Ashley Koff RD LLC

02/28/2026

Long before we had GLP1 medications in our toolkits, I helped patients optimize their weight health for lasting results. Today, we have GLP1 medications. They are a better tool for some - for some time or for their lifetime - but I still use the same playbook. It’s Your Best Shot at weight health today and tomorrow. Let me explain why, but first…

Head over to my substack to read the 3 things everyone needs to do for weight health

02/27/2026

Thanks to Wellington and Columbus friends for a great send off to me TEDx talk this weekend 🎯 As I walked the halls from my high school (actually most of them are new so this is not literal), here’s what came to mind for me:
🎯 We can’t be curious learners if we are battling our bellies or our weight health; yes I did my school work and got the grades, but like so many kids today, I was spending a lot of brain power on how to hide and fix my belly. What I needed was a team that could ‘check under the hood’ and decode my body’s signals, not present diet and exercise as exclusive or effective tools.
🎯 when we feel safe, our weight health resounds favorably. My high school was a total hodge podge of families and teachers who came together in support of our community. Sure there were challenges but the safety there led me and my body to feel more at peace than it would in so many other places - so grateful
🎯 there is such a thing as doing too much and there is so much value in time doing nothing. I don’t think we teach and role model this as well as we could for kids today.

And, to quote my favorite, the one we packed too m at of us into cars to drive to different outdoor venues to hear “if we couldn’t laugh we’d all go insane” Jimmy Buffet - you made high school extra fun, and this message is so true today as it was then.

I hope as I take the stage Sunday to make people laugh as a way to make them feel more open and comfortable to exploring the value of weight health. Can’t wait to share the talk with you all

02/26/2026

I diagnose INFObesity in the majority of my patients AND practitioners. Curious if you’ve got it too? Play the “Never Have I Ever” game I created and share in my book, Your Best Shot, because excess info negatively factors into your weight health - today and tomorrow. Here’s are some quick tips:

1) Info isn’t Insights - you can know it all about nutrition, and not know what your body needs to run better.
2) Info from someone who doesn’t know you, your health and the “why” behind your choices - won’t be applicable for you today, or ever.
3) Data from a test and AI does not tell you what your body needs, it may tell you what it lacks in some areas or where to look but it’s not giving you the truly personalized recommendation you need to optimize your weight health.

To shift from info into insights? You need personalized assessment. That’s where I come in, my book and online access to my team as we help you decode your signals and data to personalize a plan.

It truly is Your Best Shot - ready to take yours? 🎯

thanks for this interview and opportunity

02/25/2026

Weight loss (and weight management) have failed to make Americans healthy. It disempowers, doesn’t heal or further worsens the dysfunction that the excess fat is trying to signal. Weight health is a better approach- it means that your bone, muscle, fat and water - the amount, type and location- are signals “check engine” lights in the car analogy to look under the hood, assess and repair dysfunction. That means giving not removing resources, and making sure the body can use what it gets. Your Best Shot (and the online program I created with access to my coaches) gives your body what it needs and helps it use it better. So you can enjoy weight health today and tomorrow. Got your book? Make sure to opt-in for the bonuses (under Ashley’s book).

02/22/2026

How to sum up this weekend? AWESOME SAUCE! It was incredible to have colleagues receive my Weight Health vs Weight Loss message which such enthusiasm and beyond grateful to all those who are now using Your Best Shot to partner with their patients in weight-health hormone optimization. I am grateful to the men in this picture for intentional efforts to promote women in our fields, including to recognize dietitians as equal partners in optimal health outcomes. It was also so great to see so many incredible colleagues share their wisdom and shine on stage and off. Way too many incredible moments and people to highlight here but one deserves attention - Jason and his team from Cambridge Healthtech who took over this conference and worked tirelessly to make it happen at the caliber (and exceeded) expected. It’s a privilege to work with them and so looking forward to next year and beyond. Closed out with friends and epic win. Now to tuck-in for the snow storm.

Some highlights:
- meeting Lee Hood and watching an 87 y old blow minds in the most empowering and inspiring presentation
- seeing colleagues like uplevel audiences with their presentations
- watching my friend soar on stage & introduce her new microbiome Magic … parents and pediatricians are going to be so thrilled
- paneling with some of my best friends and new friends & Ava Manieri
- signing books and meeting so many amazing practitioners
- our awesome advisory board lunch (slightly less awesome without protein eh .virgin .roundtree 🤣)
- quiet time with amazing RDs like

02/18/2026

If cholesterol and blood pressure medications were the solution we’d have a different leading cause of death. Weight health is key for heart health, today and tomorrow- here’s why and how

https://open.substack.com/pub/ashleykoffrd/p/heart-health-requires-weight-health?

02/15/2026

Top question I get daily “do I need more protein” and with patients my answer is “let’s see”. We evaluate their total nutrition intake (yes total is key and the sum of supplements, food and beverages) and timing. But we also evaluate their body’s response to their current intake and if increasing protein, we continue to assess it. Your body will give you the best data about what it needs more (or less of) and when the amount isn’t the issue but rather it needs help using it. That’s why I wrote Your Best Shot - so everyone has a playbook for how to optimize weight health including giving their body an optimal amount of protein and helping it use it to run better.

Todays a good day to ask your body: How’s my protein intake (for you)?

02/14/2026

It’s been dry every day that ends in Y for me for a few years … but for many of my patients February presented a decision - to sip or not - and I realized I needed to update my messaging especially with weight health in mind. This week on my Substack I shared some information about alcohol you may not know - and may not want to know. But if you do head over there to read.

02/13/2026

Yes I think doctors should learn better nutrition - that’s why I’m faculty and a guest speaker to teach them at so many different institutions. But let’s be real clear, learning and knowing are not the same as practicing.

Those of us with credentials and training in whole-person better nutrition care (qualified RDs and CNS) should lead weight health optimization. Our playbook and toolkit is vast, evidence-based and practice-informed. We aren’t going to diagnose and prescribe, we are going to get curious and personalize. Then we will review outcomes - pivot as needed - and optimize.

So if you’re not happy with your weight health and you’ve met with your DR, or if your DR has prescribed medication, protein, fiber and strength training. It’s time go backwards - meet with a qualified RD to personalize your plan. And if you’re a DR, happy to support your patients with RDs (and CNS) certified in weight health optimization. You refer to experts all the time for other reasons, great to do it hear.

02/08/2026

Doctors may not have studied nutrition, but here’s what they need to know from you to provide better care. I’ve shared 5 key ways you and your practitioner can partner together for better outcomes - and an insight about who you both should be turning to when it comes to weight health.

02/08/2026

Heart health is not achieved with low cholesterol- and as we are seeing, medications that lower cholesterol have pros and considerations. Your weight-health hormones play a key role in heart health. So let’s unpack how to optimize them all for lasting outcomes.
Join me Wednesday on Zoom. Drop a “Heart” below for the registration link or head to

02/07/2026