


Compass Nutrition operates as a specialized nutrition practice in New York, NY, focusing on digestive health optimization, food sensitivity management, and medically-supervised weight loss through GLP-1 receptor agonist therapy. The practice addresses the intersection of gut dysfunction and metabolic health, providing structured interventions for clients experiencing chronic gastrointestinal symptoms, inflammatory responses to food, and weight-related health complications. With a 4.9-star rating across 171 Google reviews, the clinic has established a reputation for translating complex nutritional science into actionable protocols tailored to individual biochemistry and lifestyle constraints.
The primary therapeutic offering includes Semaglutide administration integrated with comprehensive nutritional counseling designed to mitigate common GLP-1 side effects including nausea, early satiety, and nutrient deficiencies that can emerge during rapid weight loss phases. Compass Nutrition employs the LEAP (Lifestyle Eating and Performance) protocol, a patented system that uses Mediator Release Testing to identify foods triggering inflammatory immune responses in conditions such as irritable bowel syndrome, migraines, and fibromyalgia. This evidence-based approach moves beyond standard elimination diets by measuring actual cellular reactions to 150 foods and chemicals, creating individualized eating plans that reduce systemic inflammation while maintaining nutritional adequacy. The practice also addresses histamine intolerance, SIBO (small intestinal bacterial overgrowth), and post-infectious IBS through targeted dietary interventions combined with appropriate medical referrals when pharmaceutical or procedural treatments become necessary.
The clinical team includes Certified LEAP Therapists (CLT), Certified Dietitian Nutrition Coaches (CDNC), and Certified Midlife Specialists (CMS), credentials that reflect advanced training in immunological food reactions, behavior change methodology, and the hormonal transitions affecting metabolism during perimenopause and menopause. This combination of certifications allows the practice to address the complex interplay between gut microbiome health, hormonal fluctuations, and metabolic function that often complicates weight management in women over 40. Providers conduct detailed intake assessments examining medical history, current symptoms, dietary patterns, stress levels, sleep quality, and previous weight loss attempts to identify physiological barriers to progress rather than attributing difficulties solely to willpower or compliance issues.
In-person consultations at the New York location follow a structured format beginning with comprehensive assessment sessions that typically extend 60-90 minutes, during which providers gather detailed symptom timelines, review relevant laboratory work, and explain the physiological mechanisms underlying each client's specific constellation of symptoms. Follow-up appointments track biomarkers, symptom resolution, and adherence challenges while adjusting protocols based on individual response patterns. Clients receiving Semaglutide therapy undergo regular monitoring for appropriate dose titration, side effect management, and nutritional adequacy as appetite suppression can inadvertently lead to protein deficiency or micronutrient gaps. The practice emphasizes education throughout treatment, ensuring clients understand the rationale behind each dietary modification and can make informed decisions when navigating social situations, travel, or unexpected schedule disruptions.
Compass Nutrition differentiates itself through its focus on sustainable, physiologically-grounded interventions rather than restrictive dieting approaches that typically fail long-term. The practice does not promote meal replacement products, proprietary supplements, or quick-fix protocols, instead building eating patterns around whole foods that clients can maintain indefinitely while accommodating individual preferences, cultural food traditions, and practical cooking skill levels. For clients with identified food sensitivities, the practice provides phased reintroduction protocols to expand dietary variety over time rather than maintaining unnecessarily restrictive patterns. The combination of LEAP methodology, GLP-1 therapy when appropriate, and midlife metabolic expertise creates a comprehensive approach for New York residents seeking evidence-based solutions to complex digestive and weight concerns that have not responded to conventional dietary advice.
· Registered Dietitian Nutritionist (RDN)
Adiana Castro, MS, RDN, CDN, LDN, CLT
Founder
Adiana founded Compass Nutrition to improve the access to and delivery of quality medical nutrition therapy that can only be given by registered dietitian nutritionists. She seeks to put patients at ease with a combination of her expertise and down to earth charm.
Melissa Sirolli, RDN, CDN, CNSC, CLT, LDN
Registered Dietitian
Melissa seeks to improve the quality of her patients' well-being by collaborating with them and setting attainable health goals. She has extensive experience with cardiovascular disease, weight management, and digestive diseases.
Audrey McGary, MDA, RDN, CD, CDN, CLT
Registered Dietitian
Audrey McGary has a passion for inspiring patients towards healthier lifestyles. She works with patients around many nutrition concerns which include diabetes, weight management, hypertension, high cholesterol, and bariatrics.
Carol Nocella, RD, CDN, CMS, CLT
Registered Dietitian
Carol Nocella is a registered dietitian who helps adults—especially women in midlife—navigate weight changes, hormonal shifts, and cardiometabolic health with clear, realistic nutrition guidance.
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