III — THERAPEUTIC DIETS
Therapeutic diet support includes services for Polycystic Ovarian Syndrome (PCOS), menopause management, hypothyroid (Hashimoto’s) management, as well as therapeutic ketogenic (keto) diets for mental or physical health. I also offer a Customized Nutrition Package for those needing very specialized services that are not already available in existing packages.
I currently offer the following therapeutic packages.
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- Polycystic Ovarian Syndrome (PCOS)
- Menopause Management Package
- Hypothyroid (Hashimoto’s) Management Package
- Therapeutic Ketogenic (Keto) Diets
- Customized Nutrition Package
i. Polycystic Ovarian Syndrome (PCOS) Package
The Polycystic Ovarian Syndrome (PCOS) Package is designed for women who want to lower insulin resistance and reduce symptoms associated with the disorder, as well as for weight loss.
The PCOS Package begins with an initial assessment appointment where I will meet with you to collect detailed information about your health and risk factors, including your personal medical history, family medical history, and dietary and lifestyle information. Lifestyle questions include what you like to eat and when, food likes and dislikes, religious, cultural, or ethical dietary restrictions, and other factors that impact your health and weight, such as sleep habits and activity level.
Based on the information collected during the assessment visit, I will design a Meal Plan to help you accomplish your goals within the context of having PCOS. Turnaround time for completion of your Meal Plan is ~2 weeks once all information has been received.
The Nutrition Education teaching in the PCOS Package will explain the different categories of foods, serving sizes and the number of portions to eat at each meal, and how to make food exchanges within each category of food. I will walks you through how to implement your Meal Plan, so all you need to do is decide is what to eat.
The two half-hour follow-up visits are intended to be used for answering questions and for coaching purposes while implementing the Meal Plan.
To get started, please click the “Book an Appointment” button.
ii. Menopause Management Package
The Menopause Management Package is one of the therapeutic support services specifically designed for ‘women of a certain age’ who are struggling with the symptoms of peri-menopause, or menopause. This package addresses weight gain, fat accumulation around the mid-section, muscle loss, insulin resistance and/or prediabetes or type 2 diabetes, as well as other symptoms.
The Menopause Management Package begins with an assessment visit where I will collect detailed information about your health and risk factors, your personal medical history, family medical history, and dietary and lifestyle information including what you like to eat, food likes and dislikes, religious, cultural, or ethical dietary restrictions, and other factors such as sleep and activity level.
Then I will design a Meal Plan to help you accomplish your goals within the context of being peri- or post-menopausal. Turnaround time for completion of your Meal Plan is ~2 weeks once all information has been received.
During the Nutrition Education teaching in the Menopause Management Package, I will explain the different categories of foods, the serving sizes, and number of portions to eat at each meal, as well as how to make food exchanges within each category of food. I will walks you through how to implement your Meal Plan, so all you need to do is decide is what to eat.
The two half-hour follow-up visits will be for coaching purposes while implementing the Meal Plan.
To learn about pricing and payment options, please click the “Book an Appointment” button.
iii. Hypothyroid (Hashimoto’s) Management Package
The Hypothyroid Management Package is designed for those newly diagnosed with hypothyroidism / Hashimoto’s disease or sub-clinical hypothyroidism to help them eat well, while addressing the weight gain. It also provides nutrition education about specific foods and nutrients of importance, including supplementation.
Receipts are broken down to the following four individual services to fit within most extended benefits plans.
The first service is the assessment appointment to collect detailed information about your health and risk factors, including your personal medical history, family medical history, and dietary and lifestyle information.
The second service is design of the Meal Plan based on the information collected at intake and during the assessment visit and turnaround time from chart completion until an appointment to teach the Meal Plan is ~2 weeks.
The third service is the Nutrition Education Session to review the Meal Plan and dietary recommendations.
The fourth service is a one hour appointment about the nutrients and foods of importance in hypothyroidism, including supplementation.
To learn about pricing and payment options, please click the “Book an Appointment” button.
iv. Therapeutic Ketogenic Diets
I am experienced in designing therapeutic ketogenic diets for physical conditions such as seizure disorder, as well as for adjunct therapy for certain types of cancer such as glioblastoma and gliosarcoma. In the last two years, I have also been designing therapeutic ketogenic diets as an adjunct therapy in some mental health conditions (sometimes referred to as ketogenic metabolic therapy).
While therapeutic ketogenic diets have similarities to keto diets followed for weight loss and improved blood sugar control, they are also very different. If you are considering a therapeutic ketogenic diet for improved mental or physical health, there is a recent article under the Food for Thought tab that explains the differences between these.
Therapeutic Ketogenic Diets Available
A 2:1 therapeutic ketogenic diet has been successfully used in recent studies along with medication as an adjunct therapy in depression, anxiety disorder, and in some types of bipolar disorder.
If you are considering trying this type of approach and are currently taking any prescription medication, then the first step is to discuss this idea with your doctor. To help you with that discussion, you can download this letter.
The Therapeutic Ketogenic (2:1) Diet Package is a specialized package that will enable me to assess you, including your personal medical history, family risk factors, likes and dislikes, etc. I will then determine the specific amount of protein plus fat to carbohydrate that you will need, based on your energy needs and using all that information, I will then be able to design a 2:1 therapeutic ketogenic Meal Plan for you.
We will meet again for me to teach you your Meal Plan as well as serving sizes, the number of portions to eat at each meal, as well as supplementing with electrolytes and other supplements.
We will then meet one more time for me to teach you how to track glucose and ketones to obtain the therapeutic level appropriate for you.
To learn about pricing, please click on the “Book an Appointment” button below and download the Intake and Service Option Form.
A 3:1 therapeutic ketogenic diet has been used for over 100 years in the management of epilepsy, and more recently as an adjunct treatment for specific types of cancer. A 3:1 ketogenic diet has also been successfully used in clinical trials as an adjunct treatment in some psychotic disorders, including schizophrenia and treatment-resistant bipolar disorder.
The first step if you are considering this type of diet is to discuss it with your doctor and to help you with that discussion, you can download this letter. If your doctor is willing, they can complete the form attached to the downloadable letter indicating that they will oversee you as you implement the diet.
Due to the clinical complexity and time involved in designing a 3:1 therapeutic ketogenic diet, services are provided as a Customized Nutrition Package. To get started, please download the Intake and Service Option Form by clicking the “Book an Appointment” button below, and when you return the completed form, I will send you a quotation for these services.
v. Customized Nutrition Package
The Customized Nutrition Package is for services not already outlined on this webpage or on Intake and Service Option Form (available under the Book an Appointment tab) and is used for quoting and approving the cost of customized services. Services that fall in this category included 3:1 therapeutic ketogenic diets for specific types of cancer and for treatment resistant mental health (outlined above).
Note: For support for MCAD/MCAS and some types of EDS, most services can be provided under either the Complete Assessment Package with complex clinical option or the Comprehensive Dietary Package with complex clinical option — along with an add-on teaching for either package about limiting bioactive amines / histamine for those with MCAD/MCAS.
Please send me a note through the Contact Me form on this web page to learn more.
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Please note: At this time, all services are provided via a secure telehealth portal.
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