Gastrointestinal (GI) Nutritionists and Dietitians in Skagit County, WA
With 40 years clinical experience, the spectrum of my professional nutrition services range from basic nutrition counseling/education for those who simply want to improve their diet & lifestyle, on up to therapeutic nutritional support for specific health conditions - everything from indigestion to cancer (see list of specialties below). A functional medicine nutrition approach seeks to identify & resolve the root cause. Professional nutrition services determine your personal health profile. One size does not fit all. Anyone can sell you vitamins, few can tell you precisely which nutrients best meet your actual, individual need.
With 40 years clinical experience, the spectrum of my professional nutrition services range from basic nutrition counseling/education for those who simply want to improve their diet & lifestyle, on up to therapeutic nutritional support for specific health conditions - everything from indigestion to cancer (see list of specialties below). A functional medicine nutrition approach seeks to identify & resolve the root cause. Professional nutrition services determine your personal health profile. One size does not fit all. Anyone can sell you vitamins, few can tell you precisely which nutrients best meet your actual, individual need.
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!
Are you tired of GI symptoms impacting your quality of life?
I don’t prescribe one-size-fits-all nutrition advice because nutritional needs and goals differ by person and across our lives. Instead, in our work we will gradually build strategies that reflect your unique goals and needs. Together we will help you forge new habits that prioritize balance, food enjoyment, and kindness to yourself.
Are you tired of GI symptoms impacting your quality of life?
I don’t prescribe one-size-fits-all nutrition advice because nutritional needs and goals differ by person and across our lives. Instead, in our work we will gradually build strategies that reflect your unique goals and needs. Together we will help you forge new habits that prioritize balance, food enjoyment, and kindness to yourself.
Online Dietitians and Nutritionists
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.
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.
I offer integrative, functional nutrition care grounded in Health at Every Size (HAES). Our work will be collaborative, compassionate, and evidence-based, focused on identifying root contributors and creating achievable plans that support health and quality of life across all stages.
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.
I offer integrative, functional nutrition care grounded in Health at Every Size (HAES). Our work will be collaborative, compassionate, and evidence-based, focused on identifying root contributors and creating achievable plans that support health and quality of life across all stages.
Riley specializes in eating disorders (bulimia nervosa, anorexia nervosa, binge eating disorder, ARFID, orthorexia, other specified feeding and eating disorder), sports nutrition, digestive health, nutrition for dancers and aerial artists, adolescent and pediatric nutrition, women’s health (PCOS, menstrual disorders, menopause, amenorrhea, pregnancy, lactation), lifestyle nutrition, and intuitive eating.
Riley’s approach is grounded in health at every size and Intuitive Eating. Riley uses a holistic approach to recovery and wellbeing to provide respectful care and collaboration with her clients utilizing evidence-based medical nutrition therapy, nutrition education, food exposure challenges, goal setting, coordinating care, and integrating family into care.
Riley specializes in eating disorders (bulimia nervosa, anorexia nervosa, binge eating disorder, ARFID, orthorexia, other specified feeding and eating disorder), sports nutrition, digestive health, nutrition for dancers and aerial artists, adolescent and pediatric nutrition, women’s health (PCOS, menstrual disorders, menopause, amenorrhea, pregnancy, lactation), lifestyle nutrition, and intuitive eating.
Riley’s approach is grounded in health at every size and Intuitive Eating. Riley uses a holistic approach to recovery and wellbeing to provide respectful care and collaboration with her clients utilizing evidence-based medical nutrition therapy, nutrition education, food exposure challenges, goal setting, coordinating care, and integrating family into care.
You may feel like your body is working against you—persistent fatigue, inflammation, gut issues, anxiety, weight gain, or hormone shifts that never fully resolve.
I help people who feel exhausted, inflamed, or disconnected from their bodies restore energy and feel like themselves again. Using functional nutrition, circadian alignment, and mind-body tools, I address root causes of fatigue, inflammation, gut dysfunction, weight gain, and hormone imbalance so your body can shift out of survival mode and thrive again.
You may feel like your body is working against you—persistent fatigue, inflammation, gut issues, anxiety, weight gain, or hormone shifts that never fully resolve.
I help people who feel exhausted, inflamed, or disconnected from their bodies restore energy and feel like themselves again. Using functional nutrition, circadian alignment, and mind-body tools, I address root causes of fatigue, inflammation, gut dysfunction, weight gain, and hormone imbalance so your body can shift out of survival mode and thrive again.
