July 30, 2025 • 46 mins
In this episode of The Health Fix Podcast, Dr. Jannine Krause chats with special guest Adi Wyshogrod, RDN, LDN, Co‑founder & COO of Everlong, a national telehealth nutrition counseling company. Dr. Krause and Adi dive into the transformational power of behavior-first nutrition and look beyond macros and restrictive diet rules. Discover how Everlong is revolutionizing access to compassionate, sustainable nutrition support—delivered virtually and covered by most insurance. Adi brings over a decade of experience helping people heal their relationship with food through behavior change and empathetic clinical care.
Key Takeaways:
- Nutrition isn’t just about macros—it’s about behavior.
- Everlong’s model blends psychology and clinical nutrition for real‑life transformation.
- Telehealth + insurance coverage dramatically improves access to personalized nutritional care.
- You don’t need to be an elite athlete or diabetic to benefit—Everlong supports sports nutrition, women’s health, chronic conditions, and even binge and disordered eating.
- Behavior‑focused coaching often helps clients overcome nutrition obstacles faster than dietary rules alone.
- Meeting clients exactly where they are leads to sustainable and compassionate care.
🔗 Resources & Mentions:
- Click HERE to learn about Everlong: care for real life, free of guilt or diet rules support
- Covered by insurance for ~95% of clients—pending eligibility assessment at booking
- Behavioral nutrition = psych-informed, personalized approach
- Ideal for anyone dealing with gut issues, hormone imbalance, performance goals, or emotional eating
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:01):
Adi Wishagraud, welcome to the Health Fix Podcast.
Thanks so much for having me.
I'm excited to dive in.
Well, you know, when I saw that you are the co-founder of a telehealth behavioralnutrition company, I was like, yes, please, we need this.
We need this more than ever because, you know, I'm sure you're seeing a lot of people areturning to the GLP once.
(00:25):
And with that comes no behavioral change um unless you're specifically working with agroup that does that.
And I think we're going to be heading into a realm where a lot of people are going torealize that if they didn't get their changes happening with their behavior around food,
weight's going to come right back on.
I'm sure you probably thought about that.
(00:47):
Yeah, we do see a large population of patients that are on GLP-1s, and that's a big anglewe take.
We work with you in that realm, not against you.
I think that's the common misconception of, they're gonna tell me not to do this.
Really our goal is to make sure that you have the nutrients you need, you feel good, andyou're working for those long-term changes.
So definitely a big, big piece we're seeing even more and more now with the patients onGLP-1s.
(01:13):
It's such a thing, it's such a thing and so important to have this.
Now, of course, what brought me to you as well as I saw, you guys take hundreds, like lotsof different insurances.
What brought you to starting Everlong, and of course we're gonna ask what's in the name,and all that, but what brought you to starting and offering to insurance when a lot of
(01:33):
folks are going into the realm of offering private nutrition and different programs ofthat nature?
Yeah, definitely.
I, um you know, obviously I'm a registered dietitian.
So I ever long started when I was doing I had my solo practice.
So I've been in the field for around 10 years and I started seeing working with patientsone on one right away.
(01:55):
It wasn't insurance for a while um and I was kind of in and out of seeing patients.
And then ever long as it is today, we began I just kind of started expanding, you know,seeing patients.
There's a need for this in different states.
So I first started taking insurance and then I started bringing on my first few providersand it really just grew from there.
(02:18):
The piece where, you know, we have the behavioral, you know, the behavioral piece and theclinical piece that we tie, that really stemmed from just, you know, I've always been
interested in psychology and nutrition.
I've always counseled that way where we focus on the behavioral piece, the habits, but noteverybody does and the dietitians are not trained in that.
And so when I started seeing there was this huge gap,
(02:40):
We actually the whole company went through like a rebrand where we you know brought onproviders that were trained in these specific Modalities that had backgrounds working in
behavioral health and mental health and eating disorders and we shifted this way justbecause there is such a need and a gap in the dietetics profession and industry and That's
really where ever long as it is today was born out of that need of okay There's tons ofclinical dietitians, but nobody's addressing this root cause of behavior and habits and
(03:09):
that's really what drives
Absolutely, absolutely and it's definitely fills the space for doctors that you know, weit's not our specialty and we need help outside of the realm of what we can do and you
know when I saw the comprehensive Behavioral work you guys teach I'm like, this is so hugeWhat's kind of been found in your guys group to help like in terms of setting a plan for
(03:37):
behavioral intervention?
What's been?
you know, just to give folks an idea of how often they may need to, you know, meet up withsomeone, what's kind of a traditional way that you've seen the best success?
Yeah, so we actually work with patients more on like a therapeutic approach.
And so a lot of the time it sounds like, or people describe it as therapy.
(03:58):
Like if you read some of what people say on reviews, it's like, this is literally changedmy life.
This is like therapy.
And so we do, meet with patients on a weekly basis and that was driven from research abouthow many touch points or sessions does it take to truly start seeing change that will lead
to long-term change, right?
Not just like a quick fix or, you know, one sec.
(04:19):
And you don't meet with them three months later, which is very traditional clinicaldietetics, right?
You see someone in an outpatient setting and then they're You know two or three fourmonths out and you only meet for 20 minutes So our whole the whole company is designed
around that and then also There's a lot of research that shows that when you're trying tomake behavioral changes, especially with nutrition I mean, it's such a large component of
(04:42):
our lives or we eat every day Those touch points help people be more successful evenbetween sessions right to just the accountability
knowing you have that appointment coming up.
uh And then also, know, patients can monitor, track, you know, their hunger fullness, howthey're feeling between meals.
And so on the portal we use and so it is really more of like a therapeutic journey knowingyou have that person to hold you accountable and be your support system rather than, you
(05:09):
know, this digestion barely knows me.
We really get to know our patients truly on like a personal level.
Nice.
That's important and that's kind of why I asked because that has, you know, it's also beenthe state of healthcare where it is where folks will be waiting, you know, six, eight
weeks and it's like, my goodness, between visits and in that time, you know, no access toquestions, no access to being able to ask, what do I do?
(05:34):
It sounds like you've got a portal system, like you said, where can track things.
Can folks also troubleshoot a little bit with their dietician as well?
Yeah, so are you asking like, they touch base with their dietitian between sessions?
Yeah, so our dietitians, they definitely can, you know, they can shoot them an email, theycan shoot them a chat and have a question.
(05:54):
they have a question, a lot of times people are like, hey, I'm at the grocery store.
Like, I found this.
What do you think?
Or like, here's my symptoms I found.
And like, what do you think of this?
And the dietitian can see what they're logging.
It's like a GI, you know, similar to GI struggles that's posting how they're feeling inbetween meals, whatever it is, they can go over that.
together so it's really neat.
You can say, this is what happened you know the last couple days and let me pull it up andlet's talk about it on the session and because you know they have a full 55 minutes
(06:24):
together on each session it's plenty of time to dive in to the nutrition piece and thenlet's talk about why you felt this way or why these things are happening from the
behavioral piece.
That's really cool.
That's really cool.
So a lot of you know, my listeners are between 35 and 55 and They're going throughperimenopause and amenopause and you know this time of life there's there's some changes
(06:47):
but it's also like a big like oh I got to deal with my stuff, right and and there's weightissues that come You know with with hormone shifts and whatnot and so a lot of women are
really really struggling with with the psychology aspect What to do and how to let go?
and also conflicting advice on social media as to what to do.
(07:12):
Give us a little background in terms of how you guys are working with women in thisparticular space and some of the, if you have a client story or whatever, give us a little
sense of like if someone between 35 and 55 stepped in and maybe they're experiencinghormonal shifts and they're trying to figure out why is my weight going up?
What can I do about it?
(07:33):
How would it look to just step in and visit with you guys?
Yeah, so that is actually like an age range, kind of the most common age range.
We're usually working with people, I would say like 25, 30 to 45, 50.
We work with a lot of women and what would happen is, you know, usually women in thatsituation are coming in, like you mentioned, they're struggling, they're not feeling
(07:57):
great, they're struggling with weight gain, they don't really know what's going on andthen there's that emotional piece of depending if they've had a lifelong struggle with
dieting, right, chronic dieting or maybe they have a condition
They're not getting the proper support from their health care team.
That's common So we come in and I don't say we're we're not investigators or we're workingwith you But we come in and from the beginning of your intake we're diving into
(08:20):
everything.
What's your you know history with nutrition and dieting?
What's your history with any trauma?
You know, tell us about your relationship with food from when you were little tell us whatyour relationship with food now Do you have a partner like what does your life look like
on all fronts?
We really take this
Holistic approach.
uh I think the word holistic tends to be thrown around like what does that mean in oursense?
(08:44):
It's Taking into account that every decision you make around your life and food is for areason right?
know, it's not a lack of discipline.
It's You may be busy.
You may be working eight hours a week.
You have a family whatever's going on.
So we personalized the approach to Every specific person we don't have like aone-size-fits-all plan, you know, not every provider is
(09:07):
is working with the same background and perspective.
em And so when you come in, we have that intake dive in and then we start saying, wherecan we start?
What's the lowest hanging fruit?
What do you feel is doable right now?
