After-Hours Care Appointments

Avance Care is committed to providing the most up to date and effective care to our patients. We have introduced Nutrition Care Services at our clinics, as clinical research has clearly shown that the adoption and maintenance of healthy dietary and lifestyle behaviors can effectively prolong life and delay the onset of chronic conditions such as diabetes, high blood pressure and heart disease. A Licensed Dietitian/Nutritionist is now available at our locations to provide consultations to patients who will benefit significantly from this service.

In addition to general services we offer 3 structured programs designed for specific nutritional needs. For those wanting assistance with other concerns such as gastrointestinal issues, pediatric feeding or sports nutrition we can develop an individualized program.


What We Offer:

  • Effective weight loss and weight management solutions.
  • Nutrition interventions for pre-diabetes, diabetes, hypertension, high cholesterol, heart disease and many other conditions.
  • Program designed to curb emotional eating.
  • Customized nutrition and lifestyle care plans.
  • Ongoing support, coaching and monitoring to ensure your success.

What is a Registered Dietitian/Nutritionist (RDN)?

A licensed dietitian/nutritionist is a nutrition professional who has met defined academic and professional requirements and is recognized as your most credible source of nutrition information. In addition, RDNs are trained how to use nutrition to prevent and control disease. Our RDNs are also trained in providing comprehensive diabetes education for our patients and hold additional specialty certifications in weight management and diabetes management.

Nutrition and Lifestyle Solutions That Work

Small Changes Can Make a Big Difference

Research shows that nutrition and lifestyle interventions targeting adults start to generate positive effects immediately after their implementation, and benefits are even faster for interventions that target high-risk individuals and age groups. This means it is never too late to benefit from nutrition or lifestyle changes which can alter the course of a chronic condition and/or delay the onset of complications. 

According to the Centers for Disease Control, a modest 5-10% maintained weight loss and at least 150 minutes per week in physical activity can:

  • Reduce the risk of getting diabetes by 58%
  • Improve A1c and blood sugar control in those with diabetes, reducing the risk of nerve, kidney and eye complications by 40%
  • Lower heart disease risk by lowering blood pressure and cholesterol. A 12 to 13 point reduction in systolic blood pressure can reduce heart disease deaths by 25% and a 10% decrease in total cholesterol levels reduces the risk of coronary heart disease by 30%!

However, as the continued popularity of crash and fad diets reveals, it is typically easier to lose weight than to keep off lost weight. These quick-fixes do not work over the long term. So, what does work?

Winning With Weight Loss and Keeping it Off

The National Weight Control Registry (NWCR), analyzes the behavior of people who have successfully lost weight and sustained weight loss over time. Registry participants have lost an average 66 lbs. of weight and kept it off for more than 5.5 years. Many people included in the registry have lost more weight than this, and the range of weight loss for successful participants is between 30 – 300 lbs!

What works:

Researchers from the NWCR have analyzed the behavior of registry participants and report that

  • 55% of people attribute their success to receiving assistance from a professional or weight loss program.
  • 98% report that they modified their diet and 94% report they increased their physical activity.

Having your own professional provider to support your weight loss effort contributes significantly to weight loss success.

Getting Started

1. Request a referral during a medical appointment with your Avance Care provider, or directly request services by contacting Nutrition Services at 919-237-1337, Contact Us or LiveChat

2. Before beginning therapy, our Specialty Services Coordinator helps you understand your insurance coverage. Nutrition Services are covered by most insurance plans.

What is Medical Nutrition Therapy (MNT)?

Medical Nutrition Therapy is the translation of evidence based nutrition practice guidelines into a customized program as well as a personalized plan of healthy eating based on an individual’s nutritional needs and medical history. Our licensed dietitian/nutritionist will use MNT and counseling/coaching techniques to help you reach your personal health and wellness goals.

Who Will Benefit Most From MNT?

Research has clearly shown that if you are overweight, or if you have been diagnosed with prediabetes, diabetes, prehypertension, hypertension, heart disease, high cholesterol or other forms of elevated blood lipid levels, then MNT can significantly and positively impact the course of these chronic conditions.

Nutrition therapy is also able to help you manage many other conditions, such as: fatty liver disease, gastrointestinal disorders, polycystic ovary syndrome and osteoarthritis, to name a few other conditions. Speak to your provider to find out more about this essential service. To learn more about how MNT can help you better manage a chronic condition click here.

How Much Will This Cost?

Most insurers will cover nutritional counseling provided by a Licensed Dietitian/Nutritionist. Currently, Avance Care provides in-network services to members of Blue Cross and Blue Shield (BCBS), Cigna, Aetna/Coventry, United Health Care, and Medicare. We also offer these services at an affordable rate if you need to pay for the services as an out of pocket expense. To learn more about this service and benefits that may be available to you click here.

Latest Nutrition Resources

Seven Layer Dinner

Written by: Kaci Oliver, MS, RDN, LDN Prep Time: 30 minutes Cook Time: 60 minutes Makes: 7 servings Ingredients: 2/3 cup uncooked quinoa 1 1/4 cups water 1 teaspoon salt, divided 1 teaspoon black pepper, divided 3 teaspoons olive oil, divided 1 pound 7% lean ground...

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Myth Busters: 5 Foods That Will Not Ruin Your Diet

Written by: Shannon Corlett, MS, RDN, LDN The articles about health foods that can ruin, destroy, or sabotage your diet are everywhere. Their words are eye catching and the message clear: if you don't click on this link you may be preventing your weight loss success....

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More Back to School Tips; Child Care, Homework, and Lunch!

Happy Fall!! Welcome to another edition of the pediatric blog. I know last week's blog was very long, but I hope you found it very informative. My hope is that you also discussed some of the tips with your children or that it helped generate some discussions. This...

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Skinny Chocolate Chip Cheesecake Bars

  Written by: Kaci Oliver, MS, RDN, LDN Prep Time: 15 minutes Cook Time: 25 minutes (4 hours, including chilling) Makes: 16 servings Ingredients: 3/4 cup graham cracker crumbs 2 tablespoons unsalted butter, melted 8 ounces reduced-fat cream cheese, softened to...

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A Day in the Life of a Dietitian-Volume 6: Vegetarian Edition

Written by: Shannon Corlett, MS, RDN, LDN Ever wonder what your Registered Dietitian (RD) eats in a day? Yes, there are usually plenty of fruits and vegetables, but it may be surprising how many quick and convenient options are also included. After taking pictures of...

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Safety Tips for Going Back to School

Hello readers, welcome back to the pediatric blog. I hope you enjoyed the first topic last week about sleep and found it to be helpful. This week's blog is a continuation of our back to school tips topic. We have a lot to cover so let's just dive right in and get...

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