Reclaim Your Vitality and Balance Through Functional Medicine

Feel Like Yourself Again

Are you navigating the “silent” changes of your 30s, 40s, or 50s? At AVIV by Marsella, we believe that while hormonal shifts are natural, suffering through them is not. We specialize in helping women who are ready to move past the “normal for your age” labels and rediscover their energy, clarity, and drive.

Is Your Body Sending You These Signals?

We don’t just treat symptoms; we listen to what your body is trying to tell you. This program is designed for women experiencing:

  • Persistent Fatigue: Feeling exhausted even after a full night’s sleep.
  • The “Invisible” Symptoms: Hot flashes, night sweats, and disruptive insomnia.
  • Cognitive & Mood Shifts: Brain fog, irritability, and unexplained anxiety.
  • Physical Changes: Sudden weight gain or loss of muscle tone despite exercise.
  • Intimate Wellness: A noticeable decline in libido or sexual well-being.

The AVIV Approach to Hormonal Health

Our approach is rooted in Precision Medicine. We move beyond standard lab ranges to find your “optimal” levels using advanced diagnostic tools.

What Your Journey Includes:

  • Deep-Dive Medical Evaluation: A 60–90 minute virtual consultation to review your entire health history.
  • Advanced Functional Testing: Using the DUTCH Plus test to map your cortisol rhythms and estrogen metabolism.
  • Bioidentical Hormone Replacement Therapy (BHRT): Tailored prescriptions that match your body’s natural molecular structure (when clinically indicated).
  • Nutrigenetic Integration: Aligning your diet and lifestyle with your specific genetic blueprint.
  • Continuous Medical Support: Ongoing 30-minute follow-ups to fine-tune your protocol as your body evolves.

Why Choose AVIV for Your Hormonal Health?

  • 100% Virtual Convenience: Access world-class care from the comfort of your home.
  • Extended Patient Time: No 10-minute rushed visits. We provide the depth of care you deserve.
  • Science Meets Heart: Led by Marsella Jimeno-Peralta, FNP-C, our protocols are backed by clinical expertise and a deep commitment to your personal “rebirth.”

Take the First Step Toward Your Rebirth

Stop guessing and start healing with a plan designed for your unique biology.

Request an Appointment

Common Questions About Hormonal Optimization

What are Bioidentical Hormones?

They are hormones derived from plant sources that are chemically identical to those your body produces.

How soon will I feel better?

Many women report improvements in energy and sleep within the first few weeks, with full metabolic benefits appearing over several months.

Do you use the DUTCH test?

Yes, we utilize the DUTCH Plus to provide a comprehensive look at how your body processes hormones.