In this episode of Dietitians Only, we’re recapping some nutrition best practice recommendations that are frequently forgotten or overlooked. Tune in to hear seasoned dietitian, Amy Hurd, RD, LDN debunk some myths surrounding gastric residual volumes, albumin, glucose control, and micronutrient supplementation.

References:

• “Vitamin A and Carotenoids - Health Professional Fact Sheet.” Office of Dietary Supplements (ODS), https://ods.od.nih.gov/factsheets/VitaminA-HealthProfessional/. Accessed 13 Mar. 2024.

• “Vitamin C - Health Professional Fact Sheet.” Office of Dietary Supplements (ODS), https://ods.od.nih.gov/factsheets/VitaminC-HealthProfessional/. Accessed 13 Mar. 2024.

• Older Adults: Standards of Medical Care in Diabetes—2019 | Diabetes Care | American Diabetes Association (diabetesjournals.org)

• (2019), Parenteral Provision of Micronutrients to Adult Patients: An Expert Consensus Paper. Journal of Parenteral and Enteral Nutrition, 43: S1-S3. https://doi.org/10.1002/jpen.1517

• “Zinc - Health Professional Fact Sheet.” Office of Dietary Supplements (ODS), https://ods.od.nih.gov/factsheets/Zinc-HealthProfessional/. Accessed 13 Mar. 2024.

• Maxfield, Luke. “Zinc Deficiency - StatPearls - NCBI Bookshelf.” National Center for Biotechnology Information, https://www.ncbi.nlm.nih.gov/books/NBK493231/. Accessed 13 Mar. 2024.

• Murphree J, Mulherin DW, Morton C, Adams D. High-dose vitamin C therapy for symptomatic deficiency in a patient with myasthenia gravis and Crohn's disease. Nutr Clin Pract. 2022; 37: 1242-1245. https://doi.org/10.1002/ncp.10800

• McClave, Stephen, MD, Beth Taylor, D, DCN, and Robert Martindale, MD, PhD. "Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)." Journal of Parenteral and Enteral Nutrition 40.#2 (2016): 159-211.

• Boullata, J.I., Carrera, A.L., Harvey, L., Escuro, A.A., Hudson, L., Mays, A., McGinnis, C., Wessel, J.J., Bajpai, S., Beebe, M.L., Kinn, T.J., Klang, M.G., Lord, L., Martin, K., Pompeii-Wolfe, C., Sullivan, J., Wood, A., Malone, A., Guenter, P. and (2017), ASPEN Safe Practices for Enteral Nutrition Therapy. Journal of Parenteral and Enteral Nutrition, 41: 15-103 0148607116673053. https://doi.org/10.1177/0148607116673053

• Bechtold ML, Brown PM, Escuro A, et al. When is enteral nutrition indicated? J Parenter Enteral Nutr. 2022; 46: 1470-1496. doi:10.1002/jpen.2364

In this episode, we hear from Ashley Kitchens, MPH, RDN, LDN, a well-known, plant-based dietitian with her own successful practice. Ashley talks about how she pivoted from 1:1 nutrition coaching to earning passive income with digital products. We also explore her journey with burnout, something that many dietitians can identify with. Tune in to hear Ashley’s inspiring story.

Show notes:

• Ashley’s website: https://plantcenterednutrition.us

• Free Digital Product Starter Guide:  https://stan.store/ashleykitchensrd/p/digital-content-ideas 

Is cooking a lost art? Meet the dietitian entrepreneur who has set out to change that. McKenzie Rockwood, RDN is the co-founder of Citrus Pear, whose healthy freezer meals have taken over the Intermountain West. At her company, McKenzie heads up menu and recipe development. After spending time as an acute care dietitian, she saw the need to make healthy eating easier and is committed to bringing her customers and clients the tools to do so.

Show notes:

• Citrus Pear website: https://www.citruspear.com/

• Follow us on Instagram: @citrus_pear

You’ve heard of the brand, SimplyThick. Now, meet the inventor, founder, and president of SimplyThick, John Holahan. John is a larger-than-life personality who has dedicated his career to thickeners. He’s here to discuss IDDSI implementation challenges and how dietitians can help to overcome them. John also talks about his new dysphagia cookbook, TikTok fame, and how dietitians can really help those with swallowing difficulties.

