I have been working on this for a while, and now can share that my first YouTube video has been posted!!!!
This first video is a shorter version of my free course on the different types of eating disorders.
Other videos are coming soon on debunking popular fad diets (starting with the "keto" diet) and medical complications of eating disorders.
Please go check out my channel, and subscribe to the channel to be notified when a new video comes out. Here is the link: www.youtube.com/channel/UCfmXodqj-5iWPqLYOVQI67Q
....and the video!
Make sure to sign up for the nutrition education newsletter for weekly education and inspiration!
NYAN is growing fast, and I would love to share RD business knowledge/ED counseling knowledge in exchange for some help.
Looking for people to:
-Write blog posts
-Create social media posts/graphics
-Do research for articles/videos
-Help come up with ideas for YouTube educational videos
-EXPERIENCED COPYWRITER for sales pages (this can be a paid contract position)
-Other things I haven't thought of??? I'd love your creative ideas!
Ideally, upper level nutrition or psychology students; but the most important part is personality and philosophy that mesh with the business. More details (click button)
I can't wait to meet you!
nsurance companies are sooooo frustrating to deal with - you are not alone!
Due to individual insurance regulations and federal rules there is no "set" coverage that all insurance companies have to go by. Your best bet when seeking coverage is to call your insurance company and get a Case Manager to walk you through the to-dos.
The earlier you contact your insurance company in the process, the better. Additionally, the more "evidence" for need of treatment (doctor's referral notes, lots of documentation) that you have the better.
I made a round-up of the previous 3 blog posts (updated the links so they are current)
that I wrote about on insurance and packaged it up in a PDF for you.
Get it here:
How to get your insurance company to pay for treatment
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Unfortunately, unless it is part of a treatment program, Dietitians are very rarely covered by insurance. (Wha?!)
You can petition your insurance for some reimbursement by asking your RD ("nutritionists" without the RD credential are never covered because they are not qualified) to send you a "superbill" for services that have been provided (typically annually or quarterly) to submit to insurance (after paying out of pocket) to try for reimbursement. With enough supporting documentation (again, referrals from medical doctors help a lot!!) you can often get reimbursement (no promises, each company has it's own ways of dealing with each individual).
Good luck!! I hope this helps!
If you have more tips on how to get insurance to pay please leave them in the comments below, or email me to have it included.
In 2012 I started my private practice with one client, a pad of paper, pen, and a business license.
5+ years later I have a thriving business of clients, online work, contractor positions, and my own office; but it took some work to get there and figure out all the details along the way.
In this article, I am going to give you the quick guide of necessary things to do/get and what to skip to get your practice up and running without taking out a loan.
Assuming you are already a licensed professional (RD):
1. Get malpractice insurance. You want to be covered if any lawsuits come up (RDs are very low risk). As a sole-proprietor I think I paid $99/year, now I pay $118/year as an LLC (I will explain what these are below). If you have worked elsewhere you might already have malpractice insurance. For RDs, "Mercer Proliability" is the main company used.
2. Depending on where you will be practicing, you need to go to the city or county for a business license. This has an annual fee as well, but it establishes you as a business. There are a few kinds of business structures, but as a one-person business you really only need to know about 2 of them: "Sole-proprietor" and "Limited Liability Company" or "LLC." I am no legal expert, so I won't go too deep into this, but here are the basics (google "sole-proprietor" or "LLC" or "business legal structures" for more info):
A sole-proprietor is what most RDs choose/start as. This is what I chose to start with, and it was easy. It has the lowest fees, and for legal/tax purposes you and your business are one in the same.
LLC is a step-up from sole-proprietor, in that it separates you from the business and adds a buffer of legal protection. LLCs can be single-member, or multiple "members." The cost and taxes are higher/more complicated, but you can hire employees.
3. Choose a "Doing business as" name (aka: "DBA"). This can be your own name (easy) or a business name. Make sure your name has not already been taken. Wherever you register your business they can guide you in how to search names, and the requirements. Chose carefully - this is how the public sees your business; but it can also always be changed later (I did this. It was a hassle, but worth it).
