Core Values That Set the Standard
DIG Deep and ACT with Integrity
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Determination
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Innovation
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Growth
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Accountability
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Customer Service
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Teamwork
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Integrity
Our Services
The foundation of Genesis Lifestyle Medicine is its focus on using the most advanced treatments to help patients reach their personal goals. Our straightforward approach to weight management and aesthetics has helped 100,000 patients.
Dr. Alex Spinoso is an MD, entrepreneur, husband, and father to triplets and their younger sister. He is co-founder and Co-CEO of Genesis Lifestyle Medicine and is a consultant for a number of multi-million-dollar companies, helping them scale their businesses. Alex has been a part of over 50+ medical clinics through startups, partnerships, consulting, and acquisitions during this time. In Alex’s tenure, Genesis and his other clinics have helped well over 125,000+ patients with their health needs.
In his early years, Dr. Spinoso worked in the California prison system as an MD on a general population yard. Over the years, his desire to create something more led him to create Genesis Lifestyle Medicine. He has worn the caps of nearly all positions, including CEO, COO, marketer, CFO, visionary, integrator, etc., which taught him how to stay lean as a company and understand the dynamics of the medical world.
Growing up on a farm in the middle of Northern California, Alex is no stranger to grit, hard work, and a “can-do” attitude. He attended Ivy League Dartmouth College.
Brent Messer, Genesis’s Co-Founder and Co-CEO, has grown both cash-pay and insurance-based businesses from the ground up for over 13 years. Brent has been a part of over 40+ medical clinics through startups, partnerships, consulting, and acquisitions during this time. Brent started Genesis with just $150,000 and has now rolled that up into a multi-eight-figure medical company that is growing at a rapid pace, with goals of expansion through private equity or its own IPO in the coming years.
In Brent’s tenure, Genesis and his other clinics have helped well over 125,000+ patients with their health needs. Brent spent his early years in business learning and understanding how to acquire patients at a positive ROI. This led Brent to take every class he could find on Google Analytics, Google AdWords, Facebook marketing, SEO, etc., as he ran the ads for all his businesses.
He has now handed over this role to numerous digital marketing companies he helps oversee, so he can be more involved in the operations of clinics spread throughout the United States and help his 100+ employees solve problems that come up throughout the workday. In Brent’s early years, he wore the caps of all positions, including CEO, marketer, CFO, visionary, etc., which taught him how to stay lean as a company and understand the dynamics of retail medicine.
Genesis has four more clinics set to open in the next two quarters, with sights on growing verticals that include compounding pharmacies, bloodwork and lab companies, and a nationwide telemedicine company to further support expansion and control the customer experience from the first touch to the last touch.
Brent attended Middle Tennessee State University on a full athletic scholarship and studied Exercise Physiology and Nutrition. Brent’s passion for health and wellness led him to create his first clinic in 2010, helping patients lose weight and balance their hormones.
Gianna Fusco serves as Director of Operations for Genesis Lifestyle Medicine, combining clinical knowledge with a strong background in operational leadership. She holds a Bachelor of Science in Nursing and a dual major in Health Administration.
Gianna joined Genesis six years ago, drawn to its individualized, wellness-focused approach to improving quality of life. Since then, she has grown from Front Desk Associate to Clinic Director, Regional Director, and now Director of Operations.
Her leadership focuses on operational excellence, patient experience, regulatory compliance, and developing strong, accountable teams. Known for being approachable, dedicated, and driven, Gianna leads with integrity and a commitment to continuous growth.
A proud “nerd” at heart, she enjoys staying current on medical research, best practices, and innovative strategies. Her goal is to develop confident leaders, strengthen operations, and help Genesis continue setting the standard for exceptional wellness care.
Cynthia Bernal brings over 11 years of experience in the healthcare industry, with a strong background in clinical operations, leadership, management, and patient centered care. Throughout her career, she has worked closely with patients, providers, and healthcare teams, giving her a well rounded understanding of both the patient experience and operational side of healthcare.
Over the years, Cynthia has advanced into leadership roles overseeing clinic operations and multidisciplinary teams.Her leadership philosophy is centered on communication, accountability, teamwork, and leading by example. Cynthia is passionate about building strong teams, developing future leaders, and creating a positive environment where both employees and patients feel valued and supported.
Her goal is to support the continued growth of Genesis Lifestyle Medicine by building strong teams, creating positive patient experiences, and helping every clinic thrive.

At Genesis Lifestyle Medicine, our commitment to transforming lives extends beyond our patients to our team members. As an Amazing Workplace Certified™ company, we are proud to foster an environment where employees feel valued, supported, and empowered to achieve their personal and professional goals.
We believe in creating a workplace where teamwork, integrity, and growth are at the forefront. Our supportive managers and collaborative teams help ensure a strong work-life balance, while our shared mission of improving people’s quality of life inspires us daily.
Genesis Lifestyle Medicine is a premier weight loss, hormone replacement therapy, and aesthetic center specializing in medical weight loss programs, women’s bioidentical hormones, and men’s hormone replacement therapy, as well as a wide variety of excellent aesthetic services. Each and every one of our providers are expertly trained in multiple different disciplines so to better provide a custom experience for each patient.
Our combination of advanced weight loss techniques, effective hormone therapies, and mainstream medspa services provides a powerful, multi-discipline approach that helps our patients maintain a much healthier lifestyle and better quality of life. We employ top medical providers who are skilled, passionate, and dedicated for the sole purpose of providing the highest service possible.
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