Prevention

Heart health and cholesterol dietitian, online

An online heart health dietitian helps you eat in a way that supports healthier cholesterol, blood pressure and triglycerides, using patterns with strong evidence such as the Mediterranean and DASH styles of eating. The plan is built from food you enjoy and works alongside any treatment from your doctor.

Clinically reviewed by Dr. Ambily Kushal, RD, MS, PhD · Last reviewed

What does a heart health dietitian do?

A heart health dietitian reads your cholesterol, blood pressure and history together and works out which eating changes are likely to matter most for you. Then they help you make those changes stick.

Heart disease is a leading cause of death in the United States, and eating patterns are one of the main things you can change. Many people know the general advice already. What helps is a specific plan for your meals, your schedule and the restaurants you actually go to.

Which eating changes support heart health?

More fiber, especially soluble fiber, healthier fats in place of saturated fat, less salt, more plants and fish, less highly processed food, and moderate alcohol or none.

Soluble fiber

Oats, barley, beans, lentils, some fruit and vegetables contain soluble fiber, which helps lower LDL cholesterol.

Swapping fats

Replacing saturated fat from fatty meats, butter and many baked goods with unsaturated fat from olive oil, nuts, seeds, avocado and oily fish supports healthier cholesterol.

Salt and blood pressure

Much of the salt people eat comes from restaurant and packaged food rather than the salt shaker. The DASH eating pattern, rich in vegetables, fruit, low-fat dairy and whole grains, is designed for blood pressure.

Triglycerides

High triglycerides often respond to less alcohol, fewer sugary drinks and refined carbohydrates, and more oily fish and activity.

Who is heart health nutrition care for?

It is for adults with high cholesterol, high blood pressure, raised triglycerides or a family history of heart disease, and for people recovering after a cardiac event once their cardiology team agrees.

A good fit if you

  • Have high LDL cholesterol or triglycerides
  • Have high or borderline blood pressure
  • Have a strong family history of heart disease
  • Take a statin or blood pressure medicine and want the food side covered

Get medical care first if you

  • Have chest pain, shortness of breath or fainting: call 911
  • Have very high blood pressure readings at home
  • Have had a recent heart attack or surgery and have not been cleared to change your diet
  • Have kidney disease, which changes some advice

What do heart health visits cover?

Visits cover your results, medicines, family history and eating habits, and leave you with specific changes for the week ahead.

  • Your lipid panel and blood pressure results if you have them
  • Medicines, family history and other conditions
  • A typical week of meals, including restaurant and work meals
  • Salt, fats and fiber in your usual food
  • Alcohol, activity and sleep

What a month of care looks like for heart health

A month of care gives you a weekly hour with one dietitian and support between sessions, so changes become habits rather than intentions.

The Personalized Care Plan is $600 a month (30 days): four 60-minute video sessions, one a week, a personal nutrition plan adjusted week by week, and chat and call support between sessions. Here is one example of how those weeks can run; your own month follows your history, your goals and how each week actually went, and no particular result is promised.

Week 1: Your heart picture

Results, history and routine, and the two or three changes most likely to matter for you.

Week 2: Fiber and fats

Practical swaps in breakfasts, lunches and snacks that fit a busy day.

Week 3: Salt and eating out

Where the salt in your week comes from, and how to order well at restaurants and events.

Week 4: The plan you keep

What to keep, what to change next, and what to discuss at your next check-up.

How do I start: a month of care, or a first visit?

Choose your dietitian and pay for the month online by card, or meet them first with one $140 first visit. Either way, you see the price before you pay.

Online enrollment in the Personalized Care Plan opens dietitian by dietitian, and where a dietitian’s has not opened yet, booking says so plainly. Once the month is paid, you book your four 60-minute sessions inside its 30 days.

Prefer to meet first? A first visit is 60 minutes for $140, a chance to see how your dietitian works before you commit to a month. Prepaid visit packages are also available: 3 visits for $399, 8 for $1,024 or 20 for $2,400.

How does a dietitian work with my cardiologist or doctor?

Your doctor diagnoses and manages heart conditions and medicines; your dietitian manages the eating plan alongside them.

Keep taking cholesterol and blood pressure medicines as prescribed. Diet and medicine work together, and your doctor decides whether medicine is still needed as your results change.

How does private, online heart health care work?

You choose a registered dietitian, meet by secure video around your work, and keep the same dietitian from one check-up to the next.

There is no insurance paperwork and, in most states, no referral to arrange: you choose a registered dietitian, see the price before you book, and pay by card, with a receipt for every visit. In California, medical nutrition therapy from a registered dietitian is provided on a referral from the patient’s physician (Business and Professions Code §2586).

Visits are by secure video from your phone or computer, so there is no commute and no waiting room. Each dietitian sets their own hours, and the times they have open are shown in your own time zone.

You can see the same dietitian at every visit. The person who knows your history builds the plan around your work, travel and family commitments, adjusts it as those change, and can be reached by secure message between visits.

Dietitians on CognitiveMind.ai who focus on heart health

Each dietitian below lists heart health among their specialties. Visits are by secure video, so what matters is the state you are in at the time of each visit; every profile shows where that dietitian can see patients.

Danielle Miller

RDN, LD

Can see patients in 23 states

Weight management & GLP-1 · Diabetes · Heart health · Women's health · Kidney disease · Healthy aging

See Danielle Miller’s profile

Yousef Elnahrawy

RD, MPH

Can see patients in 22 states

Diabetes · Heart health · Gut health · Weight goals · Sports nutrition · Pediatric nutrition

See Yousef Elnahrawy’s profile

Dr. Ambily Kushal

RD, MS, PhD

Can see patients in 19 states

Diabetes · Weight loss · Heart disease · Gut health · PCOS · Thyroid health

See Dr. Ambily Kushal’s profile

Matthew Tunney

MS, RDN, LDN

Can see patients in 19 states

Diabetes · Heart health · Gut health · Weight goals · Sports nutrition · Men's health

See Matthew Tunney’s profile

Frequently asked questions

Can diet lower cholesterol?

Yes, for many people. More soluble fiber, healthier fats in place of saturated fat and fewer highly processed foods can lower LDL cholesterol, alongside any treatment from your doctor.

Do I need to stop eating eggs?

For most people, eggs can fit a heart-healthy diet in moderation. The overall eating pattern matters more than one food; your dietitian helps you weigh it for your results.

Is the Mediterranean diet good for the heart?

It is one of the best-studied heart-healthy patterns: vegetables, fruit, legumes, whole grains, olive oil, nuts and fish, with less red and processed meat.

What is the DASH diet?

DASH is an eating pattern designed to lower blood pressure, rich in vegetables, fruit, low-fat dairy, whole grains and lean protein, with less salt and sugar.

Can I stop my statin if I change my diet?

Only your doctor can decide that. Keep taking it as prescribed and discuss any change with them.

Are plant sterols or fish oil worth it?

Foods fortified with plant sterols can help some people lower LDL. Fish oil and other supplements should be discussed with your doctor and dietitian, as evidence and safety vary.

How much does a heart health dietitian cost without insurance?

The Personalized Care Plan is $600 a month (30 days): four 60-minute video sessions, one a week, a personal nutrition plan adjusted week by week, and chat and call support between sessions. A single first visit is $140, and visit packages are also available. Everything is self-pay by card and not billed to insurance, and nothing renews on its own.

Our condition guides are general education, not medical advice. Talk with your doctor about your own diagnosis, tests and medicines.