Nutrition Therapy

with Nicole Maholy, DC, CNS®, LDN, MS

Science-based, functional support to help you feel energized, balanced, and confident through perimenopause, menopause, and beyond. 

IWHI Certified Badge for the Perimenopause & Menopause Certificate Program
Nicole sitting on a chair

Nutrition Therapy: What It Is & How It Helps

Nutrition Therapy is medical nutrition care delivered by a Licensed Dietitian Nutritionist using a functional, root-cause approach. Sessions are virtual and tailored to you.

Common areas we address:

  • Perimenopause/menopause hormone changes & metabolism
  • Weight concerns and body composition
  • Gut health (bloating, IBS/constipation, reflux, dysbiosis)
  • Stress and nervous system regulation
  • Energy, sleep, and mood regulation
  • Blood sugar balance & inflammation
  • Food intolerances/sensitivities
  • Healthy aging and long-term vitality

What we might use together:

  • Nutrition strategies that stabilize hormones and blood sugar
  • Gentle habit sequencing for consistency without perfectionism
  • Stress management and nervous system-supportive practices for cravings, mood, sleep, and more
  • Targeted supplementation when appropriate
  • Lab review/interpretation (when available) to guide next steps
  • Simple meal planning, recipes, and label reading — minus the overwhelm

Insurance vs. Cash-Pay

If you live in Arizona, Arkansas, California, Colorado, Connecticut, Illinois, Massachusetts, Michigan, New Jersey, New York, Texas, Virginia, or Wisconsin, you may be eligible to use your insurance for Nutrition Therapy.

  • Many clients with insurance coverage pay $0 out of pocket for nutrition therapy.
  • Once you schedule, our benefits team will verify your coverage and we’ll let you know your expected cost.

Don’t have eligible coverage or live outside those states?

  • You can book as cash-pay
    • First Visit (90 minutes) — $292.50
    • Follow-up Visits (60 minutes) — $195

Who This is For

If you’re in perimenopause or postmenopause, you may have noticed that your body — and even your sense of self — feels different lately. Maybe you’ve spent years putting everyone else first and are realizing it’s finally time to truly prioritize your health and well-being. Or maybe you’ve been doing your best to eat well, move your body, and get enough sleep, yet something still feels off.

If these sound familiar, you’re not alone:

  • You’ve noticed stubborn weight gain or body changes that don’t make sense.
  • Your energy dips throughout the day, leaving you running on empty.
  • You experience mood swings, irritability, or anxiety that don’t feel like “you.”
  • You wake up tired or struggle to get restorative sleep.
  • Brain fog makes it harder to focus or stay motivated.
  • You feel bloated, constipated, or uncomfortable after eating.
  • You catch yourself thinking, “I just don’t feel like myself anymore.”

Through nutrition therapy, we’ll get to the root of what’s happening in your body and help you feel balanced, clear-headed, and more like yourself again. Our work together is about restoring energy, improving sleep, supporting hormones, and helping you feel strong and grounded in your body — so you can move through this chapter with clarity and confidence.

What To Expect

Working together is about more than a meal plan. Here’s what you can expect:

  • Functional, whole-person lens
    We’ll look at the full picture — from nutrition and hormones to sleep, stress, and nervous system support.
  • Science you can actually use
    I’ll explain what’s happening in your body in a way that makes sense.
  • Practical, personalized strategies
    Together we’ll create a plan that works with your lifestyle, not against it.
  • Progress you can track
    Data-informed check-ins so you can see—and celebrate—what’s improving.

My goal is to meet you exactly where you are and give you the tools, accountability, and encouragement to feel your best.

Ready to Begin?

Perimenopause and postmenopause don’t have to feel like a constant uphill battle. With the right support, you can feel energized, balanced, and confident in your body again. I’d love to help you get there.

Nicole Maholy in her kitchen

Meet Nicole

Hi, I’m Nicole — a Certified Nutrition Specialist®, Licensed Dietitian Nutritionist, and women’s health expert with nearly 20 years in integrative care. I hold a Master of Science in Human Nutrition and Functional Medicine, and my work is focused on helping women in midlife feel like themselves again.

My approach goes beyond food alone. Together, we’ll look at the full picture — nutrition, hormones, gut health, sleep, stress, and nervous system support — so you have a clear, realistic path forward (not just more confusing advice).

Earlier in my career, I also trained as a Doctor of Chiropractic. While I no longer provide chiropractic adjustments, that training deepened my understanding of the body as an interconnected system — perspective I bring into every nutrition session.

I believe in blending science with practicality. That means giving you strategies that are both effective and doable, while also helping you understand why your body feels the way it does. My role is to guide, support, and empower you — so you can make lasting changes that actually feel good.

Frequently Asked Questions

How often should I book appointments?

Start by scheduling your initial 90-minute visit. During that appointment, we’ll discuss your goals, review your health history, and outline a plan together. Most clients see the best results when we meet weekly for 6–8 weeks — this helps you build momentum and stay accountable. As your health improves and you feel more confident, we’ll often reduce the frequency of visits to biweekly or monthly for maintenance.

Do you order labs?

I can order functional labs when they’re needed to guide your care. These may include stool tests, hormone panels, micronutrient testing, or other advanced assessments. Many clients also choose to get their traditional blood labs through their primary care provider, where insurance typically covers them. I’m happy to review any existing lab work you already have and help interpret the results from a functional perspective.

Can we work together if I’m on HRT (hormone replacement therapy)?

Absolutely! Nutrition therapy pairs beautifully with HRT. We’ll focus on nutrition, gut health, and lifestyle strategies that help your body respond optimally and maintain hormonal balance while you’re on therapy.

Do you collaborate with my physician or other providers?

Yes — with your permission, I can share updates or collaborate with your healthcare team to ensure we’re all supporting your goals consistently. I value an integrative approach and believe the best outcomes happen when your care team works together.

Is this done virtually or in person?

All sessions are conducted virtually via secure telehealth, making it easy to fit your appointments into your schedule — no commute required. 

What if I’ve tried everything before?

That’s such a common challenge — and it’s exactly why I take a personalized, functional approach. Perimenopause and menopause bring unique hormonal and metabolic changes that often make “traditional” plans less effective. We’ll uncover what’s really going on in your body and create a plan that works with your physiology, not against it.

How much will it cost and will my insurance cover it?

If you live in Arizona, Arkansas, California, Colorado, Connecticut, Illinois, Massachusetts, Michigan, New Jersey, New York, Texas, or Virginia, your insurance may cover Nutrition Therapy — and many clients pay $0 out of pocket. Once you schedule, our benefits team will verify your coverage and we’ll let you know what to expect.

If you’re paying privately, the investment is:

  • Initial Visit (90 minutes): $292.50
  • Follow-Up Visits (60 minutes): $195