4. Separate your personal money from the business's money. When I started my business I opened a business checking/savings account (which I recommend doing as soon as your business name/license go through) and put $3K of my own money in it to get started (you can probably do this all with $1K, but I didn't know at the time). The fact that that money was basically my whole savings made it so I couldn't fail - it was my money on the line. I recommend this for starting a business. Take a risk on yourself and prove that you can succeed.
5. Get the bare office essentials (you probably have most of this): notepad and pens (I like to use legal pads) for taking notes during a session; hanging file folders; a way to lock up client notes (filing cabinet with lock or locking briefcase - I got a locking briefcase for $20 that became my traveling "office" the first 2 years); cards and stamps (it's nice to handwrite thank you notes to clients - I aim to send one to all my new clients).
6. Business cards: don't bother getting more than 250, you will change your info/logo/etc once you figure your business out more. You don't have to have business cards, but it looks/feels more professional.
*bonus tip - skip other physical marketing materials (flyers, banners, rack cards, newspaper ads) when you are just starting out. They are expensive, and really don't work that well. This comes from my personal experience. I spent 100's of dollars on marketing materials that got me maybe 1-2 clients. NOT WORTH IT until you are in the big-time (and maybe not even then).
7. Have a website - even if it is a work in progress! Everyone looks online nowadays, this should be listed on your business card, and potential clients can look at it to see a photo of you and services you offer/philosophy/etc. There are several free (starting) website builders out there. I use Weebly, but Wordpress is very popular, as are Wix and Squarespace. See what you like/seems easy enough for your skill level. I like weebly because it is drag-and-drop, but it doesn't have all the features that something like Wordpress has with "plug-ins."
Things you can wait on:
Ready to go start your practice? I hope this helps you get started with lower start-up costs!
If you have questions feel free to shoot me an email. I am contemplating taking business start-up clients for mentoring (there is a cost for this).
(A lot of people ask me how I started my business, and why I got into the field of eating disorders. While I do usually tell whomever asks, I have put-off writing this for a while. Maybe because I haven't felt that I have really "made-it" yet, maybe because I don't want to get that personal. Anyway, here's how I came to be "Not Your Average Nutritionist."
When I first passed my Registered Dietitian exam, I was about to get married, and was looking for a local job in my field.
That was going to be a lot harder than I first realized.
I spent about a year and a half (!!!) applying for, interviewing (several rounds), and networking for various jobs in any position as a dietitian. Unfortunately, there was always someone with 10 years of experience, or bilingual speaking, that would swoop in and get the job. (Eventually I did end up with a temp job with County Public Health after that year and a half).
While I was looking for my first "real job," an email had come through our local dietetic association from a young woman who was starting college locally, and was relapsing into anorexia nervosa (for which she had previously had some outpatient treatment). She was looking for a female, Christian, dietitian to work with her. I sent an email back asking if she wanted to give me a try (being new and all).
Now to give a little more background on the eating disorder part of this, in school/internship we spend very little time on eating disorders as undergraduate nutrition majors. Of course we had to learn some about it, but it just does not go very deep at that level of education (which is also why I went back for my Master's). So why did I think I could do it?
#1, I was desperate; and #2, I had struggled with restrictive eating during my early college years, and understood her mindset. She agreed, and I met with her and her mom to see if we would be a good fit. This was the start of my entrepreneurial journey.
Fast forward a few months and I had read countless books on eating disorders and sought out a mentor in (who I didn't realize at the time was a founding expert in the field, and whom many others call "a rock-star!") a local RD, Francie White, who allowed me to come watch her work, and help with the IOP/PHP treatment center in Santa Barbara, CA. Since I (still) didn't have another job (other than teaching some group fitness classes), I set my mind towards making a legal business.
With the help of a local non-profit organization, SCORE, I figured out what I needed to do to get a business license, and set up bank accounts. My first business name was "Libby's Fit Nutrition." I thought I would focus more on helping stay-at-home moms with weight loss and fitness. I did have a handful of those clients (whom I met in their homes), but pretty quickly I was finding that a lot of people who desired "weight loss" really had disordered eating or bad dieting practices, and I found myself doing more education around that. The more I worked with these clients and learned about EDs, the more passionate I became. I took some more psychology classes through community college, and contemplated what to get a Master's degree in.
