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Browsing Tag
exercise
Fitness

Factors to Consider When Starting a New Exercise Plan

exercise programs to meet your goals

 

Sometimes starting a new exercise plan is overwhelming. One nice thing about being more active is that you have a lot of options, but that can also be a struggle. Many people are confused about what types of exercises they “should” do and how they should do them. This post will give you some tips on selecting exercises and making a sustainable (and dare I say, enjoyable?) exercise plan.

Keep in mind that any new exercise plan should be approved by your doctor, particularly if you have any chronic diseases or injuries. Use this form to guide you as you plan to safely increase your physical activity.

What are your goals?

Ultimately the exercises that you choose should be guided by your health goals. While being physically active is beneficial for overall health, choosing the most appropriate and specific exercises will help you achieve your goals most efficiently.

  • Weight Loss – Start out any new weight loss plan by focusing on simply moving more than you move now. Once that becomes a habit, then increase the cardiovascular challenge by spending more time with your heart rate up. Finally, add in strength training to build muscle mass. This extra muscle will use up energy, increasing your metabolism.
  • Endurance – To increase your endurance, start by gradually increasing the amount of time you spend with your heart rate up. In this case, you’re not looking for very intense exercise, but a moderate challenge that you can sustain for longer and longer bouts of time as you train. Then add in strength training, focusing on more repetitions (10+) and lower weights.
  • Strength – Begin by focusing on your form – ask a trainer or friend (or watch in the mirror) to ensure you are performing the exercises safely and effectively. Gradually increase the difficulty, focusing on fewer repetitions (6-8) and higher weights. Focus on muscle balance – if you train one side of your body (for example, your chest), you must also train the other (your upper back, in this case). If you train biceps, be sure to also train triceps. This helps to protect your joints from imbalances that can lead to injury. Make sure to incorporate the recommendations for flexibility into any strength training plan as well.
  • Improved digestion – Yes, physical activity can improve digestion! Moderate cardiovascular exercise can improve circulation to your intestines, helping your body break down and absorb food more efficiently. Another significant factor is stress – stress can wreak havoc on digestion! Consistently performing stress-reducing activities like prayer, yoga, Tai Chi, or meditation can play a huge role in improving digestion.
  • Improved health markers (blood sugar, blood pressure, cholesterol, etc.) – While it varies based on which lab values you’re targeting, most are improved with combinations of cardio and strength training, even without weight loss; however, reducing excess body weight is linked with improvements in blood sugar, cholesterol, and blood pressure.
  • Flexibility – This is a great goal if you’re wanting to improve or maintain movement in your joints and prevent injuries. Anyone can benefit from maintaining flexibility. The key here is consistency. Stretch your muscles and joints regularly. Whether you use yoga, standing stretches, or wall stretches doesn’t matter as long as you are gentle and consistent.

 



 

Enjoyability

This is so, so important to an exercise program. If you detest doing a certain type of exercise, do not plan on or expect that you will do it consistently. That is a great way to set yourself up to either quit or be miserable. Bear in mind that the first few weeks of any exercise program will be difficult since you are not yet trained for the exercise, but I’m not referring to difficulty here. I’m talking about enjoyability – if you hate to dance, don’t join a Zumba class. If you can’t stand being on a cardio machine, don’t commit to a treadmill. Find methods of exercise that you actually enjoy.

 

Sometimes that looks like building a little more intensity into the movements you do in everyday life. For example, if you love to garden and be outside, use a push mower, shovel by hand, or cut your own firewood. If you like to watch television, ride a stationary bike while you do or – one of my personal faves –  take a drinking game designed for the show you’re binge-watching and exchange the shots for exercises. These tasks will incorporate fitness into aspects of your life that you do enjoy.

 



 

Accessibility

Ask yourself a few questions: Do you have the equipment or space to do this activity? Will you need a gym membership? Is there a realistic time in your day to set aside to do this?

If the basic logistics aren’t there, find something more accessible. If all else fails, there are hundreds of workout videos on Youtube for any type of workout you can think of. No fees, no membership, no travel, and no need for fancy exercise clothes (unless you want them).

 

Taking all three of these factors into account can help make sure that your exercise program gets you where you’re trying to go in the most enjoyable way that is realistic for your life. Fitness isn’t always fun and there aren’t too many people who are super jazzed to do their workout every day always, but a little thought and planning on the front end can make a huge difference in the long run. If you find yourself stuck or confused, find yourself a certified fitness professional to help you out. Finding a way to make it work is worth it!

