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A Fresh Approach to Eating

What to Expect Working With a Registered Dietitian Nutritionist

IBS trained Registered Dietitian Denise Barratt

How do I get started?

You might be asking, “How do I find nutrition counseling near me?” If you have never worked with a registered dietitian nutritionist before, you may have questions about how they can help, how to find the right one for you and how the process works to schedule your appointment and how the sessions are structured.

A registered dietitian nutritionist customizes each client’s nutrition plan based on their individual needs, work schedule, lifestyle and where they want to fine tune their eating habits. Together, we problem solve your challenges that they have that get in the way of your success.

How long does an initial personalized nutrition session take?

An initial nutrition consultation may take between 60-90 minutes depending on your health status and goals. A follow-up is usually between 45-60 minutes (sometimes 30 minutes). Sometimes clients health issues and situation takes different amounts of time to assess and collaborate with you to create your personal eating plan!

How many times will we meet?

The amount of time depends on what you want to accomplish. The low fodmap diet for IBS clients require at least 3 visits to successfully acheive your goals. Permanent changes in your food behavior will take more than one visit, that is why I offer a pre-paid discounted package of 3 visits if your insurance does not cover for nutrition visits.

Does insurance cover your services?

Yes, I am a provider for Blue Cross Blue Shield of North Carolina, Federal and State Employees Plan. Blue Cross Blue Shield Plans from other states and as well as other insurance companies often do not pay for nutrition visits.

What types of health conditions can be helped with the nutrition therapy?

Nutrition therapy from a registered dietitian nutritionist provides help to clients in managing chronic health conditions like diabetes, high blood pressure, digestive health issues and autoimmune conditions. Other areas where I can help includes providing nutrition recommendations for people with cancer, osteoporosis and other health conditions. 

In addition, a regsistered dietitian nutritionist can help with personalized information on cooking on a budget, tips for healthy dining-out, easy ideas for meals and much more helpful guidance.

Here are a few key steps that we may take on our journey

STEP ONE: Sign Up for Your First Personalized Nutrition Visit

Are ready to get started with your personalized nutrition visit and/or package of visits? The first session lasts between an hour to an hour and a half depending on your health status and what areas you want to transform .

If you need to know more before you make a commitment to get started, you can sign up for a  free 15-minute “Get to Know Each Other Phone Call”! In this quick call, we can see if we feel I can help you with your personal health goals and if we will make a great team to work together.

If you are all ready to get started, go ahead contact me at Vine Ripe Nutrition

what foods are needed for a healthy gut

STEP TWO: Nutrition Assessment

On our journey together, first I will take your diet history and we will discuss the foods you like to eat and to include them in your meal plan. I will share additional information and tips to help you get started. If you have IBS, we will decide if we want to take a low FODMAP approach. To see your best results, additional assessments may need to be made to make sure that we are on the right track.

STEP THREE: Ongoing Support

Depending on the level of accountability and encouragement that we feel need, this will determine the follow-up appointments to monitor your progress and make needed adjustments. During these sessions, I will share additional information to help you along your journey. I also provide all clients additional online support with the Vine Ripe Nutrition blog posts and recipes.

Here Are Some Answers to a Few Questions People Often Have

Picture of Basket of Vegetables

What is the difference between a Nutritionist and a Registered Dietitian Nutritionist?

Are you wondering how to find a qualified nutrition therapist/counselor? This can be challenging because there is so much confusing and conflicting information out there.

A nutritionist is a NOT a legally defined term. Anyone can call themself a nutritionist but this would not make a person to provide qualified to provide appropriate nutrition care.

A Registered Dietitian Nutritionist (RDNs) is food and nutrition expert and health care provider who has earned the RDN credential has successfully completed the following criteria:

-We must graduate with a bachelor’s degree at a US regionally accredited university or college that also included additional course work accredited or approved by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) of the Academy of Nutrition and Dietetics.

-In addition, we finish an ACEND-accredited supervised practice program at a health-care facility, community agency, foodservice corporation which may be combined with undergraduate or graduate studies. A practice program will usually run between six to 12 months.

-We must pass a national board examination administered by the Commission on Dietetic Registration (CDR).

-After that we must further our training through 75 hours continuing professional educational requirements to maintain the national registration every 5 years.

-All Registered Dietitian Nutritionists (RDN (or Registered Dietitians (RD) which is another preferred name) are nutritionists but not all nutritionists have had the education or training to be a nutrition expert.

State Licensure of Nutrition Providers

In addition, to the training credentials, many states require that nutrition providers pass an exam and show training in order to obtain a state license. In North Carolina to practice nutrition therapy, a person must have a license. You will see the designation LDN (which is Licensed Dietitian Nutritionist) to determine if a person is licensed.

What is health coaching?

This is another term that is not completely regulated. There are several organizations that certify people to have a coaching certificate. These may vary in training and some are more thorough than others. There are a few people not go through the training and designate themselves as a health coach, so it is important to ask questions about their training if you want to know what qualifications your coach has.

Health coaching is a technique where the a client receiving help is empowered to set their own goals and decide the best way to do what works for them. Registered Dietitian Nutritionists can incorporate many these counseling techniques without completing a certification because many of us have been required to take college courses on behavioral change and education techniques that include these.

In addition, I  have had many years of on-the- job training on behavior change, motivational enhancements and health coaching from some of the leading national experts in the field of behavior change while working with four major research studies.  This work training has helped incorporate many of the concepts in my nutrition sessions.


I look forward to working with you to help you acheive your health goals!

Schedule your appointment here!

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