Fast forward another 2 years or so, I was working as a teacher (Allan Hancock College) and in Corporate Wellness (Provant/PG&E). My online presence had generated a lot of interest from college students who were having issues with disordered eating. I was seeing so many students from Cal Poly (the local college), that I was talking on the phone almost every week with one of the school's nurse practitioners (the amazing, June Stanley) about shared clients. One night as we were talking about how many students she was seeing with eating disorders, she (I thought, jokingly) said "we should just have you on campus." Little did I know that conversation would lead to BIG things for me.
A few months later, I turned on my phone to see a voice mail from Dr. David Harris, Cal Poly's Executive Director of Campus Health and Well-Being. His message asked me to call back and set up a time to meet. He heard I was THE person to go to for eating disorders, and wanted to hire me to be on campus to work with the students at no cost to them. (Fun fact: when I walked into that first meeting after saying hello, his first words were, "when can you start?")
I started working at Cal Poly in Spring of 2016, as the first Registered Dietitian (as far as we know) to be specifically hired at a CSU to work with students with eating disorders!
I love my job! It is so nice to have co-workers who respect me and my opinion, since starting we have developed a multi-disciplinary treatment team, getting involved with athletic trainers and coaches for more open communication about the college athletes health and eating disorders, and I have been able to provide some in-service trainings to the medical staff.
This past year I changed my business name to "Not Your Average Nutritionist," to better represent what I was doing (not many RDs are competent in the area of eating disorders, and even less seem to focus more on the person and coping skills than the food piece), and I was no longer focusing on the fitness aspect. I also changed the legal structure from a sole-proprietorship to a LLC, for more legal support and the ability to hire staff in the future. I have a lot of lofty goals for my business in the next 10 years or so, but for right now I want to slow-down and savor the process.
So, where am I with my business now?
- Still working part-time at Cal Poly (over-booked, but feeling competent)
- Seeing some private clients.
- Almost done with my M.S. in Nutrition Science (emphasis in EDs).
- Working with a supervisor (Cynthia Saffell, MS, RD, LCSW, CEDS) for an advanced credential in EDs (IAEDP - CEDRD).
- Teaching at Allan Hancock
- Feeling better about my own body image than ever.
- ...and getting ready to launch a new phase of my business in 2018! Stay tuned for online nutrition courses!
Moral of the story:
Do great work.
The rest will fall into place.
You got this!
I have had several people that know me ask why I changed my business name, and more specifically - why "nutritionist" instead of "dietitian" in the name?
First the overall change: "Libby's Fit Nutrition" was the name I set up when I started my practice and I had a very different clientele. I was working with mostly stay-at-home-moms and middle-aged women on getting fit and healthy and losing weight. I was/am a personal trainer and was incorporating fitness into my sessions.
As my business and passions evolved into exclusively working with disordered eating that name didn't fit, and worse, was triggering to some people. A new name was needed, but I didn't want to pigeonhole myself into one niche, nor did I want to make people ashamed of talking about my services by blatantly stating "EATING DISORDERS!"
My wonderful husband actually came up with "Not Your Average Nutritionist" and we played with Dietitian and Nutritionist for a while. Although I am a "Registered Dietitian" and proudly state that that is a far more valid and necessary credential, many people still call dietitians "nutritionists," and search for that when they are actually seeking a dietitian.
(Also, a lot of people spell dietitian wrong - it is NOT dietiCian!)
So, I am a Registered Dietitian, but all dietitians are "nutritionists." It is important to note that not all nutritionists are dietitians, so do watch for that. If you want more of an explanation why the difference is important check out my other post -HERE.
What do you think of the new name?
March 8th is National Registered Dietitian Day!
Which this year, coincides with International Women's Day.
So what does that mean for the approximately 97% female RDs?
Double the awesomeness!
Not only are women making things happen, but RDs are changing (and saving) lives and often going unnoticed, not unlike many historic female positions.
