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Meet Rachel Caine, MS, RDN, LDN

I didn't become a dietitian and then suddenly have food all figured out.

I'm Rachel, a registered dietitian nutritionist, and the founder of Trefo Nutrition.

Meet Rachel Caine, MS, RDN, LDN

I didn't become a dietitian and then suddenly have food all figured out.

I'm Rachel, a registered dietitian nutritionist, and the founder of Trefo Nutrition.

For a long time, I thought being "healthy" meant doing everything right. Eating the "right" foods, exercising enough, being disciplined. I paid close attention to my body—mostly so I could monitor it, manage it, and change it.

I absorbed the message that caring for my body and controlling my body were the same thing. They aren't.

My own relationship with food, movement, and my body has changed enormously over the years. I've had to examine how diet culture, disordered eating and movement, and my own life experiences shaped how I learned to relate to myself. I've learned that knowing a lot about nutrition doesn't automatically create a peaceful relationship with food—and that a behavior that looks "healthy" from the outside can come from a very different place underneath.

That evolution has profoundly shaped the dietitian I am today.

Why I do this work

People rarely arrive in a session with me because they simply need more nutrition information. Most have already spent years collecting it.

They've read the books, followed the plans, tracked the food and macros, tried to exercise consistently, taken different supplements, Googled the symptoms, learned about protein and fiber, and accumulated an impressive list of things they think they should be doing.

What they're often looking for is a way to care for themselves without spending so much of their lives managing themselves and thinking about it.

That's the work I'm interested in. I want to help people understand nutrition while also becoming more curious about the relationships they have with food, movement, their bodies, and themselves.

This can look like a lot of different things, but it sometimes includes learning to recognize hunger again, learning to eat enough, making food easier within the context of your life, figuring out how to manage a GI condition without creating an increasingly restrictive diet, untangling exercise from guilt, and holding space for grief around our body.

I don't believe the goal is to become perfectly intuitive, perfectly embodied, or perfectly accepting of your body. There is no “perfect” when it comes to bodies and health, and so the work is much more human than that.

It's learning to listen.

To get curious.

To recognize what you need.

And, little by little, to trust yourself enough to respond.

Why I do this work

People rarely arrive in a session with me because they simply need more nutrition information. Most have already spent years collecting it.

They've read the books, followed the plans, tracked the food and macros, tried to exercise consistently, taken different supplements, Googled the symptoms, learned about protein and fiber, and accumulated an impressive list of things they think they should be doing.

What they're often looking for is a way to care for themselves without spending so much of their lives managing themselves and thinking about it.

That's the work I'm interested in. I want to help people understand nutrition while also becoming more curious about the relationships they have with food, movement, their bodies, and themselves.

This can look like a lot of different things, but it sometimes includes learning to recognize hunger again, learning to eat enough, making food easier within the context of your life, figuring out how to manage a GI condition without creating an increasingly restrictive diet, untangling exercise from guilt, and holding space for grief around our body.

I don't believe the goal is to become perfectly intuitive, perfectly embodied, or perfectly accepting of your body. There is no “perfect” when it comes to bodies and health, and so the work is much more human than that.

It's learning to listen.

To get curious.

To recognize what you need.

And, little by little, to trust yourself enough to respond.

My Approach

Nutrition care that makes room for the whole person.

My work is trauma-informed, weight-inclusive, and aligned with the principles of Health at Every Size® and Intuitive Eating.

That means we can talk about nutrition without assuming weight loss needs to be the goal, we can care about your health without treating your body like a problem to solve and we can work with medical conditions without losing sight of your relationship with food and your body.

Your mental health matters. Your history matters. Your culture matters. Your finances matter. Your schedule, sensory preferences, executive functioning, caregiving responsibilities, access to food, stress levels, how you sleep, relationships, and capacity all matter.

I don't prescribe restrictive diets for the purpose of manipulating body size. When therapeutic nutrition interventions are appropriate for a medical condition, we'll approach them thoughtfully and collaboratively, considering both potential benefit and the impact they may have on your relationship with food and your quality of life.

I also don't believe that "listen to your body" is always a useful starting point.

For some people, body signals have been ignored, overridden, mistrusted, or difficult to access for a very long time. Trauma, neurodivergence, chronic dieting, eating disorders, medications, illness, and stress can all affect our ability to notice and interpret what is happening inside us. We begin with safety, consistency, structure, and curiosity so we can build interoceptive awareness and body trust from there.

Rachel at laptop

About the Practice

Education & Training

Rachel Caine, MS, RDN, LDN

  • Master of Science (MS) from Simmons University
  • Registered Dietitian Nutritionist (RDN)
  • Licensed Dietitian Nutritionist (LDN), Massachusetts, Georgia, Florida
  • Body Trust® Provider in training with Hilary Kinavey, MS, LPC, and Dana Sturtevant, MS, RD

Practical Information

Trefo Nutrition is based in Watertown, Massachusetts, with virtual individual nutrition counseling available throughout Massachusetts, Georgia, and Florida.

Individual counseling is currently in-network with Blue Cross Blue Shield, Harvard Pilgrim Health Care, Aetna, and Mass General Brigham Health Plan. Private-pay and out-of-network options are also available.

A Little More About Me

I believe our bodies are meant to be places where we live our lives—not lifelong projects we're responsible for perfecting.

Outside of work, I'm a runner, newbie scuba diver, a strength-training enthusiast, a writer, and a mom. I love movement, but these days I'm much more interested in how it makes me feel than what it can prove about me. I value good food, adventure, pleasure, curiosity, rest, connection, and the continually evolving practice of learning how to inhabit my own life (and body!) more fully.

I'm not standing on the other side of this work telling people how to arrive.

I'm in it, too.

And I think that matters.

A Little More About Me

I believe our bodies are meant to be places where we live our lives—not lifelong projects we're responsible for perfecting.

Outside of work, I'm a runner, newbie scuba diver, a strength-training enthusiast, a writer, and a mom. I love movement, but these days I'm much more interested in how it makes me feel than what it can prove about me. I value good food, adventure, pleasure, curiosity, rest, connection, and the continually evolving practice of learning how to inhabit my own life (and body!) more fully.

I'm not standing on the other side of this work telling people how to arrive.

I'm in it, too.

And I think that matters.

Ready to work together?

You don't need to know exactly what you need before we talk.

A free introductory call gives us a chance to chat about what brings you here, answer your questions, and see whether working together feels like a good fit.

Book a Free Intro Call