Nutritional Counseling for the Delaware Area
Offered at all of our locations
Dealing with vague, hard-to-pin-down issues like mood changes, headaches, stubborn weight, skin flare-ups, restless sleep, digestive discomfort, or achy joints? If you’ve seen multiple providers and still don’t feel like yourself—or you’re tired of the mixed messages around food, exercise, and wellness—nutrition counseling can help you get clearer answers and a more practical plan.
We take an integrative approach that supports the physical, emotional, and chemical pillars of health. Our chiropractors and our nutritionist work together to help identify what may be contributing to your symptoms and build a plan you can actually sustain.
How we can help:
Alongside chiropractic care, your recommendations may include:
- Targeted lab testing (when appropriate)
- Food and lifestyle adjustments
- Exercise guidance
- Natural supplementation (personalized to your needs)
A wellness-based lifestyle will be your first line of defense in navigating:
- Stress and sleep
- Energy and fatigue
- Blood sugar and cravings
- Thyroid and metabolism support
- Headaches and inflammation patterns
- Skin concerns
- Food, chemical, and environmental sensitivities
- Mood and focus support
- Blood pressure and cardiovascular wellness
- Digestive concerns (including reflux patterns and hiatal hernia support)
Your first visit
Plan to spend about 90 minutes with our nutritionist, Sarah Bridge, as she gathers a detailed history and learns what you’ve tried so far—what helped, what didn’t, and what you want to change. The vibe is relaxed and conversational, so you can share the full picture.
Follow-ups
Most people benefit from 3-12 follow-ups, depending on goals and complexity. We’ll review progress, troubleshoot what’s getting in the way, and adjust your plan as your body responds. No perfection required—this is about learning what works for you.
Delayed sensitivities aren’t the same as immediate allergies. Symptoms may show up hours to weeks after exposure, which can make patterns hard to spot. For some people, delayed reactions and chemical sensitivities may contribute to ongoing irritation and “mystery symptoms.”
This testing can screen hundreds of potential triggers (foods and chemicals) to help you identify patterns, reduce exposures, and build a clearer plan.
Note: Some labs only measure IgG antibodies. First State Health & Wellness uses a more advanced method that evaluates how immune cells respond, offering a deeper look at potential triggers.
This simple blood test looks at how well your body is utilizing key nutrients—measuring cellular-level patterns across vitamins, minerals, antioxidants, amino acids, fatty acids, and more.
If you’re taking supplements without knowing whether they’re necessary (or missing what you actually need), this can help guide a more personalized approach.
Do I need a serious health issue to see a nutritionist?
No. Many people come in for everyday concerns like sleep, stress, energy, focus, digestion, or support with healthier routines.
Is weight loss guaranteed?
Not necessarily. Weight is influenced by many factors (sleep, stress, hormones, environment, and genetics—not just calories). We focus on root contributors and sustainable habits.
Will I have to give up my favorite foods?
No. The goal is balance and a plan you can live with—not rigid rules.
Are you a registered dietitian?
Sarah is a Certified Nutrition Specialist (CNS). CNS and RD are both recognized professional pathways that require advanced education, supervised training, and ongoing continuing education.
What can nutrition counseling support?
Nutrition touches nearly every system in the body. It can be helpful for areas like mood, skin, headaches, emotional eating, sleep, IBS patterns, reproductive wellness, and even support with medication side effects.
Conditions We Commonly Support
To improve flow and scannability, you can combine the next few sections into one streamlined list:
- Osteoporosis / osteopenia
- Hypotonia / sarcopenia
- Ehlers-Danlos Syndrome (EDS) support
- Osteoarthritis / rheumatoid arthritis support
- Inflammation patterns
- Wound healing and recovery support
- Post-surgical recovery nutrition
- Injury support and connective tissue health
- Cartilage and joint support
- Higher nutrient needs after surgery
- Protein guidance for muscle building and maintenance
- Micronutrient support for bone, joint, and connective tissue health
- Supplementation and diet guidance (as appropriate)
Insurance & Support
We’re currently accepting: Blue Cross Blue Shield, UnitedHealthcare, Aetna, and CareFirst Maryland for nutritional counseling.
Need help verifying benefits? Contact our Middletown office at 302-828-0048. (More carriers may be added soon.)
“My passion is to help clients feel comfortable in their bodies through nutrition and discover the endless possibilities nutrition and holistic health can offer.”
Personalized Nutrition Support with Sarah Bridge, CNS, LDN, MS
Ready to feel better but not sure where to begin? Schedule a one-on-one consultation with First State’s licensed nutritionist, Sarah Bridge, and discover how small, sustainable changes to your diet, lifestyle, and mindset can lead to meaningful improvements in your health. Sarah takes a personalized, practical approach—meeting you where you are and helping you build habits that actually stick. Whether your goal is more energy, better digestion, weight management, or long-term wellness, expert guidance can make all the difference.
Contact us today to schedule your free 15-minute nutrition consult over the phone. We can’t wait to hear from you!