A study in 2007 showed a median wage gap of $4,965 between male and female RDs. Even in female-dominated fields men tend to make more. Today as we celebrate RDs, also think about the gender parity.
Today, thank your dietitian; female, male, or otherwise.
For more info:
I am so glad you asked!
Most people don't know; and honestly that is why I am now going by "Not Your Average Nutritionist" as my new business name, despite being an actual Registered Dietitian.
*2018 update - YouTube video on this topic (see bottom of this post)
As of 2018: Anyone, even with no training, can call themselves a "nutritionist." Literally.
You can buy a certification online with no education, you can just call yourself a nutritionist without buying anything, or you can have a degree in nutrition and dietetics.
A Registered Dietitian (or RD, or RDN) is also a "nutritionist," but there is a key difference - specific educational requirements! The same way a medical doctor or nurse goes through specific training, degree programs, and supervised residency/internships, dietitians have requirements.
A RD has at minimum completed:
-A Bachelor's of Science in Nutrition and Dietetics (or a Master's Degree in the same, if their B.S. was in a different field). This is heavy in biology and chemistry courses that get more specific to the molecules that make up foods/vitamins/minerals, and how the body processes them. Classes in counseling and teaching are also important aspects of the nutrition curriculum.
-A dietetic internship (D.I.) of at least 1200 hours in a variety of settings that RDs work in, under supervision. This is similar to a medical residency, and has strict requirements for what must be experienced, and competencies met and signed-off by supervising RDs. Dietetic Internships are also highly competitive, with less than 50% acceptance rate (at least that was the case in 2011). The process of being accepted requires not only good grades, but multiple essays, recommendation letters, work experience, interviews, and fees to apply to most sites.
-Upon completion of the D.I., the person, will study for, and take a national registration exam of 140+ questions covering areas of clinical nutrition, calculations, food service, counseling theory, and metabolism. A passing score makes the test-taker a RD!
-But wait - there's more! Every 5 years, there is a minimum of 75 hours of continuing education that must be documented and submitted to the Commission on Dietetic Registration (CDR), including at least 1 hour of Ethics training, to maintain the credential. Most RDs, like myself tend to go well over our required 75 hours, because there is constantly more to learn!
What else is special about RDs?
-Registered Dietitians are the only profession that can legally call themselves "nutrition experts," and give "Medical Nutrition Therapy" (MNT). MNT is diets/diet advice for specific medical concerns that is beyond generic nutrition advice like "eat more vegetables." Some disease states are very nutrition dependant for life and health. Medical Doctors are legally allowed to give nutrition advice, and sign off on dietary components in clinical settings, but most MDs have had only class of nutrition education in their whole college experience! (Some, of course, understand the importance and go on to do more).
(pssst... get a free macronutrient handout HERE for general healthy eating)
RDs can have many different kinds of jobs.
-Many work in hospitals or clinical settings where they are dealing with acute illness, and providing MNT.
-Some (like myself) go on to have additional training in counseling skills and psychology, to deal with clients on a behavioral and mental health basis.
-Other's get additional certifications in specialty areas like diabetes (certified diabetes educator), or renal (kidney) nutrition.
-Some work in food service, creating menus, ordering food in bulk, running a kitchen staff (doing staffing), working with food allergies and calorie counts.
-Research /or/ Research and Development have many RDs working to find best practices or develop new food products.
-Education. Whether teaching nutrition in colleges, or teaching classes or individuals in public health, RDs have a lot of info to cover that can help increase quality of life and prevent disease.
-Work in food technology and agriculture to create more nutritious food or solve hunger problems.
.....and many more potential areas! The field is growing, and so are options for dietitians!
I believe the median salary is low, because most people still do not understand what RDs can do for individuals, and the world. My hope is that more people will understand the importance of RDs, and the difference between "Registered Dietitian" and "Nutritionist" so that the jobs will go to the educated.
"All RDs are nutritionists, but not all nutritionists are RDs." - Academy of Nutrition and Dietetics.
Get weekly education from this RD by signing up here:
(originally posted 12/20/2016. libbysfitnutrition.com)
A gift to my lovely readers, a printable format for a food and feelings journal. I use this format with all my clients so we can search for connections between triggers and eating behaviors.