Just because you come work with us doesn't mean you have the capacity to change everythingin your life, right?
So it's what are those baby steps that we can take to help you move forward and feelbetter or boost a little bit of confidence or really try to understand why am I doing
(09:37):
these
I'm doing, are my habits this way?
And then that's where each week you're kind of, so I saying it's a bit of investigation,like you're kind of diving into what happened this week, how did things go, you know, what
did you struggle with, how are you feeling after a month working together, how are youfeeling after two months, and then from there we kind of keep tweaking our intervention
(09:58):
and treatment plan based on how you're feeling.
Makes sense, makes sense.
You know, when I look at behavioral change, this is obviously at the root of all weight,if we're talking weight issues or if we're talking even, and I'm a naturopath, so I'm
gonna put my opinion in here, is that why we have certain conditions happening, right?
(10:20):
But also the side of it's the nervous system and nervous system regulation and sometimeswe'll use it for that, sometimes, know, comfort food versus other things.
What do you feel like if we're looking,
at behavioral change and say someone's on the fence of do I really need help, what wouldyou say that could be some clues that behavior is intervening here and that it might be
(10:44):
something that needs a little bit of support if someone's just thinking, I don't know, doI need this, do I not?
The biggest thing I would say is history and like cycles of what's going on.
So if you are someone that, you know, says you're going to make changes honestly in anyaspect of your life, because when someone says, oh, I want to get a promotion, I want to
(11:09):
change my job, all those things come down to how do you feel about yourself?
How do you show up?
Do you have energy to do the things you want to do?
Like we we have, you people come to us and their outcome might be six months later.
Oh, my gosh.
these things in my life changed that I didn't even think were related, right?
And so it's the cycles of where do you want to be if you think you don't need support?
(11:33):
Are you where you want to be in different aspects of your life?
And are you repeating cycles like saying, going to do the annual New Year's, right?
Like I'm going to change this year or saying I'm not going to do this diet.
But then we get pulled because we're so used to being the cycle to do it and not just adiet, just anything right.
Like committing to exercising more days a week than is feasible for you.
(11:56):
I think if you're somebody that kind of tells yourself the same stories and you recognizethe same cycles,
Then and it's really hard to you know pull the trigger and make change because it's it'shard to put the effort in to work on ourselves but we try to make it easier by meeting you
where you're at and saying you don't have to fix everything at once just start come andtake that hour for yourself a week and If you get nothing else from it, at least it's an
(12:23):
hour where you're focusing on yourself You know, and then we could focus on the behaviorchange Next once you feel more comfortable and ready to do so
That makes sense, that makes sense.
One of the things you brought up was time.
And I think time is huge objection that people have to making change.
I don't have time to do this, I don't have time to think it out.
Another big one is I don't have time to meal prep.
(12:44):
How would you work with that in specifics just to kind of help folks see a little bit oflike maybe it's not as much effort and time as you're thinking.
Yeah, I think personally, I have always been like, I've always worked with my patientslike this, that what is the easiest kind of like lowest hanging fruit that we can do that
(13:08):
takes least much time because I don't like spend a lot of time cooking.
I don't like spending a lot of time on these things.
Right.
I'm like, OK, what do I actually enjoy that I'm going to do for exercise and food?
So the biggest thing is kind of what I was saying before of not
The expectations, it's huge.
With anything you do with nutrition and health, what's the expectation?
(13:29):
Are you setting yourself up to be successful?
or not by telling yourself you're gonna make all these changes.
So I think if somebody's really struggling with time or they can't even imagine addingsomething else to their plate, which I would think is most people, just think one small
change can make a difference.
Focus on one meal, one snack, one walk a week, whatever that goal is.
(13:52):
One night where you go to bed a little earlier, you shut your phone off.
Those things can compound.
so I think that's what stops most people from really focusing on their health is that theall or nothing mindset and like setting proper expectations, especially in different
stages of our lives.
Like sometimes you're in that point in your life where you have the time and effort andenergy to dedicate and other times you don't.
(14:17):
And so we see that when we work with patients is like sometimes there are seasons wherepeople are really gung ho and have the time and then they're not.
And that's fine.
and we just kind of ebb and flow with them and change the goals and the treatment planbased on where they're at.
That sense.
That makes sense.
And I think that's such an important topic because, you know, I'll have women come to meand while I'm not doing nutrition counseling or any of that, the GLP ones are things that
(14:44):
I do prescribe if indicated.
I need to just lose 10 pounds and I need to have it off in like a month.
And you're like, okay.
em All right.
oh
You know and then you're like, are what are you doing?
And there's a lot, know What are you doing to make some interventions and then it becomesthis thing where you know, is it is it enough that I can bite off?
(15:07):
All the different things that I want to do and and do it and so it sounds like you guyshelp quite a bit with like prioritizing and organizing how to Set up your intervention
Yeah, definitely.
And that's where, like you mentioned, the expectation piece is huge because even with aGLP one, right, it's a tool.
It's there to support you.
setting the expectation of.
(15:29):
What else can you do around it?
And then also with the two, there's a lot of it is really both.
It's like nutrition and making sure you're getting adequate nutrition.
You're hydrated.
You feel good.
And then there's the behavior piece.
And so, you know, I think a perfect conversation there.
We work with a lot of doctors, providers that have, uh you know, medical weight managementprograms.
And we do come in and do the behavior piece.
(15:51):
It's setting the expectation or having that conversation right up front of, OK, what isrealistic and what is healthy and
you know, advised and back to, you know, long term change.
It always is coming back to like, why do something that's not going to last?
That's a lot of time and effort and that cycle continues.
And when the cycle continues, it's harder to break the longer it goes on.
(16:13):
So I think it, you know, this is kind of a theme, right?
Like everything ties with like not having the all or nothing mindset and really truly inlearning and leaning into just making small changes that add up in time, even with even on
a GLP one, right?
Like that, if you have it as a tool, like the goal
is to be able to keep that weight off and really learn those habits for when you'reweaning off of it.
(16:36):
So huge, and I think that's probably where, you know, we need a lot of support right nowin that realm because I'm seeing people get the results, seeing them lose the weight, but
I'm also seeing them tell me like, yeah, I'm not sure what I'm gonna eat when I get donebecause I'm not hungry.
I'm not eating, but then when the food noise comes back, what do we do here?
(16:58):
Right, right.
And so food noise being one of the big topics.
you know, and behavioral health around food topics.
this, or food, not food topics, but food noise.
What kind of things do you tend to work with your patients on when it comes to the voicesin the head being like, it's just one bite.
look at those cookies over at Crumble.
(17:19):
It's right down the street.
I'm gonna go over there.
ah You know, how do you work on those kinds of things?
What kind of things can we give folks an example of what might be some behavioralinterventions there?
Yeah, absolutely.
So the biggest thing is creating that awareness of when is that happening?
You know, how frequently is that happening and how is it impacting you?
(17:39):
How are you feeling around those decisions?
And that usually starts with keeping some sort of a food log or we call it like a food andmood journal because you can't really make changes without being aware.
So people can sometimes be aware that it's happening or they just feel like it's all theythink about is food and have that food noise.
But how
(18:00):
else is it impacting you and what are those, um you know, internal things you're saying toyourself around what's happening.
So we kind of start with that.
um And it does touch a little bit into some of those counseling skills, right of like, umcognitive behavioral therapy and really learning how are your thoughts around that are
impacting you.
(18:20):
So from there, when you create that awareness, a lot of things we might do is maybe uselike a hunger fullness scale and teach what does that mean?
And how do I listen to my hunger and fullness cues?
um And then also figuring out what is behind some of the food noise like when you'rethinking about food when you're turning to food What are those emotions going through your
you know, what's going on?
(18:41):
And what's the backstory behind it and dying diving into is their trauma historyrelationship with food?
so when we collect all that and kind of start with those interventions of keeping a foodjournal and then creating that awareness and saying okay now we know that there's a link
between you stopping on your way home and
this meeting on Tuesdays.
(19:01):
Maybe it's linked to a really high level of stress in that meeting, or maybe you're not ina happy relationship and so you're struggling at home with that.
And there's always an underlying piece, humans, we're not just not disciplined and like weshould be doing better.
There's always a cycle, like habits are built, you know, out of cycles when you get up andyou brush your teeth, like that's a habit.
(19:23):
When you tie your shoes, it's a habit.
And so these are things that are deeply ingrained.
um
what we're doing is we're kind of taking these habits and like dissecting them and sayingwhere do they come from and then slowly beginning to change those habits and rebuild those
thoughts and those feelings around food and turning to other things, right?
(19:43):
So we might recommend mindfulness techniques, hobbies, like different things that you canget or additional support.
You know, if it's like a uh if we think you want to work with somebody from a therapystandpoint and us, right?
It complements each other nicely.
And so I think that just kind of
building that care team and that support system for you.
And that's where it takes time.
(20:03):
You it's not something you can get a lot of progress in 30 days in terms of creating thisawareness, but you're not going to change years of habits in such a short period of time.
So really being like dedicated to it, but knowing you can make small changes at a time.
So important, so important to know that it's gonna take time and you can make smallchanges because I think, you know, back to the thing I've already mentioned before, like
(20:27):
we are looking, unfortunately, because of society, we look for quick fixes.
