Start Feeling Better with Nutrition + Health Coaching
A clinical nutrition and health coaching program for an effective, clear path towards better health.
Nourish your body with a customized approach.
We understand how frustrating it is when you're feeling sick and can't find relief. Maybe you feel like you’ve tried everything, but nothing feels like it’s working. Maybe you haven't felt truly listened to or respected on your knowledge about your own body.
Now, you’re looking for support that understands, respects, and adapts to your body's unique needs. You want someone to take the reins and guide you on your healing journey, offering a strategic plan and customized, responsive guidance and coaching.
We look for underlying root causes of your symptoms, and we work with you to create a personalized plan using a caring, science-based, holistic approach.
Whether you've been dealing with chronic illness for a long time or you simply want to improve your already healthy lifestyle, we’re here to partner with you and help you improve your overall health.
Our team specializes in working with folks with chronic illness:
Autoimmune Conditions
Gut & Digestive Issues
Fatigue & Low Energy
Stress, Sleep & Nervous System
Hormone & Cycle Changes
Blood Sugar & Metabolism
Our Process
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Fill out an application and book a free discovery call. The application helps us understand your situation, and the call is a chance to meet, ask questions, and make sure we're a good fit for each other.
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Every application is personally reviewed before your discovery call so we can make the most of our time together.
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Once we've decided to work together, your first visit is with your health coach for onboarding and big picture visioning to get clear on your goals, your capacity, and what you're hoping for.
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You meet with your nutritionist for a deep clinical intake, where you review your health history, symptoms, what you've tried, and the realities. of your day-to-day life. This is where we start connecting dots to build out your personalized path.
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Within one week of your intake session, you receive your personalized Big Picture Plan, a co-created roadmap built around your goals, your vision of optimal health, and your actual life.
It covers nutrition, lifestyle rhythms, nervous system support, supplements, and pacing, all sequenced so you know exactly what to focus on first and what can wait.
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From here, you meet approximately every two weeks with your nutrition consultant or health coach, depending on where you are in your plan. You'll also have messaging support between sessions and a care team working together on your case.
What We Work On
We specialize in the chronic health issues that show up most:
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We specialize in working with folks with Hashimoto's, Celiac, and other autoimmune conditions. We work on calming and regulating the nervous and immune system, not just managing flare-ups.
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IBS, SIBO, bloating, constipation, food reactivity, leaky gut. You know your gut is a mess, but nobody's helped you figure out why. We do.
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Cycle disruption, perimenopause, thyroid, post-pill recovery. Your hormones are impacting your energy, your mood, and your ability to show up in your life. We support you in understanding and balancing those rhythms.
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The kind of tired that sleep doesn't fix. You've been running on fumes and sheer will for too long, and your body is sending you help signals. We look at what's actually depleted and rebuild from there.
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Chronic stress, anxiety, sleep that never quite gets you there. We help you build nervous system resilience while living a full life.
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When everything seems to set you off and your body is reacting to things that never bothered you before. We figure out what's driving the bucket to overflow.
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Acne, eczema, psoriasis. Your skin is talking and it's usually saying something about your gut, your immune system, or your stress. We’re here to help you listen and respond in a sequenced, strategic way.
Here’s What We Do Differently
We take the mental labor of figuring it all out off your plate. We help you sequence things so they make sense, prioritize what matters right now, and lower the cognitive load of managing your health. You focus on living your life. We'll map the path and keep it simple.
What’s Included:
Nutrition Consulting + Health Coaching
You get both.
Your nutrition consultant handles the clinical strategy: labs, supplements, protocol adjustments.
Your health coach handles the real-life part: making it actually work with your schedule, your energy, and your "I know what to do, but I can't seem to do it" moments.
They work together on your case.
Your Big Picture Plan
A personalized roadmap covering nutrition, lifestyle, nervous system support, and pacing, all sequenced so you're not trying to do everything at once.
It evolves as you do.
Between-Session Support
Secure messaging and voice notes Monday through Friday. Flare support, quick questions, "is this normal?" moments.
You don't have to wait until your next session to get help.
