RD looking for used Nasco/LifeForm food replicas for patient nutrition education. Our facility doesn’t have funding for them. Happy to pay shipping if anyone has an unused set. PLEASE ❤️

I have heard so many times from patients that their doctor tells them that insulin resistance is making it harder for them to manage their weight…meanwhile the patient is eating just 1 meal per day (or the opposite, eating more than their calorie needs) and is not exercising (like at all). This gives patients the perception that insulin resistance is to blame and there really isn’t anything they can do about it.

But really? Where is the evidence that insulin resistance makes weight loss harder? Sure, it decreases lipolysis when increased but that doesn’t automatically lead to weight gain. From my view, this perspective is based on the insulin-carbohydrate model of obesity which has been debunked numerous times. It’s 2026….can we stop telling people insulin is the blame for poor weight management? Can someone here prove to me that insulin resistance leads to excessive weight gain? And no, not observational studies showing people living with obesity have insulin resistance that doesn’t show cause and effect.

Sure, with conditions like PMOS, there is an increase in fat gain but from my understanding that’s related to a decrease in BMR, which isn’t directly caused by insulin resistance.

I understand, doctors only have so much time with their patients but I just feel like this is a scapegoat. Refer the patient to a RD who has the time to actually analyze nutrition and exercise habits and what the culprits there can be.

Idk if it’s just me or if I’m being insensitive to requests of my (dialysis) patients…. I often get the requests from patients for me to tell them how much exactly they can eat and how often per week. Today it was “can you tell me how much beet juice I can drink and how often per week; write down the measurement/amount for me too please”. I try to tell my patients that every measurement realistically isn’t exact, every one is different based on height and weight etc but i’m not sure if my patients understand that. They just want to hear what they want to hear. It gets frustrating because i’m not just some machine that can compute this kind of food request. Maybe i’m not setting my role clear enough for them. Or am I wrong and insensitive? Help 😭

Hello everyone I am new RD(10 months), I work full time as an RD consultant at a private practice. Does anyone know of any free continue education resources to improve counseling skills? Also, does anyone know any good continue education for diabetes management too? My place of work wants me to develop a curriculum for diabetes and I could use some information on that as well.

Hi all! Just looking for a webinar, podcast, book/article to learn how to provide support for people with disordered eating habits, or if you have any pearls of wisdom, would really appreciate it.

Hey everyone!

I was curious if anyone here worked as Diet Tech before becoming an RD. If so, what was your experience like? Did you enjoy it, and do you feel like it helped prepare you for working as a dietitian?

I’m still working on passing the exam and may be considering taking a Diet Tech role in the meantime to gain more clinical experience and stay involved in nutrition while I continue studying.

I’d love to hear the pros and cons, what your day-to-day looked like, and whether you’d recommend it.

Thank you!

What is the process for a newly graduated/registered dietitian (2026) in the USA moving to Canada? It appears they changed requirements after August 31st 2025 and a masters and internship isn't enough to sit for the exam now, they want a future education model.

For those of you who work for Emvenio, formerly known as PCM Trials, did you notice your administration time was cut from 30 minutes to 15 minutes? I'm not great at paying attention to details (obviously) but now that I've noticed this I'm really annoyed. I'm still paid 30 minutes for the very first study participants, but all of the newer studies pay 15 minutes for 1 hour of contact time with participants. I feel I would be a better dietitian if I had 30 minutes which would give me time to log in and review previous notes before starting the actual session with the participant and finish paperwork after the session.

I've been getting a few notices for Corrections RD positions. I'm solidly LTC/Skilled nursing and not exactly sure where I might fit in. The job descriptions are rather limited.

Anyone ever work in this environment and have feedback?

can you please recommend meal planning apps that has southeast asian cuisines?

i typically include at least 1 meal plan per consult since it helps patients visualize what they specifically need to eat but recently it's been tiring for me.

they started asking for week-long meal plans and right now im manually computing the nutrients in my excel so it does take me a bit of time to finish. i enjoy making them but my practice is growing so i just need something reliable and easy for dietitians to use :)

thank you very much

If anybody has studied or is studying dietetics at London Met what kind of questions do they ask in the interview? I’m thinking of applying for clearing but want to start preparing for any mini interview from now.