And I think for many people, that's where we've gotten into that loop of like, well, I'lljust take the diet pills, right?
Or I'll just take, you know, GOP1s or something of that nature.
It sounds like I'm hating on them, but it's really not that, it's just the thinking I'mtrying to put a...
(20:49):
They're not thinking that they're gonna solve all of the issues.
Now when it comes up, one of the interesting things I noticed is that you also have sportsnutrition in there.
And I think for a lot of folks, if we weren't an athlete, and even then, high schoolathletics for me were like, for swim team, was like binge on pasta the Friday night before
(21:11):
the Saturday, you know, meat.
And that was the extent of nutrition for...
for high school athletes.
And so I think for a lot of folks, we also are kind of confused as to like, all right,now, you know, I'm actually wanting to be more fit.
Maybe I want to train for marathons or something of that nature.
How does that take into, you know, if someone is looking for something like that, tell usa little bit about how that's different from working on, someone wanting to work on weight
(21:40):
loss or eating disorder type of situation.
Yeah, absolutely.
think what's important that you just highlighted is that nutrition counseling andnutrition, as I mentioned, it's we eat every day.
It's such a big part of our lives.
It doesn't it.
You don't need to have some huge thing to work on or a chronic condition.
(22:01):
Absolutely.
We all need some support.
Like I've worked with dietitians on and off myself just because I want support.
I like to learn from them or, you know, I like to kind of focus work on focusing onspecific pieces of my nutrition, a different
points in my life and so somebody that comes in with sports nutrition like wanting tolearn about sports nutrition or struggling you know for a marathon training or whatever it
(22:23):
is or just healthy general nutrition we have that as an option so you don't need to feellike you know I'm quote-unquote normal around food like do I need to come and get support
you know as a dietitian myself like I just had to work with one I think there's
Absolutely, we can all get support.
(22:44):
doesn't need to be on this.
You know, I have something I'm diagnosed with.
So we do actually have a lot of people that come in and say, I'm training for something orI just reached a goal and now I want to work on the sports nutrition piece.
And that's that's completely fine.
mean, I think there's still a lot of parallels, like you still have habits you have tobuild around it.
But maybe it's a little bit less like intense obsessions, you know, if I can say that.
(23:09):
But there's still, of course, things that we can
and help with and it's great because then you're focusing on your nutrients, you're gonnafeel better around your workouts or whatever you're coming to see us for.
And I love that you highlighted that, because that's kind of what I was thinking.
know, sports nutrition is kind of like, you know, fitness, longevity, nutrition, whateveryou want to call it, because we don't necessarily need to see a dietician because there's
(23:32):
a problem.
It's good to just kind of go in and be like, all right, am I creating balanced meals formy body?
You know, is this working?
Now, of course, a lot of people right now, there's there's debates on fasting, there'sdebates on, you know, one meal a day situation fasting, there's
Debates on macros, do you do them, do you not?
(23:52):
How do you guys approach that?
Like what's the take there?
Because I think a lot of people are gonna ask me, well is it just a macros based program?
know, can I plug it in like boom and go along?
yeah, so.
The bigger piece of when someone comes in, we're meeting them where they uh are at.
So from like a behavior change approach, we work on uh interventions and treatment plansthat are not so restricted or numbers based.
(24:21):
We really focus on kind of getting somebody away from that, especially if it's triggering,if they have a past of disordered eating, uh numbers and focusing on food logging and
stuff is definitely something that we would absolutely stay away from.
m However, we are meeting you where you're at.
So if you come in and you say I've been doing this and this is working for me I've beendoing this and I find that I like, you know this piece of it.
(24:46):
Okay Amazing now we have that information.
Everything is just data right saying that you struggle with Being on a macro plan or adiet now, we're taking the data and we're saying okay What part of it are you struggling
with?
What part of it is actually do feel like is working for you?
If you're somebody that works well with structure, let's build structure
that maybe isn't as rigid as feeling like you have to track everything.
(25:09):
um But the nice thing is when you have so much time to meet with someone and really get toknow them and you do such a thorough and deep intake, you can pull those pieces out and
say, okay, we're not coming in and telling you to stop everything you're doing.
We're not telling you what you're doing is wrong.
Everyone has their truth with why something works for them or why something doesn't workfor them and we're gonna unpack that and then...
(25:32):
provide the recommendations based on what works for you.
We're all different.
Some of us.
do well with structure and have routine and some don't.
And so how can we figure out what's gonna work for you long term?
Because what works for you isn't gonna work for me and the next person.
And so that's where I think it is important to highlight that, that you brought that upbecause it's, you we're all different.
(25:53):
It would be silly if we said here, you know, everybody does this, which historically withdiets is kind of what, you know, you're buying something that's for everyone, right?
And it's not a one size fits all.
And that's what I was wondering.
know, it's with, because if you look at different individual providers out there who aredoing their nutrition programs, they have their program.
And their program has the same, like, this is what we found to work, we're gonna do itthis way.
(26:18):
And I really like the flexibility to meet someone where they're at and be able to adjustaccordingly.
Now, when it comes to condition-specific eating, and one of the...
that I know a lot of people will struggle with as if their first diagnosis was celiac andthey're going, know, my whole world is wheat.
(26:39):
What do I do?
How do do this?
You know, let's talk about condition specific types of situations.
You even described before we hit record how you guys were just learning about a newcondition that you didn't have training on.
So you guys are getting trained up on that.
What?
What kind of things does someone want to take into consideration when they've just beendiagnosed or they have a certain autoimmune condition or something of that nature and
(27:04):
they're trying to find a solution for themselves?
Yeah, I think the biggest thing that in a situation like that is usually they are not, Imean, in a celiac situation, maybe somebody's brought up nutrition and dietetics and
saying, you know, go see a dietitian, go see somebody that can help with this.
But I think it's finding the right support because like you said, it really can change,you know, your whole life and you're you're you're stuck.
(27:32):
don't know what to do, especially if somebody's newly diagnosed even with diabetes orsomething.
um Most.
Oh, there are a lot of great doctors that will recommend nutrition, but we have a lot ofpeople that come to us and say, I was just diagnosed with X, Y, Z, and I don't know where
to turn.
um And, you know, I was just speaking to a woman recently who has
(27:53):
kidney disease, she said she has never been recommended a dietitian, like an outpatientdietitian to work with ever.
And I was shocked.
I couldn't even believe that she said that.
And she couldn't believe that this exists.
And so I think that finding support and doing it's it's unfortunate because you kind ofhave to be your own um support system for kind of your own kind of like in the word like.
(28:19):
rally for yourself.
have to be the one that kind of seeks it out because your providers won't always tell you,you know, and maybe they don't have enough nutrition training or they don't know or they
don't know where to turn to give you those resources.
But I do think finding support, a group, a dietitian, you know, whether it's a grouponline or a group in your area.
And I do think what people don't know is like the insurance piece, right, is, my gosh, youjust got diagnosed with this.
(28:45):
How would I ever afford a dietitian?
But would the
insurance piece that's all covered, right?
And so we would even, you know, diving into that.
But I think just knowing that that is a resource for you is really important.
And then you don't have to do it alone because then you're figuring out you and yourdietitian are figuring out together how you're going to navigate it.
You're not, you know, going into your kitchen and figuring it out alone.
(29:09):
And that's what so many people do, especially with kidney disease.
I mean, there's so much confusion there.
know, diabetes too.
And unfortunately, social media doesn't help because there's do this, do that.
There's, know, and then next thing you know, you do nothing because you don't know whichone's right for you.
So, you know, it is it's a huge confusion space.
(29:29):
And this is why what you're doing is so valuable.
So, yeah, let's talk a little bit about insurance because
You know, a lot of folks will be like, oh, maybe I can use my insurance.
And by the way, guys, you go to their website, you'll know when you go into the bookingprocess, even before you can book.
You can see if insurance is gonna cover.
tell us a little bit about what does insurance usually, like on average, because I knowplans are different, but how many visits on average will they cover for how long amount of
(29:57):
time for folks?
Yeah, so with every plan, um you know, every plan is different and it's kind of that mightbe like an obvious theme, but what's even crazy with insurance is that within, you know,
one plan, there's sometimes different tiers that cover different things.
However, with our services, with nutrition counseling, it falls under prerogativebenefits, and those are covered and bypass the deductible and copay in almost all
(30:27):
instances.
So patients are
Like over it's it's over 95 percent of our patients that have insurance that they want touse for our services are 100 % covered So there is actually zero dollars of patient
responsibility And most plans because of this it's based on medical necessity.
They won't cap it Some some plans may cap it and that's something we will know
(30:51):
in it, but that is usually enough sessions to be seen for half a year or a year.
There's, you know, here and there, like you said, there's a couple of plans that maybethey'll cap, you know, 10 sessions or something like that.
But it's very rare.
And that's where when you go on our site, you can see, you know, right away, you'll havecoverage for this.
But because of those preventive benefits, nutrition counseling coverage has just greatlyexpanded, especially, I mean, even before COVID, but especially since after COVID.
(31:21):
And
I think that it's a benefit that most people don't know they have.
think most HR people don't even know that their employees have it.
