Cancer/Oncology Nutritionists and Dietitians in Seattle, WA

Photo of Gretchen Gruender, MS, RDN, CSO, Nutritionist/Dietitian
Gretchen Gruender
Nutritionist/Dietitian, MS, RDN, CSO
Verified Verified
Seattle, WA 98103
Are you ready to make positive changes to your diet but dealing with the effects of a chronic illness or cancer treatment? Find your path to a diet that tastes delicious to you while serving and supporting your unique needs and palate. I support people who are in cancer treatment, cancer survivors, or have diabetes/pre-diabetes, osteoporosis, hyperlipidemia, digestive issues, autoimmune diseases, and other side effects of cancer treatment.
Are you ready to make positive changes to your diet but dealing with the effects of a chronic illness or cancer treatment? Find your path to a diet that tastes delicious to you while serving and supporting your unique needs and palate. I support people who are in cancer treatment, cancer survivors, or have diabetes/pre-diabetes, osteoporosis, hyperlipidemia, digestive issues, autoimmune diseases, and other side effects of cancer treatment.
(206) 222-4406 View (206) 222-4406
Photo of Kate Ueland, MS, RD, CSO, Nutritionist/Dietitian
Kate Ueland
Nutritionist/Dietitian, MS, RD, CSO
Verified Verified
Online Only
Are you confused about the conflicting information on cancer or sports nutrition and just want to feel confident in your choices? Need someone to sort out the fact from fiction and make changes sustainable? If you are ready to talk or make changes, I'm here for you.
Are you confused about the conflicting information on cancer or sports nutrition and just want to feel confident in your choices? Need someone to sort out the fact from fiction and make changes sustainable? If you are ready to talk or make changes, I'm here for you.
(425) 474-5729 View (425) 474-5729
Photo of Alex Gavronsky, MS, RDN, CDN, CNSC, Nutritionist/Dietitian
Alex Gavronsky
Nutritionist/Dietitian, MS, RDN, CDN, CNSC
Verified Verified
4 Endorsed
Seattle, WA 98125
Alex is a board-certified lead dietitian at one of New York's largest hospitals. He started his private practice to improve access to nutritional counseling and build deep, long-term relationships with patients who are managing nutrition-related health conditions. His work focuses on patients with both chronic and acute/severe conditions, ranging from rapid weight change to cancer. Regardless of health reason, Alex strives to always create a kind and caring environment for his patients.
Alex is a board-certified lead dietitian at one of New York's largest hospitals. He started his private practice to improve access to nutritional counseling and build deep, long-term relationships with patients who are managing nutrition-related health conditions. His work focuses on patients with both chronic and acute/severe conditions, ranging from rapid weight change to cancer. Regardless of health reason, Alex strives to always create a kind and caring environment for his patients.
(716) 576-3638 View (716) 576-3638
Photo of Sofia Colantuono, MS, RDN, Nutritionist/Dietitian
Sofia Colantuono
Nutritionist/Dietitian, MS, RDN
Not Verified Not Verified
Seattle, WA 98109
Sofia is a Registered Dietitian Nutritionist specializing in working with adults and adolescents with Eating Disorders, Disordered Eating, Digestive issues (IBS, IBD, Low FODMAP), Hormonal Imbalances (PCOS, etc.), and interested in Sports Nutrition. Sofia is passionate about helping others build a positive relationship with food and their bodies. Nutrition is not one-size-fits all, and Sofia believes in the importance of having a client-centered approach and providing personalized nutrition care. Her past experiences have driven her desire to help others reach lifestyle changes in a sustainable and practical way.
Sofia is a Registered Dietitian Nutritionist specializing in working with adults and adolescents with Eating Disorders, Disordered Eating, Digestive issues (IBS, IBD, Low FODMAP), Hormonal Imbalances (PCOS, etc.), and interested in Sports Nutrition. Sofia is passionate about helping others build a positive relationship with food and their bodies. Nutrition is not one-size-fits all, and Sofia believes in the importance of having a client-centered approach and providing personalized nutrition care. Her past experiences have driven her desire to help others reach lifestyle changes in a sustainable and practical way.
(206) 590-4794 View (206) 590-4794
Photo of Nicole Thelan - Experience Momentum , MS, RDN, CD, Nutritionist/Dietitian
