Medical Nutrition Therapy (MNT) Nutritionists and Dietitians in Marysville, WA
My experience working in a Level 1 trauma hospital means I have a careful eye for medical detail, and can work at a fast pace with your interdisciplinary care team.
When your child has an eating disorder, it’s easy to go into panic mode. Establishing a care team can be tedious, and once you do, you still feel lost.
I use Family Based Treatment (FBT), because it’s the gold-standard eating disorder treatment for kids. I am trained by leading experts in the pediatric eating disorder field, and have found success with this modality with many clients. I’ll help you implement it at home so you can guide your child through recovery with confidence. I will help you troubleshoot home feeding dynamics, develop school feeding plans, plan meals & snacks, and generate evidence-based target weight ranges.
My experience working in a Level 1 trauma hospital means I have a careful eye for medical detail, and can work at a fast pace with your interdisciplinary care team.
When your child has an eating disorder, it’s easy to go into panic mode. Establishing a care team can be tedious, and once you do, you still feel lost.
I use Family Based Treatment (FBT), because it’s the gold-standard eating disorder treatment for kids. I am trained by leading experts in the pediatric eating disorder field, and have found success with this modality with many clients. I’ll help you implement it at home so you can guide your child through recovery with confidence. I will help you troubleshoot home feeding dynamics, develop school feeding plans, plan meals & snacks, and generate evidence-based target weight ranges.
More Dietitians and Nutritionists Nearby
I'm a Registered Dietitian Nutritionist and trained Functional Dietitian focusing on holistic approaches to healing chronic and complex diseases. My areas of focus include women’s nutrition (PCOS, endometriosis, menopause, amenorrhea and other menstrual disorders), digestive disorders and diseases (IBS, SIBO, Celiac, Crohn’s, Colitis, and dysbiosis), metabolic conditions (blood sugar dysregulation and high cholesterol) and autoimmune and inflammatory conditions. I specialize in fertility nutrition for those trying to conceive, including general support and those going through Assisted Reproductive Technology.
I'm a Registered Dietitian Nutritionist and trained Functional Dietitian focusing on holistic approaches to healing chronic and complex diseases. My areas of focus include women’s nutrition (PCOS, endometriosis, menopause, amenorrhea and other menstrual disorders), digestive disorders and diseases (IBS, SIBO, Celiac, Crohn’s, Colitis, and dysbiosis), metabolic conditions (blood sugar dysregulation and high cholesterol) and autoimmune and inflammatory conditions. I specialize in fertility nutrition for those trying to conceive, including general support and those going through Assisted Reproductive Technology.
You may feel overwhelmed by conflicting nutrition advice, frustrated that past approaches haven’t worked, or worried about your child's eating. You might be looking for guidance that fits your day-to-day life and supports your health - without rigid rules or food guilt. Many of my clients are individuals working on their nutrition habits, managing health conditions, families navigating feeding challenges, or neurodivergent adults and children who benefit from flexible, sensory-aware strategies around food. They all have one thing in common: wanting a more peaceful relationship with food.
You may feel overwhelmed by conflicting nutrition advice, frustrated that past approaches haven’t worked, or worried about your child's eating. You might be looking for guidance that fits your day-to-day life and supports your health - without rigid rules or food guilt. Many of my clients are individuals working on their nutrition habits, managing health conditions, families navigating feeding challenges, or neurodivergent adults and children who benefit from flexible, sensory-aware strategies around food. They all have one thing in common: wanting a more peaceful relationship with food.
You are in the right place if you are seeking a more positive place for food in your day and better health to live your best life!
You might be navigating the complexities of nutrition interventions to manage or prevent a chronic disease or looking to learn the basics of overall healthy food habits
Some of the ways I can help: individualized nutritional guidance that supports goals for healthy blood sugar, blood pressure, cholesterol and/or triglycerides; tools to plan meals that work for the whole family; interventions for nutrition and aging, supporting muscle and bone health; or support for balance plant-based eating.
You are in the right place if you are seeking a more positive place for food in your day and better health to live your best life!
You might be navigating the complexities of nutrition interventions to manage or prevent a chronic disease or looking to learn the basics of overall healthy food habits
Some of the ways I can help: individualized nutritional guidance that supports goals for healthy blood sugar, blood pressure, cholesterol and/or triglycerides; tools to plan meals that work for the whole family; interventions for nutrition and aging, supporting muscle and bone health; or support for balance plant-based eating.
My ideal client is engaged and ready to participate. I’m patient and happy to take the time to build trust and collaboration, but I prefer working with people who want to do the work and communicate. I hope to meet clients with varied nutrition needs who understand that change takes time.
My ideal client is engaged and ready to participate. I’m patient and happy to take the time to build trust and collaboration, but I prefer working with people who want to do the work and communicate. I hope to meet clients with varied nutrition needs who understand that change takes time.
