Photo of Amy R. Sanguinetti

Amy R. Sanguinetti

Physician · Internal medicine

11–15 years of experience

Menopause Society Certified Practitioner

About Achieve Health NV

Achieve Health NV is a two-physician direct primary care practice in Reno run by Dr. Amy Sanguinetti and Dr. Sara Trigero, both dual board-certified in Internal Medicine and Obesity Medicine. Care runs on direct-pay memberships rather than insurance, with a free meet-and-greet, extended no-rush visits, same or next-day appointments, and direct physician access by phone, text and email plus evening and weekend telehealth. Women's health and hormone replacement sits inside the primary care membership alongside pap smears, chronic disease management and in-office procedures such as skin biopsy and joint injections. Weight management is the practice's other pillar, with body composition testing, intake and yearly labs, and bariatric pre- and post-operative care.

Care

Treats

  • Perimenopause
  • Menopause
  • Hot flashes
  • Sleep problems
  • Mood & anxiety
  • Brain fog
  • Vaginal dryness
  • Low libido
  • Irregular periods

Prescribes

  • Hormone therapy
  • Weight medication
  • Gyn procedures
  • Supplements & lifestyle
  • Lab testing

Particular focus

  • Weight & metabolism

Cost and insurance

Care is by membership, and visits aren’t billed to insurance.

Insurance

Not confirmed — ask the office about your plan.

Self-pay

Primary Care membership
$3,250 per year
Initial assessment
$300
  • Free consultation

Verified September 2026.

Qualifications

MD, PhD, MSCP