Leslie Schilling, Sport Dietitian & Nutrition Therapist

09/01/2025

Because the AAP values evidence.

The American Academy of Pediatrics (AAP) has released updated immunization guidelines for babies and children. Tap the link in the first comment to learn more. ⬇️

08/25/2025

Have you heard about the Dietitian Development Hub? It's where non-diet, sport dietitians learn, connect, and get timely case support. Check it out and join us as a founding member!

Join a collaborative community where non-diet practitioners come together under the mentorship of Leslie, an experienced dietitian dedicated to elevating counseling skills and enhancing client relationships. This supportive space fosters open dialogue and shared learning among like-minded profession...

08/23/2025

Reminding you always, you’re nicer with carbs.

Also reminding you that I have a workshop you can get at the link in my bio that was specifically created so you can know what’s true and what’s not around nutrition.

True as in, science. As in science + a dietitian who gives a sh*t. Who doesn’t want you to scroll and panic because Netflix, influencers, and strangers on the internet are trying to present trending, as truth.

07/17/2025

More from my brilliant colleague Emily Fonnesbeck, RD.

06/30/2025

100% The Mindful Dietitian 👊🫶

I swear that I will die on the hill that uplifts the incredible skills of my colleagues, honestly many of which are completely invisible and not well recognised outside the profession. I will very happily say AND 20 years on in this field, I still am stunned regularly by the very limited way that our role is viewed.

We are very very far from perfect and much harm has been done by our profession both within ED Care and in general healthcare. I am not intending to paint a picture that ignores or overlooks these facts. What I am aiming to do to paint a more expansive view of our incredible depth of skill.

So, for anyone wondering, here’s a list of 10 things many Eating Disorder (ED) Dietitians do, reflecting the depth and complexity of the role beyond food alone:

💡Supports nourishment in the presence of fear, shame, or distress
– Not just “what to eat,” but how to eat when it feels unsafe or overwhelming.

💡Explores beliefs about food, body, and identity
– Supports the unpacking of messages that are often grounded in trauma, culture, family, and systems of oppression.

💡Collaborates with a multidisciplinary team
– Works closely with therapists, GPs, psychiatrists, carers, and more to provide integrated care.

💡Navigates risk, safety, and ethical grey zones
– Balances autonomy and duty of care

💡Provides nutrition education that’s thoughtful and indivualised
– Tailors information to meet the person’s needs, nervous system, and context.

💡Holds hope - especially when our clients can’t
– Offers a steady, compassionate presence in the face of fear, ambivalence, or stuckness.

💡Engages in ongoing reflection & supervision
– Reviews practice critically, unpacks challenges, and grows through feedback and support.

💡Challenges diet culture & weight stigma
– Advocates for care that respects body diversity and dismantles harmful narratives.

💡Makes space for grief & identity shifts
– Acknowledges what recovery may mean letting go of — not just what it brings.

💡Brings their whole, imperfect human self to the work
– Shows up with authenticity, humility, and a willingness to learn

06/25/2025

These drugs are all the rage. Take a look at Rachel Millner, Psy.D.’s very thoughtful post on GLP-1s.

I believe in body autonomy.
And I believe in informed consent.
And when it comes to GLP-1s being prescribed for weight loss, informed consent means explaining that the prescription for these meds is essentially a prescription for the exact same behaviors, side effects and complications of anorexia.
People get to make decisions about whether to pursue intentional weight loss via these medications.
But healthcare providers are required to give informed consent. That’s not optional. Or a decision. That’s necessary.
If someone presented to an ER or doctors office and gave a list of symptoms, side-effects, behaviors and complications it would be near impossible to know if the person had anorexia or is taking a GLP-1 for weight loss.
And people have a right to know that before making a decision about these medications.
Image description: the image is split into two columns. On one side it says: Anorexia Side-effects/ Complications:
• Fatigue
• Hair loss
• Low blood sugar
• Headaches
• Suicidal thoughts
• Heart damage
• Gastroparesis
• Fainting
• Dizziness
• Bone loss
• Nausea
• Seizures
• Blurry vision
• Death
On the other column it says:
GLP-1* side-effcts/complications
*when prescribed at higher doses for weight loss:
• Fatigue
• Hair loss
• Low blood sugar
• Headaches
• Suicidal thoughts
• Heart damage
• Gastroparesis
• Fainting
• Dizziness
• Bone loss
• Nausea
• Seizures
• Blurry vision
• Death

06/19/2025

Haha. True. This might give you a cup sautéed. 🤣

A cartoon by Johnny DiNapoli, from 2022.

06/18/2025

So good, and reasonable Emily Fonnesbeck, RD 😉👊🫶.

06/05/2025

A running list of actions by the Trump administration that are actively deepening inequality, dismantling public health systems, and making Americans less healthy.

05/23/2025

It’s rarely just REDs.

Relative Energy Deficiency in Sport (REDs)

I have a group chat with some RD pals that work at the intersection of sport/performance and eating disorders like I do. We’re often sharing articles or discussing talks we’ve seen where eating disorders were clearly a part of the mix, but weren’t acknowledged.

This is a problem for several reasons.
👉 Newer practitioners don’t get the opportunity to learn more about how disordered eating can play a role in REDs.
👉 Practitioners who desire to offer better care for their clients don’t get the information they need to offer that care.
👉 Ultimately, our clients and athletes will suffer longer when the possibility of disordered eating or an eating disorder is ignored.

Many of those seeking help are sent through dozens of test looking for a medical zebra (rarity) when it is more likely an underfed horse. I’ve worked with many clients who had a glaring, yet undiagnosed, eating disorder for years because of weight bias, health professionals thinking eating disorders are rare (they’re not), providers own disordered practices, or simply the inexperience of their provider.

Does REDs always correspond with an eating disorder diagnosis? No. But is it very common? Yes, I can count on one hand the number of REDs cases I’ve seen in my career that weren’t also related to disordered eating or an eating disorder.

You can be the provider that helps people NOT slip through the cracks. With supervision, case support, and counseling practices, you can help people get the help they deserve when they need it.

***If you’re a dietitian working at the intersection of sport/performance and disordered eating, the Dietitian Development Hub was created for you. Check out the link below ***

05/23/2025

Please pay attention and call your senators. This isn’t just a budget bill, it’s path to throning a heartless king. I remember learning about the importance of checks and balances. We must protect them. This isn’t good for anyone regardless of how you voted.

05/21/2025

Very true.

A powerful reminder: you never know what someone is going through beneath the surface.

Be kind. Be patient. Check in on your people.