Roanoke & Richmond

Nutrition that actually fits your life.

One-on-one dietitian counseling built around your life — not a program. In person in Roanoke & Richmond, or virtually in Virginia.

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Registered dietitians Macie Fuquay and Kelsey Shaughnessy of Finesse Nutrition, smiling together at a kitchen island
Macie Fuquay, RDNRoanoke, VA
Kelsey Shaughnessy, RDNRichmond, VA
  • Registered Dietitian Nutritionists
  • In-Person & Virtual
  • Truly One-on-One
  • Personalized to You
Our Dietitian Team

Meet your dietitian team

Two registered dietitian nutritionists. One shared approach. In-person sessions in Roanoke and Richmond, and virtual sessions for clients throughout Virginia.

Kelsey Shaughnessy, Registered Dietitian Nutritionist and Founder of Finesse Nutrition

Kelsey Shaughnessy, RDN

Registered Dietitian Nutritionist · Founder

  • Richmond & Midlothian
  • Virtual — Virginia

Kelsey founded Finesse Nutrition in 2021. A Virginia Tech graduate who completed her Dietetic Internship at the University of Delaware, she has been a registered dietitian since 2017, helping clients break the chronic dieting cycle and build a genuinely sustainable relationship with food.

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Macie Fuquay, Registered Dietitian Nutritionist at Finesse Nutrition

Macie Fuquay, RDN

Registered Dietitian Nutritionist

  • Roanoke Valley
  • Virtual — Virginia

A Roanoke College graduate with a master's degree from Meredith College, Macie completed her Dietetic Internship at Virginia Tech and has been a registered dietitian since 2019. She brings a warm, relationship-first approach to one-on-one counseling, helping clients with weight management, type 2 diabetes, cholesterol, and women's health through practical, habit-based plans built around their real schedules.

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Our Services

Nutrition counseling for the goals that matter to you

Every plan starts with your health history and your real routine. All services are available in person in Roanoke and Richmond, and virtually throughout Virginia.

Weight Loss

Sustainable, evidence-based strategies that work with your lifestyle — not against it. No meal plans you'll abandon, no foods that are off-limits.

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Prediabetes & Type 2 Diabetes

Practical nutrition adjustments that improve blood sugar control — tailored to how you actually eat and live, not a generic diabetes diet.

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Chronic Dieting Recovery

Break free from the diet cycle. Eat without guilt, bring back the foods you've been avoiding, and build a steady way of eating that lasts.

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Cholesterol & Heart Health

Dietary approaches to reduce cardiovascular risk, manage LDL cholesterol, and support blood pressure through targeted nutritional changes.

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Sports & Endurance Nutrition

Fueling for training, race day and recovery — for runners, cyclists and endurance athletes who want nutrition that supports their performance.

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GLP-1 Nutrition Support

Eat well on semaglutide, tirzepatide or other GLP-1 medications: enough protein, smaller balanced meals, and habits that last.

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Our Approach

Our nutrition counseling approach

Most nutrition programs fail because they treat everyone the same. We start with your history and build something that actually fits.

Kelsey Shaughnessy, RDN, talking with a client at a table in a sunny living room

Understand Your Patterns

Your full health history, current habits, and what's not working. Honest and without judgment.

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Build a Realistic Plan

Built around your schedule, your preferences, and your actual goals. No restrictions for the sake of it.

Stay Accountable, Long-Term

Regular check-ins to stay on track and adjust as your life changes. The goal is permanent — not 30 days.

Ready to start? Fill out our form below.

Tell us about your goals and we'll match you with the right dietitian. No commitment, no pressure — just a conversation.

How It Works

Nutrition counseling pricing & packages

No hidden fees. No upsells. All sessions available in person or virtually.

Single Session

One session, about 60 minutes

$120In person or virtual

Best for a focused reset or a specific nutrition question

A full initial assessment covering your health history, typical intake, and activity habits. Walk away with an individualized plan and clear, realistic goals.

Monthly

Ongoing, after Foundation

$60–120Per month

Best for ongoing accountability and lasting change

Long-term accountability once the Foundation is complete. Meet once a month ($60/mo) or twice a month ($120/mo), with a three-month minimum. For chronic condition management or those who want a permanent nutrition partner.

Client Stories

Client reviews & success stories

I loved working with Kelsey! She is kind, non-judgmental and knowledgeable. As a newly diagnosed Diabetic, she helped me understand food! I would highly recommend anyone that needs help navigating their food intake to contact her. She truly cares!

Carole S.Roanoke, VA · Diabetes Management

I have been working with Finesse Nutrition for about one and a half years. I have had terrific results. Kelsey is excellent to work with — thoughtful and professional. If you are willing to put in the work, you will have great results.

Robert P.Virtual

I've tried every diet imaginable. This was the first time someone helped me understand why I was struggling, not just handing me a list of foods to avoid.

Sarah M.Richmond, VA

Ready to get started?

Join clients across Virginia who've built a lasting relationship with food.

Contact information

Prefer to talk first? Call either location or email us. We respond within one business day.