Tiffany Haug Eating Disorder RD

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 appr

oach 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.

Recovery and healing isn’t built on perfect compliance, it’s built on honesty. I’d rather hear “I don’t want to,” “I’m s...
06/04/2026

Recovery and healing isn’t built on perfect compliance, it’s built on honesty. I’d rather hear “I don’t want to,” “I’m scared,” “I feel worried about what life looks like without this” than “sure” if you don’t mean it. Honesty gives us somewhere to go, pretending keeps us stuck. I’d

While there is still LIFE, there is HOPE.
05/26/2026

While there is still LIFE, there is HOPE.

What treats that? It’s not a low-fat diet. It’s actually eating adequately and eating consistently. When you start nouri...
05/19/2026

What treats that? It’s not a low-fat diet. It’s actually eating adequately and eating consistently. When you start nourishing your body adequately again, the lipolysis slows down because your body no longer needs to break itself down for fuel. As metabolism recovers, cholesterol clearance improves, and your levels typically normalize within weeks to months of consistent, adequate eating. Restricting or going lower fat will only further impair your metabolism, and worsen the problem. If your high cholesterol is actually stemming from restriction and you restrict further, it will increase lipolysis, releasing fatty acids to the liver, which can boost VLDL production and raise triglycerides and LDL cholesterol. At the same time, hormonal and enzymatic changes (including altered activity of LDL receptors and lipid-processing enzymes) further reduce the efficiency of cholesterol clearance from the blood. This is a coordinated survival response that disrupts normal lipid metabolism. Once adequate, consistent nutrition is restored, these metabolic pathways typically recover. If your doctor sees elevated cholesterol and your history includes restriction, dieting, or disordered eating, that context matters. If your doctor says that context doesn’t matter, that’s a red flag.

Note on this and all content: This is for educational purposes only and is not intended as medical advice. Always consult with your healthcare provider about your individual health concerns.

05/13/2026

Saying no to the urge to engage in eating disorder behaviors can be extra tough when you feel you have a valid reason to engage in those behaviors, and maybe even one that externally others might validate as “reasonable.” This is a hard one because it is 100% valid that some circumstances cause making the recovery choice or steps you need to take 1000% harder. Chronic illness, particularly stressful days, feeling under the weather, experiencing a body image trigger, all these (and so many more) can fall under this category. But the eating disorder is insidious and it can really co-opt these situations and exploit them for its own gain. We know that with the neurobiology of eating disorders, seemingly one off behaviors can very quickly become pattern and routine, so it’s important to recognize this and protect your recovery plan and following through with that plan even when it feels SO SO much tougher due to a variety of different variables that can complicate how challenging it can be to implement recovery behaviors.

There is a version of care that emphasizes complete autonomy. The idea that you should lead entirely, that your instinct...
05/07/2026

There is a version of care that emphasizes complete autonomy. The idea that you should lead entirely, that your instincts alone should determine the path forward. There is also a version that removes autonomy almost entirely. Decisions are made for you, and your voice becomes secondary to the plan.

Neither of these tends to work well on its own when it comes to eating disorders and chronic illness.

Your perspective matters. Your preferences, your fears, your resistance, your insight into your daily reality. At the same time, eating disorders and chronic illness can shape internal signals in ways that make harmful patterns feel necessary or even protective. What feels like instinct is not always aligned with what supports your health in the long term. Because of that, being left alone to navigate change can feel overwhelming and circular.
The approach that I take in my work alongside clients is collaborative, but certainly not passive. You bring the lived experience. The nuance. The context that cannot be seen from the outside. I bring clinical understanding, the ability to recognize patterns that may not be fully visible from within, and a responsibility to offer collaboration, guidance, direction, and support, even when that direction feels like a leap of faith for you.
The intention is not to create a space where nothing is challenged. It is to create a space where you feel supported enough to tolerate taking leaps of faith with change (however small or uneven or bumpy), because that is where change begins. These steps are the very seed that begins to grow freedom and flexibility (what that means for you) in your relationship with food and body.

05/01/2026

If you have been restricting to a significantly low calorie intake for a notable period and or have lost a significant amount of body weight in a brief period of time, and you are beginning your recovery journey, it’s so so important to not do this on your own. Refeeding syndrome risk is real and even if for some reason you’re not able to seek HLOC for this, there are some harm reduction strategies that can be implemented to reduce risk. Note that reducing risk does not equal eliminating risk and OP LOC is always a riskier setting to navigate this compared to HLOC. It’s also important to have an RD that is in communication with your doctor so that any labs indicated can be ordered regularly to check electrolytes regularly through the nutrition rehabilitation process to monitor safety. A dietitian versed in the biochemistry of malnutrition and starvation as well as semi starvation (which can occur with eating disorders as with chronic illness and certain complex medical conditions) will be able to do an assessment of history to help with assessing refeeding risk and work in tandem with your doctor to monitor this, especially during the critical first two weeks of the nutrition rehabilitation process when refeeding risk is the highest. It’s not without controversy to be willing to help clients navigate this at an OP LOC. It can often be labeled as enabling, not holding a boundary etc. I disagree with that stance. Responsible clinicians inform their patients of the risk and recommend HLOC. This happens in my work with clients, as informed consent as well as pscyhoeduation of the risk is important. The controversy weirdly is not abandoning or issuing ultimatums to patients when they refuse HLOC. I make it a point and also view it as a responsibility as an ED and chronic illness RD to remain educated on harm reduction strategies because everyone has the right to self determination and autonomy with their healthcare choices even if it’s something that I advise against (declining HLOC) when it comes to their care.

*This account is for educational purposes only and should not be considered medical advice.

04/28/2026

PSA: biotin supplements can mess with *select* hormone lab results (and yes, I meant to include vitamin D here :)💉 Little known fact: vitamin D is somewhat “misclassified” as just a vitamin because it behaves more like a hormone in the body, even though we still call it a vitamin in everyday use.

*This account is for educational purposes only and should not be considered medical advice.

The work is about learning how to find a recovery path that takes into account the messy, dynamic-ness of life, and tha...
04/23/2026

The work is about learning how to find a recovery path that takes into account the messy, dynamic-ness of life, and that the feeling of motivation isn’t always an accessible thing to be able to lean on. Recovery for the long haul will inevitably include situations and life circumstances that you feel prepared for as well as those you don’t.
And whether or not you stumble, deciding ahead of time that you will be committing to continue your recovery even if it feels so much more challenging than it was at a prior time.

Over time, this shift (from banking on commitment over motivation) can become something more than progress. It can become a different way of living.

04/16/2026

There’s no shame in eating based of off structured meal and snack times (whether hungry or not), in prescribed amounts, at prescribed intervals and times, especially if that’s what keeps you nourished. The taboo and shame around not ever “getting to” intuitive eating, somehow meaning that someone’s progress or journey is less than, needs to end. Every human in recovery has their unique situation that may allow intake being based solely on intuitive appetite cues to be possible or not. If you’ve felt like your intuitive appetite cues have never really been reliable or actually led to unintentional underfueling or limited variety, or going long stretches between meals, the wisest thing can be adjusting strategy (with your RD) to meet that need by following a prescriptive plan that allows you to adequately nourish regardless of cues.

Forever and always my favorite quote.
04/10/2026

Forever and always my favorite quote.

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