Nuance Aesthetics & Wellness

Where small changes make a big difference!

Personalized functional medicinE

Functional medicine and personalized wellness care in Columbia, SC.

Tired of Being Told Everything Looks “Normal”?

If you feel exhausted, stuck, gaining weight, struggling with hormone changes, dealing with gut issues, or simply not feeling like yourself, there may be more to the story.

At Nuance, our providers take a deeper, whole-body approach to metabolic health, hormone balance, weight loss, gut health, and long-term wellness to help you finally get answers and a plan that makes sense for your body.

You’re not alone in this. People feel “off” and it’s discouraging when you aren’t getting answers. Nuance takes that deep dive to help you feel like you’re old self again.

Schedule Your Consultation
Explore Our Services

WHO IS THIS FOR?

You’ve been told everything looks “normal,” but you still don’t feel like yourself.
You’re not alone. We see this all the time.

If this sounds like you…
• You’re tired of feeling tired.
• You’re doing all the right things and still not seeing progress.
• Weight loss feels harder than it used to.
• Your labs were called “normal,” but you don’t feel normal.
• You’re ready for guidance that looks at the full picture.
• You’re searching for longevity support.

You don’t have to keep guessing. There may be more going on beneath the surface, and a more complete way to approach your health.

We believe you when you say, “somethings off”. We will work hand in hand with you to find the root cause of your symptoms.

Let's Do This!

PERSONALIZED CARE

This is what intentional, personalized care looks like.

• Visits that feel collaborative, not rushed.
• Advanced lab testing reviewed with context and optimization in mind, not guesswork.
• Clear, realistic plans you can actually follow.
• Providers who take the time to truly listen.

You deserve care that is thoughtful, collaborative, and built around you.

I am Ready!
A woman doing yoga in a spacious studio with large windows showing an outdoor cityscape.

HOW WE CAN SUPPORT YOU

We take a personalized approach, but these are some of the most common areas we help with:

Weight Loss & Metabolic Health

Provider-guided support for weight loss, metabolism, energy, insulin resistance, and body composition designed to support sustainable metabolic health, energy, and body composition.

Gut Wellness

Support for digestion, bloating, inflammation, gut function, and whole-body support through a healthier gut—the foundation of many aspects of health.

Hormone Support

Personalized care for hormone balance, hormone optimization, and symptoms related to perimenopause, menopause, low testosterone, thyroid health, and overall hormonal wellness.

Longevity & Preventative Care

Proactive wellness care focused on long-term health, healthy aging, disease prevention, and improving overall quality of life.

Body Composition Scans

Advanced body composition testing that provides a clearer look at muscle mass, body fat, metabolic health, and progress beyond the scale.

Aesthetics

Coming soon

Injections & Wellness Boosters

Targeted wellness therapies and injections designed to support energy, recovery, hydration, metabolism, immunity, and overall wellness.

FIND THE RIGHT STARTING POINT
FIND THE RIGHT STARTING POINT


We look beyond symptoms to figure out what’s actually driving them.

WHY NUANCE

Nuance combines advanced lab testing, provider-guided wellness care, lifestyle support, and personalized recommendations to help patients throughout Columbia, SC and the surrounding area better understand what may be contributing to their symptoms and overall health.

That means taking the time to understand your history, symptoms, labs, lifestyle, stress, and goals so we can build a plan that fits you, not just your chart.

Explore our services

If you’ve tried everything and still don’t feel your best, it doesn’t always mean you’re doing something wrong.

A lot of our patients come to us after years of dieting, guessing, or feeling dismissed. We are here to help!

OUR PROCESS

Here is what working with us looks like:

1. Comprehensive Intake & Consultation
We take a deeper look at your symptoms, health history, lifestyle, and goals to better understand what may be contributing to how you feel.

2. Get Clear Answers & Personalized Recommendations
During your follow-up appointment, we’ll review your lab results together and recommend a provider-guided wellness plan tailored to your body and goals. Recommendations may include prescription medications, hormone replacement therapy, peptides, supplements, lifestyle support, and other wellness therapies.

3. Ongoing Support + Adjustments
Over the next 3 months, we’ll continue supporting you through follow-up appointments designed to monitor progress, adjust your plan, and help create sustainable improvements in your overall wellness.

