We provide personalized nutrition care and coaching to aid adults, teens, and children suffering from a wide range of medical conditions and related food challenges.

Some of the conditions we can help you navigate from a nutrition perspective include (but aren’t limited to)


Autoimmune Conditions

Hashimoto’s Thyroiditis, Grave’s, Rheumatoid Arthritis, Multiple Sclerosis, Celiac Disease, Ankylosing Spondylitis, Psoriasis, Lupus, Crohn’s, Ulcerative Colitis

Gastrointestinal disorders

Irritable Bowel Syndrome (IBS), Bloating, Constipation, Chronic Diarrhea, Gas, Acid Reflux, GERD, Inflammatory Bowel Disease (Crohn’s, Ulcerative Colitis), Gluten Intolerance/Sensitivity, Eosinophilic Esophagitis, Small Intestine Bacterial Overgrowth (SIBO)

METABOLIC ISSUES

Diabetes, Pre-Diabetes/Insulin Resistance, Cholesterol Issues, Metabolic Syndrome, Sustainable Weight Management

ADVERSE REACTIONS TO FOOD

Food allergies, Intolerances, and Hypersensitivities


OTHER CHRONIC CONDITIONS / DISORDERS

Chronic Migraines, Fibromyalgia, Chronic Fatigue, Joint Pain, Skin Problems (Eczema, Rosacea, Rashes)

MENTAL HEALTH AND NEUROLOGICAL ISSUES

Emotional/Stress Eating, Binge eating, Disordered Eating, Anxiety, Depression, ADD/ADHD, Autism Spectrum Disorder, Cognitive Decline, Brain Fog

LIFE TRANSITIONS

Healthy Pregnancy, Positive Body Image, Preparing for College, Preparing and Healing from Surgery, Supporting an Active Lifestyle, Healthy Aging

WOMEN’S HEALTH

Polycystic Ovarian Syndrome (PCOS), Pre-Menstrual Syndrome (PMS), Fertility, Peri- or Post- Menopausal


ENERGY AND HORMONE IMBALANCES

Fatigue, Mood Swings, Sleep Issues, Headaches

CANCER

Prevention, During Treatment, Survivorship, Thriver

CARDIOVASCULAR

Hyperlipidemia, Hypertension,  Decreasing risk factors for CVD

INFLAMMATORY CONDITIONS

Arthritis, Chronic Pain, Myositis


 

IMMUNE SYSTEMS CONSIDERATIONS

Allergies, Allergic Rhinitis, Urticaria, Angioedema, Frequent Colds, Mast Cell Dysfunction

 

 

We also offer specialized care for adolescents and children over four suffering from chronic conditions like eczema, GI symptoms, migraines, ADD, ADHD, or ASD.

If you’re struggling with your health, your diet, or both - we’re here to help. Set time to take a closer look with us today.

 

Our work together could include:

 
  • Personalized Therapeutic Meal Planning

  • Integrative Health Coaching

  • Dietary supplement and botanicals evaluation and recommendations

  • Mediator Release Testing to identify underlying food hypersensitivities

  • LEAP protocol to address adverse reactions to food

  • Mindfulness based stress reduction techniques

  • Functional laboratory testing

  • Nutrigenomic consultations

  • Telehealth visits

 

Have an Initial Nutrition Consultation scheduled? Click here for key information to prepare for your appointment.

What’s the first official step?

Behind the scenes of your Initial Consultation

If you set a complimentary discovery call,  we may direct you to our first official step in getting your health back on track: our Initial Nutrition Consultation. 

This is an exciting, thoughtful, in-depth nutritional assessment with our founder, Monica Gulisano, RDN. In this time together, Monica will pay careful attention to your medical history, nutritional and diet history, lifestyle,  occupational factors, current health issues and symptoms.

As a practitioner of functional medicine, she will identify root causes of the imbalances that are impacting your health and well-being and will recommend first steps to start your recovery. Monica will develop a personalized nutrition care plan tailored to your needs that may include diet, supplement, lab, and lifestyle recommendations. Together, we will create a vision for your optimal health and lay out a plan to attain it. 

Could this type of work change the trajectory of your health and your relationship with food?
Find out in a free discovery call with Monica.

 

Insurance, Pricing, and Appointment Policies

 

Pricing


Intake/Initial Consultation
Length: Typically 90 minutes to 2 hours
$250-325

Personalized Therapeutic Diet Planning
Length: Typically 60-75 minutes
$175

Follow-up appointments
Length: 50-60 minutes
$140


CANCELATION / RESCHEDULE POLICY

We require 48 hours notice to cancel or reschedule your appointment. There is a late notice or no notice $75 cancellation fee. If you may need to miss an appointment, please contact us as soon as possible.

Insurance


Monica Gulisando, RDN is credentialed with Blue Cross Blue Shield of North Carolina and many of their plans cover medical nutrition therapy (MNT), nutrition counseling, or preventive nutrition services. 

The Center for Joyful Eating is in-network with the following BCBSNC plans:

  • Blue Advantage

  • Blue Select

  • Blue Care

  • Blue Options

  • North Carolina State Health Care Plan

It is your responsibility to know the details of your plan. We will bill your insurance company for our services as a courtesy to you. You will be responsible for any co-pays due at the time of service and you will be billed for remaining balances for deductibles, coinsurance, or visit fees if your insurance didn’t cover the visit. 

Please contact your insurance or consult your policy to verify your coverage so that you are aware of your responsibilities. These are some general questions you may want to ask your insurance carrier:

  • Do I have insurance coverage for nutrition, nutritional counseling, medical nutrition therapy or dietary surveillance under preventative services? (The CPT codes are 97802 and 97803.)

  • What is my Out-of-Network and In-Network coverage? Is Monica Gulisano, The Center for Joyful Eating, In-Network? 

  • Do only certain diagnoses qualify for nutrition counseling coverage? If so, which diagnoses qualify?

  • Do I have a deductible to cover? If so, how much? Do I need to fulfill the deductible before my insurance will begin covering sessions? 

  • How many nutrition sessions do I get per year or per lifetime?

  • Do I have a co-pay or co-insurance? If so, how much per visit?

The Center for Joyful Eating can only bill insurance for covered BCBSNC plans. Out-of-state clients may access services on a self-pay basis.