Independently manages the development of 300+ patients annually to prepare for bariatric surgery. MNT counseling targeted to prevent nutrient deficiency, malnutrition and dehydration after surgery while building structured patterns of dietary life style changes to support post surgical weight maintenance and recovery. Hosts interactive support groups with a focus on cooking demonstrations to maintain engagement before and after surgery. Manages various quality improvement projects. Opened an affiliate website for the discounted provisions of necessary vitamins, minerals and proteins supplements. Improved accessibility by expanding access to telehealth MNT, language translation services, Nutrition support and promoting the use of indirect calorimetry vs the use of inaccurate predictive equations.