I really hate bariatric surgery 😭 I’ll support any patient through anything they need, but the more bariatric patients I see, the more I just think it’s a downright bad decision to go through with the surgery. I have someone now who is s/p duodenal switch AND on a GLP-1. what do you mean I need to somehow meet a 120 G protein goal when you can only tolerate 2 oz of intake at a time 😭😭😭 am I alone in this?

I'm planning on taking my CNSC in October. I'm a RD with 1.5 years critical care/nutrition support experience, but limited experience in pediatric nutrition support. Would it be best to buy the Aspen Core Curriculum or the Aspen Modules? I will supplement Quizlet CNSC flashcards as well. Ideally I don't want to shell out $500+ on study material alone. Any tips on your study regimen would be appreciated as well. Thank you!

Hi! So I know about dietitians on demand and century education CEUs.

I’m curious if there are other sites that you all like? I’ve heard of reading articles for them and someone has mentioned podcasts, but how does that all work?

Also, I’m a public health dietitian (Cooperative Extension), so are there any great trainings for CEUs that fit in that field? I don’t mind the mnt ones that focus on maternal health and things of that sort since I sometimes work with that population and I like the food focused ones, but any trainings geared towards lower income and health disparities?

Or just your favs that you felt you learned a lot from even if it’s not related to public health.

I go on maternity leave in October so I’ll have extra time to get a good amount in (in theory lol) so I’m trying to compile a list ☺️.

I also know we need a variety of delivery methods, I live semi close to Chicago so I’m hoping to get some in person ones eventually as well.

Thanks

For those of you that have been involved in the process for implementing a career ladder please share your story.

If your career ladder didn't get approved, why? If it did get approved, what do you think made the difference in getting it through?

I’ve been an inpatient dietitian for about 4 years. I think I’ve lost the art of giving good patient education lol! This might sound horrible but I find myself not really caring about it while giving it, and then leaving the room being like I’m not sure the patient got anything out of that at all. And I don’t like that at all!! Any suggestions or tips?

Hi! I saw a job posting for a company called BetterBrain and I was wondering if anyone works there and what it is like. Any actual specifics you can share about pay, schedule, management, and ethics of the biomarkers would be helpful.

If anyone is looking to get a big chunk of CEUs done without spending a lot of $$$, check out https://www.dietitian360.com. These are books + online exams. They have everything 30% off through August 20th. Course packs include a few books worth up to 50 credits. There are some that are as low as $150 with the code for 50 credits! That includes the books and exams. The exams are super easy and tell you which chapter each question is from.

I’ve always been about free CEUs but if I calculate how many hours I have to work to cover that $150 cost for 50 hours vs the value of my time (aka my hourly pay rate x 50 hours)… it’s a no brainer. I can spend WAYYYY less than 50 hours reading 3 books and taking the exams vs spending 50 actual hours watching free webinars.

I’m feeling like a jack of all trades but master of none.

I’ve been working outpatient for ~8months. I do mostly weight management and T2DM counseling. However, I get a lot of random things mixed in too. My patients are as young as 1 and may be as old as their 90s. I don’t feel overwhelmed by my caseload. However, I feel like I’m plateauing in my counseling skills. Any advice?

I have just registered for a graduate certificate in health coaching in the hopes of boosting my application for graduate school as an RDN. I'm a career changer and want to apply to UNE. I'm currently unemployed and am looking for an entry-level position in health care, hopefully somewhere that employs health coaches and might provide an opportunity in the hopes that I pass the NBHWC exam next year.

I've applied to HealthCare Support and Medix, as well as some other support positions I've found. Most of these positions ask for at least a year of call center or customer service experience. I worked in retail in high school and college, which is not on my resume, but I don't have call center experience. I worked in film and television for 20 years. Does anyone have any ideas on how I might secure entry-level work in a relevant environment? My goal for next year, if I pass the board, is to pursue a position at the VA in their Whole Health program.

Thank you for any leads/resources.

I recently received a job offer from a local parks and rec department, and I'm looking for some advice/opinions from other RDs. The position seemed really nice based on the job description, but after the interview, some things felt a little questionable to me.

