Our w8ality™️ Wheel approach to helping you get into a healthy weight and body fat.
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.
- Medication-assisted weight loss (semaglutide, tirzepatide, and others)
- Personal Training
- Nutrition Coaching & Medical Nutrition Therapy
- Mindset Coaching
- Clinical Hypnosis
- Payment plans
How do you enroll in the program?
Our w8ality™️ program is available to everyone, including members of our Direct Primary Care practice and the general community. Individuals who are not members of the Direct Primary Care practice start with a Comprehensive Onboarding Process ($275), which consist of in-person visits, lab ordering, and glucose monitoring:
- Readiness for Change and Mindset Evaluation
- Lifestyle History, Body Composition, and Medical History
- Lab orders (including lipid panel, thyroid, insulin resistance testing)
- Glucose monitoring (blinded)
- Physician Visit to review data, discuss treatment plan
For Direct Primary Care patients, all patients receive one w8ality™️ Comprehensive Onboarding Visit. Glucose monitoring and labs are not included in the complimentary consult and are either billed to insurance or using the practice direct pay rates.
What happens at the end of the Onboarding Visit?
When you complete your visit with Dr. Kainkaryam, he will review all of the information and recommendations and determine a comprehensive treatment plan for you, which may include recommendations for:
- Personal Training and Fitness Coaching
- Mindset coaching
- Medical Nutrition Therapy
- Medication Assisted Weight Loss
- Micronutrient Testing
- Advanced Cardiometabolic Testing
- Continuous Glucose Monitoring
- Additional workup by your Primary Care Physician
How does a patient choose what to do next?
Patients will review the recommendations made, consider their own personal financial situation, and decide on the program components they want to participate in.
Ideally, the choice should be made soon so that the labs and testing remain relevant without repeating.
The overall plan presented to the patient will be considering the w8ality™️ Wheel to be as comprehensive as possible, and success is most likely when they are following the full plan.
Medication-Assisted Weight Loss
If patient wishes to proceed with medication-assisted weight loss, this will be a part of the discussion with Dr. Kainkaryam during the consultation, where all options will be reviewed. Patients will have received a list from Paul during their visit with him to do some research with their insurance companies regarding coverage for medication options so they can bring that information to their visit with Dr. Kainkaryam.
Medication options may include semaglutide ($600/month) and tirzepatide ($750/month) if your insurance doesn’t cover them.
Follow-up visits for medication-assisted weight will be $125 for non-DPC members, and $100 for DPC members, and include a body composition and may require additional bloodwork.
Personal Training and Fitness Coaching
Fitness Coaching is done through 4 Elements Health & Wellness LLC through partnership with Pursuit Fitness LLC to offer the 4 Elements Pursuit Fitness Membership at $400/4 weeks which includes:
- A maximum of two (2) 45-minute sessions per week either in-person at the microgym at 4 Elements Direct Primary Care & Wellness Space or virtually
- Debrief
- General warm-up
- Specific warm-up
- Strength training
- Workout
- Cool Down
- Next steps
- Home exercise programming
- Access to the training app truCoach
- Additional sessions may be offered based on client’s need
- Sessions are not transferable
Nutrition Coaching & Medical Nutrition Therapy
Nutrition is an extremely important part of making lifestyle change, and we are pleased to have Juhi Gupta, RD, as part of our team. Juhi works with you one-on-one in a medical nutrition therapy format to help develop meal plans, help you think of shopping, and answer very specific customized ways of eating that are also culturally sensitive for you.
Mindset and Readiness Coaching
Not everyone is ready to make change, and that’s okay. And different people are on different parts of the change spectrum. This coaching process allows you to identify your own barriers to change and to help overcome them to enhance motivation. This coaching is offered through our partnership with Deborah Maccarone, a trained school psychologist and a clinical hypnotherapist, who offers mindset coaching using various motivation tools.
Clinical Hypnosis
Clinically hypnosis uses suggestions based on your goals to be able to influence the subconscious to drive toward specific goals that you have. Through relaxation you go into a deep relaxation state and suggestions are offered to your subconscious, which can choose to accept or reject those suggestions based on your goals. You will meet with Deb to consult based on your goals to create those suggestions. These are offered by Deborah Maccarone, a certified clinical hypnotherapist.
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. You may choose to apply for a Cherry payment plan online on our website and can use it for specific aspects of our program (w8ality Onboarding Consultations, Follow-up Clinical Visits, Registered Dietician Visits).
Micronutrient Testing
In addition to standard labs, we know that when people are eating calorie deficits there is a risk of nutritional deficiencies. We will recommend appropriate supplementation to ensure you are getting the right supplements and will at times recommend micronutrient testing to do a deep dive into your micronutrients to ensure that you are getting the right balance of minerals and vitamins.
Other Wellness Services
For individuals who want to know more about their bodies, we offer:
- Boston Heart Diagnostics Advanced Cardiac Risk Screening
- Food Inflammation Testing
- Gut Microbiome Testing