Nutrition Coaching with Loshi Vue, RDN
Virtual Care that’s practical, personal, and judgement-free
Working with Grain by Grain means getting real support—not just another set of food rules. I’m here to help you feel better in your body, find what works for your lifestyle, and finally make changes that last. As a Registered Dietitian Nutritionist, I’ve helped people navigate everything from confusing diet advice to chronic conditions—and I’d love to help you too.
Does any of this sound familiar?
You’re low on energy no matter what you try
Nutrition feels confusing, and you don’t know who to trust
Diets haven’t stuck—and you’re tired of starting over
You want to eat better, but without giving up foods you love
Managing diabetes, weight, or hormones feels frustrating
You’ve been told what not to eat, but never what actually works for you
Let’s take the guesswork out of nutrition.
We’ll focus on small, realistic steps that make a big impact—without extremes, guilt, or all-or-nothing thinking.
We accept health insurance!
How does nutrition coaching work?
We help you develop healthy habits that will last, all from the comfort of your own home via telehealth and covered by insurance.
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The Registered Dietitian Nutritionist will take time to understand your health history, lifestyle, and goals — then provide a personalized nutrition care plan tailored to your needs.
We accept health insurance.
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The Registered Dietitian Nutritionist (RDN) will fine-tune your nutrition plan with actionable coaching, personalized recommendations, macronutrients, and goal-based progress tracking to support long-term success.
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Accountability and guidance between visits. Stay connected with ongoing support through a food tracking app, direct messaging with your registered dietitian, personalized care plans, session summaries, and goal tracking — all in one place.
Our Specialties
Weight Loss & Body Recomposition
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If you’ve felt overwhelmed by conflicting advice, yo-yo dieting, or the pressure to do it all perfectly, you’re not alone.
Reach your weight and body composition goals in a sustainable, realistic way. Whether you're focused on fat loss, building strength, or improving your relationship with food, we’ll create a personalized plan that honors your culture, preferences, and lifestyle — without gimmicks or extremes.
We accept health insurance.
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Habit-based or macro-based coaching — you choose your track
Sustainable fat loss while maintaining or building muscle
Structured meal timing, balanced macronutrients, and macro counting
Movement strategies that work with your schedule
Building long-term routines for metabolism and energy
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People who want to lose weight without fad diets and improve their confidence
Individuals interested in reshaping their body through food and movement
Anyone tired of starting over and looking for consistency
Clients who want an evidence-based, supportive coaching experience
People looking for accountability
Medical Nutrition Therapy (MNT)
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Medical Nutrition Therapy (MNT) involves evidence-based nutrition care for managing and improving chronic health conditions.
Whether you’re newly diagnosed or looking to avoid medications, we’ll build a plan rooted in your culture, preferences, and real-life routines.
We accept health insurance.
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Type 2 diabetes and prediabetes
Insulin resistance and metabolic syndrome
Polycystic Ovary Syndrome (PCOS)
Hypothyroidism and Hashimoto’s thyroiditis
High cholesterol (hyperlipidemia)
High blood pressure (hypertension)
Cardiovascular disease and heart health
Non-alcoholic fatty liver disease (NAFLD)
Irritable Bowel Syndrome (IBS)
Gastroesophageal reflux disease (GERD)
Gout and elevated uric acid
Osteoarthritis and joint inflammation
Digestive concerns (bloating, constipation, sensitivity)
General inflammation and autoimmune conditions
Cancers of the digestive tract (esophageal cancer, stomach cancer, bowel cancer), head and neck cancer, lung cancer, breast cancer, prostate cancer, and more!
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Reduce blood sugar, cholesterol, or blood pressure
Improve digestion, energy, and quality of life
Delay or prevent the need for medication
Learn how to make food choices that support your condition — without giving up your favorite meals
Understand labs and what they mean for your daily choices
GLP-1 Nutrition Support
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If you’re using medications like Ozempic, Wegovy, Mounjaro, or Zepbound, nutrition still matters. I’ll help you manage side effects, preserve muscle mass, and build eating habits that support long-term health — so you’re not just relying on the shot.
NOTE: We do NOT prescribe the medications.
We accept health insurance.
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Managing side effects (nausea, constipation, low appetite)
Preventing rapid or unhealthy weight loss
Meeting protein and hydration needs
Creating meals that feel good and fuel your body
Nutrition support during dose changes or plateaus
Transition planning if you ever stop medication
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“If I’m on a GLP-1, I don’t need to think about food anymore.”
False. Nutrition still plays a huge role in preserving muscle, preventing malnutrition, and feeling your best.“If I’m on a GLP-1, I don’t need to think about food anymore.”
False. Nutrition still plays a huge role in preserving muscle, preventing malnutrition, and feeling your best.“All I need is fewer calories.”
Not true. Quality matters — especially protein, fiber, and hydration.“I’ll just eat less of whatever I want.”
That can work short-term, but long-term success comes from what you eat, how you eat, and how consistent your habits are.
Not true. Quality matters — especially protein, fiber, and hydration.“I’ll just eat less of whatever I want.”