Most gym owners don't even know that this is a thing.
So it's still being shared and people still don't know about it.
This is kind of like a baby thing that's growing that people are like, wow, this isactually a thing covered by my plan that I'm already paying for.
(31:45):
So huge, so huge.
And what about folks that have chosen to get minimal insurance or catastrophic insurance?
What can they do?
I'm guessing you guys also have cash prices and different things there, packages.
Yeah, so we do have cash prices.
It all works the same online.
Like you can go and click just like, you know, self pay.
(32:07):
um And then we also can accept like health savings and flux savings account.
So sometimes people, um you know, will have that from a past job or a current job and theydon't choose to use insurance.
So that kind of works the same way.
That doesn't change the booking process at all.
You can still get scheduled in just a couple of minutes and select that.
(32:28):
But we do have that as an option and we're actually always
working on expanding coverage.
We do take Medicare, we're working on expanding into additional like state specific plansto, right, to just increase the access.
So it's kind of something that our team's always working on, like, you know, where's therea need or a gap that we can fill and then if we're able to, you know, get those contracts
(32:51):
we will.
Awesome, awesome.
That's really neat.
That's really neat that you guys are doing that.
you know, I think for a lot of people, one of the big coverage questions, um you know,like you already answered is how much time, you know, what might be my out of pocket and
things of that nature.
you know, even the cash pay is awesome that you allow that because some places will notallow cash pay if they do insurance.
(33:18):
That's weird.
um Now with all of these, of course, folks are going to be thinking,
need a referral?
Do I need my doc to send up a referral?
Is that a thing?
No, it's not a thing.
So you actually don't need a referral.
There's some plans, a couple.
And for the most part, no.
(33:39):
So you can go on book, donate or for all you need to talk to anyone.
We only will ask for a referral to Medicare needs a referral.
um But, you know, if that's not really if most people are saying or not, you know, havingMedicare benefits, it's not really relevant.
um The times that you'll need a referral or some HMO plans will need a referral.
And then there's a couple like state specific plans that need referrals, but especially,um you know, PPO plans don't.
(34:04):
referrals, some HMO plans, you know, you just have your doctor put something in or we askfor it.
But the barrier to trying is extremely low, right?
You could just go on book work confirming your benefits in real time online.
um And then you don't need a referral.
And if you do, we'll reach out before your session.
But that's it's so few and far between that.
(34:29):
I would probably guess under 1 % of people that we work with, actually need to touch basewith them to get a referral.
It's very low.
Nice and do you guys communicate with people's providers like same?
Someone's referred over, you know, because I saw the refer a patient button someone'sreferred over because maybe they have a lot of like food sensitivities and you're working
(34:52):
on their gut But they're not eating they're just need some support and in eating clean andthings of that nature Would that be a referral that someone could send in to and and
collaborate a little bit with?
Yeah, absolutely.
So we do we share like notes and updates and treatment plans with providers.
And then we also the our dietitians do work a lot with patients, therapists, so they'llcollaborate to have a check and call or they'll um email back and forth if there's any
(35:21):
questions.
And so we absolutely like we're big on collaboration of care.
And it also is something that for I mean, I think most providers care about this,dietitians specifically, it's like if we're trying to figure
what's going on, it's really, really helpful for us to have labs to have, you know, uh ifyou have if you did genetic testing, whatever you did, if you have a GI doctor you're
(35:43):
working with, if it's eating, whether it's eating disorders or not, connecting with atherapist, but specifically if somebody struggling with disordered eating or eating
disorder, and they are seeing a therapist, all of those things are just going to help uscraft a better treatment plan for you and be on the same page.
So that's kind of going back to the time thing.
If you're seeing two providers, but you're working on similar things with those providers,they're actually
(36:04):
Now you're getting double support.
You're not, oh, this person's, I gotta do this homework for this provider and thishomework for another, right?
Like there's, they work together where like this week between my GI doctor, my therapistand my dietician, I'm working on this.
uh And that's where I can work really, really nicely together.
that makes perfect sense.
That makes perfect sense.
(36:24):
And that's wonderful to hear, you know, as a provider who struggles and to findnutritionists that you can get in with, you know, and and refer my folks to especially
ones that take insurance.
And I think this is something that a lot of providers struggle with.
And I think, you know, those of you who are who are kind of going like, man, maybe I couldbenefit from some nutrition visits.
This is why sometimes we don't have referrals for you.
(36:47):
And this is a great situation we're getting into.
And because it's all telehealth
So folks can do this from the comfort of their home.
They can pop in, you know, on breaks or whatever they need to do.
So all that being said, we've kind of went into some of the minutiae and I know that, youknow, for some folks are like, okay, that's great.
Give us the details.
I am very curious as to your business name ever long.
(37:12):
Where did it come from?
How did you guys develop it?
Since you are a co-founder, I'm super curious about that and giving us a little details onyour background and what brought you to become a nutritionist in the first place.
Yeah, so um ever along.
It's funny.
It was actually by the name before it turned to just we dropped that it was ever longnutrition.
(37:35):
So we dropped the nutrition and then it just ever long.
I think really even what's kind of interesting about the name is even before we transitionto this, you know, behavioral nutrition piece or focus as a company, ever long is kind of
like, you know, um the word or just when you think about it, it's something that keeps
(37:55):
going right it's almost like evergreen right like it's going to remain and it's going tobe as a sustainable but I think that that's where everlong nutrition stemmed from and then
we dropped the nutrition and I think just having em you know the simplicity of
the one word and just kind of, know, it almost, it's like more powerful, right?
(38:19):
Without the nutrition.
And then for me, so I actually became a dietitian struggle, like after I struggled with myown uh nutrition and weight.
Goals when I was little so I I think I saw like my first dietitian I want to say I was 12or 14 and I remember I would go in you know my mom would bring me in and we talked about I
(38:42):
don't know probably like healthy snacks as a kid or like what do eat after school or likehow do you move your body and I remember specifically I just got you know I went through
like a big weight loss journey And I remember learning just how to eat you know I grew upin a household that eats pretty healthy you my mom cooked
It's like we had pretty good variety of foods in the house, but I was an overeater and Iwas an emotional eater.
(39:07):
And so I struggled with that forever.
I mean, it's still something, it doesn't go away.
You just kind of learn the skills and the tools to change those behaviors and habits andbe aware of it.
And so when I went to college and I studied nutrition, I was always looking for like,where's the psychology?
Like we take a psychology class or it's like Psych 101.
It's not really like the deep psychology class.
(39:28):
I'm always looking for
for like, I wanna learn about cravings and habits and like why we're eating this way.
And I remember I wanted to double major in psychology and like now years later I see why,like I see this intersection.
So it's kind of always like subconsciously I was interested in it and I'm like, now I getit, like duh, of course they're related.
uh But I think that's where it stemmed from.
(39:50):
And so naturally when I started counseling, I would teach myself these different skillsand I was just counseling patients that way.
It wasn't like, let's just talk about food.
was what's going on.
are your feelings?
You know, in another life, I would definitely be I would do therapy, right?
It's like because of that blend, I'm so interested in.
actually have a lot of psychologists in my family, like immediate and extended family.
(40:13):
And so I think there's just this innate interest of that.
And so blending the two between like my struggles and nutrition and the psychology, that'swhere it stems.
And I still get like so excited.
We'll do like trainings.
I'm like, oh, I want to watch this training like the team's do.
you know, it's like on psych or like why we eat the way we do.
(40:33):
And I just think it's really fascinating and I think more people are, like you said, kindof moving in that direction of understanding the behavioral piece, but we have a long way
to go.
Absolutely, we absolutely do.
Thanks for sharing your story.
It's incredibly relatable when we realize that it's more than just the foods that we'reputting in our body.
(40:58):
So many women will come and say, know, doc, I'm eating all the right things, but my weightwill come off.
unfortunately,
and I've learned this with my own journey of overeating and stress eating, that you caneat the good things.
But if you're part squirrel, as I joke that I am, macadamia nuts kind of build up overtime.
(41:23):
And I love them buggers, but boy, you need a whole bag of those and you've done a lot ofgood dense nutrition stacking right there.
So it's a matter of looking at it in a different perspective and looking at thosebehaviors.
And that's really what I've found over time that, unfortunately, a lot of folks will go toa regular dietician that's maybe in a hospital setting or a clinical setting.
(41:48):
And you get the like, here's your macros, have a great day.
that it's never worked on my end.
That's why things like Pneum and the other things have not worked because of needing toget to the bottom of things.
course, that's why I wanted to bring you on because of the behavioral aspect of it becausethat is the root of it.
(42:09):
Absolutely.
So, my gosh, such good stuff.
Let's tell folks how to find you because the website's a little different than thebusiness name.
So geteverlongcorrect.com.
m
Yes, get ever along dot com ever along like the Foo Fighters name song is a good way toremember it.
That tends to come up.
(42:30):
So just get ever long dot com.
And when you go to the site, you can get started.
You can confirm your coverage and everything is verified before you book.
The whole process takes like two minutes, three minutes.
It's really quick and easy.
And, know, it's you can read a little bit about the conditions we see on there as well.
(42:52):
Excellent.
