Dr. Ambily Kushal, RD › Functional nutrition

Functional nutrition dietitian (functional-medicine-informed)

I'm a registered dietitian nutritionist (RD) who practises functional, precision nutrition. In practice that means asking why your symptoms are happening rather than only managing them, using your labs and history to find out, and building a plan around you. I'm functional-medicine-informed, not a physician: I don't diagnose or prescribe, and I work alongside your doctor.

Quick answers

What is a functional medicine nutritionist?

Usually, someone who applies functional medicine's root-cause, whole-system view to nutrition. The title itself is not regulated, so training varies widely. I'm a registered dietitian nutritionist (RD) practising functional nutrition, which pairs that view with a protected, licensed credential.

Looking for the best functional medicine dietitian? What should I check?

Check for the RD or RDN credential and a state licence, ask how they decide which tests are worth doing, and ask whether supplements are targeted to your labs or sold as a package. A good functional dietitian works with your physician and is clear about where the evidence is strong and where it is thin.

Does insurance cover a functional nutrition dietitian?

It can, because insurers cover medical nutrition therapy from a registered dietitian, whatever approach the dietitian takes. Many patients pay $0 when their plan covers medical nutrition therapy; coverage depends on your plan, and Fay Nutrition checks your benefits before you book. Self-pay is $140 a session through CognitiveMind.

What functional nutrition means in my practice

  • Root cause. Many chronic conditions share drivers such as insulin resistance, inflammation and gut dysfunction, so the first question is which of those is active for you.
  • Lab-guided. Your bloodwork shapes the plan and shows whether it is working.
  • Precision. I use nutrigenomics where it adds something, along with personalized macros, meal planning and targeted supplements, only what your situation calls for.
  • Behavior change. Motivational interviewing, CBT techniques and accountability, because a plan only works if it is lived.
  • Integrative. Coordinated with your medical care rather than competing with it.

Where I draw the line

I don't diagnose disease, prescribe or adjust medication, or suggest stopping a treatment your physician has started. A functional approach should add to good medical care, not replace it.

It also means being honest about tests. Some widely sold panels have weak evidence; IgG food-sensitivity tests, for example, are not recommended by allergy societies for diagnosing food allergy or intolerance. A structured elimination and reintroduction is usually a more reliable way to find a food trigger.

Dietitian, nutritionist, functional nutritionist: what the titles mean

"Registered Dietitian" (RD), also titled Registered Dietitian Nutritionist (RDN), is a protected national credential: an accredited degree, a supervised internship, a board exam and continuing education. "Nutritionist" and "functional nutritionist" are far less regulated in many states. If you are managing a diagnosed condition, or want insurance to pay, the RD is the credential to look for.

What patients say

"Dr. Kushal has exceeded my expectations. I was seeking a nutritionist with a functional-medicine approach, and she did not disappoint. She translated complex bloodwork and clearly explained what it revealed about my overall health in a way that's easy to understand — this is what truly sets her apart. Warm, kind, and genuinely invested. I'd highly recommend her."

L. M.Google

"I really loved how Dr. Ambily handled my situation. She was very strategic, asking questions to get to the possible root causes in order to treat. Thank you, Dr. Ambily!"

Sarah-Lee LouisonGoogle

"Dr. Ambily is very knowledgeable, a great listener, and very thorough. It's the first time a dietitian goes over my blood tests and takes them into consideration when advising."

Andrea ArrietGoogle

Reviews are individual patients' experiences in their own words. Results vary from person to person and are not guaranteed. All 57 written reviews and the dated Fay rating.

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.

Common questions

Is functional nutrition evidence-based?

Parts of it are well supported, such as treating insulin resistance with diet and activity, or structured elimination and reintroduction for food triggers, and parts are not. I use the root-cause view and stay with interventions that have reasonable evidence, and I will tell you which is which.

Do you sell supplements?

Supplement guidance in my practice is targeted to what your labs and diet show you need, and checked against your medications. The aim is the fewest that do something useful.

Related:
Reversing metabolic disease · Gut health · Diabetes · All conditions

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 1,402 ratings on Fay, as of Oct 18, 2026
18 stateslicensed for telehealth