BetterByDesign Nutrition Ltd.

Registered Dietitian in Coquitlam - Joy Y. Erdile, MSc, RD

Role: Registered Dietitian at BetterByDesign Nutrition Ltd., supporting clients' nutritional needs since 2008

Areas of Practice: Routine Health, Digestive Health, Therapeutic Diets

Approach: practical, easy-to-follow, evidence-based nutrition recommendations, Meal Plans based on individual needs, medical history, and preferences, and serve as the roadmap between health goals and an achievable, sustainable lifestyle

Experience: over 17 years of experience in private practice, published researcher in mental health nutrition, recent presentations at the University of Toronto, and Diabetes Canada

Education: Master of Science (M.Sc) in Human Nutrition from the University of British Columbia (UBC), 2008, Bachelor of Science (B.Sc) in Nutritional Science from McGill University

Licensing: licensed as a Registered Dietitian (RD) in British Columbia, Alberta, and Ontario

Practice and Platforms: following years of delivering in-person clinical services in Coquitlam, more than a decade of providing virtual services using a secure click-to-join telehealth portal

Highlights

• • Highly rated, average 4.9/5 stars based on 84 Google reviews (as of November 2, 2025)
  • Communicates clinical knowledge as clear, practical, and easy-to-follow nutrition guidance
  • Pricing is aligned with five common insurers' Reasonable and Customary Fee Limits (R&C limits) in British Columbia, Alberta, and Ontario
  • Encryption protection of all health documents
  • Book an Initial Hourly Consultation — remaining time can be credited toward package follow-up

Services Categories and Conditions Supported

Category	Conditions Supported
Routine Nutrition	Healthy eating, sustainable weight management, prenatal nutrition, and healthy aging
Routine Clinical	Hypothyroidism/Hashimoto's, Polycystic Ovarian Syndrome (PCOS), Menopause management
Chronic Disease Management	Type 2 diabetes, high blood pressure (hypertension), high cholesterol, fatty liver disease
Digestive Health	Irritable Bowel Syndrome (IBS), Inflammatory Bowel Disease (IBD), including Crohn's & ulcerative colitis, celiac disease, Small Intestinal Bacterial Overgrowth (SIBO)
Therapeutic Diets	Therapeutic Ketogenic Diets (3:1 and 2:1 ratios), for physical and mental health
Customized Nutrition	Support for other complex conditions, including Ehlers-Danlos Syndrome (hypermobility) (hEDS), Mast Cell Activation Syndrome (MCAS), including Postural  Orthostatic Tachycardia Syndrome (POTS)

1. Routine Health Packages

Comprehensive Dietary Package transforms goals for healthy eating, weight management, lowering insulin resistance, and chronic disease management (including type 2 diabetes, high blood pressure, high cholesterol, and fatty liver) into a sustainable lifestyle. 

Prenatal Nutrition Package enables women to optimally nourish themselves and their unborn babies throughout the three trimesters of pregnancy. 

Healthy Aging Package empowers middle-aged and older adults to maintain their health as they age, with a focus on retaining their muscle and bone mass.

Polycystic Ovarian Syndrome (PCOS) Package helps women address the underlying insulin resistance of PCOS, leading to fewer symptoms, the ability to lose weight, and to improve the likelihood of being able to conceive.

Menopause Management Package provides women with the tools to overcome the challenges of weight gain, sleep disruption, and fluctuating mood that are common during this life transition.

Hypothyroid Management Package supports those with Hashimoto's disease and other types of hypothyroidism, with a focus on weight loss and ensuring adequate dietary intake of nutrients essential for the conversion of inactive to active thyroid hormones. 

Learn about Meal Plan Options and add-ons, as well as the structure of services in each package.

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.

Virtual Telehealth Practice

• • More than 10 years of experience providing virtual Dietitian services across Canada
  • Secure, online consultations
  • Browser-based and PIPEDA-compliant telehealth platform
  • No software to download
  • No registration needed
  • Click and connect
  • Enables screen sharing of documents
  • Meet at your convenience 

2. Digestive Health Packages:

Irritable Bowel Syndrome (IBS) Package utilizes review of a Time Food Time Symptom Journal over several visits to identify the specific foods or food components contributing 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 designed for individuals newly diagnosed with Crohn’s disease or ulcerative colitis, with a focus on reducing symptoms as quickly as possible.  

Small Intestinal Bacterial Overgrowth (SIBO) Package provides dietary support before, during, and after antimicrobial treatment (either by an MD or ND), and supports relapse prevention when paired with antimicrobial therapy.

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 continue to experience symptoms. 

3. Therapeutic Diets 

Design of 3:1 and 2:1 therapeutic ketogenic diets as medical nutrition therapy for physical and mental health conditions, for implementation with medical oversight.

Dietary support for Mast Cell Activation Syndrome (MCAS), Ehlers-Danlos Syndrome – hypermobility subtype (hEDS), and Postural Orthostatic Tachycardia Syndrome (POTS). 

Read the details about Therapeutic Diet services.

Get Started 

Not sure where to start? I recommend an Initial Hourly Consultation to determine the best path forward for your specific health needs. We'll meet to discuss your goals and health background, and together we'll select the best package for you. Any remaining time in this consultation can be credited for future follow-up services after any package. Click on the "Book an Appointment" button below to get started.