Nutritionists and Dietitians in Pelham, NH

Photo of Belinda Lazzaro, MHR, RD, CPT, Nutritionist/Dietitian
Belinda Lazzaro
Nutritionist/Dietitian, MHR, RD, CPT
Verified Verified
Pelham, NH 03076
People meet with me for many reasons. Some are tired of the weight loss roller coaster. Some want to change their body composition. Some have a new diagnose of diabetes or high cholesterol. Many of my clients will tell you that they were nervous in the beginning. They thought I would take all of their favorite foods away. After one visit, however, they felt relieved, understood, and confident. To begin, we'll discuss your goals and challenges, and develop a weight loss plan that works with your lifestyle. Then you will receive ongoing support to keep you motivated and ensure you reach your goals.
People meet with me for many reasons. Some are tired of the weight loss roller coaster. Some want to change their body composition. Some have a new diagnose of diabetes or high cholesterol. Many of my clients will tell you that they were nervous in the beginning. They thought I would take all of their favorite foods away. After one visit, however, they felt relieved, understood, and confident. To begin, we'll discuss your goals and challenges, and develop a weight loss plan that works with your lifestyle. Then you will receive ongoing support to keep you motivated and ensure you reach your goals.
(603) 691-2778 View (603) 691-2778

More Dietitians and Nutritionists Nearby

Photo of Samantha DeMello, RD, LD, in RI, NH, MA, Nutritionist/Dietitian
Samantha DeMello
Nutritionist/Dietitian, RD, LD, in RI, NH, MA
Verified Verified
Bedford, NH 03110
I believe that everyone deserves to have a basic understanding of nutrition, and my goal is to help clients meet their individual nutritional needs and set realistic, achievable goals. I understand that improving health is about more than just “knowing what to do,” and that seeing me is often not your first step towards better health. Part of working with me is identifying and helping you overcome past and present obstacles in order to create lasting lifestyle changes.
I believe that everyone deserves to have a basic understanding of nutrition, and my goal is to help clients meet their individual nutritional needs and set realistic, achievable goals. I understand that improving health is about more than just “knowing what to do,” and that seeing me is often not your first step towards better health. Part of working with me is identifying and helping you overcome past and present obstacles in order to create lasting lifestyle changes.
(401) 594-4603 View (401) 594-4603
Photo of Emily Dunkley, MS, RD, LD, CPT, Nutritionist/Dietitian
Emily Dunkley
Nutritionist/Dietitian, MS, RD, LD, CPT
Verified Verified
Manchester, NH 03101
I work with a variety of patients, ranging from those who would just like general nutrition guidance to those struggling with multiple chronic conditions. Ideally, patients coming to see me are motivated to get started on their journey to wellness, but need additional guidance and accountability. I love to help people feel their best while still doing and eating what they love!
I work with a variety of patients, ranging from those who would just like general nutrition guidance to those struggling with multiple chronic conditions. Ideally, patients coming to see me are motivated to get started on their journey to wellness, but need additional guidance and accountability. I love to help people feel their best while still doing and eating what they love!
(888) 249-3184 View (888) 249-3184
Photo of Jessica T. Monroe, PhD, RD, LD, Nutritionist/Dietitian
Jessica T. Monroe
Nutritionist/Dietitian, PhD, RD, LD
Verified Verified
Bedford, NH 03110
Do you want to optimize your fertility to conceive naturally or support your fertility treatment? Are you newly pregnant and want guidance on what's best for you and your baby? Did you recently give birth and want support in your own health goals? Nutrition and lifestyle habits all play a key role in ensuring that you have a healthy pregnancy and healthy baby. Nutrition can also aid in healing after birth and help support breastfeeding (if you choose) among other health goals you may have after becoming a mother. I focus on an evidence-based, food first approach to nutrition and have a passion for helping moms-to-be and new moms.
Do you want to optimize your fertility to conceive naturally or support your fertility treatment? Are you newly pregnant and want guidance on what's best for you and your baby? Did you recently give birth and want support in your own health goals? Nutrition and lifestyle habits all play a key role in ensuring that you have a healthy pregnancy and healthy baby. Nutrition can also aid in healing after birth and help support breastfeeding (if you choose) among other health goals you may have after becoming a mother. I focus on an evidence-based, food first approach to nutrition and have a passion for helping moms-to-be and new moms.