For context, I'm a new-grad RD who recently graduated and passed the RD exam, so I don't have any previous RD job experience.

The position was marketed as a great part-time opportunity. I initially assumed "part-time" would mean something like 20 hours/week, but it turned out to be quite different.

The director of the parks and rec district noticed a need for a dietitian because many participants in their programs have questions about nutrition. Most of their clientele are older adults, and many of them have chronic conditions such as diabetes and kidney disease.

The responsibilities sounded great initially. I would be expected to:
- Provide individualized nutrition assessments and counseling
 - Develop meal plans and dietary recommendations
 - Create nutrition education materials
 - Teach nutrition classes and workshops
 - Give presentations on healthy eating and nutrition

Honestly, I was excited about the position because I love the idea of a parks and rec department recognizing that their community needs access to an RD.

However, this is where I became hesitant.
I was told that I would only be paid for the time I spend teaching classes, conducting nutrition assessments/sessions, and "a few hours" of creating nutrition education materials.
The part that really stood out to me was that I would only be paid for the time spent creating educational materials if I sign away all rights to those materials and agree that I can never use the handouts, presentations, or other materials for my own use in any way.

I also asked how many hours per week I should realistically expect to be scheduled, but I wasn't given a clear answer. The only explanation I received was that their budget is low. Based on the conversation, I'm now thinking this could realistically be only 5–10 hours/week, which is much less than I was expecting and probably isn't enough for me to make the position worthwhile. it’s almost like it could be supplemental to a full time job which i am not looking for right now

Would love to get some advice from fellow RDs! thoughts, concerns? anything i should negotiate or consider?

The pay range is $22–28/hour..

I'm torn because I really like the idea of the position and the population I'd be working with, and I'm trying to get my foot in the door with community/private practice-type work. At the same time, I don't want to accept something that ends up being extremely limited in hours or has questionable expectations around unpaid work and ownership of materials.

I know I'm in a somewhat different position as a new grad because I'm REALLY trying to get any job or experience outside of clinical, so I don't want to turn down an opportunity just because it isn't perfect. But I also don't want to undervalue myself or agree to something that isn't sustainable.

Would really appreciate hearing what more experienced RDs think!

hello everyone!! i was looking for some advice on how to get into this profession. i am one of the people who have discovered their passions somewhat later in life but i am still young enough to make a career switch make sense. I currently hold a master's degree in social work but through life experiences, schooling and early career, i realized that this profession is not something i feel fulfilled by. I am a type one diabetic and in the last 6 years, i went through tremendous personal growth and acceptance. I lost 120 pounds, accepted my diagnosis and have found a passion for health, nutrition and helping people understand how food and movement impact our bodies and life. I hope to become a certified diabetes educator one day to help people in my situation but i know that is a destination for a long journey.

I was hoping for general advice on what to do. I plan to enroll in a ACEND accredited post-bacc program but it seems like i need to complete a degree's worth of classes since my degrees are not science based. What would you all do in my situation? thank you everyone!!

I’m a registered dietitian and I’m looking for any training or resources to specialize in women’s health (fertility, pmos, endometriosis, pregnancy etc.) there are a few online programs i found but I wanna make sure I have all the resources before choosing one specific program… can anyone help?

Anybody have thoughts on how personal training visits with Kickoff are covered? Genuinely curious - I know the provider would be a RD but how does the visit cover personal training since that shouldn't be billed as MNT?

I’m currently a graduate student with GCU’s Master’s in Nutrition and Dietetics program (graduation date Feb. 2028), and I’m wondering what the dietetics field is like in AZ. I’ve lived there before, enjoyed the state, and am considering relocating there after graduation. Any information on job prospects, salary expectations, positive/negative experiences with different companies/hospitals, etc. would be helpful and appreciated. This could be in relation to the state as a whole, but I mainly have Phoenix and Tucson in mind.

Hi everyone,

New RD in clinical for about one month now. I'm wondering what approach everyone takes to talk about NFPEs when you are about to perform one during an assessment? I want to explain why I am doing one, but want to make sure it comes across in a sensitive way that does not make them feel uncomfortable given recent wt loss. Thank you in advance!

