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Prioritizing your health is a decision you will always       


The Achieve Health NV Difference

At Achieve Health NV, we’re dedicated to your well-being and helping you achieve your health goals. Our unique model assures that you will always work directly with one of our dual board-certified physicians specializing in Internal Medicine and Obesity Medicine. We have a  holistic approach combining Weight Management and Primary Care with nutrition and exercise counseling, ensuring you have the resources to achieve your goals and enjoy your best life. Our commitment to evidence-based care and a patient-centric approach ensures you receive the best service possible, from seeing friendly faces at the office to results in your daily life. When you choose Achieve Health NV, you gain more than a physician. You gain a dedicated partner in your quest for a healthier and happier life.

Our Direct Care Model

With affordable, direct-pay memberships, it’s never been more convenient or accessible to manage your weight and improve your health. Rather than operating under a traditional insurance model that dictates care and complicates billing with copays, premiums, and deductibles, we choose to deliver quality care directly to our patients. Our memberships cut out the insurance go-between, allowing us to provide affordable care and work with a smaller number of patients. 

Flexible In-office and Telehealth Options

Direct Doctor Access via Phone, Text, & Email

Transparent Pricing

Expansive Access

Same/Next-day Appointments

No-rush Visits

Get the personalized care you deserve to achieve your health goals. 

"Our memberships cut out the insurance go-between, allowing us to provide affordable care and work with a smaller number of patients." 

Dr. Sanguinetti

As a board-certified physician in both Internal Medicine and Obesity Medicine, Dr. Amy Sanguinetti, MD, PhD, brings a comprehensive and evidence-based approach to healthcare. She understands that each patient is unique and tailors her treatment plans to address their needs, particularly around weight-related illnesses.


Dr. Sanguinetti obtained her PhD in Biochemistry from the University of Nevada, Reno. During her doctoral studies, she delved deep into the world of cellular signaling pathways, focusing on insulin and oxidative stress and their role in simulating obesity. Her research sought to unravel the intricate mechanisms at play in metabolic disorders, with the ultimate goal of improving patient care. Driven by a desire to apply her knowledge to benefit patients directly, Dr. Sanguinetti pursued medical school at her alma mater. Her academic excellence and commitment to Internal Medicine led her to a residency in her field, where she further honed her skills in patient care.

Dr. Amy Sanguinetti, MD, PhD

Outside of her professional life, Dr. Sanguinetti is an avid outdoor enthusiast. She enjoys the great outdoors through activities like cycling, running, and hiking. Her love for physical activity not only keeps her healthy but also reflects her passion for a balanced and active lifestyle. Dr. Sanguinetti is also a devoted dog lover, and her two canine companions are cherished members of her family, which includes her husband, children, and beloved grandson.


Dr. Sanguinetti's deep roots in the Reno community, impressive academic achievements, board certifications, and commitment to a healthy lifestyle make her a valuable asset to Achieve Health. Her dedication to the well-being of her patients, her unwavering passion for the outdoors, and her canine companions are a testament to her holistic approach to wellness.

Dr. Sara Trigero, MD, is an accomplished and compassionate physician specializing in Internal Medicine and Obesity Medicine. Rooted in a rich Basque heritage, Dr. Trigero's connection to her ancestry is evident in her deep love for the land and its role in our collective wellness. 


Dr. Trigero's journey into medicine began at Virginia Commonwealth University School of Medicine, where she gained a solid foundation in the art and science of healthcare. After medical school, she pursued her residency at the University of Colorado, Denver School of Medicine, where she honed her skills and developed a strong understanding of patient care.

Dr. Trigero brings a unique and comprehensive approach to healthcare. She understands the individuality of each patient and takes the time to create personalized treatment plans that address their specific needs. Her commitment to evidence-based care and her warm and empathetic nature ensure patients receive the highest standard of medical attention and support on their journey to improved health.

Dr. Sara Trigero, MD

Dr. Trigero

Beyond her professional life, Dr. Trigero finds solace and rejuvenation in the great outdoors, a passion she shares with her family, including her husband and two sons. Her family operates a thriving ranch in central Nevada, a testament to her enduring ties to the local community and the region's rugged beauty. Spending quality time with her loved ones in the natural beauty of Nevada's landscapes not only keeps her physically active but also reinforces her belief in the importance of a balanced and active lifestyle. 


With a profound Basque heritage, a rich ranching background, and an unwavering commitment to her community, Dr. Sara Trigero embodies the values of Achieve Health. She not only offers exceptional healthcare services to her fellow Nevadans but also inspires others to lead healthier and more fulfilling lives, all while sharing the joys of the outdoors with her cherished family.

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