 



 

Related Articles

The #1 thing you MUST do to save time living a healthy life

Breaking through the pain of a new exercise program

The two most important keys to long-term success

 

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Eating Well in Less Time Wellness Tips

How to Make Healthy Changes that Actually Stick

Finding healthy strategies that are actually sustainable can be a challenge. How many times have you tried to drink more water, exercise more, or eat more vegetables but just can’t seem to stick with it? The first (and most important) step is that you must test drive new healthy changes to find the ones that are right for you. Don’t commit right away! Find changes that work with the strengths of your personality, and also help keep your weaknesses in check.

Everyone falls on the spectrum somewhere between a type-A (numbers, details, budgets, lists, organization) and a type-B (free spirit, go-with-the-flow) personality. Someone on the more extreme end of the type-A spectrum might be very good at self-discipline. Too good, in fact. If they choose a very detailed, overcomplicated-because-they-love-control method of keeping their food in check, they may tend to become obsessive. They track grams of carbs, proteins, and fat, and monitor every calorie down to the very last crumb. They thrive on this control until one day – whoops – we pass over healthy and slide down that slippery slope into disordered eating. Eating is no longer fun but a competition. A highly structured eating plan may not be a good idea for someone who is ALL the way at the type-A end of the spectrum.

Let’s try the other end of the spectrum. An extreme type-B may avoid the control of number-tracking like the plague, so they go for a much more flexible method. Too flexible, in fact. So flexible that they free-spirit their way in the opposite direction of their goals. Their personality is so extremely type B that they need a more structured (but not overly restrictive or controlling) method if they’re going to get anywhere. They just need a little more accountability.

 



 

In reality, most people do not fall at either extreme but instead somewhere in the middle. When you’re in the middle, you have some of the strengths of each personality and possibly some of the weaknesses too. No matter where you are on the spectrum, it takes a little honest introspection to know which might be some of the best approaches for you.

Use this flowchart to help you decide which strategies might work well for you:

 

how to make realistic healthy changes

 

Daily Food Group Checklist

Using a daily food group checklist can help you make sure you’re getting a wide variety of carbohydrates, proteins, fats, vitamins, minerals, and fiber in the right amounts, but without the detail of a food tracker. Visit this website to calculate your daily needs and get a list of your personalized daily goals for each food group. Make a simple checklist or tally mark for each group each day so you can meet your goals without too much time investment.

 

Healthy Meal Plan

While I’m not a huge fan of meal plans made by people other than you, getting into the habit of making your own regular meal plan is a great way to set yourself up for success. If you already have the plan and the ingredients (possibly prepped and ready to go!), you are much more likely to eat more healthfully than if you were playing it by ear. Check out this post for a step-by-step guide and free printable to help make meal planning simple and easy.

 

Food Trackers

Food trackers are some of the most detail-oriented options for providing structure, accountability, and awareness. They can be as simple as a food journal with pen and paper or as complex as some websites and apps that have barcode scanners and track your calories, macronutrients, vitamins, and minerals. While these tech marvels are nifty, they have their pros and cons, so make sure to test it out first to see if it’s a good fit for you. This post has some reviews of apps and websites to help you create healthy habits. One important thing to remember for tracking: it’s a tool for you, not a rule you must follow. Only track for as long as and to the extent that it is useful and helpful to you – and absolutely no farther! Most of my clients end up settling in to a routine of tracking every other week or a few days a week. Tracking every day forever is pretty exhausting!

 



 

MyPlate

MyPlate is the visual put forth by the USDA to provide nutrition recommendations, and it replaced the Food Guide Pyramid in 2010.

 

Personally, I feel that MyPlate is much more user-friendly, since it does away with memorizing portion sizes and numbers of portions. Instead, it provides a evenly divided plate that builds in a bunch of nutrition recommendations in (so you never have to think about them!). It balances your carbs, proteins, and fats, while helping ensure you are meeting vitamin, mineral, and fiber goals. And you can do this anywhere – you can hit every food group at a fast food restaurant, mini mart, grocery store, or in a packed lunch. It’s so simple my kids have been doing it for years! Just take this mental picture with you and try to make as many of your meals (especially lunches and dinners) resemble MyPlate as possible. A good rule of thumb for breakfast? Include at least 3 different food groups and make one of them protein. You can read about my experience following a MyPlate plan, as well as some of my tips for following it starting with this post.

