Andrea Giachetti, FNP-C - Functional Reset NP

Call Website Contact the practice

Andrea Giachetti, FNP-C - Functional Reset NP Functional Medicine NP | Oregon 🌿
Real answers for gut, hormone & metabolic issues your labs say are "normal" but your body says otherwise.

Telehealth statewide | In-home visits, Rogue Valley
đź’¬ DM "CLARITY" to get started
👉 Book: www.functionalresetnp

11/01/2026

1,200 calories was never going to sustain your weight loss. And it was never about willpower. Your body needs enough fuel and nutrients to feel safe before it will keep your metabolism running the way you want.

Nobody tells you that, though. Instead you eat less than anyone at the table. You’re walking, lifting, passing on dessert. Somehow the weight gain keeps creeping in, your jeans are tighter, and by 3pm you’re running on fumes.

So you cut a little more. Push a little harder. Feel a little worse.

I hear this from women in my practice every week. Almost all of them tell me that they feel like they’re doing everything right.

When your body is underfed for months or years, it doesn’t keep burning through what’s left. It adjusts. Your metabolism slows to match. Cortisol (your main stress hormone) runs higher, which pushes fat storage toward your belly. Thyroid output can drop, and that’s a big reason you feel so wiped out. Your body isn’t fighting you. It’s trying to keep you going on less.

That’s why “just eat less” stops working for weight loss.

The fix isn’t another diet. It’s figuring out what your body specifically needs. For one woman, that’s more protein and eating breakfast. For another it’s a thyroid problem nobody caught, insulin resistance, or perimenopause shifting everything at once. Often it’s a mix.

So I don’t hand anyone a template. Your labs, your history, your stress, your sleep, your hormones. All of it matters, and all of it shapes the plan we build together.

If this sounds like you, DM me SUPPORT and I’ll tell you how we can work together.

Know someone who’s been white-knuckling it for years? Send this to her. And follow for more.

đź“ŤTelehealth across Oregon | In-home consults in the Rogue Valley

10/30/2026

Bone loss isn’t just your grandmother’s problem. Perimenopause bone loss starts earlier than most of us were ever told. And honestly, the choices you make in your 30s and 40s are the ones your bones remember in your 60s and beyond.

Here’s the reality. Half of women over 50 will break a bone from osteoporosis. Bone loss picks up speed in late perimenopause, often while you’re still getting a period. Then in the 5 to 7 years after menopause, women can lose up to 20% of their bone density. (No thank you.)

So why does estrogen matter so much? Your bones are always being broken down and rebuilt. Estrogen keeps the breakdown side in check. As estrogen drops, breakdown starts winning, and bone gets thinner without you feeling a thing.

That’s why timing matters. If you’re a good candidate, starting HRT in perimenopause can help protect your bones before menopause even shows up. (If you still have a uterus, estrogen is paired with progesterone.)

Hormones aren’t the whole story, though. Here’s what you can start this week:

✔️Lift heavy 2 to 3 times a week. Muscle pulling on bone tells it to stay strong
✔️Add some impact, like jumping or stairs, if your joints are up for it
✔️Eat enough protein, and get calcium from food first
✔️Ask to have your vitamin D checked
✔️Keep alcohol low and skip smoking
✔️Don’t crash diet. Being underweight is hard on bones too

This is a conversation I have with every woman in my practice, because I want you to feel empowered about your health decisions at every stage. Over here, we’re all about education, empowerment, and partnership in your care.

DM me “BONES” and I’ll share how we can work together.

Send this to the women in your life, and follow for more.

đź“ŤTelehealth across Oregon | In-home visits within the Rogue Valley.

Education only, not medical advice.

If you’re eating well, training consistently, and still watching your middle change in perimenopause, this is for you.Yo...
10/28/2026

If you’re eating well, training consistently, and still watching your middle change in perimenopause, this is for you.

You’ve already done what you were told. You cut back on sugar, you built your meals around protein, and you showed up for your workouts. When you brought up the belly, you heard “it’s just age” or “try a little harder.”

You don’t need to try harder. You need someone to find out why your body is holding on.

That belly fluff is a real symptom, and it usually traces back to something measurable: insulin, cortisol, shifting hormones, or your gut. I test for all of it, I read your results against optimal ranges (not just “normal”), and I build your plan around what we find.

If you’re ready for that kind of care, comment LABS and I’ll send you what testing and support look like in my practice. 🤝

đź“Ť Telehealth throughout Oregon. In-home visits in the Rogue Valley.

10/25/2026

Afternoon energy crashes, sugar cravings, irritability and weight gain in perimenopause? Fasting insulin is one of the labs I’d want to see, and it’s rarely ordered.

Insulin resistance doesn’t start the day your A1C crosses a line. It builds in the background for years while your pancreas works overtime to keep blood sugar looking normal. By the time you’re diagnosed with prediabetes, your insulin has been pushing the edge of “normal” for a long time. Fasting insulin lets us catch it early, while it’s still reversible.

And early insulin resistance is rarely silent. When insulin stays high, it drives inflammation throughout the body, including the gut. An inflamed gut lining and an imbalanced microbiome then feed even more inflammation and make your cells respond to insulin even less. It’s a cycle, and it can show up as stubborn belly fat, bloating, brain fog and fatigue that sleep doesn’t fix.

Falling estrogen makes all of this easier to tip into, which is why so many women feel like their metabolism changed overnight.

The good news? A cycle can be broken. That starts with testing the right markers, reading them against optimal ranges instead of “normal” ones, and figuring out which piece is driving yours. It’s where I begin with every patient.

Comment “LABS” and I’ll send you my Perimenopause Lab Guide for your next appointment. Or if you’re ready to work together and finally get some answers, I’d love to talk.

đź“ŤFunctional medicine telehealth across Oregon | In-home visits in the Rogue Valley

You’re tired of hearing “everything looks good” while you’re exhausted by 2pm, your jeans don’t fit like they used to, a...
10/24/2026

You’re tired of hearing “everything looks good” while you’re exhausted by 2pm, your jeans don’t fit like they used to, and your brain feels like it’s wading through mud. So which one is true, the paperwork or your body?

Usually both. Normal and optimal just aren’t the same thing.

Most lab ranges are built to flag disease once it’s already there. They’re drawn from a wide spread of whoever got tested, and plenty of those people weren’t feeling great either. A number can sit comfortably inside the lines and still be drifting the wrong way.

That drift is what I’m looking for. Uric acid creeping up year after year. A Free T3 parked near the floor. MCV slowly climbing while nobody checks your B12. Each one is easy to wave off on its own, but put them next to how you actually feel and they start telling a story.

You don’t need more reassurance. You need someone to actually read the whole picture.

DM me “LABS” for more on proper testing and how I can support you.

đź“Ť Telehealth across Oregon | In-home consults in the Rogue Valley

Save and follow for more đź”–

Address

105 Bolz Road
Phoenix, OR
97535

Opening Hours

Monday 8am - 4pm
Tuesday 8am - 4pm
Wednesday 8am - 4pm
Thursday 8am - 4pm

Telephone

+14584886024

Website

Alerts

Be the first to know and let us send you an email when Andrea Giachetti, FNP-C - Functional Reset NP posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Andrea Giachetti, FNP-C - Functional Reset NP:

Shortcuts

Share

Category

Other Medical & Health in Phoenix

Show All