Our Services

Susan Wyler, MPH, RD, LDN

Wyler Nutritional Wellness, LLC, is dedicated to providing individualized dietary counseling that supports good health and medical nutrition therapy that addresses a range of chronic problems.  

We begin by listening, because we believe each patient is unique.  After examination of recent medical reports and labs results, we take a dietary recall in the office. We take note of all your supplements and medications. At home, we have you enter a detailed multi-day food diary into our sophisticated software program. The computer-generated reports give us a great deal of information not only about calories and protein, but which vitamins, minerals, and trace elements are being taken in and at what level.

If we decide further testing is needed to examine whether these nutrients are being absorbed, we have an on-premise Quest laboratory at Chapel Hill Doctors Integrative Health Center to turn to. If we suspect a medical issue, there are physicians on site, or we are happy to work with your own doctor.

Once we establish a diagnosis and plan, we provide individualized dietary programs along with enticing original recipes where needed. Satisfaction and wellness along with healthier, pleasing ways of eating are our goals; you will not experience deprivation or hunger, which are counter-productive.

It usually takes two to three visits to provide a diagnosis and treatment plan. Physical activity and stress reduction are also important parts of good nutrition and wellness. Studies have shown that obesity and diabetes respond better to ongoing, intensive coaching. For these patients, we encourage more frequent visits and offer a sliding scale to make it manageable.

Basic Wellness

Almost everyone who enters the office thinks they eat healthy, but there are many misconceptions about what nutrients are in which foods, how much you need of a particular nutrient, what constitutes a food allergy, and the specialized needs of certain chronic illnesses. Activity and stress levels are also highly correlated with health.

Savvy younger clients come to us because they know that the earlier wellness practices begin, the longer they last and the more potent they can be in warding off the chronic diseases of older age.  We are happy to work with anyone who wants to fine-tune their diet and investigate any other ways of improving their health naturally.  Building a strong nutritional base is a great way to avoid problems later.

Healthy Aging


Aside from all the chronic diseases that tend to show themselves as we mature—diabetes, hypertension, cardiovascular disease, cancer-- anyone over 40 has to concerned about weakening of bones and retaining lean muscle mass. Healthy aging means you do all you can to remain upright, active, and vital until the day you drop.  You engage in all the activities you wish, including an active a sex life if you so desire, retain keen mental function, and stay engaged with your community. No excuses because of a simple number.

I often tell patients I look and feel ten years younger than I did eight years ago.  And it’s true, because that’s when I discovered the power of nutrition and what a difference it can make in your well being over time. It’s never too late. We probably have the biggest potential to make helpful changes between 50 and 70.

As we mature, our nutritional needs change. We don’t need the same amounts of vitamins and minerals we needed when we were younger. We require more of some and less of others. Our needs for physical activity do not go away, but moderate movement and attention to balance and flexibility are essential.  Some of the services for healthy aging we offers are:

  • Computerized dietary analysis

  • Individualized dietary plans with recommended supplements if needed

  • Osteoporosis prevention

  • Vitality program

  • Falls prevention

  • Hidden food allergy testing

In addition, the Center has on site licensed acupuncturists, therapeutic massage therapists, primary care doctors, an ophthalmologist, and a Quest lab.


Obesity We have had spectacular results with our weight loss program.  Though as I say to all my patients:  “ I don’t counsel for weight loss; I teach how to eat a healthy diet, and the weight will follow.” Take a peak at our testimonial page to see the comments of just a few of our success stories.

I give all the credit to my patients, but often they’ve previously tried numerous diets and weight loss plans, which have not been effective. What makes the difference in our program is a comprehensive approach to wellness and individually tailored eating plans, which emphasize vegetables, fruits, and whole grains.

 When a person is overweight or obese, they are almost always undernourished at the same time.  Usually, they’re not getting all the vitamins, minerals, fiber, and trace elements they need. And they are heavy despite the fact that they are often eating very little food.  

Our program puts everything in balance. After a detailed dietary analysis, we begin with a three-week hypoallergenic, alkaline diet that detoxifies while it regulates metabolism and jump-starts weight loss. Depending upon the response to this diet, we may test for hidden food allergies or gradually reintroduce each allergenic food to see if there is a reaction. This leads to an individualized maintenance diet, which retains all the good features of the cleansing program but allows more liberal meals.  Deprivation is never encouraged; we strive for long, slow weight loss.  Tasty recipes are supplied where needed. You end up with a healthy way of eating for life.

Our program involves:

  • Clinical exam and 24-hour recall

  • Detailed computer analysis of food diary

  • Alkalizing detoxifying diet that jump-starts weight loss

  • Hidden food allergy testing where needed

  • Individualized maintenance diet with original recipes

  • Schedule of essential supplements based on laboratory tests, if needed

  • Physical activity and stress reduction counseling

Weight Gain

People suffering from catabolic diseases like cancer and COPD often need help maintaining their weight or gaining needed pounds to support their musculature.  Fear of food, instilled by the media and many well-meaning but unscientific sources, often lead people to give up foods indiscriminately for fear of hidden food allergies, which may or may not be there. They lose too much weight and are often malnourished.  We work with you individually  to tease out the puzzle, identify which foods you can tolerate, and find a way of eating that works for you.

Diabetes, Pre-Diabetes and Blood Sugar Control

One of my greatest joys is seeing a patient who has been diagnosed by their physician as “pre-diabetic” devote themselves to improving their health and reverse the course completely.  For many, controlling blood sugar leads to weight loss, so there is double benefit.

With type 2 diabetes, appropriate diet and moderate physical activity can greatly lower A1C and reduce the risk of the vascular complications that often accompany this potentially destructive disease. In fact, a landmark study showed that diet, exercise, and intensive counseling together were more effective at controlling blood sugar than Metformin alone.

We offer a complete diabetes education program and a sliding scale for patients who wish to return for counseling on a regular basis.

Food Allergies and Intolerances

Hidden food allergies like at the heart of much inflammation and contribute to fatigue and as well as a weakening of the immune system. Many people are not even aware they might have a slow-acting food allergy, or intolerance that accounts for many of their symptoms.  Other believe they have multiple food allergies and take major food groups out of their diet without compensating, which can result in malnutrition.

We take the guesswork out of food allergies with a comprehensive program of either laboratory testing and/or a highly effective elimination diet.