RD | LDN
MA | RD | LDN
RD | LDN
MS | RD | LDN
RD | LDN
RD | LDN
MS | RD | LDN
Judy Fischer, Owner
RD | LDN | CDE | RYT-200
Click the photos below for more information about our Registered Dietitians, or download our most recent "Meet the Team".
Our Registered Dietitians are specialists in nutrition. We provide our clients with a personal meal plan that is customized to meet the needs of the individual, based on your lifestyle and food preferences.
We want you to feel comfortable with our dietitians and know as much about them as possible, so we have made their biographies available to you here on our website. Click the photo of a dietitian on this page to view more about them.
Contact us today to schedule a visit.
Registered Dietitians are NUTRITIONAL EXPERTS
RDs provide vital food and nutrition services, while promoting health and well‐being to the public. RDs use their expertise to help individuals make unique, positive lifestyle changes. They work throughout the community in hospitals, private practice, physician offices, public health clinics, nursing homes, fitness centers, worksite wellness programs, schools and other locations.
RDs apply EVIDENCED BASED PRACTICE
RDs provide care by applying the American Dietetic Association’s Evidence‐based Nutrition Practice Guidelines. The Guidelines illustrate best practice for MNT related to specific diseases or conditions to achieve positive outcomes.
RDs are HIGHLY TRAINED PROFESSIONALS
RDs receive extensive training that combines academic preparation with hands‐on, practical patient experience. RDs must complete a minimum of a bachelor’s degree, participate in a practice program involving direct patient interaction and pass a national registration exam. Approximately 50% of RDs hold advanced degrees. RDs are also required to complete continuing professional education to maintain their credential.
RD Services are integral to the PATIENT CENTERED MEDICAL HOME
RDs work hand‐in‐hand with referring providers and multidisciplinary health care team members to deliver care that is coordinated and cost‐effective. In addition to providing MNT, RDs address areas such as glucose monitoring and body composition analysis.
RDs Provide Better Health Outcomes
The inclusion of nutrition interventions and counseling, when provided by a registered dietitian as part of a health care team, results in significant improvements in weight and BMI, A1C, blood pressure and serum lipids. The following Grade 1 systematic reviews demonstrate the benefits of RD‐provided nutrition services.
Studies show medical nutrition therapy (MNT) provided by a registered dietitian to overweight and obese adults for less than six months yields significant weight losses of approximately 1‐2 pounds per week. MNT provided from six to twelve months yields significant mean weight losses of up to 10% of body weight with maintenance of this weight loss beyond one year.
Overweight/obese individuals, who received medical nutrition therapy (MNT) provided by registered dietitians (an average of 2.6 visits) in addition to an obesity‐related health management program that included physician visits, nursing support, education materials and tools, were more likely to achieve clinically significant weight loss than individuals who did not receive MNT. This study demonstrates the health benefits associated with the addition of MNT to a health management program (Source: American Dietetic Association Food & Nutrition Conference & Expo 2009).
Medical nutrition therapy (MNT) provided by a registered dietitian lowers blood pressure in adults with hypertension. Studies show MNT provided for less than six months leads to significant reductions in blood pressure of approximately 5 mm Hg for both systolic and diastolic blood pressure. MNT provided from six to twelve months reported similar significant reductions in blood pressure with sustained reductions in blood pressure beyond one year.
Studies evaluating the effectiveness of diabetes medical nutrition therapy (MNT) provided over three to six months by a registered dietitian reported reductions in A1C, ranging from 0.25% to 2.9%, depending on the type and duration of diabetes. Multiple studies showed sustained
improvements in A1C at twelve months and longer. Improvements in other outcomes were also observed, such as improved lipid profiles, weight management, decreased need for medications and reduced risk for onset and progression of comorbidities.
Disorders of Lipid Metabolism
Available data from studies on medical nutrition therapy (MNT) provided by a registered dietitian
indicate that with two to six planned visits, patients reported 15–22% reduction in total dietary fat (from 32–33% of calories to 25–28% of calories), and 22–36% reduction in saturated fat (from 11– 12% of calories to 7–9% of calories). This was accompanied by 6–13% reduction in total plasma cholesterol and 7–14% reduction in LDL‐C.
Evidence-based medicine shows a 6 month commitment is needed to shape new behaviors. Some people will need more time, some less. That is the nature of personal nutrition and behavioral change. Everyone is different and has different needs. Whatever your nutritional needs and goals are, that is what your personal RD (registered dietitian) will focus on.
At MDD, you will be Coached and Educated on How and What to eat based on your personal eating habits, likes and dislikes.
If You're Committed...We're Committed. That is Our Pledge to You!