 

Intuitive Eating

This is a method of allowing your body’s hunger and fullness signals to guide what you eat. Often this begins by practicing mindfulness of your body’s cues. This approach helps separate moral feelings (like guilt or pride) from simply honoring your body’s needs for fuel. You can read more about intuitive eating here.

Hopefully these guides and resources help you find the best healthy changes to test drive for your life. Let me know if you have other ideas of healthy changes, or which strategies have worked the best for you!

 

Related Articles

The #1 Thing You Must Do to Save Time Living a Healthy Life

Save Time with 5 Healthy Convenience Foods

To Diet or Not to Diet: 5 Ways to Know if an Eating Plan is Right for You

 



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Fitness Food

It’s time for a new diet or exercise plan!

Alright, everybody, time to let me know what eating or exercise plan you would like to see reviewed by Dietitian on a Diet next!

Pining to learn about plant-based diets? Itching to try HIIT training? Freaking out about FODMAPs? Or maybe I’ve offended you in some way and you want me to go through 3 weeks of something awful…but hopefully not.

I’ll take your ideas and create a poll where you can vote to decide my next nutrition or exercise plan. Then I’ll read through and summarize the research on the plan and post it for you, then follow it myself for 3 weeks (as long as it’s not dangerous). I’ll share my experiences, comments, suggestions, and opinions throughout so you can decide if a plan (or part of a plan) might work for you.

In the past, I’ve featured the following:

  • USDA My Plate guidelines
  • Paleo (or paleolithic) diet
  • Heart-healthy diet
  • Carb counting for diabetes
  • Dairy elimination
  • Anti-inflammatory diet
  • Intermittent fasting

 

So what do you want to see next? It can be any fad diet, trendy new exercise plan, or recommendations for managing a chronic condition.

Let me know how I can help you make informed, evidence-based health choices by commenting below!

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Intermittent Fasting

Intermittent Fasting: Day 1

Yesterday was my first day following an intermittent fasting lifestyle. I’m using a 16:8 protocol – if you want to know more about that, you can read my last post here. I chose to make my eating window from 10 am to 6 pm. Read on to see how the first day went!

6:30 am Woke up. Usually this is when I get my breakfast ready, but not today! Got my boys sent off to school.

7:00 am Made and drank some green tea. Since I’m a big breakfast eater I was a little concerned that waiting until 10 am would be a struggle. I made genmaicha green tea because it’s made with toasted rice and has a bit of a savory flavor – I thought maybe it would help trick me into thinking it’s a little more substantial. Then I got to wondering: genmaicha has actual bits of toasted rice steeped in it…does it have calories or carbohydrates?? Had to look it up. Good news – it has neither! Genmaicha is good to go during my fasting window.

7:30 am Had my first teeny desire to eat. Drank more tea.



8:00 am This is my normal workout time. I decided to postpone it half an hour so that I could eat right after my workout. In the past I haven’t done well working out on an empty stomach. We’ll see…

8:30 am Workout time. Tummy is growling big time…I’m 32 oz. of tea in. This not eating has been great for my hydration!

10 am Food! Finally! Toast with avocado, poached egg, curry, and garlic.

IMG_3796

10:30 am Still feeling hungry – I went ahead and made my typical post-workout protein smoothie and drank it. Still not totally satisfied.



11:45 am Ate lunch – leftover salmon, stuffing, and salad. Still not satisfied…this is getting old already. I need to work on adjusting my portions to fit a smaller eating window.

2:30 pm Feeling hungry, ate a yogurt.

4 pm Realized I have to start dinner soon if I’m going to get it ready, take my son to practice, and eat before 6 pm. That will take some getting used to!

5:30 pm Ate dinner – whole wheat pasta, chicken breast, and roasted vegetable sauce. I got a little panicky about the thought of not eating until 10 tomorrow so I overdid it a bit…I had two bowls of pasta then chased them with some apples and caramel sauce. I ended up hitting my protein goal for the day but being a bit behind on calories (200 calories), carbohydrates (20 g), and fat (12 g). I felt stuffed.

7:30 pm I’m still stuffed, but it’s nice to be all done with worrying about cooking, cleaning, and snacking so early in the night.

