w8ality™️: Looking at Weight in Totality
A Physician-Guided Journey
Provided by 4 Elements Direct Primary Care LLC
What is w8ality™️?
w8ality™️ is a Physician-supervised individualized weight optimization wellness program that uses Dr. Kainkaryam’s concept of the w8ality™️ Wheel as the premise of making comprehensive lifestyle changes, augmented by medication when clinically appropriate.
Obesity Medicine is considered its own specialty, which requires additional training, board certification, and expertise. These services are considered outside the scope of the Direct Primary Care practice.
Our program is physician-guided by an Obesity Medicine Specialist, so you get the expertise helping you along your journey.
How does w8ality work?
Our Physicians will review recommendations with patients who will consider their own personal financial situation, and decide on the program components they want to participate in.
The w8ality Program Membership is a minimum of 6 month at $150/month (and $125/month for Direct Primary Care members).
Each month, members receive:
- Monthly Medical Review of their w8ality Wheel
- Consultation visit with a Physician or Health Coach or Fitness Consultant
- Body composition evaluation
- Other special events/opportunities depending on the month (such as discounted exercise programs and lifestyle opportunities)
What we know is that even 5-10% weight loss can improve your health dramatically.
After 6 months, visits may be roughly every 3 months (or sooner if clinically necessary) on a per-visit cost basis of $150/visit (and $125/visit for Direct Primary Care members). Each visit will consist of:
- Monthly Medical Review of their w8ality Wheel
- Consultation visit with a Physician
- Body composition evaluation
How do you enroll in the program?
Our w8ality™️ program starts with a Comprehensive Onboarding Process ($275), which consist of:
- Readiness for Change and Mindset Evaluation
- Lifestyle History, Body Composition, and Medical History
- Lab orders (including lipid panel, thyroid, insulin resistance testing)
- Physician Visit to for a focused physical exam
- Telehealth Visit to follow-up and create a comprehensive personalized plan
For Direct Primary Care patients, all patients receive one w8ality™️ Comprehensive Onboarding Visit.
Medication-Assisted Weight Loss
As a Board Certified Obesity Medicine Physician, Dr. Kainkaryam uses the following medications for those interested in medication-assisted weight loss:
- Semaglutide (including brands Wegovy and Ozempic)
- Tirzepatide (including brands Zepbound and Mounjaro)
- Liraglutide (including brands Saxenda and Victoza)
- Bupropion/Naltrexone (including the brand Contrave)
- Phentermine/Topiramate (including the brand Qsymia)
Please reach out to learn about pricing and access to medications. We help our patients navigate their options.
Some medications are used for more short-term (5-10% weight loss in 6 months) and others are for longer periods (18-23% weight loss over 1.5 years).
Data-Driven
We are constantly monitoring your body composition beyond your weight, looking for trends and opportunities. At the 6-month mark and 12-month mark, we re-evaluate your body biochemical markers. We may also recommend some of the following advanced testing options:
- Micronutrient Testing
- Advanced Cardiometabolic Risk Testing
Payment Plans
We partner with Cherry that allows you to take a comprehensive payment program and break it up into affordable monthly payments, often times with 0% interest for 3 months if you qualify. Minimum expenditure to use Cherry with the practice is at least $1,000.
