Elaina Efird, RDN, CD, CEDRD, CSSD

Elaina Efird, RDN, CD, CEDRD, CSSD is a registered dietitian nutritionist and certified eating disorder dietitian with a degree from Virginia Tech. She moved to Burlington from North Carolina where she worked at the Center of Excellence for Eating Disorders at UNC Chapel Hill primarily in the inpatient and outpatient levels of care. Elaina worked closely with patients and their families to provide a family-based nutrition therapy approach during the recovery process. Elaina also worked at both North Carolina State University and Virginia Tech with athletes at the division 1 level helping to create nutrition plans that enhanced athletic performance.

Passionate about food, nutrition education and client centered care, the move to Burlington was a natural fit. With training in multiple areas of dietetics including sports nutrition, eating disorders, weight management and gastrointestinal complications, Elaina works with all ages, genders and body types. Through the unique approach offered at The Kahm Clinic, she is thrilled to help clients meet their nutrition goals. In her free time, Elaina loves to explore the outdoors with her husband and dog and cheer on Virginia Tech Football. She loves to travel both nationally and internationally, any chance she gets, and to experience the food, outdoors and people in new places.

Elaina is a member of the Academy of Nutrition and Dietetics, Collegiate and Professional Sports Dietitians Association and the International Association of Eating Disorder Professionals.

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Bret Hermansky, MS, RDN, CD

Bret Hermansky, MS, RDN, CD is a native Vermonter and registered dietitian nutritionist. She received her Dietetics and Nutrition Food Science degree from the University of Vermont.

Bret has experience working with child and adolescent nutrition, athletes, weight management, disordered eating, and eating disorders. She enjoys applying evidenced-based practice in her nutrition therapy; in particular, she loves getting to use the tests at the Kahm Clinic because she can help people better achieve their goals. Bret works with all ages, genders and body types.

Bret loves seeing her clients make tangible progress and watching their improved health change their lives. For instance, she loves working with people who are at their last straw, ready to be done with dieting and/or obsessing about food in various ways. She loves helping clients realize that 20 years of yo-yo dieting is hard and miserable, that there is a way out, and that there is light at the end of the tunnel. She relishes, in particular, the small victories, say, when someone let’s her know that for the first time they went out to dinner with their family and ordered what they wanted without guilt and shame! In general, she takes pleasure in helping her clients improve their quality of life through a healthier relationship with food.

Bret likes shopping for fresh food at the local farmer’s markets, and dining at Vermont’s many farm-to-table restaurants. In her spare time, she loves exploring her home state with her boyfriend, including kayaking on Lake Champlain, hiking in the Green Mountains, and swimming at the Bolton Potholes. Bret dreams of one day having a dog of her own, and being jealous of Elaina’s Freyja, Bret is often daydreaming (when she is not seeing clients, of course) of various ways to kidnap Freyja.




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Karen Newman MS, RDN, CD


Karen Newman, MS, RDN, CD is a registered dietitian nutritionist who received a B.S. in Dietetics from the University of Vermont and a Masters Degree in Clinical Nutrition from Rush University. She holds certificates of training from the Academy of Nutrition and Dietetics in childhood, adolescent and adult weight management. Karen is also currently serving as the President of The Vermont Academy of Nutrition and Dietetics.

Her 30+ year nutrition career includes clinical research, nutritional counseling, inpatient, outpatient and family centered nutrition education, coaching kids, weekend warriors and elite athletes, directing national corporate wellness programs, writing a book called “Just Three Words”, giving inspirational talks, hosting a radio show called “Dial a Dietitian” and reaching thousands via her writing, speaking, radio and major TV appearances (NBC Today Show, ABC, NY Post, Radio MD).  

Karen is an 8 time All-American Triathlete who has medaled all over the world and broken a world age-group triathlon record. She is also an eating disorder and cancer survivor who has used these challenges to ignite her passion for helping people heal and thrive.  Karen is excited to be working at the Kahm clinic where she will combine her wealth of knowledge, compassion and the clinic’s unique approach to help everyone meet their nutritional goals.

Karen married her UVM college sweetheart and together they have three wonderful boys. When she is not working, traveling or racing, Karen enjoys hiking, cross-country skiing, relaxing on the lake, game nights and laughing with family and friends.


Freyja Efird, K9

Please welcome our newest staff member, Freyja. She is very friendly and may come to greet you at the door. If you don’t like dogs, just tell her no, and she’ll go away. Freya is very passionate about nutrition, . . . well, about pretty much anything Elaina let’s her eat.