Heart Health Nutritionists and Dietitians in Clarkston, MI

Photo of Joanna DiCicco - Blue Sky Mind Therapy and Nutrition, LLC, Nutritionist/Dietitian, RD, CDE
Blue Sky Mind Therapy and Nutrition, LLC
Nutritionist/Dietitian, RD, CDE
Clarkston, MI 48346
I’m Joanna DiCicco and I am a Registered Dietitian Nutritionist and a Certified Intuitive Eating Counselor and Diabetes Educator who specializes in the treatment of eating disorders and disordered eating. I am passionate about prioritizing well-being over weight loss, which is why I work from a weight inclusive approach that equally focuses on physical, mental, and emotional health. My approach promotes balanced eating, joyful movement, and respect for the diversity of body shapes and sizes. When looking at health in this lens, you are able to focus on what behaviors you can add to enhance your life and health instead of solely
I’m Joanna DiCicco and I am a Registered Dietitian Nutritionist and a Certified Intuitive Eating Counselor and Diabetes Educator who specializes in the treatment of eating disorders and disordered eating. I am passionate about prioritizing well-being over weight loss, which is why I work from a weight inclusive approach that equally focuses on physical, mental, and emotional health. My approach promotes balanced eating, joyful movement, and respect for the diversity of body shapes and sizes. When looking at health in this lens, you are able to focus on what behaviors you can add to enhance your life and health instead of solely
(248) 458-4993 View (248) 458-4993

More Dietitians and Nutritionists Nearby

Photo of Natalie Watha, Nutritionist/Dietitian, RDN
Natalie Watha
Nutritionist/Dietitian, RDN
Online Only
Do you want to prevent heart disease or prevent a heart attack?
I am a Registered Dietitian Nutritionist who focuses on helping people optimize their nutrition to improve their health.
Do you want to prevent heart disease or prevent a heart attack?
I am a Registered Dietitian Nutritionist who focuses on helping people optimize their nutrition to improve their health.
(248) 985-9386 View (248) 985-9386
Photo of Paula Kerr, Nutritionist/Dietitian
Paula Kerr
Nutritionist/Dietitian
3 Endorsed
Serves Area
Specialties include mindful and intuitive eating, general nutrition and wellness, heart health, nutrition and aging, child nutrition, meal and menu planning, and cooking education.
Paula is a Registered Dietitian Nutritionist, Certified Professional Cook, and Certified Intuitive Eating Counselor who practices at Health Loft. She believes people can find a peaceful relationship with food and their bodies with a compassionate guide who listens, offers accountability, and champions their efforts. Paula supports individuals seeking freedom from dieting cycles and rigid food rules by helping them uncover the “why” behind behaviors to build sustainable habits and nourishing life rhythms.
Specialties include mindful and intuitive eating, general nutrition and wellness, heart health, nutrition and aging, child nutrition, meal and menu planning, and cooking education.
Paula is a Registered Dietitian Nutritionist, Certified Professional Cook, and Certified Intuitive Eating Counselor who practices at Health Loft. She believes people can find a peaceful relationship with food and their bodies with a compassionate guide who listens, offers accountability, and champions their efforts. Paula supports individuals seeking freedom from dieting cycles and rigid food rules by helping them uncover the “why” behind behaviors to build sustainable habits and nourishing life rhythms.
(667) 326-8196 View (667) 326-8196
Photo of Kumkum Kumar - Nutrition4Health and Wellness, LLC, Nutritionist/Dietitian, RDN
Nutrition4Health and Wellness, LLC
Nutritionist/Dietitian, RDN
2 Endorsed
Northville, MI 48168
If you are trying to improve your health in areas of weight management, diabetes, hypertension, heart disease, chronic kidney disease, or other medical conditions that need a specialized diet then “Nutrition 4 Health and Wellness” is your go-to place that provides a whole health approach for your nutritional, emotional, behavioral, physical, intellectual, and spiritual well-being.
