Alecia Routt San Diego Nutritionist

Services

How can Alecia help you?

Irritable Bowel Syndrome

If you have diarrhea prominent IBS, chronic and frequent loose stools, and gas or bloating, you have increased probability that foods or chemicals you are eating could be contributing to your signs and symptoms. If you think there are foods that may be making your symptoms worse, read further here: Food Sensitivities

Migrane

If you have chronic and frequent migraines, a personal or family history of food allergy, if you are not responsive to standard medical treatment, or if you also have co-morbid IBS, you have increased probability that foods or chemicals could be contributing to your signs and symptoms. If you think there are foods that may be making your symptoms worse, read further here: Food Sensitivities

Fatigue and Fatigue Syndromes

Diet plays a role for many people with fibromyalgia. If you have a personal or family history of food allergy, if you are resistant to relief from medication, or if you also have co-morbid IBS, you have increased probability that foods or chemicals could be contributing to your signs and symptoms. If you think there are foods that may be making your symptoms worse, read further here: Food Sensitivities Specific nutrients may also be depleted in the disease, and may be part of nutrition therapy recommendations.

Polycystic Ovary Syndrome

Overweight: Many women who receive this diagnosis are told to lose weight. Excess weight does not cause PCOS, but it can worsen symptoms. “Lose weight” is an easier said than done. Alecia can help you reach your weight goals in a fun and positive way. Cravings might be a problem. An advisement to avoid these foods, again may be much easier said than done. Cravings may actually be a signal that your brain is working harder than normal to keep the rest of your body running the way it should. The question may actually be what are you not getting enough of in regard to specific nutrients? Lastly, the form of exercise you are choosing may actually not be the right kind based on your physiology.

Not Overweight: A significant portion of women with PCOS are not overweight. If weight loss is not necessary, insulin sensitivity, fat deposition and ovulation remain effected by diet and lifestyle. Alecia can help you identify what nutrients you may not be getting enough of in your current diet regimen.

Pregnancy and Nutrition

There are many excellent resources available for women who are expecting. Sometimes it is helpful to have reassurance to know if you have all of the recommendations straight in regards to what to avoid, and what to get enough of in your diet. Alecia can support your healthy pregnancy goals by providing a summary of what foods to include for all of the nutrients of concern as well as meal ideas and recipes. Alecia can also aid in post partum weight management.

Cardiovascular Disease

Cholesterol Lowering: If you have just been told by your doctor you have high cholesterol, and you have decided to try diet and lifestyle changes prior to starting medication, this is the time to speak with a Dietitian. It is very possible to lower your cholesterol and cardiovascular disease risk with diet and activity alone, of course if your physician clears you to do so. The dietary changes you can make does something that drug therapy doesn't - it helps to control other risk factors such as high blood pressure and overweight, as well as diabetes and cancer prevention.

Blood Pressure: Research has shown that following a healthy eating plan can both reduce the risk of developing high blood pressure and lower an already elevated blood pressure.

Hypoglycemia

Hypoglycemia is a condition that causes an array of unpleasant symptoms. It can be caused by many complex factors, although diet and nutrition are significant ones. You will be provided with specific recommendations and strategies to start feeling better.

Diabetes

Maintaining well controlled blood sugar is crucial for preventing future complications and nutrition plays a key role in doing so. Prediabetes If you have been told by your doctor that your blood glucose (or blood sugar) is elevated although you have not yet been started on medication, this is the time to speak with a Dietitian. Studies show that people at high risk for diabetes can prevent or delay the onset of the disease utilizing dietary and activity strategies.

Weight Management

Alecia follows the “Intuitive Eating” principles and works with clients on fine-tuning their current diet and daily routine in a fun and positive way. In our information technology age, knowledge is at our finger tips. Sometimes individuals may know what to do, it's just a matter of doing it. Alecia can help guide you to take the knowledge you have and translate it to see the results that you want to be. The following services are offered:

• Detailed Nutrition Analysis of Current Intake: The information gained from a nutrition analysis will be compared to recommendations that are tailored to you individually.
• Label Reading: Label reading can really be a full time job! Alecia can answer the questions you have and make the supermarket a quest you can take with more confidence. Clients that already have a lot of nutrition knowledge say this is an area where they always learn something.
• Recipe Modification: For those who love to cook, learn simple substitutions for current recipes and make them healthier for your body. Also, get exposed to new recipes to try!
• Eating Out:Learn strategies for when you do eat out, you can enjoy the food and experience without sabotaging your goals.
• Eating Healthy (Even When You Have a Busy Lifestyle! This is Alecia's specialty. You can lose weight and eat healthy without being a renowned chef!

