My Dietitian Story

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Nicole Scheafbauer Vision | CarbMedicRD


So…Why did I want to become a registered dietitian??

For one, I love to help people, more like “save” people.
Secondly, I love food. I used to love eating anything and everything, besides liver.
Thirdly, I’m an empath and did not realize it until I was in my 40’s. That’s why so many people
said I should have been a counselor. It finally made sense. Light bulb moment.

Looking back, I never realized I had extremely high anxiety during college.
I ate a box of cookies and would go for a run.
My main “go to’s” were Honey Nut Cheerios and Fruity Pebbles.
Not just one bowl, mind you, maybe 3 to 4 bowls. Heck, why not the whole box since they were low fat.

My roommates and I would walk to Pizza Hut, pig out on pizza, then walk 3 miles to Belt’s ice
cream shop, eat a huge mixer, and walk 3 miles home. Exercise would burn off all those
calories, right?

I was on double duty at the college gym.
I worked out on the stair stepper 2 hours a day, before and after my classes.
It paid off…
I wasn’t losing weight buttttttt….
I met my boyfriend there, a good looking Italian stallion!

It was all about balance…calories in and calories out.
It was the early 1990’s.
Low fat and exercise was the craze.

Why was I not losing weight?
Looking back, no doubt, I was definitely an exercise bulimic.
My roommates started eating gummy bears and licorice like crazy because they were low fat.
They exercised too. Why were they getting fat??

Attending college to become a dietitian didn’t teach me much of anything except
how to measure flour & sugar properly, chewing candy will stick to your teeth and cause
cavities, and lastly to make sure your lab coat was always clean, not dirty.

A dirty lab coat would land you with a bad recommendation from your professor, which would taint the
opportunity for your internship you desperately needed to become registered.
Yes, it’s true, my college professor typed that on my recommendation letter. For real.

I wasn’t going to be accepted into an internship because I couldn’t afford
laundry detergent? I pleaded with her to delete it and she did. That would have been my early
demise. I wouldn’t be writing this today.

My internship, well, it definitely was more hands on. We used the Food Guide Pyramid to
instruct patients. Awesome! Eat tons of carbohydrates limit your fats, use vegetable oils, and if
you become obese it’s your fault. The “golden” government guidelines based on a lack of
true scientific research.

I had a cardiac rehab rotation and instructed patients on low fat, low saturated fat, low
cholesterol, and low sodium diets. None of which prevent heart disease. Well…now I know that.
I should have been teaching the Food Guide Pyramid upside down to my patients, emphasizing low carbs.

The American Dietetic Association adopted all dietary guidelines from the government,
American Heart Association, and the American Diabetes Association. Therefore, as future
registered dietitians, we were molded into the same scientifically false pretenses. We were
supposed to be the nutrition experts?

After my internship in 1994, I landed my first job as a food service supervisor. I dreaded it!
How was I supposed to help people in that job? But I had to get my foot in the door

Luckily, 7 months later, my friend’s mom was a nurse and worked at a brand new hospital that
needed a clinical dietitian.
Yes I had made it! This is where I stayed for 10 years and where I learned what being a
dietitian really entailed. Well…kind of.

I saw outpatients and still believed sugar didn’t cause diabetes. Instead, for type 2 diabetes, I
was taught the patient’s insulin wasn’t working efficiently. Therefore, doctors prescribed diabetic
pills and/or insulin. Made sense right? Drive up their insulin levels to keep their blood sugars
down. Who cares if they were all gaining weight!?

I taught carbohydrate counting to my diabetic patients. To meet the guidelines of 50-60% of total
calories from carbs seemed crazy to me. I felt they had to try to meet this insanely amount and
it was a second job for them. We instructed patients to make sure their carb choices were
consistent from meal to meal, despite how many, to keep their blood sugar levels consistent.
As dietitians we had guidelines to follow even if it didn’t seem right.

I taught weight loss classes based on reduced calories, exercise and low fat. My patients lost and gained.
I started my own weight loss program called “Building a Balanced Lifestyle” with an exercise
physiologist and an eating disorder specialist. Well, that didn’t work either.

