How We Work Together

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If you've been doing everything right and still not getting better,  the problem isn't your effort. It's that no one has looked closely enough at what's actually driving your symptoms.

That's the work we do here.

Functional, evidence-informed care for gut health, hormones, and metabolism, built around your lab data, your history, and your life.

The Functional Reset NP Process

Every patient relationship begins the same way. A 90-minute Wellness Clarity Consult that connects your symptoms to your history, your labs, and your life, and builds a clear picture of what is actually driving them.

From there, we walk through your program options together and choose the structure that fits your clinical needs, your goals, and your life. Gut Balance Blueprint, Hormone Harmony, Metabolic Momentum, or a combination tailored to your clinical picture.

Your program runs 3 to 6 months, is built around your clinical findings and your goals, and evolves as your body responds.

All programs are available via telehealth throughout Oregon. In-home concierge consults are available throughout the Rogue Valley.

Step 1 | The Wellness Clarity Consult

$595 | 90-minutes |  Includes comprehensive lab panel
This is where everything begins. The Wellness Clarity Consult is a 90-minute deep dive into your symptoms, history, and lab data,  designed to build a precise clinical picture and a clear path forward. It's not a standard intake appointment. It's the clinical foundation your care is built on.

Before your visit,
you'll complete a detailed intake covering your full health history, symptoms, lifestyle, and goals. We'll order a comprehensive lab panel through LabCorp so your plan is grounded in current data from day one, not assumptions.

At your appointment, we connect the dots — between your symptoms, your labs, your lifestyle, and your history. We look at:
  • Thyroid and sex hormone patterns
  • Metabolic and cardiovascular markers
  • Liver and gallbladder function
  • Key nutrients and micronutrient status
  • Inflammation and stress-physiology
  • Gut-related contributors to digestion, energy, mood, and weight
We interpret every finding through a functional, evidence-informed lens, looking beyond 'normal' labs to understand what the patterns may actually mean for you.

What you leave with
A Wellness Clarity Profile — your personalized clinical blueprint. It includes:
  • The root drivers most likely behind your symptoms
  • A clear picture of your priorities, without trying to fix everything at once
  • Targeted supplement and prescription recommendations where appropriate.
  • Your next steps across nutrition, movement, sleep, and stress resilience
  • A clear recommendation for whether a Signature Program is the right next move — and if so, which one
Whether or not you continue into a program, you leave with a clinical roadmap you can act on immediately. The Wellness Clarity Consult stands on its own.
Not ready for a full lab panel? Start with a  Health Reset Strategy Consult instead
Andrea Giachetti sitting cross-legged in a chair, holding a black stethoscope with one hand.
Person sitting cross-legged on a mat holding a glass of smoothie with two blue and two pink dumbbells nearby on the floor.

Step 2 | Personalized Reset Programs

Your Wellness Clarity Consult tells us what's driving your symptoms. Your Signature Program is where we do something about it.

Each program is built around your actual lab findings and clinical picture, not a pre-set protocol, and includes everything needed to move from understanding your patterns to changing them.

Each program is an all-inclusive package (not piecemeal add-ons) and includes:
  • Follow-up visits with lab review and protocol refinement
  • Advanced functional testing where indicated (e.g., comprehensive stool analysis, advanced hormone panels, micronutrient testing)
  • Personalized nutrition, movement, and lifestyle strategy built around your findings
  • Evidence-informed supplements and prescription therapies when clinically appropriate
  • Ongoing clinical oversight and accountability at the level your tier provides
The goal isn't symptom management. It's resolution. Understanding what's driving your patterns, addressing it at the source, and building the kind of health that is sustainable.

Your program evolves with you. Your autonomy is built into every step.

Most Signature Programs run 3–4 months (with 6-12 month options available). Your plan is customized to your needs, timeline, and goals. These are reviewed with you after your Wellness Clarity Consult.

Step 3 | Momentum & Ongoing Support

Getting better is one thing. Staying better, as your life changes, your stressors shift, and your body evolves,  is another. That's what this phase is for.