Hi, I’m Carly! I’m a Registered Dietitian Nutritionist specializing in women’s health nutrition, prenatal and postpartum care, and pediatric and family nutrition. I support individuals and families through pregnancy, postpartum recovery, breastfeeding, infancy, and childhood with practical, evidence-based guidance designed for real life. My approach is weight-neutral, non-diet, and family-centered, focused on building sustainable habits without guilt, restriction, or pressure.
Hi, I’m Carly! I’m a Registered Dietitian Nutritionist specializing in women’s health nutrition, prenatal and postpartum care, and pediatric and family nutrition. I support individuals and families through pregnancy, postpartum recovery, breastfeeding, infancy, and childhood with practical, evidence-based guidance designed for real life. My approach is weight-neutral, non-diet, and family-centered, focused on building sustainable habits without guilt, restriction, or pressure.
Whether you're navigating chronic symptoms, hormonal imbalances, gut issues, fatigue, or just feeling out of sync in your body, I’m here to help you reconnect to the wisdom of your own health story.
No two healing journeys are the same. That’s why I approach every client with a lens of bio-individuality, tailoring nutrition, lifestyle, and supplement support to your unique history, physiology, and goals. Together, we focus on nutrition, sleep, movement, stress resilience, and even play—to create sustainable, life-giving change.
Whether you're navigating chronic symptoms, hormonal imbalances, gut issues, fatigue, or just feeling out of sync in your body, I’m here to help you reconnect to the wisdom of your own health story.
No two healing journeys are the same. That’s why I approach every client with a lens of bio-individuality, tailoring nutrition, lifestyle, and supplement support to your unique history, physiology, and goals. Together, we focus on nutrition, sleep, movement, stress resilience, and even play—to create sustainable, life-giving change.
My main areas of expertise include food digestive disorders such as IBS and SIBO, food allergies & sensitivities, diabetes, and cardiovascular health.
I have advanced training in GI disorders and I am a Certified LEAP Therapist (CLT) which allows me to help guide clients through food sensitivity testing and diet treatment protocols. Contact me for more information about the testing and process.
My main areas of expertise include food digestive disorders such as IBS and SIBO, food allergies & sensitivities, diabetes, and cardiovascular health.
I have advanced training in GI disorders and I am a Certified LEAP Therapist (CLT) which allows me to help guide clients through food sensitivity testing and diet treatment protocols. Contact me for more information about the testing and process.
We specialize in supporting women through hormonal changes, PCOS, pregnancy, postpartum recovery, and menopause, as well as adults managing diabetes, high cholesterol, metabolic syndrome, and gut health concerns.
Many clients come to us frustrated by restrictive diets and quick fixes. At Holistika, we listen to your story and create personalized plans that fit your life. Using lifestyle medicine and nutrition therapy, we help you improve energy, balance hormones, and restore lasting health from the inside out.
We specialize in supporting women through hormonal changes, PCOS, pregnancy, postpartum recovery, and menopause, as well as adults managing diabetes, high cholesterol, metabolic syndrome, and gut health concerns.
Many clients come to us frustrated by restrictive diets and quick fixes. At Holistika, we listen to your story and create personalized plans that fit your life. Using lifestyle medicine and nutrition therapy, we help you improve energy, balance hormones, and restore lasting health from the inside out.
Do you struggle with rigid food rules, chronic dieting, or constantly thinking about food? Have you spent a lot of time trying to balance performance goals, recovery, and everyday life without burning out? I help you with navigating disordered eating or eating disorder recovery, athletic performance at any level, and achieving a calmer, more intuitive relationship with food while supporting energy, performance, and overall well-being.
Do you struggle with rigid food rules, chronic dieting, or constantly thinking about food? Have you spent a lot of time trying to balance performance goals, recovery, and everyday life without burning out? I help you with navigating disordered eating or eating disorder recovery, athletic performance at any level, and achieving a calmer, more intuitive relationship with food while supporting energy, performance, and overall well-being.
