Log daily. Takes 10 seconds.
Snap a photo of each meal in the Healthie app and tap how hungry you were before and how full you felt after. No calorie counting, no weighing food, no good or bad foods.
Plant-forward lifestyle medicine
Lose weight. Reverse diabetes, hypertension, and high cholesterolwith a nurse practitioner in your corner every week.
Health coaching and lifestyle medicine first — no calorie counting, no restriction. And if we decide together that a GLP-1 is right for you, I’ll prescribe it and support you every step of the way.
Telehealth for patients in Vermont · MA & CA coming soon · With or without medication
Board Certified
Nurse Practitioner
DipACLM
American College of Lifestyle Medicine
15+ Years
Clinical healthcare experience
Now Booking
1-to-1 patients in Vermont — MA & CA coming soon
Lifestyle first. Medication if and when it helps.
You know yourself best. — I partner with you; I don't lecture you.
Change is hard without support. — That's why we meet every week, not every few months.
Food and movement are powerful medicine. — So much can change with lifestyle alone. I've seen it again and again.
Medication is a tool, never a failure. — Life is busy and hard. If we decide together that a GLP-1 is the right approach, I'll prescribe it — and on medication, nutrition matters more than ever.
Your family history isn't your destiny. — Diabetes, high blood pressure, and obesity may run in your family, but they don't have to write your future.
Is this for you?
- You’ve tried everything and feel stuck. You’re my favorite people to work with. I believe in you, and I see you.
- You want to improve your weight and labs without starting medication.
- You don’t want to be on medication forever, or the cost isn’t realistic right now.
- You’re on a GLP-1, or considering one, and want real support with dosing, side effects, and nutrition.
- You care about protecting your muscle and energy, not just the number on the scale.
Real people, real results
I first started a plant-based diet under Deborah's guidance in December 2023. Although quite embarrassed and nervous because my A1C was well above seven, I was soon put at ease by Deborah's non-judgmental and supportive manner. Deborah provided community support, recipe suggestions, and other nutritional education.
With her help I was able to get and maintain my A1C under 5.7. Now I am no longer on diabetes or cholesterol medications.
A 42-year-old client followed a plant-forward, low-fat way of eating with daily photo food logging and weekly coaching calls — without medication.
In just three weeks, he:
- Lost 26.8 lbs
- Lowered his blood pressure from 160/90 to 122/85
- Brought his fasting blood sugar from 155 (diabetic range) to 75 (normal range)
- Improved his cholesterol and triglycerides enough to talk with his doctor about stopping his statin
- Did it all without counting calories and without exercise
“I can’t believe I lost this much weight without exercising.”
He had significant weight to lose and was incredibly dedicated and focused. Results this fast aren’t typical — for most people, slower, steady progress is what lasts. Individual results vary.
Individual results vary. Medication changes were made under medical supervision.
12-Week Plant-Forward Metabolic Reset
Weekly coaching with your nurse practitioner — with or without medication.
Most care gives you 15 minutes and a prescription every few months. Here, we look at your actual plate every single week.
- 60-minute first visit
- 11 weekly 20-minute coaching check-ins with me (video)
- Plate Check daily photo food journal with weekly review
- Weekday messaging (reply within one business day)
- Lab review at start and week 12
- GLP-1 prescribing and dose management, if we decide together it's right for you
With or without medication
Book a free 15-minute callMost people start with lifestyle change, and many reach their goals without medication. If we decide together that a GLP-1 is the right approach for you, I’ll prescribe it as part of your program, with no extra program fee. Your medication ships to your home, we do your first dose together on video (I walk you through the pen, the site, and the technique), and I manage every dose change at your weekly visit. On a GLP-1, nutrition matters more than ever — when you’re eating less, every bite needs to protect your muscle and fuel your body.
Every week, we go through your plate together.
Your 20-minute weekly video visit with me is part check-in, part coaching. We spot the patterns — the 3pm crash, the protein gap, the weekend drift — and pick one specific change for the week ahead.
The habits stack up.
Twelve weeks means twelve small changes that build on each other. That’s what keeps results going after the program, and after medication if you use it.
12-Week Plant-Forward Metabolic Reset
$1,350
or 3 monthly payments of $475
$995 for my first 10 patients.
Book a free 15-minute callAfter 12 weeks
Maintenance Membership
$179/month, cancel anytime.
Two 20-minute check-ins a month, Plate Check, messaging, and GLP-1 management if needed.
