Few outpatient dietitians are trained to manage home enteral and parenteral nutrition. The Certified Nutrition Support Clinician (CNSC) credential, paired with 17+ years of clinical experience — including 13+ years at a top-ranked cancer hospital — means this practice is built for the complex cases.
Care spans the full spectrum of nutrition support — from TPN through tube feeding to the transition back to eating by mouth.
Nutrition delivered through a feeding tube into the GI tract. Includes:
Nutrition delivered intravenously when the GI tract cannot be used adequately. Includes:
Moving from EN/PN back to eating by mouth, safely and at the right pace:
Adults receiving parenteral nutrition at home for cancer, short bowel, motility disorders, fistulas, or other indications. Includes formula review, lab monitoring, troubleshooting, and weaning when clinically appropriate.
New or established G-tube, J-tube, GJ, or NG. Formula selection, schedule and rate adjustment, troubleshooting intolerance, and planning the transition back to oral intake.
Ileostomy, colostomy, urostomy. Hydration and electrolyte strategy, output management (especially high-output ileostomy), food reintroduction, and long-term ostomy nutrition.
Gastrectomy (total or partial), esophagectomy, Whipple, colectomy. Each surgery changes eating mechanics differently — plans are tailored to anatomy, treatment phase, and side effects (dumping, malabsorption, motility change).
Cancer-related cachexia, sarcopenia, and severe unintentional weight loss. Targeted protein and calorie strategies, oral nutrition supplement selection, and decisions about escalating to EN or PN when indicated.
Radiation and surgery to the head and neck commonly require tube feeding to maintain treatment. Care covers initial transition, side-effect management (mucositis, dysphagia, taste change), and return to oral intake post-treatment.
Nutrition support is a team sport. With your written consent, communication with your prescribing physician, surgeon, oncologist, infusion pharmacy, home health nurse, and speech-language pathologist is part of the standard of care.
Yes. As a Certified Nutrition Support Clinician (CNSC), management of home parenteral nutrition (HPN/TPN) is a core part of the practice. Support includes formula review, monitoring labs (electrolytes, liver function, micronutrients), troubleshooting weight and hydration changes, weaning planning where appropriate, and coordination with the prescribing physician, infusion company, and home health team.
Gastrostomy (G-tube, including PEG and surgical), jejunostomy (J-tube), gastrojejunostomy (GJ), and nasogastric/nasojejunal (NG/NJ) tubes. Support includes formula selection, rate and schedule adjustment, transitioning between bolus, gravity, and pump feeds, managing tolerance issues, and planning the return to oral intake when safe.
Yes. Care for new ileostomies, colostomies, urostomies, and short-bowel anatomy includes hydration strategy, output management (high-output ileostomy), food reintroduction sequencing, electrolyte and micronutrient monitoring, and weight stabilization. Long-term ostomy nutrition is also supported.
Yes. Post-surgical nutrition is one of the most common reasons patients are referred. Each surgery changes eating mechanics differently — for example, dumping syndrome and small frequent feeds after gastrectomy, fat malabsorption after Whipple, or motility changes after colectomy. Plans are tailored to surgical anatomy and treatment phase.
Yes — with your written consent. Coordinating with the prescribing physician, infusion pharmacy, and home health nursing is part of the standard of care for home enteral and parenteral nutrition.
Yes. While many patients come in with a cancer diagnosis, nutrition support care is available for adults on home enteral or parenteral nutrition for any indication, and for adults with ostomies, short bowel, or post-GI surgical recovery.
A 15-minute consult is the fastest way to confirm fit, discuss anatomy and current orders, verify insurance, and plan next steps.