Our nutrition ethos
Nutrition has an immense impact on how we feel in our bodies and minds. We believe a good diet is simple - taking out the drama and going 'back-to-basics' focussing on a range of quality foods cooked in ways that are achievable and sustainable when you're pressed for time, and that you look forward to eating!
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We support a scientific evidence-based and integrative-holistic approach. By understanding the factors contributing to your health, the biochemical processes underlying these and drilling down into nutrition & gut-related factors, we can tailor our strategies to address what's holding you back. We work with you to help determine what changes will be of most value given your story, circumstances and preferences - helping you feel confident being in the driving seat for your own nutrition.
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For our Hypermobile humans, we often prioritise comprehensive symptom management strategies over sweeping or restrictive dietary changes. For most people with these conditions, when we are able to manage gastrointestinal symptoms well and work on stabilising factors like POTS and MCAS, our ability to eat in a way that feels good to us becomes more achievable. From here, only fine tuning support around diet is often needed, such as practical meal planning ideas. Where indicated, we do offer elimination diets, however we do not take the risks of these lightly so usually take multiple sessions before we offer these.
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What can we help you with?
As Accredited Practicing Dietitians, we have a broad range of training covering many acute and chronic health conditions as well as nutrition for various stages of life.
Our interests include:
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Digestive health and gastroenterology: gut symptoms (including bloating, nausea, constipation, diarrhoea, dysphagia, poor appetite, reflux, fecal loading), gastroparesis, IBS & IBD, coeliac disease, food allergies & intolerances, food chemical sensitivities, select elimination diets (including low histamine), gut support after antibiotics, managing medication side effects.
Women's and AFAB health: menopause and peri-menopause, PCOS, endometriosis, hypothalamic amenorrhoea, irregular or painful periods, PMS & PMDD, pre-conception nutrition.
Neurodiversity affirming healthcare: Autism, ADHD, OCD, ARFID, burnout & more.
Mental health: chronic stress and burnout, anxiety, depression, relationship with food (Aleisha only), food fears related to gut reactions, disordered eating, ARFID & more.
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Hypermobility & Co: HSD/hEDS, MCAS, POTS, ME/CFS, chronic pain, Vascular Compression Syndromes (e.g. MALS/SMAS), advocacy for diagnosis and building your healthcare team.
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Malnutrition: assessing malnutrition and providing an plan focussing on oral nutrition, especially when other factors such as gastroparesis or vascular compressions are involved. Note, we cannot assist with Enteral Nutrition (tube feeding) as this is outside of our team's scope.
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Autoimmunity: connective tissue disorders (inc Lupus, Sjogrens), Multiple Sclerosis, Coeliac disease and more.
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Chronic disease: high cholesterol, metabolic syndrome, liver disease, pre-diabetes & diabetes.
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General healthy eating, weight-neutral & HAES informed care, Long COVID, meal planning and preparation, advocating for NDIS.​
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Savita's special interests: Hypermobility & Co (including complex cases and abdominal vascular compressions), malnutrition management, AuDHD care, nutrition for pole dancers.
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Romy's special interests: Hypermobility & Co, all things metabolic/endocrine heath and diabetes inc. Type 1, 2 & gestational diabetes, PCOS, metabolic syndrome), coeliac disease and gluten intolerance, meal planning for complex dietary needs, women's & AFAB health, neurodivergent-affirming care.
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Aleisha's special interests: Hypermobility & Co, gut symptom, SIBO & IBD management, microbiome optimisation, relationship with food and disordered eating, meal planning for complex dietary needs (inc. histamine intolerance), abdominal vascular compressions, nutrition for running.​
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We cannot currently assist with:
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Home enteral nutrition (e.g. feeding via nasal or surgical tube). If this is a factor you will need another dietitian helping in this area.
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Counselling focussed on eating disorder recovery - we do not have our ANZAED Eating Disorder Credentials. If you have a dietitian and/or psychologist supporting you in this area, Aleisha on our team is happy to assist.
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Specific nutritional protocols for mould illness (we can assist with MCAS management in the context of mould illness).
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Paediatric Dietetics for children under 12 years old. We can assist with fecal loading management for children 6-12 years old.
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Emergency consultation related to acute presentations (e.g. acute symptoms related to significant malnutrition, acute gastrointestinal pain, bleeding or similar) - this is outside of our scope and capacity as private practice dietitians. Please visit your local emergency department, call 000 for emergency services or dial 13 HEALTH for a free phone triage from a registered nurse.
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Herbal medicine - this falls outside of our Dietetic scope. We are able to assist with evidence-based nutraceuticals (which have some overlap with specific, food-based herbal products). Aleisha and Savvy are confident in this space, and Romy is currently up-skilling.
