WHAT DO I EXPECT AT AN APPOINTMENT?

At our first appointment, we will go over lifestyle and diet history. What do you currently eat like, what are your like and dislikes, what is your overall medical history, and how is your current digestion. Then we talk about some overall goals and define some concrete steps to reach them. At each follow up appointment, we go over what has been going well and what obstacles you might be facing. We can also go over labwork ordered by your physician, weight trends, and options for physical activity.

WILL DIET CURE MY ILLNESS?

In most cases, no. However, what diet and lifestyle changes can do is put you in “symptom remission” which is a fancy way of saying: your illness will impact your daily life less. In many cases, the number of medications and dosage of medications can be decreased through lifestyle changes.

WHAT IS THE GOAL OF DIETARY COUNSELING?

The field of dietetics focuses on how the food we eat influences the way our body works and our health. In many ways this means a focus on prevention and improving quality of life. In many ways, it also means addressing gastrointestinal symptoms you may be having or symptoms from other illnesses and trying to improve them through food and activity changes.

DOES DIETARY COUNSELING MEAN I CANNOT EAT MY FAVORITE FOODS?

NO! In more than 90% of cases, NO FOOD IS BANNED. A large part of life is about enjoyment. We have no desire to relieve your symptoms while taking away something you enjoy.

WHO DO YOU WORK WITH?

Anyone! I counsel anyone from birth through pregnancy and on to their golden years. I have experience seeing clients with goals ranging from weight loss, to better athletic performance, to chronic illness, to acute illness, diabetes, renal disease, thyroid issues, and everyone in between. I also love working with individuals and families who wish to maintain their health and those who wish to prevent lifestyle and chronic illness that tends to run in their family.

What conditions do you see?

We see anyone who wants to improve their health through diet and lifestyle!

I offer health and life coaching in addition to dietitian services that work for absolutely anyone or for conditions that insurance won’t cover.

I offer Nutrition Counseling / Medical Nutrition Therapy to those with conditions insurance covers, including:

  • My Specialties

    • Crohn’s Disease, Ulcerative Colitis (UC), Indeterminate Inflammatory Bowel Disease (IBD)

    • Irritable Bowel Syndrome (IBS), Small Intestine Bacterial Overgrowth (SIBO), Functional Dyspepsia (FP)

    • Celiac Disease, gluten intolerance, gluten sensitivity

    • Mental health concerns: bipolar, major depression, irritability, anxiety

    • Hypothyroidism/Hashimoto’s disease

  • Other Conditions

    • Heart Disease, Hypertension, High Cholesterol nutrition

    • Cancer nutrition

    • Chronic Illness Prevention

    • Fibromyalgia, MS, Autoimmune nutrition

    • Pre-Diabetes, Diabetes Mellitus Type I and II

    • Hepatic and Renal Disease nutrition

    • Infertility, endometriosis, PCOS concerns and pregnancy over 35

    • Pregnancy nutrition including pre-existing diabetes, GDM, preeclampsia, pre-existing high blood pressure

    • Teen/young adult dietary foundations

    • Vegan, vegetarian, flexitarian specialized needs

    • Restrictive diets due to disordered eating, multiple food sensitivities, history of calorie restriction

    • Ketogenic diet for cancer, diabetes, weight loss, epilepsy

    • Weight loss

    • GLP1 use

What is your payment policy for Medical Nutrition Therapy?

We are accept cash, check, debit and credit cards, as well as Aetna, Cigna, LifeWise, First Choice Health (Kaiser and others - check with your insurance), Molina Marketplace (existing patients only), Premera, Regence and United Healthcare.

No insurance, no problem. We offer sliding scale payments for medical nutrition therapy as well. We are NOT in network with Medicare and are not currently accepting Medicaid patients. Please inquire via email for current rates.

We can also help you submit a reimbursement claim with any insurance company, not just the insurances we are contracted with. Payment would need to be made up front and your insurance company would reimburse you directly. If you do not have one of the insurances listed above, you will be required to pay up front and get a reimbursement from your insurance with a form known as a Super Bill.

Please call your insurance company to ask about your specific MNT or nutrition counseling benefits. If your insurance requires a referral, please download and take this form to your physician and return it to us before your scheduled appointment time.

*Cancellation: We do charge a $50 to $200 no-show fee for all missed appointments and a late cancellation fee of $50 for all appointments cancelled within 48 hours. By making an appointment, you agree to have card on file to be charged in the event of a late cancellation or no show fee.
 

Where are you located?

We are located in the Fobes Hill area of Snohomish for current patient follow ups only. If you would like to be seen in person as a new patient, please email us at info@kokuanutrition.com and include your reason for visit and referral source.

Initial appointments and telehealth follow ups remain at doxy.me/shelbyerinrdn a HIPPA compliant platform.

For more information, please call us at 425-224-6470 or email us at info@kokuanutrition.com

*Please be advised, Shelby is no longer at Flourish Family Medicine or located at Clearview Acupuncture and Herbal Medicine.
 

Any other questions?

Please use the contact form or email us directly at info@kokuanutrition.com or text/call 425-224-6470. Make an appointment for an in office follow up or for telehealth here.