Heart Health

Cholesterol and heart health nutrition counseling in Virginia

Dietary approaches to reduce cardiovascular risk, manage LDL cholesterol, and support blood pressure through targeted nutritional changes. Meet by video call from anywhere in Virginia, or in person in the Roanoke Valley and the greater Richmond area.

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Macie Fuquay, RDN, smiling and leaning on a kitchen counter

Heart-healthy eating that fits your life

High cholesterol or high blood pressure can feel like a signal to give up everything you enjoy. It doesn't have to be. The eating patterns with the strongest research behind them for heart health, like the Mediterranean and DASH styles of eating, are built on foods to add, not just foods to cut.

How we help

Your registered dietitian looks at your lab results, family history and how you eat today, then helps you make targeted changes: more fiber from whole grains, beans, fruits and vegetables; healthier fats from olive oil, nuts and fish; and a closer look at sodium and the saturated fats that affect LDL cholesterol.

We treat these patterns as flexible templates, not rigid meal plans. You'll get simple swaps, go-to meals and grocery lists that match your tastes, your schedule and your budget.

Understanding your numbers

A lipid panel can be confusing. We'll walk through what your LDL, HDL and triglyceride numbers mean in plain language, which parts of your eating pattern are most likely to affect them, and which changes to try first. Knowing why you're making a change makes it much easier to stick with.

Small changes that add up

Heart-healthy eating doesn't require a complete overhaul. Clients often start with a few targeted swaps, like oats or beans a few times a week, cooking with olive oil, an extra serving of vegetables at dinner, or a lower-sodium version of a favorite convenience food. We build from there at a pace that fits your life.

Working alongside your care

If you take medication for cholesterol or blood pressure, nutrition works alongside it. With your permission, we coordinate with your physician and use your lab results to track progress over time.

Are you a physician? Refer a Patient

Virtual or in person

Sessions are available by video call anywhere in Virginia, or in person in the Roanoke Valley and the greater Richmond area.

Kelsey Shaughnessy, RDN, leaning on a kitchen counter
What We Cover

What we work on together

  • LDL Cholesterol
  • Blood Pressure
  • Fiber Intake
  • Healthy Fats
  • Sodium Awareness
  • Mediterranean Eating
  • Grocery Planning
  • Label Reading

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.

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.

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.

Common Questions

Common questions

Do I have to give up red meat and eggs?

Not necessarily. We look at your overall eating pattern rather than banning individual foods, and help you balance the foods you enjoy with the ones that support your heart.

What is the DASH diet?

DASH is an eating pattern rich in fruits, vegetables, whole grains and low-fat dairy, with less sodium. It's well researched for lowering blood pressure, and we adapt its principles to the way you like to eat.

Can diet changes help if I'm already on medication?

Nutrition works alongside medication, not instead of it. We coordinate with your physician and never recommend changing medication without them.

Do I need a referral, and do you take insurance?

No referral is needed to book. We're private pay and are not in-network with any plan. HSA and FSA funds are generally eligible for a diagnosed condition with a letter of medical necessity from your doctor.

Can I do this virtually?

Yes. We see clients by video call anywhere in Virginia, and in person in the Roanoke Valley and the greater Richmond area. We currently see clients located in Virginia.

Ready to take care of your heart?

Start with a free intro call. No commitment, no pressure.

Contact information

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