 



 

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Archives

The Polls are Open!

TIME TO VOTE!Be sure to enter your vote for Dietitian on a Diet’s next feature! The runners-up are:

High Intensity Interval Training (HIIT)

This is a style of exercise training that involves training at…well, high-intensity intervals. This pattern of exercise involves alternating between lower- and higher-intensity bouts of exercise. Research shows that incorporating high intensity intervals can provide many of the same benefits as lower-intensity exercise, but with a shorter amount of time spent exercising. HIIT workouts are often promoted for fat loss, aerobic fitness, blood sugar management, decreasing inflammation, and improving cholesterol.

Intermittent Fasting

The term “intermittent fasting” has been used to describe a wide variety of eating styles and schedules, all based on the premise that fasting has metabolic benefits. These eating styles incorporate regularly scheduled “fasts”; some include complete fasts for 1 or more days per week or 1 week per month, but often (and for the style I would be following) intermittent fasting involves limiting the “eating window” to a certain part of the day and fasting for the remainder. The primary goals with intermittent fasting are often to 1) lose weight, 2) increase energy, or 3) reduce inflammation.

Budget-driven Meal Planning

This is actually a brain-child of mine, compiled from everything I have learned about how to drive the cost of healthful groceries down as far as possible. This way of purchasing food and eating has cut many of my clients’ grocery costs by 25%, even while eating healthful food. One particular client, with a family of 8, decreased her grocery bill by 50%! In this I will share what we spend on groceries, where we shop, how I save money, and how I do it all while eating healthfully.

Be sure to vote for the diet or exercise plan you most want to learn more about!

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Archives

I feel another diet coming on…

mark your calendars

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Fitness Goal Setting

The Two Most Important Keys to Long-Term Success

tips for health

 

Since my husband and I have met our wellness goals, we are not ready to watch our bodies creep back to where they were, but rather to maintain the progress we’ve made and go even further. How do we avoid becoming another statistic for weight regain or resume our couch-potatoing, Christmas cookie-eating ways? The vital keys to long-term success lie before and after the hard work of reaching your goals.

Key #1: Before you change anything

Decide carefully how you will achieve your goals. For many years, scientists have been studying methods for weight loss to find the “best” way to get pounds off. The surprising result of a lot of this research is that so many methods work. A lot of nutritionists have taken to saying, “diets don’t work.” It might be semantics but in general, if the goal is to lose weight – most fad diets do work. Whether it’s low carb, low fat, low calorie, or portion control – weight typically comes off.1-5  If they didn’t work at all for losing weight, word would get around pretty quickly and they would never become popular.

Here’s the kicker (besides that many fad diets aren’t safe): the statistics for maintaining weight loss after a diet are horrendous. Long-term studies show that five years after short-term diets the result is an average regain to anywhere from a net loss of only 6 lbs to a gain of 10-21% of pre-diet weight.2,6 Yikes!

 



 

Many fad diets can be extreme, overly restrictive, or just plain miserable (or option d, all of the above). Most people beginning a diet program are willing to commit to short-term pain for long-term gain. Unfortunately, the reality is that long-term dieting is generally not sustainable, and weight loss from short-term dieting is temporary.

But fear not – all hope is not lost! The National Weight Control Registry is comprised of people who have successfully lost at least 30 lbs and kept it off for at least a year, though most participants have lost an average of 72.6 lbs and kept it off for more than 5 years.7 Their participants report that ongoing, long-term participation in sustainable habit changes has been key to their success, as opposed to radical, short-term dieting. You can read more about their habit changes at the National Weight Control Registry website.

All these studies show that a pivotal ingredient for long-term success with wellness, weight loss, muscle gain, or any habit change is sustainability. One of my favorite quotes sums up the wisdom behind this:

“Begin as you mean to go on, and go on as you began, and let the Lord be all in all to you.”

-Charles H. Spurgeon



Some may wonder what the last phrase has to do with wellness, and personally I believe it is vitally important (and apparently so did Spurgeon since he tacked it on there), so I included it. Regardless of how you feel about God, however, the sentiment is to not even begin a habit change that you can’t commit to long-term. Find changes that work with your lifestyle, not against it.

fighting, clawing, and scratching

Recognize that temporary habit changes create temporary results.  You can tweak them, change them, or adjust to the fluidity of life as needed, but if your habit changes disappear completely, so will the fruits of your labors.

