First, let’s discuss the difference between a dietitian, a nutritionist, and a health coach. Although certification programs exist, anyone can call themselves a nutritionist or a health coach. That does not mean they cannot make a significant impact on your health, it simply means there is no standardized education, rigorous testing, certification, licensure by the state, or continuing education requirements. A registered dietitian has at minimum an undergraduate degree, and a postgraduate internship, has passed a national examination, maintains state licensure (for TX), and has mandatory continuing education hours. Only dietitians provide medical nutrition therapy.