Eating Disorders Nutritionists and Dietitians in Harvard, MA

Photo of Cynthia Milner Woodman - Risk Management Incorporated - Health Services, Nutritionist/Dietitian, MS, RDN, LDN
Risk Management Incorporated - Health Services
Nutritionist/Dietitian, MS, RDN, LDN
Serves Area
Private practice, specializing in eating disorders, weight issues, diabetes, gastrointestinal and lipid disorders, sports diets, cardiovascular and wellness.
Individual Nutrition Assessment/Counseling : Weight Management, Eating Disorders ( anorexia, bulimia, binge eating disorders) Diabetes Mellitus, Lipid Disorders, High Blood Pressure, Hypoglycemia, PCOS. Corporate Wellness Programs. Lectures and Interactive Presentations for Businesses, Schools, and Municipal Health Agencies. Expert Witness Services.
Private practice, specializing in eating disorders, weight issues, diabetes, gastrointestinal and lipid disorders, sports diets, cardiovascular and wellness.
Individual Nutrition Assessment/Counseling : Weight Management, Eating Disorders ( anorexia, bulimia, binge eating disorders) Diabetes Mellitus, Lipid Disorders, High Blood Pressure, Hypoglycemia, PCOS. Corporate Wellness Programs. Lectures and Interactive Presentations for Businesses, Schools, and Municipal Health Agencies. Expert Witness Services.
(978) 616-4084 View (978) 616-4084
Photo of Kate Killion, Nutritionist/Dietitian, MPH, RDN, LDN
Kate Killion
Nutritionist/Dietitian, MPH, RDN, LDN
Online Only
Waitlist for new clients
Deciding what to eat can be exhausting, especially if you or your child struggle with physical or mental health. Food allergies, Autism, ADHD, ARFID, and chronic illness diagnoses can make eating even more frustrating for children and adults alike. If you are looking for a neurodiversity-affirming provider who can help you make eating easy again, I invite you to reach out!
Deciding what to eat can be exhausting, especially if you or your child struggle with physical or mental health. Food allergies, Autism, ADHD, ARFID, and chronic illness diagnoses can make eating even more frustrating for children and adults alike. If you are looking for a neurodiversity-affirming provider who can help you make eating easy again, I invite you to reach out!
(508) 625-5959 View (508) 625-5959
Photo of Kim Greene Murachver, Nutritionist/Dietitian, MS, RD, LDN, CDE
Kim Greene Murachver
Nutritionist/Dietitian, MS, RD, LDN, CDE
Serves Area
Kim Murachver, MS, RD, LDN, CDE is the founder and owner of Greene Nutrition. She is a registered dietitian/nutritionist, certified diabetes educator, and certified intuitive eating counselor. She believes that how we feed our body and our mind matters. She emphasizes foods that taste good and make you feel good, as well as the important of balance and self-compassion in all aspects of our life. She utilizes a non-diet approach/intuitive eating principles and her love of food and cooking in her practice to help bring joy back to the eating experience for her clients.
Kim Murachver, MS, RD, LDN, CDE is the founder and owner of Greene Nutrition. She is a registered dietitian/nutritionist, certified diabetes educator, and certified intuitive eating counselor. She believes that how we feed our body and our mind matters. She emphasizes foods that taste good and make you feel good, as well as the important of balance and self-compassion in all aspects of our life. She utilizes a non-diet approach/intuitive eating principles and her love of food and cooking in her practice to help bring joy back to the eating experience for her clients.
(978) 631-2978 View (978) 631-2978

More Dietitians and Nutritionists Nearby

Photo of Amy Aubertin, Nutritionist/Dietitian, MS, RDN, LDN, CEDRD
Amy Aubertin
Nutritionist/Dietitian, MS, RDN, LDN, CEDRD
Leominster, MA 01453
Our relationship with food and our body can often be complicated and overwhelming, but it doesn't have to be. Do you find yourself eating mindlessly or emotionally? Wanting to get unstuck from an on/off again dieting cycle? Looking to recover from disordered eating or an eating disorder? Interested in intuitive and mindful eating? It is possible to build a healthy, sustainable and nourishing relationship with food.
