improve or eliminate digestive
I am a Certified Nutrition Specialist CNS and Certified Health Coach CHC with a MS in Human Nutrition and 7 years of experience as a nutritionist and health coach. I am passionate about helping clients achieve optimum health naturally. My areas of expertise are weight management, diabetes management and prevention, hormone balancing, anti-inflammatory diets, and autoimmune and digestive disorders. I believe restoring gut health is fundamental to improving all kinds of chronic conditions so this is a major focus of my practice. I have helped many clients who are frustrated and don't know what to eat improve or eliminate digestive
(917) 818-0992 View (917) 818-0992
Photo of Shannon Scott, Nutritionist/Dietitian, MS, RD, CDN
Shannon Scott
Nutritionist/Dietitian, MS, RD, CDN
Online Only
I help individuals like you to overcome your food struggles and embrace a healthier relationship with eating. Picture this: breaking free from the endless cycle of guilt and frustration, and discovering a newfound sense of freedom around food. With my guidance, you can achieve this vision! You'll learn practical strategies tailored to your unique challenges, whether it's navigating a new medical condition, overcoming disordered eating, or finding a plan you can stick to.
I help individuals like you to overcome your food struggles and embrace a healthier relationship with eating. Picture this: breaking free from the endless cycle of guilt and frustration, and discovering a newfound sense of freedom around food. With my guidance, you can achieve this vision! You'll learn practical strategies tailored to your unique challenges, whether it's navigating a new medical condition, overcoming disordered eating, or finding a plan you can stick to.
(475) 255-2488 View (475) 255-2488
Photo of Linda S Caley, Nutritionist/Dietitian, MS, RDN, CEDS
Linda S Caley
Nutritionist/Dietitian, MS, RDN, CEDS
Serves Area
I am committed to helping you on your journey in finding peace with food and your body. I take a non-diet, Intuitive Eating approach in helping you restore your relationship with food, your body and yourself. I provide individual nutrition therapy in a compassionate environment where together, we'll work to develop nutrition goals unique to you and your lifestyle. Congratulations on taking this step toward a more balanced and healthier life.
I am committed to helping you on your journey in finding peace with food and your body. I take a non-diet, Intuitive Eating approach in helping you restore your relationship with food, your body and yourself. I provide individual nutrition therapy in a compassionate environment where together, we'll work to develop nutrition goals unique to you and your lifestyle. Congratulations on taking this step toward a more balanced and healthier life.
(860) 782-0817 View (860) 782-0817
Photo of Hannah Rivard, Nutritionist/Dietitian, MS, RD, LDN
Hannah Rivard
Nutritionist/Dietitian, MS, RD, LDN
Online Only
Welcome! I am a Registered Dietitian passionate about providing individualized nutrition education & care, tailored to each person's specific needs. I have extensive experience working with eating disorders, in both adolescent & adult populations. I have worked closely with clients with co-occurring mental health diagnoses including, but not limited to, anxiety, depression, & trauma. Outside of my specialty in eating disorders, I also have experience working in pediatric & neonatal care, as well as sport nutrition, pregnancy & women's health.
Welcome! I am a Registered Dietitian passionate about providing individualized nutrition education & care, tailored to each person's specific needs. I have extensive experience working with eating disorders, in both adolescent & adult populations. I have worked closely with clients with co-occurring mental health diagnoses including, but not limited to, anxiety, depression, & trauma. Outside of my specialty in eating disorders, I also have experience working in pediatric & neonatal care, as well as sport nutrition, pregnancy & women's health.
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Photo of Mara M Davis, Nutritionist/Dietitian, MS, RD, LDN, CD-N
Mara M Davis
Nutritionist/Dietitian, MS, RD, LDN, CD-N
1 Endorsed
Serves Area
I am a registered dietitian with 16 years’ experience in the nutrition and wellness field. I have worked in a variety of settings with diverse populations. I am very passionate about helping patients and clients achieve optimal health and well-being.
I am a registered dietitian with 16 years’ experience in the nutrition and wellness field. I have worked in a variety of settings with diverse populations. I am very passionate about helping patients and clients achieve optimal health and well-being.