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Considerations for neurodivergent clients with high supports needs - we are more than happy to discuss accessibility and communication needs, and adapt our approach where possible while providing a safe Dietetic service within our scope and capacity, however we may not be able to meet all needs. If there are any considerations you'd like to discuss before booking in, feel free to send us an email, and we can discuss this via email or phone call.
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Meal planning for long term restrictive diets (e.g. ketogenic diet, carnivore diet), and general prescriptive meal plans, as these fall outside of our clinic's ethos.
The process
What can I expect from an Initial Consult?
Duration: Initial consults at Savvy Dietetics can take up to 60 minutes.
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What do I need to prepare for an initial consult?
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Please complete your intake forms (emailed with your booking confirmation, and in a reminder email four days prior to your consult) at least 48hr prior to your consult, to allow your Dietitian enough time to prepare.
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If you have any recent (last 1 year) test results, such as blood/stool tests, endoscopy and colonoscopy results, abdominal x-rays, CGM trial or similar, or relevant specialist post-consult reports - please email these through prior to your session to assist us in providing accurate and safe information during your consult.
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We don't require you to complete a food diary prior to your consult.
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What will be discussed during an initial?
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Your Dietitian will take a thorough history, which involves asking a lot of questions about your medical conditions, medications/supplements, symptoms (especially gastrointestinal symptoms), previous test results, diet, priorities and more. If there are any areas you'd rather not discuss just yet, there are spaces to indicate this in the intake form.
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After this, your Dietitian will run you through their initial thoughts on your case - explaining what they think is happening, and why this could be. We truly believe that when you understand how your body works, finding solutions that fit becomes much easier!
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Your Dietitian will run you through 2-5 key areas to focus on over the next 1-2 months. This can look different for everyone, but we often start with symptoms management strategies, condition screener tools and tests to discuss with your GP. If your medical history is highly complex, we may not be able to gather enough information during our first consult to provide a full Nutrition Care Plan. In this case we will usually offer you to book in a follow up consult sooner.
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What happens after an initial consult?
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Your Dietitian will send you a full emailed 'Nutrition Care Plan' via email, within 7 business days of your consult. This will detail their overall thoughts on your case so far (it can take a few sessions to unpack complex symptoms and conditions!), as well as specific instructions on strategies to implements, often accompanied by our clinic resources which provide further background (if you're interested in this).
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If you have minor questions about your plan, feel free to email these to your Dietitian. We do not usually answer complex questions via email - so if you have major questions or would like a more guided approach, consider checking in after 2-3 weeks with a 15min or 30min review consult.
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What do initial consults not usually cover?
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Custom meal plans - in general, our clinic is not a huge fan of providing custom meal plans, as we often find these can be too prescriptive and difficult to implement safely - and often take our Dietitians 2-7+ hours to create. We are certainly open to creating custom meal planning resources for you, however this make take 2-5 sessions for us to start to create these, as it does take a while to unpack your symptoms, dietary preferences, intolerances, capacity and more.
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Elimination diet guidance - we understand that elimination diets are a common topic in the invisible illness space, however in the context of complex chronic disability they can hold significant risks - including malnutrition, disordered eating, burnout and more. To provide guidance around these safely, we first prefer to take 2-3 sessions to get to know you and your symptoms, to assess whether an elimination diet is necessary, and to provide tailored guidance around this. In extenuating circumstances, we may provide elimination diet guidance in an initial consult, however we will usually book you in for a review consult 1-3 weeks later to check in and troubleshoot proactively.
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A complete roadmap for the path ahead - complex chronic disability is complex for a reason! Dietetic consults in this space are a dynamic process, and we often adapt our strategies along the way depending on your response and fluctuating capacity.
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If you have any other questions about Initial Consults at Savvy Dietetics, feel free to email us.
Appointment pricing
Initial consult (60 mins)
+45 mins admin time
Review consult (30 mins)
+20 mins admin time
+35 mins admin time
Long review consult (60 mins)​​
Supporting activities outside the scope of admin time allocated to consults (meal plans non-Medicare letters, specialist letters)
NDIS reports and similar
$230
$115
$175
$175 per hour
$188.99 per hour - kindly provide two months' notice on report deadlines
Consult prices effective from Oct 1st 2024. Applies to all Dietitians at our practice.
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The current (as of July 2023, confirm this with your GP or Medicare) Medicare Chronic Disease Management plan rebate is $58.00 per consult (or more if you have reached the Safety Net), using the following item numbers:
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10954 Dietetic Consultation - Face to Face
93000 Dietetic Consultation - Telehealth
82350 Dietetic Consult, Eating Disorder Plan - Face to Face
93074 Dietetic Consult, Eating Disorder Plan - Telehealth
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Rebates for Australian Private Health Funds are also available. Please check with your individual provider as to your level of cover.
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