Exam Room Nutrition: Practical Nutrition for Healthcare Professionals
Nutrition advice is everywhere. Your patients need help sorting through misinformation, and you need practical guidance for communicating nutrition clearly and compassionately. Exam Room Nutrition is the podcast for physician associates, registered dietitians, and healthcare professionals who want to stay current on nutrition and feel more confident counseling patients. Hosted by Colleen Sloan, PA-C, RDN, each episode breaks down evidence-based topics including pediatric nutrition, weight management, diabetes, supplements, sports nutrition, and more. You’ll learn how to translate the evidence into realistic recommendations without judgment, shame, or overwhelming your patients.Whether you are a PA strengthening your nutrition knowledge or an...
175 | Baby-Led Weaning vs. Purées: Which Is Better?
Infant Feeding: Gagging, Choking, and First Foods
Starting solids can feel surprisingly complicated for parents, especially when the advice they receive from healthcare providers, social media, and well-meaning family members doesn't always agree.
Purées or baby-led weaning? Four months or six? And is food before one really just for fun? In this episode, I'm joined by Kinzie Matzeller, a registered dietitian and PhD candidate at Colorado State University who researches infant feeding, nutrition, and growth.
What We Talk About:
What developmental signs to look for when determining whether a baby is rea...174 | Folate, Choline & the Fertility Supplement Hype
Folic Acid, Inositol, and Choline Explained
Folic acid or methylfolate? Does inositol actually help with PMOS? And why is choline missing from so many prenatal vitamins? Prenatal nutrition has become surprisingly controversial, and social media isn't making it any easier for clinicians to separate evidence from marketing.
In this episode, I'm joined by Ayla Barmmer, MS, RDN, founder, formulator, and CEO of FullWell, to unpack the nutrients that matter most before and during pregnancy.
Key takeaways:
Why nutrition matters 3–6 months before conception, not just after a positive pregnancy testFolic acid vs. methylfolate: wha...173 | The Dancer Looks Healthy. But Is She?
Nutrition Red Flags in Young Dancers
In this episode, I'm joined by registered dietitian and former ballet dancer Maura Fowler to talk about relative energy deficiency in sport (RED-S) and the unique pressures young dancers face around food, performance, and body image.
You'll Learn:
Why RED-S can affect both male and female dancers, even when they don't have an eating disorder.The link between low energy availability and frequent illness, fatigue, dizziness, and recurring injuries Why changes in menstruation can be an important early warning sign, even when an athlete appears healthy.When "clean ea...172 | Alpha-Gal Syndrome: Symptoms, Diagnosis, and Diet
Tick Bites, GI Symptoms, and Hidden Triggers
A patient comes in with recurrent diarrhea, abdominal pain, or unexplained hives. Could a tick bite be responsible?
Alpha-gal syndrome is an unusual food allergy that can develop after a tick bite, causing delayed reactions to mammalian meat and sometimes other animal-derived products. But recognizing it isn't always straightforward, especially when patients have GI symptoms without the typical signs of an allergic reaction.
In this episode, I'm joined by Jerry Simons, PA-C, a nationally recognized medical educator with more than 25 years of experience treating complex GI...
171 | Food Rules We Carry Into Adulthood
Picky Eating, Food Pressure & Body Trust
“Just take one more bite.” “Finish your vegetables, then you can have dessert.” “That’s junk food.”
These comments may seem harmless, but the messages kids hear around food can shape how they eat and think about their bodies years later.
In this episode, I’m joined by registered dietitian Kerry Miller to talk about how parents and clinicians can help kids build body trust and a healthier relationship with food.
Key takeaways:
Why pressure to eat can actually increase picky eatingHow to balance mealti...170 | What Does “Healthy” Actually Mean?
Help Patients Define They're WHY
What does your patient actually mean when they say, “I just want to be healthy?” Because “healthy” can mean something completely different to the clinician, the patient, and the parent sitting next to them. In this episode, I’m talking with registered dietitian Allison McKeany about why defining health may be one of the most important steps in nutrition counseling.