It is my mission to support those that are ready to choose themselves and their healing.
Your intentions and goals will guide us our way to your body liberation and healing. I trust your experience as the expert of your own body and will work by your side bringing my nutrition expertise to the table. My work is weight neutral, meaning that we will work towards your health and healing goals without centering or suggesting weight loss. I will also never suggest food restriction.
It is my mission to support those that are ready to choose themselves and their healing.
Your intentions and goals will guide us our way to your body liberation and healing. I trust your experience as the expert of your own body and will work by your side bringing my nutrition expertise to the table. My work is weight neutral, meaning that we will work towards your health and healing goals without centering or suggesting weight loss. I will also never suggest food restriction.
I help women 30s–60s feel like themselves again—steady energy, better sleep and mood, easier digestion, and weight that actually moves—by aligning food and lifestyle with your hormones (no one-size-fits-all plans). Feeling out of sync? If mood swings, low energy, irregular cycles, brain fog, hot flashes, poor sleep or digestion are disrupting your life, I’ll help you connect the dots and create a plan you can live with. Book a free 15-min call to see if we’re a fit.
I help women 30s–60s feel like themselves again—steady energy, better sleep and mood, easier digestion, and weight that actually moves—by aligning food and lifestyle with your hormones (no one-size-fits-all plans). Feeling out of sync? If mood swings, low energy, irregular cycles, brain fog, hot flashes, poor sleep or digestion are disrupting your life, I’ll help you connect the dots and create a plan you can live with. Book a free 15-min call to see if we’re a fit.
I offer advanced nutrition services based on medical and holistic functional approach.
A detailed consultation process based on patient’s history, lab test results and lifestyle will determine what diet, lifestyle changes, tests and supplementation are necessary to change the underlying biochemistry. A patient gets a personalized plan designed specifically for their body, and learns how to improve their health both short and long term.
I offer advanced nutrition services based on medical and holistic functional approach.
A detailed consultation process based on patient’s history, lab test results and lifestyle will determine what diet, lifestyle changes, tests and supplementation are necessary to change the underlying biochemistry. A patient gets a personalized plan designed specifically for their body, and learns how to improve their health both short and long term.
My goal is to empower you with the support, guidance, and tools you need to feel better in your body—starting with nutrition that works for you.
Whether you're trying to manage blood sugar, cholesterol, blood pressure, digestive issues, or navigating the emotional impact of grief or chronic illness, I'm here to help. Many people don’t realize that gut health plays a foundational role in nearly every system in the body. From inflammation and autoimmune conditions to mood disorders like anxiety and depression, your gut can impact it all.
My goal is to empower you with the support, guidance, and tools you need to feel better in your body—starting with nutrition that works for you.
Whether you're trying to manage blood sugar, cholesterol, blood pressure, digestive issues, or navigating the emotional impact of grief or chronic illness, I'm here to help. Many people don’t realize that gut health plays a foundational role in nearly every system in the body. From inflammation and autoimmune conditions to mood disorders like anxiety and depression, your gut can impact it all.
Do you struggle with restrictive nutrition advice, food guilt, or feeling like you’re “doing nutrition wrong”? Have you spent a lot of time trying to follow rules that don’t fit your life, culture, or body? I’m best suited for people seeking flexible, realistic support for cancer prevention or survivorship, chronic conditions (like CKD, diabetes, GI disorders), eating disorders, or women’s health and hormone transitions—who want sustainable change and a more supportive relationship with food.
Do you struggle with restrictive nutrition advice, food guilt, or feeling like you’re “doing nutrition wrong”? Have you spent a lot of time trying to follow rules that don’t fit your life, culture, or body? I’m best suited for people seeking flexible, realistic support for cancer prevention or survivorship, chronic conditions (like CKD, diabetes, GI disorders), eating disorders, or women’s health and hormone transitions—who want sustainable change and a more supportive relationship with food.
Ready to develop a better relationship with food, even with ADHD? Want something freeing and stress-reducing… that works with, not against, your brain, lifestyle, schedule, and responsibilities? You've been working so hard. Imagine what life could be like with less guilt, negative self-talk, and unsatisfying food choices. What if you could feel nourished and confident around food, have energy for your day, and trust your body?
Ready to develop a better relationship with food, even with ADHD? Want something freeing and stress-reducing… that works with, not against, your brain, lifestyle, schedule, and responsibilities? You've been working so hard. Imagine what life could be like with less guilt, negative self-talk, and unsatisfying food choices. What if you could feel nourished and confident around food, have energy for your day, and trust your body?
When I work with clients, I like to think that I offer a compassionate and non judgmental environment where we can explore what individual goals might look like and discover barriers to getting there. I focus on building confidence and comfortability at the eating experience instead of fear and anxiety. I use an anti diet, HAES aligned approach. If I help clients learn one thing, I hope that it might be: Fear has no place at the dinner table anymore!