Our relationship with food and our body can often be complicated and overwhelming, but it doesn't have to be. Do you find yourself eating mindlessly or emotionally? Wanting to get unstuck from an on/off again dieting cycle? Looking to recover from disordered eating or an eating disorder? Interested in intuitive and mindful eating? It is possible to build a healthy, sustainable and nourishing relationship with food.
(351) 777-8670 View (351) 777-8670
Photo of Alison Swiggard, Nutritionist/Dietitian, MS, RDN, LD
Alison Swiggard
Nutritionist/Dietitian, MS, RDN, LD
Online Only
I work with teens and adults navigating eating disorders, ADHD, PCOS, body image concerns, and complicated relationships with food.
In our work together, I focus on helping you build a more peaceful and sustainable relationship with food, body, and self-care. That might look like creating realistic meal structure, reducing food stress, improving nourishment, healing from dieting or disordered eating, or finding strategies that actually work for your real life.
I work with teens and adults navigating eating disorders, ADHD, PCOS, body image concerns, and complicated relationships with food.
In our work together, I focus on helping you build a more peaceful and sustainable relationship with food, body, and self-care. That might look like creating realistic meal structure, reducing food stress, improving nourishment, healing from dieting or disordered eating, or finding strategies that actually work for your real life.
(207) 569-3692 View (207) 569-3692
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 Britt Berger, Nutritionist/Dietitian, RD, LDN
Britt Berger
Nutritionist/Dietitian, RD, LDN
Boston, MA 02129
I offer individualized non-diet nutrition therapy for anyone who wants to simplify their relationship with food, eating, and their body — whether that comes with a formal eating disorder diagnosis or just a sense that things feel out of balance. My approach is non-diet and intuitive-eating based. Through working with my clients I have learned that lasting change comes from understanding your own relationship with food and your body, not from following someone else's rules. Together, we'll identify your goals, not mine, and then build the practical skills and tools to help get you there.
I offer individualized non-diet nutrition therapy for anyone who wants to simplify their relationship with food, eating, and their body — whether that comes with a formal eating disorder diagnosis or just a sense that things feel out of balance. My approach is non-diet and intuitive-eating based. Through working with my clients I have learned that lasting change comes from understanding your own relationship with food and your body, not from following someone else's rules. Together, we'll identify your goals, not mine, and then build the practical skills and tools to help get you there.
(857) 367-4844 View (857) 367-4844
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 Naima Sullivan, Nutritionist/Dietitian, MS, RD, LDN
Naima Sullivan
Nutritionist/Dietitian, MS, RD, LDN
1 Endorsed
Serves Area
As an anti-diet, HAES-aligned dietitian, I believe that restrictive diets can lead to harmful patterns of behavior that have real physical and emotional consequences. I support clients from all walks of life through disordered eating, chronic dieting, and binge and emotional eating. I also have a special interest in family feeding including children and families with selective (picky) eating and ARFID as well as growth, development, and weight concerns.
As an anti-diet, HAES-aligned dietitian, I believe that restrictive diets can lead to harmful patterns of behavior that have real physical and emotional consequences. I support clients from all walks of life through disordered eating, chronic dieting, and binge and emotional eating. I also have a special interest in family feeding including children and families with selective (picky) eating and ARFID as well as growth, development, and weight concerns.
(781) 702-4423 View (781) 702-4423
Photo of Christopher Irish, Nutritionist/Dietitian, MS, RDN, LD
Christopher Irish
Nutritionist/Dietitian, MS, RDN, LD
Brighton, MA 02135
I'm a Registered Dietitian who is passionate about helping individuals with eating disorders and disordered eating, everyday athletes and active people, as well as individuals with intellectual and developmental disabilities.
If you are experiencing ANY of the following, I would love to have the opportunity to work together: You often feel guilty about your food choices, and you spend significant time and energy thinking about food. You have scoured the internet for nutrition information and guidance and are frustrated by the amount of conflicting information online. You are navigating an eating disorder or disordered eating and are looking for support from a compassionate and knowledgable RD. You are struggling to keep up with meal planning every week, unsure of how to shop for and prepare meals that support your nutrition goals.
