Medical Nutrition Therapy

Conditions We Manage

Nutrition is one of the most powerful — and most underused — tools in managing chronic disease. Deborah applies evidence-based dietary therapy to help you take control of your condition.

Clinical note: Nutrition therapy works best as part of a collaborative care team. Deborah works alongside your doctor, nurse, or specialist — not in isolation. If you have a diagnosed condition, please bring your most recent lab results and any prescribed medications to your first session.

Diabetes Mellitus

Type 1, Type 2 & Gestational Diabetes

Dietary management is the cornerstone of diabetes care. Deborah designs carbohydrate-controlled, glycaemic-index-optimised meal plans that stabilise blood sugar without eliminating the foods you love. Many clients see HbA1c improvements within 3 months.

What Deborah Addresses

  • Carbohydrate counting & glycaemic load management
  • Meal timing to prevent blood sugar spikes
  • Diabetic exchange meal planning
  • Weight management for insulin resistance
  • Gestational diabetes during pregnancy
Book Diabetes Session

Hypertension

High Blood Pressure Management

The DASH diet (Dietary Approaches to Stop Hypertension) is one of the most evidence-based dietary patterns for lowering blood pressure. Deborah adapts it to Kenyan cuisine and food budgets, making it practical and sustainable.

What Deborah Addresses

  • Sodium reduction using local cooking methods
  • DASH diet adapted for Kenyan staples
  • Potassium & magnesium-rich food plans
  • Alcohol & stimulant guidance
  • Weight management to reduce BP load
Book Hypertension Session

Chronic Kidney Disease (CKD)

All Stages, Including Dialysis

Renal nutrition is highly specialised — the wrong foods can accelerate kidney decline, while the right plan can help preserve function for years. Deborah creates carefully calculated renal diets tailored to your eGFR stage and dialysis status.

What Deborah Addresses

  • Protein restriction or augmentation by CKD stage
  • Potassium, phosphorus & sodium control
  • Fluid management for dialysis clients
  • Anaemia of CKD — dietary iron sources
  • Creatinine-friendly Kenyan meal planning
Book CKD Session

Obesity & Overweight

Sustainable Weight Management

Weight management is not about starvation — it is about understanding energy balance, building sustainable habits, and addressing the root causes of weight gain. Deborah's approach is non-judgmental, evidence-based, and built for the long term.

What Deborah Addresses

  • Structured caloric deficit without crash dieting
  • Behavioural eating patterns & triggers
  • Hormonal influences on weight (insulin, cortisol)
  • Physical activity & nutrition synergy
  • Metabolic syndrome complications
Book Weight Session

Anaemia & Iron Deficiency

Including Sickle Cell & Nutritional Anaemia

Iron deficiency is the most common nutritional deficiency in Kenya, particularly in women, children, and pregnant mothers. Deborah builds iron-rich, absorption-enhancing meal plans using affordable local foods available in Kenyan markets.

What Deborah Addresses

  • Haem & non-haem iron food sources
  • Vitamin C pairing to enhance iron absorption
  • Anti-nutrient management (tea, phytates)
  • Folate & B12 deficiency (megaloblastic anaemia)
  • Nutritional support for sickle cell disease
Book Anaemia Session

Cardiovascular Disease

Heart Health & Lipid Management

Diet is the single most modifiable risk factor for heart disease. Deborah works with clients post-cardiac events, those with high cholesterol or triglycerides, and individuals at elevated cardiovascular risk — designing heart-protective eating patterns.

What Deborah Addresses

  • Saturated & trans fat reduction strategies
  • Omega-3 & heart-healthy fat sources (local)
  • Lipid panel interpretation & dietary targets
  • Dietary fibre for LDL cholesterol reduction
  • Mediterranean-style adaptation for Kenya
Book Cardiac Session

Cancer & Oncology Nutrition

During and After Treatment

Nutritional support during cancer treatment helps maintain strength, manage treatment side effects, and support immune function. Deborah provides compassionate, practical nutrition guidance throughout diagnosis, treatment, and recovery.

What Deborah Addresses

  • Managing nausea, loss of appetite & taste changes
  • High-protein, high-calorie plans for weight maintenance
  • Immune-supportive micronutrient planning
  • Post-chemo & post-radiation recovery nutrition
  • Nutritional support for caregivers
Book Oncology Session

Malnutrition & Undernutrition

Children, Adults & the Elderly

Malnutrition affects all ages — from stunted children to malnourished elderly adults. Deborah identifies the root causes, prescribes therapeutic foods, and works with families on practical, affordable nutrition rehabilitation plans.

What Deborah Addresses

  • Nutritional rehabilitation for SAM/MAM (children)
  • MUAC & weight-for-height growth monitoring
  • Ready-to-Use Therapeutic Food (RUTF) guidance
  • High-energy, affordable meal planning
  • Elderly malnutrition (MNA assessment & care)
Book a Session

Gastrointestinal Disorders

IBS, GERD, Ulcers & Gut Health

Gut symptoms are often tightly linked to diet. Whether you have irritable bowel syndrome, acid reflux, peptic ulcers, or chronic bloating, Deborah designs an elimination-and-reintroduction plan that identifies triggers and restores gut comfort.

What Deborah Addresses

  • Low-FODMAP diet for IBS management
  • GERD & ulcer: acid-reducing dietary patterns
  • Prebiotic & probiotic food sources (local)
  • Food diary & trigger food elimination
  • Post-GI surgery nutrition support
Book GI Session

Maternal & Antenatal Nutrition

Pregnancy, Postpartum & Breastfeeding

Nutrition during pregnancy shapes the health of both mother and child for decades. Deborah provides trimester-by-trimester dietary guidance, managing gestational complications and supporting breastfeeding to give every child the best nutritional start.

What Deborah Addresses

  • Folate, iron & iodine in early pregnancy
  • Gestational diabetes meal planning
  • Anaemia in pregnancy: dietary & supplement strategy
  • Nausea & food aversions management
  • Postpartum weight management & lactation
Book MCH Session

HIV/AIDS Nutrition Support

Immune Support & ARV Interaction Management

People living with HIV have elevated nutritional needs, and certain ARV medications interact with food and nutrients. Deborah provides compassionate, confidential nutrition counselling that supports immune health and medication efficacy.

What Deborah Addresses

  • High-protein, immune-boosting meal planning
  • ARV food interaction guidance (efavirenz, tenofovir)
  • Wasting & weight restoration support
  • Opportunistic infection nutrition management
  • Food safety & hygiene for immunocompromised clients
Book Confidential Session

Thyroid Disorders

Hypothyroidism, Hyperthyroidism & Goitre

Thyroid function is closely linked to iodine status and other dietary factors. Deborah helps clients manage thyroid-related weight changes, energy levels, and nutrient interactions — including goitrogenic foods and levothyroxine interactions.

What Deborah Addresses

  • Iodine adequacy assessment & dietary sources
  • Goitrogenic food guidance (cassava, cabbage)
  • Levothyroxine & food timing
  • Weight management in hypothyroidism
  • Selenium & zinc support for thyroid health
Book Thyroid Session

Don't See Your Condition?

The conditions above are among the most common Deborah manages, but this list is not exhaustive. If you have a diagnosis not listed here, please reach out directly — she will let you know if she can help or refer you to the right specialist.

Ask Deborah Directly

Ready to Manage Your Condition Through Food?

Book a Medical Nutrition Therapy session with Deborah — in person or online across Kenya.

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