Inclusion Criteria:  Ages 18-69 years of age Desire to improve metabolic health through nutritional, fitness, cognitive, and behavioral therapies. Voluntarily participate in either a live or virtual 12-week, multidisciplinary wellness program created and led by Allison Hull, DO. Body Mass Index (BMI) > 20 kg/m2 Fasting Blood Glucose (FBG) of 85-125 mg/dl HbA1c of 5.0-6.4 %  Exclusion Criteria:  Type 1 or 2 Diabetes. Chronic Kidney Disease End Stage Liver Disease Use of any weight loss medications currently or in the past 3 months. Disordered Eating - anorexia or bulimia nervosa. Pregnant or Breastfeeding females.