Key takeaways:
Why clinicians should define what “healthy” means before giving nutrition adviceHow to uncover a patient’s deeper “why” and use it to support behavior changeAllison’s four areas of health: p...169 | An Obesity Doctor on GLP-1s, Cortisol & Peptides
Hunger, Habits and Sustainable Weight Care
In this episode, I sit down with Dr. Rees Checketts, an internal medicine physician specializing in metabolic and obesity medicine, to talk about what nutrition education in medical training gets right, and where it still falls short. We also dig into the conversations clinicians are having every day about weight, hunger, GLP-1 medications, cortisol, processed foods, and the latest wellness trends.
You’ll learn:
How genetics, environment, hunger and fullness cues can influence weightWhy Dr. Checketts uses a “thoughtful indulgence” approach with patientsHow he decides when weight loss medicati...From First Foods to Family Meals
This episode is part of our four-part Avocados in Practice mini-series, sponsored by Avocados – Love One Today®. Today, we're exploring practical family nutrition strategies from first foods to family meals. Helping families eat well isn't about creating the perfect meal, it's about finding realistic strategies that work through every stage of childhood. In this final episode of our mini-series, Patricia Bannan, MS, RDN, and I discuss common nutrition gaps, first foods, picky eating, and practical approaches to building family meals that support healthy eating without becoming short-order cooks, including simple ways versatile foods like avocados can fit across ages and...
The Bigger Picture of Blood Sugar
This episode is part of our four-part Avocados in Practice mini-series, sponsored by Avocados – Love One Today®. Today, we're asking whether we're focusing on the right things when it comes to diabetes nutrition.
When someone is diagnosed with prediabetes or type 2 diabetes, nutrition conversations often become all about sugar and carbohydrates. But are we missing the bigger picture? In this episode, Patricia Bannan, MS, RDN, joins me to discuss glycemic load, diet quality, and why overall eating patterns deserve just as much attention as individual nutrients when supporting healthy blood sugar management and type 2 diabetes risk reduction.
...
Rethinking Cholesterol Counseling
This episode is part of our four-part Avocados in Practice mini-series, sponsored by Avocados – Love One Today®. Today, we're tackling one of the most common nutrition conversations in practice: cholesterol. Nutrition counseling often focuses on what patients should stop eating, but what should we encourage them to eat more of? Patricia Bannan, MS, RDN, joins me to discuss the types of food substitutions that can impact cholesterol, how current heart health guidelines support a food-first approach, and what the latest research tells us about improving cholesterol through practical, sustainable nutrition changes such as swapping foods with saturated fat for avo...
Why Feeling Full Matters for Weight Loss
Many patients believe that feeling hungry is simply part of losing weight, but it doesn't have to be. In this episode of our Avocados in Practice mini-series, sponsored by Avocados - Love One Today®, Patricia Bannan, MS, RDN, joins me to discuss why satiety matters, what the research says about fullness and foods and nutrients that influence it, and how clinicians can help patients build meals that are both satisfying and nutrient-dense. We also explore common misconceptions about higher-fat foods, practical nutrition strategies for patients taking GLP-1 medications, and simple ways to incorporate avocados into everyday meals to support f...
168 | Can You Starve Cancer? What the Evidence Says
Apricot Kernels, Amino Acid Diet & Fasting in Cancer Care.
In this episode, I’m joined by oncology dietitian Ginger Hultin to break down some of the biggest cancer nutrition myths circulating online and explain what clinicians should actually be telling patients.
We discuss:
Whether sugar really “feeds” cancer and what the Warburg effect actually meansThe truth about soy, phytoestrogens, and hormone-sensitive cancersProcessed meat, red meat, and which foods are actually linked to cancer riskAspartame, artificial sweeteners, and what “possibly carcinogenic” really meansAlcohol and cancer risk—and why there seems to be some discrepancyWhether fasting during chemot...167 | Type 1 Diabetes Update: Screening, Staging and Tech
CGMs, Carb Counting and GLP-1s in Type 1 Diabetes
Type 1 diabetes care has changed a lot. From earlier screening and diabetes staging to diabetes technology, clinicians have more tools than ever, but also more to keep up with.
