Board-certified Family Nurse Practitioner • Certified Functional Medicine Provider • Oregon Telehealth

Functional Wellness for Gut, Hormone, & Metabolic Health

Andrea Giachetti FNP, CFMP smiling with dark wavy hair wearing a green button-up shirt and blue jeans, arms crossed.
Have you been pushing through, but running on empty? Are your symptoms making daily life harder than it should? It’s time to move beyond symptom management and restore steady energy, balance, and confidence in your body — so your days are guided by what matters most to you, at work, at home, and for yourself, not by what your symptoms allow.

You’ll receive high-touch, clinician-led care that connects your symptoms, labs, and real life into a plan that feels clear and actionable. If you’re ready for a provider who listens, validates your experience, and leads with clinical clarity, you’re in the right place. It's time to take steps that lead you back to feeling like the vibrant, confident version of yourself.
  • Targeted, comprehensive testing (so you stop guessing)
  • Personalized strategy for gut health, hormones, and metabolic/weight concerns
  • Ongoing check-ins and plan adjustments as your body responds

Conditions Treated


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Digestive disorders

Your gut influences digestion, energy, mood, inflammation, and hormone balance. We identify what’s driving symptoms and build a clear plan to restore resilience — so food feels less stressful and your body feels more predictable again.

Common concerns we support:

SIBO
Constipation, diarrhea & IBS
Gas & bloating
Food sensitivities
Microbiome imbalances
Heartburn/reflux
“Leaky gut” / increased intestinal permeability

Functional medicine for women's health with a focus on perimenopause, menopause, PCOS, menstrual irregularities and PMS. Serving Oregon via virtual telehealth

women's health & Hormones

Hormonal symptoms can be confusing — especially when labs say everything is “normal.” We use comprehensive testing and whole-body support to improve mood, energy, metabolism, and symptom stability — so you can move forward with clarity and confidence.

Bioidentical hormone replacement therapy (BHRT) is available for appropriate patients.

Common concerns we support:

Perimenopause
Menopause
Thyroid issues
PCOS & Irregular Periods
Weight Gain

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Metabolic Health & Weight Loss

If weight loss feels harder than it “should,” it’s time to look beyond the scale. We identify metabolic roadblocks — like insulin resistance, stress physiology, sleep disruption, and lifestyle factors — so you can build sustainable energy, body composition, and long-term health.

Prescription weight-loss support may be included when appropriate, alongside nutrition and lifestyle.

Common concerns we support:

Insulin resistance
Prediabetes
Type 2 diabetes
Fatigue & low energy
Weight-loss resistance
Cardiometabolic risk reduction
Metabolic syndrome

The Functional Reset NP Process

The Wellness Clarity Consult is your first step towards real answers
and a plan that makes sense for your body.

We combine targeted testing, expert interpretation, and personalized recommendations based on your symptoms, goals, and results. From there, you can choose guided implementation through our Signature Reset Packages, so you’re supported as you turn your wellness blueprint into real-life progress.

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Step 1 | Wellness Clarity Consult + Lab Evaluation

Every new patient starts here. You’ll complete an intake beforehand, and we’ll order tailored bloodwork to review together — so your visit is focused, efficient, and truly personalized.

In this visit, we will:

  • Review your story, symptoms, and health goals
  • Connect the dots between lifestyle factors (nutrition, stress, sleep, movement, environment) and what you’re experiencing
  • Review your labs through an evidence-informed, functional lens — so you can understand what your results actually mean for you
  • Identify clear, meaningful next steps across gut health, hormones, metabolism, and nervous system support, based on your unique patterns and history

You’ll leave with your personalized Wellness Clarity Profile — your roadmap that summarizes what we found and outlines practical next steps you can start right away. The goal is simple: help you understand what’s going on, why it’s happening, and what to do next — without overwhelm.

Functional medicine for women's health with a focus on perimenopause, menopause, PCOS, menstrual irregularities and PMS. Serving Oregon via virtual telehealth

Step 2 | Signature Services & Programs

After your consult, we turn your Wellness Clarity Profile into a structured plan—so you’re not piecing things together alone or starting over every time life gets busy. You’ll choose the level of support that fits your needs and your season of life, with clear options and transparent pricing.

Programs may include:

  • Targeted functional testing (when it's helpful in guiding your plan)
  • Personalized nutrition + lifestyle strategy that works in real life
  • Evidence-informed supplements and/or prescription therapies (when clinically appropriate)
  • Coaching, accountability, and progress tracking so you stay supported and consistent

No pressure. No upsells. Just a plan built around you — where your data becomes clear, actionable direction.

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Step 3 | Momentum Maintenance

Once you’ve built momentum, we help you keep it, because the goal isn’t a quick fix — it’s lasting change.

Maintenance support includes follow-up visits, lab monitoring (as needed), medication management (if part of your plan), and protocol adjustments as your body and life evolve — so you don’t stall out, backslide, or feel like you have to figure it out alone.

Andrea Giachetti FNP, CFMP sitting at a table with a laptop, open notebook, and papers, talking on a phone with a potted plant in the background.

