Tiffany Haug Eating Disorder RD

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Tiffany Haug Eating Disorder RD RD | Specialized in Eating Disorders & Chronic Cooccurring Conditions (MCAS, EDS, ADHD, Autoimmune Disease)đź“šTelehealth: CA TN MS AZ CO VA MI WA MN HI & More
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Hi there! I’m Tiffany, and I’m a Board-Certified Registered Dietitian who’s dedicated my career to something I’m deeply passionate about: helping people heal their relationship with food and their bodies. Every single client I work with has their own unique path and I approach each client relationship with genuine respect for wherever they are in their recovery process. One thing that sets my approach apart is my commitment to education. I believe you deserve to understand the “why” behind every recommendation I make. When I suggest a nutrition change, I’ll explain exactly how it supports your brain, strengthens your muscles, boosts your immune system, balances your hormones, improves your gut health, and enhances your digestion. Because when you understand the science, even challenging changes can become more manageable. I also recognize that many of my clients are dealing with more than just their eating disorder. That’s why I specialize in creating individualized treatment plans that take into account other health challenges you might be facing - whether that’s GI disorders, food allergies and intolerances, or autoimmune conditions. My mission is simple: to provide you with the compassionate, science-backed support you need to reclaim your relationship with food and find true healing. Because you deserve nothing less than a full, vibrant life - and I’m here to help you create exactly that.

10/15/2026

Perhaps these clients are not treatment-resistant. Perhaps they have been treatment-mismatched, under-supported, misunderstood, or underserved by systems that were never designed to adequately address the intersection of chronic illness and eating disorders.

Are they resistant to treatment, or have they repeatedly encountered treatment settings that were not adequately equipped to understand the complexity of their needs?

Many of these clients are navigating overlapping medical, nutritional, psychological, and sometimes traumatic experiences. They may be managing chronic pain, gastrointestinal symptoms, disability, medical trauma, food insecurity, neurodivergence, and years of feeling dismissed by healthcare providers. They may also be trying to recover from an eating disorder in a system that struggles to accommodate the realities of their chronic illness.

When treatment approaches fail to account for these complexities, clients can be labeled noncompliant, difficult, unmotivated, or treatment-resistant. This label serves to obscure a much more common reality: treatment that fails to provide individualized, affirming, and precise care appropriate for this person’s actual circumstances.

A client who cannot tolerate a prescribed meal plan because of significant gastrointestinal symptoms is not resisting recovery. A client who struggles to follow recommendations that conflict with their medical needs is not unwilling to get better. And a client who disengages after repeatedly feeling misunderstood or dismissed is not automatically rejecting treatment itself.

They’re responding to an environment that has not felt safe, effective, or relevant to them.

We must recognize that not every client who receives treatment is served by that treatment center and approach. A standardized approach may work for some people while leaving others underserved.

This does not mean that clients have no agency in their recovery. It means we need to be careful not to place the burden of “unsuccessful” treatment solely on the person seeking care.

10/07/2026

This is a sensitive topic. But I don’t think this perspective is spoken about enough. As an ED RD, I see many clients with eating disorders and chronic illness struggle with recovery not because they lack will, but because they struggle with executive functioning. When this is the case, I’ve seen ADD/ADHD medication (yes, even stimulants!!) help recoveries, not harm them. Of course there are risks, but for the love of all things good can we stop making blanket assumptions and instead treat clients as individuals, rather than assume that a said diagnosis or diagnostic history in their chart means that they are only going to use stimulants as a tool to restrict?

10/06/2026

When you are in nutrition rehabilitation for malnutrition, experiencing hunger cues that completely exceed your prescribed meal plan can feel terrifying. It often triggers an intense fear of losing control, and the urge to deny or hide those cues from your registered dietitian can be strong. But opening up to your RD about extreme hunger is one of the most vital steps in your healing journey.
I understand (and likely your RD also understands) that extreme hunger is a completely normal, physiological response to prolonged undernutrition. Some experience extreme fullness initially and then extreme hunger, but some experience extreme hunger very early on. Your body is working overtime to repair cellular damage, restore organ function, and rebuild what was lost. If your body is screaming for more fuel, your dietitian needs to know so they can safely validate and support that increased intake.
Keeping your dietitian in the loop is also crucial for your physical safety. In the phases of nutritional rehabilitation and if you are at risk for refeeding syndrome, a sudden, significant increase in food intake can rapidly shift your fluid and electrolyte levels. Your RD needs to know exactly what your body is asking for so they can adjust your care smoothly. It is completely normal to be scared, confused, sad, or even angry about how dysregulating this sudden change can feel. But your dietitian is your teammate and their top priority is tailoring a plan to your specific needs, which in these early stages can change day by day. The next time you feel like your hunger is overriding the plan, take a deep breath and tell them. They are there to help you navigate the intensity of physical recovery, and honoring those cues safely is how your body learns to trust you again.

Disclaimer: For educational purposes only. This content is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your registered dietitian or healthcare provider before making changes to your health or recovery plan.

Metabolism is the coordinated network of biochemical processes that keeps you alive. It includes how your body produces ...
10/06/2026

Metabolism is the coordinated network of biochemical processes that keeps you alive. It includes how your body produces and uses ATP, stores and mobilizes glucose and fat, builds and repairs tissue, regulates temperature, supports organ function, maintains electrolyte balance, produces and responds to hormones, and makes energy available for your brain, immune system, digestion, movement, and recovery.

“Calories burned” is only one narrow piece of that picture.