(603) 605-1394 View (603) 605-1394
Photo of Christin Saucier - Monadnock Nutrition Services, LLC, RDN, LDN, Nutritionist/Dietitian
Monadnock Nutrition Services, LLC
Nutritionist/Dietitian, RDN, LDN
Verified Verified
Amherst, NH 03031
​Monadnock Nutrition Services, LLC provides individualized nutrition consulting both in-person and virtually. We take a non-diet, weight-inclusive, Health At Every Size approach to our belief that all bodies are good bodies. We work with our clients' unique personal experiences to help them improve their health and make peace with food.
​Monadnock Nutrition Services, LLC provides individualized nutrition consulting both in-person and virtually. We take a non-diet, weight-inclusive, Health At Every Size approach to our belief that all bodies are good bodies. We work with our clients' unique personal experiences to help them improve their health and make peace with food.
(833) 796-2558 View (833) 796-2558
Photo of Marcia Nelson, MS, RD, CSSD, Nutritionist/Dietitian
Marcia Nelson
Nutritionist/Dietitian, MS, RD, CSSD
Verified Verified
Manchester, NH 03101
I am a Sports Dietitian and Eating Disorder Dietitian. I find joy in helping athletes to fuel their bodies for performance as opposed to a body size. I specialize in assessing and addressing symptoms of RED-S and Low Energy Availability. I work with athletes with nutrition for post-injury recovery. I work with clients to discover the skills necessary to navigate the world of diet culture through a non-diet approach. I aim to provide a supportive and listening environment for those with eating disorders/disordered eating in finding nourishment, joy, and peace with food through the Health at Every Size philosophy.
I am a Sports Dietitian and Eating Disorder Dietitian. I find joy in helping athletes to fuel their bodies for performance as opposed to a body size. I specialize in assessing and addressing symptoms of RED-S and Low Energy Availability. I work with athletes with nutrition for post-injury recovery. I work with clients to discover the skills necessary to navigate the world of diet culture through a non-diet approach. I aim to provide a supportive and listening environment for those with eating disorders/disordered eating in finding nourishment, joy, and peace with food through the Health at Every Size philosophy.
(781) 738-6901 View (781) 738-6901
Photo of Jessica Roy - Waverley Oaks Nutrition Services, MS, RDN, LDN, Nutritionist/Dietitian
Waverley Oaks Nutrition Services
Nutritionist/Dietitian, MS, RDN, LDN
Verified Verified
Nashua, NH 03060
At Waverley Oaks Nutrition Services, we work with our community to help you improve your health and reach your goals. Our team of Registered Dietitians will take the time to understand where you are right now in terms of your lifestyle and diet to create an individualized plan to help achieve results.
At Waverley Oaks Nutrition Services, we work with our community to help you improve your health and reach your goals. Our team of Registered Dietitians will take the time to understand where you are right now in terms of your lifestyle and diet to create an individualized plan to help achieve results.
(781) 746-6655 View (781) 746-6655
Photo of Chloe Giraldi, MS, RD,  LDN, Nutritionist/Dietitian
Chloe Giraldi
Nutritionist/Dietitian, MS, RD, LDN
Verified Verified
Merrimack, NH 03054  (Online Only)
I specialize in helping clients with their relationship with food, including athletes looking to enhance performance. My focus is on treating eating disorders, disordered eating, and chronic or yo-yo dieting. I also address food-related concerns linked to anxiety, depression, or body image issues. Clients seek my guidance for balancing nutrition in daily life and transitioning from competitive sports. If you've experienced challenges like irregular menstrual cycles, low energy, or frequent injuries, my goal is to assist you in maintaining sustained energy, enhancing performance, and developing a healthy relationship with food.
I specialize in helping clients with their relationship with food, including athletes looking to enhance performance. My focus is on treating eating disorders, disordered eating, and chronic or yo-yo dieting. I also address food-related concerns linked to anxiety, depression, or body image issues. Clients seek my guidance for balancing nutrition in daily life and transitioning from competitive sports. If you've experienced challenges like irregular menstrual cycles, low energy, or frequent injuries, my goal is to assist you in maintaining sustained energy, enhancing performance, and developing a healthy relationship with food.
