BetterByDesign Nutrition Ltd.

Registered Dietician serving Coquitlam and Beyond

I'm Joy Erdile (formerly Kiddie), the lead Registered Dietician at BetterByDesign Nutrition, supporting clients since 2008. I hold a postgraduate degree in Human Nutrition, and my published research was in mental health nutrition. In addition to years of delivering services from my Coquitlam office, I’ve provided virtual services for over a decade via a click-and-connect secure telehealth portal to clients across BC, Ontario, and Alberta, where I am also licensed. I specialize in diets by design.

October through December is a busy season, as many clients want to book Registered Dietitian Nutritionist services before the end of the year. While the current wait time for an appointment is ~2 weeks, I do have a cancellation list —and to help maximize benefits, receipts for packages can be split between years (details on the FAQs page).

Core Specialties - routine, digestive health, therapeutic diets

As a clinical Dietitian, I provide nutrition counseling services in the following three core areas:

1) Routine Health: healthy eating and weight management, chronic disease management (type 2 diabetes, high blood pressure, high cholesterol, fatty liver), prenatal nutrition, PCOS, hypothyroid, menopause, and healthy aging.

2) Digestive Health: IBS, including low FODMAP, support for newly diagnosed Crohn’s disease and ulcerative colitis, celiac disease, and SIBO (Small Intestinal Bacterial Overgrowth).

3) Therapeutic Diets: 3:1 and 2:1 therapeutic ketogenic diets for medical nutrition therapy as adjunct treatments for physical and mental health, dietary support for symptoms of Ehlers-Danlos Syndrome – hypermobility subtype (hEDS), Mast Cell Activation Syndrome (MCAS), including histamine intolerance, and Postural Orthostatic Tachycardia Syndrome (POTS).

Personalized Assessments - your diet by design

Meal Plans that I design are tailored to your unique requirements — including food preferences (likes and dislikes), as well as religious, cultural, or ethical restrictions- and meal planning for you and your family is easy. You can choose from several different types of dietary patterns, including vegetarian, Mediterranean, and low-carb or keto (previously offered through a dedicated low-carb division). Should you wish, your Meal Plan can be designed from an anti-inflammatory perspective, at no extra cost.  

1. Routine Services - for optimizing health and weight

If you're looking for a weight loss Dietitian to support healthy eating or to help manage high blood sugar, type 2 diabetes, high blood pressure, cholesterol, or fatty liver disease, I’m here to help. I also offer prenatal nutrition guidance and customized Meal Plans to support healthy aging.  I give science-based nutrition advice, which I make easy to understand and practical.

For the past decade, I’ve been a trusted referral as a Dietitian for PCOS because I'm known to address the insulin resistance that underlies symptoms. Women "of a certain age" seek my help as a menopause Dietitian because they've heard from others that I've successfully helped them navigate the challenges of weight gain and sleep disruption that often come along with this stage of life.

In recent years, I’ve become known as a hypothyroid Dietitian—largely due to the articles that I’ve written on the subject, and because people know that I understand hypothyroidism from both sides of the clinical desk. I address the weight gain that accompanies Hashimoto's, as well as teach nutrition for hypothyroid, with a focus on the key nutrients that are needed to convert inactive thyroid hormone into its active form.

Read about my Routine Services that are available on an hourly basis or as specialty packages. 

2. Digestive Health - for reduced symptoms and improved gut health 

I have over 15 years of experience assisting individuals with gut health and digestive issues. If you are looking for an IBS Dietitian or a low FODMAP diet for IBS, I can help. I also offer another approach, which enables you to eliminate only the foods that are causing the symptoms, rather than whole classes of foods. I provide specialized packages for those recently diagnosed with celiac disease, Inflammatory Bowel Disease (IBD), and SIBO.

Read about my Digestive Health packages.

3. Therapeutic Diets - medical nutrition therapy

Are you looking for a ketogenic/keto Dietitian? I design 3:1 and 2:1 therapeutic ketogenic diets for medical nutrition therapy as adjunct treatments for physical and mental health.

3:1 Therapeutic Ketogenic Diet as an adjunct treatment in specific physical conditions (seizure disorder, specific cancers), as well as specific mental health conditions, under a doctor's supervision.

2:1 Therapeutic Ketogenic Diet – as an adjunct dietary treatment for other mental health conditions, with physician oversight. 

The Customized Nutrition Package is designed for conditions not covered by existing packages, including symptoms of Ehlers-Danlos Syndrome – hypermobility subtype (hEDS), Mast Cell Activation Syndrome (MCAS), including histamine intolerance, Postural Orthostatic Tachycardia Syndrome (POTS), as well as other customized services. 

Multicultural Meal Plans - your diet your way

I specialize in multicultural Meal Plans and have in-depth knowledge of the food and cultural practices from many regions, including parts of Asia, South Asia, North and Central Africa, the Caribbean, the Middle East, the Balkans, and the Mediterranean.

Priced to Fit - within most extended benefits plans

All my services continue to be priced at or below the Reasonable and Customary Fee Limits of five major extended benefit insurers in BC, as well as Alberta, and Ontario, where I am also licensed.

 

I’m very appreciative that over the past ten years of being listed on Google, my business has earned a 4.9 out of 5-star rating from 84 reviews. I remain committed to delivering excellence in the services I provide. I consider it the greatest compliment when former clients refer their friends and family, and I’m truly honoured when they return for additional services as their needs change.

A Recent Review

"I feel amazing — my digestion, energy, and overall health have improved dramatically. If you’re struggling with your labs, weight, or just want to feel better in your body, I can’t recommend Joy highly enough. She truly listens, educates, and empowers you to make sustainable changes that work."

~Leah S., October 31, 2025, Google Maps review

Virtual Dietetic Practice - secure telehealth portal

Published Researcher

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