Nutrition specialty

Cardiometabolic Health

Nutrition care for high cholesterol, high blood pressure, and heart health, with practical changes that move your numbers.

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Dietitians for this specialty

Anna

Julia

Sam

Why It Matters

48%

of U.S. adults have high blood pressure, and only about 1 in 4 of them has it under control.

86 million

U.S. adults have total cholesterol above 200 mg/dL. High cholesterol has no symptoms, so a blood test is the only way to know.

1 in 3

U.S. adults has fatty liver disease (MASLD), often without symptoms.

Cardiovascular disease is the leading cause of death worldwide, accounting for about 1 in 3 deaths.

30%

fewer heart attacks, strokes, and cardiovascular deaths in a large clinical trial of adults at high risk who followed a Mediterranean-style eating pattern.

Could This Be You?

Have elevated cholesterol, triglycerides, or blood pressure

Are navigating metabolic syndrome, prediabetes, or insulin resistance

Have been told your liver enzymes are high or you may have fatty liver

Have a family history of heart disease, stroke, or Type 2 diabetes

Feel like you “eat pretty well” but your lab results tell a different story

Take medications and want to optimize nutrition to enhance their effectiveness or get off of them completely

Want to reduce cardiovascular risk without restrictive diets or food rules

Cardiometabolic Health Concerns We Support

High Cholesterol & Triglycerides

Elevated lipids can increase the risk of heart attack and stroke, and nutrition plays a key role in management.

How we help

Increase soluble fiber and plant sterols to reduce LDL cholesterol
Incorporate omega-3s and unsaturated fats to lower triglycerides
Limit added sugars and refined carbs that can elevate lipid levels
Support realistic, sustainable habit changes for long-term heart health

High Blood Pressure (Hypertension)

Often symptomless, hypertension can increase the risk of cardiovascular and kidney disease.

How we help

Focus on potassium-rich foods while reducing sodium and processed foods
Align with DASH eating principles without rigid rules
Integrate hydration, magnesium, and stress management to support lower readings
Educate on label reading to identify hidden sodium and added sugars

Fatty Liver Disease (MASLD, formerly NAFLD)

Fat accumulation in the liver is often tied to insulin resistance and can be reversible through targeted nutrition.

How we help

Prioritize fiber, unsaturated fats, and limit fructose from added sugars
Adjust carbohydrate quality and timing to stabilize blood sugar
Include nutrient-dense foods like choline, vitamin E, and omega-3s to support liver health
Recommend moderate, sustained caloric deficit (only if appropriate)

Kidney Disease (Early Stage CKD)

Early-stage CKD often requires careful dietary modifications to protect kidney function and prevent further progression.

How we help

Adjust protein, phosphorus, and potassium based on lab results
Focus on nutrient-dense foods that prevent malnutrition and maintain energy
Monitor sodium intake and support blood pressure control
Coordinate with your nephrologist to align dietary goals with medical treatment

Not sure where you fit?

Our Practice Administrator can match you with the dietitian who specializes in your concern.

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How We Help

Lab Analysis & Interpretation

Translate your cholesterol, triglycerides, blood pressure, and liver enzyme results into actionable steps.

Prescription Planning

Develop targeted nutrition plans that integrate with medication, including GLP-1s, supporting heart health without restrictive diets.

Inflammation Reduction

Use anti-inflammatory foods to target silent inflammation that contributes to cardiovascular and metabolic disease.

Balanced Meal Structuring

Build meals that prioritize fiber, unsaturated fats, and slow-digesting carbohydrates to support heart health.

Weight-Neutral Progress

Focus on health behavior change, not weight-centric goals, to improve labs and reduce risk factors.

Lifestyle & Stress Integration

Incorporate sleep, stress, alcohol intake, and movement strategies to complement dietary changes.

Provider Collaboration

Work with your medical team to monitor progress, adjust medications, and track lab changes over time.

Session Topics & Timeline

Visit 1

Assessment & Risk Review

Review relevant labs
Assess key dietary patterns
Screen family history of cardiovascular disease, hypertension, and diabetes
Assess stress and relevant lifestyle habits
Assess thought patterns around food and eating
Assess motivation and readiness to change

Visits 2–5

Core Nutrition Education

Fat types, label reading, and the Mediterranean diet
Heart-healthy dietary frameworks
Cultural beliefs around food
Small, achievable dietary changes based on readiness
Meal ideas

Visits 6–8

Practical Skills & Lifestyle Integration

Practical heart-health skills: grocery shopping, meal preparation, and cooking
Broader lifestyle factors: stress management, sleep, and exercise

Visits 9+

Long-Term Monitoring & Maintenance

Review and monitor labs and dietary patterns
Support long-term adherence to initial goals
Plan for sustained habits
Maintain focus on resilience
Intuitive eating principles for long-term sustainability

Visit timing is a guide. Your dietitian adjusts the pace to your needs.