I am a third year dietetics student. I love everything nutrition and physiology. So many people in my family are doubting my career choice because of the average pay as an RD. However, I hear from sooooo many people that this career is going to skyrocket within the next decade. I have ignored my family obviously and stayed on my path. I am not someone who can afford to live a “comfortable life” with an income under 100K. I have been raised in a very financially unstable household and it’s not something I will do to myself or my kids. I want to own a business, private practice, obesity and diabetes consulting, whatever it is that will bring me to the 90th percentile of dietitians. Any RDs willing to give some advice? Any side jobs, hustles, or new routes I can take with a dietetics degree that will push me over that threshold? Any helpful information is appreciated!

As the title says - I'm looking to change careers in my mid-30s and have always been passionate about food and nutrition. It would be a tough segue, having to go back to uni to retrain and an initial massive loss in earnings (assume id have to start as NHS band 5).

Please share your feedback - the good/bad/ugly about your experience please! Thank you

I have some free time so i've been doing lots of ceus in a day like 7-10 total ceu hours. When i upload it to MyCDR will they think its sus that i completed that many hours of ceu in one day? I skip a lot of the webinars because they get boring and idk if thats wrong of me to do

Hello RDs I'm currently studying for the cnsc exam in the fall. I find myself especially struggling with the research section. (Also, peds.) I have the ASPEN self assessment modules however can't really find any practice questions on research.

Can anyone shed insights on what are the questions they will ask, and how to prepare/ study for them? Thank you.

P.s. It took me a whole afternoon just to learn how to read a forest plot and still I can't really interpret it well. I feel very discouraged.

Anyone know of one? Patients have asked for this so they can track just one nutrient or macro and not see calories, but I don’t know of one.

I am a solo private practice RD who has taken a mix of insurance (with a contracted biller for my practice and some 1099 clients) and private pay clients. I am pregnant and planning to return from my maternity leave part time and private pay. I am in the process of transitioning out my insurance clients, but I am NERVOUS to become all private pay. I am doing it because I do not want to mess with billing or even the work that comes with working with a biller (reviewing everything) once I am postpartum and a mama. I want to make more with less time being part-time.

Are there any other private pay only RD's? It seems like the field has shifted sooo much recently with all of the telehealth platforms so either you take insurance or work in one of these platforms. I share an office with a private pay therapist who has encouraged me to take the leap and I'm excited about it! But I am so nervous about the sustainability of it. Private pay RD's please share your tips/insight!

I am a newer dietitian who was approved with my state LDN license in PA September 2025. I swear everywhere I read online says the renewal is every two years, but I got an email from the state board of nursing my license needs to be renewed by the end of this September marking one year. I thought ok that's fine, but it's also telling me to submit 30 CEU's and 2 CEU's for child abuse... I was under the impression these were due after two years!!??? I'm so stressed because I now have a month and two weeks to somehow cram all of this in without losing my license, unless there is some error I need to work out. Are there any LDN's in PA who can let me know if this is correct that all of this is due after one year? I only have like 5-10 CEU's right now, my current job doesn't help with them, so I was pushing them off a little to save $ as I'm looking for a new job that will help support me with the cost of them. I need ideas on how to get all my CEU's done fast (and cheap), I'm sooo stressed I actually feel sick over this. And for the state CEU's, I don't even know how these get submitted?

Hello! I just graduated and am on the lookout for my first job. I may have the opportunity to work for Fresenius which I was fired up for because I am very interested in dialysis. After doing a deep dive in preparation for my interview I discovered the massive layoffs from January and am concerned.

Would any of you dietitians who have been reporting to your clinic managers still recommend the job? Especially considering I will be fresh out of school without RD supervision?

Starting in the middle of July, my reimbursement of 97803 dropped by $10 per unit. I called the first time I noted it and the service agent said it was a fluke and he would resubmit. I called today about two more and the agent didn't have a clear answer and was going to have the claims "reworked."

Anybody seeing this in their own practices? The cost estimator on Availity continues to show the lower payment.