Experience Momentum
Nutritionist/Dietitian, MS, RDN, CD
Verified Verified
Seattle, WA 98103
As weight-neutral providers, we understand that food is social, emotional, and cultural. One way of eating doesn’t fit all, and knowing which foods optimally fuel your body is complex. Our goal is to empower you with nutritional education, support, and strategy so you can live the life you choose.
As weight-neutral providers, we understand that food is social, emotional, and cultural. One way of eating doesn’t fit all, and knowing which foods optimally fuel your body is complex. Our goal is to empower you with nutritional education, support, and strategy so you can live the life you choose.
(206) 278-1909 View (206) 278-1909
Photo of Mindy Antimie, MS, RDN, Nutritionist/Dietitian
Mindy Antimie
Nutritionist/Dietitian, MS, RDN
Verified Verified
Online Only
There are so many narratives telling you how to eat, what to eat, and when to eat. You may feel overwhelmed and stuck in a cycle of dieting, only to find yourself once again deprived, unhappy, and confused. You may be feeling overwhelmed with a health condition and unsure how to best use nutrition to support yourself.
There are so many narratives telling you how to eat, what to eat, and when to eat. You may feel overwhelmed and stuck in a cycle of dieting, only to find yourself once again deprived, unhappy, and confused. You may be feeling overwhelmed with a health condition and unsure how to best use nutrition to support yourself.
(425) 600-5751 View (425) 600-5751
Photo of Beve Kindblade - Seattle Nutrition - Beve Kindblade Consulting, MS, RDN, CD, Nutritionist/Dietitian
Seattle Nutrition - Beve Kindblade Consulting
Nutritionist/Dietitian, MS, RDN, CD
Verified Verified
Online Only
Experience counts! Why trust your nutritional health to just anyone? Private practice offers a unique opportunity to discuss your health and wellness goals; any medical issues; and evaluate your latest labs (or any labs needed) to see how you are digesting and absorbing nutrients from your diet and supplements. Beve will create a customized Nutrition Care Plan for you. Tired? Sleep issues? Weight changes? Let's find out "why?" Combining the best of traditional medicine with a natural health approach has been Beve's intention and purpose with clients for more than 32 years. Seattle Nutrition - the missing L-I-N-K in your healthcare.
Experience counts! Why trust your nutritional health to just anyone? Private practice offers a unique opportunity to discuss your health and wellness goals; any medical issues; and evaluate your latest labs (or any labs needed) to see how you are digesting and absorbing nutrients from your diet and supplements. Beve will create a customized Nutrition Care Plan for you. Tired? Sleep issues? Weight changes? Let's find out "why?" Combining the best of traditional medicine with a natural health approach has been Beve's intention and purpose with clients for more than 32 years. Seattle Nutrition - the missing L-I-N-K in your healthcare.
(206) 745-0525 View (206) 745-0525
Photo of Roja Babaei, CNS, CN, LDN, Nutritionist/Dietitian
Roja Babaei
Nutritionist/Dietitian, CNS, CN, LDN
Verified Verified
Online Only
Hi, I’m Roja Babaei, Certified Nutrition Specialist (CNS), Certified Nutritionist (CN), Licensed Dietitian Nutritionist (LDN), a founder of Roja Nutritionist LLC, a health enthusiast and a graduate with a Master of Nutrition and Integrative Health graduate from Maryland University of Integrative Health. I already have over three years of experience. I have completed my post graduate practice experience and earned my CNS credential. In my clinical practice, I engage with clients suffering from many different diseases and I helped them change their nutrition habits to achieve their optimal health.
Hi, I’m Roja Babaei, Certified Nutrition Specialist (CNS), Certified Nutritionist (CN), Licensed Dietitian Nutritionist (LDN), a founder of Roja Nutritionist LLC, a health enthusiast and a graduate with a Master of Nutrition and Integrative Health graduate from Maryland University of Integrative Health. I already have over three years of experience. I have completed my post graduate practice experience and earned my CNS credential. In my clinical practice, I engage with clients suffering from many different diseases and I helped them change their nutrition habits to achieve their optimal health.
(206) 495-4785 View (206) 495-4785
Photo of Caitlin Sloane, MS, RDN, CD, CIEC, Nutritionist/Dietitian
Caitlin Sloane