And are you guys on social media at all, like Instagram or Facebook or any of those thingsso folks can kind of see what you're up to behind the scenes?
Yeah, so it's actually get ever long with an underscore on tick on tick tock and onInstagram.
Excellent, excellent.
So you guys can check that out there too.
And of course I'll have all of this in my podcast notes at drjkrausnd.com.
(43:14):
And gosh, such good stuff.
I'm really excited to be able to refer folks to you guys because this is great to goalong.
Of course I'm more virtual now, so having more of a telehealth based nutrition programsthat we can send to, but also just because of all the insurance, it's helpful because
people do want to use their insurance and this is a great use of it.
(43:35):
Gosh.
I think you thank you so much.
really appreciate it.
Thank you for coming on.
Yeah, thanks so much for having me.
This was great.
Adi Wishagraud, welcome to the Health Fix Podcast.
Thanks so much for having me.
I'm excited to dive in.
Well, you know, when I saw that you are the co-founder of a telehealth behavioralnutrition company, I was like, yes, please, we need this.
We need this more than ever because, you know, I'm sure you're seeing a lot of people areturning to the GLP once.
(00:25):
And with that comes no behavioral change um unless you're specifically working with agroup that does that.
And I think we're going to be heading into a realm where a lot of people are going torealize that if they didn't get their changes happening with their behavior around food,
weight's going to come right back on.
I'm sure you probably thought about that.
(00:47):
Yeah, we do see a large population of patients that are on GLP-1s, and that's a big anglewe take.
We work with you in that realm, not against you.
I think that's the common misconception of, they're gonna tell me not to do this.
Really our goal is to make sure that you have the nutrients you need, you feel good, andyou're working for those long-term changes.
So definitely a big, big piece we're seeing even more and more now with the patients onGLP-1s.
(01:13):
It's such a thing, it's such a thing and so important to have this.
Now, of course, what brought me to you as well as I saw, you guys take hundreds, like lotsof different insurances.
What brought you to starting Everlong, and of course we're gonna ask what's in the name,and all that, but what brought you to starting and offering to insurance when a lot of
(01:33):
folks are going into the realm of offering private nutrition and different programs ofthat nature?
Yeah, definitely.
I, um you know, obviously I'm a registered dietitian.
So I ever long started when I was doing I had my solo practice.
So I've been in the field for around 10 years and I started seeing working with patientsone on one right away.
(01:55):
It wasn't insurance for a while um and I was kind of in and out of seeing patients.
And then ever long as it is today, we began I just kind of started expanding, you know,seeing patients.
There's a need for this in different states.
So I first started taking insurance and then I started bringing on my first few providersand it really just grew from there.
(02:18):
The piece where, you know, we have the behavioral, you know, the behavioral piece and theclinical piece that we tie, that really stemmed from just, you know, I've always been
interested in psychology and nutrition.
I've always counseled that way where we focus on the behavioral piece, the habits, but noteverybody does and the dietitians are not trained in that.
And so when I started seeing there was this huge gap,
(02:40):
We actually the whole company went through like a rebrand where we you know brought onproviders that were trained in these specific Modalities that had backgrounds working in
behavioral health and mental health and eating disorders and we shifted this way justbecause there is such a need and a gap in the dietetics profession and industry and That's
really where ever long as it is today was born out of that need of okay There's tons ofclinical dietitians, but nobody's addressing this root cause of behavior and habits and
(03:09):
that's really what drives
Absolutely, absolutely and it's definitely fills the space for doctors that you know, weit's not our specialty and we need help outside of the realm of what we can do and you
know when I saw the comprehensive Behavioral work you guys teach I'm like, this is so hugeWhat's kind of been found in your guys group to help like in terms of setting a plan for
(03:37):
behavioral intervention?
What's been?
you know, just to give folks an idea of how often they may need to, you know, meet up withsomeone, what's kind of a traditional way that you've seen the best success?
Yeah, so we actually work with patients more on like a therapeutic approach.
And so a lot of the time it sounds like, or people describe it as therapy.
(03:58):
Like if you read some of what people say on reviews, it's like, this is literally changedmy life.
This is like therapy.
And so we do, meet with patients on a weekly basis and that was driven from research abouthow many touch points or sessions does it take to truly start seeing change that will lead
to long-term change, right?
Not just like a quick fix or, you know, one sec.
(04:19):
And you don't meet with them three months later, which is very traditional clinicaldietetics, right?
You see someone in an outpatient setting and then they're You know two or three fourmonths out and you only meet for 20 minutes So our whole the whole company is designed
around that and then also There's a lot of research that shows that when you're trying tomake behavioral changes, especially with nutrition I mean, it's such a large component of
(04:42):
our lives or we eat every day Those touch points help people be more successful evenbetween sessions right to just the accountability
knowing you have that appointment coming up.
uh And then also, know, patients can monitor, track, you know, their hunger fullness, howthey're feeling between meals.
And so on the portal we use and so it is really more of like a therapeutic journey knowingyou have that person to hold you accountable and be your support system rather than, you
(05:09):
know, this digestion barely knows me.
We really get to know our patients truly on like a personal level.
Nice.
That's important and that's kind of why I asked because that has, you know, it's also beenthe state of healthcare where it is where folks will be waiting, you know, six, eight
weeks and it's like, my goodness, between visits and in that time, you know, no access toquestions, no access to being able to ask, what do I do?
(05:34):
It sounds like you've got a portal system, like you said, where can track things.
Can folks also troubleshoot a little bit with their dietician as well?
Yeah, so are you asking like, they touch base with their dietitian between sessions?
Yeah, so our dietitians, they definitely can, you know, they can shoot them an email, theycan shoot them a chat and have a question.
(05:54):
they have a question, a lot of times people are like, hey, I'm at the grocery store.
Like, I found this.
What do you think?
Or like, here's my symptoms I found.
And like, what do you think of this?
And the dietitian can see what they're logging.
It's like a GI, you know, similar to GI struggles that's posting how they're feeling inbetween meals, whatever it is, they can go over that.
together so it's really neat.
You can say, this is what happened you know the last couple days and let me pull it up andlet's talk about it on the session and because you know they have a full 55 minutes
(06:24):
together on each session it's plenty of time to dive in to the nutrition piece and thenlet's talk about why you felt this way or why these things are happening from the
behavioral piece.
That's really cool.
That's really cool.
So a lot of you know, my listeners are between 35 and 55 and They're going throughperimenopause and amenopause and you know this time of life there's there's some changes
(06:47):
but it's also like a big like oh I got to deal with my stuff, right and and there's weightissues that come You know with with hormone shifts and whatnot and so a lot of women are
really really struggling with with the psychology aspect What to do and how to let go?
and also conflicting advice on social media as to what to do.
(07:12):
Give us a little background in terms of how you guys are working with women in thisparticular space and some of the, if you have a client story or whatever, give us a little
sense of like if someone between 35 and 55 stepped in and maybe they're experiencinghormonal shifts and they're trying to figure out why is my weight going up?
What can I do about it?
(07:33):
How would it look to just step in and visit with you guys?
Yeah, so that is actually like an age range, kind of the most common age range.
We're usually working with people, I would say like 25, 30 to 45, 50.
We work with a lot of women and what would happen is, you know, usually women in thatsituation are coming in, like you mentioned, they're struggling, they're not feeling
(07:57):
great, they're struggling with weight gain, they don't really know what's going on andthen there's that emotional piece of depending if they've had a lifelong struggle with
dieting, right, chronic dieting or maybe they have a condition
They're not getting the proper support from their health care team.
That's common So we come in and I don't say we're we're not investigators or we're workingwith you But we come in and from the beginning of your intake we're diving into
(08:20):
everything.
What's your you know history with nutrition and dieting?
What's your history with any trauma?
You know, tell us about your relationship with food from when you were little tell us whatyour relationship with food now Do you have a partner like what does your life look like
on all fronts?
We really take this
Holistic approach.
uh I think the word holistic tends to be thrown around like what does that mean in oursense?
(08:44):
It's Taking into account that every decision you make around your life and food is for areason right?
know, it's not a lack of discipline.
It's You may be busy.
You may be working eight hours a week.
You have a family whatever's going on.
So we personalized the approach to Every specific person we don't have like aone-size-fits-all plan, you know, not every provider is
(09:07):
is working with the same background and perspective.
em And so when you come in, we have that intake dive in and then we start saying, wherecan we start?
What's the lowest hanging fruit?
What do you feel is doable right now?
Just because you come work with us doesn't mean you have the capacity to change everythingin your life, right?
So it's what are those baby steps that we can take to help you move forward and feelbetter or boost a little bit of confidence or really try to understand why am I doing
(09:37):
these
I'm doing, are my habits this way?
And then that's where each week you're kind of, so I saying it's a bit of investigation,like you're kind of diving into what happened this week, how did things go, you know, what
did you struggle with, how are you feeling after a month working together, how are youfeeling after two months, and then from there we kind of keep tweaking our intervention
(09:58):
and treatment plan based on how you're feeling.
Makes sense, makes sense.
You know, when I look at behavioral change, this is obviously at the root of all weight,if we're talking weight issues or if we're talking even, and I'm a naturopath, so I'm
gonna put my opinion in here, is that why we have certain conditions happening, right?