My approach is to use nutritional tools that empower individuals to continue to enjoy their ethnic and cultural foods but learn how to make healthier choices to suit their dietary needs and lifestyle. I assist individuals to take charge of their own health plan to optimize their health and well-being by making smart and educated food choices
If you are trying to improve your health in areas of weight management, diabetes, hypertension, heart disease, chronic kidney disease, or other medical conditions that need a specialized diet then “Nutrition 4 Health and Wellness” is your go-to place that provides a whole health approach for your nutritional, emotional, behavioral, physical, intellectual, and spiritual well-being.
My approach is to use nutritional tools that empower individuals to continue to enjoy their ethnic and cultural foods but learn how to make healthier choices to suit their dietary needs and lifestyle. I assist individuals to take charge of their own health plan to optimize their health and well-being by making smart and educated food choices
(734) 212-8476 View (734) 212-8476
Photo of Ruchelle L Williams - Divine Health & Wellness, LLC, Nutritionist/Dietitian, BS, CHHC, AADP, FMN
Divine Health & Wellness, LLC
Nutritionist/Dietitian, BS, CHHC, AADP, FMN
Bloomfield Hills, MI 48302
Weight loss, digestive issues, children’s health, vegan and/or raw vegan food transition, juicing/blending, exercise science, Heart disease, skin issues, food sensitivities, hair issues
I’m a Holistic Health Practitioner and Functional Medicine Nutritionist. I design personal programs that are tailored to fit your budget and lifestyle.
Weight loss, digestive issues, children’s health, vegan and/or raw vegan food transition, juicing/blending, exercise science, Heart disease, skin issues, food sensitivities, hair issues
I’m a Holistic Health Practitioner and Functional Medicine Nutritionist. I design personal programs that are tailored to fit your budget and lifestyle.
(248) 648-3424 View (248) 648-3424
Photo of Lauren Spears, Nutritionist/Dietitian, RD, LD
Lauren Spears
Nutritionist/Dietitian, RD, LD
Online Only
I help clients with plant-based nutrition, PCOS, weight loss, insulin resistance, prediabetes, heart disease, and more.
I offer 1 on 1 nutrition counseling. When you work with me, we'll do a nutrition assessment which includes a review of your diet, health history, and lifestyle habits. Then we'll create a personalized plan together. I'll provide you with the knowledge, strategies, clarity, & support you need to achieve your health goals.
I help clients with plant-based nutrition, PCOS, weight loss, insulin resistance, prediabetes, heart disease, and more.
I offer 1 on 1 nutrition counseling. When you work with me, we'll do a nutrition assessment which includes a review of your diet, health history, and lifestyle habits. Then we'll create a personalized plan together. I'll provide you with the knowledge, strategies, clarity, & support you need to achieve your health goals.
(313) 710-5954 View (313) 710-5954
Photo of Kendall Shanks, Nutritionist/Dietitian, MS, RDN, LD
Kendall Shanks
Nutritionist/Dietitian, MS, RDN, LD
5 Endorsed
Serves Area
As I grow older, I realize I want to help adults and older adults continue living their best lives. My ideal client is someone who doesn’t judge themselves by their chronological age, but wants to live healthfully and simply needs the right tools, guidance, and confidence to inspire both themselves and their families.
As I grow older, I realize I want to help adults and older adults continue living their best lives. My ideal client is someone who doesn’t judge themselves by their chronological age, but wants to live healthfully and simply needs the right tools, guidance, and confidence to inspire both themselves and their families.
(813) 590-1238 View (813) 590-1238
Photo of Shena R Rose, Nutritionist/Dietitian, MS, RD, CD
Shena R Rose
Nutritionist/Dietitian, MS, RD, CD
Online Only
I’m a registered dietitian who believes food is meant to be eaten — not feared, tracked, or negotiated with. I help you ditch diet drama, rebuild trust with your body, and finally stop Googling “Is this healthy?” at 10 p.m. I don’t sell detoxes, shame, or 1,200-calorie meal plans. I help real humans eat real food, feel better in their bodies, and stop arguing with their hunger.
I’m a registered dietitian who believes food is meant to be eaten — not feared, tracked, or negotiated with. I help you ditch diet drama, rebuild trust with your body, and finally stop Googling “Is this healthy?” at 10 p.m. I don’t sell detoxes, shame, or 1,200-calorie meal plans. I help real humans eat real food, feel better in their bodies, and stop arguing with their hunger.