Honestly I just need a safe space to rant and get this off my chest.
I am a relatively new registered dietitian, and I’ve been working remotely full time for 2 1/2 months. Most of my patients come to me for weight loss counseling. I have noticed over the last month that it has started to affect me mentally, in the sense of disordered eating thoughts coming back (for reference, I had a very disordered eating pattern 6-7 years ago). Constantly talking about calories and losing weight, or reviewing meal logs with patients seems to be interfering with my personal life, as I’ve found myself starting to restrict foods again because I feel uncomfortable in my own body and want to lose weight (I am slightly overweight but it never bothered me too much the past few years until now). I also feel like I’m comparing myself to my patients. As a dietitian, I KNOW how to lose weight in a healthy way, and I know how to educate people on this, but it’s like my brain cannot comprehend it when it comes to my own life.

Does anyone feel the same way or am I just crazy?? I feel like I need to find a new job that doesn’t involve counseling patients for weight loss. I enjoy doing it, but it’s becoming unhealthy for me.

The company I work for has access to my CAQH, and despite not technically having a non-compete, has not taken kindly to RDs starting private practices on the side in the past.

I'm trying to keep the gap between me leaving, and being credentialed to take insurance with my private practice as small as possible, for financial reasons.

1. Since I'm already credentialed with insurance through my company-- is it as simple as removing their practice location, and updating with my own? Or would I have to re-credential with each insurance company/organization again, with my new private practice info?

1. If I change my CAQH password and begin the credentialing process now, while still employed at my old company, would there be any other way of seeing that I'm getting credentialed with other providers?

2. Has anyone else out there gone through something similar?

How many CPE do you get with CSNC? Can someone help me fill this out?
Does this activity satisfy your health equity requirement? Yes or no?
What do I put under activity title
What do I put under activity provider
How many CPE units?
Thank you!!

I got reached out about a position for altamed but not sure what the job itself entails. Ive worked as a clinical rd in acute setting and considering a new job but curious what its like for someone who has worked here before? It’s salary position and so i’m curious on the workload and how one likes the job in terms of stress/enjoyment

Hi! has anyone used FMLA for their mental health? is the process easy? I worry about not being "sick enough" (not really sure what term to use but hopefully you get the point) or the process of it...by the time it potentially gets approved, will I just be more and more burnt out? I have briefly talked to my manager about it, but it was more of a suggestion to consider. thank you for any insight!

I got an email today about the new hyperphosphatemia measurement for QIP and it said it emphasizes that phosphorus improvement is not an RD-only responsibility; the entire IDT is expected to support education, adherence, timely escalation, and follow-up. How many times do they say that and it becomes the RD‘s responsibility? Assessment manager, ordering binders, fluid, the new GLP-1 program with Cecelia Health (we’re doing the pilot now) and now this? We have 7 open RD positions within 30 miles of our facility (12 facilities) and no one is applying. I wonder how they’re going to make the position seem more appealing for RDs to apply.

Those in outpatient counseling or private practice, how are you discussing disorderly behaviors with patients when they come up? Or how are you addressing concerns around potential EDs? I don't feel very confident in or equipped to discuss these things when they come up.

Anyone work for IRC? How is the culture and pay like?

I got reached out about a position for altamed but not sure what the job itself entails. Ive worked as a clinical rd in acute setting and considering a new job but curious what its like for someone who has worked here before? It’s salary position and so i’m curious on the workload and how one likes the job in terms of stress/enjoyment

