Marsella Jimeno-Peralta, ARNP, FNP-C

At AVIV, we are a telemedicine-based practice dedicated to helping women—typically age 30 and beyond—who feel their bodies have changed, their energy is no longer the same, and traditional approaches have not provided lasting answers. We do not normalize chronic fatigue, unexplained weight gain, brain fog, hormonal imbalance, or a sense of disconnection from the body.

AVIV means “to be reborn,” and we embrace this as a reflection of every stage in a woman’s life—where transformation is not only possible, but expected. We believe that as a woman evolves, her care should evolve with her. Through personalized, root-cause, and precision-based medicine, we guide each patient through a process of restoration, optimization, and renewal.

Our approach integrates hormone optimization, medical weight loss (including GLP-1 therapies), and longevity-focused care—alongside targeted supplementation, peptide therapies, and lifestyle guidance. Every plan is individualized, designed to support metabolic health, improve body composition, enhance energy, and protect long-term vitality.

At AVIV, we don’t offer one-size-fits-all protocols—we listen, evaluate deeply, and build intentional strategies that align with each woman’s biology, goals, and stage of life. Our mission is to help women feel strong, balanced, and connected to their bodies again—so they can live with clarity, purpose, and lasting health.

• Bio-Identical Hormone Replacement Therapy/ BHRT
• Longevity Medicine
• Menopausal Hormone Therapy
• Weight Management