Nutritionist/Dietitian, MS, RDN, CD, CIEC
Verified Verified
Online Only
Waitlist for new clients
My clients want to focus on their nutrition concerns (disordered eating, digestive health, type 1 and type 2 diabetes, autoimmune, fertility, and more) with a dietitian who values quality of life and a healthy relationship to food and body, rather than calorie counting and weight loss. You have a clear motivation for change, and are willing to be creative and open minded in your approach to managing your nutrition. I provide gentle and affirming guidance and with compassion and patience, encourage my clients to pursue their nutrition goals.
My clients want to focus on their nutrition concerns (disordered eating, digestive health, type 1 and type 2 diabetes, autoimmune, fertility, and more) with a dietitian who values quality of life and a healthy relationship to food and body, rather than calorie counting and weight loss. You have a clear motivation for change, and are willing to be creative and open minded in your approach to managing your nutrition. I provide gentle and affirming guidance and with compassion and patience, encourage my clients to pursue their nutrition goals.
(503) 213-4510 View (503) 213-4510
Photo of Hannah Robinson - Ridgeline Nutrition; Hannah Robinson , MS, CD, RDN, Nutritionist/Dietitian
Ridgeline Nutrition; Hannah Robinson
Nutritionist/Dietitian, MS, CD, RDN
Verified Verified
Online Only
I am dedicated to providing individualized integrative nutrition therapy with a holistic lens. Through my experience, I have fine-tuned my focus areas towards gastrointestinal disorders, autoimmune conditions, sports nutrition, intuitive eating and disease prevention. At times navigating these issues can be incredibly overwhelming, I take the time to work through identifying the puzzle pieces to help you get back on track and feeling like yourself again.
I am dedicated to providing individualized integrative nutrition therapy with a holistic lens. Through my experience, I have fine-tuned my focus areas towards gastrointestinal disorders, autoimmune conditions, sports nutrition, intuitive eating and disease prevention. At times navigating these issues can be incredibly overwhelming, I take the time to work through identifying the puzzle pieces to help you get back on track and feeling like yourself again.
(360) 395-9757 View (360) 395-9757
Photo of Erika Weber - Erika Weber | Cultivated Nutrition, MS, RD, CD, Nutritionist/Dietitian
Erika Weber | Cultivated Nutrition
Nutritionist/Dietitian, MS, RD, CD
Verified Verified
Online Only
Hi there! I'm Erika, a registered dietitian offering virtual nutrition counseling using a non-diet, weight-inclusive approach. I help individuals nourish their bodies for fertility, during pregnancy, and postpartum as well as provide support for feeding little ones, from babies to older kids. I'm here to guide you and your family in learning to nourish your body without guilt or dieting. I provide nutrition counseling that's personalized to you and will meet you wherever you're at. I offer virtual nutrition counseling nationwide so you never have to leave the comfort of your home!
Hi there! I'm Erika, a registered dietitian offering virtual nutrition counseling using a non-diet, weight-inclusive approach. I help individuals nourish their bodies for fertility, during pregnancy, and postpartum as well as provide support for feeding little ones, from babies to older kids. I'm here to guide you and your family in learning to nourish your body without guilt or dieting. I provide nutrition counseling that's personalized to you and will meet you wherever you're at. I offer virtual nutrition counseling nationwide so you never have to leave the comfort of your home!
(206) 395-9020 View (206) 395-9020
Photo of Heather K Nakamura, MPE, MS, RDN, CLT, IFNCP, Nutritionist/Dietitian
Heather K Nakamura
Nutritionist/Dietitian, MPE, MS, RDN, CLT, IFNCP
Verified Verified
Online Only
"I know what I should be doing... I just don't do it". If you've ever said that about your weight loss, sports nutrition or wellness goals, then you're just like the clients I work with everyday. They have great intentions to lose weight, get fit, and improve their health, but struggle to find the time, energy and motivation to make it a priority. They've tried strict diets, joined numerous exercise programs, and set unrealistic goals - only to experience frustration and failure.
