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Ask an RD: Can an RD Help with Weight Loss?

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No matter what stage of the weight loss journey you’re at, you may have considered working with a dietician as part of your greater care team. Smart move—a dietician can be a valuable addition. We asked our current RD-in-residence, Erin Utz, RD/RDN, to break down why, with answers to some basic questions about the role of these providers on the weight loss journey.

Okay, what exactly is an RD/RDN?
When it comes to nutrition, there are a lot of different kinds of titles, services, and providers out there. It can be difficult to know which is right for you and your needs. “Think of RDs as your trusted source to guide you through the complicated world of nutrition to help you meet your individual health goals,” explains Utz. 

Registered dietitians (RDs) and registered dietician nutritionists (RDNs) are qualified professionals who have studied the intersections of food, nutrition, and health. Experts in everything from calories to meal planning and more, RD/RDNs work in medical settings or with clients who are interested in improving their overall health and well-being. They can also work directly with patients who are trying to lose weight to help guide nutritional decisions. 

Is an RD/RDN the same as a nutritionist?
Registered dietitians (RDs) and registered dietician nutritionists (RDNs) are the most qualified nutrition counselors you can work with. And, more importantly, a provider can only use those titles after extensive education, training, and testing. 

Nutritionist, on the other hand, is a less exclusive title. In many states, there are no educational requirements for calling oneself a nutritionist. On the other hand, “RDs and RDNs must obtain a master’s degree, complete an internship, get licensed, and pass a national exam. That’s a significant difference in capability,” says Utz.

How can an RD/RDN help someone on a weight loss journey?
An RD/RDN can do more than just give you the lowdown on eating gluten-free vs paleo vs Mediterranean-style. RD/RDNs specifically work with weight loss patients in two main areas:

Developing a personalized meal plan
An RD/RDN works with their patients to assess their medical history, lifestyle, and other needs to create a personalized eating plan with clear nutritional information.  These plans will take into consideration the necessary nutritional support for any weight-related health conditions, such as type 2 diabetes or high blood pressure, and prescription weight loss medications you may be taking. 

But don’t worry that you’ll be starving on an RD diet. “An RD-designed meal plan will aim to be realistic, achievable, and delicious,” says Utz, “with a sustainable and health-focused approach to weight loss.”

Supporting healthy eating habits 
In addition to getting in the weeds for you on calorie counts, an RD/RDN will also help support healthy eating holistically. One key way they accomplish this is by educating on and encouraging mindful eating. To do this, they’ll ask about your current habits. “We look at your eating habits from another perspective to help spot and address potential issues like cravings or overeating,” says Utz.

They can also provide education about macro- and micronutrients and ensure you can expertly read food labels to know what you’re putting in your body. They can help you set realistic food-related goals that can help you feel in control again. Lastly, “don’t discount the motivation an RD/RDN can provide as part of your care team,” adds Utz.

How can I find an RD/RDN?
Want to connect with an RD/RDN ASAP? Utz suggests first checking out the websites of professional nutrition organizations, especially that of the Academy of Nutrition and Dietetics, the largest organization of food and nutrition professionals in the world. You can search their database of credentialed RD/RDNs by location, specialty, insurance, and more.

Speaking of insurance, you can also reach out to your health insurance company to learn what types of nutrition services are covered by your plan (you may be pleasantly surprised). Your primary healthcare provider may also be able to contact your insurance on your behalf or even recommend an RD/RDN that they work with directly. 

RD/RDNs can give you the extra boost you need on your weight loss journey and help you lay the foundation for healthy eating habits for years to come- which is a huge win in our book! 

Erin Utz is a paid consultant of Currax Pharmaceuticals


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IMPORTANT SAFETY INFORMATION
What is CONTRAVE?
See More

CONTRAVE can cause serious side effects including:
Suicidal thoughts or actions: One of the ingredients in CONTRAVE is bupropion. Bupropion has caused some people to have suicidal thoughts or actions or unusual changes in behavior, whether or not they are taking medicines used to treat depression. Bupropion may increase the risk of suicidal thoughts or actions in some children, teenagers, and young adults within the first few months of treatment. If you already have depression or other mental illnesses, taking bupropion may cause it to get worse, especially within the first few months of treatment.

