DietitianAnna

DietitianAnna Here to help humans feel better with food and body. Thanks for being here.

Virtual Eating Disorder Registered Dietitian & Body Image Pro

Anti-Diet | Food and Fat Positive | Chronic Illness

is not your dietitian (or anyone's...)

My clients ask how anyone actually gets through recovery. The process. The whole thing. I do not have a quick answer for...
08/28/2026

My clients ask how anyone actually gets through recovery. The process. The whole thing. I do not have a quick answer for that. One fits cleanly into a caption.

What I have instead is a small one. And a reminder from my dog.

Ruby has never once paused to consider whether the vacuum is worth panicking over before reacting to it anyway.
She does not strategize or plan three steps ahead. She just gets through the next moments in front of her. and then the minutes after that, one stretch at a time, without much apparent concern for how the whole day will add up.

Some days, that is the only approach that has ever worked for me too, in this work and outside of it. Not a plan. Just the next stretch.

Tell me what is sitting on your list this weekend, the thing you keep circling without landing on. I am not going to promise you it will be easy. I will tell you, with some confidence, that it is doable. I believe in you. ❤️

I have been thinking about this a lot. About where I started and who I started treating at the beginning. I’ve been thin...
08/26/2026

I have been thinking about this a lot. About where I started and who I started treating at the beginning. I’ve been thinking about the privilege of working as a member of a care team providing acute care. I’ve been thinking about the number of humans who I provided care for, with the support of an entire team. Humans who have gone on to get well, or not. I’ve been thinking more about the number of humans who have not and will not ever receive the acute care they deserve.

Access to care has always required more than a person just being sick. It requires a bed. A team. Insurance approval. Time. And even when all of that lines up, the length of a stay is decided by someone who has never met the person receiving care.

I’ve been out of higher levels of care for years now. What I can’t stop thinking about is the truth that the humans who have access to care are deserving of it and that so many humans who would benefit from it, won’t receive it.

If you have an eating disorder, with or without a diagnosis, I believe you. I believe in you. Don’t give up. I’m rooting for you.
Hugs, a

they’ve never touched a magazine. no glossy cover telling them what their body might do this fall. and the message found...
08/25/2026

they’ve never touched a magazine.

no glossy cover telling them what their body might do this fall.

and the message found them anyway, because it was never really about the magazine. it’s older than that. it’s a system that decided some bodies need watching, managing, shrinking, and that system has always been tangled up with anti-Blackness.

that’s where the early comments come from too. not cruelty. inheritance. thinness taught as a survival strategy, a way to move through the world with less punishment attached to a body. that’s not a personal failing. that’s what happens when respectability gets handed down as protection.

now add a GLP-1 prescription to a body that hasn’t finished becoming itself yet.

this isn’t a takedown of anyone. not the family carrying old survival rules. not the kid on a GLP-1. not the kid who isn’t.

it’s a request to look at where the fear actually started. the actual root.

tag a kid headed to campus this fall. send them something other than a warning.

🆘❌the freshman fifteen❌🆘
08/24/2026

🆘❌the freshman fifteen❌🆘

Nutrition education trains dietitians to know a lot of things. Dietitians are trained to know far more than the non-fict...
08/21/2026

Nutrition education trains dietitians to know a lot of things. Dietitians are trained to know far more than the non-fiction nutrition that circulates on social media, all day, every day. And for most of us, eating disorder nutrition counseling is not a skill set our education included.

That gap shows up fast, in real sessions. A client goes quiet mid-sentence, and the instinct says fill it. Offer a fact. Ask a follow-up. Do something visible enough to prove the hour is being used well. That instinct comes from a good place, and it's usually trained into new clinicians hard, because eating disorder cases can feel high stakes in a way that makes silence feel dangerous. It isn't, most of the time. It's often exactly where the work is happening.

Some of the most important shifts I've witnessed happen in session had no words attached to them at all. A breath held, then released. A long stretch where nothing got said and everything still moved. Rushing to fill that space doesn't accelerate healing in this population. It interrupts it, at exactly the moment a client might have found their own way into the next sentence.

This is a slower kind of competence than what gets modeled in most training programs. Harder to chart. Harder to defend in a case note when a supervisor asks what happened in session. Still, arguably, some of the most clinically important work an eating disorder session can hold.

It is an honor and a privilege to do this work alongside my clients.

