Especially books? I am looking to learn more about timing, benefits, and just overall what health literature has to say

I am a fairly new RD working in a clinical setting. I have multiple friends/acquaintances that are wanting to lose weight and/or improve their lifestyle through nutrition. I’m wanting to start counseling them and obviously would like to get paid. Is it bad/wrong to do it very unofficially, as in the just give me $$/session of either cash, venmo or PayPal and that’s that? Or do I need to get insurance, create a business account etc… not really sure what I would need to do tbh

Hi everyone!

Just wondering if anyone has done the NFPE virtual workshops by the AND. Did you get good value from it? I feel like I have some major gaps and underutilize this part of our scope!

I’m newly hired in GI Peds and would love any advice on how I could pitch it to my managers to get the time off to take it.

Thanks !!! Emily

Most people seem to have dieted their whole life and “know it all.”

Hi all. I accept insurance through my employer and would like to take insurance in private practice. If I do so, will my employer be able to see/be notified that I am accepting insurance for my own practice and thus be notified of the existence of my private practice? (There is no conflict of interest, however I am in an at will employment state and would rather not advertise it) Is there anything I need to take into consideration to keep it confidential (do I need a different NPI? Etc).

I work in private practice, and I'm considering a move to MN, but want to figure out what licensure may look like. Does anyone have insight on the timeline for how long it takes to get licensed, and what's involved?

Any good resources for interpreting fatty acid profiles? Beyond triene/tetraene ratio. Or anyone with an interest in this kind of thing willing to take a whack and throw out some theories. Previously stable EFA, other than few mild lows and very high EPA and DHA. 100% TPN dependent.

Latest EFA panel showed some changes and pattern of changes do not match normal what would be expected. Additionally no changes were expected because lipids have been unchanged for over a year.

Hi all!! I'm a dietetic intern and I'm working on research for an upcoming project and my professor recommended UpToDate, but my school didn't provide access. This is totally a long shot but one of my friends recommended posting here to see if anyone has access to Enteral Feedings: gastric vs Postpyloric on UptoDate. https://www.uptodate.com/contents/enteral-feeding-gastric-versus-post-pyloric#H20 Follow up question, does anyone's job or school give access to UptoDate for interns?? I tried with my hospital email for my clinical site and my student email and neither worked. I feel like as an unpaid intern, I shouldn't have to pay for access to the research I need to complete projects for my unpaid internship 😅 Thank you to anyone who answers!!

Hi! I’m looking for advice, I’m new to the NICU in a community hospital. They are considering doing a trial with Enfamil HMF. Does anyone have any experiences they can share? Also any charts/tables that show side by side differences of the 2 brands would be amazing. Thanks in advance!!

Hi everyone! I am getting close to becoming an RD and I am looking at travel RD jobs. These seem to pay a lot better. Do travel RD companies hire new RDs? I have the internship as experience and had about a year of clinical experience with an RD when I was getting my Bachelors degree, it was just unpaid obviously. When I look at jobs now, the pay is just not so great for the amount of education I’ve had to go through. I’m sure many of you agree lol. I just want to find the best way to pay my loans back and make a livable wage. Thank you in advance for any insight or advice!

Hi,

I am 35F and have the following degrees from the University of Sheffield, UK that give me a solid scientific basis and understanding of biology, anatomy and physiology - BSc in Biomedical Science and MSc in Molecular Medicine. I have a passion for nutrition and want to become a specialist that works one-on-one with people helping them to support their health and cut through the noise surrounding nutrition. I am particularly interested in gaining the detailed knowledge and skills to work with women in their various life stages (from puberty, to preconception, pregnancy, postpartum, perimenopause, menopause etc) and support their health and wellbeing through nutrition.

