
Neuroimmune, Autoimmune & Metabolic Nutrition Referral Resource
Therese Nadler, MS, RDN, LDN is a pediatric and women’s health dietitian serving Annapolis, Maryland, Washington DC, and Baltimore, with telehealth available nationwide. She specializes in medical nutrition therapy for complex neuroimmune, autoimmune, inflammatory, gastrointestinal, and metabolic conditions:
Pediatrics:
• PANS/PANDAS and post-infectious immune dysregulation
• Autism, ADHD, OCD, anxiety, and gut-brain axis dysfunction
• Sensory-based feeding challenges, picky eating and food chaining.
• Juvenile Idiopathic Arthritis (JIA) and pediatric rheumatology support
• Pediatric autoimmune and chronic inflammatory disorders
• Functional gastrointestinal disorders, dysbiosis, and permeability concerns
• Micronutrient deficiencies (iron, zinc, vitamin D) impacting mood, growth, and immune regulation
Women’s Metabolic & Hormonal Health:
• Perimenopause and menopause-related metabolic changes
• Insulin resistance and blood sugar instability
• GI Conditions (Constipation, reflux, food sensitivities, etc.) and gut health
• Weight redistribution and muscle preservation
• Autoimmune conditions
• Thyroid optimization and micronutrient repletion
• Cortisol dysregulation, sleep disturbance, and inflammatory burden
• PCOS and Infertility
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.
Yes, regularly. I align with your care plan and support patient implementation from the nutrition side.
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.
Common reasons include:
Pediatric Referrals:
• Autism, ADHD, OCD, anxiety, or other neurobehavioral symptoms
• Severe feeding rigidity, or sensory-based food restriction
• Autoimmune or inflammatory conditions (e.g., Juvenile Arthritis)
• Persistent gastrointestinal symptoms affecting growth, behavior, or immune regulation
• Iron, zinc, vitamin D, or other micronutrient deficiencies
• Complex, multi-system inflammatory cases requiring structured nutrition support
Women’s Health Referrals:
• Perimenopause or menopause-related weight redistribution
• Insulin resistance or blood sugar instability
• PCOS and/or Infertility
• 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. I specialize in helping patients who are struggling to follow nutrition recommendations actually implement and sustain nutrition care plans.
Assessments 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.
Pediatrics
Patients with restricted diets, chronic GI issues, neurodevelopmental conditions, and/or poor adherence to nutrition recommendations. Learn more about my work in autism nutrition and picky eating.
Women's Health
Patients with hormonal imbalance, metabolic concerns, GI symptoms, or difficulty implementing nutrition and lifestyle recommendations. Learn more about my work with hormones, metabolism, and metabolic resilience.
Yes, this is a primary focus within my practice.
I am based in Annapolis, Maryland and see patients throughout the Annapolis, Baltimore, and Washington DC areas. I also offer telehealth nutrition services that are available nationwide.
Referrals may be made by contacting Nadler Nutrition directly or by sharing the referral links at the top of this page with patients.
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.
This model is particularly effective for:
• Functional or integrative clinics
• Gastroenterology practices
• Pediatric behavioral health or psychology groups
• Women’s health/OBGYN and perimenopause specialty practices
• Rheumatology 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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