BetterByDesign Nutrition Ltd.

Registered Dietitian in Coquitlam - providing services across BC, Ontario, and Alberta

I am Joy Erdile (formerly Kiddie), and I am the lead Registered Dietitian at BetterByDesign Nutrition Ltd.  I have been supporting clients’ nutritional needs since 2008. I provide services in three core categories: Routine Health, Digestive Health, and Therapeutic Diets. I hold a postgraduate degree in Human Nutrition, and my published research was in mental health nutrition. In addition to years of delivering services from my Coquitlam office, I have provided virtual services for over a decade using a secure click-to-join telehealth portal. In addition to BC, I am licensed in Ontario and Alberta, and I provide evidence‑based, practical, easy-to-follow nutrition recommendations based on your individual needs. 

Highlights

• • Registered Dietitian in Coquitlam, providing secure virtual services across BC, Alberta, and Ontario
  • Core services include Routine Health, Digestive Health, and Therapeutic Diets, including ketogenic medical nutrition therapy (with medical oversight)
  • Customized Nutrition Package available for conditions not covered by existing packages, and clinical hourly services for Ehlers-Danlos Syndrome (hEDS), Mast Cell Activation Syndrome (MCAS), and Postural Orthostatic Tachycardia Syndrome (POTS)
  • Insurance-friendly pricing and billing practices
  • Average rating of 4.9/5 stars based on 84 Google reviews (as of November 2, 2025)
  • Encryption protection of personal and health information 
  • Use of a secure PIPEDA-compliant telehealth platform, no download or registration required

Three Core Specialties: Routine Health, Digestive Health, Therapeutic Diets

1. Routine Health Services

The heart of my practice, since opening 17 years ago, has been Routine Services available as packages and on an hourly basis.

Routine Nutrition Packages

Comprehensive Dietary Package is our basic package for healthy eating, weight management, as well as chronic disease management (type 2 diabetes, high blood pressure, high cholesterol, fatty liver).

Prenatal Nutrition Package provides three versions of a Meal Plan (one for each trimester) for women who are expecting a child.

Healthy Aging Package is for middle-aged and older adults to help them maintain their health as they age, including retaining their muscle and bone mass.

Routine Clinical Packages 

Polycystic Ovarian Syndrome (PCOS) Package is for women struggling with the symptoms of PCOS, with a focus on weight loss and lowering insulin resistance.

Menopause Management Package addresses the weight gain, sleep disruption, and varying mood that often accompany peri-menopause and menopause.

Hypothyroid Management Package provides dietary support for Hashimoto's disease and other types of hypothyroidism with a focus on weight loss and nutrients of importance in the conversion of thyroid hormones. 

Hourly Services 

Initial Hourly Consultation is a non-clinical appointment to meet, share goals and health background,  discuss various service options, and determine if we are a "good fit". Any remaining time in this appointment can be “banked” for future follow-up services after completing one of the packages.

Clinical Hourly Services is for clinical work on an hourly basis or for individual follow-up appointments.

Specialty Hourly Services are nutrition education sessions available on topics, including reducing constipation and hemorrhoids, functional dyspepsia, gastroesophageal reflux disorder (GERD) and acid reflux, gout, hiatus hernia, kidney stone diet, and macular degeneration.

Structure of Routine Packages

While each Routine Health package has a different clinical focus, the structure of services in each package is similar.

• • The first service in all Routine Health packages is an in-depth clinical assessment, which includes a personal and family medical history to assess risk factors, as well as the collection of detailed dietary and lifestyle information.

• • The second service in all Routine Health packages is the design of your individual Meal Plan, based on your specific goals related to the chosen package, risk factors, food preferences, and any religious, cultural, or ethical food restrictions.

• • The third service in all Routine Health packages is the Nutrition Education Session, which begins by reviewing any risk factors such as weight, waist circumference, or out-of-range lab test results. This is followed by detailed teaching of your Meal Plan, including serving sizes, number of portions, and how to make substitutions, and an outline of dietary and lifestyle recommendations based on your goals and risk factors. The session concludes by answering questions you may have.

• • The fourth service varies depending on the specific Routine Health package chosen.

Meal Plan Options 

Dietary patterns available include vegetarian, Mediterranean, or low-carb and keto (previously offered through a dedicated low-carb division), and all routine Meal Plans can be designed from an anti-inflammatory perspective, at no extra cost. 

2. Digestive Health Services:

I have over 15 years of experience supporting individuals with gut health and digestive issues, and I approach each person's needs and symptoms on an individual basis. In my experience, there's no one-size-fits-all approach. 

Digestive Health Packages Available

Irritable Bowel Syndrome (IBS) Package uses a review of a Time Food Time Symptom Journal to help determine which specific foods or food components contribute to symptoms.

Low FODMAP Diet Package systematically implements a low-FODMAP diet in three stages to eliminate only FODMAP foods that contribute to symptoms.

Inflammatory Bowel Disease (IBD) Package is for those newly diagnosed with Crohn’s disease or ulcerative colitis.  

Small Intestinal Bacterial Overgrowth (SIBO) Package provides dietary support while undergoing antimicrobial treatment.

Celiac Disease Management Package provides detailed teaching for those newly diagnosed with celiac disease, and those previously diagnosed who are unable to achieve a normal IgATTG test, or still experiencing symptoms. 

3. Therapeutic Diets – including ketogenic medical nutrition therapy

I have 8 years of clinical Dietitian experience designing 3:1 and 2:1 therapeutic ketogenic diets as medical nutrition therapy for physical and mental health conditions, with medical oversight.

3:1 Therapeutic Ketogenic Diet may be used as an adjunct treatment in specific physical conditions (seizure disorder, specific cancers), as well as specific mental health conditions, under a doctor’s supervision.

2:1 Therapeutic Ketogenic Diet may be used as an adjunct dietary treatment for other mental health conditions, under a doctor’s supervision.

The Customized Nutrition Package is designed for conditions not covered by existing packages.

Hourly Clinical Services are for dietary support for Ehlers-Danlos Syndrome – hypermobility subtype (hEDS), Mast Cell Activation Syndrome (MCAS), and Postural Orthostatic Tachycardia Syndrome (POTS), as well as other customized services. 

Learn about Therapeutic Diet services.

Multicultural Meal Plans

I specialize in multicultural Meal Plans and have in-depth knowledge of the food and cultural practices from many regions, including parts of Asia, South Asia, North and Central Africa, the Caribbean, the Middle East, the Balkans, and the Mediterranean.

Priced to Fit Within Most Extended Benefit Plans

All services continue to be priced at or below the Reasonable and Customary Fee Limits of five major extended benefit insurers in BC, as well as Alberta, and Ontario, where I am licensed.

 

Current average rating of 4.9 out of 5-star rating based on 84 Google reviews as of November 2, 2025.

Virtual Dietetic Practice - secure telehealth portal

 

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