About

Care that takes biology seriously...

If you’ve ever felt like your body isn’t responding the way it should, you’re not imagining it.

Most patients who find Cascadia have tried the usual things. They’ve cleaned up their diet, moved more, followed the rules — and still feel stuck. Some can only lose weight under extreme restriction. Others are told everything looks “normal,” even though nothing feels right.

That’s not a willpower issue. That’s a biology issue.

Your body isn’t broken — it’s responding exactly as it has evolved to by protecting energy stores, defending weight, and pushing back when it senses threat.

The problem isn’t you. It’s the mismatch between a human body shaped over hundreds of thousands of years and a modern environment where ultra-processed food, excess calories, chronic stress, poor sleep, and constant sitting are the default. Scientists call this an obesogenic environment — because simply going with the flow causes weight gain.

When weight feels unusually stubborn, hunger feels relentless, or progress only happens under extremes, that’s not failure. It’s biology responding predictably to an environment it was never built for, and we can help.

Meet the Owner/Physician Associate

Kristen Novey, PA-C

I Used to Treat Diabetes. Now I Prevent It.

For years, I worked almost exclusively with patients who had type 2 diabetes and longstanding weight struggles. I became very good at it—lowering blood sugars, improving lab work, helping patients lose weight, and even putting diabetes into remission.

But over time, something started to bother me. I realized that we were waiting entirely too long to intervene—and it was costing patients tremendously.

Weight gain. Rising cholesterol. Blood pressure creeping up. Fatigue. Borderline blood sugars. These weren’t random symptoms—they were early warning signs that the underlying biology was already experiencing metabolic dysfunction. And yet meaningful intervention often didn’t happen until disease and poor health had settled in.

That felt backwards.

At the same time, I grew tired of trying to do meaningful work inside rushed appointments and insurance-driven limitations. Patients needed more than a prescription. They needed time. Context. Strategy. A plan that reflected how bodies and real lives actually work.

So I built a clinic designed to do exactly that.

At Cascadia Medical, we step in earlier and reverse course by shedding stubborn weight, increasing energy, quieting food noise, giving patients back their comfort in their bodies, and helping them create a long-term plan they can actually follow.

Today, I’m no longer chasing disease.

I’m helping patients change their entire health trajectory. And I’d love to help change yours.

Meet the medical associate

First Last, Creds

[Name], [Credentials] is a dedicated medical provider with a passion for evidence-based, personalized metabolic and preventive care. With a strong clinical background and a patient-first philosophy, [Name] focuses on helping individuals understand their bodies, optimize their health, and feel fully supported throughout their journey.

Known for a calm, approachable bedside manner, [Name] takes time to listen deeply, explain clearly, and create treatment plans that fit naturally into each patient’s life. From metabolic health and weight management to lifestyle counseling and medication guidance, patients appreciate [Name]’s balanced blend of science, empathy, and real-world practicality.

In our boutique virtual practice, [Name] plays a key role in elevating the experience—ensuring patients feel heard, valued, and never rushed. Whether reviewing labs, adjusting treatment plans, or providing guidance through our mobile app, [Name] is committed to delivering accessible, high-quality care that truly makes a difference.

Driven By Results, Not Fads

Diabetes is one of the final stops at the end of the metabolic health continuum, but it is not inevitable.

Before diabetes happens, there is prediabetes. Before there is prediabetes, there is insulin resistance. And for many, before there is insulin resistance, there is obesity or overweight.

But what if we could intervene here, at the obesity or overweight stage, before all of those other health complications have set in? What if we could reduce the extra weight before it leads to high blood pressure? High cholesterol? Shortness of breath walking up the stairs? Sleep apnea? Bad knees and a bad back?

This is my specialty. Improving metabolic health and reversing course from these all-too-common health conditions.

The Four Pillars of Obesity Medicine

Our care model is grounded in the four evidence-based pillars defined by the Obesity Medicine Association: Nutrition Therapy, Physical Activity, Behavioral Modification, and Medical Interventions. Together, these elements create a complete and sustainable approach to improving metabolic health.

Care that respects you — and your time

How Our Clinic is Different

We start with biology — not blame

Most weight loss care still assumes motivation is the missing ingredient. We don’t. We begin with the understanding that your body is doing exactly what it was designed to do. When weight loss feels unusually hard or hunger feels relentless, that’s information — not failure. Our job is to interpret that information and respond strategically.

We use medication thoughtfully, not casually

Medication can be powerful. It can quiet food noise, reduce excessive hunger, and remove biological barriers that make progress feel impossible. But medication is never the entire solution. It simply allows your effort to make a difference.

We work in systems, not rules

We don’t rely on willpower, rigid plans, or short-term intensity. We help patients build systems that hold up when life gets complicated.

We don't expect perfection

What we do expect is that progress isn’t linear. Life happens. Schedules change. Challenges arise. And yes, plateaus happen. We view all these things as information about how your body responds to real life, and then we adapt in order to move around these barriers. You don’t start over here — you adjust and keep going.

We complement your primary care — we don’t replace it

We work alongside your primary care provider — not in place of them. We step in as a specialized partner, offering deeper insight into metabolism, appetite regulation, and body composition, which often go unaddressed in traditional visits. Think of us as a focused metabolic specialist in your health, collaborating to give you more complete care.

The Four Pillars of Obesity Medicine

At Cascadia Medical, we understand human biology, and we account for it. We use modern tools, sound science, and intentional systems to help you level the biological playing field so that your efforts can actually pay off.

This is care designed for people who want results that last, not another cycle of frustration.

We spend the time most clinics can’t, and we stay current in a fast-moving field.

This isn’t about willpower, shame, or another round of rules you can’t maintain. It’s about strategy, not restriction — and building an approach that holds up in real life.