BetterByDesign Nutrition Ltd.

Registered Dietitian in Coquitlam - Joy Y. Erdile, MSc, RD

Role: Registered Dietitian at BetterByDesign Nutrition Ltd., supporting clients' nutritional needs since 2008

Areas of Practice: Routine Health, Digestive Health, Therapeutic Diets

Approach: practical, easy-to-follow, evidence-based nutrition recommendations, Meal Plans tailored to individual needs, medical history, preferences, and goals

Experience: over 17 years of experience in private practice, published researcher in mental health nutrition, recent presentations at the University of Toronto, and Diabetes Canada

Education: Master of Science (M.Sc) in Human Nutrition from the University of British Columbia (UBC), 2008, Bachelor of Science (B.Sc) in Nutritional Science from McGill University

Licensing: licensed as a Registered Dietitian (RD) in British Columbia, Alberta, and Ontario

Practice and Platforms: following years of delivering in-person clinical services in Coquitlam, more than a decade of providing virtual services using a secure click-to-join telehealth portal

Highlights

• • Highly rated, average 4.9/5 stars based on 84 Google reviews (as of November 2, 2025)
  • Communicates clinical knowledge as clear, practical, and easy-to-follow nutrition guidance
  • Pricing is aligned with five common insurers' Reasonable and Customary Fee Limits (R&C limits) in British Columbia, Alberta, and Ontario
  • Secure, browser-based, and PIPEDA-compliant telehealth platform, no download or registration required, encryption protection of all health documents
  • Book an Initial Hourly Consultation — remaining time can be credited toward package follow-up

Services Categories and Conditions Supported

Category	Conditions Supported
Routine Nutrition	Healthy eating, sustainable weight management, prenatal nutrition, and healthy aging
Routine Clinical	Hypothyroidism/Hashimoto's, Polycystic Ovarian Syndrome (PCOS), Menopause management
Chronic Disease Management	Type 2 diabetes, high blood pressure (hypertension), high cholesterol, fatty liver disease
Digestive Health	Irritable Bowel Syndrome (IBS), Inflammatory Bowel Disease (IBD), including Crohn's & ulcerative colitis, celiac disease, Small Intestinal Bacterial Overgrowth (SIBO)
Therapeutic Diets	Therapeutic Ketogenic Diets (3:1 and 2:1 ratios), for physical and mental health
Customized Nutrition	Support for other complex conditions, including Ehlers-Danlos Syndrome – hypermobility subtype (hEDS), Mast Cell Activation Syndrome (MCAS), including histamine intolerance, and Postural Orthostatic Tachycardia Syndrome (POTS)

1. Routine Health Packages

Comprehensive Dietary Package is the package for healthy eating, weight management, and chronic disease management (type 2 diabetes, high blood pressure, high cholesterol, fatty liver).

Prenatal Nutrition Package provides three versions of a Meal Plan (one for each trimester) for women who are expecting a child.

Healthy Aging Package is for middle-aged and older adults to help them maintain their health as they age, including retaining their muscle and bone mass.

Polycystic Ovarian Syndrome (PCOS) Package is for women struggling with the symptoms of PCOS, with a focus on weight loss and lowering insulin resistance.

Menopause Management Package addresses the weight gain, sleep disruption, and varying mood that often accompany peri-menopause and menopause.

The Hypothyroid Management Package offers dietary support for Hashimoto's disease and other types of hypothyroidism, with a focus on weight loss and essential nutrients for the conversion of thyroid hormones. 

Structure of Routine Packages

Each Routine Health package has a distinct clinical focus; however, the structure of services in each package is similar and outlined here.

Meal Plan Options and Add-Ons

Dietary patterns available for the design of Meal Plans include vegetarian, Mediterranean, or low-carb and keto (previously offered through a dedicated low-carb division). All routine Meal Plans can be designed from an anti-inflammatory perspective, at no extra cost. 

Add-on nutrition education is available for all Routine Health packages on topics such as improving iron absorption from food, reducing constipation and hemorrhoids, alleviating symptoms of GERD (gastroesophageal reflux disorder) and acid reflux, gout, hiatus hernia, diet to help prevent kidney stones, and macular degeneration.

Multicultural Meal Plans

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.

Virtual Telehealth Practice

• • More than 10 years of experience providing virtual Dietitian services across Canada
  • Secure, online consultations
  • Browser-based and PIPEDA-compliant telehealth platform
  • No software to download
  • No registration needed
  • Click and connect
  • Enables screen sharing of documents
  • Meet at your convenience 

2. Digestive Health Packages:

Irritable Bowel Syndrome (IBS) Package uses a review of a Time Food Time Symptom Journal to help determine which specific foods or food components contribute to symptoms.

Low FODMAP Diet Package systematically implements a low-FODMAP diet in three stages to eliminate only FODMAP foods that contribute to symptoms.

Inflammatory Bowel Disease (IBD) Package is for individuals newly diagnosed with Crohn’s disease or ulcerative colitis.  

Small Intestinal Bacterial Overgrowth (SIBO) Package provides dietary support before, during, and after antimicrobial treatment (either by an MD or ND), supports relapse prevention when paired with antimicrobial therapy.

Celiac Disease Management Package provides detailed teaching for those newly diagnosed with celiac disease, and those previously diagnosed who are unable to achieve a normal IgATTG test, or continue to experience symptoms. 

3. Therapeutic Diets 

Design of 3:1 and 2:1 therapeutic ketogenic diets as medical nutrition therapy for physical and mental health conditions, for implementation with medical oversight.

Dietary support for Mast Cell Activation Syndrome (MCAS), Ehlers-Danlos Syndrome – hypermobility subtype (hEDS), and Postural Orthostatic Tachycardia Syndrome (POTS). 

Read the details about Therapeutic Diet services.

Get Started 

Not sure where to start? I recommend an Initial Hourly Consultation to determine the best path forward for your specific health needs. We'll meet to discuss your goals and health background, and together we'll select the best package for you. Any remaining time in this consultation can be credited for future follow-up services after any package. Click on the "Book an Appointment" button below to get started.