A Plan That Fits You
Built around your favorite foods, your schedule, your cultural traditions and your medical needs. No cookie-cutter diets.
Two registered dietitian nutritionists, credentialed by the Commission on Dietetic Registration, with one shared approach: practical, judgment-free nutrition counseling built around your real life. In person in Roanoke and Richmond, and virtually throughout Virginia.
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Kelsey Shaughnessy is a Registered Dietitian Nutritionist and the founder of Finesse Nutrition. A Richmond native, she studied Human Nutrition, Foods and Exercise at Virginia Tech, completed her Dietetic Internship at the University of Delaware, and became a registered dietitian in 2017. She founded the practice in 2021.
Kelsey's specialty is helping clients understand the “why” behind their eating patterns and build a relationship with food that doesn't depend on willpower or restrictions. No generic meal plans and no forbidden foods: your schedule, your preferences and your medical needs shape the plan.
She works with clients on weight loss, type 2 diabetes and prediabetes, elevated cholesterol, heart health, women's hormonal nutrition, sports and endurance nutrition, and chronic dieting recovery. Kelsey sees clients in public meeting spaces around the greater Richmond area and virtually throughout Virginia.

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.
Macie's approach is built on understanding your actual patterns, your real schedule, and the specific health goals that matter to you. She specializes in practical, habit-based counseling and works well with clients balancing a busy life alongside their health goals.
She works with clients on weight management, type 2 diabetes, elevated cholesterol, women's hormonal health, and general nutrition. Macie sees clients in public meeting spaces around the Roanoke Valley and virtually throughout Virginia.
Tell us about your goals and we'll match you with the right dietitian. No commitment, no pressure — just a conversation.
Whichever dietitian you work with, the approach is the same: evidence-based, personal and free of judgment.

Built around your favorite foods, your schedule, your cultural traditions and your medical needs. No cookie-cutter diets.
We will never tell you that you can't eat a specific food. Instead, we show you how the foods you love fit into a balanced week.
Slip-ups are normal. We focus on small improvements, learn from each week, and celebrate every positive change.
If you have a medical condition, we coordinate with your physician, with your permission, so nutrition changes complement your care.
Refer a PatientI 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.
Tell us where you are and what you're working on. We'll match you with Kelsey or Macie and schedule a free intro call.
Prefer to talk first? Call either location or email us. We respond within one business day.