(703) 688-8742 View (703) 688-8742
Photo of Megan Jalbert - Compassion Coherence LLP., Nutritionist/Dietitian, MS, RDN
Compassion Coherence LLP.
Nutritionist/Dietitian, MS, RDN
Online Only
Accepting new clients virtually across Connecticut! Many people feel confused by conflicting nutrition advice and disconnected from what their body truly needs. You might be managing a chronic health condition, working through a complicated relationship with food, or simply looking for a way to feel better in your day-to-day life. Whatever your starting point, you deserve a supportive approach that helps you build sustainable habits—without restriction, stress, or guilt.
Accepting new clients virtually across Connecticut! Many people feel confused by conflicting nutrition advice and disconnected from what their body truly needs. You might be managing a chronic health condition, working through a complicated relationship with food, or simply looking for a way to feel better in your day-to-day life. Whatever your starting point, you deserve a supportive approach that helps you build sustainable habits—without restriction, stress, or guilt.
(475) 445-2467 View (475) 445-2467
Photo of Rebecca Balemian - Balanced Nutrition LLC, Nutritionist/Dietitian, RD, CD-N, CLC
Balanced Nutrition LLC
Nutritionist/Dietitian, RD, CD-N, CLC
Serves Area
At Balanced Nutrition, we believe that every person deserves a supportive, compassionate, and evidence-based approach to nourishing their body. Our team of registered dietitians brings together specialized training across several key areas of nutrition care, allowing us to provide comprehensive support for individuals and families at every stage of life.
At Balanced Nutrition, we believe that every person deserves a supportive, compassionate, and evidence-based approach to nourishing their body. Our team of registered dietitians brings together specialized training across several key areas of nutrition care, allowing us to provide comprehensive support for individuals and families at every stage of life.
(860) 530-6498 View (860) 530-6498
Photo of Jane Grant, Nutritionist/Dietitian, RDN, CD-N
Jane Grant
Nutritionist/Dietitian, RDN, CD-N
Serves Area
I work with clients who suffer with GI disorders, auto immune diseases, food sensitivities and those who struggle with weight management. A personalized treatment plan is provided to help you get to the root cause of your health issues and provide you with the solutions that is needed to be able to enjoy life again. Your care includes nutrition education and counseling, nutritional supplement recommendations as needed, and physical activity guidance. Genetic, metabolic, food sensitivity, and micronutrient testing is offered for a well rounded approach to optimal health.
I work with clients who suffer with GI disorders, auto immune diseases, food sensitivities and those who struggle with weight management. A personalized treatment plan is provided to help you get to the root cause of your health issues and provide you with the solutions that is needed to be able to enjoy life again. Your care includes nutrition education and counseling, nutritional supplement recommendations as needed, and physical activity guidance. Genetic, metabolic, food sensitivity, and micronutrient testing is offered for a well rounded approach to optimal health.
(860) 772-0129 View (860) 772-0129

Online Dietitians and Nutritionists

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 Nikki Glick - Gut Well LLC, Nutritionist/Dietitian, MS, RDN
Gut Well LLC
Nutritionist/Dietitian, MS, RDN
Waterford, CT 06385
As a Registered Dietitian and Certified Yoga Instructor I focus on combining evidence based nutrition recommendations with holistic lifestyle interventions to help clients reach their desired goals. I provide nutrition counseling to a variety of conditions from digestive disorders such as IBS, GERD and SIBO to cancer patients & survivors, and more.
As a Registered Dietitian and Certified Yoga Instructor I focus on combining evidence based nutrition recommendations with holistic lifestyle interventions to help clients reach their desired goals. I provide nutrition counseling to a variety of conditions from digestive disorders such as IBS, GERD and SIBO to cancer patients & survivors, and more.