(10:20):
But also the side of it's the nervous system and nervous system regulation and sometimeswe'll use it for that, sometimes, know, comfort food versus other things.
What do you feel like if we're looking,
at behavioral change and say someone's on the fence of do I really need help, what wouldyou say that could be some clues that behavior is intervening here and that it might be
(10:44):
something that needs a little bit of support if someone's just thinking, I don't know, doI need this, do I not?
The biggest thing I would say is history and like cycles of what's going on.
So if you are someone that, you know, says you're going to make changes honestly in anyaspect of your life, because when someone says, oh, I want to get a promotion, I want to
(11:09):
change my job, all those things come down to how do you feel about yourself?
How do you show up?
Do you have energy to do the things you want to do?
Like we we have, you people come to us and their outcome might be six months later.
Oh, my gosh.
these things in my life changed that I didn't even think were related, right?
And so it's the cycles of where do you want to be if you think you don't need support?
(11:33):
Are you where you want to be in different aspects of your life?
And are you repeating cycles like saying, going to do the annual New Year's, right?
Like I'm going to change this year or saying I'm not going to do this diet.
But then we get pulled because we're so used to being the cycle to do it and not just adiet, just anything right.
Like committing to exercising more days a week than is feasible for you.
(11:56):
I think if you're somebody that kind of tells yourself the same stories and you recognizethe same cycles,
Then and it's really hard to you know pull the trigger and make change because it's it'shard to put the effort in to work on ourselves but we try to make it easier by meeting you
where you're at and saying you don't have to fix everything at once just start come andtake that hour for yourself a week and If you get nothing else from it, at least it's an
(12:23):
hour where you're focusing on yourself You know, and then we could focus on the behaviorchange Next once you feel more comfortable and ready to do so
That makes sense, that makes sense.
One of the things you brought up was time.
And I think time is huge objection that people have to making change.
I don't have time to do this, I don't have time to think it out.
Another big one is I don't have time to meal prep.
(12:44):
How would you work with that in specifics just to kind of help folks see a little bit oflike maybe it's not as much effort and time as you're thinking.
Yeah, I think personally, I have always been like, I've always worked with my patientslike this, that what is the easiest kind of like lowest hanging fruit that we can do that
(13:08):
takes least much time because I don't like spend a lot of time cooking.
I don't like spending a lot of time on these things.
Right.
I'm like, OK, what do I actually enjoy that I'm going to do for exercise and food?
So the biggest thing is kind of what I was saying before of not
The expectations, it's huge.
With anything you do with nutrition and health, what's the expectation?
(13:29):
Are you setting yourself up to be successful?
or not by telling yourself you're gonna make all these changes.
So I think if somebody's really struggling with time or they can't even imagine addingsomething else to their plate, which I would think is most people, just think one small
change can make a difference.
Focus on one meal, one snack, one walk a week, whatever that goal is.
(13:52):
One night where you go to bed a little earlier, you shut your phone off.
Those things can compound.
so I think that's what stops most people from really focusing on their health is that theall or nothing mindset and like setting proper expectations, especially in different
stages of our lives.
Like sometimes you're in that point in your life where you have the time and effort andenergy to dedicate and other times you don't.
(14:17):
And so we see that when we work with patients is like sometimes there are seasons wherepeople are really gung ho and have the time and then they're not.
And that's fine.
and we just kind of ebb and flow with them and change the goals and the treatment planbased on where they're at.
That sense.
That makes sense.
And I think that's such an important topic because, you know, I'll have women come to meand while I'm not doing nutrition counseling or any of that, the GLP ones are things that
(14:44):
I do prescribe if indicated.
I need to just lose 10 pounds and I need to have it off in like a month.
And you're like, okay.
em All right.
oh
You know and then you're like, are what are you doing?
And there's a lot, know What are you doing to make some interventions and then it becomesthis thing where you know, is it is it enough that I can bite off?
(15:07):
All the different things that I want to do and and do it and so it sounds like you guyshelp quite a bit with like prioritizing and organizing how to Set up your intervention
Yeah, definitely.
And that's where, like you mentioned, the expectation piece is huge because even with aGLP one, right, it's a tool.
It's there to support you.
setting the expectation of.
(15:29):
What else can you do around it?
And then also with the two, there's a lot of it is really both.
It's like nutrition and making sure you're getting adequate nutrition.
You're hydrated.
You feel good.
And then there's the behavior piece.
And so, you know, I think a perfect conversation there.
We work with a lot of doctors, providers that have, uh you know, medical weight managementprograms.
And we do come in and do the behavior piece.
(15:51):
It's setting the expectation or having that conversation right up front of, OK, what isrealistic and what is healthy and
you know, advised and back to, you know, long term change.
It always is coming back to like, why do something that's not going to last?
That's a lot of time and effort and that cycle continues.
And when the cycle continues, it's harder to break the longer it goes on.
(16:13):
So I think it, you know, this is kind of a theme, right?
Like everything ties with like not having the all or nothing mindset and really truly inlearning and leaning into just making small changes that add up in time, even with even on
a GLP one, right?
Like that, if you have it as a tool, like the goal
is to be able to keep that weight off and really learn those habits for when you'reweaning off of it.
(16:36):
So huge, and I think that's probably where, you know, we need a lot of support right nowin that realm because I'm seeing people get the results, seeing them lose the weight, but
I'm also seeing them tell me like, yeah, I'm not sure what I'm gonna eat when I get donebecause I'm not hungry.
I'm not eating, but then when the food noise comes back, what do we do here?
(16:58):
Right, right.
And so food noise being one of the big topics.
you know, and behavioral health around food topics.
this, or food, not food topics, but food noise.
What kind of things do you tend to work with your patients on when it comes to the voicesin the head being like, it's just one bite.
look at those cookies over at Crumble.
(17:19):
It's right down the street.
I'm gonna go over there.
ah You know, how do you work on those kinds of things?
What kind of things can we give folks an example of what might be some behavioralinterventions there?
Yeah, absolutely.
So the biggest thing is creating that awareness of when is that happening?
You know, how frequently is that happening and how is it impacting you?
(17:39):
How are you feeling around those decisions?
And that usually starts with keeping some sort of a food log or we call it like a food andmood journal because you can't really make changes without being aware.
So people can sometimes be aware that it's happening or they just feel like it's all theythink about is food and have that food noise.
But how
(18:00):
else is it impacting you and what are those, um you know, internal things you're saying toyourself around what's happening.
So we kind of start with that.
um And it does touch a little bit into some of those counseling skills, right of like, umcognitive behavioral therapy and really learning how are your thoughts around that are
impacting you.
(18:20):
So from there, when you create that awareness, a lot of things we might do is maybe uselike a hunger fullness scale and teach what does that mean?
And how do I listen to my hunger and fullness cues?
um And then also figuring out what is behind some of the food noise like when you'rethinking about food when you're turning to food What are those emotions going through your
you know, what's going on?
(18:41):
And what's the backstory behind it and dying diving into is their trauma historyrelationship with food?
so when we collect all that and kind of start with those interventions of keeping a foodjournal and then creating that awareness and saying okay now we know that there's a link
between you stopping on your way home and
this meeting on Tuesdays.
(19:01):
Maybe it's linked to a really high level of stress in that meeting, or maybe you're not ina happy relationship and so you're struggling at home with that.
And there's always an underlying piece, humans, we're not just not disciplined and like weshould be doing better.
There's always a cycle, like habits are built, you know, out of cycles when you get up andyou brush your teeth, like that's a habit.
(19:23):
When you tie your shoes, it's a habit.
And so these are things that are deeply ingrained.
um
what we're doing is we're kind of taking these habits and like dissecting them and sayingwhere do they come from and then slowly beginning to change those habits and rebuild those
thoughts and those feelings around food and turning to other things, right?
(19:43):
So we might recommend mindfulness techniques, hobbies, like different things that you canget or additional support.
You know, if it's like a uh if we think you want to work with somebody from a therapystandpoint and us, right?
It complements each other nicely.
And so I think that just kind of
building that care team and that support system for you.
And that's where it takes time.
(20:03):
You it's not something you can get a lot of progress in 30 days in terms of creating thisawareness, but you're not going to change years of habits in such a short period of time.
So really being like dedicated to it, but knowing you can make small changes at a time.
So important, so important to know that it's gonna take time and you can make smallchanges because I think, you know, back to the thing I've already mentioned before, like
(20:27):
we are looking, unfortunately, because of society, we look for quick fixes.
And I think for many people, that's where we've gotten into that loop of like, well, I'lljust take the diet pills, right?
Or I'll just take, you know, GOP1s or something of that nature.
It sounds like I'm hating on them, but it's really not that, it's just the thinking I'mtrying to put a...
(20:49):
They're not thinking that they're gonna solve all of the issues.
Now when it comes up, one of the interesting things I noticed is that you also have sportsnutrition in there.
And I think for a lot of folks, if we weren't an athlete, and even then, high schoolathletics for me were like, for swim team, was like binge on pasta the Friday night before
(21:11):
the Saturday, you know, meat.
And that was the extent of nutrition for...
for high school athletes.
