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Michelle Routhenstein, MS, RD, CDE, CDN

Cardiology Dietitian & Owner at Entirely Nourished
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Owner and President of Entirely Nourished, Michelle is a Preventive Cardiology Dietitian, Registered Dietitian Nutritionist, and Certified Diabetes Educator specializing in heart disease management and prevention. She holds a Master of Science Degree in Clinical Nutrition and has completed her nutrition dietetic training residency at New York University. She has over ten years of experience counseling individuals and families on chronic disease prevention and management through personalized, science-based nutrition and lifestyle medicine.

Michelle specializes in the following areas:

- Science-Based Nutrition
- Reducing risk of Heart Attacks and Strokes
- Nutrient-sufficient heart-healthy diet to optimize cardiovascular function
- Personalized Nutrition and lifestyle plans to manage medical conditions
- Helps to improve heart disease-related risk factors like high blood pressure, high cholesterol, high blood sugar levels, diabetes, fatty liver disease, and weight loss.
- Principles of the science-backed diets of plant-based, Mediterranean, DASH, anti-inflammatory, and portfolio diets and ensures proper interpretation and inclusion of foods to prevent and manage cardio-metabolic diseases

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  • Apples: The Top Fruit for Lowering Cholesterol
    Michelle shares that apples contain "flavanols, proanthocyanidins, and pectin," which lower LDL and raise HDL cholesterol. Quercetin supports blood vessel health. For better cholesterol, she advises swapping saturated fats for unsaturated ones and exercising regularly to boost HDL levels.
  • Moderate Coffee Consumption Linked to Lower Mortality Risk
    Michelle reveals that "1-2 cups of black coffee daily may lower death risk," thanks to antioxidants. Adding sugar or cream reduces benefits. The study is observational, and excessive caffeine can cause health issues. She advises moderate consumption, considering individual caffeine tolerance, to maximize health benefits.
  • Coffee Habits That Harm Your Heart: Expert Insights
    Michelle warns against "excessive caffeine," which can elevate blood pressure and heart rate. She highlights the dangers of creamers high in saturated fat, raising LDL cholesterol, and sugar-laden drinks, which increase heart disease risk.
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  • This study reiterates what I see in my private practice, [as] many individuals come to see me after being on the keto diet for several months with very high LDL and apolipoprotein A levels, two important [factors] that help establish risk for atherosclerosis,” she noted.

    “The keto diet can be very high in saturated fat and low in soluble fiber, which negatively impacts both of these values,” Routhenstein cautioned.

  • When sleep, physical activity, and social connection are prioritized, these can cause a decrease in stress hormones like cortisol levels, which can improve dietary choices and metabolic functioning

  • Consuming 25g to 38g of fiber daily in midlife can help control blood pressure, cholesterol, blood sugar, and abdominal weight.

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