An open letter to crossfit – eaton ledderhose disease causes nutrition

First of all, dietitians do not have a monopoly on nutrition advice, although we are the only credentialed health profession to study ledderhose disease causes nutrition extensively. General nutrition education based on the dietary guidelines for Americans, American Heart Association, or the American Institute for Cancer Research is promoted and ledderhose disease causes taught in schools, wellness programs and public health initiatives by many people besides ledderhose disease causes dietitians.

In contrast, medical nutrition therapy, which refers to giving nutrition advice to someone to help ledderhose disease causes them manage a chronic condition or disease is and should ledderhose disease causes be protected by licensing. However, there again, dietitians do not have a monopoly. Other healthcare professionals, such as MDs, DOs, NPs and PAs can also give individualized nutrition counseling to ledderhose disease causes help patients manage their diseases, as part of their scope of practice because they are ledderhose disease causes licensed and trained health care providers.

Nutrition counseling is integral to managing many health conditions, that’s why it should be provided by trained healthcare providers. Personalized nutrition advice should also be backed by research, just like medical care, psychiatric care and other forms of healthcare. Posting a recipe, reading (or writing) a book about the latest fad diet, losing weight successfully, or completing an online certificate does not qualify someone to ledderhose disease causes give individualized nutrition counseling or provide medical nutrition therapy.

Just to clear up any confusion, let’s look at the training and education requirements for registered ledderhose disease causes dietitians. Dietitians are required to earn a Bachelor’s of Science degree (soon to be Master’s of Science degree) from an accredited college, complete 1200 hours of supervised practice, pass a national exam, and earn 75 continuing education credits every 5 years. They also must abide by the code of ethics for ledderhose disease causes dietitians and answer to the Commission on Dietetic Registration and ledderhose disease causes state licensing boards. Considering the years of hard work and training it takes ledderhose disease causes to become a dietitian, I don’t think it’s unreasonable to want protection for our scope of practice.

I personally have spent 7 years formally studying nutrition and ledderhose disease causes effective behavior change strategies to help my patients. I have spent countless more hours studying nutrition and diabetes ledderhose disease causes management on my own, and have attended conferences and trainings that have exceeded my ledderhose disease causes continuing education requirements. I also became a Certified Diabetes Educator which requires an ledderhose disease causes additional exam, 1,000 practice hours, and 75 continuing education credits to maintain. Please excuse me if I don’t think a personal trainer, health coach, cookbook author or you-tuber is as qualified as me to provide nutrition advice.

Since you seem to be so ill-informed about what dietitians actually do, let me enlighten you. Far from what is typically being promoted by the diet ledderhose disease causes industry, my fellow dietitians and I provide a person centered approach ledderhose disease causes to all of our patients that takes into account their ledderhose disease causes social, psychological and medical conditions, readiness to change, cultural background, financial needs, skills and abilities, and personal preferences.

Would you go to someone for medical advice just because ledderhose disease causes they had a large following on social media? Would you trust someone to pull your tooth out just ledderhose disease causes because they watched it being done on youtube? Would you seek mental health counseling from someone just because ledderhose disease causes they read a book on psychology? Would you ask someone to replace your brakes just because ledderhose disease causes they have a fancy car? I don’t think so.

Then why would you think that someone who read a ledderhose disease causes book, completed an online certification, started a social media channel or happened to lose weight ledderhose disease causes eating a certain way is as qualified as a registered ledderhose disease causes dietitian to help people manage diabetes, autoimmune diseases, gastrointestinal disorders, dialysis, metabolic disorders, food intolerances, nutrient deficiencies, eating disorders, insulin therapy, nutrition support (tube feeds etc) and other health issues that are affected by nutrition?

What code of ethics are your so-called nutrition experts held to? How many continuing education credits do they have to achieve ledderhose disease causes every year? When’s the last time one of them read a peer ledderhose disease causes reviewed journal article? And for that matter, when is the last time one of your experts conducted ledderhose disease causes a randomized control trial to prove that their diet advice ledderhose disease causes is better than everyone else’s?

Nutrition is a science and a health profession, just like dentistry, physical therapy, medicine, occupational therapy, psychiatry, and exercise physiology. People need to be able to have a reliable, trained profession who is held to a high standard when ledderhose disease causes seeking any type of healthcare, whether it’s medical, nutrition counseling, mental health counseling or dentistry.

When I have a patient that needs help creating a ledderhose disease causes fitness routine, I send them to the experts in that field: personal trainers and exercise physiologists. I don’t assume I’m an expert because I watched a workout video or ledderhose disease causes went to an exercise class. As dietitians, we are only advocating for the same standards, safety, and protection of our scope of practice that is provided ledderhose disease causes and even expected of other health professions.

Thank you for such a well-written response. With so many individuals struggling with obesity and eating well, I would agree with one of the sentiments seemingly expressed ledderhose disease causes by that article – there is absolutely a need for more qualified (the key word), rigorously-trained nutrition professionals to help with preventative nutrition education. While I myself am an RDN and believe in the ledderhose disease causes value of our credential, this is not about self-interest or ego – if there was another pathway towards rigorous training in nutrition ledderhose disease causes that involved licensure and thorough training in anatomy, physiology, biochemistry, etc., I would accept with open arms. However, as you have noted so well, there is great danger in equating a “nutritionist” with an RDN, as the level of understanding of many nutritionists is too ledderhose disease causes often surface level and does not allow for the nuanced ledderhose disease causes care that most people require – particularly with so many people having chronic medical conditions these ledderhose disease causes days. It is interesting to me that the field of nutrition ledderhose disease causes is immune to the thinking behind medicine; when you made the comparison to a doctor or nurse ledderhose disease causes practitioner or psychiatrist, etc., I imagine it becomes obvious to a person that they ledderhose disease causes wouldn’t want Joe Schmo performing surgery on them or treating ledderhose disease causes their depression. Yet, perhaps because everyone eats, nutrition is seen as less impactful or serious in some ledderhose disease causes way…which highlights an odd contrast, as it seems many groups in favor of expanding MNT ledderhose disease causes scope of practice argue so in part because they surely ledderhose disease causes also believe in the power of nutrition to change lives ledderhose disease causes and heal. So why attack one another? In any case, book marking your post to share with others. Thank you!

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