How Signature Reset
Packages Work:

  • Choose the program focus that fits your needs (gut, hormones, metabolic — or a blend), then select the tier that matches your desired level of support.

    Investment: starting at $1,295
  • Tier 1 — Foundations
    Best for self-motivated patients who want clarity, structure, and a personalized plan — with the flexibility to implement at your own pace.
  • Tier 2 Guided Transformation
    For those who want closer guidance, accountability, and ongoing optimization. Prescription therapy included when appropriate, along with more hands-on support.
  • Tier 3 — Concierge-Level Support
    Our highest-touch option, with elevated clinical oversight and more direct access. Ideal for those who desire deeper support and proactive troubleshooting.

Why Patients Choose Functional Reset NP

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Expert Guidance You Can Trust

You’ll get evidence-informed recommendations you can feel confident about — translated into realistic next steps you can actually follow.

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root-cause + lab-guided

When results look ‘normal’ but you don’t feel normal, we look deeper. You’ll get a clear roadmap based on your patterns — so you can move forward with confidence.

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Personalized Strategy (Not a Cookie-Cutter Protocol)

You’ll receive step-by-step recommendations based on your history, lifestyle, and goals — so you know what to do first, and what can wait.

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Partnered Care, Start to Finish

We turn ‘I don’t know where to start’ into a guided path forward. With regular follow-ups, between-visit support, and strategic adjustments, your plan stays aligned with real life — and real progress.

Not sure where to start?
We’ll help you choose the best next step — without the overwhelm.

What Our Patients Are Saying:

Wow..the knowledge that Andi has and shared with me blew me away.

Super thorough with everything from appts, Teleheath punctuality, explaining the results of my blood work, to coming up with a plan to increase my health. Was a lot to take in but her notes were right there to help me remember what she said. Anxious to get my supplements and eat more healthy and feel even better than I already do from starting my sleep supplements and hormone.

I am thrilled to have found this great practitioner and I am telling everybody...

My only regret is that she can't be my primary care practitioner. Thank you!

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Dodie P.

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I can’t say enough good things about my recent experience with Andi. She took the time to truly listen to my concerns and made me feel seen and supported throughout the entire appointment. Unlike many traditional experiences, our conversation felt personal and collaborative.

She helped me better understand what might be contributing to my symptoms and provided a clear, step-by-step plan for next steps, including thoughtful recommendations for lab testing. Her approach is not only thorough, but also empowering—I left our meeting feeling hopeful and more in control of my health journey.

If you’re looking for a provider who genuinely cares, takes a holistic and personalized approach, and helps you feel like a true partner in your wellness, I highly recommend her!!

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jamie hansen

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If your looking for a medical provider who is knowledgeable, kind, and willing to listen then go see Andi! Andi is experienced with functional medicine so she will take a holistic approach that focuses on improving your health through lifestyle changes and natural remedies. I highly recommend her to anyone looking for these things!

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Brett billings

Rise Direct Primary Care
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Andi is the first provider I’ve met with whom I truly feel seen. She is kind, compassionate, and empathetic. When I’m with Andi I feel that she actually cares about me and wants to help me feel better with whatever I’m dealing with. I only wish I had met Andi earlier in my life.

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cat frazier

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Andrea Giachetti has been my PCP for the past 4 years and I couldn’t have asked for a better provider. She is warm, knowledgeable, and really spends the time to listen and work with you. Her post visit notes are always super thorough and helpful, especially after going over a lot of information

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Eve Thornton

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5+ stars for Andrea Giachetti! She is personable, knowledgeable, and goes way above and beyond to find solutions for her patients. As a hand therapist, the patients she refers to me say they appreciate that Andrea saves them time by getting to the source their problems, not just by throwing medication at it. Do “future you” a favor and establish yourself as a patient with Andrea. You’ll have a provider you can trust for life!

heidi wills

Authentic Hand Therapy

Andrea is the best! So kind, knowledgeable, and thorough. She has a refreshing approach to care that is hard to come by.

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Dorian Billings

Rise Direct Primary Care
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Andrea is extremely knowledgeable and thoughtful about the care that she gives. I feel comfortable with speaking to her about all issues regarding my health without judgement and I highly recommend her to anyone seeking quality care. She is truly a gem!

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Andrea Colby

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Andrea is attentive and thoughtful as well as creative and insightful. Our health is such a delicate thing, and Andrea really seeks to find answers and solutions that are both attainable and will only make things better. She’s a wonderful doctor and human, and it’s very clear that she is in this line of care because she is passionate about helping support in a foundational way.

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Fallon Stewart

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I can 100% recommend Andi Giachetti as a caring and knowledgeable practitioner who will help or facilitate the care her patients need.

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Jamon Kerrigan

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The Functional Wellness Edit | Functional Medicine for Gut, Hormones & Metabolism

Curated insights on gut, hormone, and metabolic health. Real-life guidance for functional wellness and longevity.

This blog is for educational purposes only. This site does not provide medical diagnosis or treatment. Always seek the advice of your healthcare provider before undertaking any diet, exercise, or other health related activities.