In eating-disorders and chronic illness, energy availability can be disrupted by restriction, inconsistent intake, malabsorption, nausea, pain, gastrointestinal conditions, inflammation, medication effects, altered mobility, infection, surgery, or increased physiologic demands.

When available energy does not consistently meet the body’s needs, the body adapts. This is physiology. In these cases the body may conserve energy by reducing resting metabolic rate and downshifting functions it considers less immediately essential.

This can affect temperature regulation, cardiovascular function, digestion and gastric emptying, concentration, mood, hormone signaling, bone health, immune function, tissue repair, and recovery from activity or illness. With inadequate intake, the body may also use stored tissue, including lean tissue, to meet basic energy demands.

Chronic illness can further complicate the picture. Inflammation, pain, organ dysfunction, infection, medications, reduced appetite, nausea, altered digestion, and changes in activity can all alter nutrient utilization, energy expenditure, and protein turnover.

We do not control every factor that affects metabolism. Genetics, age, hormones, diagnoses, medication access, food access, finances, caregiving demands, trauma, stress, sleep, and the course of illness all can impact this.

However support may be available, depending your circumstances: regular nourishment, adequate carbohydrate, protein, fat, micronutrients, hydration, rest, symptom management, gentle and appropriate movement when medically indicated, and care from an ED and chronic illness dietitian and medical team to guide this.

09/29/2026

Do you dread getting labs? Here are some things that might help the draw do more smoothly for some!

**This content and the contents of this account of for general informational purposes only and not intended to be taken as medical advice nor to serve as a replacement for medical and dietary care.

09/24/2026

The goal of eating-disorder recovery is not to earn the label of “intuitive eater.”For some people, intuitive eating may become accessible over time. For others, structured eating may be what makes nourishment possible. Neither approach is morally better, and neither says more or less about how “advanced” someone is in recovery.

Intuitive eating is a privilege shaped by many things: safety, food access, neurodivergence, medical needs, trauma history, hunger and fullness cues, medication, executive functioning, not necessarily where someone is in the healing process.

What matters is the commitment to the outcome of meeting your nutrition needs consistently. How you get there is not a measure of your worth, effort, or recovery status.

News!! MO licensure officially accepted today! So happy to be able to expand care to now include the great individuals o...
09/10/2026

News!! MO licensure officially accepted today! So happy to be able to expand care to now include the great individuals of MO (among the many other states I’m honored to continue to provide care in).

I look forward to serving you!

Show that ED who’s boss by slapping it with this cold hard science. Exercise is not always health enhancing or even heal...
09/08/2026

Show that ED who’s boss by slapping it with this cold hard science. Exercise is not always health enhancing or even health-maintaining. Sometimes giving your body more time to rest from exercise is the healthiest thing you can do.

I think it’s worth examining what we are actually saying when we tell someone that “all foods fit” or “all foods are goo...
09/03/2026

I think it’s worth examining what we are actually saying when we tell someone that “all foods fit” or “all foods are good foods” and messaging that everyone in eating disorder recovery or who is recovered should be able to eat everything or that the reason they are suffering with their chronic illness is because of some nutrition-related aspect of the eating disorder.

There is an assumption underneath this that the recovered body is a body without limitations. A body that can digest anything. A body that can tolerate anything. A body that can eat whatever is available without consequences. A body that doesn’t need accommodations.

But that body does not exist for everyone.

People have food allergies. People live with inflammatory bowel disease, gastroparesis, diabetes, and other gastrointestinal or metabolic conditions. People have endometrial-like tissue that has grown on their digestive organs. People have PMOS. People have various medical history differences and genetic differences that affect digestion, appetite, energy, pain, and food tolerance.

These people are not less invested in recovery because their bodies have different needs.

When we define recovery around the ability to eat every food, we are being (I’ll say it) disgustingly ableist. We take a particular kind of body (one that can tolerate everything without significant physical consequences) and position it as the goal everyone should work toward.

So they are left feeling like they did recovery “wrong.” That everyone else must have been able to crack the code of doing recovery the “right way.”

They may push themselves to eat foods that cause significant symptoms because they are afraid that honoring their body’s limitations means they are giving in to their eating disorder.

That is not what recovery is supposed to be.
If you find yourself in this complicated space, I see you. I will not pathologize your need for accommodations. I’m honored to work with you to figure out what recovery as nutrition rehabilitation looks like for your body, with accommodations❣️

It’s okay to have lunch at 10:45 a.m.Maybe you ate breakfast early. Maybe you woke up hungrier than usual and breakfast ...
09/01/2026

It’s okay to have lunch at 10:45 a.m.

Maybe you ate breakfast early. Maybe you woke up hungrier than usual and breakfast isn’t lasting you as long as it typically does. Maybe your sleep was off, your chronic illness symptoms are flaring, your medication has changed, or your body simply needs more food today than it did yesterday.

An eating disorder can make an earlier lunch feel wrong or risky. A common fear being “but what if I end up eating more the rest of the day.” Your ED may say lunch has to happen at a certain time, that you should wait, or chastise you for still being hungry right after a AM snack. Not because you did anything wrong or chose the “wrong” snack, but because you were hungry for a meal-sized amount of food, not just a snack sized amount. Your body was asking for lunch, even if the clock said 10:45.

Meal timing can be complicated in recovery. Structure can be useful, especially when hunger cues are hard to notice or trust. But structure is there to help you eat consistently; it is not supposed to require you to override hunger when it shows up earlier than expected.

You do not need to stretch a snack into an hour-long effort to postpone lunch. You can notice, “I’m still hungry,” and have more food. You can have lunch early. You can eat again later if you are hungry then, too.

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