Care that takes biology seriously...
Your body isn’t broken — it’s responding exactly as designed.
Your body is doing what it evolved to do: protect energy, defend weight, and push 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 now works against our biology.
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.
Meet the Owner/Physician Associate
Kristen Novey, PA-C
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 normal.
That’s not a willpower problem. It’s biology.
I’m Kristen Novey, PA-C. During my years in internal medicine and diabetes care, it became clear that by the time diabetes appears, we’ve already missed years of opportunity to intervene.
I grew tired of chasing diagnoses instead of preventing them — and of trying to do meaningful work inside rushed visits and insurance-driven limitations. Patients needed time, context, and a plan that reflected how bodies and lives actually work.
So I built a clinic designed to do exactly that.
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.
There are so many missed opportunities to intervene, and weight gain tops that list. It is a taboo subject that most healthcare providers would rather leave untouched. But I’ve found that when you can offer someone a legitimate option for weight loss, most people are not just willing, but eager, to talk about their weight loss goals. This tells me that you haven’t failed you, but rather we, your medical providers, have failed you. This changes now, and it starts with me.
I have been an internal medicine physician associate for years, quickly specializing in diabetes management early into my career. As my passion for metabolic health grew, so did my interest in learning how to not only treat diabetes, but how to prevent it, in addition to other metabolic health issues (high blood pressure, high cholesterol, and insulin resistance, to name a few).
After many years working with patients with diabetes to bring down their blood sugar and lose weight, I have discovered a powerful combination of treatment strategies that dramatically improve metabolic health, with the added bonus of weight loss.
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.

Nutrition Therapy
Evidence-based nutrition plans that support metabolic balance, improve energy, and promote sustainable weight loss.

Physical Activity
Customized movement strategies designed to boost metabolism, preserve muscle, and fit seamlessly into your lifestyle.

Behavioral Modification
Structured support to help you identify habits, triggers, and patterns — creating lasting, realistic behavior change.

Medical Interventions
Targeted use of lab testing and FDA-approved medications to correct metabolic dysfunction and enhance outcomes.
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 allows your effort to finally pay off.
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 expect life to interfere
Progress isn’t linear. Life happens. 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 and help patients access the right tools safely and strategically.
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.

Nutrition Therapy
Evidence-based nutrition plans that support metabolic balance, improve energy, and promote sustainable weight loss.

Physical Activity
Customized movement strategies designed to boost metabolism, preserve muscle, and fit seamlessly into your lifestyle.

Behavioral Modification
Structured support to help you identify habits, triggers, and patterns — creating lasting, realistic behavior change.

Medical Interventions
Targeted use of lab testing and FDA-approved medications to correct metabolic dysfunction and enhance outcomes.
At Cascadia Medical, we understand that biology, and we account for it. We use modern tools, sound science, and intentional systems to help you respond differently within the human body and world you actually live in.
This is care designed for people who want results that last, not another cycle of frustration.
We spend the time most clinics can’t. We stay current in a fast-moving field. And we’re direct, compassionate, and honest about what works — and what doesn’t.