To achieve that, I am looking for training but uncertain what is the best path forward for me that builds on my existing education, but also provides me with the specific skills and knowledge to achieve my goal and become an expert in personalised nutrition. I am prepared to invest as much time and resource as it is required, but I want to do it in a smart way. The programme I undertake needs to be online and flexible, as I will continue to be working full-time to support myself and my family. I plan to practice in Europe. I studied in the UK, but currently based in Bulgaria.

I have reviewed different options, from undergraduate to postgraduate study to various courses. Here are two short-listed:

- MSc Clinical Nutrition at the University of Aberdeen

- Diploma in Nutritional Science and Therapeutics

Any advice, guidance and comments you have are welcome. I want to make sure I invest my time and money in training that will get me to my final destination in a smart and efficient way. If this is not the right subreddit for my question, I would appreciate to be pointed in the right direction. Thanks in advance!

Does anyone else follow dietetics guy on Instagram? At Thanksgiving today someone was shocked to find out I took cooking classes as part of my undergrad. I went to show them one of my favorite memes from his account "dietetics: how to fuck up a muffin". All of dietetic guy's posts were gone! Anyone know what happened?

I just passed the RD exam this month and I’ve been applying to clinical RD jobs nonstop. I keep getting rejected or just haven’t heard anything in weeks and I’m just feeling really discouraged tbh. I haven’t even landed an interview anywhere. I moved a few months ago to SF Bay Area to be with family so I can’t work at any of the sites I interned at during my DI program. Any advice on finding a job or anyone know places willing to hire new RDs in the bay area? I’m willing to branch outside of clinical too I just really need a job 🥲💔

Dear colleagues,

I am seeking assistance with a bariatric patient who is 1.5 years post-bariatric surgery (bypass) ( body weight 53 kg , height 170 cm). Prior to the procedure, her weight was 110 kg, and she successfully lost 30 kg before the operation. Currently, she is struggling to consume adequate calories and frequently experiences reflux and symptoms of gastritis.

Based on my calculations, her caloric needs are approximately 2000 kcal per day. I am considering the use of oral nutritional supplements (ONS); however, the patient has expressed a dislike for them and reports frequent vomiting when attempting to consume them.

I would greatly appreciate insights or suggestions from dietitians or professionals with experience in similar cases, particularly regarding meal planning and strategies to meet her nutritional needs while managing her symptoms.

Thank you in advance for your guidance.

Hi y’all. Before I realized I’d be starting and completing grad school within my first 5 years as an RDN, I accumulated almost all of my required CEUs. Will the additional CEUs roll over into my next 5-year period, or do they just go to waste? TIA!

What is the process like for you? Any advice or tips are appreciated.

This is kind of a silly question- but I've seen dietitians with really cute sweaters/dresses/etc. with fruit and vegetable designs (especially at FNCE!). I think that would be so fun to wear to work! I looked on Etsy and didn't see much. Does anyone have any recommendations for where to buy reasonably priced fruit and veggie clothes?

What do you tell patients who are admitted for sbo to do to decrease the likelihood of future sbo's? Should they follow a gi soft diet at home indefinitely?

So I'm a student currently doing my clinical internship. This is my second rotation (meaning it's the second hospital I've been to) and the first one didn't go very well (mainly because of my own personal issues at the time, feeling a lot of anxiety and fatigue).

So I want this round to be better. What can I do? I usually try to be available for whatever my preceptors need me to do but I don't ask a lot of questions because I genuinely don't have any. I'm also likely autistic so I have some trouble with communication.

What are some things that students have done/said that made you remember them? Or what can I do to be better?

On the CNA subreddit

Hi! I am finishing my dietetic internship at the VA in February 2024 and I am currently applying for job at the VA. While I am rewriting my resume, I don't know how in detail to go on what I have done during my job as an intern. Practiced medical nutrition therapy, tube feeding calculations, NFPE, created a holiday menu which they used....I just don't know if it's specific enough.