4. Long-Term Wellness Support
Our goal is to help you create a realistic, sustainable approach to long-term health and wellness. Whether that means occasional maintenance visits, continued optimization, or ongoing provider-guided support, your care plan will always be personalized to where you are in your health journey.

Learn more about our proces
Two women healthcare professionals smiling in a medical office, wearing white coats, standing behind a white desk.

Meet Your ProviderS

Hi, we’re Emily and Ashley!

Life can feel overwhelming, especially when fatigue, weight gain, hormonal imbalance, or digestive issues leave you feeling disconnected from your body. That’s why we created a functional medicine clinic in Columbia, SC focused on restoring metabolic and gut health. You deserve more than quick fixes...you deserve personalized, comprehensive care that empowers lasting change.

Metabolic health is the foundation of sustainable weight loss, balanced blood sugar, and renewed energy. By addressing gut health, we help support hormone balance, improve nutrient absorption, reduce inflammation, and strengthen immune function, creating real results from the inside out. Our evidence-based, holistic approach works with your body to restore vitality and resilience.

This isn't just about one thing. It’s about identifying root causes, optimizing your health, and helping you feel strong, confident, and aligned in your body again. We're here to walk alongside you with compassion, expertise, and a personalized wellness plan designed for long-term success.

Get to know us
Get to know us

It’s time to feel like yourself again!


You don’t have to keep doing this alone. If you’re tired of guessing and ready for answers we will create a plan that actually works for you and your long-term health goals.

Schedule your consultation

  • I can’t say enough good things about Nuance and the providers, Emily and Ashley. They have been absolutely wonderful to work with and genuinely care about their patients and overall wellness. Since starting Tri-Immune, Vitamin B, Lipo-mino, and NAD+ injections, I feel better than I have in years. My energy levels are through the roof, my mental clarity has impiroved, and for the first time in a long time, I actually feel like myself again. I also haven’t gotten sick in months, which is unheard of for me. Their knowledge, professionalism, and kindness make the entire experience so positive. I’m incredibly grateful I found them!

    —Current Client, M.H.

  •  I am a busy mom of 2 preteens and work full time as an nurse practitioner. I do my best to eat well, exercise and get enough sleep, but that’s not always possible ! Vitamin b12 and vitamin D injections at Nuance have made a big difference in my energy level, especially during the dreaded winter months! Ashley and Emily have created such a warm and welcoming environment, I always enjoy popping in for a quick injection visit. It’s helped me improve my health and mental well being. I highly recommend scheduling a visit!”

    —Current Client, K.L.

  • As someone who struggles with anxiety, depression, mood swings, and slowly creeping into perimenopause, I can’t say enough wonderful things about the work Ashley and Emily are doing at Nuance. I attended one of their opening events, and received my first B12 injection. It was a huge wake up call that maybe there are some things going on in my body that need a closer look. I woke up with more energy (and before my alarm even went off) a boosted mood, and a noticeably clearer mind. I will be contacting them for a deeper dive into my lab work to come up with a formal game plan, because I was shocked at what a difference it truly made.”

    -Current Client, K.W.

  •  “I started working with Ashley and Emily back in early December. I was at a low point mentally and physically experiencing a lot of fatigue, weight loss resistance, and hormonal issues. I immediately felt heard and validated at the first visit. Over the course of the next few months, we worked to optimize my nutrition and improve these symptoms. I’ve since experienced greater energy, improved sleep, less inflammation, and weight loss. Working with Toi has been an added benefit. She has been instrumental in improving my mindset and strengthening my resolve to stay focused and positive. I cannot recommend these women enough. They are truly here to help guide you towards a healthier and more vibrant life.”

    —Current Client, K.B .

  • Working with Ashley and Emily I have learned I was not eating enough to build muscle and see results in the gym. I was tired more than my normal too. Working with them has helped me see the results I was looking for but also a few bonuses in my sexual health. Glad I worked with them.

    -Current Client, S.M.

Ready to feel your best inside and out?

Join our Nuance community for exclusive tips on health, wellness, aesthetics, and positive living! Functional medicine and wellness providers in Columbia, SC specializing in metabolic health, hormone optimization, weight loss, gut health, longevity, peptides, and personalized wellness care.