Leave a if you love this work, or if you love your dietitian. ❤️


This page is educational and does not represent nutrition therapy or individualized care.

Your body has been detoxing since the moment it was born. No app. No powder. No $60 juice program required.The word "det...
08/20/2026

Your body has been detoxing since the moment it was born. No app. No powder. No $60 juice program required.

The word "detox" implies something needs cleaning out. It doesn't, usually. A functioning liver, kidneys, and skin are already doing that job, continuously, whether or not anyone's paying attention to it.

What actually happens during a "detox" cleanse is mostly water weight shifting and a calorie deficit, marketed as something bigger than it is. Not toxins leaving. Not organs getting a break. Just less food, wrapped in green branding and a price tag.

If something is genuinely wrong with liver, kidney, or skin function, that's a medical situation, not a smoothie situation. And if nothing is wrong, there's nothing to fix. The body's been running this system the entire time, without an invoice.

*This page is educational and does not represent nutrition therapy or individualized care.

Most body comments come from a genuinely kind place. That's part of what makes them so hard to sit with. There's no vill...
08/19/2026

Most body comments come from a genuinely kind place. That's part of what makes them so hard to sit with. There's no villain to be angry at, just a person trying to say something nice, using the only script culture ever handed them for it.

The script assumes a lot. That a changed body means a good story behind it. That size is evidence of effort, or discipline, or improvement. That any of this can be read at a glance, by a stranger, in a hallway, in three seconds.

It can't. What actually happened to get someone to this exact day, this exact body, this exact moment, took months or years and involved things a comment can never account for. Grief. Treatment. Setbacks. Slow, unglamorous repair work that doesn't photograph well.

The kindest thing anyone can offer a person in a changing body isn't a comment on the change. It's the absence of one.

How do you deal with body talk?

*This page is educational and does not represent nutrition therapy or individualized care.

A mirror only has one job, technically. Reflect light. Glass doesn't know your history, your sleep, or the conversation ...
08/18/2026

A mirror only has one job, technically. Reflect light. Glass doesn't know your history, your sleep, or the conversation you had this morning. And yet a single glance can undo an hour, a day, more.

Here's part of why. It happens in several parts of the brain, firing in rapid succession, translating a flat, two dimensional surface into something that feels like a full statement on a three dimensional, living, changing body. That's a lot of brain, acting quickly and often, and not experienced neutrally.

Add to that everything the reflection is quietly standing in for, how you've been caring for yourself lately, what you're carrying that has nothing to do with the glass at all, and it makes sense that a mirror can feel loaded in a way it doesn't have to be.

None of that makes the hard moments less real. It just means they were never really about the glass.

How do you navigate your experience of this? Share your tips with this community.

*This page is educational and does not represent nutrition therapy or individualized care.

Every label, every post, every drink is announcing its gram count right now like it means something on its own.It doesn'...
08/17/2026

Every label, every post, every drink is announcing its gram count right now like it means something on its own.

It doesn't, not by itself. A body has an actual range it benefits from, based on size, activity, age, and health status, and that range doesn't move because a label started shouting a bigger number. A food doesn't need to hit some threshold to count as worth eating.

This is still diet culture. It just found a new number to be afraid of.

Eating enough, across a variety of foods, in a way that actually feels satisfying, was always the goal. Protein matters. But in the absence of carbohydrates, your body will still pull from its own protein stores for fuel.


*This page is educational and does not represent nutrition therapy or individualized care.

Inflammation gets blamed for everything from fatigue to joint pain to brain fog to a bad mood on a Tuesday.So does "gut ...
08/14/2026

Inflammation gets blamed for everything from fatigue to joint pain to brain fog to a bad mood on a Tuesday.

So does "gut health." So does cortisol. Whichever word is trending decides what gets blamed that season.

That's not how bodies work, and it's definitely not how chronic illness works.

Multiple systems, multiple contributing factors, sometimes genetic, sometimes environmental, sometimes just the ordinary unfairness of a body doing something a lab can't fully explain yet.

That complexity doesn't sell a $400 panel. Simplicity does.

The wellness industry needs a single villain, because a single villain has a single solution, and a single solution has a price tag.

Real medicine rarely offers that kind of tidy story. It offers something slower, messier, and far more honest.

Be gentle with yourself while you sort through the noise. Leave a if you want more like this. ❤️


*This page is educational and does not represent nutrition therapy or individualized care.

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