Momentum Maintenance is available to patients who have completed a Signature Program and want continued clinical partnership. It includes:
  • Ongoing follow-up visits
  • Periodic lab monitoring and protocol refinement
  • Prescription and supplement management as needed
  • Continued clinical oversight as life circumstances change
This is the difference between a program and a practice.
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How the Packages Work

Signature Reset Packages turn your Wellness Clarity Profile into a guided plan you can actually follow, so you move beyond symptom-management into sustainable change.

To keep things simple (and transparent), every package is offered in tiers. You choose the level of guidance, accountability, and access that fits your goals and lifestyle, without hidden costs or pressure.

You’ll always know what’s included, what’s optional, and what’s truly necessary for your goals.

Investment

Programs start at $975 and are available at several tiers of support and depth, designed to fit your clinical needs, your health goals, and your financial starting point. Program investment typically ranges from $1,995 to $3,995 over the course of 3 to 6 months.

Every program includes transparent pricing with no hidden fees or surprise add-ons. You'll know exactly what's included before you commit.

After your Wellness Clarity Consult, you'll leave with a clear clinical picture and program options tailored to what your body needs and what your goals require.
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  • TIER 1 — FOUNDATIONS | Starting at $975
    Designed for patients who are ready for answers and a clear, structured starting point with the flexibility to implement at your own pace between visits. Ideal for those seeking a sustainable starting point and a personalized clinical plan, with the guidance to implement it confidently.

    Best for: Patients new to functional medicine, or  those addressing a single focused clinical concern.
  • TIER 2 — ADVANCED SUPPORT | Starting at $1,995

    For patients who want deeper investigation, more frequent touchpoints, and advanced clinical oversight. Includes expanded functional testing, greater practitioner access, more nuanced protocol management, and the accountability that produces lasting change. This tier includes prescription medication and clinical management if indicated.

    Best for: Patients managing complex or layered concerns, or those who've already started and want to go further.
  • TIER 3 — CONCIERGE PARTNERSHIP

    Dedicated clinical partnership at its most comprehensive. Direct messaging between visits, proactive oversight, and a protocol that evolves in real time give you the kind of continuity that catches every shift and responds to it in real time. Nothing falls through the cracks. Nothing waits.

    Best for:
    Patients who value real-time continuity, want high-level access, and don't want to wait for answers.
Not sure which tier is right? Your Wellness Clarity Consult is where we map it out together.

Programs That Work With
Your Goals In Mind

Most patients identify most strongly with one area, though it's common to have overlap across all three.

Gut dysfunction influences hormones.
Hormone imbalance affects metabolism.
Metabolic disruption affects everything.


These systems don't operate independently, and your care plan doesn't have to either. We start where your symptoms are most pressing and build from there.

For the patient whose digestion has become unpredictable, exhausting, and impossible to explain. We use functional testing to identify exactly what's disrupting your microbiome, and build a protocol around those findings, not a generic gut-health template.

Addresses: bloating, SIBO, dysbiosis, IBD, reflux, constipation, food sensitivities, post-infectious gut dysfunction, and the downstream effects on energy, mood, and immunity.

For the patient whose hormones are affecting everything — sleep, mood, energy, cycle, cognition, and body composition — and who wants a practitioner who will actually look at the full picture. We use comprehensive hormone testing and build a personalized plan that may include bioidentical hormone replacement therapy when appropriate.

Addresses: perimenopause, menopause, estrogen/ progesterone/testosterone imbalance, adrenal dysfunction, thyroid irregularity, cycle disruption, low libido, mood instability, and sleep disruption.

For the patient who is tired of the "eat less, move more" recommendation. We assess the full metabolic picture and build a protocol around your actual labs. Prescription weight loss support is available when clinically indicated as one component of a comprehensive plan.

Addresses: insulin resistance, weight loss resistance, blood sugar dysregulation, thyroid imbalance, elevated triglycerides, fatigue, hormonal contributors to body composition, and chronic inflammation.