(844) 443-9093 View (844) 443-9093
Photo of Carrie Lyons, MS, RD, LD, Nutritionist/Dietitian
Carrie Lyons
Nutritionist/Dietitian, MS, RD, LD
Verified Verified
Bedford, NH 03110
The help that you need to reach your health goals is highly individualized. There is no one-size-fits-all approach to nutrition. I provide the professional guidance and support that you need to set realistic and attainable health goals for yourself, and give you the right tools to make successful and lasting lifestyle changes.
The help that you need to reach your health goals is highly individualized. There is no one-size-fits-all approach to nutrition. I provide the professional guidance and support that you need to set realistic and attainable health goals for yourself, and give you the right tools to make successful and lasting lifestyle changes.
(888) 964-1975 View (888) 964-1975
Photo of Natallia Lambrecht, MS, CNS, LDN, Nutritionist/Dietitian
Natallia Lambrecht
Nutritionist/Dietitian, MS, CNS, LDN
Verified Verified
Nashua, NH 03060  (Online Only)
“ I have tried everything and nothing seems to work.” I hear this often from individuals who are frustrated with stubborn weight gain, fatigue, insomnia, mood swings, food cravings, or chronic digestive problems. These challenges can make every day feel like an uphill battle. I want to tell you that it doesn’t have to be this way. You are not broken. Your body is not failing you. Your body is an intelligent organism designed with an inherent ability to heal and self-regulate. You need to get to the bottom of the problem and do the work that will bring your body back to balance.
“ I have tried everything and nothing seems to work.” I hear this often from individuals who are frustrated with stubborn weight gain, fatigue, insomnia, mood swings, food cravings, or chronic digestive problems. These challenges can make every day feel like an uphill battle. I want to tell you that it doesn’t have to be this way. You are not broken. Your body is not failing you. Your body is an intelligent organism designed with an inherent ability to heal and self-regulate. You need to get to the bottom of the problem and do the work that will bring your body back to balance.
(833) 452-2057 View (833) 452-2057
Photo of Gwen G Johnson, RD, LDN, Nutritionist/Dietitian
Gwen G Johnson
Nutritionist/Dietitian, RD, LDN
Verified Verified
Hollis, NH 03049
Gwen is a Registered Dietitian with over 25 years of experience in the field of Nutrition and the owner of Sage Nutrition Solutions. She is a Licensed Dietitian Nutritionist in both Massachusetts and New Hampshire. Gwen is an advocate of balanced nutrition and has an all foods can fit into a healthy lifestyle philosophy. Using a science-based, individualized approach, Gwen's nutritional counseling, support, and guidance will help you manage your overall health, prevent and treat new or chronic conditions, optimize exercise performance, and build a healthy relationship with food and body.
Gwen is a Registered Dietitian with over 25 years of experience in the field of Nutrition and the owner of Sage Nutrition Solutions. She is a Licensed Dietitian Nutritionist in both Massachusetts and New Hampshire. Gwen is an advocate of balanced nutrition and has an all foods can fit into a healthy lifestyle philosophy. Using a science-based, individualized approach, Gwen's nutritional counseling, support, and guidance will help you manage your overall health, prevent and treat new or chronic conditions, optimize exercise performance, and build a healthy relationship with food and body.
(978) 581-1903 View (978) 581-1903
Photo of Keirra Bartley, MS, RD, LN, Nutritionist/Dietitian
Keirra Bartley
Nutritionist/Dietitian, MS, RD, LN
Verified Verified
Manchester, NH 03101
Nutrition noise is loud. We are constantly inundated with messages around what to eat and how to move. I believe our bodies are wise and know a lot better than those external messages. I see clients with disordered eating and eating disorders who wish to develop a more attuned, kind relationship to their bodies through food and movement.
Nutrition noise is loud. We are constantly inundated with messages around what to eat and how to move. I believe our bodies are wise and know a lot better than those external messages. I see clients with disordered eating and eating disorders who wish to develop a more attuned, kind relationship to their bodies through food and movement.
(406) 732-6108 View (406) 732-6108
