Lose Weight Without Fighting Your Body
At Aviv by Marsella, we understand that for many women, traditional diets and exercise no longer provide the same results because the metabolism has changed. We offer a medical and metabolic approach designed to understand why your body feels different and how to support it safely and sustainably.

Is Your Metabolism Out of Balance?
This program is specifically designed for women who have tried various methods without seeing lasting results. We focus on identifying and treating the root causes of weight resistance, such as:
- Hormonal Shifts: Addressing how perimenopause and menopause impact weight.
- Insulin Resistance: Improving how your body processes fuel to prevent future disease.
- Inflammation: Utilizing anti-inflammatory strategies to unlock weight loss.
- Energy Depletion: Helping you recover your mobility and daily energy levels.
The Aviv by Marsella Metabolic Approach
We don’t provide generic templates. Instead, we use your unique biology to create a plan that works with you.
What the Program Includes:
- Comprehensive Evaluation: A deep-dive medical consultation (60–90 minutes) to understand your complete history.
- Advanced Laboratory Testing: We utilize metabolic and functional panels to evaluate insulin, thyroid function, and mitochondrial health.
- Guided Medical Therapies: The use of GLP-1 medications when clinically appropriate and medically supervised.
- Personalized Supplementation: A supplement guide tailored to your specific deficiencies and goals.
- Sustainable Habits: Flexible nutrition plans and exercise strategies adapted for women with limited time.
Why Choose Aviv by Marsella?
- 100% Virtual Care: Receive high-level medical support from anywhere.
- Medical Expertise: Marsella Jimeno-Peralta, FNP-C, is Board Certified and certified in Weight Management and GLP-1 therapies.
- No More “Normalizing”: We reject the idea that weight gain is just “part of the age”.
- Continuous Support: Frequent 30-minute follow-ups to monitor progress and adjust your plan.
Renacer: Your Journey to Metabolic Health
Aviv by Marsella is about more than just numbers on a scale. It is about recovering control of your body and your future.
Metabolism FAQs
How long are the appointments?
The initial evaluation is 60–90 minutes to ensure you feel heard and understood.
Does everyone use GLP-1?
Therapies are only indicated when clinically justified based on your labs and history.
How soon will I see results?
While every body is different, many women notice changes in energy and clarity within the first few weeks.
