TheNPRD

04/23/2026

04/15/2026

So many women arrive at midlife feeling like they've failed.

They've done everything “right,” watched what they eat, stayed active, taken care of themselves, and their body still feels unfamiliar. The relationship with food that used to feel manageable suddenly feels complicated again.

This isn’t regression. This is a hormonal transition that changes hunger cues, metabolism, body composition, and even the way the brain processes stress and reward around food.

What you're experiencing has a physiological explanation, and it deserves a clinical response, not just encouragement to try harder.

Different doesn't mean more restrictive, more disciplined, or more effortful. It means support that actually accounts for what your body is going through right now: nutritional, hormonal, and, when needed, medical.

You don't have to figure this out alone, and you don't have to keep applying old solutions to a problem that has genuinely changed.

04/08/2026

My personal journey with hormone therapy drove me to support women and clinicians in this space as well.

While my journey is unique to me, as yours is to you, I’ve prioritized my education and training so I can combine the empathy I feel for clients going through what I went through with clinical knowledge to help them feel better too!

Which is why I am a Registered Dietitian, Nurse Practitioner, and Menopause Society Certified Practitioner.

Here are a few ways I’m supporting folks right now:

👉🏼 In my private practice. DM me here or message me at robynkievit.com.

👉🏼 In my course, created for dietitians supporting midlife clients.

👉🏼 On my podcast, The NPRD. Season 5 just kicked off at the end of March!

04/02/2026

Underfueling during perimenopause and menopause isn't neutral. It actively makes symptoms worse.

When the body isn't getting adequate fuel, cortisol rises to compensate. In midlife, when estrogen and progesterone are already declining, that cortisol spike intensifies hot flashes, disrupts sleep, increases anxiety, and accelerates bone loss. 

Your client isn't just tired because of menopause. She may be tired because her body is running on empty and trying to manage a hormonal transition at the same time.

This is where your role as a dietitian becomes critical. 

Adequate nutrients from all good groups matter - not just protein - carbs and fat, too as well as consistent eating patterns, and enough overall calories aren't just nourishment goals; they're a part of symptom management. 

Better understand this connection and how you can use hormone therapy to support your clients in managing these symptoms as a dietitian in my new course, Beyond Nutrition.

For $285, you’ll get:

👉3.5 CPEs for dietitians 
👉2-hour on-demand course
👉30-minute consult with me

Register today at robynkievit.com/resources/course-beyond-nutrition or through my bio link!

03/31/2026

If you’re a patient or colleague of mine, we talk about sleep. We review the ways falling asleep, staying asleep and waking are affected and affect our daily lives and mental health.

Over the last couple of years I’ve had the pleasure of sharing patients with Dr. Eric Zhou, PhD, a specialist in sleep disorders. His care of many of my patients utilizing CBTi (Cognitive Behavioral Therapy for Insomnia) has been incredibly beneficial to their mental health and overall well being.

Add to this attending The Menopause Society annual meeting this past October where many lectures and discussion focused on improvement of the overall care of women in perimenopause and menopause by achieving a better quality of sleep.

The Menopause Society’s Step-By-Step paper on Sleep and Menopause published in August of 2025 and available to members cites clinical recommendations for improving sleep quality:

🌷 Rule out differential diagnosis as a critical step in treatment strategies

🌷 Target moderate to severe vasomotor symptoms in sleep disturbances

🌷 Consider CBTI and medications in patients with persistent symptoms resulting in daytime consequences

🌷 Screen for obstructive sleep apnea (OSA)

Join me and Dr. Zhou on the first episode of season 5 of TheNPRD podcast to hear and learn even more!

Head to my LinkTree to find the full episode or stream on your platform of choice.

03/26/2026

Most dietitians working with perimenopausal and menopausal clients weren't trained to counsel on hormone therapy.

But when you're working with a population that's already navigating a heightened risk for disordered eating, body image distress, and mood dysregulation, that knowledge gap has real consequences.

Hormone therapy isn't just a medical intervention. It can be a meaningful part of how midlife clients feel in their bodies, relate to food, and experience their mental health.

An ED-informed dietitian who understands this becomes a far more complete provider for this population.

Learn more about this in my on-demand course, Beyond Nutrition: Integrating Hormone Therapy and Psychopharmacology in Eating Disorder Treatment During Perimenopause and Menopause.

