Gender-Affirming Nourishment: Eating disorder, nutrition care for transgender, nonbinary, and gender-expansive clients

Gender dysphoria deserves affirmation. Disordered eating deserves treatment. You don't have to decide which one is "real" first. Most clinical resources force a choice: treat the eating disorder, or address gender-related distress, as if only one can be true at a time. Gender-Affirming Nourishment was built on the opposite premise - that a registered dietitian doesn't need to resolve which one is driving a client's behavior before treating it. This is a working clinical reference, not a theoretical overview. Inside: A six-step clinical framework that runs underneath every tool in the book - medical safety first, then affirming the experience, classifying the strategy (not the identity), and knowing exactly who owns the next piece of care. Two full clinician-reference sections covering GAHT-related nutrition considerations, lab interpretation for patients on hormone therapy, bone health, menstrual and reproductive care, surgical nutrition, binding and tucking, higher levels of care, adolescents and caregivers, trauma-informed practice, access and resource constraints, and neurodivergence - each grounded in cited literature, with evidence gaps named as gaps rather than smoothed over. A comprehensive intake and assessment tool with a separate clinician interpretation guide. Three additional clinical tools: a Function-of-the-Behavior formulation sheet, a Gender-Affirming Recovery Environment Audit, and a Care-Coordination Matrix for multidisciplinary teams. A six-session group facilitation curriculum for running affirming groups across gender and sexuality. Eleven copy-ready client handouts - each clearly labeled and ready to photocopy for clients, covering topics from body checking and binder-related eating discomfort to surgery planning and a relapse early-warning plan. Throughout, the book holds a consistent, weight-inclusive stance: no calorie counts or weight targets handed to clients on a page, no assumption that a smaller or more "passing" body is a valid treatment goal, and a clear line between what's within an RD's scope and what belongs to a therapist, prescriber, or surgical team. Written for: registered dietitians, nutrition students, and treatment teams working in outpatient, IOP, PHP, or residential eating-disorder care with transgender, nonbinary, and gender-expansive clients. Educational and reference material. Not a substitute for individualized treatment or for training in transgender health.