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.
Learn MoreRoanoke, Virginia
Nutrition counseling in Roanoke, VA
One-on-one nutrition counseling for weight loss, diabetes management, heart health, and lasting habit change. In-person sessions throughout the Roanoke Valley and virtual sessions throughout Virginia.
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Macie Fuquay, RDNRoanoke, VA
Macie Fuquay, RDN
About Macie
Your Roanoke dietitian
Macie Fuquay is a Registered Dietitian Nutritionist serving the Roanoke Valley with a personalized, relationship-first approach to nutrition counseling. A Roanoke College graduate, she earned her master's degree at Meredith College, completed her Dietetic Internship at Virginia Tech, and has been a registered dietitian since 2019. She works with individuals who are ready to make lasting changes — not follow a temporary diet — and who want a knowledgeable partner to help them get there.
Her sessions are intentionally flexible — held at local libraries, coffee shops, or virtually throughout Virginia — because your circumstances shouldn't be an obstacle to getting the support you need. Macie's approach is built on understanding your actual patterns, your real schedule, and the specific health goals that matter to you.
She works with clients across a range of health concerns including weight management, Type 2 diabetes, elevated cholesterol, women's hormonal health, and general nutrition education for those who simply want to eat better and feel better long-term.
Counseling Services
Nutrition counseling services in Roanoke
Every session is tailored to your individual health history and goals. All services are available in-person in the Roanoke Valley and virtually throughout Virginia.
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.
Learn MoreChronic 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.
Learn MoreCholesterol & Heart Health
Dietary approaches to reduce cardiovascular risk, manage LDL cholesterol, and support blood pressure through targeted nutritional changes.
Learn MoreSports & Endurance Nutrition
Fueling for training, race day and recovery — for runners, cyclists and endurance athletes who want nutrition that supports their performance.
Learn MoreGLP-1 Nutrition Support
Eat well on semaglutide, tirzepatide or other GLP-1 medications: enough protein, smaller balanced meals, and habits that last.
Learn MoreThe Process
How nutrition counseling works
Free Intro Call
A short, free conversation to discuss your goals and make sure Finesse Nutrition is the right fit. No commitment, no cost.
Initial Assessment
Your first full session, about 60 minutes, covers your health history, eating patterns, and goals. You leave with a personalized nutrition plan.
Ongoing Support
Follow-up sessions track progress, troubleshoot challenges, and refine your plan. The goal is lasting change — not a quick fix.
Ready to start? The first call is free.
Tell us about your goals and we'll match you with the right dietitian. No commitment, no pressure — just a conversation.
Session Pricing
Transparent, simple pricing
All sessions available in-person or virtually throughout Virginia.
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.
Most Popular
Foundation
4 sessions
$420In person or virtual
Best for building momentum toward lasting change
An initial session of about 60 minutes, then three follow-ups of about 45 minutes to build new habits, troubleshoot challenges, and stay accountable. Best for weight loss, diabetes management, and establishing nutrition patterns that hold.
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!
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.
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.
Ready to get started? The first call is free.
No commitment. A short call to see if we're the right fit.
Contact information
Prefer to talk first? Call or email and we'll respond within one business day.
Common Questions
Questions about seeing a Roanoke dietitian
Where do in-person sessions take place in Roanoke?
We meet at convenient locations throughout the Roanoke Valley — local libraries, coffee shops, and community spaces — to accommodate your schedule and preferred part of town. Contact us to discuss a location that works for you.
What areas near Roanoke does Finesse Nutrition serve?
Finesse Nutrition serves clients throughout the Roanoke Valley including Roanoke, Salem, Vinton, Botetourt County, Cave Spring, Hollins, and Roanoke County. Virtual sessions are available to clients throughout Virginia.
Do I need insurance or a doctor's referral?
We're private pay and are not in-network with any plan, so no referral is needed to book. HSA and FSA funds are generally eligible for a diagnosed condition with a letter of medical necessity from your doctor. We recommend confirming with your plan before your first session.
What is the difference between a dietitian and a nutritionist in Virginia?
In Virginia, both "dietitian" and "nutritionist" are protected titles (Code of Virginia § 54.1-2731). A Registered Dietitian Nutritionist (RDN) has completed an accredited degree, a supervised internship, and a national board exam, and is credentialed by the Commission on Dietetic Registration. Our dietitians are Registered Dietitian Nutritionists.
How much does a dietitian cost in Roanoke, VA?
Finesse Nutrition's session rate in Roanoke is $120 for a session of about 60 minutes. The Foundation package (four sessions) is $420. Ongoing monthly support starts at $60/month after the Foundation. We're private pay and are not in-network with any plan.
Can I do virtual sessions if I live outside Roanoke?
Yes. Virtual sessions are available for clients who can't meet in person, provided they reside in Virginia. Contact us to discuss scheduling a virtual session.
Service Areas
Where we see clients in Virginia
In person throughout the Roanoke Valley, and virtually anywhere in Virginia.
- Roanoke
- Salem
- Vinton
- Botetourt County
- Cave Spring
- Hollins
- Roanoke County
- Virtual in Virginia
Business Address
4419 Pheasant Ridge Rd, Suite 301B, Roanoke, VA 24014View on Google Maps Our Roanoke office
Pheasant Ridge is our Roanoke business address. Sessions are held in public meeting spaces around the Roanoke Valley or virtually, and we'll confirm a spot that works for you.