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My Visit to a Registered Dietitian


 By | September 26, 2012 | 15 Comments
 Category: General Wellness Healthy Diet

I’d like to think I’m the picture of perfect eating. After all, as a health writer; I frequently read, research and write about healthy lifestyles. I’m fairly disciplined (though not perfect), exercise regularly. And as a cancer survivor, I’m hyper-vigilant about what I put into my body.

Then why was I sitting at Griffin Hospital in Derby, Connecticut, opposite registered dietitian Samantha Heller, my hands overflowing with folders worth of my personal health history and food diary, asking for advice?

Because I needed to check in with myself. Despite what I thought I knew, I really needed someone to remind me that although I was doing a lot of things right, I was also doing some things wrong.

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I used to think the terms “nutritionist” and “registered dietitian” were interchangeable. After all, they both advise clients on basic principles of healthy nutrition, wellness and weight management. But the similarities end there. Registered dietitians (or RDs) have, at the minimum, a four-year college degree and must complete a training program, internship and pass a test in order to be registered with the American Dietetic Association (ADA). In addition, to keep current with their knowledge, they must complete 75 hours of continuing education every five years. Most RDs I’ve met have continued their formal education to include a master’s or Ph.D. degree.

Nutritionists, on the other hand, require little more than a keen interest in food and wellness. There is no specific training, education or certification needed to hang up a shingle and counsel patients.

MORE: Information on the Academy of Nutrition and Dietetics (formerly known as American Dietetic Association)

Meeting Samantha was an eye-opener. I was impressed with her thoroughness and keen knowledge as well as her easy-but-concerned manner. After I answered some routine questions – age, height, weight, workout history, current medications and supplements and my personal health goals, Samantha reviewed my most recent lab results and the 5-day food diary (which she asked me to log prior to our visit).

“You’re a goddess,” she declared.

But not so fast.

Further discussion revealed that my protein intake was woefully lacking. I suspected this – I tend to shun protein in favor of things like fruit and carbohydrates (blame my robust sweet tooth for that!) – and really needed some advice on ways to incorporate more protein into my diet. I had been feeling rather sluggish and frustratingly fatigued lately, and it concerned me.

“Protein? I just don’t…like it,” I whined.

Samantha reminded me of the reasons to eat protein – to help manage energy, hunger, blood sugar and satiety – and brought up sources I’d long ignored or not eaten enough of, like beans, cheese, Greek yogurt, eggs, peanut butter, nuts, tofu, edamame, cottage cheese and even those soy lattes I favored on a daily basis. She also reminded me to make sure to include a healthy protein with every meal and snack.

MORE: All about protein from the CDC

Then she calculated, based on my weight, how many grams of protein my body required daily. The number – 50 grams – shocked me. I was unquestionably depriving myself. My conscience was soothed though, when I got the thumbs up on my body mass index.

MORE: Why You Want a Healthy BMI

Hydration was another issue. I’m rarely thirsty (except when I exercise), so I don’t drink much. But according to Samantha’s calculations, my body requires about 80 ounces of fluid each day. Knowing I could get this amount in foods as well as liquid made the number a bit more realistic.

I left Samantha’s office that day feeling empowered by the knowledge I’d gained during our hour-long visit. I got into my car, headed straight for the grocery store, and filled my wagon with cottage cheese, beans and tofu (which I planned to marinate and grill that night).

Maybe now I’m inching a wee bit closer to claiming that title of “goddess,” after all.

 

 

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15 thoughts on “My Visit to a Registered Dietitian

Brette Sember says:

I saw a nutritionist and think i need to see an RD because I didn’t feel as though she answered all of my questions. Thanks for this article because I never thought about the difference between them.

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    Sheryl says:

    Brette,
    So glad I could clear up the confusion. It’s something most people don’t easily realize; I never did until recently!

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ruth pennebaker says:

I’ve found that the more water I drink, the thirstier I am. Something about priming the pump, I think.

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    Sheryl says:

    Hunh. Water begets more water, huh? Guess that’s not all bad.

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Irene says:

How enlightening~
Thanks for clarifying that important distinction.
Sounds like you had a great visit!

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    Sheryl says:

    My pleasure :)
    It was a very valuable and enlightening experience!

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MyKidsEatSquid says:

Thanks for posting this. I’ve been wanting to visit with a nutritionist just to fit some of the pieces of my diet together–what am I getting enough of, what am I missing. I feel like I eat plenty of fiber because I enjoy whole grains, but other nutrients, like calcium, I’m probably lacking.

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    Sheryl says:

    You’re welcome, MKES…nothing wrong with checking in to make sure you’re giving your body all it needs. Let me know how you make out!

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Kris @ Attainable Sustainable says:

I do a pretty good job of drinking enough water AND getting protein. I find that if I don’t eat a little protein at every meal, I’m wiped out. My problem? Eliminating excess sugar. If it’s not here, I don’t eat it, but my son bakes often and it’s just so tempting…

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    Sheryl says:

    As a fellow sweet-tooth person, I do realize how challenging being around sweet things can be, Kris. Your son must be a great baker!

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Judy says:

Thanks for the good read, Sheryl. Like your advice. I’m far from a perfect eater, but I’ve found working with a registered dietitian to be helpful!

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Sheryl says:

You are very welcome, Judy. Sometimes it is nice to check in with the advice of experts.

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Vera Marie Badertscher says:

I should go to a registered dietician for help with my recurrent digestive problems, but I’ve always hesitated because they are not covered by insurance. How expensive is it? And does one visit do the job? In your case, I suppose it would since you basically wanted a check up, but if its tied to a condition, I assume you’d have to go several times.

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HeatherL says:

I seriously wonder what an RD would say about me. This sounds like something I need to do, given I’ve been trying to lose weight for about a hundred years now.

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Kerry Dexter says:

good to hear about your visit, Sheryl. thanks for sharing what you leanred, both about the disctintion between RD and nuturionist and about the advice she gave you.

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