When I work with clients, I like to think that I offer a compassionate and non judgmental environment where we can explore what individual goals might look like and discover barriers to getting there. I focus on building confidence and comfortability at the eating experience instead of fear and anxiety. I use an anti diet, HAES aligned approach. If I help clients learn one thing, I hope that it might be: Fear has no place at the dinner table anymore!
With extensive experience across all levels of eating disorder treatment, I provide collaborative, individualized nutrition therapy that honors your lived experience while addressing medical, emotional, and behavioral needs.
Do you struggle with food guilt, body image distress, or feeling stuck in diet culture? Have you spent a lot of time navigating an eating disorder, chronic dieting, or trying to figure out what and how to eat in a way that supports both your physical and mental health? I love working with patients seeking a peaceful, sustainable relationship with food, including those with eating disorders, disordered eating, PCOS, diabetes, hypertension, or mental health concerns!
With extensive experience across all levels of eating disorder treatment, I provide collaborative, individualized nutrition therapy that honors your lived experience while addressing medical, emotional, and behavioral needs.
Do you struggle with food guilt, body image distress, or feeling stuck in diet culture? Have you spent a lot of time navigating an eating disorder, chronic dieting, or trying to figure out what and how to eat in a way that supports both your physical and mental health? I love working with patients seeking a peaceful, sustainable relationship with food, including those with eating disorders, disordered eating, PCOS, diabetes, hypertension, or mental health concerns!
Hi, I'm Adrien Paczosa, a registered dietitian and certified eating disorder specialist and former founder at iLiveWell Nutrition. I am now at Nabi Health, a virtual group of HAES-aligned, trauma-informed Registered Dietitians.
Hi, I'm Adrien Paczosa, a registered dietitian and certified eating disorder specialist and former founder at iLiveWell Nutrition. I am now at Nabi Health, a virtual group of HAES-aligned, trauma-informed Registered Dietitians.
Healthy isn’t about perfection, it’s about feeling nourished, confident, and supported. At Summit, we work with clients navigating eating disorders, disordered eating, body image concerns, ADHD-related nutrition challenges, chronic conditions, pediatric feeding concerns, and prenatal/postpartum needs. Many feel stuck, overwhelmed, or exhausted by dieting. Our compassionate, evidence-based approach helps clients rebuild trust with food, reduce stress around eating, and create realistic habits that support their lives and their families, not control them.
Healthy isn’t about perfection, it’s about feeling nourished, confident, and supported. At Summit, we work with clients navigating eating disorders, disordered eating, body image concerns, ADHD-related nutrition challenges, chronic conditions, pediatric feeding concerns, and prenatal/postpartum needs. Many feel stuck, overwhelmed, or exhausted by dieting. Our compassionate, evidence-based approach helps clients rebuild trust with food, reduce stress around eating, and create realistic habits that support their lives and their families, not control them.
When the majority of your thoughts constantly revolve around food, your body, or your weight, it can feel like you’re constantly battling with yourself. It’s exhausting- and it’s not your fault. Diet culture thrives on disconnecting you from your body’s wisdom, leaving you stuck in cycles of shame, confusion, and self-blame. You deserve better. I’m here to help you tune back into yourself: to rebuild trust with your body, make peace with food, and reclaim your energy for things that actually matter in your life.
When the majority of your thoughts constantly revolve around food, your body, or your weight, it can feel like you’re constantly battling with yourself. It’s exhausting- and it’s not your fault. Diet culture thrives on disconnecting you from your body’s wisdom, leaving you stuck in cycles of shame, confusion, and self-blame. You deserve better. I’m here to help you tune back into yourself: to rebuild trust with your body, make peace with food, and reclaim your energy for things that actually matter in your life.
I work with people to improve their relationships with food, especially when complicated by medical conditions, such as digestive conditions (SIBO, IBS, Celiac, IBD, Fatty Liver), hormonal issues (PCOS, PMDD), insulin resistance (Pre-Diabetes, Type 2 Diabetes), behavioral health conditions, genetic risk, chronic illness, and rare diseases.
Having trouble coping with food, nutrition, and your health, especially with the recent stress of COVID-19? Many people are experiencing stress-related changes in emotions, eating behaviors, and physical symptoms, including digestive issues. Whether these experiences are new to you or related to something you dealt with in the past, I’m here to help.
I work with people to improve their relationships with food, especially when complicated by medical conditions, such as digestive conditions (SIBO, IBS, Celiac, IBD, Fatty Liver), hormonal issues (PCOS, PMDD), insulin resistance (Pre-Diabetes, Type 2 Diabetes), behavioral health conditions, genetic risk, chronic illness, and rare diseases.