Specifically, medical diagnoses' such as, GERD, food sensitivities ( GI issues), elevated blood pressure & blood sugars (without an actual diagnosis YET), diabetes, etc
Looking for your own personal nutrition expert? The team of Registered Dietitian Nutritionists (RDN) at Nutrition Authority (in business since 2006) are uniquely qualified to coach you towards a more healthful lifestyle by providing relevant and credible nutrition information in a personalized (one-on-one) and easy-to-understand format. Do you want to age healthfully or miserably? The choice is yours! Your 'soon-to-be' personal nutritionist is ready to meet you! Contacting the nutrition experts at Nutrition Authority is your first step to making a positive decision to improve your health, vitality and wellness.
Specifically, medical diagnoses' such as, GERD, food sensitivities ( GI issues), elevated blood pressure & blood sugars (without an actual diagnosis YET), diabetes, etc
Looking for your own personal nutrition expert? The team of Registered Dietitian Nutritionists (RDN) at Nutrition Authority (in business since 2006) are uniquely qualified to coach you towards a more healthful lifestyle by providing relevant and credible nutrition information in a personalized (one-on-one) and easy-to-understand format. Do you want to age healthfully or miserably? The choice is yours! Your 'soon-to-be' personal nutritionist is ready to meet you! Contacting the nutrition experts at Nutrition Authority is your first step to making a positive decision to improve your health, vitality and wellness.
Many clients face challenges like high blood pressure, prediabetes, digestive discomfort, or sensory sensitivities.
I specialize in brain-body nourishment, supporting mental and physical health through food. I address chronic conditions by targeting root causes with anti-inflammatory food patterns, helping restore balance and promote vitality. Together, we’ll explore personalized nutrition solutions to empower your health.
Many clients face challenges like high blood pressure, prediabetes, digestive discomfort, or sensory sensitivities.
I specialize in brain-body nourishment, supporting mental and physical health through food. I address chronic conditions by targeting root causes with anti-inflammatory food patterns, helping restore balance and promote vitality. Together, we’ll explore personalized nutrition solutions to empower your health.
Sandy is a Registered Dietitian who partners with clients to overcome limiting beliefs and build a positive, sustainable relationship with food. She is passionate about preventing and managing both physical and mental health conditions through individualized, realistic, evidence-based strategies. Using a mindful eating approach, she helps clients find enjoyment in meals despite busy lifestyles. Sandy emphasizes balanced nutrition, regular movement, restorative sleep, and stress management to create a strong foundation for long-term health and well-being.
Sandy is a Registered Dietitian who partners with clients to overcome limiting beliefs and build a positive, sustainable relationship with food. She is passionate about preventing and managing both physical and mental health conditions through individualized, realistic, evidence-based strategies. Using a mindful eating approach, she helps clients find enjoyment in meals despite busy lifestyles. Sandy emphasizes balanced nutrition, regular movement, restorative sleep, and stress management to create a strong foundation for long-term health and well-being.
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.
My approach to working with clients who have multiple complex conditions is to start slow. This helps prevent feeling overwhelmed and optimizes success without compromising your relationship with food. Small, impactful approaches to improving nutrition and lifestyle help to grow confidence and build sustainable habits that improve long-term health.
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.
My approach to working with clients who have multiple complex conditions is to start slow. This helps prevent feeling overwhelmed and optimizes success without compromising your relationship with food. Small, impactful approaches to improving nutrition and lifestyle help to grow confidence and build sustainable habits that improve long-term health.
I love working with clients who are looking ditch diet culture, to redefine what "health" means to them, and to improve their relationship to food and body. But sometimes, the journey toward body acceptance and intuitive eating is complicated. Complex medical issues like autoimmune conditions, food allergies/intolerances, and disordered eating patterns can disrupt the relationship we have to our bodies. Most of my clients are sitting at this intersection, ready to explore a new framework and rebuild trust in their bodies.
I love working with clients who are looking ditch diet culture, to redefine what "health" means to them, and to improve their relationship to food and body. But sometimes, the journey toward body acceptance and intuitive eating is complicated. Complex medical issues like autoimmune conditions, food allergies/intolerances, and disordered eating patterns can disrupt the relationship we have to our bodies. Most of my clients are sitting at this intersection, ready to explore a new framework and rebuild trust in their bodies.
Malou /mah-loo/ sees individuals as experts in their lived experience and believes in their inherent wholeness. They view cultural food and foodways as an integral part of our relationship with self, health, and nature. She identifies as a Filipino/a/x dietitian because it holds cultural, social significance to them and influences their care work. They bring humility to their work, aspiring to cultivate embodied relationships with food and well-being. She is passionate about supporting folks with complex medical concerns and prioritizes a weight-inclusive or fat-positive approach.