Book a free 15-minute callNot ready for 12 weeks?
Start with Labs + Review — $259
A full metabolic panel (CMP, CBC, A1c, fasting insulin, lipids, TSH, vitamin D, B12, and urine albumin/creatinine) ordered at cost, plus a 20-minute video visit to walk through your results together. Currently available to patients located in Vermont.
Ready for more? Join the 12-Week Plant-Forward Metabolic Reset at the founding rate.
Labs at cost, no markup, only if you need them
For program patients: Baseline Metabolic Panel $160 and Week-12 Recheck $86, at cost. Skip the baseline if you have recent labs from your PCP.
Baseline Metabolic Panel $160
CMP, A1c, fasting insulin, lipids, TSH, CBC, urine albumin-to-creatinine, B12, vitamin D.
Week-12 Recheck $86.
Skip the baseline if you have labs from the last 90 days.
Not ready for the program? Start with , with a 20-minute video visit to walk through your results together.
Medication, if used, is billed by the pharmacy.
I’ve been where you are — and I know the way through.
I help individuals lose weight, take control of their health, and reverse chronic diseases like diabetes and hypertension through healthy, sustainable lifestyle change.
I’m a Board-Certified Nurse Practitioner and a Diplomate of the American College of Lifestyle Medicine (DipACLM) with over 15 years of experience in healthcare.
My lifelong passion for helping people reach their health goals is rooted in my own childhood and adolescent weight struggles. I hold a bachelor’s degree in Kinesiology/Exercise Science, a second bachelor’s in Nursing, and a Master of Science in Nursing. My clinical background spans neurology, acute stroke, trauma, cardiology, geriatrics, primary care, lifestyle-focused cardiac rehabilitation, and psychiatry.
Throughout my career, my favorite thing has always been educating and empowering patients. From weekly one-to-one calls to practical meal ideas and community group support, I blend evidence-based guidance with down-to-earth support so you never feel alone on the path to better health. Together we’ll celebrate small wins, tackle roadblocks, and keep wellness feeling doable — and even fun.
Board-certified NPDipACLMPlant-based nutrition
You might be wondering…
Straight answers about diabetes remission, medications, and what coaching with me actually looks like. Still curious? Just book a free 15-minute call.
Yes — for many people. Remission means your A1c returns to a non-diabetic range without the need for diabetes medications. Research shows that intensive lifestyle change, especially a whole-food, plant-predominant diet and meaningful weight loss, can achieve remission in a meaningful share of people with type 2 diabetes. The 12-Week Plant-Forward Metabolic Reset is built around exactly this evidence. Your results depend on where you start, how long you’ve had diabetes, and how consistently you apply the changes — and we’ll track your labs together so you can see the progress.
No. Many of my patients improve their weight and labs with lifestyle change alone. If you're interested in medication, or we decide together it's the right approach, I can prescribe and manage a GLP-1 as part of your program. It's always your choice, and the coaching and lifestyle support continue either way.
Never on your own. Any change to your medications happens in partnership with you and, when needed, your prescribing provider. As your habits and numbers improve, we use your lab results to guide safe, gradual adjustments. Many of my patients do reduce or eliminate medications over time — but always carefully, clinically, and with monitoring. The goal is the lowest effective dose, not an abrupt stop.
No. The approach is plant-forward, not rigid. We focus on adding more whole, plant-based foods — vegetables, fruits, legumes, whole grains — rather than obsessing over what to cut out. You’ll learn budget-friendly swaps and cooking skills that make this doable and genuinely enjoyable, whatever your starting point.
That’s common, and the same lifestyle change helps. Plant-forward living also lowers blood pressure, improves cholesterol, supports weight loss, and reduces inflammation — so people with hypertension, heart disease, or metabolic concerns often see benefits across the board. My background spans cardiology, neurology, primary care, and lifestyle-focused cardiac rehab, so we take your full health picture into account.
Everything is one-to-one by telehealth. I'm currently seeing patients located in Vermont, with Massachusetts and California coming soon.
Have a question that isn’t here? Book a free 15-minute call and ask me directly.
Book your free 15-minute call
You’ll talk directly with me — Deborah Tenenbaum, NP, DipACLM.
- 1
Pick a time
No pressure, no commitment.
- 2
We decide together
Your goals, and whether to start with lifestyle alone or add medication.
- 3
Start your program
Your 60-minute first visit and first week of coaching.
Free15 min by videoVermont patients · MA & CA coming soon
Choose a time that works for you
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