Frequently Asked Questions
General Questions
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Officially from the Academy of Nutrition and Dietetics, A Registered Dietitian Nutritionist (aka Registered Dietitian, RD, or RDN) is an expert in food and nutrition who has met the following academic and professional requirements:
Earned a Bachelor's degree with course work approved by the Academy of Nutrition and Dietetics' Accreditation Council for Education in Nutrition and Dietetics. Coursework includes: food and nutrition sciences, business, sociology, biochemistry, physiology, microbiology, and chemistry.
Completed an accredited, extensive supervised practice program with direct patient contact at a health care facility, community agency, or food service corporation (depending on the dietitian's interest and career goals).
Passed a rigorous national registration examination administered by the Commission on Dietetic Registration.
Completes continuing professional education requirements to maintain registration on an ongoing basis.
There is no difference between a Registered Dietitian Nutritionist and a Registered Dietitian. However, there is a difference between a Dietitian and Nutritionist. Keep reading...
We’re always happy to sit down with you or any prospective RD/RDNs to answer any questions and offer career coaching.
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Every Registered Dietitian is a Nutritionist, but not every Nutritionist is a Registered Dietitian.
While the title "Registered Dietitian" or "Registered Dietitian Nutritionist" is heavily regulated, there is very little regulation on using the term "nutritionist," "nutrition expert," "nutrition coach," "health coach," "wellness coach," and so on without any education or professional development requirements. While some states allow for the "certified or licensed nutritionist" title, only Registered Dietitians are allowed to practice medical nutrition therapy for acute and chronic diseases.
While many nutritionists are very knowledgeable, experienced, and capable, RDs and RDNs have met the most rigorous requirements and are the established experts in food and nutrition.
Working 1:1 With Us
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We provide individual counseling and group classes. To read all about our counseling services and pricing:
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Real Good Nutrition offers both in-person and virtual visits. Emmy is our Wisconsin dietitian, located physically in downtown Madison. Both Jackie and Emmy provide virtual services to a number of states - the next question will give you a lot more information on this.
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Here is a breakdown of eligibility with each Dietitian:
Emmy
You must be a resident of: AZ, CA, CO, IL, MI, MN, VA, WA, or WI
In-person appointments available?: Yes (located in Wisconsin)
Virtual appointments available?: Yes (all eligible states)
Jackie:
You must be a resident of: AZ, CA, CO, IL, MI, OR, TX, VA, or WI
In-person appointments available?: Not yet
Virtual appointments available?: Yes (all eligible states)
Please note: We only work with adults ages 18 and up.
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We only work with adults. You must be 18 years or older to work with us.
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This is totally up to you! Most of our clients like to meet biweekly or at least monthly. With that said, we don’t suggest going more than one month between sessions so we can make sure we’re still on the right track and giving you all of the support you need.
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For sure! For up to 1 month between sessions, you can send your Dietitian messages through your Healthie portal. We think it's really important to stay connected between visits because it's all about that support and accountability.
What can you message about? Almost anything! Confused about something we talked about, or need a refresher? Having a bad week symptom-wise? Experienced a binge episode last night and want to talk it through? Do you have an upcoming event or meal out and want to review the menu with us? Do you want to send me a picture of a dinner you made to brag a little? 😉 Or maybe you want to celebrate a big win. Either way, think of your Dietitian as someone you can count on between your sessions… but that someone is a trained and certified food and nutrition expert right at your fingertips!
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Your initial session will be 75 minutes and your follow-up sessions will be 45 minutes.
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Of course! We regularly collaborate with our clients’ doctors (or PAs, NPs, etc.), therapists, physical therapists, etc. We like to make sure your care plan is well-rounded and that we are all on the same page.
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No! A defined medical diagnosis is not required to work with us. However, if you are planning on using insurance or would like us to prepare a Superbill for you to give to your insurance, then we will need documentation of the applicable diagnosis via the ICD-10 diagnostic code - we can walk you through getting this if you need help!
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Nope! We don’t even have a scale.
We strongly believe weight is not the best metric used to track your progress, and we are both HAES-based (Health at Every Size) providers. This means we don’t use weight as a measure of health. Instead, we love exploring how someone feels, how their energy levels have changed, and how confident and comfortable they feel around food. Other than that, because we are clinically trained, we may look at different labs or blood work ordered by us or your doctor to see how things are going. However, at the end of the day, how we track your progress toward your goals is totally in your hands, and we want to honor what makes you feel comfortable.
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We’d love to work together to come up with a plan of attack when it comes to meals and snacks (including specific ideas and recipes), but we don't offer specific meal-by-meal plans or recipe guides.
We'll challenge you to ask: Is it realistic for you to follow a strict meal plan? Is it a sustainable practice? Will it cause more stress than relief? These questions may help us create a nutrition plan that comes about more organically and makes sense for you. We really believe that following a plan that was made by someone else doesn't always inspire long-term behavioral and lifestyle change. Plus, it's not likely sustainable to follow a strict plan forever, right?
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Our goal is to help our patients find realistic solutions for sustainable change when it comes to their health and wellness. Because cleanses are very restrictive and can promote disordered relationships with food, we do not promote them. Let's chat about another way to meet your goals!
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We totally understand the draw to try a keto diet, it’s literally everywhere these days! Did you know it was invented in the 1920s as a way to manage seizures in children with epilepsy? Most people don’t know this!
You also don’t hear much about the downsides (and dangers) of following a keto diet like increased cholesterol, fat accumulation in the liver, insulin resistance, and obsessive eating, and decreased lean body mass, exercise performance, and gut health. The most serious side effect is called ketoacidosis, a potentially life-threatening complication, which is why a keto diet should really only be done under physician monitoring to measure urine and blood ketones. More than all of that, it’s just not sustainable for the long term, so why put yourself through it now?
Instead, we take a non-diet approach to nutrition in that we don’t recommend any of the typical fad diets we see today (i.e. Whole 30, paleo, intermittent fasting, gluten free, etc). I focus more on strategies that are realistic for the long haul, ones that have been really well studied (like long-term studies!) without extreme diet restrictions and rules. After all, 95% of all restrictive diets like keto fail after 1 year and up to 60% of people experience additional weight regained!
Insurance & Payment
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Yes! We accept Blue Cross Blue Shield Anthem and any FSA, HSA, or HRA.
While we may not participate with your insurance, we can still provide you with the official documentation you need to seek reimbursement! This is called a Superbill, and you can ask us for one anytime. For now, we accept out-of-pocket payments via credit or debit card (which you will put on file to book your appointments).
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You may use your flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA) to work with us if your goals of working together are related to a diagnosed medical condition, such as heart disease or diabetes.
All plans are different, so please check with yours to see if our services are covered or not.
Typically, you will need to submit a Letter of Medical Necessity (LMN) from your doctor with a receipt of your services to your plan administration. This letter has to be completed by a physician and it must outline the specific medical diagnosis and how consulting a dietitian is necessary to treat it and how long treatment will last.
Click the link below for more information on reimbursement for Dietitian services:
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We like to be transparent, so you can see all pricing information for our 1:1 sessions here.