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katymac, I was referred because of my weight at the time - no underlying medical conditions, unlike you, and it was a bit like going to see a weightwatchers rep. However, I think Kbear has a good point, in that dieticians are probably good when supporting people with specific medical conditions.
I've already lost 54 lbs, and I thought my 'diet' (ie way of eating) was quite good.
However this cholesterol thing has come out of the blue, and all the things on the list I can eat will cause my IBS to flare up, and all the things I should give up are part of what I use to maintain a reasonable bowel situation
I've found dietitians pretty useless when it came to both ds's food intolerances - they seemed to know less than I did having read one book and talked to other parents in internet discussion groups. I think they are fairly stretched so the information they can give is quite limited. I'm currently thinking of seeing a nutritional therapist but I wish there were a way of finding out how much of their training had a real scientific basis as I'm dubious about many of the courses.
Regarding the IBS, you might be interested in reading something by Dr Jonathan Brostoff and Linda Gamlin here is their most up-to-date book about food allergies and intolerances. (I have the Complete Guide but it's older.)