Lab Review, Testing + Guidance
Bring your past labs (stool tests, DUTCH panels, thyroid panels, bloodwork), and we'll review them through a nutritional and lifestyle lens.
If you need new labs, we can order them; however, we don’t need labs to work together.
Personalized Food Foundations
Therapeutic dietary guidance, product swaps, recipe books, meal prep and planning guidance, all matched to your actual cooking ability and schedule. Not your aspirational cooking ability. Your real one. Food journaling is always optional.
Supplement + Herbal Support
Professional-grade supplement recommendations with a 15% discount for whatever your body needs: inflammation, digestion, immune recovery, stress, resilience.
Collaborative Care
We work alongside your existing providers: doctors, therapists, specialists, whoever is on your team.
Your health doesn't live in a silo, and neither does your care.
Access to
Specialty Education
Access to specialty courses and materials based on what your case needs, such as Blood Sugar Foundations, Digestive Vitality, Building Stress Resilience, and more.
Your Maintenance Plan
When your program wraps, you don't just get dropped. You'll receive a maintenance plan: what to keep doing, what to watch for, what your continued care needs to look like going forward. A roadmap for after the roadmap.
This is for you if…
You're living with chronic illness, or something has been off for a long time and no one has been able to tell you why
You've been handed a diagnosis and not much else, and you're not sure what to actually do next
You've tried a lot of things already, and none of it has stuck
You're tired of plans that assume you have a predictable schedule and steady energy
You want to feel listened to, and respected on what you already know about your own body
You're ready for support that fits your life as it actually is
This is not for you if…
You're looking for a quick fix or a 30-day reset. This is deep, sustained work.
You want someone to just hand you a protocol and send you on your way. We co-create everything together.
You're not willing to look at the full picture, including stress, nervous system patterns, and lifestyle. Food and supplements alone won't get you where you want to go.
Your Care Team
Sierra Di Marco
OWNER & HEALTH COACH
NUTRITIONISTRaman Magay
Investment
Bone Deep 1:1 Program:
$595/month for 4-6 months
The duration is determined together based on your case complexity and goals. Extended payment plans available.
If 1:1 care isn't in your budget right now, ask us about our health coaching-only services to support you in lifestyle and behavioral change.
Frequently Asked Questions
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4-6 months, depending on the complexity of your case. We’ll determine the right length together.
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Approximately every two weeks, alternating between nutrition consulting and health coaching sessions, depending on where you are in your plan.
All of our sessions are held virtually via our PracticeBetter platform, Zoom, or by phone.
You will need to have a phone, computer (laptop/desktop), tablet, or smartphone for communication.
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That's really common, and it's exactly what this program is designed for. We look at the full picture and figure out where to start together.
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No. Many of our clients come in with a pile of symptoms and no clear diagnosis. We work from where you are.
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Not necessarily. We use a harm reduction approach to food. Often, dietary changes are part of the plan, but they're always collaborative, paced to your capacity, and never fear-based.
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We don't work directly with insurance, but we do accept HSA/FSA. We can provide superbills for potential reimbursement depending on your plan.
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We'll tell you honestly. If we think someone else would serve you better, we'll point you in the right direction. No hard feelings, no sales pressure.
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Yes. We offer a range of testing, including but not limited to gut health testing, blood sugar balance testing, food sensitivity testing, hormone panels, and environmental toxins. We work with you to determine which tests are recommended based on your symptoms and health goals. Testing is optional and is an additional expense.
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Dirt & Bones accepts accepts HSA (health savings account), FSA (flexible spending account), and all major credit cards and debit.
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If you're not happy after your initial intake, we’ll refund you—no questions asked. If you decide to continue with coaching after the initial intake, then the minimum commitment (based on your contract) stands, and the remainder of the payments are nonrefundable.
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No. We're nutritionists, health coaches, herbalists, and other allied health providers, not doctors. We don't diagnose, treat, or prescribe. What we do is support your body through nutrition, herbs, and lifestyle strategies that work alongside whatever medical care you're receiving. We're happy to collaborate with your existing healthcare providers and can often complement their work.
Still Have Questions?
We offer a free 15-minute Discovery Call to prospective clients to make sure our nutrition and health coaching program is the right fit for you.