Weight Management That Actually Addresses Why

Medically guided, integrative weight support for women in Burnaby and surrounding Metro Vancouver whose bodies are not responding to diet and exercise the way
they should.

Hormonal Weight Gain

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Cortisol and Stress Driven Weight Gain

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Thyroid Related Weight Concerns

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Post Pregnancy Weight Changes

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Perimenopause and Menopause Weight Changes

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Hormonal Weight Gain | Cortisol and Stress Driven Weight Gain | Thyroid Related Weight Concerns | Post Pregnancy Weight Changes | Perimenopause and Menopause Weight Changes |

If you are eating well, moving regularly, and still not seeing results, you are not failing. Your body is trying to tell you something.

Weight that resists change is rarely just a calories in calories out problem. Behind it there is almost always a clinical driver. A hormonal imbalance. An insulin resistance pattern. A cortisol response that has been elevated too long. A thyroid that is underperforming. Or a life transition, a pregnancy, a perimenopause shift, that has changed the rules your body used to play by.

My role is to find that driver, address it directly, and build a plan that works with your body rather than against it. For some patients that means naturopathic medicine and nutritional support alone. For others it means combining those tools with medical peptide therapy to achieve results that lifestyle intervention alone cannot deliver.

Weight Concerns I Support

  • Estrogen dominance, progesterone imbalance, and androgen excess all contribute to weight gain, particularly around the abdomen, hips, and thighs. I investigate your full hormonal picture and address the specific imbalances driving your body composition concerns.

  • Insulin resistance is one of the most common and most overlooked drivers of weight gain in women. It makes fat loss significantly harder and increases the risk of metabolic disease over time. I use targeted testing, nutritional medicine, and evidence-informed supplementation to restore insulin sensitivity and support sustainable fat metabolism.

  • Chronic stress elevates cortisol, which drives fat storage particularly in the abdominal area, disrupts sleep, increases cravings, and impairs the metabolic processes that support healthy body composition. I address the adrenal and nervous system drivers of stress related weight gain alongside the nutritional and lifestyle factors.

  • An underactive thyroid slows metabolism, causes fatigue, and makes weight loss extremely difficult regardless of effort. I assess thyroid function comprehensively and ensure your treatment plan reflects the full picture, not just a TSH number that falls within a broad normal range.

  • Pregnancy fundamentally changes hormonal, metabolic, and nutritional status. Many women find their body composition, energy, and metabolism behave differently after having children. I support postpartum patients in restoring hormonal balance, addressing nutritional depletion, and rebuilding a sustainable foundation for long term health.

  • The hormonal transition into perimenopause and menopause shifts how the body stores fat, responds to food, and regulates energy. Weight gain during this transition is real, common, and addressable, but it requires a different approach than what may have worked earlier in life. Medical peptide therapy combined with hormonal and nutritional support can be particularly effective during this stage.

How I Approach Weight Management


Finding the Clinical Driver

Weight management begins with investigation. I use comprehensive lab testing to assess hormonal status, thyroid function, insulin and blood sugar patterns, cortisol levels, inflammatory markers, and nutritional deficiencies. This gives us a clear and accurate clinical picture of what is actually making weight loss difficult for your body specifically, and determines which combination of tools will be most effective for you.


Nutritional Medicine

I design practical, evidence-informed nutrition plans built around your clinical picture, your lifestyle, and what actually feels sustainable for you. Not a generic calorie restricted diet. A targeted nutritional approach that supports hormonal balance, blood sugar regulation, and metabolic function simultaneously.


Medical Peptide Therapy

For patients where hormonal and metabolic dysfunction is significantly impeding progress, medical peptide therapy offers a powerful clinical tool. As a licensed naturopathic physician in British Columbia with prescriptive authority, I can prescribe peptide medications including semaglutide, commonly known as Ozempic, where clinically appropriate.


Metabolic and Hormonal Support

Using botanical medicine, nutraceuticals, and prescriptive medicine I address the specific hormonal and metabolic drivers identified through your assessment. This may include insulin sensitizing support, adrenal restoration, thyroid optimization, or hormonal rebalancing depending on your
individual picture.


Regenerative and Nutrient Support

Sustainable weight management requires a body that has the nutritional foundation to function at its best. Metabolic dysfunction, hormonal imbalance, and chronic dieting all deplete the nutrients your cells need for energy production and fat metabolism. Through targeted nutrient therapy and regenerative support protocols, including NAD+ for mitochondrial optimization, I restore the cellular environment that makes lasting results possible, working synergistically alongside peptide therapy where appropriate.


Lifestyle and Stress Medicine

Sleep quality, stress load, movement patterns, and nervous system regulation all directly influence body composition. I build practical lifestyle recommendations that support your weight management goals without adding to an already demanding daily life.

What to Expect

Sustainable weight management takes time, especially when hormonal and metabolic factors are involved. Most patients begin to notice meaningful shifts in energy, appetite regulation, and body composition within 8 to 12 weeks of starting a well-designed protocol. Patients incorporating peptide therapy often experience earlier changes in appetite and metabolic response as part of their broader plan.

The goal is never rapid weight loss. It is restoring the internal conditions that allow your body to reach and maintain a healthy weight naturally and sustainably over time. I work with you consistently throughout, adjusting your plan as your body responds and your health picture evolves.

When a woman is doing everything right and still not seeing results, there is always a reason. My job is to find it, and build a plan that finally works for her body, using every appropriate clinical tool available
— Dr. Angie Romero, ND

Is This Right for You?

You may benefit from integrative weight management support if you are experiencing any of the following:

Weight that does not respond to diet and exercise despite consistent effort. Unexplained weight gain particularly around the abdomen. Fatigue, brain fog, or low energy alongside difficulty losing weight. A history of crash dieting or yo-yo weight patterns. Weight changes following pregnancy or entering perimenopause. A diagnosis of PCOS, insulin resistance, or thyroid disease alongside weight concerns. Interest in medically supervised peptide therapy including semaglutide as part of a comprehensive weight management plan.

If any of these resonate, a consultation is the right place to start.

Your Body Is Not the Problem

If you have been working hard without results the answer is not more restriction or more effort. It is finding out what is actually getting in the way, and having access to the full range of clinical tools to address it. Book a consultation and let us figure that out together.

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