In this episode, I’m joined by Sarah Hormachea, RDN, CDCES, to break down what clinicians need to know about modern type 1 diabetes management.
Key takeaways:
Who should be screened for type 1 diabetes and what autoantibodies to look forThe difference between stage 1, stage 2, and stage 3 type 1 diabetesWhy diabetes technology is changing how we t...166 | Think You Can Spot an Eating Disorder?
We Were Taught Eating Disorders Wrong
A patient can be purging, restricting, hiding food, or obsessing over their body and still have a “normal” weight and normal labs. That’s exactly why eating disorders are so easy to miss.
In this episode, I sit down with eating disorder expert and dietitian Jessica Setnick for a conversation that completely challenges the way many of us were trained to recognize disordered eating. We talk about the stereotypes that keep patients from getting diagnosed, the well-intended things adults say and do around food that can backfire, and the subtle s...
165 | Fiber and Gut Health: Why “Eat More Fiber” Isn’t Enough
Fiber, Fermentation, and the Gut Microbiome
Healthcare practitioners can request free samples of NeuroFiber here
We’re all guilty of telling patients to “eat more fiber,” but that recommendation is often too basic. Fiber type, diversity, tolerance, and the patient’s specific health goal all matter.
In this sponsored episode, with support from NeuroFiber, you’ll learn why relying on one isolated fiber may not provide the same benefits as eating a variety of fiber-rich foods and how to give patients more practical, targeted guidance.
Key takeaways:
A better way to classif...164 | What Actually Helps Chronic Pain?
Nutrition, supplements, and what the evidence says
In this episode, I’m joined by Chelsey Hoffmann, PA-C, RDN, who specializes in pain medicine at Mayo Clinic, to break down where nutrition fits into chronic pain management and how to evaluate supplements without overpromising results.
We cover:
Why a Mediterranean-style diet should come before supplements for painSupplements with evidence for neuropathic pain vs. musculoskeletal painWhat we know about alpha-lipoic acid, turmeric/curcumin, glucosamine, chondroitin, collagen, omega-3s, magnesium, vitamin D, and PEAChelsey's algorithm for experimenting with supplements How to define whether a supplement is actually “worki...Summer School | What to Eat for Fertility
Fertility Care for Both Partners
Infertility affects both partners, yet fertility evaluations and lifestyle advice often focus primarily on women. In this Summer School replay, Colleen talks with infertility PA Jessica Boone about taking a more complete, compassionate approach to fertility care.
They discuss why both partners should be evaluated, what may be missing from a standard infertility workup, and how nutrition, sleep, movement, hydration, and environmental exposures can support overall reproductive health. Jessica also shares practical questions clinicians can ask to better understand a couple’s history, family-building goals, and next steps.
Res...
Summer School | What To Eat for Brain Health
Foods to support focus, memory, and long-term brain health
In this Summer School replay, I talk with Dr. Jenna Stedman, a cognitive performance dietitian, about the connection between nutrition and cognitive health across the lifespan.
You’ll learn:
Which nutrients matter most for cognitive healthWhether blending fruit changes its nutrition or blood sugar impactHow to build a simple Brain Power PlateSpecific foods that promote brain healthResources Mentioned:
Episode 150: How to reduce dementia risk with daily habits
Dr. Stedman’s Brain Power Plate breakdown
Blog: 9 Questions to Ask Abou...
Summer School | What to Eat After Surgery
Nutrition To Support Post-Operative Healing
In this Summer School replay, Colleen talks with Erin Scherer, a surgical PA and registered dietitian, about the role nutrition plays in tissue repair, infection prevention, and recovery. They discuss which patients may need additional nutrition support, the key nutrients clinicians should prioritize, and simple opportunities to bring nutrition into the conversation.