Photo of Laura Ascenzi, RDN, LDN, CSSD, CPT, Nutritionist/Dietitian
Laura Ascenzi
Nutritionist/Dietitian, RDN, LDN, CSSD, CPT
Verified Verified
Bedford, NH 03110
Do you feel confused when you read conflicting nutrition-related articles? There is so much misinformation when it comes to wellness, and nutrition is not one size fits all. I believe that the missing link between a temporary change and a lifestyle change is education, behavior modification, and support and guidance. Are you ready to take that first step to learn how to eat to help you reach (and maintain) a healthy weight AND decrease inflammation - the precursor of chronic disease? Are you interested in learning how to fuel your body properly to improve your athletic performance? If this sounds like you, I can help you.
Do you feel confused when you read conflicting nutrition-related articles? There is so much misinformation when it comes to wellness, and nutrition is not one size fits all. I believe that the missing link between a temporary change and a lifestyle change is education, behavior modification, and support and guidance. Are you ready to take that first step to learn how to eat to help you reach (and maintain) a healthy weight AND decrease inflammation - the precursor of chronic disease? Are you interested in learning how to fuel your body properly to improve your athletic performance? If this sounds like you, I can help you.
(833) 604-2105 View (833) 604-2105
Photo of Emily Pollard, RDN, Nutritionist/Dietitian
Emily Pollard
Nutritionist/Dietitian, RDN
Verified Verified
Amherst, NH 03031  (Online Only)
In my practice, Eats with Emily, I help women identify and address the root causes of their gut and skin problems through the power of functional medicine. I leverage functional labs, your symptoms and history, diet, and lifestyle to create a unique action plan that allows you to get back to enjoying food again and living without the stress of unwanted symptoms. I offer a 4-month fully virtual, high tough program that allows us to dig into your root causes, create a personalized plan for healing and set the foundation for on-going wellness.
In my practice, Eats with Emily, I help women identify and address the root causes of their gut and skin problems through the power of functional medicine. I leverage functional labs, your symptoms and history, diet, and lifestyle to create a unique action plan that allows you to get back to enjoying food again and living without the stress of unwanted symptoms. I offer a 4-month fully virtual, high tough program that allows us to dig into your root causes, create a personalized plan for healing and set the foundation for on-going wellness.
(646) 770-3054 View (646) 770-3054
Photo of Kelli Borgman - Inner Path Nutrition, RDN, CD, Nutritionist/Dietitian
Inner Path Nutrition
Nutritionist/Dietitian, RDN, CD
Verified Verified
Manchester, NH 03101
Helping you build a firm feeding and nutrition foundation for life! Integrative and practical nutrition education and tools for your extremely picky eater. Our approach is rooted in philosophies of responsive feeding, neuro-diversity affirming and trauma-informed health care. It is also informed by our own journeys as caregivers and humans that have struggled with the ups and downs of physical and mental health challenges. Our goal is to act in the best interests of clients at all times by infusing our assessments, recommendations, and counseling with the latest nutrition science, including functional and integrative approaches.
Helping you build a firm feeding and nutrition foundation for life! Integrative and practical nutrition education and tools for your extremely picky eater. Our approach is rooted in philosophies of responsive feeding, neuro-diversity affirming and trauma-informed health care. It is also informed by our own journeys as caregivers and humans that have struggled with the ups and downs of physical and mental health challenges. Our goal is to act in the best interests of clients at all times by infusing our assessments, recommendations, and counseling with the latest nutrition science, including functional and integrative approaches.
(802) 328-9971 View (802) 328-9971
Photo of Emily Parker, RD, Nutritionist/Dietitian
Emily Parker
Nutritionist/Dietitian, RD
Verified Verified
Nashua, NH 03062
Not accepting new clients
I have been a licensed dietitian for over a year now and have worked in clinical and wellness settings. I enjoy building positive relationships with my clients and providing them with a unique and realistic plan that meets their nutritional needs. I have experience working with a variety of individuals with cardiovascular disease, allergies/intolerances, GI disorders, diabetes, autoimmune disorders/diseases, sports performance, and weight management.