I would visit my patients on the general medical floors to try to force Ensure down their throats
when they had literally no appetite and wanted to vomit. Heaven forbid they didn’t eat for a day
or two. They would “starve” otherwise.

When I would get a low fat, low cholesterol instruction order from the doctor I didn’t want to do
it… but I had to. This was around the year 2005. At this point I was becoming more aware
of studies that concluded low fat and low cholesterol diets may reduce a person’s
cholesterol level by maybe 10%?? Other studies concluded these diets didn’t help reduce cholesterol
levels at all. I thought “What’s the point?” I’m not really helping my patients am I?

My favorite part of being a dietitian was working in the intensive care unit. I was on the nutrition
support team where I would recommend total parenteral nutrition solutions and tube feeding
solutions for patients who were critically ill and could not eat by mouth.
The ICU was where I felt I had a real purpose and I was genuinely able to help my patients get
better. However, as I look back, some of those feeding solutions should have been lower
carbohydrate if I knew what I know now.

In 2005 I had my first baby and decided to be a stay at home mom. In 2006 I had my second
baby and stayed home for 7 years.
I let my registration as a dietitian expire and I thought I was never going to return.
Until…I got a divorce…and I needed to work again.

I became re-registered in 2016 and got a job at an OBGYN clinic with three outstanding doctors
who believe low carb nutrition is medical therapy. I started listening to Dr. Jason Fung, Nina
Teicholz, and so many more of what I call my low carb, high healthy fat, insulin resistant heroes
(in short, “my heroes”). I couldn’t believe my eyes. Finally, scientifically this all made sense!

At work I started using low carb with my polycystic ovarian syndrome, diabetic type 2, and
weight loss patients. I was amazed how they significantly lost weight and decreased insulin and A1c levels.

I began using my own Carb Medic RD guidelines for almost a year and have lost 15 pounds…

I have consistently, but not perfectly, been eating low carb and doing time restricted eating,
usually 18-20 hours most days. I don’t exercise like a crazy woman anymore. I may run 1-2
miles a couple times per week, mostly because it makes me feel better mentally. I make sure I
get enough sleep and try my best to keep my stress levels under control.

I am so thankful to my low carb colleagues who have inspired me to become the dietitian who
truly makes a difference helping my patients. Seeing is believing and I didn’t experience much
of that in my early years as a dietitian.

I want to inspire all registered dietitians to inform themselves of the low carb scientific research
instead of following the old traditional guidelines that were never scientifically true. Together we
can make a real difference by following what truly is healthy for our patients.

In addition, check out the Nutrition Coalition group that is fighting for the 2020 dietary guidelines
to be based on causative scientific research. I’m so excited that someone has finally stood up to
the government dietary guidelines. Thank you journalist Nina Teicholz…you are a hero to all

Lastly, to all of my patients in the past that I so desperately tried to help, I apologize. Today I
can say I am confident and believe with no doubt that I am able to help all of you correctly with There is causative low carb research and I have patient based evidence
now. I witness significant weight loss, lab value improvement, fertility improvement, hunger and
other weight related hormone improvement.

My patients feel great and are in charge of food instead of the other way around. It’s so

Whether you want to lose weight or you need to maintain your current healthy weight, I encourage
you to make the decision…believe it…and consistently live it! can show you how, by encompassing your individual low carb needs, types
of fasting, sleep & stress, movement, behavior modification, alcohol, eating out and much more!

This is not a diet, it is a lifelong plan so you will no longer need to diet again.

Join the low carb movement(#LCM) with me and start today!!


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Showing 3 comments
  • bethclarke

    This is a great story! It is amazing to see how the research and guidelines have changed!

  • Kathie

    Love your story and I can relate to it so much! One thing I also thought of while reading this is cancer. And neurological disorders and disease. There is science behind the benefits of limited carbohydrate diets for those issues too! The body is an amazing, self-regulating and self-healing system if we care for it properly. “Let food be thy medicine…”

    • carbmedicrdnicole

      So true Kathie! Nutrition is medical therapy!

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