Simply add your e-mail below to get a PDF to print off your own copies.
One page does not mean that is all the space you get for a day, use more paper if necessary. If you are working with a dietitian or therapist, this format can be helpful to show them several days of logging what you eat.
Let me know what you think.
(originally posted 12/25/2015. libbysfitnutrition.com)
Have you been looking at my (or other RD's) websites and brochures and not sure what to expect? Nutrition counseling is a very individualized service just like with traditional psychotherapy. Some dietitians create specific meal plans, analyze intake with nutrient analysis software, help you manage diabetes medications, learn what food do in your body, and so much more.
Make sure whoever you choose to go to for nutrition services has a "R.D." or "R.D.N." credential. This is a indicator of education level and national standards of practice. As with any profession, we hope everyone is ethical in their business practice, but trust your gut, and never be afraid of getting 2nd opinions.
What do I do, specifically?
"The primary goal of nutrition counseling is behavior change."
Herrin & Larkin, Nutrition Counseling in the Treatment of Eating Disorders, 2013.
Here is a list of services that one may experience when working with me.
-Diet "check-ups": I go over your food journals to see what you are eating on a regular basis and what is working for you or areas that need improvement.
-Nutrition education: What does food do in the human body? This is the R.D.'s expertise. We study anatomy, physiology, biochemistry, metabolism, nutrition for specif diseases, and many other sciences involving the human body and food. This is what I studied in college for 5 years, plus a year of internship, and continue to learn about (grad school and beyond). I love helping people understand how proteins, carbohydrates, fats, and micro-nutrients interact in the body and keep it healthy.
-Individual needs: How many calories do you need? How does your exercise affect how much you need to eat? What proportion of carbohydrates/ protein/ fat do you need? What about supplements?
-Have an eating disorder?: My specialty area is figuring out what someone needs to be eating to recover. By working on slowly changing unhealthy habits, I strive to create a safe space using positive body-image talk and educating on what is occurring in the body and mind while in the disordered behavioral mind-set.
-Contact with your other medical professionals: If allowed, I will work with your other health professionals to create a united team approach for your best health.
-Go over lab values: Bring lab results from your doctor and we can look at what might be going on and if there is nutritional deficiencies or medical dietary interventions (note: only RD/RDNs are qualified to make medical diet plans).
-Meal outings/ snack challenges: Optional, but helpful for normalizing eating socially for those with restrictive eating.
-Referrals: To therapists, doctors, websites, apps, books, etc.
-Exercise planning: Though I don't actively train anymore, I use my experience as a personal trainer, fitness instructor, distance runner, and dancer to help you come up with an exercise plan, check form on moves, discern how much exercise you should be doing, and optimal nutrition for your sport.
-Weighing: Need to keep up with weights for your doctor or therapist? Need someone to keep track of weights (blind weighing) or keep you accountable?
-Safe plan for weight loss or gain as needed: Fad diets don't work! Safe rate of weight loss is up to 2#/week, and safe rate of gain is up to 4#/week.
-Confidentiality: I use secure electronic medical records to keep your information confidential, and as with therapy, nothing you say will be shared unless you are going to harm others or yourself, or you give a release of information.
-Contact with family members: If under 18, or given release; I give parents piece-of-mind when students are away at college by giving updates on progress and health.
-I have a good relationship with local therapists, Cal Poly's Health Center, and other practitioners.
-Eating disorder training: I am working with a credentialed supervisor to get my "certified eating disorder registered dietitian" credential (iaedp.com), and continue to take opportunities for continuing education and grad school.
-Wide range of experience: From teen eating disorders to cardiac patients, corporate wellness to low-income nutrition education, I can fit your needs or can direct you to someone who can.
-Constant contact: I am available between sessions by e-mail/text to keep you on the path to success.
-Counseling skills: Motivational Interviewing and behavioral interventions.
Still have questions? Contact me!
Libby is a Registered Dietitian focusing on eating disorder treatment and prevention. She is working on the central coast to create wellness in individuals and the community.
Not Your Average Nutritionist, LLC
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