And so I think for a lot of folks, we also are kind of confused as to like, all right,now, you know, I'm actually wanting to be more fit.
Maybe I want to train for marathons or something of that nature.
How does that take into, you know, if someone is looking for something like that, tell usa little bit about how that's different from working on, someone wanting to work on weight
(21:40):
loss or eating disorder type of situation.
Yeah, absolutely.
think what's important that you just highlighted is that nutrition counseling andnutrition, as I mentioned, it's we eat every day.
It's such a big part of our lives.
It doesn't it.
You don't need to have some huge thing to work on or a chronic condition.
(22:01):
Absolutely.
We all need some support.
Like I've worked with dietitians on and off myself just because I want support.
I like to learn from them or, you know, I like to kind of focus work on focusing onspecific pieces of my nutrition, a different
points in my life and so somebody that comes in with sports nutrition like wanting tolearn about sports nutrition or struggling you know for a marathon training or whatever it
(22:23):
is or just healthy general nutrition we have that as an option so you don't need to feellike you know I'm quote-unquote normal around food like do I need to come and get support
you know as a dietitian myself like I just had to work with one I think there's
Absolutely, we can all get support.
(22:44):
doesn't need to be on this.
You know, I have something I'm diagnosed with.
So we do actually have a lot of people that come in and say, I'm training for something orI just reached a goal and now I want to work on the sports nutrition piece.
And that's that's completely fine.
mean, I think there's still a lot of parallels, like you still have habits you have tobuild around it.
But maybe it's a little bit less like intense obsessions, you know, if I can say that.
(23:09):
But there's still, of course, things that we can
and help with and it's great because then you're focusing on your nutrients, you're gonnafeel better around your workouts or whatever you're coming to see us for.
And I love that you highlighted that, because that's kind of what I was thinking.
know, sports nutrition is kind of like, you know, fitness, longevity, nutrition, whateveryou want to call it, because we don't necessarily need to see a dietician because there's
(23:32):
a problem.
It's good to just kind of go in and be like, all right, am I creating balanced meals formy body?
You know, is this working?
Now, of course, a lot of people right now, there's there's debates on fasting, there'sdebates on, you know, one meal a day situation fasting, there's
Debates on macros, do you do them, do you not?
(23:52):
How do you guys approach that?
Like what's the take there?
Because I think a lot of people are gonna ask me, well is it just a macros based program?
know, can I plug it in like boom and go along?
yeah, so.
The bigger piece of when someone comes in, we're meeting them where they uh are at.
So from like a behavior change approach, we work on uh interventions and treatment plansthat are not so restricted or numbers based.
(24:21):
We really focus on kind of getting somebody away from that, especially if it's triggering,if they have a past of disordered eating, uh numbers and focusing on food logging and
stuff is definitely something that we would absolutely stay away from.
m However, we are meeting you where you're at.
So if you come in and you say I've been doing this and this is working for me I've beendoing this and I find that I like, you know this piece of it.
(24:46):
Okay Amazing now we have that information.
Everything is just data right saying that you struggle with Being on a macro plan or adiet now, we're taking the data and we're saying okay What part of it are you struggling
with?
What part of it is actually do feel like is working for you?
If you're somebody that works well with structure, let's build structure
that maybe isn't as rigid as feeling like you have to track everything.
(25:09):
um But the nice thing is when you have so much time to meet with someone and really get toknow them and you do such a thorough and deep intake, you can pull those pieces out and
say, okay, we're not coming in and telling you to stop everything you're doing.
We're not telling you what you're doing is wrong.
Everyone has their truth with why something works for them or why something doesn't workfor them and we're gonna unpack that and then...
(25:32):
provide the recommendations based on what works for you.
We're all different.
Some of us.
do well with structure and have routine and some don't.
And so how can we figure out what's gonna work for you long term?
Because what works for you isn't gonna work for me and the next person.
And so that's where I think it is important to highlight that, that you brought that upbecause it's, you we're all different.
(25:53):
It would be silly if we said here, you know, everybody does this, which historically withdiets is kind of what, you know, you're buying something that's for everyone, right?
And it's not a one size fits all.
And that's what I was wondering.
know, it's with, because if you look at different individual providers out there who aredoing their nutrition programs, they have their program.
And their program has the same, like, this is what we found to work, we're gonna do itthis way.
(26:18):
And I really like the flexibility to meet someone where they're at and be able to adjustaccordingly.
Now, when it comes to condition-specific eating, and one of the...
that I know a lot of people will struggle with as if their first diagnosis was celiac andthey're going, know, my whole world is wheat.
(26:39):
What do I do?
How do do this?
You know, let's talk about condition specific types of situations.
You even described before we hit record how you guys were just learning about a newcondition that you didn't have training on.
So you guys are getting trained up on that.
What?
What kind of things does someone want to take into consideration when they've just beendiagnosed or they have a certain autoimmune condition or something of that nature and
(27:04):
they're trying to find a solution for themselves?
Yeah, I think the biggest thing that in a situation like that is usually they are not, Imean, in a celiac situation, maybe somebody's brought up nutrition and dietetics and
saying, you know, go see a dietitian, go see somebody that can help with this.
But I think it's finding the right support because like you said, it really can change,you know, your whole life and you're you're you're stuck.
(27:32):
don't know what to do, especially if somebody's newly diagnosed even with diabetes orsomething.
um Most.
Oh, there are a lot of great doctors that will recommend nutrition, but we have a lot ofpeople that come to us and say, I was just diagnosed with X, Y, Z, and I don't know where
to turn.
um And, you know, I was just speaking to a woman recently who has
(27:53):
kidney disease, she said she has never been recommended a dietitian, like an outpatientdietitian to work with ever.
And I was shocked.
I couldn't even believe that she said that.
And she couldn't believe that this exists.
And so I think that finding support and doing it's it's unfortunate because you kind ofhave to be your own um support system for kind of your own kind of like in the word like.
(28:19):
rally for yourself.
have to be the one that kind of seeks it out because your providers won't always tell you,you know, and maybe they don't have enough nutrition training or they don't know or they
don't know where to turn to give you those resources.
But I do think finding support, a group, a dietitian, you know, whether it's a grouponline or a group in your area.
And I do think what people don't know is like the insurance piece, right, is, my gosh, youjust got diagnosed with this.
(28:45):
How would I ever afford a dietitian?
But would the
insurance piece that's all covered, right?
And so we would even, you know, diving into that.
But I think just knowing that that is a resource for you is really important.
And then you don't have to do it alone because then you're figuring out you and yourdietitian are figuring out together how you're going to navigate it.
You're not, you know, going into your kitchen and figuring it out alone.
(29:09):
And that's what so many people do, especially with kidney disease.
I mean, there's so much confusion there.
know, diabetes too.
And unfortunately, social media doesn't help because there's do this, do that.
There's, know, and then next thing you know, you do nothing because you don't know whichone's right for you.
So, you know, it is it's a huge confusion space.
(29:29):
And this is why what you're doing is so valuable.
So, yeah, let's talk a little bit about insurance because
You know, a lot of folks will be like, oh, maybe I can use my insurance.
And by the way, guys, you go to their website, you'll know when you go into the bookingprocess, even before you can book.
You can see if insurance is gonna cover.
tell us a little bit about what does insurance usually, like on average, because I knowplans are different, but how many visits on average will they cover for how long amount of
(29:57):
time for folks?
Yeah, so with every plan, um you know, every plan is different and it's kind of that mightbe like an obvious theme, but what's even crazy with insurance is that within, you know,
one plan, there's sometimes different tiers that cover different things.
However, with our services, with nutrition counseling, it falls under prerogativebenefits, and those are covered and bypass the deductible and copay in almost all
(30:27):
instances.
So patients are
Like over it's it's over 95 percent of our patients that have insurance that they want touse for our services are 100 % covered So there is actually zero dollars of patient
responsibility And most plans because of this it's based on medical necessity.
They won't cap it Some some plans may cap it and that's something we will know
(30:51):
in it, but that is usually enough sessions to be seen for half a year or a year.
There's, you know, here and there, like you said, there's a couple of plans that maybethey'll cap, you know, 10 sessions or something like that.
But it's very rare.
And that's where when you go on our site, you can see, you know, right away, you'll havecoverage for this.
But because of those preventive benefits, nutrition counseling coverage has just greatlyexpanded, especially, I mean, even before COVID, but especially since after COVID.
(31:21):
And
I think that it's a benefit that most people don't know they have.
think most HR people don't even know that their employees have it.
Most gym owners don't even know that this is a thing.
So it's still being shared and people still don't know about it.
This is kind of like a baby thing that's growing that people are like, wow, this isactually a thing covered by my plan that I'm already paying for.
(31:45):
So huge, so huge.
And what about folks that have chosen to get minimal insurance or catastrophic insurance?
What can they do?
I'm guessing you guys also have cash prices and different things there, packages.
Yeah, so we do have cash prices.
It all works the same online.
Like you can go and click just like, you know, self pay.
(32:07):
um And then we also can accept like health savings and flux savings account.
So sometimes people, um you know, will have that from a past job or a current job and theydon't choose to use insurance.
So that kind of works the same way.
That doesn't change the booking process at all.
You can still get scheduled in just a couple of minutes and select that.