(206) 759-8292 View (206) 759-8292
Photo of Shivani Sharma, Nutritionist/Dietitian, RDN, CLT
Shivani Sharma
Nutritionist/Dietitian, RDN, CLT
1 Endorsed
Troy, MI 48084
Do you have a chronic health condition such as IBS, Migraines, Fibromyalgia, Rheumatoid Arthritis, eczema, or others? Since 80% of your immune system is in the gut, foods can act as "triggers" causing inflammation, pain, bloating, diarrhea and more. Your immune system is as unique as a fingerprint, so there is no one-size-fits all solution. What might give one person a migraine doesn't necessarily give someone else a migraine. I personalize my approach by combining nutrition, laboratory analysis and supplements (if needed). Most importantly I listen. You know your body better. Together we'll develop an approach that works for you.
Do you have a chronic health condition such as IBS, Migraines, Fibromyalgia, Rheumatoid Arthritis, eczema, or others? Since 80% of your immune system is in the gut, foods can act as "triggers" causing inflammation, pain, bloating, diarrhea and more. Your immune system is as unique as a fingerprint, so there is no one-size-fits all solution. What might give one person a migraine doesn't necessarily give someone else a migraine. I personalize my approach by combining nutrition, laboratory analysis and supplements (if needed). Most importantly I listen. You know your body better. Together we'll develop an approach that works for you.
(248) 468-4418 View (248) 468-4418
Photo of Katie Gross, Nutritionist/Dietitian, MS, RD, RDN
Katie Gross
Nutritionist/Dietitian, MS, RD, RDN
3 Endorsed
Serves Area
Katie is a Registered Dietitian Nutritionist that collaborates with all clients to create sustainable lifestyle changes that support their overall health and well-being. Food acts as fuel but also has the ability to cultivate memories, emotions and traditions. She believes that food should not only support someone’s physical health, but their social, emotional, and mental health as well. With an “all foods fit”, body positive approach, Katie focuses on identifying individual barriers and personal preferences as she works closely to establish confidence in clients reaching their unique goals.
Katie is a Registered Dietitian Nutritionist that collaborates with all clients to create sustainable lifestyle changes that support their overall health and well-being. Food acts as fuel but also has the ability to cultivate memories, emotions and traditions. She believes that food should not only support someone’s physical health, but their social, emotional, and mental health as well. With an “all foods fit”, body positive approach, Katie focuses on identifying individual barriers and personal preferences as she works closely to establish confidence in clients reaching their unique goals.
(612) 326-0011 View (612) 326-0011
Photo of Daniela Jannette, Nutritionist/Dietitian, MS, RD, LD
Daniela Jannette
Nutritionist/Dietitian, MS, RD, LD
Online Only
I specialize in eating disorders/disordered eating, emotional eating, diabetes or pre-diabetes, general health, heart health, sports & performance nutrition, chronic kidney disease, IBS, gut health, thyroid disorders, weight stabilization, weight loss medications, tube feeding (EN), total parenteral nutrition (TPN), and cancer.
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 specialize in eating disorders/disordered eating, emotional eating, diabetes or pre-diabetes, general health, heart health, sports & performance nutrition, chronic kidney disease, IBS, gut health, thyroid disorders, weight stabilization, weight loss medications, tube feeding (EN), total parenteral nutrition (TPN), and cancer.
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 Bethany Matus, Nutritionist/Dietitian, MS, RDN
Bethany Matus
Nutritionist/Dietitian, MS, RDN
Serves Area
Have you or your child been encouraged to make changes to diet and lifestyle to improve your health? Are you feeling stressed at the lack of guidance revolving around feeding and nutrition? Are you looking for improvements to help you feel better or more comfortable in your own skin? Are you searching for someone to listen to you and allow you to participate in your health journey? Whether it is preventing or improving a medical diagnosis, nutritional guidance for your child, weight management, or feeling better by improving food-related symptoms, you’re in the right place.