Show notes:

• TikTok: @simplythickjohn

• SimplyThick website: https://www.simplythick.com

• Modern Dysphagia Cooking cookbook: https://www.amazon.com/Modern-Dysphagia-Cooking-Favorites-Dysphagia-Friendly/dp/B0BSY2LWVZ?maas=maas_adg_4B7B55F454678EEE434E4837FDFC34F1_afap_abs&ref_=aa_maas&tag=maas

• SimplyThick cutting board: https://www.simplythick.com/SimplyThick-Cutting-Board

• US IDDSI Festival: https://iddsi.org/Events/US-IDDSI-Festival-2024-(2)

Tune in to hear from dietitian, chef, and entrepreneur, Vahista Ussery, MS, MBA, RDN. Her career journey has taken a nontraditional path, and we’re here for it! Chef Vahista discusses her inspiration to co-found the culinary nutrition consulting and education company, To Taste. She also talks about her food philosophies, how she has gotten involved with nutrition in K-12 schools, and the importance of embracing flavors from all cultures.

Show notes:

To Taste is dedicated to bridging the gap between medical and/or nutritional advice and food flavorful food, ensuring flavor meets health. Their Whole Life Plate™ visually illustrates balanced eating, offering healthy food group portions and lifestyle advice, making wellness a delicious, accessible choice at every meal. Visit totaste.com to download your copy of The Whole Life Plate™ or purchase a copy of their book To Your Taste.

We’re in our ERAS era! Have you heard of Enhanced Recovery After Surgery? This approach to pre- and post-op care has been successful in reducing post-op complications, shortening recovery time, and improving patient satisfaction. Did you know there’s a nutrition component in the ERAS protocol? Tune in to find out the details and how you can support this modern perioperative protocol. 

Show Notes: 

• American Society of Anesthesiologists. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures. Anesthesiology. 2017;126(3):376-393.

• Fearon KCH, Ljungqvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin. Nutr. 2005;24(3):466-477.

• Sammour T, Zargar-Shashtari K, Bhat A, Kahokehr A, Hill A. A programme of Enhanced Recovery After Surgery (ERAS) is a cost-effective intervention in elective colonic surgery. The New Zealand Medical Journal. 2010;123(1319):61-70.

• Thiele RH, Rea KM, Turrentine FE, Friel CM, Hassinger TE,Goudreau BJ, et al. Standardization of Care: Impact of an Enhanced Recovery Protocol on Length of Stay, Complications, and Direct Costs after Colorectal Surgery. J Am Coll Surg. 2015;220:430-443.

• Dietitians On Demand’s ERAS blog series: https://dietitiansondemand.com/part-2-nutritions-role-in-eras-enhanced-recovery-after-surgery-series/

• ERAS infographic: https://shop.dietitiansondemand.com/products/2332021?_pos=1&_sid=4c672d8cf&_ss=r

• ERAS website: http://www.erassociety.org/

Eosinophilic esophagitis (EOE) is a tricky condition to treat. The symptoms mimic other more common GI conditions, so it may go underrecognized. Plus, the steps to achieving remission can be complicated and confusing for patients. That’s where a skilled and savvy dietitian can help! In this episode, Sara Glanz, MS, RD, LD, CNSC gives you a crash course on EOE so you can be ready the next time this condition walks through your door.

Show Notes: 

• Molina-Infante J, Arias A, Alcedo J, et al. Step-up empiric elimination diet for pediatric and adult eosinophilic esophagitis: The 2-4-6 study. J Allergy Clin Immunol. 2018;141(4):1365-72.​

• Molina-Infante J, Lucendo AJ. Dietary therapy for eosinophilic esophagitis. Journal of Allergy and Clinical Immunology (2018), doi: 10.1016/j.jaci.2018.02.028.

• Dellon ES, Liacouras CA, Molina-Infante J, et al. Updated international consensus diagnostic criteria for eosinophilic esophagitis: Proceedings of the AGREE conference. Gastroenterology. 2018;155(4):1022-1033. 

• Surdea-Blaga T, Popovici E, Stanculete MF, et al. Eosinophilic esophagitis: diagnosis and current management. J Gastrointestin Liver Dis. 2020;26(1):85-97.

Move over, Martha Stewart! Andrea "Andy" Mathis, MA, RDN, LD is a body-positive dietitian whose brand, Beautiful Eats & Things, focuses on realistic food and health goals, stress-free lifestyle advice, and super fun swag. Besides that, she’s a boss when it comes to media and representing dietitians in an accurate, relatable, and effective way. Get to know Andy and open your mind as she discusses the body positivity movement and how dietitians can support diversifying our field.

Show notes:

• Andy’s website: https://beautifuleatsandthings.com

• Beautiful Eats & Things Shop: https://beautifuleatsandthings.com/shop/

• Follow Andy on social media!

• Instagram, Facebook, Youtube, and TikTok: @beautifuleatsandthings

• Pinterest: @BEandThings

• X/Twitter: BeautifulEandT