I'm a Registered Dietitian who is passionate about helping individuals with eating disorders and disordered eating, everyday athletes and active people, as well as individuals with intellectual and developmental disabilities.
If you are experiencing ANY of the following, I would love to have the opportunity to work together: You often feel guilty about your food choices, and you spend significant time and energy thinking about food. You have scoured the internet for nutrition information and guidance and are frustrated by the amount of conflicting information online. You are navigating an eating disorder or disordered eating and are looking for support from a compassionate and knowledgable RD. You are struggling to keep up with meal planning every week, unsure of how to shop for and prepare meals that support your nutrition goals.
(339) 330-2865 View (339) 330-2865
Photo of Rachel Andrade - Whole Lifecycle Nutrition, Nutritionist/Dietitian, MS, RD, LDN
Whole Lifecycle Nutrition
Nutritionist/Dietitian, MS, RD, LDN
Online Only
Nutrition is a key element in fostering a vibrant, well-nourished family. Whole Lifecycle Nutrition was created to meet the unique needs of women and their families. From optimizing fertility preconception, to supporting a healthy pregnancy, through birth, breastfeeding, and getting comfortable with a new Mom bod, we are here to support you every step of the way. We help girls and women love their bodies and develop healthy relationships with food. As your child grows, we are a familiar and reliable resource for trusted nutrition counseling and advice. We encompass the lifecycle.
Nutrition is a key element in fostering a vibrant, well-nourished family. Whole Lifecycle Nutrition was created to meet the unique needs of women and their families. From optimizing fertility preconception, to supporting a healthy pregnancy, through birth, breastfeeding, and getting comfortable with a new Mom bod, we are here to support you every step of the way. We help girls and women love their bodies and develop healthy relationships with food. As your child grows, we are a familiar and reliable resource for trusted nutrition counseling and advice. We encompass the lifecycle.
(339) 217-4379 View (339) 217-4379
Photo of Jill M Nelligan, Nutritionist/Dietitian, MS, RD, LDN
Jill M Nelligan
Nutritionist/Dietitian, MS, RD, LDN
Online Only
Jill offers a variety of services, such as family nutrition and meal planning, eating disorders and disordered eating counseling, pre and post natal nutrition, sports nutrition, and more.
At South Shore Family Nutrition, we strive to create a safe and positive space to provide nutrition counseling for individuals and families. Jill Nelligan, owner and registered dietitian, practices from an Intuitive Eating and Health at Every Size lens. She works with clients to improve their relationship with food and their body, taking an individualized approach to every session. Whether you’re a parent looking for information to help your child make healthier choices, or an individual looking to make changes in your own life, we’re here to help.
Jill offers a variety of services, such as family nutrition and meal planning, eating disorders and disordered eating counseling, pre and post natal nutrition, sports nutrition, and more.
At South Shore Family Nutrition, we strive to create a safe and positive space to provide nutrition counseling for individuals and families. Jill Nelligan, owner and registered dietitian, practices from an Intuitive Eating and Health at Every Size lens. She works with clients to improve their relationship with food and their body, taking an individualized approach to every session. Whether you’re a parent looking for information to help your child make healthier choices, or an individual looking to make changes in your own life, we’re here to help.
(857) 256-5248 View (857) 256-5248
Photo of Hannah Auldridge, Nutritionist/Dietitian, RDN, LD, CEDS
Hannah Auldridge
Nutritionist/Dietitian, RDN, LD, CEDS
1 Endorsed
Boston, MA 02124
She brings experience from higher levels of care and has supported clients with a wide range of eating disorder diagnoses, including anorexia nervosa, bulimia nervosa, binge eating disorder (BED), ARFID, and OSFED.
Hannah uses Intuitive Eating and Health at Every Size (HAES) to guide clients with an anti-diet, weight-inclusive approach. She aims to foster compassion, body trust, and lasting wellness, helping people feel safe in their bodies, make peace with food, and escape restrictive eating and diet culture.
She brings experience from higher levels of care and has supported clients with a wide range of eating disorder diagnoses, including anorexia nervosa, bulimia nervosa, binge eating disorder (BED), ARFID, and OSFED.