"I know what I should be doing... I just don't do it". If you've ever said that about your weight loss, sports nutrition or wellness goals, then you're just like the clients I work with everyday. They have great intentions to lose weight, get fit, and improve their health, but struggle to find the time, energy and motivation to make it a priority. They've tried strict diets, joined numerous exercise programs, and set unrealistic goals - only to experience frustration and failure.
(206) 429-4134 View (206) 429-4134
Photo of Emmy Bright, MS, RDN, CD, LDN, Nutritionist/Dietitian
Emmy Bright
Nutritionist/Dietitian, MS, RDN, CD, LDN
Verified Verified
Seattle, WA 98101
Hi there! I'm Emmy Bright, a Registered Dietitian and Certified Intuitive Eating Counselor with a weight-neutral and non-diet approach to nutrition & health. I specialize in providing HAES-based medical nutrition therapy for chronic conditions including GI Disorders (IBS, Celiac, GERD, & many more), Thyroid Disorders, PCOS, Diabetes, Heart Health, Pregnancy, Menopause, Vegan/Vegetarian Diets, Food Allergies, and Autoimmune Conditions. I also specialize in working with clients who have or have had Disordered Eating, Body Image Issues, Chronic Dieting, and/or Eating Disorders (binge eating, anorexia, bulimia, ARFID).
Hi there! I'm Emmy Bright, a Registered Dietitian and Certified Intuitive Eating Counselor with a weight-neutral and non-diet approach to nutrition & health. I specialize in providing HAES-based medical nutrition therapy for chronic conditions including GI Disorders (IBS, Celiac, GERD, & many more), Thyroid Disorders, PCOS, Diabetes, Heart Health, Pregnancy, Menopause, Vegan/Vegetarian Diets, Food Allergies, and Autoimmune Conditions. I also specialize in working with clients who have or have had Disordered Eating, Body Image Issues, Chronic Dieting, and/or Eating Disorders (binge eating, anorexia, bulimia, ARFID).
(608) 535-6692 View (608) 535-6692
Photo of Jody Halouska, RD, LDN, CDCES, Nutritionist/Dietitian
Jody Halouska
Nutritionist/Dietitian, RD, LDN, CDCES
Verified Verified
Online Only
Jody is a passionate advocate for health, wellness, and feeling your best. Jody is committed to empowering individuals to make positive and sustainable lifestyle changes. Jody strives to provide personalized guidance to help clients achieve their health goals and create a harmonious relationship with food. Recognizing that each individual's relationship with food is unique, Jody works to create a supportive and non-judgmental environment where clients feel empowered to explore their dietary preferences, navigate challenges and cultivate sustainable habits that align with their goals and values.
Jody is a passionate advocate for health, wellness, and feeling your best. Jody is committed to empowering individuals to make positive and sustainable lifestyle changes. Jody strives to provide personalized guidance to help clients achieve their health goals and create a harmonious relationship with food. Recognizing that each individual's relationship with food is unique, Jody works to create a supportive and non-judgmental environment where clients feel empowered to explore their dietary preferences, navigate challenges and cultivate sustainable habits that align with their goals and values.
(872) 259-7074 View (872) 259-7074
Photo of Kristin Paver, RDN, LDN, Nutritionist/Dietitian
Kristin Paver
Nutritionist/Dietitian, RDN, LDN
Verified Verified
Online Only
As a dedicated and compassionate dietitian, Kristin specializes in helping her clients achieve their health and wellness goals through personalized nutrition and lifestyle changes. With a deep understanding that each individual’s dietary needs are unique, she tailors her approach to suit her client’s specific lifestyle, health conditions and goals. Kristin focuses on promoting intuitive eating and fostering a positive relationship with food, helping her clients to listen to their body’s cues and develop a more balanced and mindful approach to eating.
As a dedicated and compassionate dietitian, Kristin specializes in helping her clients achieve their health and wellness goals through personalized nutrition and lifestyle changes. With a deep understanding that each individual’s dietary needs are unique, she tailors her approach to suit her client’s specific lifestyle, health conditions and goals. Kristin focuses on promoting intuitive eating and fostering a positive relationship with food, helping her clients to listen to their body’s cues and develop a more balanced and mindful approach to eating.
(310) 340-7226 View (310) 340-7226

