Entirely Nourished

Entirely Nourished Nutrition counseling and consulting private practuce specializing in heart disease prevention and management through science based nutrition.

Nutrition Counseling and Consulting Services
Prevent Heart Disease
Gain energy, vitality & productivity
Personalized Lifestyle Medicine
In Person and Virtual Consultations available.

If I could only tell you one more thing about improving heart health with elevated lipoprotein(a), it would be this:⁠⁠Wa...
01/09/2026

If I could only tell you one more thing about improving heart health with elevated lipoprotein(a), it would be this:⁠

Waist circumference matters more than the scale.⁠

Read my client’s story: by focusing on an anti-inflammatory, nutrient-targeted, personalized diet, she decreased her waist circumference by 3.5 inches and lost 11 lbs in just 2.5 months. Her weight hadn’t budged for over 5 years, and when she addressed inflammation, it finally shifted. ⁠

⭐️ These cardiometabolic-focused strategies helped her reduce risk by targeting central fat, inflammation, and metabolic health, even though her BMI was barely above the “normal” range.⁠

Because lipoprotein(a) is strongly driven by inflammation, reducing inflammation and abdominal weight became a high priority - and this is exactly how we lowered her cardiometabolic risk, something standard advice often overlooks.⁠

❤️ If you want to take a whole-person approach to heart health that addresses inflammation, join me on February 5th for a special live class for those on the interest list for my February Optimize cohort, where we’ll explore the key drivers of heart disease and cardiometabolic risk.⁠

Comment OPTIMIZE to get on the interest list and receive access to the live class.⁠

01/08/2026

Watch this reel until the end because BMI may not tell the full story about the active fat surrounding your heart muscle! 

Step 1: Know your waist circumference.

Your waist circumference (at the level of your belly button, not your pants size) is a powerful indicator of heart and metabolic risk. A practical goal is to keep your waist less than half your height, and also below high‑risk cutoffs that vary by s*x and ethnicity.

* For women of European or White background, risk rises around 80 cm (about 31.5 in), and is high at 88 cm (about 35 in).

* For men of European or White background, risk rises around 94 cm (about 37 in), and is high at 102 cm (about 40 in).

* For many Asian populations, risk rises at lower cutoffs, about 80 cm (31.5 in) for women and 90 cm (35.5 in) for men.

* For South Asian and African-Caribbean groups, diabetes and cardiometabolic risk can increase around 80–84 cm (31.5–33 in) in women and around 90 cm (35.5 in) in men.

**Once you have measured your waist circumference, comment a ⭐️ below.

Step 2: If high, let’s target it with heart-healthy nutrition.

Focus on slow, steady weight loss with a science-based, nutrient-adequate, anti-inflammatory eating pattern that helps reduce visceral and ectopic fat around the heart and organs.

If it is within normal limits, be sure to check it every two to three months to ensure it remains consistent with your baseline as you age.

Tomorrow I will share a client success story about how nutrition and lifestyle can help optimize this metric.

❤️ Be sure to follow along and stay tuned for more heart disease prevention tips!

💌 Not on my email list yet? Comment “HEART” to join.



References:
PMID: 39289125
PMID: 32020062

12/18/2025

I get it. Life is busy. I have high Lipoprotein(a), which puts me at increased cardiovascular risk, and I practice what I preach every day. I am bh raising four amazing kids, running a busy practice, and still making time for movement and nutrition. Life is messy, real, and full of life, love, and lessons along the way, and I am so grateful for it all.

This past weekend, my sweet 4-year-old kept me company at my home office, drawing me pictures while I was on my Tonal doing resistance training. He got to be part of the process, enjoying being at my desk while learning firsthand the importance of movement and healthy habits. This is just part of my home life and for the video - my sessions with clients are always virtual, private, and focused on you.

The same principles I practice in my own life guide how I work with clients, creating personalized, practical strategies that fit your life, your schedule, and your goals. There are no cookie-cutter plans, no impossible rules, just guidance that is evidence-based, individualized, sustainable, and built to last.

⭐️ Your health is not just about following a diet. It is about protecting your heart, celebrating small wins, and weaving wellness into your life in a way that fits your lifestyle for the long term. I am also passionate about instilling these habits into future generations to protect their hearts as well.

❤️ Follow along for more heart disease prevention tips and comment HEART to join my weekly email list where I send practical strategies straight to your inbox every Tuesday morning.

👉🏼 I will be taking some time in the next few weeks to create a special resource that my email subscribers requested. I will be here when I can, with my focus devoted to 1:1 clients, clients in my group memberships, and people on my email list.

⭐️ To stay in the know, join us and let us make heart health part of everyday life.

12/17/2025

Understanding the why behind your blood pressure brings me real joy, because it helps address one of the biggest risk factors for heart attacks, strokes, heart failure, kidney disease, and cognitive decline. Supporting healthy blood pressure can make a huge difference in both longevity & quality of life 💛

Here are 5 common (not exhaustive) reasons blood pressure may be elevated and it’s not your genetics.