For $285, you’ll get:

👉3.5 CPEs for dietitians
👉2-hour on-demand course
👉30-minute consult with me

Register today at robynkievit.com/resources/course-beyond-nutrition or through my bio link!

03/24/2026

Save this one, dietitians! Your clients should not be restricting food during this season of life.

They need a full, nourishing diet now more than ever.

If you get a sense that they might be restricting, use these questions to dig a bit deeper into why, what, and figure out how you can compassionately course-correct.

03/19/2026

You may not be able to spot an eating disorder by looking at your client—in fact, in most cases, it’s not obvious on the surface.

But for many midlife women, this is a reality. Our job, as dietitians, is to look deeper for the less-obvious signs.

Check out the free resources on my website under the heading ‘Resources’ and download the PDF with a snippet of the science and studies available to us around this topic.

Learn more about this in my on-demand course, Beyond Nutrition: Integrating Hormone Therapy and Psychopharmacology in Eating Disorder Treatment During Perimenopause and Menopause.

For $285, you’ll get:

👉3.5 CPEs for dietitians
👉2-hour on-demand course
👉30-minute consult with me

Register today at robynkievit.com/resources/course-beyond-nutrition or through my bio link!

03/17/2026

Midlife restriction doesn't always ring the alarm bells as an “eating disorder.” 

But it can quietly work against your client's hormones, energy, and recovery. 

Your midlife client may be undereating without realizing it, or restricting in ways she's normalized over decades. 

During perimenopause, underfueling has real consequences, affecting bone density, hormonal balance, and metabolic function. Knowing the difference between intentional restriction and disordered patterns is part of the work. 

This is a significant part of the learning in my on-demand course, Beyond Nutrition: Integrating Hormone Therapy and Psychopharmacology in Eating Disorder Treatment During Perimenopause and Menopause.

For $285, you’ll get:

👉3.5 CPEs for dietitians 
👉2-hour on-demand course
👉30-minute consult with me

Register today at robynkievit.com/resources/course-beyond-nutrition or through my bio link!

03/12/2026

Hormone support, including progestogen support, is never one size fits all. Progesterone and synthetic progestins are progestogens and we commonly use four progestogens in hormone therapy treatment.

Treatment decisions are about what your client is hoping to experience, along with past experiences and current needs.

Selecting an appropriate progestogen is based on the clinical picture of a patient's overall needs and is related to the desired bleeding pattern, vasomotor symptoms, cardiovascular risk and risk for fracture.

One of the best references currently available is the ‘Role of progestogens in hormone therapy’ - a short Step-By-Step paper published in October, 2025, and available to Menopause Society members.

As dietitians working with midlife clients we need to understand hormone therapy and how to integrate it into our work. Knowing these differences in hormone therapy options can help us care for our patients more wholly and in collaboration with their care team.

My 2-hour on-demand course ($285) is designed to help you support midlife clients with hormone therapy.

Head to robynkievit.com/resources/course-beyond-nutrition to learn more and register today.

03/10/2026

It can be hard to see what’s really going on if you don’t fully understand the impact of hormones on your clients’ behaviors.

My 2-hour on-demand course ($285) is designed to help you, as a dietitian, improve your ability to support midlife clients with challenges like this.

Head to robynkievit.com/resources/course-beyond-nutrition to learn more and register today.

03/05/2026

If your midlife client is complaining about bloating, new food sensitivities, or unpredictable appetite, estrogen can be one relevant variable in a complex presentation.

Estrogen plays a role in gut motility, microbiome diversity, and how well the body absorbs nutrients. 

When estrogen declines, the gut environment your client has relied on for decades begins to shift.

At the same time, hormonal shifts create a vulnerability window that can unmask or amplify underlying GI issues as a full and separate diagnosis worth investigating on its own terms.

As her dietitian, understanding the estrogen-gut connection changes how you support her. It moves the conversation beyond meal plans and into the kind of care that accounts for what her body is actually going through.

🌸 My course, Beyond Nutrition, is meant to help you understand ALL of the hormone changes your client is experiencing, plus how to use hormone therapy to address those changes. 

For $285, you’ll get:

👉3.5 CPEs for dietitians 
👉2-hour on-demand course
👉30-minute consult with me

Register today at robynkievit.com/resources/course-beyond-nutrition or through my bio link!