Finding a qualified nutritionist can be critical to your health. It's important to know who is qualified and how you can best use a nutritionist's services.

In North Carolina, the most reliable source of nutrition information is a licensed, registered dietitian. Registered dietitians have at least a four-year degree from a program accredited by the Commission on Accreditation for Dietetics Education. They complete a qualifying practical experience, pass a national exam and maintain a program of continuing education in the field. Many have graduate degrees as well.

North Carolina's Dietetics Practice Act requires that anyone dispensing nutrition advice be licensed by the state, though super-sized loopholes permit many others without the equivalent -- or possibly any -- nutrition education to practice as well, including chiropractors, dental hygienists, psychologists, massage therapists -- even funeral home directors.

That's why it's important to be sure your diet coach has an RD after his or her name.

Where can you find a licensed, registered dietitian? Start by checking the phone book or asking your doctor. Easier still: The American Dietetic Association operates a nationwide referral service. Call 800-366-1655 or go online to www.eatright.org and type "Find a Nutrition Professional" in the search field.

But don't stop there. Credentials are only a start. The reality is that practitioners vary by level of experience as well as style.

Arrange a brief phone conversation to ask about what to expect at the initial visit. Ask about cost, follow-up visits, types of diets the practitioner most often counsels on and areas of expertise. You'll gain insights that may help you choose between two or more registered dietitians.

Fees vary, but expect to pay at least $200 for an initial 90-minute consultation. Check with your insurance provider to determine whether fees are reimbursable.

Before you go, be prepared to make the most of your time. Take along:

• A food diary. Keep a detailed log of everything you eat and drink for at least one typical week. Write down what you ate, the portion and the time. Record where you were, how you felt and who you were with.
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