Location: Based in beautiful Waco, Texas, serving clients across the state via virtual care, and select states (Oregon and Washington) via telehealth depending on licensure requirements in that particular state.
About Spainhour Nutrition Therapy
Nutrition care grounded in science—and centered on you.
Spainhour Nutrition Therapy is led by Stephani Spainhour, MS, RDN, LD—a clinical Dietitian with experience in hospital, outpatient, and research settings. Her work bridges evidence-based medical nutrition therapy with compassionate, and individualized care, so you can feel confident that your treatment plan is both scientifically backed and truly sustainable for you.
Stephani received her Bachelor's degree in Nutrition and Dietetics, as well as her Master's in Nutrition and Dietetics from Texas Tech University. While at TTU, Stephani participated in nutrition related research, focusing on Nutrigenomics, furthering her understanding of the delicate balance between nutrition and physiology. She completed her rigorous, clinically focused Dietetic Internship at Texas A&M University (Gig em, Aggies!).
Major Clinical Focuses
Stephani’s clinical focus includes chronic disease states requiring medical nutrition therapy, such as:
Gastrointestinal diseases/disorders (IBD like Chron's or Ulcerative colitis, liver disease such as NAFLD or cirrhosis, celiac disease, and EoE Eosinophilic Esophagitis)
Malnutrition that stems from a variety of causes
Disordered eating patterns and nutrition concerns related to mental health
Dabetes, kidney disease, and heart health.
She partners closely with your existing care team—physicians, therapists, and specialists—to ensure your nutrition plan supports the whole picture of your health. This is NOT an all-inclusive list.
IMPORTANT: If you have concerns for eating disorders, or have a current active diagnosis of an eating disorder, interdisciplinary approach is pivotal to long term success. If you do not have a PCP (primary care physician) AND a mental health provider, please let me know in the intake. I want to do my absolute best in providing ethical and well-rounded care. Referral to alternate/other providers is necessary for these conditions.
Mission & Values
Science-led. Tailored for you.
Rooted in partnership.
Spainhour Nutrition Therapy exists to provide evidence-based, weight-inclusive, nutrition care for people navigating complex health conditions. Stephani’s mission is to help you move away from confusion, fear, and conflicting advice—and toward clarity, confidence, and sustainable change that lasts through your life and as you change.
Evidence over trends
Your care is grounded in peer-reviewed research, clinical guidelines, and years of real-world practice—not in fad diets or one-size-fits-all protocols. Stephani continually updates her approach as the science evolves.
Collaborative, not prescriptive
You bring your lived experience, values, and goals. Stephani brings her clinical training and a structured process. Together, you co-create a plan that feels realistic and respectful of your bandwidth, culture, and preferences.
Inclusive, well-rounded care
Food is never just food. Stephani acknowledges the impact of weight stigma, medical trauma, and past dieting/wellness experiences. Sessions move at a pace that feels safe, with room for nuance, flexibility and complexity.
How We Work Together
A structured, supportive process.
Every client journey is individualized, but most care at Spainhour Nutrition Therapy follows a clear, collaborative structure:
Comprehensive assessment – medical history, labs, medications, symptoms, relationship with food, and your priorities.
Collaborative goal-setting – defining what meaningful change looks like for you, in your current season of life.
Tailored care plan – nutrition interventions, education, and tools designed around your diagnosis, preferences, and capacity.
Ongoing adjustments – regular follow-ups to track progress, troubleshoot barriers, and adapt as your health evolves.
A Note from Stephani
You are more than a diagnosis or a lab value.
"I started Spainhour Nutrition Therapy because I saw the gap between what we know from research and what many people actually receive in nutrition care. Too often, patients are given generic handouts, oversimplified advice, or rigid plans that don’t account for their lived realities.
My goal is to create a space where your medical history, your relationship with food, your culture, your support system, and your nervous system all matter. Where we can talk honestly about what’s realistic, what feels supportive, and what you’re ready for right now.
If you’re feeling overwhelmed by conflicting nutrition advice or discouraged by past experiences with healthcare, you’re not alone—and you’re not behind. We’ll start exactly where you are and move forward together.
With care,
Stephani Spainhour, MS, RD, LD
Spainhour Nutrition Therapy
Medical nutrition therapy for adults managing complex health conditions, delivered virtually with evidence-based care.
Licensure
Texas & Oregon
Washington Pending
Telehealth-only practice. Please confirm eligibility at scheduling.
Connect
[email protected]
Social media links coming soon.
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