Medical Nutrition Therapy
Improve your health through Nutrition Counseling that supports diabetes, PCOS, thyroid disorders, heart health, and more.
Managing a chronic health condition doesn’t mean giving up the foods you love. It means learning how to nourish your body in a way that supports your diagnosis, lifestyle, and preferences. Together, we'll build a plan that works with your routines—not against them.
Nutrition Coaching for Chronic Conditions can significantly help improve your quality of life.
Medical Nutrition Therapy with Grain by Grain
Personalized Nutrition for Chronic Conditions
Managing a health condition is never one-size-fits-all. Whether you’re navigating diabetes, high blood pressure, PCOS, or digestive issues, our nutrition counseling is tailored to your unique body, culture, and lifestyle. We look beyond generic advice to help you make changes that are practical, sustainable, and grounded in real life.
Virtual Care That Fits Your Schedule
Our sessions are fully virtual, making it easier to access expert support without the hassle. You’ll meet with a licensed dietitian from the comfort of home — with tools like messaging, food tracking, and progress reviews available between visits to keep you supported every step of the way.
Support That Goes Beyond Managing Symptoms
Medical nutrition therapy isn’t just about treating what's already there — it's also about preventing what comes next. At Grain by Grain, Loshi Vue works with clients managing active conditions, as well as those with family history or early risk factors who want to take proactive steps toward better health. Empower your future with knowledge, guidance, and everyday habits that work for you.
Chronic Conditions Grain by Grain can help with:
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We provide personalized nutrition support for PCOS to help manage insulin resistance, support hormonal balance, reduce inflammation, and improve energy. Whether you’re navigating irregular cycles, cravings, or weight changes, we help you build habits that actually work.
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We offer nutrition strategies to help you stabilize blood sugars, reduce A1C, and prevent complications from type 2 diabetes or prediabetes. Culturally sensitive guidance is available to fit your food preferences and lifestyle — no extreme diets required.
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Whether you're preparing for treatment, in recovery, or navigating appetite changes, we offer personalized support to help you feel strong and nourished. Gentle nutrition guidance can help with side effects like fatigue, weight changes, or digestive discomfort.
Support available for:
Breast cancer, colorectal cancer, prostate cancer, thyroid cancer, lymphoma, and more. -
Learn how food choices can help reduce joint pain and flare-ups. We provide anti-inflammatory nutrition strategies for osteoarthritis, rheumatoid arthritis, and gout, including simple swaps and support for uric acid management.
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Support your heart with evidence-based dietary strategies to lower cholesterol, manage high blood pressure, and reduce long-term cardiovascular risk. From smart label reading to sodium swaps, we’ll guide you one step at a time.
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Tired of starting over? We help you lose weight sustainably while preserving lean muscle and boosting metabolism. Choose from a holistic habit-based or structured macro-based approach — no fads, just real-life results.
Learn more about Grain by Grain weight loss coaching HERE.
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Taking medications like Ozempic, Wegovy, or Mounjaro? We’ll help you manage side effects like nausea or constipation, maintain muscle mass during weight loss, and stay nourished with lower appetite — while building sustainable habits for long-term success.
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We support individuals with hypothyroidism, Hashimoto’s thyroiditis, and other thyroid conditions through nutrition strategies that promote energy, reduce inflammation, and support metabolism. We’ll help you identify food triggers, address fatigue, and simplify meal planning.
Support available for:
Hypothyroidism, Hashimoto’s, subclinical hypothyroidism, post-thyroidectomy nutrition, and general thyroid support.
"I had no idea what to eat after my type 2 diabetes diagnosis. Loshi helped me lower my A1C, lose weight, and still enjoy my cultural foods. The nutrition advice was realistic and easy to follow.”
— Henry V. (Type 2 Diabetes Client)
"Working with Loshi has completely changed how I approach food. I was struggling with PCOS symptoms, low energy, and constant cravings. Through our sessions, I learned how to balance my meals, regulate my blood sugar, and understand my hormonal health better.
I finally feel like I’m in control of my body again. The nutrition plan was practical, flexible, and personalized to my lifestyle.”
— Mai T. (PCOS Client)
“Grain by Grain helped me lower my cholesterol and blood pressure with simple food swaps and habits I can actually keep up with. I feel better, and my labs prove it!"
— Lina C. (Heart Health Client)
FREQUENTLY ASKED QUESTIONS
Not sure if Medical Nutrition Therapy (MNT) with Grain by Grain is the right fit yet?
These common questions may help you feel more confident about your next step.
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Anyone can call themselves a nutritionist — there’s no standardized credentialing or required training. A registered dietitian (RD or RDN), on the other hand, is a licensed healthcare professional with a degree in nutrition science, supervised clinical training, and national board certification.
At Grain by Grain, you’ll get evidence-based, personalized care rooted in medical science — not fads or one-size-fits-all advice. If your health matters to you, working with a dietitian like Loshi Vue ensures you’re getting credible guidance backed by research.
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Medical Nutrition Therapy (MNT) is a clinical, evidence-based approach used to manage or prevent chronic conditions like diabetes, PCOS, high blood pressure, cholesterol, thyroid disorders, and more. It’s often covered by insurance and delivered by a registered dietitian trained in interpreting labs, coordinating with your doctor, and applying therapeutic nutrition strategies.
Nutrition coaching tends to focus more on general habits — like improving energy, meal timing, or weight management — and may not always address specific medical diagnoses.
At Grain by Grain, we blend both approaches when appropriate, but if you’re managing a health condition, MNT provides the clinical foundation you need for safe, effective change.
Learn more about Grain by Grain’s services.
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Weight loss can help with some conditions, but it’s not the full story. Many chronic conditions need targeted nutrition support beyond the scale — like balancing blood sugar, managing inflammation, or optimizing thyroid function.
We focus on what your body needs internally, not just how it looks externally.
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We support a wide range of health concerns through MNT, including:
Diabetes and prediabetes
PCOS and hormonal imbalances
Thyroid conditions like hypothyroidism and Hashimoto’s
High blood pressure and high cholesterol
Digestive issues like IBS, bloating, or GERD
Cancer nutrition during or after treatment
Arthritis and gout management
General prevention for those with strong family history of chronic disease
If you’re unsure if MNT is right for you, feel free to reach out.
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In many cases, yes! Most major insurance plans cover medical nutrition therapy (MNT), especially for conditions like diabetes, PCOS, high cholesterol, obesity, high blood pressure, and more.
We’re happy to check your coverage and guide you through the process.
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It depends on your goals, but most clients benefit from working together for at least a few months. While some improvements can be seen early on, lab markers like A1c, blood pressure, cholesterol, and thyroid hormones often take longer to respond — and that’s a good thing.
Gradual, sustainable progress is safer and more effective for long-term health. Sudden changes can be hard on the body and tough to maintain. We’ll work at a pace that fits your lifestyle and supports results that actually last.
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You don’t have to decide — at Grain by Grain, we often combine both. If you’re looking to lose weight and also manage conditions like diabetes, PCOS, high blood pressure, or thyroid issues, we’ll tailor your plan to support your full health picture.
Whether your goals are medical, metabolic, or both, we’ve got you.
✨ The sign-up process is the same, and we’ll figure out the right path together.
👉 Start here to apply for nutrition coaching
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.
We accept health insurance!