Have you or your child been encouraged to make changes to diet and lifestyle to improve your health? Are you feeling stressed at the lack of guidance revolving around feeding and nutrition? Are you looking for improvements to help you feel better or more comfortable in your own skin? Are you searching for someone to listen to you and allow you to participate in your health journey? Whether it is preventing or improving a medical diagnosis, nutritional guidance for your child, weight management, or feeling better by improving food-related symptoms, you’re in the right place.
(586) 238-3458 View (586) 238-3458
Photo of Aarti Batavia, Nutritionist/Dietitian, MS, RDN, CLT, FSCP, IFMCP
Aarti Batavia
Nutritionist/Dietitian, MS, RDN, CLT, FSCP, IFMCP
2 Endorsed
Novi, MI 48374
Do you feel like a shuttlecock going from one physician to another, still without answers? I work with thoughtful, health-seeking individuals facing chronic digestive and gut disorders, autoimmune disease, chronic inflammation, cognitive decline, hormonal imbalances, or cancer who want more than symptom management. With over 28 years of clinical experience, I am an IFM Certified Practitioner, integrative nutritionist, and clinical herbalist. I integrate functional medicine, metabolic terrain, ReCODE 2.0, and personalized lifestyle strategies to uncover root causes, restore resilience, and help clients regain clarity, confidence, and
Do you feel like a shuttlecock going from one physician to another, still without answers? I work with thoughtful, health-seeking individuals facing chronic digestive and gut disorders, autoimmune disease, chronic inflammation, cognitive decline, hormonal imbalances, or cancer who want more than symptom management. With over 28 years of clinical experience, I am an IFM Certified Practitioner, integrative nutritionist, and clinical herbalist. I integrate functional medicine, metabolic terrain, ReCODE 2.0, and personalized lifestyle strategies to uncover root causes, restore resilience, and help clients regain clarity, confidence, and
(517) 366-2248 View (517) 366-2248
Photo of Barbara Heerkens, Nutritionist/Dietitian, MPH, RDN, LD
Barbara Heerkens
Nutritionist/Dietitian, MPH, RDN, LD
5 Endorsed
Serves Area
Ideal clients are individuals who spend a significant amount of time worrying about their body, weight, and food choices, often feeling trapped in a cycle of restriction, guilt, and frustration. They may believe they'll never achieve their health goals. These clients are ready to explore the diet cycle, challenge misinformation, and develop mindfulness around their thoughts on food, weight, and health. This process helps quiet the constant “food noise” in their minds and fosters greater self-compassion, freedom, and peace with food.
Ideal clients are individuals who spend a significant amount of time worrying about their body, weight, and food choices, often feeling trapped in a cycle of restriction, guilt, and frustration. They may believe they'll never achieve their health goals. These clients are ready to explore the diet cycle, challenge misinformation, and develop mindfulness around their thoughts on food, weight, and health. This process helps quiet the constant “food noise” in their minds and fosters greater self-compassion, freedom, and peace with food.
(785) 377-5964 View (785) 377-5964
Photo of Nancy A. Lark, Nutritionist/Dietitian, MMS, MESS, RDN, FAARFM, ACCBHC
Nancy A. Lark
Nutritionist/Dietitian, MMS, MESS, RDN, FAARFM, ACCBHC
Online Only
For over 30 years I’ve worked with clients and patients to help them reach their health and wellness goals. Combining years of Lifestyle Medicine expertise, with specialties in Integrative and Functional Medicine, Brain Health Coaching, Metabolic Nutrition and Medicine and Emotional Healing Techniques, we work together to create a Personalized Health and Wellness program specifically for you whether you just need a quick reset, or need a more extensive program for healing. In functional medicine we work on the individual body system imbalances to find the root cause and correct them to support optimal health.
For over 30 years I’ve worked with clients and patients to help them reach their health and wellness goals. Combining years of Lifestyle Medicine expertise, with specialties in Integrative and Functional Medicine, Brain Health Coaching, Metabolic Nutrition and Medicine and Emotional Healing Techniques, we work together to create a Personalized Health and Wellness program specifically for you whether you just need a quick reset, or need a more extensive program for healing. In functional medicine we work on the individual body system imbalances to find the root cause and correct them to support optimal health.
