What can I expect from an initial nutrition consultation?

An initial consultation is about an hour long session during which Dana will learn about you and your nutrition and health goals. Dietary intake, medical history, family medical history, medications, supplements, lifestyle, recent lab work, and anthropometrics (weight and height) will be reviewed. Based on your individual needs, a customized nutrition plan will be created to get you on the road to healthy eating. Whether it be weight loss, management of a medical condition, or disease prevention, your plan will be focused on meeting your personal needs and goals.

Will my nutrition visit be covered by insurance?

DKD Nutrition is a fee-for-service private practice, so insurance is not accepted for nutrition appointments. However, you will be provided with a superbill at the end of your appointment, which may be submitted to your insurance company for out-of-network reimbursement. Insurance plans vary in their amount of coverage, so please check with your individual provider to find out specifics of your plan.

What is preventive nutrition?

Preventive nutrition utilizes nutrition as a means to help prevent the onset of disease, promote health, and enhance quality of life. Diet and exercise play an important role in the prevention of numerous diseases, including diabetes, heart disease, osteoporosis and cancer. Depending on your family medical history and individual risk factors, Dana will recommend changes to your diet and design a program aimed at improving health and minimizing risk of disease. You will learn about the importance of different nutrients and foods and the roles they play in keeping your body strong and healthy.

Should I be choosing only organic fruits and vegetables in the supermarket?

Controversy still exists over whether all fruits and vegetables consumed should be organic to prevent intake of undesirable synthetic pesticides, synthetic fertilizers, or sewage sludge. The Environmental Working Group tested commonly consumed fruits and vegetables and ranked them according to pesticide content. The “dirty dozen”, the 12 fruits and vegetables found to contain the highest levels of pesticides, include: peaches, apples, sweet bell peppers, celery, nectarines, strawberries, cherries, pears, imported grapes, spinach, lettuce, and potatoes. It is therefore recommended to purchase the organic version of these when possible. Either way, it is more important that you eat your fruits and vegetables, whether organic or not!

I am currently undergoing treatment for cancer and have no appetite. Any suggestions?

Different treatments for cancer, such as chemotherapy and radiation, can wipe out your appetite as well as your interest in food, making eating more of a frustrating than enjoyable experience. However, it is extremely important to still try to eat to give your body the calories and nutrients it needs to keep your immune system strong and prevent weight loss during treatment. Here are a few things you can try:

  • Eat small frequent meals throughout the day, instead of 3 large meals.
  • Try to eat more when appetite is best, especially in the morning.
  • Keep snacks readily available.
  • Drink beverages between meals, preferably ones with calories (such as juice or soup).
  • Try liquid or powdered meal replacements (you can also make your own smoothies).

If eating continues to be a struggle and you are having difficulty maintaining your weight, a Registered Dietitian can work with you to help you meet your nutritional needs.

Are artificial sweeteners safe during pregnancy?

Yes, in moderation, for the 5 sweeteners approved by the Food and Drug Administration (FDA): Acesulfame-K (Ace-K, Sunett), Aspartame (Nutrasweet, Equal), Neotame, Saccharin (Sweet N' Low), and Sucralose (Splenda). Both the FDA and the American Dietetic Association have deemed these sweeteners safe for pregnant women. These nonnutritive sweeteners may be useful when intake of sugar is being limited, such as with managing gestational diabetes or preventing too much weight gain. Artificial sweeteners are not a substitute for a healthy diet and exercise, but may be used concurrently to help control blood sugar and calories. Since moderate intakes of these sweeteners are recommended, and sugar substitutes may be found in a large variety of foods, pregnant women need to be aware of the possible presence of these sweeteners in order to avoid excess consumption. Women diagnosed with phenylketonuria (PKU), a rare hereditary disease, are advised to avoid aspartame due to restrictions of phenylalanine intake.

Nutrition information provided is for your information only and is not intended to replace professional medical advice.