Free 15-Minute Discovery Call
Free
Brief call to discuss your GI history, goals, and whether the three-phase model is a fit. No obligation.

Clinical nutrition for complex GI โ SIBO, IBS, and low-FODMAP care
Chicago, ILEst. 20184.9โ (41 reviews)
Clinical focus
About the practice
Marsh Clinical Nutrition is a Chicago-based private practice led by Elena Marsh, RDN, focused on complex gastrointestinal conditions that rarely resolve in a single short appointment.
Elena works with adults managing SIBO, IBS, food sensitivities, and post-treatment GI recovery โ combining lab review, symptom mapping, and phased protocol design so clients know what to do between visits, not just what to avoid.
Sessions are available in River North and via secure telehealth throughout Illinois. The practice integrates with Practice Better for scheduling and uses a structured three-phase care model built for continuity, not one-page handouts.
I spent three years in clinical research before moving to private practice, specifically because patients with complex GI needs were not getting the time they needed. Fifteen-minute consults could list restrictions, but they could not hold the full picture โ breath test results, medication timing, reintroduction schedules, and the anxiety that builds when every meal feels like a gamble. I built Marsh Clinical Nutrition to provide the deep-dive support those patients were missing: enough continuity to run a real SIBO protocol, adjust when symptoms flare, and land in a maintenance plan that feels sustainable. That is the work I care about most.
Care pathway
Built for adults who need more than a one-page handout โ assessment, protocol design, and maintenance.
Phase 1
90 minutes
90-minute intake: GI history, symptom timeline, existing labs or breath-test results, and a clear picture of what has already been tried.
Phase 2
Weeks 2โ8 typical
SIBO or low-FODMAP protocol tailored to your schedule, medications, and tolerance โ with concrete weekly targets, not vague advice.
Phase 3
Ongoing support
Reintroduction, flare planning, travel and dining strategies, and a sustainable long-term plan that holds after active treatment.
Credentials
Medical nutrition therapy may be covered by major Illinois plans when a physician referral is on file โ verify eligibility before booking.
Services & packages
Free
Brief call to discuss your GI history, goals, and whether the three-phase model is a fit. No obligation.
$210
Deep-dive intake with symptom timeline, lab and breath-test review, and a phased care plan.
$155
Protocol adjustments, symptom review, meal planning, and medication-timing coordination.
$425
Structured elimination, symptom tracking, and guided reintroduction with check-ins.
$780
Full elimination-to-maintenance pathway with flare protocols and dining-out strategies.
$125
Standalone review of SIBO breath tests, stool panels, or prior GI work โ with written summary.
$165
Insulin resistance, cycle-aware meal planning, and GI overlap when hormones and gut intersect.
$165
Kidney-conscious nutrition that still respects complex GI restrictions and palatability.
$140
Secure video session for clients who prefer remote care or need between-visit check-ins.
$155
Long-term stabilization, travel and dining strategies, and relapse prevention after active treatment.
Your dietitian

Registered Dietitian Nutritionist
Elena is a Registered Dietitian Nutritionist specializing in complex GI conditions, SIBO protocols, and low-FODMAP transitions. She spent three years in clinical research before opening Marsh Clinical Nutrition in River North.
Her work focuses on adults who need more than a one-page handout โ breath test interpretation, phased elimination and reintroduction, medication timing, and maintenance plans that hold after active treatment. Sessions are collaborative and paced to your tolerance, not a rigid template.
Elena sees clients in person in Chicago and via secure telehealth throughout Illinois.
Patient education
Why complex GI conditions need phased care โ assessment, protocol design, and maintenance โ not a single visit.
A structured way to add foods back when every meal has felt like a gamble.
How medical nutrition therapy complements gastroenterology care for IBS and SIBO.
Client voices
โFinally someone who understands SIBO โ the phased protocol and maintenance plan made all the difference.โ
โThorough, collaborative, and never rushed. Telehealth sessions were as detailed as in-person.โ
โClear next steps after every visit. The low-FODMAP guidance was practical and sustainable.โ
Practice








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230 East Ohio Street, Chicago, IL 60611
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