Weight Management from the INSIDE OUT

Sustainable Health Starts with a Mindset Shift

Schedule a consultation Start with a brief reflection

Culturally Grounded Care

Health does not require abandoning your identity. We build plans that respect your culture, values, and lived experience.

Inside-Out, Whole-Person Care

Weight management starts internally. Mindset and identity shape daily habits, which is why we focus there to support lasting health.

Expert & Compassionate Team

You are guided by experienced, licensed clinicians who practice evidence-based medicine with intention and care.

Stuck in the Diet Trap?

You're Not Alone.

Many find sustainable weight loss frustrating because most plans rely on restriction or short-term fixes.

In recent years, GLP-1 medications have gained popularity for their effectiveness, but without a strong foundation, results are often difficult to sustain.

By The Numbers, The Dieting Dilemma in the US

Over 80%

Regain lost weight within 5 years, often due to unsustainable restrictive diets.

> 40%

Of U.S. adults live with obesity, a medical condition with serious health implications (CDC).

~ 50%

Of American adults attempt weight loss annually, often without expert medical guidance.

These numbers often reflect personal stories of frustration. If your doctor has linked weight to concerns like type 2 diabetes, high blood pressure, or fatty liver, the advice to "lose weight" can feel overwhelming without a clear, supportive path.

Why Trying Harder Isn’t the Answer

After years of practice, we see the same pattern repeat. Weight is lost temporarily, regained, and followed by frustration or the next solution, including GLP-1 medications. These tools can help, but without addressing identity, habits, and daily systems, results are rarely sustained. This is not a willpower issue, it's a systems issue.

Identity Before Willpower

Most people try to change behavior without changing identity. We shift the work from “I’m trying to be healthy” to “I value my health,” because identity drives decisions when motivation fades.

Systems That Carry You

Willpower is unreliable under stress, fatigue, and real life. We help you build systems around eating, routines, and daily choices so progress does not depend on effort alone.

Food Without Moral Labels

There are no good or bad foods. There are foods that align with your health goals and values, and foods that do not. When choices are guided by clarity instead of guilt, consistency becomes possible.

Schedule a consultation Start with a brief reflection

Meet Our Care Team

We are a clinician-led team with experience caring for patients navigating weight, metabolism, and chronic health concerns. Our work is grounded in evidence, shaped by real clinical patterns, and delivered through virtually to meet you where you are. We prioritize thoughtful care, clear guidance, and realistic expectations, because sustainable progress requires both medical expertise and human connection.

Jessica M. Kabala, DNP, AGACNP-BC

Pacha Badibanga, RN, MSN

Meet our providers

Don't take our word for it

I’m a 64-year-old woman who has struggled for years with obesity, diabetes, and several other chronic conditions. My cultural diet is very different from what most nutritionists recommend, which made it even harder to manage my health. In July 2024, despite being on multiple medications, my A1C rose to 8.1. That’s when Pacha and Jessica stepped in and took matters into their own hands. My doctor had prescribed Semaglutide to help with weight loss, hoping it would also help manage my blood sugar. But the real game-changer was how Pacha and Jessica approached my nutrition. They didn’t just tell me what to eat—they worked with the foods I know and love. They restructured my plate in a way that made sense to me. Just that simple shift made a big difference. They also introduced me to intermittent fasting. In just six months, my A1C dropped to 5.7, and I lost 23 kilograms. Today, I continue to follow the habits they taught me. I’m exercising regularly, eating in a way that works for me, and most importantly, I feel good in my body for the first time in a long time.

~

Elliot

Patient

My journey with Jessica Kabala has been nothing short of life-changing. After developing gestational diabetes during my second pregnancy, I was devastated to learn I had type 2 diabetes post-birth. For nearly 4 years, I battled type 2 diabetes, trying various short-term diets. Losing the pregnancy weight while trying to control my A1C felt like an impossible battle. After speaking with Jessica, she suggested intermittent fasting, which felt like a lifeline, especially because she joined me on this journey. Her daily check-ins, ensuring I was nourishing my body correctly, made all the difference. What truly set Jessica apart was her innovative approach to switching up my fasting hours weekly, which worked wonders for my body. After 3 months of working with Jessica, my A1C decreased from 6.7 to 5.3, and I lost 15 pounds! I am eternally grateful for Jessica's expertise and insights. The fact that she fasted alongside me, even though she didn't need to, was incredibly encouraging and motivating. I am forever grateful for her support and dedication

