Identify the missing pieces
& create the health you deserve
I am your collaborative partner, guiding you from where you are to where you want to be.
Ashley Koch
Licensed Clinical Nutritionist
An investigative and root cause focused approach to achieving lasting results.
I am a licensed clinical nutritionist, a functional medicine specialist, Board Certified Nutrition Specialist, and an educator. I take the time to understand your full health history, previous diagnoses and review all of the body systems searching for dysfunction. I evaluate prior lab results and at times order evidence-based comprehensive labs to identify biochemical imbalances. In addition, I enjoy partnering with my client’s other providers to create a well-rounded approach to care.
My work is investigative, I help you identify and address digestive issues, inflammatory triggers, nutritional deficiencies, microbiome and immune health concerns and work to reverse chronic disease states and symptoms.
There is no one who knows your body better than you. Together we can explore symptoms and your personal goals. I will guide you to identifying the missing pieces and building the health you deserve.
Ashley Koch, MS, CNS
Licensed Clinical Nutritionist

Cookie-cutter wellness isn’t designed for individual problems.
My specialties include:
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Digestive wellness leads to balance in the body. Addressing digestive concerns reduces your risk for diseases, reverses conditions, and can resolve many of the symptoms you are experiencing. I have worked with countless clients to address pain, migraines, fatigue and many other symptoms by improving the gut and digestive health. Symptoms like nausea, bloating, constipation, diarrhea, bowel movement urgency, stomach pain, should not be ignored.
The digestive tract houses your gut microbiome, which consists of trillions of organisms. These organisms, including bacteria and fungi, play critical roles in various aspects of your health and how your body absorbs nutrients. You eat several times a day and the goal is to take in key nutrients and utilize them for metabolism, repair and growth. If you are not properly digesting and absorbing your food, this will impact your immune health, mental health, inflammation, pain, and so much more.
Whether you have been diagnosed with a digestive disorder or suffer from digestive symptoms, all of these are signals worth exploring and resolving. In our work, we can identify the lifestyle triggers that are creating digestive inflammation or dysfunction and work to bring resolution.
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Hormones are chemical messengers that regulate countless processes in the body, from metabolism and mood to reproductive health and beyond. When these hormones fall out of balance – whether due to diet, nutrient deficiencies, stress, environmental toxins, or other factors – it can lead to a range of symptoms that disrupt daily life. As the symptoms pile up and shift and change, it can feel like you are playing whack-a-mole. We should not normalize these symptoms, but instead utilize them as a guide to understanding what the body is asking of us. Creating and excreting hormones is a nutrient rich process that requires a dynamic diet coupled with a lifestyle and supplement approach to address what your body needs to properly create adequate hormones and properly eliminate excess hormones.
Hormone imbalance can present as fatigue, low libido, irregular cycles, heavy cycles, sleep disturbances, mood swings, hair loss, trouble gaining weight, rapid weight gain, brain fog, skin problems, digestive issues, cold sensitivity, dry skin, joint pain, anxiety, depression, breast tenderness, painful periods. These are symptoms of an underlying issue. So often in conventional healthcare, they provide a band-aid approach to addressing your hormonal symptoms. In our work together we will review the full range of symptoms and explore testing to evaluate hormone dysfunction. With this fix what we find, we create solutions by working with your body to address the underlying issues.
My experience helping men and women includes addressing low testosterone, insulin resistance, endometriosis, PCOS, fertility, infertility, symptoms of excess estrogen, PMS, PMDD, irregular cycles, perimenopause, menopause, adrenal issues, and thyroid conditions.
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Menopause marks a profound biological transition and a uniquely demanding season for women’s health. Officially defined as 12 consecutive months without a menstrual period, menopause typically occurs between the ages of 45 and 55, though the years leading up to it — and the years following it, known as post-menopause — continue to shape a woman's health trajectory. These stages bring significant shifts in hormone production, metabolic function, and overall physiology, increasing the risk for various medical conditions. It becomes even more critical to nourish the body with the right nutrients and energy to support this neuroendocrine and metabolic evolution.
Some women enter menopause and post-menopause with obvious symptoms, but others may not realize the full extent of how these transitions impact their body. Common experiences include persistent fatigue, brain fog, memory changes, anxiety, digestive issues, joint and muscle pain, difficulty focusing, low libido, mood fluctuations, muscle loss, weight gain, and a slowed metabolism. Every woman's experience through menopause and post-menopause is unique, requiring a personalized and supportive approach. Although these symptoms are common, they are not inevitable. Nutrition, lifestyle, and targeted interventions can significantly reduce symptoms and improve health outcomes.
When working with clients during menopause and post-menopause, my focus is to protect their brains (reducing dementia risk), preserve their bones (preventing osteoporosis and fractures), and maintain and build muscle mass (supporting metabolic health and vitality). Thoughtful, strategic support during this chapter can transform it into a season of resilience, strength, and long-term well-being
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Healthy weight management is about more than calories in and how much we move our bodies. There are often unidentified factors that have been impacting your ability to achieve sustainable weight loss. The key factors I explore when working with clients include glucose metabolism, chronic inflammation, nutrient status, gut health, stress, hormones and environmental toxins. Many of my clients come to their first appointment telling me “I have tried everything!” We often find addressing their unique biochemistry and slowly building a lifestyle allows them to achieve the sustainable results they have been looking for.
My experience includes helping clients achieve their weight loss goals in sustainable ways, reversing diabetes and pre-diabetes, improving liver function, addressing joint pain, improving blood sugar, and improving lipid/cholesterol profiles.