Also in my past I was the Vice President at my school nutrition club, I have worked in food service, facilitated a class tailored towards cooking with diabetes, and been a health coach. Do you really need to keep your resume to 1 page? I feel like that cuts off a lot of my community and other experiences...? Any advice would be helpful. I want to keep it professional.

Anyone have advice for dealing with rude preceptors? I just started my rotation and it feels like anything I ask or do is a problem. I understand that work environments will always be like this, just looking for advice on how to deal with it and not let it ruin my day/mental health

I've only been handling one patient demographic for the past 5 years and that is weight management cases at a supervised facility centre were they stay with us for atleast 1 week. I switched country and got hired in Europe and I was not ready for the massive difference in outpatient. I came from private facility to free service. I've been shadowing and doing some consults but English is not my first language and I feel like my boss evaluates me every week. Whenever I felt like I made some little progress, she kept pressuring me like this is not what is expected of you. You graduated long time ago. I had to explain I only met 1 patient type and I am super new to the behaviour change counseling.

I really wanna quit. I feel like outpatient is not for me. I want to go back to just calculating calories rather than deal with this. I've only been 3 months in the job and it's really affecting my mental health. Is quitting the right choice? I feel like my manager is pressuring and bullying me just so I would quit. I asked her about PIP but she says every week I will evaluate whether to retain you or not. This has affected my mental health.

Hi! Can anyone point me in the right direction on how to upload the CNSC on CDR as part of my activity log?

When do you think it’s appropriate to ask for more responsibilities at work?

I’ve been in my current role for ~1 year and feel slightly unfulfilled. I am confident in my ability to do my work and sometimes get bored. I feel like I’ve hinted to my manager that I’m open for more, to which she has given me some one-off tasks to help with her work.

Is it too soon to have a conversation asking for more or at least expressing my interest to grow within my team/company?

Hi all - just wondering if anyone has ever received a scholarship to pursue their graduate degree in nutrition and dietetics? I have been trying to find some to apply to and the only ones that seem real are through AND but I was hoping to find some others to increase the likelihood of getting one.

In the past year and a half at work, I’ve had 5 interns be placed with me and I genuinely enjoy precepting aside from the fact that I sometimes feel spread a little thin during work hours because I actually want to spend a good amount of time leaving space for conversation and learning opportunities.

In the past few weeks, I had a new intern start with me from a well-known internship that is now using the FEM structure, and I’m struggling to understand how to help this intern. They come with no curriculum objectives, just ask me to log into a preceptor portal and check their hours off each week. They are telling me that their teacher through the class hours reviews all assignments pertaining to our particular rotation but I have no idea about the structure of when they are learning what to try to tailor hands on experiences to, and the intern seems to show up with a deadpan expression each day, with no questions or concerns.

I’ve asked multiple times if I can see any of their curriculum objectives to try to make their in person experience as relevant as possible but am told again and again that there’s no need.

On top of this, when I have tried to create some basic tasks to assist with in my daily routine, like as basic as adding and subtracting production numbers from our records, they are unable to get it even going over the task 10-15 times.

Has anybody else who regularly takes interns seen this recently? All of my prior interns were from distance programs and of course they had varying levels of interest in my particular niche, but I felt like they all made an effort to participate and learn.

Right now, just feeling exasperated by what I can do to ensure I’m not just pushing a person through a rotation without actually ensuring that they leave with some understanding of entry level to the field.

Hi. Trying to anticipate questions people will ask during this workshop I will be doing in a few weeks.

What do people ask you often? For type 1 diabetes, as well. I haven't had a whole lot of experience with type 1 diabetics, but am very fascinated by the differences between 1 and 2 when it comes to the effects of different types of exercise.

Thanks in advance!

Hello! I am a registered nutritionist-dietitian in the Philippines. I have read about the USRD reciprocity exam. Anyone here who have walked the same path? How’s the process like? Any information will be appreciated!

Thanks!

What formulas are used to calculate adjusted body weight in adults? And how to calculate dry weight in pediatric patients with anasarca/ ascites?