Hannah uses Intuitive Eating and Health at Every Size (HAES) to guide clients with an anti-diet, weight-inclusive approach. She aims to foster compassion, body trust, and lasting wellness, helping people feel safe in their bodies, make peace with food, and escape restrictive eating and diet culture.
(312) 374-5399 View (312) 374-5399
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 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 Jaimie Winkler - Navigate Nutrition with Jaimie Winkler, LLC, Nutritionist/Dietitian, RD, CEDS-C
Navigate Nutrition with Jaimie Winkler, LLC
Nutritionist/Dietitian, RD, CEDS-C
Arlington, MA 02476
If you have diabetes, an eating disorders, celiac disease, stomach or intestinal distress, I can help.
You are the expert on you, but don't know where to start. The expanse of the internet often provides confusing, unprofessional, and potentially harmful information about nutrition, weight, and health. I am not focused on "perfect" nutrition. Does it even exist? Let's look at the health and weight messages that influence you and find out what's relevant to YOU. Person versus population. We will have an honest conversation about what you need to focus on and how to make it happen. People expect a dietitian to judge them - but most people leave my office with hope, feeling like they are supported in making incremental change.
If you have diabetes, an eating disorders, celiac disease, stomach or intestinal distress, I can help.
You are the expert on you, but don't know where to start. The expanse of the internet often provides confusing, unprofessional, and potentially harmful information about nutrition, weight, and health. I am not focused on "perfect" nutrition. Does it even exist? Let's look at the health and weight messages that influence you and find out what's relevant to YOU. Person versus population. We will have an honest conversation about what you need to focus on and how to make it happen. People expect a dietitian to judge them - but most people leave my office with hope, feeling like they are supported in making incremental change.
(617) 917-3217 View (617) 917-3217
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
Photo of Erin Mahoney, Nutritionist/Dietitian, RDN, MSc, CPT
Erin Mahoney
Nutritionist/Dietitian, RDN, MSc, CPT
Online Only
I am a dietitian and certified personal trainer who specializes in supporting adolescents and adults recovering from eating disorders and disordered eating.
My approach is compassionate, weight-neutral, and trauma-informed, recognizing that each person’s relationship with food and their body is shaped by unique life experiences. I strive to create a safe, non-judgmental space where clients feel supported. I offer both nutrition counseling and movement coaching to support whole person healing.
I am a dietitian and certified personal trainer who specializes in supporting adolescents and adults recovering from eating disorders and disordered eating.
My approach is compassionate, weight-neutral, and trauma-informed, recognizing that each person’s relationship with food and their body is shaped by unique life experiences. I strive to create a safe, non-judgmental space where clients feel supported. I offer both nutrition counseling and movement coaching to support whole person healing.
(612) 453-2286 View (612) 453-2286
Photo of Natalie Marsh - Actualize Counseling & Nutrition, Nutritionist/Dietitian, MEd, RDN, LDN
Actualize Counseling & Nutrition
Nutritionist/Dietitian, MEd, RDN, LDN
Online Only
Many clients come to me feeling overwhelmed, stuck, or unsure how to care for themselves or their families around food. You may be navigating an eating disorder, ADHD-related eating challenges, medical concerns, using GLP-1 medications, or supporting a child with picky eating. I work with individuals and families across a wide range of nutrition concerns through a gentle, relationship-focused approach. My clients are thoughtful people who want to feel better but are tired of feeling like they’re “doing it wrong.” Together, we build confidence and a more trusting, sustainable way of nourishing your body.
Many clients come to me feeling overwhelmed, stuck, or unsure how to care for themselves or their families around food. You may be navigating an eating disorder, ADHD-related eating challenges, medical concerns, using GLP-1 medications, or supporting a child with picky eating. I work with individuals and families across a wide range of nutrition concerns through a gentle, relationship-focused approach. My clients are thoughtful people who want to feel better but are tired of feeling like they’re “doing it wrong.” Together, we build confidence and a more trusting, sustainable way of nourishing your body.
(617) 446-5456 View (617) 446-5456
Photo of Amanda Ruth Stegmann, Nutritionist/Dietitian, MS, LDN, LSW
Amanda Ruth Stegmann
Nutritionist/Dietitian, MS, LDN, LSW
Serves Area
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
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.