Grab the FREE Post-Surgical Nutrition Guide Here
You’ll learn:
Why protein needs increase after surgery or injuryThe roles of vitamin A, vitamin C, zinc, and omega-3 fatsHow hydration supports the healing processWhen supplements may be...Summer School | What to Eat for Migraines
Food Triggers, Hydration, and Supplements
Welcome to Summer School! In this Summer School replay, Colleen talks with Kelly, a registered dietitian specializing in migraine nutrition, about the complicated relationship between food and migraines. They discuss why there is no universal list of “migraine trigger foods,” how hydration and caffeine may influence symptoms, and why overly restrictive elimination diets can create more confusion than relief.
You’ll learn:
How to help patients identify their individual migraine triggersWhy balanced meals and consistent eating may support migraine managementPractical nutrition strategies for nausea, pain, and low appetiteHow hydration, caffeine...163 | Healthy and Busy Can Coexist
You Are Not Your Struggle
So many women are trying to eat better, lose weight, meal plan, feed their families, manage busy schedules, and somehow not feel guilty about every food choice along the way. In this episode, I’m joined by Kelsey Wickenhauser, PA, homeschooling mom of four, Christian health coach, and founder of Kingdom Fit Moms, for a conversation about what it really looks like to pursue health in the middle of real life.
Key Takeaways:
Why shame keeps so many women stuck in the diet cycleHow to help patients sep...162 | Stop Banning Bananas: Kidney Diet Rules We Need to Rethink
CKD Food Rules That Need an Update
Kidney nutrition has a reputation for being restrictive, confusing, and honestly… a little intimidating. But for many patients with chronic kidney disease, the biggest problem isn’t that they’re eating a banana or adding tomatoes to dinner. It’s that they’ve been handed outdated food rules that leave them scared to eat.
In this episode, I’m joined by renal dietitian Lauren Budd Levy, MS, RDN, CSR, to talk about what clinicians need to know about kidney nutrition, especially if you don’t work in nephrology.<...
161 | The Art of Inviting Patients Into Treatment
Give Nutrition Advice Without Making Patients Feel Punished
Have you ever asked, “Do you have any other questions?” at the end of a visit and immediately regretted it?
Same.
Because of course they have more questions. Important questions. Questions that probably should have been asked 15 minutes ago, except now you’re already behind, the next patient is waiting, and you’re trying to be compassionate without completely derailing the visit.
In this episode, I’m talking with Maya Feller, MS, RD, CDN, registered dietitian, author of Eating From Our Roots, and f...
160 | Inside an Obesity Clinic: GLP-1 Dosing, Plateaus, and Prior Auths
What Really Happens Inside an Obesity Clinic
GLP-1 medications are everywhere right now. Patients are asking about Ozempic, Wegovy, Zepbound, compounded medications, muscle loss, “Ozempic face,” insurance denials, and what happens when the weight loss slows down.
But what does obesity medicine actually look like inside the clinic? In this episode, I’m joined by Joseph Zucchi, PA-C, clinical supervisor and physician associate at Transition Medical Weight Loss in Salem, New Hampshire.
This is not your typical GLP-1 conversation. We’re going beyond protein goals, nausea tips, and constipation management to talk about...
159 | What Social Media Gets Wrong About Nutrition
Nutrition Advice Needs More Nuance.
Your patients are hearing a lot online: fix your gut, avoid processed foods, buy organic, take a probiotic, and eat the “right” foods if you want to be healthy.
But nutrition is rarely that simple.
In this episode, I’m joined by Registered Dietitian Manju Karkare to talk about how clinicians can respond to common nutrition questions with more nuance, less fear, and advice that actually fits the patient’s life.
We cover gut health, probiotics, processed foods, organic produce, cultural food traditions, food access...
158 | The Nutrition Mistake Every Injured Athlete Makes
Injured Athletes Still Need Fuel.
When an athlete gets injured, the instinct is often to eat less. But according to sports dietitian Emily Barnhart, recovery still requires fuel.
In this episode, we talk about how nutrition needs change after injury, surgery, ACL repair, stress fractures, and periods of immobilization. Emily explains why under-fueling can delay healing, how to think about protein during rehab, and what clinicians should know before recommending supplements for injury recovery.
