No numbers. No tracking.
No calories, macros, BMI or goal weight. We talk about meals, patterns, and how your body feels — because those are the things that actually predict long-term wellbeing.
Sustainable nutrition — without the scale running the show.
Weight-inclusive 1:1 care for hormone and metabolic health. Progress is measured in energy, labs, cycles and how you feel — never pounds.
Free 15 minutesno card requiredno PHI required.
- ★★★★★Rated on Google
- RDRegistered Dietitian
- MRTCertified practitioner
- Functional& lab testing
- CA · TX · NVVirtual care
- ★★★★★Rated on Google
- RDRegistered Dietitian
- MRTCertified practitioner
- Functional& lab testing
- CA · TX · NVVirtual care
Written & reviewed by Leila Page, RD — Registered DietitianLast updated June 2026
Working with Leila Page, RD on a weight-inclusive basis means no calorie targets, no BMI thresholds, no weigh-ins and no before/after photos at any point — ever. Care still addresses the metabolic, hormone and gut work most people come for; the scale just isn’t the measurement tool.
Most people I work with have done the diets and are rightfully skeptical that ‘one more plan’ will change anything. So we don’t do that. We focus on the parts of your health nutrition can actually move — energy, cycles, labs, digestion, sleep — and build a way of eating that fits your real life, at your pace.
Want the bigger picture on metabolic health? Read the sustainable weight & metabolic health guide →
Who this is for
Sound like where you are right now?
- You’ve been on and off diets for years and you’re done — but you still want to feel better in your body.
- You feel stuck despite trying “everything,” and the all-or-nothing cycle keeps starting over on Monday.
- You want to stop tracking, weighing and measuring — and rebuild a calm, regular relationship with food.
- You want better metabolic and hormone health (energy, labs, cycle, sleep) without the obsession.
- You’ve been told to “just lose weight” by providers who didn’t ask what you’ve already tried.
How I help
How no-scale care actually works in practice.
Hormone & metabolic context
Weight-inclusive doesn’t mean ignoring metabolic health. For PCOS, insulin resistance, prediabetes and similar concerns, we use nutrition strategies that support steady blood sugar without restriction.
Repair, not punishment
If your relationship with food has taken a beating, we go slow. The goal is calm, regular eating that fits the life you actually have — not a plan you’ll abandon in three weeks.
Evidence-based throughout
Weight-inclusive isn’t anti-science. It’s about following the evidence on what nutrition can genuinely change — and being honest about what it can’t.
Nutrition counseling is not a substitute for medical care. Individual results vary.
What’s included
What a no-scale nutrition engagement looks like.
- Free 15-minute discovery call to make sure this approach feels right.
- A deeper intake covering food history, dieting history, symptoms, labs, sleep, stress and how you actually want to eat.
- A personalized, non-diet nutrition plan — no calories, macros, BMI or weigh-ins.
- Habit and behavior work for sustainable, calm eating patterns that fit your life.
- Progress measured through energy, symptoms, labs and behaviors — never the scale.
- Ongoing follow-ups and messaging support between sessions so the plan keeps fitting real life.
Working together
How we move forward — at your pace.
- 01
Free 15-minute discovery call. We talk about what you’ve tried, what hasn’t worked and what would feel different.
- 02
Personalized plan. A deeper intake and a plan built around your foods, schedule and goals — no rigid rules.
- 03
Ongoing support. Follow-ups to adjust as life shifts. The plan should keep fitting you — not the other way around.
Weight-inclusive, evidence-based care from a Registered Dietitian — no calorie targets, BMI thresholds, weigh-ins or before/after photos at any point.
5.0 on Google
Want help applying this to your weight-inclusive nutrition journey?
15-minute discovery call. Free, no pressure, no PHI required.
Insurance & cost
Many plans cover nutrition counseling.
In-network with Aetna in California, superbills for out-of-network reimbursement, and HSA/FSA accepted. I’ll help you check your benefits in a few minutes.
- Aetna — in-network (CA)
- HSA / FSA eligible
- Superbills for out-of-network
Check coverageVirtual across California, Texas, Nevada.
FAQ
Sustainable, Weight-Inclusive Nutrition — common questions
Do you ever weigh or measure me?
No. Weight is not collected as a data point in this work. Some clients prefer not to weigh themselves at all between sessions, and that’s welcomed. The plan does not require weighing yourself or tracking weight to work.
Will this still help if I’m dealing with PCOS, prediabetes or IBS at the same time?
Yes — and these often run alongside one another. The plan can address the metabolic, hormone or gut piece directly without making weight the focus. We measure progress with symptoms, labs and how you feel. Individual results vary.
Is weight-inclusive nutrition counseling covered by insurance?
Often, yes. Coverage doesn’t depend on the philosophy — it depends on the diagnosis. When this work is tied to a covered diagnosis (PCOS, prediabetes, IBS, etc.), it’s typically billable as medical nutrition therapy. I’m in-network with Aetna in California and provide superbills for other plans.
Is this fully virtual?
Yes — every session is virtual, by secure video. I see clients across California, Texas and Nevada. You can join from home, the office or wherever your week takes you.
What if I do want to lose weight?
I’m honest about this: I don’t set weight-loss goals or build plans around weight change. If that’s the only goal you want to work on, I’m not the right fit — and I’ll say so up front so you can find a provider who is.
How do we get started?
Book a free 15-minute discovery call from the contact page. We’ll talk about what you’ve tried, what hasn’t worked, and what working together would actually look like — including insurance and scheduling.
Related
Adjacent care & guides.
Condition guide
Sustainable weight & metabolic health — the full guide
Read the full guide →ConditionPCOS (also called PMOS)
Learn more →ConditionHormone Imbalance & Insulin Resistance
Learn more →ServicePCOS & Hormone Nutrition
Learn more →ServiceDiabetes & Metabolic Health
Learn more →Virtual nutrition counseling — based in Orange County, serving clients across California, Texas & Nevada. Last updated June 2026.
As featured in
- Well+GoodFoods naturally high in melatonin
- Orange Coast MagazineClean Eats Advice from a Dietitian
- OC Family MagazineIntroduce your little one to solid foods
- Well+GoodFoods naturally high in melatonin
- Orange Coast MagazineClean Eats Advice from a Dietitian
- OC Family MagazineIntroduce your little one to solid foods
Ready to get to the root of it together?
Book a free 15-minute discovery call. No paperwork, no PHI — just a conversation to see if we're the right fit.
Free 15 minutesno card requiredno PHI required.