Gallbladder Disease

When gallstones or gallbladder diseases are present, a low-fat diet is often used to prevent complications. In addition, if you have reactions to specific foods or chemicals in your diet, it will exacerbate underlying disease. If you think there are foods that may be making your symptoms worse, read further here: Food Sensitivities

Kidney Disease

Diet is a very important part of the disease treatment. The diet may help decrease the amount of wastes in your blood and may help your kidneys to work longer. A healthy weight and nutrition status is also important to help prevent against cardiovascular disease kidney problems put you at a higher risk for.

Cancer

Evidence suggests that one-third of cancer deaths that occur in the United States annually are related to diet, exercise and weight. Alecia can help you optimize your current diet to aid in the prevention of cancer. If you have cancer, nutrition therapy may aid in symptom management while undergoing treatment.

Gastrointestinal Disease (including Reflux (“Heartburn”), Gastroperesis, Chrohn’s Disease, Ulcerative Colitis & Celiac Disease

Nutrition therapy is indicated as an adjunct to medical treatment in these diseases. Contact me if you have a gastrointestinal disease and you feel like you would like additional support in regards to nutrition.

Interstitial Cystitis

For dietary treatment, an anti-inflammatory diet portfolio would be recommended and discussed. Also identifying if you have food sensitivities and eliminating the appropriate foods and/or chemicals, may aid in improvement in your symptomology. If you think there are foods that may be making your symptoms worse, read further here: Food Sensitivities

Food Sensitivities

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There are three main types of adverse reactions to food (food allergy, food intolerance and food sensitivity). A food allergy is an immediate dramatic immune reaction that causes pronounced symptoms such as throat closing and severe rash. Food allergy affects 1-2% of the general population.

Food Intolerance is usually associated with an enzyme deficiency such as in lactose intolerance, in which the enzyme lactase is deficient. When the food in question is consumed, it is not properly digested and begins to ferment inside the gut creating symptoms such as bloating and diarrhea.

Food sensitivities have been implicated in over 35 different health conditions and are very common, affecting 20-30% of the American population. Symptoms can manifest up to 72 hours after ingestion, they are dose dependent (a small amount may not pose a problem), and triggers are highly patient specific. Elimination diets are often recommended for patients who have conditions associated with food sensitivities (IBS, Migraine and many others), although elimination diets are time consuming and often not practical.

To help identify what the true culprits are, the MRT (Mediator Release Test) can be used. MRT is a patented blood panel available to help isolate combinations of substances such as food and additives that provoke signs and symptoms. Alecia has been trained in the coordination and interpretation of the results of the MRT test. Upon receiving the results of the test, she will assist you in devising a balanced meal plan.  She will provide assistance with recipes, meal ideas, utilizing new foods, and identifying hidden substances in food items that may cause reactions. To gain full benefit and relief from your symptoms, utilizing a trained Dietitian (“CLT”) to help guide you through the dietary protocols, is highly recommended.

There is a wide range of other difficult to treat conditions that are also commonly associated with reactions to foods. These include but are not limited to recurrent headaches, rheumatoid arthritis, fatigue, chronic sinusitis, eczema, autism spectrum disorders, and hyperactivity with or without ADD.

Click here to see snapshot of a portion of MRT (example) test results, .PDF (140 KB).

Rates

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Will Insurance Cover?

Check with your insurance company to verify if your plan has coverage for Medical Nutrition Therapy. If so, I will assist you by providing the proper paperwork.

Additional Ways to Save

Individuals who are beneficiaries of health savings programs of which they, their family members or employers have set aside pretax dollars (i.e. flexible spending accounts), save on medically valid nutrition services by utilizing these accounts.

Food Sensitivity Testing

If you are interested in getting testing for food sensitivities, I will run an insurance verification to check coverage ((Note: Signet (the lab who performs the blood panel testing) does not accept United, Aetna, Medicare, Medicaid, or Tricare) Please call me (619) 980-2117 or email aleciard@hotmail.com) and I will forward to the form to you.

• 30 minute appointment to review your medical history and identify if you are a good candidate for diet therapy and testing for food sensitivities: $45.00
• If you decide not to do food sensitivity testing, we can extend the appointment to a full hour, to allow for dietary questions and recommendations: $95.00

Couples' Counseling

• Initial or one time consultation: $125.00
• Follow up consultation: $100.00
• Package of 3: $300.00 (discounted $25)
• Package of 6: $585.00 (discounted $40)

Home Visits

• Initial or one time consultation: $145.00
• Follow up consultation: $125.00
• Package of 3: $370.00 (discounted $35)
• Package of 6: $730.00 (discounted $40)

Weight Loss Classes

Please contact me for interest and pricing.

Professional Talks

Please contact me for interest and pricing.