Figure 1.

Adoption of healthful nutrition is a shared decision process between clinician and patient, with priorities based upon evidence-based dietary patterns, nutrition goals, cultural applicability, cost, and availability. While potentially counterintuive, patient preference is not consistently associated with improved health outcomes when implemeting medical nutrition therapy [17], [18], [19]. Healthful food choices made after medical nutrition therapy may differ from “preferred” food choices made before medical nutrition therapy.