(32:28):
But we do have that as an option and we're actually always
working on expanding coverage.
We do take Medicare, we're working on expanding into additional like state specific plansto, right, to just increase the access.
So it's kind of something that our team's always working on, like, you know, where's therea need or a gap that we can fill and then if we're able to, you know, get those contracts
(32:51):
we will.
Awesome, awesome.
That's really neat.
That's really neat that you guys are doing that.
you know, I think for a lot of people, one of the big coverage questions, um you know,like you already answered is how much time, you know, what might be my out of pocket and
things of that nature.
you know, even the cash pay is awesome that you allow that because some places will notallow cash pay if they do insurance.
(33:18):
That's weird.
um Now with all of these, of course, folks are going to be thinking,
need a referral?
Do I need my doc to send up a referral?
Is that a thing?
No, it's not a thing.
So you actually don't need a referral.
There's some plans, a couple.
And for the most part, no.
(33:39):
So you can go on book, donate or for all you need to talk to anyone.
We only will ask for a referral to Medicare needs a referral.
um But, you know, if that's not really if most people are saying or not, you know, havingMedicare benefits, it's not really relevant.
um The times that you'll need a referral or some HMO plans will need a referral.
And then there's a couple like state specific plans that need referrals, but especially,um you know, PPO plans don't.
(34:04):
referrals, some HMO plans, you know, you just have your doctor put something in or we askfor it.
But the barrier to trying is extremely low, right?
You could just go on book work confirming your benefits in real time online.
um And then you don't need a referral.
And if you do, we'll reach out before your session.
But that's it's so few and far between that.
(34:29):
I would probably guess under 1 % of people that we work with, actually need to touch basewith them to get a referral.
It's very low.
Nice and do you guys communicate with people's providers like same?
Someone's referred over, you know, because I saw the refer a patient button someone'sreferred over because maybe they have a lot of like food sensitivities and you're working
(34:52):
on their gut But they're not eating they're just need some support and in eating clean andthings of that nature Would that be a referral that someone could send in to and and
collaborate a little bit with?
Yeah, absolutely.
So we do we share like notes and updates and treatment plans with providers.
And then we also the our dietitians do work a lot with patients, therapists, so they'llcollaborate to have a check and call or they'll um email back and forth if there's any
(35:21):
questions.
And so we absolutely like we're big on collaboration of care.
And it also is something that for I mean, I think most providers care about this,dietitians specifically, it's like if we're trying to figure
what's going on, it's really, really helpful for us to have labs to have, you know, uh ifyou have if you did genetic testing, whatever you did, if you have a GI doctor you're
(35:43):
working with, if it's eating, whether it's eating disorders or not, connecting with atherapist, but specifically if somebody struggling with disordered eating or eating
disorder, and they are seeing a therapist, all of those things are just going to help uscraft a better treatment plan for you and be on the same page.
So that's kind of going back to the time thing.
If you're seeing two providers, but you're working on similar things with those providers,they're actually
(36:04):
Now you're getting double support.
You're not, oh, this person's, I gotta do this homework for this provider and thishomework for another, right?
Like there's, they work together where like this week between my GI doctor, my therapistand my dietician, I'm working on this.
uh And that's where I can work really, really nicely together.
that makes perfect sense.
That makes perfect sense.
(36:24):
And that's wonderful to hear, you know, as a provider who struggles and to findnutritionists that you can get in with, you know, and and refer my folks to especially
ones that take insurance.
And I think this is something that a lot of providers struggle with.
And I think, you know, those of you who are who are kind of going like, man, maybe I couldbenefit from some nutrition visits.
This is why sometimes we don't have referrals for you.
(36:47):
And this is a great situation we're getting into.
And because it's all telehealth
So folks can do this from the comfort of their home.
They can pop in, you know, on breaks or whatever they need to do.
So all that being said, we've kind of went into some of the minutiae and I know that, youknow, for some folks are like, okay, that's great.
Give us the details.
I am very curious as to your business name ever long.
(37:12):
Where did it come from?
How did you guys develop it?
Since you are a co-founder, I'm super curious about that and giving us a little details onyour background and what brought you to become a nutritionist in the first place.
Yeah, so um ever along.
It's funny.
It was actually by the name before it turned to just we dropped that it was ever longnutrition.
(37:35):
So we dropped the nutrition and then it just ever long.
I think really even what's kind of interesting about the name is even before we transitionto this, you know, behavioral nutrition piece or focus as a company, ever long is kind of
like, you know, um the word or just when you think about it, it's something that keeps
(37:55):
going right it's almost like evergreen right like it's going to remain and it's going tobe as a sustainable but I think that that's where everlong nutrition stemmed from and then
we dropped the nutrition and I think just having em you know the simplicity of
the one word and just kind of, know, it almost, it's like more powerful, right?
(38:19):
Without the nutrition.
And then for me, so I actually became a dietitian struggle, like after I struggled with myown uh nutrition and weight.
Goals when I was little so I I think I saw like my first dietitian I want to say I was 12or 14 and I remember I would go in you know my mom would bring me in and we talked about I
(38:42):
don't know probably like healthy snacks as a kid or like what do eat after school or likehow do you move your body and I remember specifically I just got you know I went through
like a big weight loss journey And I remember learning just how to eat you know I grew upin a household that eats pretty healthy you my mom cooked
It's like we had pretty good variety of foods in the house, but I was an overeater and Iwas an emotional eater.
(39:07):
And so I struggled with that forever.
I mean, it's still something, it doesn't go away.
You just kind of learn the skills and the tools to change those behaviors and habits andbe aware of it.
And so when I went to college and I studied nutrition, I was always looking for like,where's the psychology?
Like we take a psychology class or it's like Psych 101.
It's not really like the deep psychology class.
(39:28):
I'm always looking for
for like, I wanna learn about cravings and habits and like why we're eating this way.
And I remember I wanted to double major in psychology and like now years later I see why,like I see this intersection.
So it's kind of always like subconsciously I was interested in it and I'm like, now I getit, like duh, of course they're related.
uh But I think that's where it stemmed from.
(39:50):
And so naturally when I started counseling, I would teach myself these different skillsand I was just counseling patients that way.
It wasn't like, let's just talk about food.
was what's going on.
are your feelings?
You know, in another life, I would definitely be I would do therapy, right?
It's like because of that blend, I'm so interested in.
actually have a lot of psychologists in my family, like immediate and extended family.
(40:13):
And so I think there's just this innate interest of that.
And so blending the two between like my struggles and nutrition and the psychology, that'swhere it stems.
And I still get like so excited.
We'll do like trainings.
I'm like, oh, I want to watch this training like the team's do.
you know, it's like on psych or like why we eat the way we do.
(40:33):
And I just think it's really fascinating and I think more people are, like you said, kindof moving in that direction of understanding the behavioral piece, but we have a long way
to go.
Absolutely, we absolutely do.
Thanks for sharing your story.
It's incredibly relatable when we realize that it's more than just the foods that we'reputting in our body.
(40:58):
So many women will come and say, know, doc, I'm eating all the right things, but my weightwill come off.
unfortunately,
and I've learned this with my own journey of overeating and stress eating, that you caneat the good things.
But if you're part squirrel, as I joke that I am, macadamia nuts kind of build up overtime.
(41:23):
And I love them buggers, but boy, you need a whole bag of those and you've done a lot ofgood dense nutrition stacking right there.
So it's a matter of looking at it in a different perspective and looking at thosebehaviors.
And that's really what I've found over time that, unfortunately, a lot of folks will go toa regular dietician that's maybe in a hospital setting or a clinical setting.
(41:48):
And you get the like, here's your macros, have a great day.
that it's never worked on my end.
That's why things like Pneum and the other things have not worked because of needing toget to the bottom of things.
course, that's why I wanted to bring you on because of the behavioral aspect of it becausethat is the root of it.
(42:09):
Absolutely.
So, my gosh, such good stuff.
Let's tell folks how to find you because the website's a little different than thebusiness name.
So geteverlongcorrect.com.
m
Yes, get ever along dot com ever along like the Foo Fighters name song is a good way toremember it.
That tends to come up.
(42:30):
So just get ever long dot com.
And when you go to the site, you can get started.
You can confirm your coverage and everything is verified before you book.
The whole process takes like two minutes, three minutes.
It's really quick and easy.
And, know, it's you can read a little bit about the conditions we see on there as well.
(42:52):
Excellent.
And are you guys on social media at all, like Instagram or Facebook or any of those thingsso folks can kind of see what you're up to behind the scenes?
Yeah, so it's actually get ever long with an underscore on tick on tick tock and onInstagram.
Excellent, excellent.
So you guys can check that out there too.
And of course I'll have all of this in my podcast notes at drjkrausnd.com.
(43:14):
And gosh, such good stuff.
I'm really excited to be able to refer folks to you guys because this is great to goalong.
Of course I'm more virtual now, so having more of a telehealth based nutrition programsthat we can send to, but also just because of all the insurance, it's helpful because
people do want to use their insurance and this is a great use of it.
(43:35):
Gosh.
I think you thank you so much.
really appreciate it.
Thank you for coming on.
Yeah, thanks so much for having me.
This was great.
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