We offer nutritional counseling and medical nutritional therapy for children, adolescents and adults. In addition to general nutrition, we offer in-depth services in the areas of eating disorders, sports nutrition, pediatric, adolescent and adult weight management. We provide general nutritional assessments in addition to extended services for more chronic health conditions.
We are registered dietitians trained in medical nutritional therapy. Our nutritional counseling and education is tailored for the needs/support of children, adolescents and adults. We assess, educate and treat our clients using scientifically-based techniques that are adapted to fit each clients’ unique needs. Wherever you are, that’s where we start.
Disordered Eating & Eating Disorders
Together, our clinicians have over 45 years of experience in treating eating disorders; anorexia nervosa, bulimia nervosa, binge eating disorder and compulsive overeating. We bring to our practice clinical experience from University of California Los Angeles, University of California at Berkeley, University of California San Francisco and Lucille Packard Children's Hospital at Stanford. We work as a team with parents, physicians, therapists, psychiatrists and treatment centers to provide collaborative, empathetic care.
Services Offered
+ Individual nutritional counseling
+ Nutritional coaching for Maudsley recovery plans
+ Supportive meals - in office or at a local restaurant
We offer indirect calorimetry to measure resting metabolic rate. To measure body composition, percent lean body mass and fat, we offer bioelectrical impedance testing using the InBody 570 machine. Body composition and metabolic rate testing are available at the San Francisco office.
Indirect Calorimetry
Measuring Resting Metabolic Rate
Indirect calorimetry measures resting energy expenditure (REE), also referred to as resting metabolic rate (RMR) by measuring oxygen uptake. Resting energy expenditure is the amount of energy a person burns in 24 hours when awake and at rest. For each calorie burned, a fixed amount of oxygen is consumed by the human body. Our traditional cart-style indirect calorimeter measures the amount of oxygen consumed over a short period of time and resting energy expenditure (REE) is calculated based on oxygen consumption. We use the ReeVue indirect calorimeter manufactured by Korr Medical Technologies, Inc.
Food - Avoid eating beans, legumes and gas producing foods the day before testing.
Caffeine + Alcohol - Avoid consuming caffeine or alcohol 24 hours prior to testing.
Exercise - Avoid light exercise for 12 hours and intense exercise for 24 hours before the test.
Heat - Do not use a sauna or jacuzzi 12 hours before testing.
Liquids - Hydrate well. Your urine should be the color of straw or lemonade. If it is the color of apple juice you are dehydrated.
Food - Avoid eating for a minimum of 4 hours prior to testing.
Fluids - You may drink a small amount of fluids before testing to maintain normal hydration. Stimulants such as coffee, energy drinks and black teas should be avoided. Ingestion of very cold water just prior to testing may affect results and should be avoided.
Medications and Supplements - On test day, you should take all of your prescription medications as directed by your physician. Over-the-counter supplements with stimulant properties such as antihistamines should be avoided.
Exercise - Do not exercise prior to testing or participate in any activities that would increase your body temperature.
Clothing - Please wear comfortable clothing that allow your to move freely.
Illness - Please alert your clinician if you become ill and she will reschedule your test.
At the office, please use the restroom immediately before the test. We ask that you to sit quietly for 10-20 minutes before testing.
