Rebecca Toutant, MA, RD, CSSD, LDN, CEDS, CDCES, cPT

Individual care

Nutrition & Exercise Counseling

My practice is dedicating to helping people discover ways to work with their body.  To reduce fixation and fear around health behaviors and ultimately see the body as an ally – to understand how to work with it, listen to it, and be in relationship with it. That doesn’t mean doing whatever the body wants, whenever it wants. But rather knowing when to honor and when to challenge. 

I strive to provide a welcoming place for people of all backgrounds, cultures, and genders. My  counseling is person-centered and informed by a variety of therapeutic constructs such as polyvagal theory / somatic work, cognitive behavioral theory (CBT), acceptance and commitment therapy (ACT), and mindfulness.  

My practice has specialties in eating disorders / disordered eating, sports nutrition, and diabetes care. 

General Topics

Service Details

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Disordered Eating & Eating Disorders

Distressing thoughts or behaviors around food, body, and movement can exist on a continuum. Some are more interfering with our life than others, but ALL are worth of exploration and healing, in order to give us more capacity to live closer to our values.  

Examples include but are not limited to,: Feeling rigid about what and when you eat or exercise, avoidance of foods or eating situations, feeling “out of control” with food, fear of weight gain, not participating in life events due to concerns about food or size. 

Early stages of healing may focus more on improving nutrient availability. This allows the mind more opportunity to do the deeper work of identifying and challenging thoughts / experiences.  

As healing continues, we may work more on developing flexibility with food, navigating body image, and exploration our relationship with movement. 

Below are some of the topics and outcomes we may work towards together: 

Sports Nutrition & Performance

The human body can do some incredible things. 

A significant part of performance that aligns with health, is to make sure the challenge of training is done with the right balance of rest and nutrition support. 

Figuring out “how” to do that can be challenging in a world filled with mixed messages about food, bodies, and movement. 

Below are some of the topics and outcomes we may work towards together: 

Care for People with Diabetes

The world makes it seem like navigating blood glucose is simple. But the reality is that there are so many variables that go into the day-to-day journey.  

Whether you’re navigating type 1 diabetes, type 2 diabetes, polycystic ovarian syndrome (PCOS), or gestational diabetes, it’s important to develop the knowledge, skills, confidence, and resilience to support the body along the way.

Below are some of the topics and outcomes we may work towards together: 

Frequently Asked Questions

I am in-network with Aetna, Blue Cross Blue Shield, and Harvard Pilgrim. Coverage can vary by individual policy within those plans. 

For those paying out of pocket, I can provide a “superbill”, which you can submit to your insurance carrier for reimbursement. 

There are no refunds for services rendered. 

Please note it is again insurance contracts to “discount” co-pays, co-insurance, or deductibles. 

  • Insurance: The contracted rate billed to insurance is $180 for initial appointments and $150 for follow up sessions. Please note it is again insurance contracts to “discount” co-pays, co-insurance, or deductibles. 
  • Private Pay: For those paying entirely out of pocket and not using insurance, the cost is $150 for an initial assessment and $130 for follow up visits. Sliding scale is available. 

There are no refunds for services rendered. 

I absolutely believe in what I do and the services I provide. However personal “health” outcomes come from more than our individual actions. Therefore, it’s not possible to “promise” what will happen as a result of our visits together. 

Appointment duration can vary by need. Typically, initial appointments are 60-minutes and follow up sessions are 50-minutes.

I do not tell people exactly what to eat each and every day, at every instance of eating. I find these rigid plans are often unsustainable and do not help people develop their own capacity to navigate food. 

There are situations we may work together to develop a structure around food frequency and components. We may also identify recipes to experiment with. 

Each appointment is unique based upon an individual’s goal(s) and desires in care. 

In general, initial sessions review health, personal goals, and medical history. We also explore lifestyle, physical activity, stress, and current food.

For some, our work may be based on education, planning, and navigating logistics.

For others, there may be additional layers to explore (and heal) around thoughts, beliefs, and relationships.

No, there is no requirement regarding how often or how many times we meet. It it based upon individual need. 

Nourishing Bits & Bites, LLC provides virtual as well as in-person care thanks to an affiliation with Birch Hill Behavioral Health (25 Walnut St # 300, Wellesley, MA 02481) 

 I also see people virtually and in person through The Female Athlete Program at Boston Children’s Hospital. Please contact them to learn more about rates and scheduling. 

I am licensed in Massachusetts and New Hampshire. In addition, some states do not require licensure in order to practice whereas others do. Please contact me for details.  

I firmly believe in body autonomy – that ultimately, your body is your decision. However, when weight loss becomes that outcome of focus, it often leads people to make decisions that are not inclusive of their physical or mental health. Therefore, I do not put people on weight loss plans that manipulate calories or macros for the purpose of weight loss.