I have been a licensed dietitian for over a year now and have worked in clinical and wellness settings. I enjoy building positive relationships with my clients and providing them with a unique and realistic plan that meets their nutritional needs. I have experience working with a variety of individuals with cardiovascular disease, allergies/intolerances, GI disorders, diabetes, autoimmune disorders/diseases, sports performance, and weight management.
View
Photo of Hannah Rivard, MS, RD, LDN, Nutritionist/Dietitian
Hannah Rivard
Nutritionist/Dietitian, MS, RD, LDN
Verified Verified
Nashua, NH 03060  (Online Only)
Welcome! I am a Registered Dietitian passionate about providing individualized nutrition education & care, tailored to each person's specific needs. I have extensive experience working with eating disorders, in both adolescent & adult populations. I have worked closely with clients with co-occurring mental health diagnoses including, but not limited to, anxiety, depression, & trauma. I have significant experience also working with individuals struggling with ARFID. Outside of my specialty in eating disorders, I also have experience working in pediatric & neonatal care, as well as sport nutrition, pregnancy & women's health.
Welcome! I am a Registered Dietitian passionate about providing individualized nutrition education & care, tailored to each person's specific needs. I have extensive experience working with eating disorders, in both adolescent & adult populations. I have worked closely with clients with co-occurring mental health diagnoses including, but not limited to, anxiety, depression, & trauma. I have significant experience also working with individuals struggling with ARFID. Outside of my specialty in eating disorders, I also have experience working in pediatric & neonatal care, as well as sport nutrition, pregnancy & women's health.
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Photo of Emily A Kirouac - Executive Health & Sports Center, RD, LD, CHC, Nutritionist/Dietitian
Executive Health & Sports Center
Nutritionist/Dietitian, RD, LD, CHC
Verified Verified
Manchester, NH 03103
I help individuals reach their health and wellness goals utilizing behavior modification, positive psychology, healthy habit formation and nutrition education. I can help with management of chronic conditions such as diabetes, high blood pressure, heart disease, metabolic syndrome, food allergies and sensitivities, individuals with celiac disease, or anyone looking to improve health outcomes.
I help individuals reach their health and wellness goals utilizing behavior modification, positive psychology, healthy habit formation and nutrition education. I can help with management of chronic conditions such as diabetes, high blood pressure, heart disease, metabolic syndrome, food allergies and sensitivities, individuals with celiac disease, or anyone looking to improve health outcomes.
(603) 668-4753 x218 View (603) 668-4753 x218
DR
Nutritionist/Dietitian
Verified Verified
Nashua, NH 03063  (Online Only)
(844) 741-5623 View (844) 741-5623
Photo of Kris Mainella - Onk Nutriton & Wellness, RDN, CDE, MEd, Nutritionist/Dietitian
Onk Nutriton & Wellness
Nutritionist/Dietitian, RDN, CDE, MEd
Verified Verified
Londonderry, NH 03053
I want to help you live a happier and healthier lifestyle. I can create a individualized plan to help you reach your health goals whether you are pre-diabetic, hypertensive, have diabetes, thyroid disorders, menopause, sports nutrition or general weight loss. I have 30+ years experience and proven results and have a non-diet approach where my clients get off of medications or reduce them and are able to play with their animals, kids or grandkids. I have a personal training background and played professional soccer. I love hiking, biking, the beach and enjoying life but finding balance to do things I enjoy with the people I love.
I want to help you live a happier and healthier lifestyle. I can create a individualized plan to help you reach your health goals whether you are pre-diabetic, hypertensive, have diabetes, thyroid disorders, menopause, sports nutrition or general weight loss. I have 30+ years experience and proven results and have a non-diet approach where my clients get off of medications or reduce them and are able to play with their animals, kids or grandkids. I have a personal training background and played professional soccer. I love hiking, biking, the beach and enjoying life but finding balance to do things I enjoy with the people I love.
(855) 603-5580 View (855) 603-5580
FAQs - About Nutritionists and Dietitians

