TheNPRD

05/14/2026

Head over to the NPRD Podcast today to hear my conversation with returning guest, Dr. Jen Gaudiani, Founder and Medical Director of

In this insightful interview, Jen discusses her updated book 'Sick Enough,' including what’s new in this edition like PTSD, perimenopause and menopause (including a case study), advances in eating disorder treatment, innovative therapies involving interventional psychiatry, and the importance of thoughtful, compassionate care. 

She shares her journey of learning from patients, new research, and practical advice for clinicians specific to medications and families navigating complex medical and psychological challenges.

Stream this episode of The NPRD Podcast, What Do You Need Right Now?, on your platform of choice as well as in the LinkTree above. 

05/12/2026

Summer has a way of making midlife women feel like they've lost ground. 

But what they've actually lost is the hormonal buffer that used to make body image a quieter conversation.

As estrogen declines, body composition shifts, mood regulation becomes more effortful, and the nervous system grows more reactive to external triggers. For clients with any history of disordered eating or body image distress, summer can pull on threads that had been tucked away for years.

The clinical opportunity here is real. When you understand the physiology driving the distress, you can help clients replace a story built on self-blame with one built on biology. This can be a huge and powerful shift.

If all of this feels unfamiliar to you, buy my course, Beyond Nutrition. For $285, you’ll get:

👉3.5 CPEs for dietitians 

👉2-hour on-demand course

👉30-minute consult with me

Register today at robynkievit.com/resources/course-beyond-nutrition or through my bio link!

04/29/2026

Disordered eating in midlife doesn't always arrive with a history or a diagnosis.

Sometimes it looks like a client who has gotten very controlled around food at a time when everything else feels out of control.

The hormonal shifts of perimenopause don't just affect weight and sleep.

They directly influence the neurotransmitters and hunger hormones that regulate mood, stress response, and the brain's relationship with food, creating the physiological conditions for disordered patterns to emerge or resurface.

Recognizing that connection is part of your clinical edge.
It moves the conversation from behavior change to biological context and helps you know when her care needs to extend beyond nutrition into hormonal and medical support.

My 2-hour on-demand course ($285) is designed to help you, as a dietitian, improve your ability to support midlife clients with challenges like this.

Head to robynkievit.com/resources/course-beyond-nutrition to learn more and register today.

04/23/2026

04/15/2026

So many women arrive at midlife feeling like they've failed.

They've done everything “right,” watched what they eat, stayed active, taken care of themselves, and their body still feels unfamiliar. The relationship with food that used to feel manageable suddenly feels complicated again.

This isn’t regression. This is a hormonal transition that changes hunger cues, metabolism, body composition, and even the way the brain processes stress and reward around food.

What you're experiencing has a physiological explanation, and it deserves a clinical response, not just encouragement to try harder.

Different doesn't mean more restrictive, more disciplined, or more effortful. It means support that actually accounts for what your body is going through right now: nutritional, hormonal, and, when needed, medical.

You don't have to figure this out alone, and you don't have to keep applying old solutions to a problem that has genuinely changed.

04/08/2026

My personal journey with hormone therapy drove me to support women and clinicians in this space as well.

While my journey is unique to me, as yours is to you, I’ve prioritized my education and training so I can combine the empathy I feel for clients going through what I went through with clinical knowledge to help them feel better too!

Which is why I am a Registered Dietitian, Nurse Practitioner, and Menopause Society Certified Practitioner.

Here are a few ways I’m supporting folks right now:

👉🏼 In my private practice. DM me here or message me at robynkievit.com.

👉🏼 In my course, created for dietitians supporting midlife clients.

👉🏼 On my podcast, The NPRD. Season 5 just kicked off at the end of March!

04/02/2026

Underfueling during perimenopause and menopause isn't neutral. It actively makes symptoms worse.

