Wellness

Your first step toward a healthier you.

You know something needs to change, but you're not sure where to start. The Foundation program is designed for patients who are ready to take that first step toward better metabolic health — with the guidance of a real provider who actually knows you.

This isn't a one-size-fits-all online prescription. It's a relationship built around your health, your lifestyle, and your goals.

Initial in-person consultation ($100 credited toward first month)
Basic metabolic coaching
Supplement guidance and recommendations
Provider messaging — response within 48 hours
Quarterly check-ins (every 2–3 months)
Lab ordering through Clinical Labs
Virtual follow-up after labs
Sleep hygiene guidance (add-on available)

Foundation

$199/month

$100 consultation fee credited toward first month

Book a Free Intro Call Or book an initial consultation →

Best for

Patients who want expert guidance and accountability without jumping straight into prescription-based care.

Compare All Plans

Feature	Tier 1 Foundation $199/mo	Most Popular Tier 2 Core Wellness $250/mo	Tier 3 Optimization $500/mo
Check-in Frequency	Every 2–3 months	Every 2 months	Monthly to bi-weekly
GLP-1 or Testosterone	Guidance only	✓ One included	✓ Both included
Provider Messaging	Within 48 hrs	Within 24 hrs	Within 12 hrs
Lab Monitoring	Basic	Ongoing	Advanced + Longevity
Supplement Guidance	✓	✓	✓
Sleep Hygiene	Add-on	✓ Included	✓ Included
Medication Coordination	—	✓	✓
Consultation Summary	—	✓ After every appt	✓ After every appt
Lifestyle Plan	—	—	✓ Fully personalized
First Access to New Services	—	—	✓
	Get Started	Get Started	Get Started

Meet Your Provider

Kahi Niheu, DNP

"We don't just give you a roadmap. We accompany you on your health journey from planning to destination."

Kahi is a Nurse Practitioner with a deep commitment to personalized, relationship-based care. As a local provider on Kauai, Kahi brings both clinical expertise and genuine understanding of the community, culture, and lifestyle of Hawai'i.

Kahi's approach to medical wellness is thoughtful — not trend-driven. Every recommendation is grounded in clinical appropriateness, patient history, and what will realistically work in your life long-term.

Nurse Practitioner

Book a Free 10-Min Intro Call

Safety & Screening

Every patient completes a standardized intake and contraindication screening before any treatment is initiated. This protects your safety and ensures clinical appropriateness before your first treatment begins.

Contraindication screening completed at intake — before treatment
GLP-1 screening includes thyroid history, GI history, and more
Hormone therapy screening includes PSA, hematocrit, sleep apnea, and cardiac history
Signed informed consent required for all treatment pathways
Adverse event protocol in place for between-visit concerns

Lab Work & Monitoring

All programs include lab ordering through Clinical Labs. Basic labs are often billed through insurance when applicable. A virtual lab review with Kahi is included within 72 hours of receiving results.

Baseline labs completed before treatment begins
Ongoing monitoring included in Tier 2 and Tier 3
Advanced longevity markers available in Tier 3
Labs ordered separately — out-of-pocket options available if insurance doesn't apply

Testosterone Therapy

Testosterone replacement therapy (TRT) and enclomiphene are evaluated individually based on symptoms, bloodwork, and health history. Hormone therapy is never initiated without proper clinical screening.

Full lab panel completed before any hormone therapy begins
Individualized dosing and monitoring throughout treatment
Ongoing lab monitoring included for active members
Important: TRT suppresses spermatogenesis — fertility considerations are discussed and documented prior to enrollment
Not appropriate for all patients; eligibility determined at consultation

Our Approach to GLP-1 Medications

GLP-1 medications (such as semaglutide and tirzepatide) are tools — not the entire plan. When clinically appropriate, they can be a powerful part of a broader strategy focused on metabolic health, behavior change, and long-term sustainability.

Prescribed only when clinically appropriate after evaluation
Used thoughtfully at the lowest effective dose
Combined with nutrition coaching and lifestyle support
Not appropriate for every patient — candidacy is assessed at consultation
Long-term success comes from combining medical therapy with real behavior change

At 6 Months

Building momentum

Demonstrated adherence to a structured nutrition and lifestyle plan
Stabilization of appetite and caloric intake where clinically appropriate
Establishment of a tolerable and effective medication dose (if prescribed)
Measurable changes in body composition (weight, waist circumference, or body fat %)
Improved consistency in sleep, activity, and daily routine metrics
No major adverse effects requiring discontinuation of therapy

At 12 Months

Measurable change

Clinically meaningful improvement in metabolic markers (e.g., A1C, fasting glucose, lipids when applicable)
Sustained adherence to treatment plan and follow-up schedule
Continued improvement or maintenance of body composition changes
Reduction in variability of weight and metabolic markers (greater stability)
Established routines across nutrition, activity, sleep, and stress management
Appropriate titration, maintenance, or de-escalation of medication based on response

At 24 Months

Long-term stability

Sustained weight and body composition outcomes without reliance on short-term interventions
Long-term maintenance of improved metabolic markers
Demonstrated ability to self-manage nutrition, activity, and health behaviors
Reduced dependence on pharmacologic intervention where clinically appropriate
Low variability in health metrics indicating stability (weight, labs, habits)
Ongoing engagement in preventive and maintenance-focused care

You may be a good fit if you:

Want structured, medically guided support for weight loss or metabolic health
Are experiencing symptoms of low testosterone (fatigue, low libido, mood changes)
Have struggled with weight management despite consistent effort
Want a local provider who can see you in person in Kauai
Are committed to a long-term approach rather than a quick fix
Want personalized accountability and regular provider access
Are interested in understanding your metabolic health more deeply

Important screening considerations

GLP-1 medications are not appropriate for patients with a personal or family history of medullary thyroid carcinoma or MEN 2 syndrome
History of pancreatitis or serious GI motility disorders may affect eligibility for GLP-1 therapy
Testosterone therapy is not appropriate for patients with known or suspected prostate cancer, active thromboembolic disease, or decompensated heart failure
Patients desiring to preserve fertility should discuss TRT alternatives (e.g., enclomiphene) before enrollment
Pregnancy or active breastfeeding is a contraindication to all hormone and GLP-1 therapies offered in this program

This is not a complete contraindication list. A full screening is completed at your initial consultation. If you have concerns about eligibility, please discuss them with Kahi during your free intro call.

Ready to take the first step?

Start with a free 10-minute intro call — no pressure, no commitment. Just a real conversation about your health and where you want to go.

Book Your Free Intro Call Book Initial Consultation — $100

Programs starting at $199/month. Personalized recommendations are made after consultation based on goals, body composition, health history, and clinical appropriateness.

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