
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