(248) 213-6430 View (248) 213-6430
Photo of Abbie Widing, Nutritionist/Dietitian, RD, LDN
Abbie Widing
Nutritionist/Dietitian, RD, LDN
1 Endorsed
Serves Area
Abbie is passionate about helping others improve their relationship with food, body image, weight, and health. She helps clients achieve positive changes in mental and physical well-being through nutrition counseling and education. Abbie provides personalized care tailored to your nutritional needs using a non-diet approach. She offers counseling in a supportive setting, using methods like motivational interviewing and cognitive-behavioral therapy, along with tools such as hands-on activities and educational handouts.
Abbie is passionate about helping others improve their relationship with food, body image, weight, and health. She helps clients achieve positive changes in mental and physical well-being through nutrition counseling and education. Abbie provides personalized care tailored to your nutritional needs using a non-diet approach. She offers counseling in a supportive setting, using methods like motivational interviewing and cognitive-behavioral therapy, along with tools such as hands-on activities and educational handouts.
(659) 216-8557 View (659) 216-8557
Photo of Bailie Devlin, Nutritionist/Dietitian, MS, RD, LD
Bailie Devlin
Nutritionist/Dietitian, MS, RD, LD
2 Endorsed
Serves Area
Specialties include: General Health, Weight Loss/Gain, PCOS, Type 2 Diabetes, Insulin Resistance, Hypothyroidism, Eating Disorders, Ketogenic Diet, and Heart Health.
Bailie is a Registered Dietitian with experience in weight loss, eating disorders and performance nutrition. She believes food is medicine and is dedicated to helping you create a positive relationship with food and movement while working together towards your goals. Bailie believes nutrition is not one size fits all and works with the patient to develop customized care based on the their goals, needs and lifestyle.
Specialties include: General Health, Weight Loss/Gain, PCOS, Type 2 Diabetes, Insulin Resistance, Hypothyroidism, Eating Disorders, Ketogenic Diet, and Heart Health.
Bailie is a Registered Dietitian with experience in weight loss, eating disorders and performance nutrition. She believes food is medicine and is dedicated to helping you create a positive relationship with food and movement while working together towards your goals. Bailie believes nutrition is not one size fits all and works with the patient to develop customized care based on the their goals, needs and lifestyle.
(816) 409-1516 View (816) 409-1516
Photo of Samantha Barash Intuitive Eating Dietitian - Tap Into Nutrition, Nutritionist/Dietitian, RD
Tap Into Nutrition
Nutritionist/Dietitian, RD
Lathrup Village, MI 48076
Metro Detroit–based registered dietitian specializing in intuitive eating and non-diet nutrition. Tap Into Nutrition provides individualized, evidence-based counseling to help clients improve nutrition, support overall health, and build a sustainable relationship with food. We help individuals step away from diet culture, reduce food stress, and reconnect with hunger, fullness, and body cues while creating realistic, sustainable eating habits that support long-term health and well-being.
Metro Detroit–based registered dietitian specializing in intuitive eating and non-diet nutrition. Tap Into Nutrition provides individualized, evidence-based counseling to help clients improve nutrition, support overall health, and build a sustainable relationship with food. We help individuals step away from diet culture, reduce food stress, and reconnect with hunger, fullness, and body cues while creating realistic, sustainable eating habits that support long-term health and well-being.
(248) 218-9532 View (248) 218-9532

Online Dietitians and Nutritionists

Photo of Joy Metevier, Nutritionist/Dietitian, MSN, RDN, LD
Joy Metevier
Nutritionist/Dietitian, MSN, RDN, LD
3 Endorsed
Detroit, MI 48230
Joy is a Registered Dietitian Nutritionist with more than 15 years of experience, primarily serving as a dietitian for the U.S. Army. Her clinical background centers on eating disorders, and she’s passionate about helping clients define their own values around food, weight, and movement. She also facilitates eating-disorder recovery support groups through the National Alliance for Eating Disorders, supporting individuals and families throughout recovery.
Joy is a Registered Dietitian Nutritionist with more than 15 years of experience, primarily serving as a dietitian for the U.S. Army. Her clinical background centers on eating disorders, and she’s passionate about helping clients define their own values around food, weight, and movement. She also facilitates eating-disorder recovery support groups through the National Alliance for Eating Disorders, supporting individuals and families throughout recovery.