How can I find a dietitian or nutritionist in Pelham?

To find dietitians and nutritionists near you, input your city, town, suburb, zip code, or a provider's name in the search bar at the top of the page. From there, you can filter by specialty, treatment technique, and gender to find a dietitian or nutritionist who matches your needs.

When you visit a dietitian or nutritionist's profile, you can get a better idea if they're the right fit for you. Consider things like session cost, accepted insurance plans, and their location or telehealth options. If someone seems like a good match, you can email them or call the number on their profile. When speaking with a professional, pay attention to whether or not you feel comfortable in the conversation and how knowledgeable they are about your specific nutrition concerns. It may also be helpful to ask more about their general approach to nutrition and the training behind their credentials.

What is the difference between a dietitian and a nutritionist?

The terms dietitian and nutritionist are often used interchangeably. However, there are actually key credential differences between dietitians and nutritionists that are important to keep in mind when seeking a nutrition professional.

A registered dietitian (RD) or registered dietitian nutritionist (RDN) has earned at least a graduate degree from an accredited program, completed a supervised practice program, passed the Commission on Dietetic Registration exam, and continues their education regularly. The RD and RDN credentials are regulated by the Academy of Nutrition and Dietetics, the largest nutrition-related organization in the country. Only professionals who meet their standards can call themselves an RD or RDN and enjoy privileges like billing insurance. Additionally, RDs and RDNs can get board certifications in specialized areas such as gerontological nutrition (CSG), sports dietetics (CSSD), pediatric nutrition (CSP), renal nutrition (CSR), or oncology nutrition (CSO). They also need state licensure, which usually aligns with national requirements.

In contrast, the title "nutritionist" doesn't require any formal education or credentials; anyone can use the title of nutritionist, including those with very limited or no formal training in nutrition. Although there are certification programs that are marketed toward those interested in nutrition counseling, the rigor and academic requirements for such programs varies greatly. These important differences between dietitians and nutritionists are thus very important to consider when choosing the right nutrition professional for your needs. To be listed in the HealthProfs directory, Nutritionists must have a minimum of a Masters Degree in a relevant field.

When should I see a dietitian or a nutritionist?

Clients seek nutritional support from dietitians and nutritionists for various reasons, ranging from medical conditions to lifestyle concerns like weight loss or dietary requirements; however, it's always important to find a professional who is a good fit for you. Consider factors such as insurance coverage, your specific medical or dietary concerns, and the availability of professionals near you to determine whether a dietitian or nutritionist may be a better fit.

Generally, nutritionists are not covered by insurance, whereas Registered Dietitians (RDs) often are, especially for those with medical conditions. If you have a chronic medical condition like cancer or kidney disease, you might want to seek out an RD with specialized expertise, such as a Board Certified Specialist in Oncology Nutrition (CSO) or a Board Certified Specialist in Renal Nutrition (CSR). These credentials indicate advanced education and a commitment to ongoing learning within a specific area. Additionally, consider the availability of professionals in your area and their openness to telehealth sessions. While the field of dietetics is growing, there may not always be a wide selection of professionals, especially in rural areas. In such cases, focusing on the experience and expertise of the nutrition professional can be more important than their specific credentials.

Do I need a referral to see a dietitian or a nutritionist?

A referral is not required to see a dietitian or nutritionist, and many individuals independently seek nutritional support without prior medical advice. However, for a nutrition service to be covered by insurance, a referral from a primary care physician or another medical professional may be necessary. 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. If insurance coverage is critical to a client's ability to see a dietitian, they should contact their insurance provider to determine if a referral is needed for nutritional counseling and to understand any potential co-pays or coverage limits that may apply in their individual circumstance.

How much does it cost to see a dietitian or a nutritionist?

The cost of seeing a dietitian or nutritionist depends on a number of variables, including their location, their specialty, whether they take insurance, and the professional's experience and training. On average, the cost of out-of-pocket sessions with a dietitian or nutritionist within the United States ranges from $50-$150. In some cases, nutrition professionals will require a longer initial evaluation session that will cost more than ongoing follow-up sessions. Dietitians and nutritionists may also offer packages for clients interested in longer-term nutritional support; in such cases, they may charge monthly or other periodic fees for more comprehensive services, such as a combination of nutrition sessions and out-of-session coaching support. If nutrition services are covered by a client's insurance plan and they are eligible for coverage based on any referral requirements, the out-of-pocket cost of seeing a dietitian may be completely covered or significantly reduced.

Are consultations with a dietitian or nutritionist covered by insurance?

If your insurance covers nutrition services, the cost is usually lower than paying out-of-pocket. 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.

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. However, these spots are often limited and may not always be available.