~

Sammy

37 year old woman; mother of two

I’m a 64-year-old woman who has struggled for years with obesity, diabetes, and several other chronic conditions. My cultural diet is very different from what most nutritionists recommend, which made it even harder to manage my health. In July 2024, despite being on multiple medications, my A1C rose to 8.1. That’s when Pacha and Jessica stepped in and took matters into their own hands. My doctor had prescribed Semaglutide to help with weight loss, hoping it would also help manage my blood sugar. But the real game-changer was how Pacha and Jessica approached my nutrition. They didn’t just tell me what to eat—they worked with the foods I know and love. They restructured my plate in a way that made sense to me. Just that simple shift made a big difference. They also introduced me to intermittent fasting. In just six months, my A1C dropped to 5.7, and I lost 23 kilograms. Today, I continue to follow the habits they taught me. I’m exercising regularly, eating in a way that works for me, and most importantly, I feel good in my body for the first time in a long time.

~

Elliot

Patient

My journey with Jessica Kabala has been nothing short of life-changing. After developing gestational diabetes during my second pregnancy, I was devastated to learn I had type 2 diabetes post-birth. For nearly 4 years, I battled type 2 diabetes, trying various short-term diets. Losing the pregnancy weight while trying to control my A1C felt like an impossible battle. After speaking with Jessica, she suggested intermittent fasting, which felt like a lifeline, especially because she joined me on this journey. Her daily check-ins, ensuring I was nourishing my body correctly, made all the difference. What truly set Jessica apart was her innovative approach to switching up my fasting hours weekly, which worked wonders for my body. After 3 months of working with Jessica, my A1C decreased from 6.7 to 5.3, and I lost 15 pounds! I am eternally grateful for Jessica's expertise and insights. The fact that she fasted alongside me, even though she didn't need to, was incredibly encouraging and motivating. I am forever grateful for her support and dedication

~

Sammy

37 year old woman; mother of two

I’m a 64-year-old woman who has struggled for years with obesity, diabetes, and several other chronic conditions. My cultural diet is very different from what most nutritionists recommend, which made it even harder to manage my health. In July 2024, despite being on multiple medications, my A1C rose to 8.1. That’s when Pacha and Jessica stepped in and took matters into their own hands. My doctor had prescribed Semaglutide to help with weight loss, hoping it would also help manage my blood sugar. But the real game-changer was how Pacha and Jessica approached my nutrition. They didn’t just tell me what to eat—they worked with the foods I know and love. They restructured my plate in a way that made sense to me. Just that simple shift made a big difference. They also introduced me to intermittent fasting. In just six months, my A1C dropped to 5.7, and I lost 23 kilograms. Today, I continue to follow the habits they taught me. I’m exercising regularly, eating in a way that works for me, and most importantly, I feel good in my body for the first time in a long time.

~

Elliot

Patient

My journey with Jessica Kabala has been nothing short of life-changing. After developing gestational diabetes during my second pregnancy, I was devastated to learn I had type 2 diabetes post-birth. For nearly 4 years, I battled type 2 diabetes, trying various short-term diets. Losing the pregnancy weight while trying to control my A1C felt like an impossible battle. After speaking with Jessica, she suggested intermittent fasting, which felt like a lifeline, especially because she joined me on this journey. Her daily check-ins, ensuring I was nourishing my body correctly, made all the difference. What truly set Jessica apart was her innovative approach to switching up my fasting hours weekly, which worked wonders for my body. After 3 months of working with Jessica, my A1C decreased from 6.7 to 5.3, and I lost 15 pounds! I am eternally grateful for Jessica's expertise and insights. The fact that she fasted alongside me, even though she didn't need to, was incredibly encouraging and motivating. I am forever grateful for her support and dedication

~

Sammy

37 year old woman; mother of two

How It Works

We offer different levels of care based on where you live.

For Washington State Residents

Medical weight management delivered via telehealth.

What's Involved?

Non-Washington & International Residents

Coaching and education using the AFYA CARE Inside-Out approach.

What's Involved?

Take the First Step Toward Sustainable Change

If you’ve tried before and it didn’t last, this is a different place to begin. Our work starts by understanding what is shaping your choices, habits, and health right now, then building a plan that can hold over time.

Schedule a consultation Start with a brief reflection