Key #2: After you’ve met your goals

You’ve done it, congratulations! You’ve met your goal! You’ve placed a new brick in the healthy foundation upon which you can continue building the life you want. Guess what? You’re not done! If you want to continue to enjoy the benefits of your progress, you must grab hold of the second key to long-term success:

Always have a goal and a sustainable plan to achieve it.

 



 

Achieving a goal merits celebration, and also the exciting task of deciding what your next goal will be. It doesn’t have to be intense – your goal could be maintenance and your plan might be walking – but you need to have both or you’ll watch all your hard work and health benefits slip away. Living a healthy life is swimming upstream in our culture – you can not coast into good health.

So what’s next for Charlie and me?

My new goal: Maintain cardiovascular endurance and flexibility. Gain strength and muscular endurance (I want to be able to do 10 pull-ups or rock climb for an hour without getting pooped).

My new plan: Mindful, intuitive eating along with 30-40 minutes of cardio twice weekly, strength training 4 times weekly, and 10-20 minutes of yoga 5 days per week.

Charlie’s new goal: Maintain cardiovascular endurance and flexibility. Gain strength (he wants to be able to save people from burning buildings and stuff).

Charlie’s new plan: My Fitness Pal (with his calorie and macronutrient needs adjusted since he’s building muscle now), 30-40 minutes of cardio twice weekly, strength training 4 days per week, and 10-15 minutes of yoga before each workout as well as a longer practice twice weekly.

Have a goal of your own but need help finding a sustainable plan that fits your lifestyle? Contact me or schedule an appointment to start building a healthy foundation for the life you want!

 



 

  1. https://academic.oup.com/jcem/article-lookup/doi/10.1210/jc.2002-021480
  2. http://onlinelibrary.wiley.com/doi/10.1038/oby.2001.134/full
  3. http://jamanetwork.com/journals/jamainternalmedicine/fullarticle/412650
  4. http://onlinelibrary.wiley.com/doi/10.1038/oby.2004.61/full
  5. http://ajcn.nutrition.org/content/53/5/1124.short
  6. http://europepmc.org/abstract/med/2613427, http://ajcn.nutrition.org/content/74/5/579.short
  7. http://ajcn.nutrition.org/content/82/1/222S.short
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Down Home Dietitian

Diet culture is determined to tell you that you have to be miserable to be healthy.

That couldn’t be more wrong.

Subscribe to learn how to go from a frustrated, restricted dieter to a happy, relaxed relationship with food and fitness. Healthy doesn’t have to be hard!

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https://youtu.be/xz9u4pUPFA0

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beckiparsons.rd.ep

I am OVER confusing advice, disgusting diets, and boring exercise.
Healthy doesn't have to be hard!
➢ Registered Dietitian
➢ Exercise Physiologist

Functional Dietitian | Exercise Physiologist | Speaker
Trauma is a common root that needs special support Trauma is a common root that needs special support.

In the documentary, both Tracey and Joelle mentioned how abuse related to their journeys with obesity. Trauma can lead to weight struggles in several ways:

- dysregulated cortisol
- food cravings
- emotional/stress eating
- undeveloped coping behaviors
- psychological desire to gain weight or remain heavy for a feeling of safety from sexual abusers

When this is a piece of someone’s puzzle, it needs to be addressed to help them understand the neurochemistry that patterns their habits, and provide them with tools to address and change those patterns.

It’s a rare person who can dig their way out of food and weight struggles without addressing these root causes - it’s not common knowledge!

#weightloss #fitness #registereddietitian #dietitian #fatloss #biggestloser #fitfortv #netflix #netflixdocumentary #nutrition #nutritionists
Focusing primarily on speed of weight lost is almo Focusing primarily on speed of weight lost is almost never healthy.

Instead, find other indicators of progress:
👚 clothes fit
💪 visible muscle
🏃‍♀️ workout performance and recovery
💡 energy and mental clarity
💤 sleep quality
😊 skin clarity
☺️ mental health

All together, they will be able to give you a far more accurate picture of whether or not you are making strides with your health or not.

Being married to numbers on the scale is a direct path to discouragement when it inevitably fluctuates.

#weightloss #fitness #registereddietitian #fatloss #dietitian #loseweight #fitfortv #netflixdocumentary #bariatrics #biggestloser
Different people need different approaches. Some Different people need different approaches.

