What Dietitians Do: This Dietitian’s “Do’s and Dont’s”

what dietitians do

Friendly counseling

Did you ever wonder what dietitians do for clients or patients? The range of our services is tremendous. We address most aspects of eating and exercise behavior needed to sustain a long-term quality of life. In order to help you understand what a dietitian does and does not do, I present a brief overview below which can better prepare you should you decide to consult with a dietitian. Bear in mind that each dietitian has a unique counseling style, and various areas of strength. For example, I consider myself to be a seasoned generalist, with the following areas of specialization: weight management, gastrointestinal diet therapies, hypertension, type 2 diabetes, cardiac disease, cancer, wellness, and nutritional supplement strategies.

What this dietitian does for you

Dietitians listen

You speak and I listen. By gathering information relating to your diet and lifestyle we are able to launch a realistic food plan tailored to your specific needs. For my practice, this initial information gathering session is a minimum of 2 hours. By the end of the appointment, you will have your own personalized food plan.

Dietitians evaluate

We evaluate your food intake patterns and work on improving them to help you achieve your health and weight goals. Evaluation processes vary from dietitian to dietitian. Most dietitians would like clients/patients to document their food intake. As of this month, I have a new online platform for clients to document their food. This means I can see how you are doing between appointments!

Provide accountability

Often, sticking to a diet and exercise plan requires having someone to oversee it. Dietitians offer this accountability by helping you to monitor your diet and eating behavior on an ongoing basis. That way, it becomes more difficult to put off your healthy lifestyle goals.

Offer support

Starting a new diet or exercise regimen is not an easy process. Dietitians provide encouragement and support. We help you brainstorm ways to keep you on the path to a healthier lifestyle. We have suggestions for how to eat well away from home, eat well when there is no time, eat well when you are not feeling well, and eat well when life gets in the way. Clearly, dietitians play a crucial role in the formulation and maintenance of your diet and exercise plans.

What this dietitian won’t do for you

Create prefabricated cookie cutter food plans

While certain tools such as the new USDA food plate and old food guide pyramid have a place in nutrition education, such tools are not the centerpiece of my counseling. Each client is presented with cutting edge information and individually tailored recommendations.

Write prescriptions

While clinical dietitians generally have significant medical knowledge, they are not physicians and do not prescribe medicine. I may, however, suggest supplements if I find a nutritional gap in your diet based on your food preferences and my monitoring of your diet.

While I have no magic wands, I am confident that in working together, I can help you achieve your goals for a healthier lifestyle. A few examples from my 25 years of nutritional counseling best illustrate this:

  • A physician referred a patient to me who needed to lose 100 pounds in order to undergo a heart transplant. After receiving my nutrition counseling services, the patient lost the 100 pounds, and ultimately no longer required the heart transplant. His significant weight loss allowed for his cardiac enzymes and heart function to return to normal.
  • Hundreds of my patients have had their physicians discontinue certain medications altogether as they have either successfully lost weight or modified their diets to address their specific medical conditions. Although many physicians are frequently surprised at the outcome of medical nutrition therapy, I don’t believe most dietitians are at all surprised because we know counseling and diet therapy are effective!

As you can see, the impact of nutritional consulting can be tremendous. Dietitians are able to do a great deal to help you achieve your diet and exercise goals. Ultimately, this sets you on a path to a healthier lifestyle.

To learn more information on how a dietitian can help you, here’s a video from the Academy of Nutrition and Dietetics. 

Has a dietitian made a difference in your life?


Willpower for Weight Loss?

Many of us view weight loss and diet as a matter of willpower.  We think, “If only I am strong enough and determined, if only I exercise self-control with my diet and exercise, I will be able to maintain a healthier lifestyle and weight.”  Such thinking can be mighty self-limiting, however.  It converts a positive decision- to be healthy- into another reason to feel guilty if willpower isn’t enough.

For this reason, if you are my client, I advocate a different approach. Namely, I believe that willpower is a self-defeating concept when it comes to losing weight or maintaining weight loss.  Instead, I counsel my patients to control their eating environments. By sustaining a “healthy” eating environment, you can also assist in improving your own health and weight. Such an environment means limiting the high calorie and fat foods in your home, so that you are not tempted to succumb to their temptation, which in turn makes willpower at home irrelevant.

Here are a few ideas to get you started on creating a healthy environment:

  • Toss your leftover holiday goodies. If you have trouble pitching them, give them to a skinny friend or bring them to your office. A moment on your lips can result in months on your hips, as the saying goes. Evaluate if it is worth the momentary gratification.
  • Be smart when you do your grocery shopping. Avoid putting high temptation foods in your cart in the first place. Self-control only needs to happen at the grocery store.
  • While avoiding poor food choices, do stock up on lots of health enhancing foods at the grocery store. These healthy foods are your “tools” for successful weight loss. If you are concerned about fresh foods perishing, remember, frozen foods are just as nutrient dense as their fresh counterparts!
  • If you must have some treat-like foods in the house, make sure they are not loaded with calories and fat. There are many desserts available that are pre-packaged and under 150 calories. These lower calorie treats can be great for curbing our sweet tooth.
  • If others in your household just have to have certain high calorie treats in the house, tell them to make them unavailable to you.
  • Lastly, keep undesirable foods off your counter, in hard to reach places, and out of your line of vision if they must be in your household.  Make these food items hard work to get to.

While there are always other eating and dining obstacles to be faced while trying to lose weight and keep ourselves healthy, take a step in the right direction by reducing your reliance on willpower and making your home a healthy eating environment!