(860) 809-4810 View (860) 809-4810
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 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 Rachel Naumann, Nutritionist/Dietitian, MS, CNS, CDN
Rachel Naumann
Nutritionist/Dietitian, MS, CNS, CDN
Washington, CT 06793
Hi! I'm Rachel. I’m a Certified Nutrition Specialist and Certified Dietitian-Nutritionist, with a passion for helping clients feel their best through evidence-based, holistic nutrition. If you’re struggling with fatigue, digestive issues, hormonal imbalances, or feeling stuck in an endless cycle of restrictive diets, I can help. Together, we’ll look beyond symptoms to uncover and address the root causes of your health concerns. My approach blends functional nutrition, gentle lifestyle strategies, and practical tools to support your body’s natural balance. All bodies and backgrounds are welcome.
Hi! I'm Rachel. I’m a Certified Nutrition Specialist and Certified Dietitian-Nutritionist, with a passion for helping clients feel their best through evidence-based, holistic nutrition. If you’re struggling with fatigue, digestive issues, hormonal imbalances, or feeling stuck in an endless cycle of restrictive diets, I can help. Together, we’ll look beyond symptoms to uncover and address the root causes of your health concerns. My approach blends functional nutrition, gentle lifestyle strategies, and practical tools to support your body’s natural balance. All bodies and backgrounds are welcome.
(860) 891-3365 View (860) 891-3365
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 Joy Morrison, Nutritionist/Dietitian, CDN, MS, CNS-C
Joy Morrison
Nutritionist/Dietitian, CDN, MS, CNS-C
Trumbull, CT 06611
Whether you’re struggling with chronic health conditions, gut health, metabolic changes, weight concerns, or hormone shifts, I create tailored plans that make healthy eating enjoyable, sustainable, and realistic.
Whether you’re struggling with chronic health conditions, gut health, metabolic changes, weight concerns, or hormone shifts, I create tailored plans that make healthy eating enjoyable, sustainable, and realistic.
(203) 601-7621 View (203) 601-7621
Photo of Susan P Cohen, Nutritionist/Dietitian, MA, RDN, CDN, CHC
Susan P Cohen
Nutritionist/Dietitian, MA, RDN, CDN, CHC
Cheshire, CT 06410
I am a registered dietitian nutritionist with a passion for helping individuals transform their lives through personalized nutrition and lifestyle choices. I believe that there is no one-size-fits-all approach to nutrition. Your unique body, goals, and preferences deserve a tailored plan that suits your individual needs. I take the time to understand your specific circumstances, challenges, and aspirations, ensuring that the guidance I provide is personalized just for you.
I am a registered dietitian nutritionist with a passion for helping individuals transform their lives through personalized nutrition and lifestyle choices. I believe that there is no one-size-fits-all approach to nutrition. Your unique body, goals, and preferences deserve a tailored plan that suits your individual needs. I take the time to understand your specific circumstances, challenges, and aspirations, ensuring that the guidance I provide is personalized just for you.
(203) 272-4797 View (203) 272-4797
Photo of Astrid Moller Gonzalez, Nutritionist/Dietitian, MS, CNS, LDN
Astrid Moller Gonzalez
Nutritionist/Dietitian, MS, CNS, LDN
Stamford, CT 06906
As a bilingual, licensed nutritionist, I help adults and teens who feel stuck with their eating habits, energy, or health. Many of my clients struggle with digestive issues like bloating or constipation, high blood pressure, cholesterol, blood sugar concerns, ADHD, anxiety, or emotional eating. My approach is practical, science-based, and personalized to fit real life, helping you feel more energized, improve gut and metabolic health, manage symptoms, and build a healthy relationship with food without rigid diets or judgment.
As a bilingual, licensed nutritionist, I help adults and teens who feel stuck with their eating habits, energy, or health. Many of my clients struggle with digestive issues like bloating or constipation, high blood pressure, cholesterol, blood sugar concerns, ADHD, anxiety, or emotional eating. My approach is practical, science-based, and personalized to fit real life, helping you feel more energized, improve gut and metabolic health, manage symptoms, and build a healthy relationship with food without rigid diets or judgment.
(786) 386-1889 View (786) 386-1889
FAQs - About Nutritionists and Dietitians

How can I find a dietitian or nutritionist in Middlesex 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.