
Vivianne Swart
MPH, RDN, CD, E-RYT-500
About
When you work with me, you can expect a supportive, compassionate, and judgment-free space where your experiences, preferences, and goals guide our work together. Nutrition is not one-size-fits-all, and care should feel realistic, flexible, and supportive of your life. Our sessions are collaborative—we'll explore what's going on, identify root contributors, and create a plan that feels achievable and sustainable.
If you're tired of restrictive advice or feeling like you're "doing nutrition wrong", you're not alone. My approach is grounded in Health at Every Size (HAES) and focuses on adding to your plate and your life, rather than taking things away—including cultural foods, celebrations, and the foods that bring you comfort and joy.
I bring extensive training in integrative and functional nutrition and have worked with patients across the lifespan. At a comprehensive cancer center, I supported patients through treatment, survivorship, and prevention, and served as lead dietitian for a high-risk breast cancer prevention clinic.
I've also supported people managing chronic kidney disease (CKD), prediabetes, type 2 diabetes, thyroid conditions, and GI disorders such as IBS and IBD, and worked extensively with women navigating PCOS and the transitions of pre-, peri-, and post-menopause. Together, we'll untangle food guilt and unlearn unhelpful rules, building a relationship with food that feels supportive rather than stressful.
You don't need to have everything figured out before we meet—I'll meet you where you are. I'm known for being warm, upbeat, and empathetic, and I love teaching, using simple analogies to make nutrition science make sense in real life.
My goal is for you to leave feeling empowered, informed, and supported, with a trusting relationship with food and changes that last through every stage of life.
Ready to work with Vivianne?
Get StartedWhat it's like working with me
Your session with me: My approach is exploratory and curious—nutrition is like a voyage, and I'm here to guide you as you learn to navigate the ship on your own. We'll build confidence through small, achievable goals, recognizing that there is no failure—only learning along the journey.
My energy: warm, encouraging, and down-to-earth.
Outside the office: I'm a hobby girl - I love crafts, volleyball on the beach, video games, going to yoga/pilates, long walks with an audiobook, or cuddling my cats Torbjorn & Alphonse (who may guest-star in sessions occasionally).
Fun/meaningful fact: I've been playing Dungeons & Dragons for almost a decade, and my favorite character was Truffle, my half-mushroom druid (she loved cheese and feeding wild animals she probably shouldn't have). Storytelling is one of my core values—whether through books, anime, D&D, or other media. I believe the stories we tell ourselves matter, and that becoming the main character of our own lives is one of the hardest—and best—decisions we can make.
Specialty Practice Areas
Integrative and Functional Nutrition
Oncology - Cancer Prevention & Survivorship
Eating Disorders and Intuitive Eating (Anorexia, Binge Eating, Bulimia)
Gut Health - IBS, IBD, Celiac
Women's Health/Hormones
Credentials & Experience
- Registered Dietitian Nutritionist (RDN)
- Washington State Certified Dietitian (CD)
- M.P.H. in Nutrition and Dietetics from the University of Michigan
- B.S. Human Health and Well-Being from the University of Michigan
- Registered Yoga Teacher, E-RYT-500
- Former Integrative Dietitian for Banner MD Anderson Cancer Center
- Former IOP/PHP Dietitian at Rosewood Centers for Eating Disorders
- Publications: Tracking US Health Care Spending by Health Condition and County, doi:10.1001/jama.2024.26790; U.S. dementia care spending by state: 2010–2019, doi: 10.1002/alz.13746

