Pediatric Neuroimmune, Autoimmune & Women’s Metabolic Nutrition Referral Resource
Therese Nadler, MS, RDN, LDN is a Maryland-based clinical dietitian (licensed in Maryland and Florida) providing in-person services in Maryland and telehealth nutrition care nationwide. She specializes in medical nutrition therapy for complex pediatric neuroimmune, autoimmune, inflammatory, gastrointestinal, and metabolic conditions.
Pediatric Clinical Focus Includes:
• Juvenile Idiopathic Arthritis (JIA) and pediatric rheumatology support
• Pediatric autoimmune and chronic inflammatory disorders
• PANS/PANDAS and post-infectious immune dysregulation
• ADHD, anxiety, and gut-brain axis dysfunction
• Sensory-based feeding challenges and picky eating
• Functional gastrointestinal disorders, dysbiosis, and permeability concerns
• Micronutrient deficiencies (iron, zinc, vitamin D) impacting mood, growth, and immune regulation
Women’s Metabolic & Hormonal Health Focus Includes:
• Perimenopause and menopause-related metabolic changes
• Insulin resistance and blood sugar instability
• Weight redistribution and muscle preservation
• Autoimmune overlap in midlife women
• Thyroid optimization and micronutrient repletion
• Cortisol dysregulation, sleep disturbance, and inflammatory burden
Care is collaborative and designed to complement medical and psychological treatment plans. Clinical assessment often includes structured dietary analysis, inflammatory markers (CRP, ESR), ferritin and iron studies, vitamin D, zinc, gut permeability markers (zonulin), and microbiome pattern review when appropriate.
Payment Model
Services are provided on a self-pay basis rather than through insurance. This model allows:
• Extended appointment time for complex case review
• Comprehensive lab interpretation and integration
• Advanced testing discussions when clinically appropriate
• Individualized care plans not restricted by insurance billing codes
• Direct collaboration with referring physicians and therapists
Insurance-based nutrition visits are often limited in duration and scope, particularly for autoimmune, neuroimmune, and metabolic cases that require in-depth assessment. A self-pay model allows for thorough, medically-aligned, lab-informed care.
Consider referring when patients present with:
• Autoimmune or inflammatory conditions (e.g., Juvenile Idiopathic Arthritis)
• Persistent GI symptoms impacting mood, behavior, or growth
• Iron, zinc, vitamin D, or other micronutrient deficiencies
• Feeding rigidity, ARFID, or extreme sensory-based food restriction
• ADHD, anxiety, or neurobehavioral symptoms with suspected gut-brain involvement
• Weight redistribution, insulin resistance, or muscle loss in perimenopause
• Complex cases requiring detailed lab interpretation and metabolic stabilization
Assessments may include inflammatory markers (CRP, ESR), ferritin and iron studies, vitamin D, zinc, thyroid markers, gut permeability indicators (e.g., zonulin), and microbiome patterns when appropriate. Nutrition strategies are individualized to support immune regulation, metabolic stability, and neurobiological resilience.
Services are provided on a self-pay basis to allow extended consultation time, comprehensive lab integration, and highly individualized care without insurance-driven constraints. This structure supports depth, precision, and true interdisciplinary collaboration.
Referrals may be made by contacting Nadler Nutrition or encouraging families to reach out directly. Collaborative case discussion is always welcomed as clinically needed.
Pediatric referrals are appropriate when patients present with:
• Autoimmune or inflammatory conditions (e.g., Juvenile Idiopathic Arthritis)
• Persistent gastrointestinal symptoms affecting growth, behavior, or immune regulation
• Iron, zinc, vitamin D, or other micronutrient deficiencies
• ARFID, severe feeding rigidity, or sensory-based food restriction
• ADHD, anxiety, or neurobehavioral symptoms with suspected gut-brain involvement
• Complex inflammatory cases requiring structured lab-informed nutrition support
Women’s metabolic referrals are appropriate when patients present with:
• Perimenopause or menopause-related weight redistribution
• Insulin resistance or blood sugar instability
• Loss of muscle mass or metabolic slowdown
• Thyroid optimization challenges
• Chronic inflammation or autoimmune overlap
• Sleep disruption, cortisol dysregulation, or mood shifts linked to hormonal transition
Nutrition care is structured, lab-informed, and designed to integrate with medical and psychological treatment plans. Assessment may include inflammatory markers (CRP, ESR), ferritin and iron studies, vitamin D, zinc, thyroid markers, fasting insulin, glucose metrics, and gut-related markers when clinically appropriate. Interventions prioritize immune modulation, metabolic stability, and preservation of lean mass.
Yes, regularly. With appropriate consent, I provide concise summary documentation and remain available for case-level collaboration. Care is positioned to support, not compete with medical or psychological treatment strategies.
I am based in Maryland but offer telehealth nutrition services available nationwide.
Referrals may be made by contacting the practice directly or by encouraging the patient to schedule an initial consultation directly. I am also also available for brief case discussions when appropriate.
For specialty medical and mental health practices seeking to integrate advanced nutrition support without building an in-house department, I offer an embedded, collaborative nutrition model.
This structure allows practices to provide patients with high-level, lab-informed medical nutrition therapy under a coordinated care framework, while my team operates independently as a contracted specialist.
How It Works
• We function as a dedicated nutrition partner aligned with your clinical philosophy
• Patients experience seamless care coordination within your practice ecosystem
• We maintain independent licensure, liability coverage, and clinical documentation
• Care plans are developed in collaboration with the referring provider
• Communication flows directly between our teams to ensure continuity
From the patient’s perspective, nutrition care feels integrated within your specialty practice. From an operational standpoint, my team functions as independent contractors with our own business infrastructure.
For specialty medical and mental health practices seeking to integrate advanced nutrition support without building an in-house department, I offer an embedded, collaborative nutrition model.
This structure allows practices to provide patients with high-level, lab-informed medical nutrition therapy under a coordinated care framework, while my team operates independently as a contracted specialist.
How It Works
• We function as a dedicated nutrition partner aligned with your clinical philosophy
• Patients experience seamless care coordination within your practice ecosystem
• We maintain independent licensure, liability coverage, and clinical documentation
• Care plans are developed in collaboration with the referring provider
• Communication flows directly between our teams to ensure continuity
From the patient’s perspective, nutrition care feels integrated within your specialty practice. From an operational standpoint, my team functions as independent contractors within our own business infrastructure.
This model is particularly effective for:
• Pediatric rheumatology practices
• Functional or integrative pediatric clinics
• Gastroenterology practices
• Pediatric behavioral health or psychology groups
• Women’s health and perimenopause specialty practices
• Concierge or cash-pay medical practices
Scope of Embedded Services
Embedded nutrition services may include:
• Lab-informed medical nutrition therapy
• Advanced case review and documentation
• Condition-specific nutrition protocols
• Co-branded educational materials
• Case collaboration meetings
• Ongoing metabolic and inflammatory monitoring
This model allows specialty practices to expand their clinical impact while maintaining a cohesive patient experience.
Why Practices Choose This Model
• No need to hire and manage full-time nutrition staff
• No overhead for benefits or payroll
• Access to highly specialized, niche autoimmune, neuroimmune, and metabolic expertise
• Enhanced patient outcomes
• Increased patient retention within your practice
Partnership structures are customized to align with practice goals and regulatory considerations.
If you are interested in exploring an embedded nutrition partnership, please use the contact form below to schedule an exploratory consultation.
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