That can work short-term, but long-term success comes from what you eat, how you eat, and how consistent your habits are.
"Loshi’s culturally aware approach showed me how I can keep enjoying my favorite cultural foods while improving my blood sugar and A1c."
— Richard V. (Type 2 Diabetes Client)
“Loshi was attentive to my questions and very professional. I wasn't so hard on myself if I felt that I didn't follow through on a meal. I really appreciated the moral support. Loshi’s explanation of food and menus was very doable and positive.”
— Nou T. (Weight Loss Client)
“Loshi helped me build healthy habits that actually stick. I’ve lost weight, feel more energized, and finally enjoy food again.”
— May Y. (Weight Loss Client)
Nutrition Counseling FAQs
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Yes — many insurance plans cover nutrition counseling or medical nutrition therapy (MNT), although coverage for nutrition counseling or medical nutrition therapy (MNT) may vary by plan.
If your plan covers nutrition counseling as a preventive service, visits are typically covered at 100% with no out-of-pocket cost.
If your plan processes nutrition counseling as a medical service, you may be responsible for a specialist copay, deductible, or coinsurance once the claim is billed.
Our office will verify your insurance benefits on your behalf before your first appointment so you understand what your plan covers and what your out-of-pocket responsibility may be. We still recommend that you also call the number on the back of your insurance card to confirm your coverage for “nutrition counseling” or “medical nutrition therapy.”
Please Contact us to learn more.
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A Registered Dietitian Nutritionist (RDN) is a nationally recognized healthcare professional specializing in food, nutrition, and behavioral health. RDNs are credentialed experts who:
Complete a Bachelor’s or Master’s degree in Nutrition
Pass a national credentialing exam
Maintain licensure through ongoing continuing education
Working with an RDN can help you:
Manage medical conditions such as diabetes, heart disease, PCOS, or digestive issues
Build healthier eating habits with evidence-based guidance
Gain clarity on conflicting nutrition information online
Learn more about Grain by Grain’s services.
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No — a dietitian and a nutritionist are not the same.
The term “nutritionist” is not legally protected in most states, meaning anyone can call themselves a nutritionist, regardless of training.
A Registered Dietitian Nutritionist (RDN) is a legally protected title that requires a degree in nutrition, supervised practice hours, passing a national exam, and completing continuing education to maintain credentials.
When you work with an RDN, you can feel confident you’re speaking with a licensed nutrition expert trained to provide safe, effective, and personalized nutrition counseling. Here at Grain by Grain, we only provide evidence-based care.
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Referral requirements depend on your state and insurance plan:
California and certain other states: some insurance carriers may require a referral regardless of plan type.
Most PPO plans: typically do not require a referral before scheduling with a dietitian.
Medicare Part B and Medicare Advantage HMO: require a referral and qualifying diagnosis (e.g., Type 1 or Type 2 Diabetes, Chronic Kidney Disease, or post-renal transplant within 36 months) for coverage.
Commercial HMO or POS plans: often require referral authorization from your Primary Care Provider before scheduling.
If your plan requires a referral, our office will assist you by providing the information your doctor needs to submit the authorization to your insurance carrier. Once approval is received, we’ll reach out to schedule your first visit.
If you’re unsure, we’ll help confirm referral requirements during the insurance verification process. Contact us to learn more.
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The number of visits with your Registered Dietitian Nutritionist (RDN) depends on your health goals, medical history, lifestyle habits, and insurance coverage. We typically recommend starting with weekly sessions to help you implement deeper changes and stay accountable.
As progress is made, many people transition to follow-ups every 2–4 weeks, spacing out sessions as they become more confident in their nutrition plan.
Loshi Vue, RDN, will recommend a frequency that best supports your success, but ultimately you decide how often you’d like to schedule visits.
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Instead of rigid, one-size-fits-all meal plans, dietitians provide personalized meal guidance tailored to your health goals, culture, food preferences, and lifestyle. We may share sample meal ideas, grocery shopping tips, or recipe resources to help you put your plan into practice.
Our goal is to help you build sustainable habits, not short-term fixes.
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Registered Dietitian Nutritionists (RDNs) can support a wide range of health concerns, including diabetes, prediabetes, high cholesterol, high blood pressure, PCOS, digestive issues, food allergies or intolerances, weight management, sports performance, and general healthy eating habits. If you have a medical condition or a specific nutrition goal, a dietitian can provide evidence-based guidance tailored to your needs.
At Grain by Grain, we’ve been trained to work with multiple conditions — and even multiple conditions at once — so your care plan addresses the whole picture, not just one issue at a time. If you have a medical condition or a specific nutrition goal, a dietitian can provide evidence-based guidance tailored to your needs.
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Yes! We provide telehealth nutrition counseling so you can meet with your dietitian online from anywhere. Virtual sessions are secure, HIPAA-compliant, and typically covered by insurance the same way as in-person visits.
The dietitians provide virtual nutrition counseling for clients in California, Minnesota, Wisconsin, Illinois, Washington, and beyond. See Locations Served for more.