CONTRAVE is a prescription weight-loss medicine that may help some adults with a body mass index (BMI) of 30 kg/m2 or greater (obese), or adults with a BMI of 27 kg/m2 or greater (overweight) with at least one weight-related medical problem such as high blood pressure, high cholesterol, or type 2 diabetes, lose weight and keep the weight off.

IMPORTANT SAFETY INFORMATION
See More

CONTRAVE can cause serious side effects including:
Suicidal thoughts or actions: One of the ingredients in CONTRAVE is bupropion. Bupropion has caused some people to have suicidal thoughts or actions or unusual changes in behavior, whether or not they are taking medicines used to treat depression. Bupropion may increase the risk of suicidal thoughts or actions in some children, teenagers, and young adults within the first few months of treatment. If you already have depression or other mental illnesses, taking bupropion may cause it to get worse, especially within the first few months of treatment.

What is CONTRAVE?
See More

CONTRAVE is a prescription weight-loss medicine that may help some adults with a body mass index (BMI) of 30 kg/m2 or greater (obese), or adults with a BMI of 27 kg/m2 or greater (overweight) with at least one weight-related medical problem such as high blood pressure, high cholesterol, or type 2 diabetes, lose weight and keep the weight off.

IMPORTANT SAFETY INFORMATION
What is CONTRAVE?
See Less

CONTRAVE can cause serious side effects including:
Suicidal thoughts or actions: One of the ingredients in CONTRAVE is bupropion. Bupropion has caused some people to have suicidal thoughts or actions or unusual changes in behavior, whether or not they are taking medicines used to treat depression. Bupropion may increase the risk of suicidal thoughts or actions in some children, teenagers, and young adults within the first few months of treatment. If you already have depression or other mental illnesses, taking bupropion may cause it to get worse, especially within the first few months of treatment.

While taking CONTRAVE, you or your family members should pay close attention to any changes, especially sudden changes, in mood, behaviors, thoughts, or feelings. This is very important when you start taking CONTRAVE or when your dose changes.

Stop taking CONTRAVE and call a healthcare provider right away if you or your family members notice any of the following symptoms, especially if they are new, worse, or worry you: thoughts about suicide or dying; attempts to commit suicide; depression; anxiety; feeling agitated or restless; panic attacks; irritability; aggression, anger, or violence; acting on dangerous impulses; an extreme increase in activity and talking; other unusual changes in behavior or mood; trouble sleeping.

CONTRAVE is not approved for use in children under the age of 18.

Do not take CONTRAVE if you have uncontrolled high blood pressure; have or have had seizures; use other medicines that contain bupropion such as WELLBUTRIN, WELLBUTRIN SR, WELLBUTRIN XL, APLENZIN and ZYBAN; have or have had an eating disorder called anorexia or bulimia; are dependent on opioid pain medicines or use medicines to help stop taking opioids, or are in opiate withdrawal; drink a lot of alcohol and abruptly stop drinking, or use medicines called sedatives (these make you sleepy), benzodiazepines, or anti‐seizure medicines and stop using them all of a sudden; are taking or have taken medicines called monoamine oxidase inhibitors (MAOIs) in the past 14 days; or are allergic to any of the ingredients in CONTRAVE.