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Mid-life Transition and Perimenopause are nutrient rich metabolically demanding time for women. This biologically programed event often starts as early as age 35 and can be a slow march towards menopause that can span 10+ years. During this time, the body can become at risk for many medical conditions and events. Therefore, it becomes even more imperative that we provide our bodies with the necessary nutrients and energy to support this neuroendocrine aging process.
Some women will notice obvious symptoms, although often women might not even realize they are beginning their mid-life transition or starting perimenopause. Often women think this time is plagued with hot flashes, night sweats and sleep issues. Although true, there is so much more. Other common symptoms include fatigue, brain fog, memory loss, anxiety, digestive problems, joint pain, lack of focus or concentration, low libido, lack of patience, muscle-loss, weight gain, and slowing metabolism. Each woman’s experience is unique, which requires a personalized approach. While these symptoms are common, it does not mean they are normal. Lifestyle choices can eliminate and/or reduce the symptoms and improve outcomes in this stage of life.
When working on nutrition and lifestyle, I partner with clients to protect their brains (decreasing their risk of dementia), to protect their bones (preventing low bone density and fracture), and to protect their muscle to improve long-term outcomes.
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The hormonal shifts women experience after birth are as significant as those encountered during menopause — yet the level of support offered during postpartum often falls short. So often, the world wraps its arms around the baby, while the mother is left feeling depleted, isolated, and exhausted.
In our work together during the postpartum period, we focus on replenishing your body with the nutrients, energy, and support it needs to recover and thrive. This is a critical time to nourish not just your physical healing, but also your mental and emotional well-being. Together, we will build a personalized roadmap to restore your nutrient stores, optimize sleep and energy, support brain and hormonal function, and help you rebuild strength.
This is a season of profound transformation — and it deserves just as much care and attention as pregnancy itself. By investing in your health now, you’ll be better equipped to care for yourself and your baby, both now and in the years to come.
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Brain fog, fatigue, trouble sleeping, word finding issues, trouble focusing, trouble concentrating, mood swings, anxiety, depression, difficulty making decisions, and memory problems can get in the way of daily life. You are not alone in these experiences and many of my clients have found a less tumultuous path forward by leveraging the tools of functional nutrition and lifestyle medicine. Many of my clients have reported a reduction in their anxiety, elimination of their brain fog, having more energy than they have in their entire lives, restoring their sleep and feeling more equipped to handle their inedible stressors. Just because these conditions and symptoms are common, doesn’t mean they are normal.
Our work on brain and mental health starts by addressing your digestive health and gut microbiome health. The gut microbiome communicates with your central nervous system through neuroendocrine and metabolic pathways. The gut is where neurotransmitters are created that send messages to your brain about how you want to feel. Improving gut health can greatly improve cognitive function, energy and motivation. There is a unique interplay between the gut and the brain and our work together aims to improve the inflammatory factors that are crossing the blood brain barrier and increasing your symptoms.
In addition, addressing metabolic health and function can improve your ability to take in food and nutrients and produce the energy required to support your brain. Prioritizing a lifestyle that addresses oxidative dress, reduces inflammation, and creates a healthy lipid profile can improve cognitive health outcomes.
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The teen years are a beautiful time of rapid growth and development. This rapid growth and development requires nourishment and healthy digestion. Many factors are impacting teen’s ability to successfully meet the demands of their bodies.
Are you interested in a collaborative healthcare partner for your teen? This is an incredible time to set the foundation of helping your teen understand that the conditions and symptoms happening to them can be influenced by the choices they make everyday about what is as the end of their fork, how they spend their time, prioritizing quality sleep, who they spend their time with, and how they recharge their personal battery matters. It is exciting to help them understand how the choices they make impact the symptoms they are experiencing in their body.
I have been lucky to work with many teens who want to engage in this work one-on-one and feel empowered with the knowledge to make better choices. While they might not be ready for the full range of tools I offer, this can be a transformative time to plant seeds in their mind for creating a foundation of lifetime health. I work with teens to identify their biggest concerns and motivations and utilize this to inform their care plans. My goal is education and empowerment.
Many of the teens I encounter make diet and lifestyle changes that have a profound impact on their physical, mental and emotional wellbeing.
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Are you suffering from eczema, acne, psoriasis or an inflammatory skin condition? Healthy skin starts inside the body. Addressing underlying issues can help resolve your irritating skin. The digestive tract houses your gut microbiome, which consists of trillions of organisms.These organisms, including bacteria and fungi, play critical roles in various aspects of your health, including inflammation. Improving the gut microbiome can lead to immune balance and a reduction in inflammation that is contributing to your acne, eczema, psoriasis and rosacea.
The foundation to healthy skin begins with healthy cells. Cells require adequate nutrients, sleep that is restorative to allow for cellular turnover, and balanced hormones. Together we can create a roadmap that allows you to restore balance in your skin and in your health.
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Positive immune health is vital for wellbeing. Immune health, inflammation and autoimmunity are driven by the relationship between what is happening inside of the body and how it responds to the external environment. The lifestyle choices made everyday can fuel chronic inflammation, immune dysregulation and increase autoimmune events or it can positively feed the innate ability to respond to inflammatory events.
In my practice, I help clients identify factors that are contributing to their chronic inflammation or increasing autoimmune events. We explore nutrition, lifestyle, infections, personal inflammatory foods, and environmental exposures to calm the inflammatory reactions within the body. In addition, we utilize evidence-based labs and a full lifestyle review to identify the missing pieces that are allowing your body to activate its natural immune response.