Weight loss is a goal that comes up constantly in my practice. And yes, working with a registered dietitian can help. But I want to be specific about what that actually means, because the way I approach it is probably different from what most people expect.
What I Don't Do
I don't give clients a very low-calorie plan and tell them to follow it. I don't prescribe a specific number of calories to hit every day. I don't create forbidden food lists. I don't use weight as the primary metric of success in our sessions. Not because these approaches don't produce short-term weight loss — some of them do. But because they don't produce lasting weight loss, and the research on this is extremely consistent.
What I Do Instead
I work on the behaviors and patterns that drive sustainable weight management over time. Regular, consistent eating that prevents compensation cycles. Adequate protein and fiber that support satiety without requiring calorie counting. Movement that's genuinely enjoyable and therefore actually happens. Sleep and stress management, which significantly affect weight through hormonal mechanisms most people don't know about.
I also address the relationship with food — because clients who carry significant food guilt, who restrict and then overeat, need to work on that relationship before sustainable weight management is possible.
I help clients lose weight by helping them stop fighting their bodies — and start working with them.
What the Results Look Like
Slower than a crash diet. More sustainable than any crash diet. Clients who work with me on weight management typically see gradual, consistent change over months. Many also report that weight loss, when it happens through this approach, feels different than previous experiences — less like deprivation, more like a natural result of treating themselves better.
When Medication Is Part of the Picture
GLP-1 medications (like semaglutide) are increasingly common among my clients. I work with clients on these medications to ensure their nutrition supports the medication's effects — adequate protein to preserve muscle mass, fiber to support digestion, micronutrient sufficiency despite reduced appetite.
If weight management is part of what you're working on, let's talk about it honestly.
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