When the body isn't getting adequate fuel, cortisol rises to compensate. In midlife, when estrogen and progesterone are already declining, that cortisol spike intensifies hot flashes, disrupts sleep, increases anxiety, and accelerates bone loss. 

Your client isn't just tired because of menopause. She may be tired because her body is running on empty and trying to manage a hormonal transition at the same time.

This is where your role as a dietitian becomes critical. 

Adequate nutrients from all good groups matter - not just protein - carbs and fat, too as well as consistent eating patterns, and enough overall calories aren't just nourishment goals; they're a part of symptom management. 

Better understand this connection and how you can use hormone therapy to support your clients in managing these symptoms as a dietitian in my new course, Beyond Nutrition.

For $285, you’ll get:

👉3.5 CPEs for dietitians 
👉2-hour on-demand course
👉30-minute consult with me

Register today at robynkievit.com/resources/course-beyond-nutrition or through my bio link!

03/31/2026

If you’re a patient or colleague of mine, we talk about sleep. We review the ways falling asleep, staying asleep and waking are affected and affect our daily lives and mental health.

Over the last couple of years I’ve had the pleasure of sharing patients with Dr. Eric Zhou, PhD, a specialist in sleep disorders. His care of many of my patients utilizing CBTi (Cognitive Behavioral Therapy for Insomnia) has been incredibly beneficial to their mental health and overall well being.

Add to this attending The Menopause Society annual meeting this past October where many lectures and discussion focused on improvement of the overall care of women in perimenopause and menopause by achieving a better quality of sleep.

The Menopause Society’s Step-By-Step paper on Sleep and Menopause published in August of 2025 and available to members cites clinical recommendations for improving sleep quality:

🌷 Rule out differential diagnosis as a critical step in treatment strategies

🌷 Target moderate to severe vasomotor symptoms in sleep disturbances

🌷 Consider CBTI and medications in patients with persistent symptoms resulting in daytime consequences

🌷 Screen for obstructive sleep apnea (OSA)

Join me and Dr. Zhou on the first episode of season 5 of TheNPRD podcast to hear and learn even more!

Head to my LinkTree to find the full episode or stream on your platform of choice.

03/26/2026

Most dietitians working with perimenopausal and menopausal clients weren't trained to counsel on hormone therapy.

But when you're working with a population that's already navigating a heightened risk for disordered eating, body image distress, and mood dysregulation, that knowledge gap has real consequences.

Hormone therapy isn't just a medical intervention. It can be a meaningful part of how midlife clients feel in their bodies, relate to food, and experience their mental health.

An ED-informed dietitian who understands this becomes a far more complete provider for this population.

Learn more about this in my on-demand course, Beyond Nutrition: Integrating Hormone Therapy and Psychopharmacology in Eating Disorder Treatment During Perimenopause and Menopause.

For $285, you’ll get:

👉3.5 CPEs for dietitians
👉2-hour on-demand course
👉30-minute consult with me

Register today at robynkievit.com/resources/course-beyond-nutrition or through my bio link!

03/24/2026

Save this one, dietitians! Your clients should not be restricting food during this season of life.

They need a full, nourishing diet now more than ever.

If you get a sense that they might be restricting, use these questions to dig a bit deeper into why, what, and figure out how you can compassionately course-correct.

03/19/2026

You may not be able to spot an eating disorder by looking at your client—in fact, in most cases, it’s not obvious on the surface.

But for many midlife women, this is a reality. Our job, as dietitians, is to look deeper for the less-obvious signs.

Check out the free resources on my website under the heading ‘Resources’ and download the PDF with a snippet of the science and studies available to us around this topic.

Learn more about this in my on-demand course, Beyond Nutrition: Integrating Hormone Therapy and Psychopharmacology in Eating Disorder Treatment During Perimenopause and Menopause.

For $285, you’ll get:

👉3.5 CPEs for dietitians
👉2-hour on-demand course
👉30-minute consult with me

Register today at robynkievit.com/resources/course-beyond-nutrition or through my bio link!