Malou /mah-loo/ sees individuals as experts in their lived experience and believes in their inherent wholeness. They view cultural food and foodways as an integral part of our relationship with self, health, and nature. She identifies as a Filipino/a/x dietitian because it holds cultural, social significance to them and influences their care work. They bring humility to their work, aspiring to cultivate embodied relationships with food and well-being. She is passionate about supporting folks with complex medical concerns and prioritizes a weight-inclusive or fat-positive approach.
As both a Sports-, and Eating Disorders Dietitian, I've had the pleasure of helping athletes achieve personal records, recover faster, heal from injuries, and reach new levels of performance, in addition to helping people improve their relationship with food and their body as they navigate recovery from an eating disorder or disordered eating.
As both a Sports-, and Eating Disorders Dietitian, I've had the pleasure of helping athletes achieve personal records, recover faster, heal from injuries, and reach new levels of performance, in addition to helping people improve their relationship with food and their body as they navigate recovery from an eating disorder or disordered eating.
Ashlyn has provided care for a variety of conditions, including but not limited to gastrointestinal diseases such as pancreatitis, IBS, IBD, gastroparesis, liver diseases, GERD, dysphagia and food allergies/intolerances.
Ashlyn understands that physical and mental wellness includes many factors and is here to both support and educate about the role nutrition can play.
Ashlyn has provided care for a variety of conditions, including but not limited to gastrointestinal diseases such as pancreatitis, IBS, IBD, gastroparesis, liver diseases, GERD, dysphagia and food allergies/intolerances.
Ashlyn understands that physical and mental wellness includes many factors and is here to both support and educate about the role nutrition can play.
Gastrointestinal (GI) Nutritionists and Dietitians
What is gut health?
Gut health refers to the overall functioning and well-being of the gastrointestinal (GI) system. Key to gut health is the gut microbiome, which is the collection of healthy bacteria living in the gut. These bacteria are essential for the digestion and breakdown of food, and their health significantly impacts digestion. Poor gut health can result in symptoms such as bloating, gas, diarrhea, constipation, and general abdominal discomfort, which may indicate imbalances or issues with the gut microbiome.
Can diet help with GI issues?
Diet plays a major role in gut health, and changes in diet can often reduce or eliminate some of the symptoms associated with gastrointestinal (GI) issues. Often, GI distress is due to food intolerances or sensitivities, such as gluten sensitivity or lactose intolerance. In these cases, eliminating the problematic foods from the diet can resolve the issue. GI problems can also stem from a combination of environmental or genetic factors, such as in the case of irritable bowel syndrome (IBS). Disruptions in the gut microbiome, such as those caused by taking antibiotics, can also lead to GI issues. In both scenarios, maintaining a balanced diet as much as possible with foods that support a healthy microbiome—such as fruits, vegetables, whole grains, and probiotic foods—can often significantly reduce symptoms and improve gut health.
What are the best foods for gut health?
Maintaining a balanced microbiome is essential for gut health, and this is best achieved through a varied diet rich in fruits, vegetables, and probiotic foods. Fruits and vegetables provide essential nutrients and fiber, which nourish the beneficial bacteria in the gut. Probiotic foods, which are those that contain live bacteria, are also great for gut health. Consuming probiotic foods and drinks, such as yogurt, kefir, kombucha, and tempeh, can help support the microbiome by contributing to the diversity of bacteria within the gut.
When should I see a dietitian for GI issues?
Many people can benefit from seeing a dietitian for GI issues. In general, most dietitians are knowledgeable about what foods support gut health and may help clients choose foods that support a healthy GI system, such as fruits and vegetables high in fiber or foods high in probiotics. Dietitians may be especially beneficial to clients with known gastrointestinal concerns, such as irritable bowel syndrome (IBS) or gastroesophageal reflux disease (GERD). For clients diagnosed with these or similar conditions, dietitians can help clients identify food triggers and develop a meal plan for the client that minimizes symptoms. Dietitians may also work with clients who are having gastrointestinal distress (such as bloating, gas, constipation, diarrhea, etc.) but are not aware of the cause of their symptoms. In such cases, dietitians may be able to help the client identify the cause of the GI distress and coordinate with other medical professionals to help the client better manage their symptoms.