(312) 374-5399 View (312) 374-5399
Photo of Adrienne DePaul, Nutritionist/Dietitian, MS, RD, RDN, LDN
Adrienne DePaul
Nutritionist/Dietitian, MS, RD, RDN, LDN
4 Endorsed
Detroit, MI 48230
I am a Registered Dietitian Nutritionist who practices out of Health Loft helping clients whom have PCOS, interests in Pre/PostPartum nutrition, Gestational Diabetes, Diabetes, or Weight Management. I help clients to craft personalized, attainable, and sustainable dietary and lifestyle changes that support their health. By collaboratively designing small, impactful steps that preserve quality of life and promote personal choice, I help my clients achieve their goals from better blood sugar control to increased energy.
I am a Registered Dietitian Nutritionist who practices out of Health Loft helping clients whom have PCOS, interests in Pre/PostPartum nutrition, Gestational Diabetes, Diabetes, or Weight Management. I help clients to craft personalized, attainable, and sustainable dietary and lifestyle changes that support their health. By collaboratively designing small, impactful steps that preserve quality of life and promote personal choice, I help my clients achieve their goals from better blood sugar control to increased energy.
(312) 374-5399 View (312) 374-5399
Heart Health Nutritionists and Dietitians
How does nutrition affect heart health?
Nutrition plays a significant role in heart health, affecting conditions such as heart disease, high blood pressure, and high cholesterol. Consuming too much saturated and trans fats can raise "bad" cholesterol levels, potentially leading to clogged arteries and heart disease. In addition, high-sugar and refined carb foods, common in the American diet, are often high in calories but low in nutrients. Abundant consumption of such foods can lead to conditions such as weight gain and diabetes, which put extra strain on the heart. Excess sodium intake is yet another dietary component that can impact heart health. Consumption of too much sodium can raise blood pressure, making the heart work harder. Conversely, eating plenty of fruits, vegetables, whole grains, lean proteins, and healthy fats helps support heart health through the maintenance of healthy cholesterol levels and the reduction of inflammation.

What diet is best for heart health?
In general, experts recommend a plant-based diet high in fiber, healthy fats, and lean protein as the best nutrition approach to a heart healthy diet. The "Mediterranean diet," characterized by the consumption of lots of healthy fats, vegetables, beans, and whole grains is one common diet with abundant evidence supporting its efficacy in reducing blood cholesterol levels and preventing cardiovascular and metabolic diseases. The Dietary Approaches to Stop Hypertension (DASH) diet is another common diet shown to reduce blood pressure and positively impact heart health; the DASH diet emphasizes the consumption of fruits, vegetables, whole grains, and low fat dairy products with a particular focus on reducing the consumption of saturated fats. Conversely, diets that include the consumption of large amounts of protein and fats—such as the keto diet and atkins diet—are generally not recommended for those with heart conditions or high cholesterol levels due to the high levels of saturated and trans fats such diets can include.

What foods increase one's risk of heart disease?
Foods high in saturated and trans fats, such as fatty meats, cream, butter, and pastries, can have a very negative impact on heart health. In addition, sweets, high-sugar drinks, and refined carbohydrates like white bread and pasta are usually good to avoid in order to positively impact heart health. Replacing saturated fats with unsaturated fat alternatives, such as consuming lean fish high in omega-3 fatty acids instead of red meat, is often a good strategy, as is replacing highly-processed and sugar-rich foods with alternative carbohydrates, such as fruits, vegetables, and whole grains.

Why should someone with heart disease see a dietitian?
Dietitians are specifically trained to use diet modifications to manage health, so individuals with heart disease may greatly benefit from seeing a dietitian to improve their cardiac health. Dietitians can help clients identify foods that support heart health, such as whole grains, as well as help clients eliminate foods that can place a strain on the heart when consumed in large quantities over time, such as saturated and trans fats. Dietitians can also help hold clients accountable for their nutrition and provide resources for other lifestyle modifications that support heart health, such as exercise, smoking cessation, and alcohol consumption reduction. Additionally, dietitians can assist in managing other chronic diseases often associated with heart disease, such as kidney conditions or diabetes.