QueerCME Vodcast

More Spoons Nutrition | S04E02

Oct 2, 2025
Mel Jones, a registered dietitian and former PA, discusses the pivotal role of dietitians in gender-affirming care. They share how their background informs a trauma-informed, culturally aware approach to nutrition for trans and neurodivergent patients. Mel dives into issues like disordered eating prevalence, screening tools, and practical advice for busy clinicians. They emphasize gradual dietary changes, the importance of individual care plans, and highlight valuable resources for supporting diverse nutritional needs.
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ADVICE

Refer Without Weight Stigma

  • Do not delay dietitian referral by demanding weight loss first or making referrals only for weight issues.
  • Refer for diverse nutrition needs beyond weight and screen respectfully for disordered eating.
ADVICE

Prefer Registered Dietitians

  • Refer to licensed registered dietitians (RD/RDN) who completed degree, supervised internship, and board exam.
  • Dietitians manage everything from TPN to outpatient nutrition and are trained for clinical complexity.
INSIGHT

Addition Over Elimination

  • Restrictive handouts for complex conditions (e.g., MCAS) can overwhelm neurodivergent patients and remove safe foods.
  • Adding foods is often more tolerable than subtracting them for sustained change.
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