About

Katie Cox, RDN

My Story

I used to believe that in order to be healthy, I had to trick or deceive my body– into believing the diet food tasted good, that the “high-volume” foods would keep me full, that I could put my body into a superior, toxin-removing, fat-burning state by removing entire food groups or taking expensive supplements.

As it turns out, deception, insecurity, and inconsistency are pretty sure-fire ways to ruin any relationship. It took me a while to piece together that this was exactly what I had done to my own body. Forgiveness, respect, trust, and support are the way through.

But after years of dieting, restricting and bingeing, overexercising, and operating in a deep state of nervous system dysregulation, befriending my body felt like trying to bond with a stray dog. I didn’t really know what foods I actually liked. I didn’t know when I was truly hungry or full. I didn’t know how to rest, and I was somehow always nursing a lingering injury (it’s always the hamstring), subjecting myself to arguably ritualistic burnout.

That experience didn’t happen in a vacuum.

I grew up as a competitive Irish dancer, a world of precision, discipline, and frequent injury that first drew me toward healthcare. My time in outpatient care sparked a lasting interest in anatomy, rehabilitation, and nutrition.

By high school, I had enrolled in a medical sciences program, going on to earn my bachelors degree in Clinical Nutrition and Dietetics through the University of Cincinnati’s accelerated Coordinated Program, becoming an ACE-certified personal trainer at eighteen and training clients throughout school.

My clinical rotations began during the height of the COVID-19 pandemic at Cincinnati’s only level-one trauma center. It was an intense introduction to healthcare, revealing not only how nutrition and illness intersect, but also how fragmented our system can be. Working inside the system while watching public trust in healthcare unravel was disheartening. The polarity, confusion, and constant noise around “what’s healthy” only deepened my conviction that people don’t just need more information- they need transparency, compassion, and context.

During that time, I faced my own health crisis- a battle with anorexia and depression that brought me to my knees. I’m profoundly grateful to have received the care and support that helped me rebuild my physical and mental health, and ultimately, my sense of self. Recovery taught me that healing isn’t about control- it’s about awareness and courage to adopt new beliefs and systems.

After graduating with honors and passing my board exam in 2021, I worked as a clinical dietitian in acute care. That experience showed me both the power and the limitations of treating illness after it’s already taken hold; how health outcomes are shaped not only by physiology, but by emotional, social, and behavioral factors- and how limited illness-centered care can be without addressing the whole person.

Today, my work centers on helping people step out of extremes and into informed, compassionate care. Grounded in clinical nutrition and behavioral science, I focus on building health that lasts- not through rules, but through understanding.

About Me

Outside of my work, I’m happiest when I’m creating or exploring. I grew up as both an elite-level Irish dancer and an art kid– two passions that taught me discipline, creativity, and how to express myself through movement and color.

I love traveling anywhere and everywhere and making things with my hands: sewing, painting, working with clay, and collaging.

I believe healthcare is a universal right, and I’m deeply passionate about breaking down barriers that keep people from accessing the care, education, and support they deserve.

I love cooking (especially for people I care about), and some of my favorite evenings are spent making dinner and listening to Tiny Desk concerts with my girlfriends. Those moments remind me that food connects us far beyond nutrition.

Movement has always been a grounding force for me: I love hiking, running (primarily) half marathons, golfing, lifting weights, functional movement, a night out dancing, yoga, and skiing.

Nutrition Coaching services by Kat
Philosophy

What “eighty twenty” Really Means

At its heart, eighty twenty is about redefining health as something that supports life, not overshadows it. It’s a philosophy that values progress over perfection and reminds us that consistency matters more than control.

An eighty twenty approach means that most of the time, we make health-informed, science-based choices that support our energy, focus, and longevity, and sometimes, we simply enjoy what brings us joy. We allow space for both structure and spontaneity. Extremes rarely serve us, no matter how perfectly they’re packaged. In nutrition, as in life, real change lies in the middle: in habits that are flexible, enduring, and quietly powerful.

Over time, health shouldn’t feel like another task to manage; it should become an integrated foundation that blends seamlessly into the background of our lives. A restructuring, not a restriction. When nourishment, movement, and rest become natural extensions of how we live, they stop consuming our energy and begin restoring it– freeing us to invest more deeply in the relationships, goals, and experiences that give life meaning.

At eighty twenty, this philosophy guides every program, partnership, and conversation. The goal isn’t perfection, it’s integration. To help you build a relationship with food, movement, and yourself that’s informed, sustainable, and quietly transformative.

Insurance & Individualized Care

Eighty Twenty is a private-pay practice, allowing me to provide individualized, holistic care without the time limits or restrictions of insurance. You’ll get the focus, support, and guidance needed to build lasting, sustainable habits.

Why Us

Why Clients Trust This Approach

A science-backed, compassionate method that helps you rebuild trust with your body.
We focus on sustainable change, clarity, and real-life wellbeing- not quick fixes.

Evidence-Based Guidance

All recommendations are grounded in research and clinical expertise, giving you clear, practical strategies that work.

Personalized & Human-Centered

Plans are tailored to your goals, lifestyle, and preferences, because one size doesn’t fit all.

Sustainable, Lasting Results

We focus on habits that integrate naturally into your life, building confidence, trust, and long-term wellness.