BetterByDesign Nutrition Ltd.

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

• Role: Registered Dietitian at BetterByDesign Nutrition Ltd., supporting client needs since 2008
• Areas of Practice: Routine Health, Digestive Health, Therapeutic Diets 
• Approach: Individualized Meal Plans, which serve as a roadmap to transform nutrition goals into a sustainable lifestyle
• Experience: 17+ years private practice clinician, published mental health nutrition researcher, presentations University of Toronto, and Diabetes Canada 
• Education: M.Sc. Human Nutrition (University of British Columbia, 2008), B.Sc. Nutritional Science (McGill University)
• Licensing: Registered Dietitian (RD) licensed in British Columbia, Alberta, and Ontario
• Practice and Platforms: from years of in-person clinical services in Coquitlam to more than a decade of virtual care via a secure click-and-connect telehealth portal

Highlights

• Highly rated, average 4.9/5 stars based on 84 Google reviews (as of November 2, 2025)
• Translating complex clinical knowledge into practical, easy-to-follow steps
• Pricing aligned with five common insurers' Reasonable and Customary Fee Limits (R&C limits) in British Columbia, Alberta, and Ontario
• Encryption protection of all health documents

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) (hEDS), Mast Cell Activation Syndrome (MCAS), including Postural  Orthostatic Tachycardia Syndrome (POTS)

1. Routine Health Packages

• Comprehensive Dietary Package transforms goals for healthy eating, weight management, lowering insulin resistance, and management of chronic diseases (type 2 diabetes, hypertension, high cholesterol, fatty liver) into a sustainable, long-term lifestyle.
• Prenatal Nutrition Package enables women to optimally nourish themselves and their unborn babies throughout the three trimesters of pregnancy. 
• Healthy Aging Package empowers middle-aged and older adults to maintain their health as they age, with a focus on preserving muscle and bone mass.
• Polycystic Ovarian Syndrome (PCOS) Package helps women address the underlying insulin resistance of PCOS, leading to fewer symptoms, the ability to lose weight, and to improve the likelihood of being able to conceive.
• Menopause Management Package provides women with the tools to overcome the challenges of weight gain, sleep disruption, and fluctuating mood that are common during this life transition.
• Hypothyroid Management Package supports those with Hashimoto's disease and other types of hypothyroidism, with a focus on weight loss and ensuring adequate dietary intake of nutrients essential for the conversion of inactive to active thyroid hormones. 

Learn about Meal Plan Options and add-ons, and the service structure of each package.

Book an Initial Hourly Consultation (remaining time will be credited toward package follow-up).

Multicultural Meal Plans

Specializing in multicultural Meal Plans, with in-depth knowledge of food and cultural practices spanning Asia, South Asia, North and Central Africa, the Caribbean, the Middle East, the Balkans, and the Mediterranean.

Virtual Telehealth Practice

• • >10 years providing virtual Dietitian services 
  • Secure, online browser-based, PIPEDA-compliant telehealth platform
  • No software to download
  • No registration needed
  • Click and connect
  • Enables screen sharing of documents and handouts
  • Meet at your convenience 

2. Digestive Health Packages:

• • Irritable Bowel Syndrome (IBS) Package uses a Time-Food-Time-Symptom journal reviewed across several visits to identify the specific foods or food components contributing to symptoms.
  • Low FODMAP Diet Package systematically implements the diet in three distinct stages to precisely identify and eliminate only the FODMAP foods contributing to symptoms.
  • Inflammatory Bowel Disease (IBD) Package is designed for individuals newly diagnosed with Crohn’s disease or ulcerative colitis, with a focus on reducing symptoms as quickly as possible.  
  • Small Intestinal Bacterial Overgrowth (SIBO) Package provides dietary support before, during, and after antimicrobial treatment (prescribed by a physician or naturopath), to actively support relapse prevention.
  • Celiac Disease Management Package provides detailed instructions for the newly diagnosed and advanced support for those previously diagnosed who are struggling 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 discuss the best path forward for your specific health needs. We'll meet to discuss your goals and health background, and together select the best package for you. Any remaining time in this consultation will be credited to follow-up services following a package. Click on the "Book an Appointment" button below to get started.