Medical Nutrition

How to Access Individualized Medical Nutrition Therapy

To be seen by a member of our team you will need a referral from your primary care physician (PCP) with a medical diagnosis and the type of nutritional counseling you are being recommended for.

If your PCP is located on the BMC campus, ask him/her to send the referral via Logician. Otherwise, referrals can be faxed to 617.638.7449 or mailed to:

Boston Medical Center
Center for Endocrinology, Diabetes, Nutrition and Weight Management
Preston Family Building, 2nd floor
732 Harrison Avenue
Boston, MA 02118
Attn: Stephanie Spaide, MS RD LDN

Our office will contact you upon receipt of the referral. Your health insurance may cover or partially cover medical nutrition therapy; however, some insurance plans do not cover visits with a dietitian or will only cover visits for patients with a specific diagnosis. Please contact your insurance company to learn details about your specific coverage.

If you don't have insurance, or if your insurance will not cover dietitian visits, you may self pay at the time of the visit. Please contact Patient Financial Services at 850 Harrison Avenue, Ground Floor (617.414.5155) PRIOR to your scheduled appointment for further details.

Download the Self-Pay Outpatient Form.

Weight Management

Getting Started - For Weight Management Patients Only


Physical activity is an integral part of our weight management program. It speeds the weight loss process, prevents significant loss of lean body tissue (muscle), and increases metabolism. More importantly, physical activity appears to be one of the major determinants of successful weight loss maintenance.

We work hard to provide ideas and opportunities for increased daily activity. We offer reduced cost memberships at some local fitness centers, a free weekly yoga class and walking group. Development of other programs is on-going.

We often recommend local gyms including the South End Fitness Center located conveniently near the clinic (35 Northhampton Street, Boston). Here you may participate in group exercise and yoga classes, use the strength training and cardio equipment, or swim in the Olympic-size pool. The South End Fitness Center charges $15/day, $120 for three months and $360 for one year membership. For additional information, please contact: South End Fitness Center 617.534.5822.

The key to a successful exercise regimen is to start slow and gradually increase your level of activity. Too much too soon often results in fatigue and discomfort that discourages people from sustaining an exercise program. Even short walks are a good place to start and studies show that even minimal amounts of exercise can have big benefits.

Group Support Sessions

We live in a fast-paced, high-stress, unhealthy food environment conducive to poor eating habits. Our behavior modification classes help you build the skills necessary to lose and maintain weight. When willpower wanes, as it does for nearly everyone, skillpower can lead you to success. We focus on nutrition, physical activity and control of high-risk situations. When you enter our program, you are encouraged to record your food intake daily and to participate in a weekly interactive educational group session. We strongly believe that your success depends on regular attendance, conscientious record keeping and commitment to a maintenance program.

Group sessions are held weekly as follows (sessions last an average of 1 hour):

  • Wednesdays 12:00 PM
  • Wednesdays 5:30 PM

Behavioral Therapy Support

Most people who struggle with weight management don't eat because they are hungry; they eat in response to environmental and emotional influences. To address eating behaviors, the underlying causes of overeating need to be addressed. When group support isn't sufficient, patients will be referred to a clinician specializing in the psychology of eating and weight management. By developing strategies to reduce or eliminate factors blocking successful weight loss, patients will have a greater likelihood of long-term success.