What You’ll Learn:
Why injured athletes still need enough calories, even when activity dr...157 | I Hate Meal Plans: What Dietitians Do Instead
“I’m doing everything right, but nothing’s working.”
I bet you've heard that before! In this episode, I’m joined by registered dietitian Devin Breedon to talk about the hidden barriers that impact weight loss, blood sugar, and overall health.
We also pull back the curtain on what registered dietitians actually do during a patient session, why behavior change matters more than meal plans, and how medical providers can make stronger, more effective referrals to dietitians.
What You’ll Learn:
Why patients may struggle with weight loss even when they’re “eating healthy”The...156 | LIVE From Today's Dietitian: 3 Nutrition Counseling Mistakes and What to Say Instead
3 Mistakes We Make When Talking About Nutrition
I spoke at 2 different conferences, 4 lectures in total, this weekend and all of them had a similar thread: HOW we communicate our recommendations matter.
Enjoy this quickie episode summarizing one of my presentations at the American Association of Physician Associates in New Orleans.
Shoot me a DM @examroomnutrition and vote:
T/F: When you Know Better, You Do Better.
What do you think??
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155 | Unstuck: Strategies for Sustainable Weight Loss
Weight loss doesn’t fail overnight.
It usually happens slowly… through all-or-nothing thinking, unrealistic expectations, and patients feeling like they have to “start over” every Monday.
In this episode, I’m joined by registered dietitian Sam Barone for a conversation about sustainable weight loss, behavior change, and why the best “diet” might not be a diet at all. We unpack the real reason patients struggle to maintain weight loss, how to shift away from perfectionism, and why focusing only on the scale often backfires long term.
If you work with patients trying to lose weight, s...
154 | Diabetes in the Age of Social Media: Are Glucose Spikes Really the Problem?
Social Media Is Confusing Your Patients.
In this episode, I’m joined by endocrinology PA Emily Stevens to discuss diabetes, insulin resistance, and blood sugar control and help you explain it in a way your patients will actually understand.
If your patients are asking about glucose spikes, CGMs, keto, or supplements like berberine, this episode will give you clear, practical answers you can use in clinic this week.
What You’ll Learn:
Why "glucose spikes" are normal and how to explain this to patients without causing fear The truth about low-carb, keto, and inter...153 | Teen Sports Nutrition: Adult Nutrition Rules Don't Work
Teen Athletes Need Different Fuel.
What happens when well-meaning parents apply adult nutrition rules to teenage athletes? You get under-fueled kids, missed performance potential… and a whole lot of confusion in the exam room.
In this episode, I sit down with sports dietitian and former D1 athlete Maria Vallasciani to break down what teen athletes actually need and why most of them aren’t getting it. From skipped breakfasts to overhyped protein powders, we unpack the real drivers of performance, growth, and recovery in this population.
We also get into the prac...
152 | Overeating Explained: Hunger, Habits, or Emotions?
Why Patients Overeat and Feel Out of Control
What’s really driving overeating: hunger, habit, or emotions? In this episode, I’m joined by Kate Johnston, a physician assistant turned eating habits and weight loss coach, to unpack why patients eat past fullness, why nighttime eating feels so out of control, and how to quickly uncover what’s actually going on beneath the behavior.
Here’s what you’ll learn:
The difference between feeling satisfied and feeling full, and why that distinction matters in patient counseling Simple questions clinicians can ask to figure ou...151 | Are GLP-1s Masking Undiagnosed Eating Disorders?
When Weight Loss Hides Something Deeper
In this episode, I’m joined by Shawna Melbourn, a Registered Dietitian with over 20 years of experience in eating disorder care, to unpack whether the most celebrated effects of GLP-1 medications, appetite suppression, is actually masking something deeper
Here’s what you’ll learn:
Why appetite suppression isn’t always a win (and how it can reinforce restriction)The difference between “quieting food noise” and actually healing a patient’s relationship with food3 simple, high-yield questions you can use to screen for disordered eatingSubtle red flags that suggest a GL...150 | How to Reduce Dementia Risk with Daily Habits
Daily Habits Your Patients Need For Brain Health.
