Request an Intro Call
Fill out a brief form and we'll match you with the right dietitian. A short free call follows to confirm fit, answer questions, and walk through next steps. No commitment required.
Virtual Sessions
Virtual nutrition counseling from anywhere in Virginia
Same one-on-one care as in-person — without the commute. Meet with a registered dietitian by video call from your home, office, or wherever is most comfortable for you.
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Macie Fuquay, RDNRoanoke, VA
Kelsey Shaughnessy, RDNRichmond, VA
- Registered Dietitian Nutritionists
- Video Sessions
- One-on-One, Personalized
- Available Throughout Virginia
The Process
How virtual sessions actually work
Join Your First Session
You'll receive a video link before each appointment. Your first session runs about 60 minutes. Your dietitian reviews your health history, goals, current habits, and any relevant lab work.
Build Your Plan Together
Between sessions you'll receive personalized guidance — not generic meal plans. Follow-up sessions review what's working, adjust the approach, and reinforce the habits that produce lasting change.
Stay Consistent With Support
Clients who complete the Foundation Package have the option to continue with monthly accountability sessions, keeping progress on track without starting over.
Who It's For
Virtual works well when…
Virtual sessions remove the logistical barriers that get in the way of consistent care. They're a good fit for a wide range of situations.
Your Schedule Is Unpredictable
Early morning, lunch break, or after the kids are in bed — virtual appointments flex around your day instead of the other way around.
You're Not Near Roanoke or Richmond
If you live elsewhere in Virginia and want access to an RDN without the drive, virtual sessions give you the same level of care from wherever you are.
You Prefer Your Own Environment
Eating habits are shaped by your kitchen, your pantry, your household. Being at home during sessions makes the work more practical and grounded.
You Have a Chronic Condition
Managing diabetes, heart disease, or another condition alongside a busy life is hard enough. Virtual sessions reduce one barrier and improve follow-through consistency.
You Want Both Dietitians as Options
Either Kelsey or Macie can see you virtually. If your schedule changes or you relocate within Virginia, your care continues without interruption.
You've Tried Before Without Success
If past attempts at changing eating habits haven't stuck, the one-on-one format with ongoing accountability is meaningfully different from apps, programs, or group settings.
Your Dietitian
Meet the team behind your virtual care
Both dietitians see virtual clients throughout Virginia. When you submit a request, we'll connect you with the provider who's the best fit for your goals and schedule.
Kelsey Shaughnessy, RDN
Registered Dietitian Nutritionist · Founder
- Greater Richmond
- Virtual — Virginia
Kelsey founded Finesse Nutrition in 2021 and has been a registered dietitian since 2017. She works with clients on weight management, diabetes, heart health, and the behavioral side of lasting habit change, and is well-suited to clients who prefer flexibility and have tried multiple approaches before.
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Macie Fuquay, RDN
Registered Dietitian Nutritionist
- Roanoke Valley
- Virtual — Virginia
Macie has been a registered dietitian since 2019 and sees clients in-person throughout the Roanoke Valley and virtually across Virginia. She specializes in practical, habit-based nutrition counseling and works well with clients navigating a busy lifestyle alongside health goals like weight loss, diabetes management, and women's health.
Learn MoreConditions We Support
Virtual support for the conditions we see most
Each of these is available by video call anywhere in 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.
Learn MorePrediabetes & 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 MoreReady to get started? It begins with one call.
A free intro call is where it starts. We'll confirm fit, answer your questions, and get your first appointment on the calendar.
What It Costs
Transparent, simple pricing
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.
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.
Request InfoLearn MoreClient 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.
Common Questions
Questions about virtual nutrition counseling
Is virtual nutrition counseling as effective as in-person?
Virtual sessions offer the same one-on-one care, with the same dietitians, as in-person sessions. The format often allows for more frequent touchpoints and greater scheduling flexibility, which tends to improve consistency. What matters most is the quality of the provider relationship — not the room.
What platform do you use for sessions?
Sessions happen by video call on your phone, tablet, or computer. You'll receive a private link before each appointment and can join from wherever you are.
Who can book a virtual session?
Virtual sessions are available to residents of Virginia. We currently see clients located in Virginia.
Can I switch between virtual and in-person?
Yes. If you're in the Roanoke or greater Richmond area, you can transition to in-person sessions at any time — or mix both formats within the same care plan. Just let your dietitian know your preference and we'll adjust accordingly.
Does insurance cover virtual nutrition counseling?
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. Contact your plan to confirm before your first session.
What's the difference between a dietitian and a nutritionist?
A Registered Dietitian Nutritionist (RDN) has completed an accredited degree program, a supervised clinical internship, and passed a national board examination. In Virginia, both "dietitian" and "nutritionist" are protected titles (Code of Virginia § 54.1-2731). Our dietitians are Registered Dietitian Nutritionists, credentialed by the Commission on Dietetic Registration.
Start your virtual sessions this week.
Fill out a short form and we'll reach out within one business day to schedule your free intro call and answer any remaining questions.
Contact information
We currently see clients located in Virginia. Prefer to talk first? Call either location or email us.
- Roanoke office4419 Pheasant Ridge Rd, Suite 301B, Roanoke, VA 24014
- Roanoke(540) 235-5964
- Richmond(804) 363-1203
- [email protected]