image hero banner

Today @ MAND – Graduation time

May 19th, 2021

The end of May is always exciting for students. Graduation is finally here and many are starting to plan their next steps with either internships, graduate school or jobs. Toni Tirozzi from Central Mass Dietetic Association’s (CMDA) and a student at Framingham State University might already be ahead of this process, but we are excited to read below her review from a seminar in mid-April.

Seminar Review: Nutrition 101 for Thyroid Conditions: What Every RD Should Know hosted by CMDA

Article written by Toni Tirozzi

A 28-year-old female, one year post a total thyroidectomy, goes to a dietitian for insidious weight gain. Despite rigorous physical activity and a decreasing caloric intake, anxiety and difficulty sleeping, being prescribed diverse medications by physicians, and transferred to an endocrinologist, there seems to be no budge with her body. She decided to take matters into her own hands and scoured popular literature, reviewing several research methods and treatment plans, to try to find a glimmer of hope. Three years later, she built enough information and drafted a colleague physician to build a specialized treatment plan. Seven years later, she got her body back.

Nicole Anziani, Registered Dietitian and Certified Diabetes Care and Education Specialist shared how her own experiences led her to specializing in the management of thyroid conditions with the hope of preventing other patients from experiencing a similar occurrence.  

Society’s idea that if one eats healthy and is physically active, there should be no disconnect with the body. Yet, this is not always the case. There is a vast importance as a dietitian in understanding the sensitive effects the thyroid can have on one’s body. Learning to assess biochemical labs and being attuned to the role of the thyroid in the body can help the dietitian gain knowledge and awareness, and the patient feel like there is a supportive, well-informed, and wise ally on their side.

Anziani addressed some challenges to treatment based on labs and the controversy with non-normative TSH levels, how medications, both generic and brand name, can affect the body differently, along with being attentive to signs and symptoms. She described differences in treatment plans between hypothyroidism and hyperthyroidism, along with a key feature on the etiology of thyroid cancer. Anziani stressed the value of having an open mind and thinking outside the box. A dietitian’s most powerful tool is being able to personalize a plan and all the while are guided by evidence-based practice and guidelines. 

Anziani had a plethora of knowledge and guidance she was eager to share. Her presentation was informative and engaging and could clearly hear in her voice the empathy and compassion she had towards promoting awareness in thyroid conditions. For more information, check out Anziani’s book, The Health Professional’s Guide to Nutrition Management of Thyroid Disease; the first peer-reviewed, American Thyroid Association physician-reviewed, and evidence-based practice guidebook to instruct dietitians and allied healthcare professionals on MNT for thyroid disease, published by the Academy of Nutrition and Dietetics in 2020. The book is available from and Follow Nicole on Instagram @thyroidnutritionist:

Toni Tirozzi, Framingham State University Student, Major: Food and Nutrition Minor: Public Health. Her goals include one day becoming a Registered Dietitian Nutritionist with a focus in Pediatric and Community Nutrition and starting a community garden.


Have you thought about posting to the blog, but don’t know what you could contribute? 

 At MAND we welcome anything from recipes, your personal update, interesting research articles (almost a mini lit review), pictures from events, podcasts people have been listening to, etc. Just include any resources. Make sure to include your very favorite photo!

Send us an email:

Please note we check this email about 1-2 times each week. We receive many submissions, but will do our best to reply to each request.

Disclaimer of Liability: The Massachusetts Academy of Nutrition and Dietetics’ Blog strives to provide evidence-based nutrition information. Nothing on this website, its associated blog, or any social media channels should be considered advice or diagnosis. The content is for educational purposes only and not a substitute for personal, professional medical care or diagnosis. MAND does not endorse any products or services mentioned. You are urged to consult your primary care provider regarding any health condition or issue. MAND is not responsible for the content or claims of third party websites or providers.

Posted by: Maureen Kelly Gonsalves

Comments (0)

Comments are closed.

image user

President's Welcome

Hi fellow RDs,

Your Academy membership opens doors and unlocks your potential. Renew your Academy membership before May 31st and receive a multitude of benefits  ranging from at least 24 CEUs to a variety of evidence-based resources.

Did you know that:

  1. The deadline for membership renewal is May 31stso make haste and renew!
  2. If you are a new grad or at the beginning of your career you may be eligible for a discount in the first five years of membership?
  3. There are discounts for employers who pay for multiple memberships not to mention these nifty talking points to convince your employers to pay for your membership?
  4. If cost is an issue, visit the membership due FAQsto learn more about your membership dues payment options, including how to sign up for installment payments, financial hardship assistance. 

So, renew today, and get a load of the value of membership

Please contact Sangeeta Pradhan, MAND President for any questions: or Maureen Gonsalves, DO at


The MAND EC team

image calendar


  • There are no meetings or events posted at this time.
image case


Clinical Dietitian To provide complete nutritional care of high priority and at-risk patients, in the inpatient setting, based on preceding nutritional assessment and work cooperatively with representatives from other.. Read more >

Dietitian The Dietitian is responsible for implementing the overall nutrition program for the Elder Service Plan (ESP) and assists the Dietitian Manager to ensure that the nutrition programs are in compliance.. Read more >

Funded MS or PhD Graduate student Fully funded graduate assistantships for RDNs or RDN-eligible students in a full-time MS or PhD program in Health Promotion Sciences beginning fall 2024 at the University of Connecticut. Successful.. Read more >

image list

MDEF Scholarships

For 2024, MDEF will be giving out two MDEF scholarships and one MDEF Inclusion, Diversity, Equity, and Access (IDEA) scholarship to deserving nutrition students, each in the amount of $1500. Please pass along to any nutrition students or interns who may be eligible to apply!

All applications are due by May 31st