If your patients are asking how to protect their brain, and you’re defaulting to “eat better and exercise more”, this episode will challenge that in the best way.
In this episode, I’m joined by Eric Collett, a brain health expert, to unpack a more practical, real-world approach to cognitive health.
We cover everything from how food fuels the brain at a cellular level to why movement throughout the day may matter more than a single gym session. And toward the end, we get into one...
149 | Why Kids Feel Anxious Around Food and How to Help
"It’s not just what children are eating. It’s how they’re experiencing food that shapes their habits."
In this episode, I’m joined by Alicia Eaton, a behavior change therapist and author, to unpack what’s really happening beneath the surface when kids struggle with food. Because it’s not just about what’s on the plate. It’s about the environment, the language, and the emotional experience surrounding it.
What We Talk About:
Why phrases like “just try one bite” can increase anxiety around foodHow early feeding experiences shape adult eating behaviorsThe differe...148 | Ultra-Processed Foods Explained: Science vs. Social Media
Processed Food “Kills”. That message is everywhere right now. Social media posts, viral headlines, even Super Bowl commercials warning that processed foods are dangerous.
But what do we actually mean when we say “ultra-processed food”?
In this episode, I sit down with nutrition researcher Dr. Mandy Willig to unpack the science behind ultra-processed foods, the NOVA classification system, and why the conversation online is often missing important nuance.
We also break down new research comparing ultra-processed vs minimally processed diets, discuss whether processed foods are truly addictive, and explore how clinicians can respond when pat...
147 | GLP-1s vs Bariatric Surgery: How to Choose the Right Treatment
How To Decide Between Bariatric Surgery and Obesity Medications
I’m joined by Kate Fuss, PA-C to unpack how GLP-1 medications and bariatric surgery actually work together, when each option makes sense, and what primary care clinicians should understand when caring for patients before or after bariatric surgery.
We also dive into the psychological side of weight loss, because hitting a number on the scale doesn’t always translate into better mental health.
What You’ll Learn
How to shift patients toward non-scale victories and meaningful health goalsThe lifelong vitamin and lab monito...146 | When Culture Is Erased from Nutrition Guidelines
Did the Dietary Guidelines ignore culture?
In this special roundtable episode, I’m joined by four registered dietitians from Indian, Mexican, Filipino, and Nicaraguan backgrounds to unpack a major concern in the latest Dietary Guidelines for Americans: the absence of explicit cultural inclusivity.
Because food isn’t just carbs and protein. It’s identity, tradition, and community. And when guidelines ignore that, it impacts how we counsel patients in the exam room.
In this episode, we discuss:
How Eurocentric nutrition messaging shapes clinical recommendationsWhy telling patients to “cut the rice” or “switch to whole whe...145 | A Nutrition Framework for Depression & Anxiety
Mental Health Nutrition Starts Here.
When a patient opens up about their mood, we think therapy. We think medication. But do we ever pause and ask… are they eating enough to support their brain?
In this episode, I’m joined by registered dietitian Jennifer Hanes, who specializes in nutrition and mental health. We unpack how food impacts mood, why under-eating can worsen anxiety and depression, and how clinicians can confidently talk about nutrition without oversimplifying it.
You’ll learn:
Why the nutrition hierarchy of needs matters for patients with anxiety and depressionHow chronic...144 | Pediatric Obesity Care: Protecting Kids in a Body-Obsessed Culture
Discuss Pediatric Weight Gain Without Triggering Shame
What would you say if a parent asked, “Can you tell my son he needs to lose weight?”
That question sits at the center of one of the hardest conversations in pediatrics.
In this episode, I’m joined by Dr. Amy Beck, clinical psychologist and expert in teen mental health and weight stigma, to unpack how we address pediatric obesity without causing unintended harm.
Because this isn’t just about weight. It’s about protecting kids in a culture ob...