In my private practice, working one on one with clients as a cardiovascular dietitian for over 14 years, these are most often overlooked:

1. Uric acid: High levels can stiffen blood vessels and drive inflammation, raising blood pressure.
2. Nitric oxide availability: Low nitric oxide reduces blood vessel flexibility, making it harder for blood to flow smoothly. Your body must convert certain foods through your oral and gut microbiome to produce nitric oxide, so gut health needs to be addressed.
3. Insulin resistance: This affects how your body handles sugar and sodium, often leading to higher blood pressure.
4. Sodium to potassium ratio: Too much sodium or too little potassium disrupts fluid balance and raises blood pressure. This often reflects nutrient gaps, and targeted food combinations can help correct it.
5. Inflammation: Chronic inflammation damages blood vessels and increases the workload on the heart, forcing it to pump harder. Addressing inflammation by identifying the underlying causes and ensuring a nutrient-adequate diet can help reduce markers such as hsCRP, IL-6, TNF-alpha, and cystatin C.

⭐️ Often, it’s a combination of several of these and other modifiable factors.

❤️ The good news is that targeted, science-based nutrition and lifestyle strategies can address all of these. This is also why many people remain resistant to blood pressure medications alone, as medications typically doesn’t address these underlying physiological drivers.

⭐️ I’ll be sharing here and in stories when I can, while continuing to devote most of my time to my clients, group memberships, and email list.

For more consistent heart disease prevention content, comment “HEART” to join my email list 💛

12/16/2025

Hi, I’m Michelle, a cardiovascular dietitian with 14+ years of experience helping people take charge of their heart and metabolic health through personalized, science-based, food-first nutrition.

If you’re curious about what’s really happening inside your blood vessels, your labs, and your body, you’re in the right place.

I help people apply targeted, evidence-based nutrition to optimize heart and vascular health by addressing the underlying biological pathways of cardiometabolic risk with a proactive, prevention-focused approach.

I look at the full picture to ensure we’re truly reducing heart attack risk: inflammation, blood pressure, atherogenic cholesterol, blood sugar and insulin sensitivity, gut health, bone, kidney, brain, and liver health - because heart health doesn’t exist in a silo, and treating it that way can be detrimental.

👉🏼Follow me for science-backed strategies to protect your heart from the inside out.

⭐️ And if you’re not on my email list yet, join today to receive heart disease prevention tips every Tuesday straight to your inbox. (If you are subscribed, be sure to open today’s email, there’s an exciting announcement based on what you’ve been asking for).

Comment HEART to get the link to join. 💙

He finally was able to take control of his blood pressure ⤵️⁠⁠I pulled together 5 strategies that helped my client lower...
12/12/2025

He finally was able to take control of his blood pressure ⤵️⁠

I pulled together 5 strategies that helped my client lower his blood pressure from 140/80 to 112/70 in just 3 months — while reducing his medications from three to one.

Before we started, he was on three different blood pressure meds and nothing he tried for blood pressure seemed to work, leaving him frustrated and unsure what to do.⁠

These practical, science-backed habits gave him clarity, confidence, and control — proving that sustainable change is possible.⁠

❤️ I hope this story inspires you and the tips empower you to take control of your heart health. ⁠

If you’re not on my email list, comment “HEART” to get the link to join!

Join and follow along for more science backed strategies to support your heart and overall health.⁠

12/09/2025

💛 Part 5 of my “How to measure your blood pressure accurately at home” series is here!

Today, we’re covering:

⏰ Best time of day to measure
📅 How often to check
📝 Tips for logging your readings

I will also talk about health anxiety around taking BP, especially when you’re unsure what the numbers mean or what to do next.

My hope is that this series empowers you to take control of your blood pressure at home and improve it with science-backed strategies. Upcoming posts will explore why blood pressure may be high, so be sure to follow my account.

💌 Share this with someone who might benefit, and if you haven’t seen the intro or earlier videos, check them out to catch up!

Comment below if you watched all 6 videos in this series or if you enjoyed it, I’d love to know so I can share more content like this in the future.

12/08/2025

👀 Stop scrolling - this one tip could change how you track your blood pressure!

Want readings you can trust without guessing if they’re too high or too low? Watch this reel to see which arm to test and why checking both matters.

💾 Save this so you can refer to it next time you take your BP.

Make sure you’ve watched the intro video and Parts 1-3 first: this tip works best when you follow along from the beginning!

If you’ve learned something from any of these videos, please comment with your favorite emoji and share this series with someone else who would benefit.

Comment HEART if you’re not on my email list yet - you don’t want to miss tomorrow morning’s email!

12/05/2025

💓 Part 3: How to position & place your blood pressure monitor!

A big part of getting accurate readings is proper cuff placement and your positioning—watch the video to see exactly how to do it. ✅

👀 Next video: I’ll show you which arm to test for the most reliable results!

💬 Like, share, and comment to help more people learn how to measure their BP at home accurately: one of the most important metrics for your heart health.

💌 Not on my email list? Join to get my weekly heart disease prevention tips straight to your inbox!

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New York, NY

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 8pm
Friday 9am - 5pm

Website

https://view.flodesk.com/pages/64cd30719b48101ef1dcf6e9

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Nutrition Counseling and Consulting Service

Preventive Cardiology Dietitian Personalized Lifestyle Medicine In Person and Virtual Consultations available.