What You Can Expect Working with a Twin Pregnancy Dietitian

Written by Annie Gager, MS, RD

July 31st, 2025

What You Can Expect Working with a Twin Pregnancy Dietitian

When it comes to twin pregnancies, there are so many ways a dietitian for twin pregnancy can make a difference! When I first found out I was pregnant, I had a million questions and I was only carrying one baby. For moms-to-be expecting twins, those questions can double… along with the overwhelm. That’s where I come in. Through my work as a twin pregnancy dietitian, I provide expert nutrition support for twin moms, offering reassurance, guidance, and a clear plan so there’s less stress and a lot more confidence.

Why Twin Pregnancies Are Nutritionally Unique

While every pregnant woman can benefit from nutrition guidance, nutrition for twin pregnancy is a whole different ballgame. Moms carrying multiples face higher nutritional demands, greater risk of preterm birth and more complex weight gain goals. Despite these challenges, most women pregnant with twins are still given generic pregnancy nutrition advice, the same advice given to women carrying one baby. And that can lead to real problems.

Take protein needs, for example. A singleton pregnancy might require around 75 grams of protein per day. But with twins? You need closer to 200 grams daily to support healthy fetal development, placental growth, and birth weight. Twin pregnancies also come with increased demands for micronutrients like iron, calcium, and vitamin D. Deficiencies can raise your risk for gestational diabetes, preterm labor, intrauterine growth restriction (IUGR) and preeclampsia. As a prenatal dietitian for twins, my job is to make sure you’re meeting these demands and preventing avoidable complications.

What a Twin Pregnancy Dietitian Actually Does

1. Personalized Twin Pregnancy Nutrition Plan

The first thing we do is create a custom twin pregnancy nutrition plan that fits your body, your babies, and your lifestyle. Together, we’ll prevent nutrient deficiencies, hit your twin pregnancy weight gain goals, lower your risk of complications and support healthy growth for both babies.

2. Support for Cravings and Symptoms

Let’s talk real life. Pregnancy cravings, nausea, and food aversions are intense—especially in twin pregnancy. And no, I don’t hand you a list of “good” vs. “bad” foods. Instead, I help you find balance between nutrition and your favorite foods. When I was pregnant, all I wanted was sugar. Ice cream, sour candy, chocolate… you name it. But instead of feeling guilty or sick, I found a way to work them into a nourishing plan—and I’ll help you do the same.

3. Nutrition for Managing Pregnancy Complications

You can’t control everything during pregnancy, but nutrition can be a powerful tool. As a trained twin pregnancy dietitian, I support clients dealing with anemia, gestational diabetes, preeclampsia and thyroid dysfunction. Through targeted nutrition for twin pregnancy, we help manage symptoms and support better outcomes for mom and babies.

4. Real-Time Support (Because You’re Busy!)

Between work, kids, appointments, and just trying to rest—you don’t have time to constantly second-guess what you’re eating. That’s why all my clients get unlimited email support, so you can ask questions when they pop up, get meal planning help and stay on track with your twin pregnancy nutrition plan. I’m here for you—one less thing to worry about!

5. Emotional Support + Confidence Boost

Let’s be honest… twin pregnancy is a lot. The emotions, the body changes, the symptom rollercoaster—it’s easy to feel isolated or misunderstood, especially when people compare your experience to a singleton pregnancy. I get it. As your pregnancy dietitian for twins, I’m not just here for your nutrition. I’m your sounding board, motivator and twin-pregnancy cheerleader!

What It’s Like to Work With Me

Curious what working with a twin pregnancy dietitian looks like? It starts with a 10-minute discovery call to connect, chat about your needs, and see if my program is the right fit.

The Twice Nourished Nutrition Program

My signature 8-week program for twin moms-to-be includes:

• Complete Nutrition Guide for Twin Pregnancy: What to eat, what to avoid, symptom management, and micronutrient support

• Twice Nourished Recipe Book: 100+ delicious, nutrient-packed recipes

• 8 Expert-Led Education Sessions: Covering trimester-specific nutrition, body image, symptom relief, postpartum prep, and more

• Personalized Nutrient Recommendations: Tailored to your exact needs

• Two 30-minute Mini Nutrition Assessments: To build your nutrition roadmap

• 8 Weeks of Unlimited Email Support with a twin-focused prenatal dietitian

This is everything I wish I had during my pregnancy—now made just for you.

Client Testimonial

When Sarah first reached out, she was 16 weeks pregnant with twins, exhausted, and constantly worried she wasn’t eating “right.” She’d Googled everything from twin weight gain to how many grams of protein she needed — and all it did was leave her overwhelmed and second-guessing every snack.

In our first session, we broke it all down… what her twins needed, what she needed, and how to make it happen without adding more stress to her day. By week 3 of the program, she told me:

“I finally feel like I know what my babies and I need and I’m not panicking about every bite anymore. I’m sleeping better, I’m not constantly hungry and I actually feel confident walking into my OB appointments.”

Sarah completed the Twice Nourished Nutrition Program at 34 weeks pregnant — with two growing babies, a freezer stocked with meals, and the peace of mind she craved from the start.

Not Ready Yet? Start with My Free Twin Pregnancy Nutrition Checklist

Still exploring your options? Start with something simple: Download my FREE Twin Pregnancy Nutrition Checklist & Weight Gain Tracker by clicking here! It’s a great starting point if you’re not ready to join a program but want guidance on healthy weight gain and twin pregnancy nutrition.

When to Reach Out to a Twin Pregnancy Dietitian

So, when’s the best time to work with a twin pregnancy dietitian? Early is ideal, but it’s never too late!

Here are signs it might be time to reach out:

• Constant fatigue

• Confusion about weight gain goals

• Worry about early labor

• Overwhelmed by food choices

• Struggling with nausea, heartburn, or constipation

Don’t wait for the overwhelm to peak. Support now means less stress later!

Let’s Make Twin Nutrition Simple – Together

Growing two babies is no small task. You deserve more than vague advice and endless Googling. With the right nutrition support for twin moms, you can feel confident, nourished, and ready for everything ahead. You don’t have to figure this out alone. Join the Twice Nourished Nutrition Program today and take the guesswork out of twin pregnancy nutrition so you can focus on what matters most, growing healthy babies and taking care of yourself. Reserve your spot here!