Having trouble coping with food, nutrition, and your health, especially with the recent stress of COVID-19? Many people are experiencing stress-related changes in emotions, eating behaviors, and physical symptoms, including digestive issues. Whether these experiences are new to you or related to something you dealt with in the past, I’m here to help.
I partner with clients to develop sustainable strategies for managing medical conditions such as diabetes, high blood pressure, digestive concerns, dyslipidemia, and more.
I am passionate about empowering clients to break free from rigid food rules and find a way of relating to food and body that fosters trust, balance, and recovery. My approach prioritizes compassionate, personalized care in a safe and judgment-free space where your story is valued, and you feel empowered to make meaningful progress.
I partner with clients to develop sustainable strategies for managing medical conditions such as diabetes, high blood pressure, digestive concerns, dyslipidemia, and more.
I am passionate about empowering clients to break free from rigid food rules and find a way of relating to food and body that fosters trust, balance, and recovery. My approach prioritizes compassionate, personalized care in a safe and judgment-free space where your story is valued, and you feel empowered to make meaningful progress.
I blend functional nutrition with inclusive weight neutral care to help you feel more confident around all things food, nutrition, and health.
If you’re tired of searching the internet for answers or relying on vague advice from your doctor, I've got you. We collaborate with you to create a sustainable, shame-free care plan because YOU are the expert of your own body. Stop outsourcing your health and learn to trust your body again.
I blend functional nutrition with inclusive weight neutral care to help you feel more confident around all things food, nutrition, and health.
If you’re tired of searching the internet for answers or relying on vague advice from your doctor, I've got you. We collaborate with you to create a sustainable, shame-free care plan because YOU are the expert of your own body. Stop outsourcing your health and learn to trust your body again.
Do you struggle with chronic dieting, issues with food and body image, or wanting a more peaceful relationship with food? Have you spent a lot of time feeling confused, discouraged, or told what to do instead of supported? You may be interested in plant-based, vegetarian, or vegan eating and want guidance that feels collaborative, realistic, and empowering. You’re looking for education, accountability, and support so you can make informed health choices and feel more at ease in your body.
Do you struggle with chronic dieting, issues with food and body image, or wanting a more peaceful relationship with food? Have you spent a lot of time feeling confused, discouraged, or told what to do instead of supported? You may be interested in plant-based, vegetarian, or vegan eating and want guidance that feels collaborative, realistic, and empowering. You’re looking for education, accountability, and support so you can make informed health choices and feel more at ease in your body.
Medical Nutrition Therapy (MNT) Nutritionists and Dietitians
What is medical nutrition therapy?
Medical Nutrition Therapy (MNT) involves the use of personalized dietary changes to prevent or manage chronic conditions. Typically conducted in an outpatient setting by a Registered Dietitian (RD), MNT aims to address specific health issues through tailored nutrition plans. Clients are often referred for MNT by healthcare professionals who identify conditions that could benefit from dietary and lifestyle modifications, such as diabetes, hypertension, or cardiovascular disease. The goal of MNT is to improve overall health outcomes by making adjustments to the client's diet based on their individual needs and medical conditions.
What conditions is medical nutrition therapy for?
Medical Nutrition Therapy (MNT) is often used for individuals with diseases caused or worsened by poor diet, such as type 2 diabetes, hypertension, kidney disease, and cardiovascular diseases. However, other conditions can also benefit from nutrition therapy. MNT is typically not intended to replace other treatments, such as medication, but rather to complement them. By improving a person's overall diet and health, MNT aims to prevent the exacerbation of symptoms and complement other treatments.
Is medical nutrition therapy covered by insurance?
Medical nutrition therapy is frequently covered by insurance. 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. While a referral is not required to see a dietitian or nutritionist, and many individuals independently seek nutritional support without prior medical advice, a referral from a primary care physician or another medical professional may be necessary to obtain coverage for medical nutrition services. 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. 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.
What does medical nutrition therapy involve?
The approach a dietitian will take in a medical nutrition therapy session will depend on a number of factors, including what conditions the client has and what the goals of the client are. An initial session often involves an assessment of the client's overall health and current dietary intake; a dietitian may also speak with a client's medical doctor prior to or following a first session to obtain information on the medical condition(s) the client is seeking nutrition therapy counseling for. The dietitian will then work with the client to create goals of medical nutrition therapy sessions, such as weight loss, eating a more plant-based diet, or reducing sodium intake. Then, in ongoing sessions, the dietitian will work with the client to meet their stated goals. These ongoing sessions often include menu planning and coaching, which involve the dietitian working with the client to develop strategies for a healthier and more balanced diet. Dietitians may suggest recipes, put together grocery shopping lists, and/or recommend tracking one's intake in order to help clients make desired changes.