Dr. Ambily Kushal, RD › Conditions

Conditions I treat

Most of what I treat comes back to three roots: insulin resistance, inflammation, and a gut that is not doing its job. The pages below go condition by condition — what nutrition actually changes, what the first appointment covers, roughly how long things take, and where you should be seeing a physician instead.

GLP-1 nutrition support

Protein, muscle and side effects on semaglutide or tirzepatide — and what happens when you stop.

SIBO

Small intestinal bacterial overgrowth: elimination, reintroduction, and keeping it from returning.

IBS & low-FODMAP

A structured low-FODMAP elimination and reintroduction, rather than a permanent list of banned foods.

GERD & reflux

Reflux that persists on medication is usually a pattern problem before it is a food problem.

Fatty liver (MASLD)

The liver condition most often reversed by nutrition alone, and the one most often left unmanaged.

Thyroid & Hashimoto's

Where nutrition genuinely helps thyroid conditions, and where it is oversold.

PCOS

Insulin resistance sits underneath most PCOS, which is what makes it responsive to nutrition.

Prediabetes & insulin resistance

The stage where the work is most effective and the diagnosis is most often ignored.

Weight management

Including weight regain after a GLP-1, which is its own distinct problem.

Hypertension

Sodium is the headline, but potassium, weight and alcohol usually do more of the work.

Booking, and what it costs

Two routes, and which one is cheaper depends entirely on your plan rather than on which sounds better.

Through insurance. Medical nutrition therapy is a covered benefit on many plans, sometimes with no copay at all. Booking runs through Fay Nutrition, which checks your benefits before the first appointment so you know the number in advance rather than six weeks later.

Self-pay. A flat $140 per session through CognitiveMind — no benefits check, no prior authorization, no denial arriving after the fact. If your coverage is thin, absent, or has a deductible you will not meet this year, this is often the more predictable of the two.

Telehealth, in any of the 18 states where the licence is active.

Dr. Ambily Kushal, RD, MS, PhD
Dr. Ambily Kushal, RD, MS, PhD
Registered Dietitian · Washington licence DIET.DI.61633688 · Verify with the Washington State Department of Health
19+ yearsin clinical practice
RD, MS, PhDcredentialed and licensed
4.9 ★across 1,339 ratings on Fay
18 stateslicensed for telehealth