Some people LOVE to sweat hard and feel the burn.
Some people NEED to have fun working out or they won’t stick with it.
Some people THRIVE on repetition and routine that minimizes decision making.
Some people MUST have flexibility or they will feel hemmed in.

As a practitioner, you have to get to know your client well enough to make recommendations that are a good fit for them. I often joke with my clients that they are eating healthy changes and I am their matchmaker. It’s my job to get to know them well enough to introduce them to really good potential partners. We may not always get it right the first time (and hey, bad dates are always a bummer), but I learn how to tailor things to them even more through the process.

#registereddietitian #dietitian #weightloss #fitness #fitfortv #biggestloser #netflix #netflixdocumentary
Skinny does not equal healthy. Healthy does not eq Skinny does not equal healthy. Healthy does not equal skinny.

Your habits are FAR more closely-tied indicators to actual health outcomes (likelihood of getting sick or dying) than your weight.

Here’s one study on that: https://www.jabfm.org/content/jabfp/25/1/9.full.pdf
Here’s another: https://www.bmj.com/content/bmj/370/bmj.m2031.full.pdf 

Now, typically if someone has a healthy lifestyle are they likely to lose weight? That depends on a lot of factors, but in many cases yes. That’s why we do find some connection between weight and health outcomes, but that’s confounded by a lot of factors.

Also, the method and rate of weight loss can impact just how healthy that weight loss is.

Here’s the article on how the contestants’ metabolisms were affected: https://pmc.ncbi.nlm.nih.gov/articles/PMC4989512/

#fitfortv #weightloss #biggestloser #jillianmichaels #bobharper #dietitian #fitness #healthynotskinny #netflixdocumentary
Thank you SO much to every single person who submi Thank you SO much to every single person who submitted a vote for me - I am so grateful for your support. ❤️

This means so much to me, and I am honored!

P.S. @evergreen_familychiro won Best Chiropractor too, so you can now see the best Chiro and best RD in one place! 😉
It’s not as simple as “eat less, move more.” It’s not as simple as “eat less, move more.” 

Heck, it’s not even as simple as weight loss = fat loss.

Anyone who has ever tried to lose more than 5 lbs knows that.

1. Your weight doesn’t tell you if you’ve gained or lost fat, it tells you the sum total mass of your skin, bones, organs, digestive goodies, muscle, fat, and water.

2. Hormones, stress, and fluid can fluctuate your weight much more prominently than fat loss or gain.

3. Your metabolism (the number of calories you burn) is not a fixed target. Your thyroid, adrenal system, eating patterns, movement patterns and more are constantly compensating, adjusting, and adapting. Just “eat less and move more” oversimplifies what can be a very complex concept. About half of my weight loss clients lose weight when we add calories, because of these adaptations.

4. Functional disruptions can freak your body out and make it resistant to fat loss. Gut dysbiosis/malabsorption, PCOS, and stressed-out adrenal systems are issues I see often. If you don’t address the functional root, you can deficit all you want and you may or may not see significant change.

So don’t bet everything on “eat less and move more.” It’s a good place to start for many, but if it isn’t working, dive deeper and find out why not. Want some support for your fat loss journey? DM me to get scheduled - it’s covered by most major health insurances!

#weightloss #dietitian #fitness #loseweight #bariatric #functionalnutrition
Lots of exciting things available in this partners Lots of exciting things available in this partnership! DM with questions or to get booked!

#chiropracticcare #nutritionandfitness #holisticwellness #weightlosssupport
Nutrition counseling is covered by most major insu Nutrition counseling is covered by most major insurances! DM me for an insurance verification or if you're ready to get scheduled!
Thank you so much for the nomination! You can vote Thank you so much for the nomination! You can vote daily through 5/9 by visiting votesouthsound.com and selecting Health & Beauty > Nutritionist/Dietitian > Becki Parsons Nutrition & Fitness. I am so grateful for your support!
So why wouldn't you start? Insurance coverage for So why wouldn't you start?

Insurance coverage for nutrition therapy is way better than you may even know. As a preventive health benefit, there are rarely even co-pays, and only occasionally limits on how many visits.

Get all the support you need, on the health insurance you already pay for! DM me to get started. ❤️

#nutritioncoaching #fatloss #weightloss #bariatrichealthcare #loseweight
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