More Dietitians and Nutritionists Nearby

Photo of Julia Sangeetha Marnadi - Aligned Nutrition LLC, RDN, CD, CNSC, Nutritionist/Dietitian
Aligned Nutrition LLC
Nutritionist/Dietitian, RDN, CD, CNSC
Verified Verified
Redmond, WA 98053
My primary areas of specialties include intuitive eating, diabetes, heart health, Non-alcoholic Fatty Liver Disease (NAFLD) and cancer.
Are you trying to optimize your health with good nutrition but overwhelmed with nutrition information coming from multiple outlets? I provide evidence-based, and evidence driven nutrition advice and help clarify facts versus gimmicks. Over the past 12 years, I have been practicing nutrition and have seen firsthand how small changes can positively impact health and overall well-being. I strongly believe one size does not fit all and will provide a customized nutrition plan based on assessing your health history, lab work, eating habits and lifestyle.
My primary areas of specialties include intuitive eating, diabetes, heart health, Non-alcoholic Fatty Liver Disease (NAFLD) and cancer.
Are you trying to optimize your health with good nutrition but overwhelmed with nutrition information coming from multiple outlets? I provide evidence-based, and evidence driven nutrition advice and help clarify facts versus gimmicks. Over the past 12 years, I have been practicing nutrition and have seen firsthand how small changes can positively impact health and overall well-being. I strongly believe one size does not fit all and will provide a customized nutrition plan based on assessing your health history, lab work, eating habits and lifestyle.
(425) 399-7356 View (425) 399-7356
Photo of Olivia Love, RDN, CD, Nutritionist/Dietitian
Olivia Love
Nutritionist/Dietitian, RDN, CD
Verified Verified
1 Endorsed
Edmonds, WA 98020
Having worked in both diabetes education centers and cancer institutes, as well as having family members of my own whom have struggled with these conditions, I have witnessed the incredible difference food can make in people's lives!.
Whether life has just presented you with a new health concern, you are looking to rekindle your relationship with food, or anywhere in between, I am here to help! There are many factors to consider when striving to live well, and they can understandably lead to frustration. Eating is something we are biologically required to do, so why not make it a positive experience? My goal is to provide you with tools to help you feel empowered in nourishing your body on a daily basis. I prioritize bringing both balance and variety onto the plates of my clients.
Having worked in both diabetes education centers and cancer institutes, as well as having family members of my own whom have struggled with these conditions, I have witnessed the incredible difference food can make in people's lives!.
Whether life has just presented you with a new health concern, you are looking to rekindle your relationship with food, or anywhere in between, I am here to help! There are many factors to consider when striving to live well, and they can understandably lead to frustration. Eating is something we are biologically required to do, so why not make it a positive experience? My goal is to provide you with tools to help you feel empowered in nourishing your body on a daily basis. I prioritize bringing both balance and variety onto the plates of my clients.
(425) 399-8905 View (425) 399-8905
Photo of Karl Mincin, BS, MS, Nutritionist/Dietitian
Karl Mincin
Nutritionist/Dietitian, BS, MS
Verified Verified
Everett, WA 98206
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.
(360) 228-2882 View (360) 228-2882
Photo of Jessica Michelle Coghill, MS, CNS, Nutritionist/Dietitian
Jessica Michelle Coghill
Nutritionist/Dietitian, MS, CNS
Verified Verified
Sammamish, WA 98074
90% of health conditions and diseases can be prevented by proper nutrition and lifestyle modifications. Not only does management and prevention of chronic health conditions improve the quality and satisfaction of living, it also adds years and saves money later in life. The sooner you take the steps to a healthier life, the sooner you’ll feel better, happier, more energized, and more confident about your appearance. I’m here to help you set the foundation of a more fulfilling life you can enjoy with family and friends in years to come!
90% of health conditions and diseases can be prevented by proper nutrition and lifestyle modifications. Not only does management and prevention of chronic health conditions improve the quality and satisfaction of living, it also adds years and saves money later in life. The sooner you take the steps to a healthier life, the sooner you’ll feel better, happier, more energized, and more confident about your appearance. I’m here to help you set the foundation of a more fulfilling life you can enjoy with family and friends in years to come!
(425) 585-2870 View (425) 585-2870
Photo of Maria Isabel Ramirez, MS, CN, Nutritionist/Dietitian
Maria Isabel Ramirez
Nutritionist/Dietitian, MS, CN
Verified Verified
Online Only
Are you tired of following diet after diet? Taking pill after pill and not seeing any results? Are you still feeling unwell, sluggish, imbalanced, constipated, bloated? I understand the challenges you may be facing with chronic diseases like diabetes, heart diseases, or even obesity, and I want you to know that you are not alone. We address your health issues with empathy and understanding. We know that making changes can feel stressful, but we are here to support you every step of the way. Our comprehensive approach is designed to meet you where you are and help you navigate the path to better health with compassion and care.
Are you tired of following diet after diet? Taking pill after pill and not seeing any results? Are you still feeling unwell, sluggish, imbalanced, constipated, bloated? I understand the challenges you may be facing with chronic diseases like diabetes, heart diseases, or even obesity, and I want you to know that you are not alone. We address your health issues with empathy and understanding. We know that making changes can feel stressful, but we are here to support you every step of the way. Our comprehensive approach is designed to meet you where you are and help you navigate the path to better health with compassion and care.
(206) 457-1558 View (206) 457-1558
Cancer/Oncology Nutritionists and Dietitians

