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.
Your labs came back 'normal.' But you know something is wrong.

I see you.

I'm Andi Giachetti — a Johns Hopkins-trained Nurse Practitioner and Certified Functional Medicine Practitioner. I specialize in gut health, women's hormone balance, and metabolic optimization for patients who deserve more than a 15-minute appointment and a symptom-suppressing prescription.

At Functional Reset NP, we go beyond symptom management. Using advanced lab testing,  we identify the root patterns driving your symptoms and build a personalized, evidence-based plan that actually fits your life.

This is not a one-size-fits-all protocol. This is clinical partnership — the kind conventional medicine rarely has time for.
  • Advanced diagnostics that map the full picture - not just what's in range, but what's optimal for you
  • A personalized strategy across gut health, hormones, metabolism, immune system, and nervous system function
  • A practitioner who stays in your corner - not just at the first appointment, but as your health evolves

What We Address

Complex symptoms rarely have simple causes. Here's where we specialize.

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Gut Health & Digestive Support

Your gut is the foundation of nearly every system in your body - energy, mood, immunity, skin, hormones. When it's dysregulated, the symptoms that show up elsewhere rarely get traced back to it. We use GI MAP stool analysis, SIBO breath testing, and food sensitivity testing to build a precise clinical picture, so your protocol is built on findings, not assumptions.

Common concerns we support:

Constipation, Diarrhea & IBS
Gas & Bloating
Food Sensitivities
Heartburn/Reflux
Skin Issues
Mood Swings & Anxiety
Sugar Cravings
Brain Fog
Low Energy
SIBO/SIFO

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

Hormones don't just affect your cycle. They shape your mood, sleep, energy, cognition, and body composition. We use comprehensive hormone testing, including the DUTCH test when a deeper clinical picture is needed, to map production, metabolism, and downstream effects and build a protocol around what your labs actually show, including bioidentical hormone therapy when clinically appropriate.

Common concerns we support:

Irregular Periods
Brain f Fog
Fatigue/Low Energy
PCOS
Weight Gain
Hot Flashes
Sleep Disturbances
Irritability/Mood Swings
Low Libido

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Metabolic Health & Weight Loss

Weight loss resistance isn't a willpower problem. We evaluate the full metabolic picture, including the insulin patterns, thyroid function, and inflammatory burden that standard care often misses, and build a protocol around your actual findings, including prescription medication support when clinically indicated.

Common concerns we support:

Weight Gain
Weigh-Loss Resistance
Fatigue/Low Energy
Elevated Blood Sugar
Elevated Blood Pressure
High Cholesterol
Stress/Nervous System Support

What to Expect When We Work Together

Every new patient starts with one focused appointment, the Wellness Clarity Consult. From there, your care is personalized - no cookie-cutter protocols, no guesswork.

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Step 1 | Your Starting Point

Wellness Clarity Consult + Lab Evaluation

This is where we build the foundation. Before your visit, you'll complete an intake that covers your full health history, symptoms, goals, and lifestyle. Comprehensive labs will be ordered to LabCorp after your consult is booked and we'll review these together (~10 days after your blood draw) to map out exactly what's driving your symptoms.

This isn't a 15-minute overview. It's a focused clinical deep-dive. You'll leave with a clear picture of what's happening in your body and a personalized Wellness Clarity Profile - your roadmap for what comes next.

Investment: $595 (labs included) · Duration: 90 minutes

Oregon residents only

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

Step 2 |  Your Personalized Program

Signature Services & Packages

After your consult, we walk through your program options together and choose the structure that fits your clinical picture, your goals, and your financial starting point. Each Signature Program is built around your actual lab findings and symptoms, not generic protocols, and includes targeted testing, a personalized treatment plan, and supplement and lifestyle recommendations tailored to your findings. Tiers 2 and 3 of each program include direct practitioner support between visits.

Three Signature Programs are available, each at three levels of depth and support:

  • Gut Balance Blueprint — for SIBO, dysbiosis, IBS, and digestive dysfunction
  • Hormone Harmony — for cycle irregularity, perimenopause, menopause, mood, sleep, and hormone optimization
  • Metabolic Momentum — for insulin resistance, weight loss resistance, and weight loss medication support
  • ...or a combination that reflects your unique clinical picture. Every program is built from your findings, your goals, and your life, not a standard protocol.

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

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Step 3 | Ongoing Support & Momentum

Health doesn't improve in a single appointment. It builds over time. Follow-up visits, lab reviews, and plan adjustments create the kind of continuity that lets us catch what's shifting before it becomes a setback. Momentum Maintenance is how we protect and build on the progress you've made.

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 the Programs Work

  • After your Wellness Clarity Consult, we'll walk through your program options together and discuss the Signature Program and depth of support that fits your clinical picture, your goals, and your life. Program length ranges from 3 to 6 months, designed to give your body the time it actually needs to respond and stabilize.
  • TIER 1 — FOUNDATIONS |  Investment 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 actually implement it.

    Best for: Patients new to functional medicine or working through a focused clinical concern.
  • TIER 2 — ADVANCED SUPPORT |  Investment starting at $1,995

    For patients who want deeper investigation, more frequent touchpoints, and advanced clinical oversight. Includes expanded functional testing, greater practitioner access, and more nuanced protocol management over a longer engagement window. This tier includes prescription medication + 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

    The full concierge experience. Direct messaging between visits means your care doesn't pause between appointments, your questions get answered, and nothing waits until your next scheduled visit. Clinical oversight at this level is proactive, not reactive, and your protocol evolves in real time as your body responds. This is what it looks like to have a dedicated functional medicine practitioner in your corner.

    Best for: Patients who value access, want continuity, and don't want to wait for answers.

This Is Not Standard Care

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Clinician-led Expertise

Johns Hopkins trained FNP. Certified Functional Medicine Practitioner. A decade in clinical medicine before building a practice designed to go further. You're not seeing a health coach, you're working with a licensed prescriber who has both the training and the tools to help you go farther.

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Testing That Goes Beyond Standard Labs

We use advanced lab testing, including GI MAP stool analysis, DUTCH hormone testing, SIBO breath testing, and comprehensive metabolic workups, because "within range" and "optimal" are not the same thing. Your plan is built on data, not guesswork.

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A Plan Built Around You, Not a Protocol

No two patients get the same plan. Your history, your labs, your lifestyle, and your goals shape every recommendation. Precision is the standard, not the exception.

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A Practitioner Who Stays With You

Lasting change requires sustained clinical attention. Your clinical picture evolves, and so does your plan, through follow-ups, lab reviews, and the continuity that makes the difference between temporary relief and lasting resolution.

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

What Patients Say

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 Reset Blog

Clinical insights on gut health, hormones, and metabolism — from an Oregon functional medicine practitioner

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.