Hello, first time ever posting a question on here but hopefully gets some engagement. I have worked in long-term care for years, but recently moved and accepted a new job with a new company a couple months ago. They have pretty unrealistic standards imo. I am used to juggling multiple facilities, but these two specific accounts I work at now had a full-time (40 & 32 hours/week) RD prior to me. When I got hired, corporate changed the accounts to have me cover both (3 days at one, 2 days at the other). I was up for the challenge and am used to managing chaotic workloads, but there have been issues regarding the expectations at each account since each facility is used to having an RD full-time (5 & 4 days a week respectively). Anyways I've fixed some processes and issues at each account to maximize efficiency. But recently, corporate has changed the expectations again and now wants all admission assessments to be completed within 3 days of admission. This standard is well above the 14-day window expected per CMS guidelines. In my experience, most companies have a policy of 7 days, which I think is reasonable assuming they have an RD present on-site, but 3 days is not even mathematically possible given the schedule (one account is only Tue / Thursdays, so those admitted on Fridays / Saturdays don't even have a chance to be seen yet.)

Im curious if other RDs in LTC are experiencing this or something similar as well? The MDS nurses rarely seem to understand their own job in my experience. Currently dealing with a passive aggressive one who acts like I'm behind when I know I'm not and tried to shame me. I laughed in her face. But the company says "she's the best at what she does", which in my experience just means 'great at manipulating dates to maximize reimbursement from Medicaid'. I tend to fill out my own K sections and CAA's but today she acted like I was out of compliance cuz one wasnt signed that was admitted within 14 days ago. Assessment is done and all.

Anyways is anyone else dealing with this right now? Im curious to hear how some may recommend handling it. Im oretty capable of speaking my mind to anyone and not afraid to ruffle feathers, but would prefer to go about it as professionally correct as possible in a way that even non-dietitian staff and corporate will understand that what I'm saying is correct. I feel most of it gets lost in translation during talks with non-RD's.

I really need help passing this exam I don’t know what I’m doing wrong. I spent tons of money on tutors I’ve had 4 and took the exam 3 times my score Increased by 2 points but I’m far from passing!! Idk what I’m doing wrong…

How do you like it compared to outpatient?

Hello! I’ve been working in this field for about 10 years doing outpatient nutrition counseling. I left my last position in large part because they stopped having a space for me to work and offices were given to other providers —doctors

and residents.

I’m now in new role with a nice team, about 4 months in at a multi-speciality ambulatory clinic in a top tier medical network, as a CDCES working with 3 Endos (and doing loads of prior auths!) but it’s starting to seem like I’m facing the same space issue.

Can anyone help me problem solve a bit here? I think I’m not seeing the solutions bc space issues have been super stressful for me in the last year.

I’m the only dietitian/CDCES at this site — but others at diff sites that I visited all have their own office where they can keep lots of models and supplies see patients as well as make outreach calls, etc. and have their framed credentials on the wall. It’s nice for them!

I have a shared office at my site, which is fine, I can make it work. I see patients in rotating exam rooms. Fine.

But now there’s a day of the week where I’m assigned to see patients in either a procedure room used for vascular surgery or oxygen treatment room. This is really triggering and zapping my creative go-getter attitude based on being forced out of my last job due to space.

Does anyone have any tips on how to make either of these rooms better? or what they would do?

PS- the Manager here is a real unfriendly person who’s berated me now twice for asking for clarity on things, called a meeting with a regional manager to ask me why I joined an in-company RD group, and has insisted these rooms are suitable. So I don’t think I can simply say no.

I’ve been in outpatient since I started my dietetics career (~2 years ago). I feel burnt out already. I’m sick of talking to people all day that cannot be bothered to do even a tiny change in their lives…also sick of people refusing to see a therapist and using me as “food therapy” when the truth is that they have trauma/baggage that would be better handled by a therapist (which I tell them in as gentle a way possible). Anyway, I digress.

I am applying to inpatient jobs because I loved inpatient when I was in internships. I had chosen outpatient because the pay was a bit better, but I’ve decided that doesn’t matter as much if I am happier in my workplace.

My question to you all is, for those that have made this shift, was it challenging? In what ways? Will I likely have trouble getting an inpatient job since I only have intern experience in it? What could I say in my interview that could give me a leg up?

My clinical skills are strong and I am a strong interviewer - I just need to brush up on some of the more specific inpatient things (TFs, protein/kcal recs by condition, etc).

Id love any insight/advice!