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For Physicians

Refer your patients to a registered dietitian

Finesse Nutrition offers one-on-one nutrition counseling with registered dietitian nutritionists, in person in the Roanoke Valley and the greater Richmond area and virtually throughout Virginia. With your patient's permission, we coordinate with you so nutrition supports the care plan you've set.

Who We See

Patients we can help

The referrals we see most often. Each links to the full service page, written for your patients.

Weight Loss

Sustainable, habit-based weight management built around the patient's schedule and preferences. No fad diets and no foods that are off-limits.

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Prediabetes & Type 2 Diabetes

Practical nutrition changes that support blood sugar control, planned to complement the medication and treatment plan you manage.

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GLP-1 Nutrition Support

Eating well on semaglutide, tirzepatide or other GLP-1 medications: enough protein, smaller balanced meals and habits that last. You manage the medication.

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Cholesterol & Heart Health

Dietary changes that support healthier cholesterol and blood pressure: more fiber, healthier fats and a closer look at sodium.

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Chronic Dieting Recovery

For patients caught in repeated dieting: a steady, non-diet way of eating that supports the care you provide.

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Sports & Endurance Nutrition

Fueling for training, race day and recovery, for runners, cyclists and endurance athletes.

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How It Works

How to refer a patient

No referral paperwork is needed. Your patient can book directly.

Registered dietitians Macie Fuquay and Kelsey Shaughnessy of Finesse Nutrition, smiling together at a kitchen island

Share Our Details

Give your patient our website or a phone number: (540) 235-5964 for the Roanoke Valley, (804) 363-1203 for the greater Richmond area. We can send printed referral handouts for your office.

Free Intro Call

Your patient starts with a free intro call to talk through their goals and make sure we're the right fit. No commitment, no cost.

Initial Assessment

The first full session, about 60 minutes, covers health history, eating patterns, goals and any relevant lab work. Your patient leaves with a personalized nutrition plan.

Coordinated Care

With your patient's permission, we coordinate with you so nutrition changes complement their medication and treatment plan. We stay within our scope as registered dietitians.

Common Questions

Questions from physicians

Do patients need a referral to book?

No. Patients can book directly by calling either location or requesting a free intro call on our website.

Do you accept insurance?

We're private pay and are not in-network with any plan.

Can patients use HSA or FSA funds?

HSA and FSA funds are generally eligible for nutrition counseling for a diagnosed condition with a letter of medical necessity from the patient's doctor. A letter from you can help your patient use those funds.

Will you change a patient's medication?

No. As registered dietitians, we don't prescribe or change medication; that conversation stays between you and your patient. With their permission, we coordinate with you so nutrition supports the treatment plan.

Where do you see patients?

In person at public meeting spaces around the Roanoke Valley and the greater Richmond area, and by video call anywhere in Virginia. Patients need to live in Virginia.

Who are your dietitians?

Kelsey Shaughnessy, RDN, founded the practice and sees patients in the greater Richmond area. Macie Fuquay, RDN, sees patients in the Roanoke Valley. Both see virtual patients throughout Virginia and are credentialed by the Commission on Dietetic Registration.

Can I send patient information through this website?

Please don't. The form on this page is for your practice's contact details only. To talk about a specific patient, call either location.

Get in Touch

Connect with our dietitians

Request referral handouts for your office, or a conversation with one of our dietitians. We respond within one business day. Please don't include patient information.

Contact information

Prefer to call? Reach either location directly, or email us.