Tell your healthcare provider about all of your medical conditions including if you have: depression or other mental illnesses; attempted suicide; seizures; head injury; tumor or infection of brain or spine; low blood sugar or low sodium; liver or kidney problems; high blood pressure; heart attack, heart problems, or stroke; eating disorder; drinking a lot of alcohol; prescription medicine or street drug abuse; are 65 or older; diabetes; pregnant or planning to become pregnant; or breastfeeding.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

CONTRAVE may cause serious side effects, including:
  • Seizures. There is a risk of having a seizure when you take CONTRAVE. The risk of seizure is higher in people who take higher doses of CONTRAVE, have certain medical conditions, or take CONTRAVE with certain other medicines. Do not take any other medicines while you are taking CONTRAVE unless your healthcare provider has said it is okay to take them. If you have a seizure while taking CONTRAVE, stop taking CONTRAVE and call your healthcare provider right away.
  • Risk of opioid overdose. Do not take large amounts of opioids, including opioid-containing medicines, such as heroin or prescription pain pills, to try to overcome the opioid-blocking effects of naltrexone. This can lead to serious injury, coma, or death.

    Get emergency medical help right away if you take opioids and you:

    • have trouble breathing
    • become very drowsy with slowed breathing
    • have slow, shallow breathing
    • feel faint, very dizzy, confused, or have unusual symptoms
  • Sudden opioid withdrawal. People who take CONTRAVE must not use any type of opioid including street drugs, prescription pain medicines, cough, cold, or diarrhea medicines that contain opioids, or opioid dependence treatments, for at least 7 to 10 days before starting CONTRAVE. Using opioids in the 7 to 10 days before you start taking CONTRAVE may cause you to suddenly have symptoms of opioid withdrawal when you take it. Sudden opioid withdrawal can be severe, and you may need to go to the hospital. Tell your healthcare provider you are taking CONTRAVE before a medical procedure or surgery.
  • Severe allergic reactions. Stop taking CONTRAVE and call your healthcare provider or go to the nearest hospital emergency room right away if you have any of the following signs and symptoms of an allergic reaction: rash, itching, hives, fever, swollen lymph glands, painful sores in your mouth or around your eyes, swelling of your lips or tongue, chest pain, or trouble breathing.
  • Increases in blood pressure or heart rate. Some people may get high blood pressure or have a higher heart rate when taking CONTRAVE. Your healthcare provider should check your blood pressure and heart rate before you start taking, and while you take CONTRAVE.
  • Liver damage or hepatitis. Stop taking CONTRAVE and tell your healthcare provider if you have any of the following symptoms of liver problems: stomach area pain lasting more than a few days, dark urine, yellowing of the whites of your eyes, or tiredness. Your healthcare provider may need to stop treating you with CONTRAVE if you get signs or symptoms of a serious liver problem.
  • Manic episodes. Bupropion can cause some people who were manic or depressed in the past to become manic or depressed again.
  • Visual problems (angle-closure glaucoma). Signs and symptoms may include: eye pain, changes in vision, swelling or redness in or around the eye. Talk with your healthcare provider to find out if you are at risk for angle‐closure glaucoma and to get treatment to prevent it if you are at risk.
  • Increased risk of low blood sugar in people with type 2 diabetes mellitus who also take medicines to treat their diabetes (such as insulin or sulfonylureas). You should check your blood sugar before you start taking CONTRAVE and while you take CONTRAVE.

The most common side effects of CONTRAVE include nausea, constipation, headache, vomiting, dizziness, trouble sleeping, dry mouth, and diarrhea. These are not all of the possible side effects of CONTRAVE.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

What is CONTRAVE?

CONTRAVE is a prescription weight-loss medicine that may help some adults with a body mass index (BMI) of 30 kg/m2 or greater (obese), or adults with a BMI of 27 kg/m2 or greater (overweight) with at least one weight-related medical problem such as high blood pressure, high cholesterol, or type 2 diabetes, lose weight and keep the weight off.

CONTRAVE should be used with a reduced-calorie diet and increased physical activity.

It is not known if CONTRAVE changes your risk of heart problems or stroke or of death due to heart problems or stroke.

It is not known if CONTRAVE is safe and effective when taken with other prescription, over-the-counter, or herbal weight-loss products.

CONTRAVE is not approved to treat depression or other mental illnesses, or to help people quit smoking (smoking cessation).

Please see Full Prescribing Information, including Medication Guide, for CONTRAVE.

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