Weight and Lifestyle Optimization

Our w8ality Wheel approach to helping you get into a healthy weight and body fat.

To paraphrase our Clinical Hypnotherapist Deb Maccarone, the most important relationship you have in this world is with your food…because unlike any other relationship, your food becomes a part of your very being!

This program is meant to be an initial introduction to helping make some life changes and habit changes.  It serves to address the various things that determine your body make-up and your body fat mass set point.  And to be able to shift it requires an understanding of all of the various things that make up where you currently are.  While lifestyle alone can help some people, others may require an external force to shift their body’s metabolism and functioning.

In this program, you will also learn about hormones, in particular insulin and its relationship to weight.  While one may think that insulin is good because it brings your blood sugar low, a high constant insulin level may keep your body in a constant storage state.  The goal with insulin is really “low and sensitive,” while your blood sugar is also at a healthy level.

You will also learn about other important hormones such as leptin and ghrelin, which are related to your hunger cues.  And while leptin is a hormone that helps our body feel full, it is made by fat cells.  And when you lose fat, your leptin may go down, making you more hungry (since your body is trying to go back to the state it was in before you started trying to change it).  Changing your body composition is a very complex process.

You will also learn about energy, and the relationship between exercise and weight.  While many people say that they have a physically active job, dedicated exercise time is very important as we look at our daily energy and to be able to create an energy deficit.  Not all calories are the same, and not all exercises are the same.  

You will also understand why certain foods, such as proteins, are important in your diet and how they keep you full longer and why digesting them actually expends more energy than simple carbohydrates.  

And of course, throughout this process, we will look at data.  We will look at your journaling, your lab testing, looking for subtle markers of inflammation and cardiac risk that you may not have identified before, as well as your body’s measurements.

One of the most common measurements is BMI, looking at your height and your weight.  However, there is a term that has been used as “skinny fat,” where individuals who have a “Normal BMI” suddenly have had a heart attack, and if you look at their body composition, their percent body fat is very high.  So BMI is a crude method, but what is more important is understanding body fat.  And of course, this is divided into visceral fat (fat around your organs = dangerous) and subcutaneous fat (fat sitting right below the skin).  And this fat can contribute to what we call “fat mass disease,” such as osteoarthritis (where by the mass itself there are problems that result) or “sick fat disease” or “adiposopathy” (where you have metabolic derangements due to the fat).  We will look for signs of these during your metabolic workup.

Jump Start Program - $775

For those who are not members of our Direct Primary Care practice, and are seeing us in a fee-for-service model, we do provide bills to submit for out-of-network insurance reimbursement (except Medicare or Medicaid) or you can reimburse through your HSA or FSA.

Monthly Maintenance - $250/month

DPC Jump Start Program - $350

DPC Member Monthly Maintenance - $100/month