Why is nutrition important for cancer treatment?

Nutrition can play a key role in cancer treatment. The symptoms of cancer and its treatments—such as nausea, vomiting, and loss of appetite—can lead to malnutrition, resulting in weight loss and potential nutrient deficiencies. This can hinder the patient's ability to combat cancer and respond effectively to treatment. Therefore, ensuring sufficient caloric intake is critical and may require specific dietary strategies to ensure high-enough caloric and protein intake. This might involve the consumption of high-calorie foods and beverages. In some cases, tube feeding may be required to ensure the patient receives sufficient calories during the cancer treatment process.

Can diet help prevent cancer?

Diet is a significant lifestyle factor that research has shown to influence the risk of certain cancers. One of the strongest links is between obesity and cancer, with about 4-8% of cancers being related to obesity. Specifically, breast, colorectal, esophageal, pancreatic, kidney, and liver cancers are most strongly associated with obesity. Thus, maintaining a healthy diet that prevents obesity can be highly effective in reducing the risk of these cancers. Other than obesity, certain foods, such as processed meats, have been linked to colorectal cancer specifically. In general, lifestyle modifications that lower the risk of other chronic diseases, such as consuming a primarily plant-based diet and getting enough exercise, are also highly effective habits in reducing the risk of developing cancer.

Can cancer be cured with proper nutrition?

While there is no evidence to suggest that nutrition alone can cure cancer, a proper diet can be a crucial component of successful treatment for certain types of cancer. For cancers linked to obesity, weight loss through a healthy diet can lead to more positive treatment outcomes. Even for cancers not related to obesity, diet can still play a significant role by influencing the effectiveness of certain cancer treatments, such as chemotherapy. Most experts recommend that cancer patients focus on eating enough to prevent malnutrition, as maintaining sufficient strength is vital for the body to effectively combat cancer and respond to therapies such as chemotherapy. Thus, while nutrition is not a cure, it is an important part of the cancer recovery process.

What role does a dietitian play in a cancer patient's care team?

Because diet plays a significant role in the successful treatment of cancer, either through lifestyle modification or through the prevention of malnutrition, dietitians can be a crucial member of a cancer patient's care team. Dietitians who specialize in working with cancer patients often have a deep understanding of how certain cancer treatments, such as chemotherapy and radiation, can impact a patient's ability to meet their nutritional needs. They can thus assist patients in developing nutrition strategies that help alleviate common cancer treatment symptoms like nausea and vomiting. For patients with cancers linked to obesity, dietitians can suggest lifestyle modification strategies that aid in both the treatment process and lead to lasting positive changes after treatment.