Monthly Program
$575/
Month*first 3 months
- Initial Visit 1.0 hours (1)
- Program medications (Semaglutide or credit) (3)
- 2 x 30 minute visits per month (ND/PA)
- Visits with Medical Director $225 (30 min)
- Lumen device available for $250
Quarterly Program
$2175/
Quarter*first 3 months
- Initial Visit 1.5 hours
- Program medications (Semaglutide or credit) (3)
- Weekly visits first month, bi-weekly visits last 2 months ND/PA
- 1 x 30 minute visit with Physician included
- Free Lumen device with 6 months service included at no cost
Semaglutide
In an early study of 2,000 obese adults compared people using semaglutide plus a diet and exercise program with people who made the same lifestyle changes without semaglutide. After 68 weeks, half of the participants using semaglutide lost 15% of their body weight, and nearly a third lost 20%.
Another study with similar results
Lumen device/total metabolism tracking
The Lumen device measures carb and fat burn using a highly validated test of CO2 that is detected when patient breathes into the device. This has been validated to closely approximate real metabolism. Patients just need to breathe into the device daily to get helpful recommendations and better understand how their body burns fat.
Follow our personalized program to achieve the most Fat loss using safe and effective medications and Program therapies
Schedule of health coach visits for 12-week program (8 visits)
Visit 1
Discussion of body composition and patient goals.
Encourage patient to come to the office for bi-weekly visits if geographically feasible. Discuss role of Lumen device in terms of metabolism tracking.
Action: Advise patient to keep food diary for next week and to use the Lumen device daily.
Visit 2
Discuss food diary and make appropriate suggestions for improvement
Focusing on total caloric intake and healthy eating. Go deep here as much as time allows. Have to set the foundation for healthy eating. Explain that we do not recommend "dieting". Goal is to change our eating to a healthy eating that can be maintained well after program is over.
Action: Ask patient to keep diary of exercise for next week. If possible suggest they get an activity tracker for more accurate tracking.
Visit 3
Discuss exercise pattern from prior week and make appropriate recommendations.
Focus on anaerobic exercise for at least 30 minutes 4-5 times per week. Aerobic should be on top of this but if they only have time for one or the other, then advise anaerobic.
Action: Advise patient to get new body composition prior to next week's visit.
Visit 4
Discuss progress/lack of progress vs week 1 baseline if we have a new body composition.
Keep in mind that they are in the building stage of the medication, so we are not expecting a lot of fat loss at this point. 3-4 lbs of fat loss in the first month would be considered a success. Many patients with 75-100 lbs to lose report losing up to 25 lbs in first month. Ascertain if patient has been compliant with dietary and exercise recommendations and medication adherence.
Action: If there has been no fat loss or even fat gain, then need to discuss the case with medical director for possible additional interventions. Advise patient to track sleep for next week preferably with sleep tracking device but if not, then just manual tracking (time to bed, time waking up, how many times did they awake for the night, sleep hygiene questions.)
Medical Director Visit
Medical Director Visit
Points to consider seeking to uncover reasons for weight loss resistance. Review initial labwork looking for sub-optimal areas that could be impacting weight loss as well as sleep quality.
- Food sensitivity testing
- Micronutrient testing
- Nutrigen testing
- Sleep tracking - depending on whether weight loss is going as expected and how they answer questions about sleep.
Action: Medical director to advise what they feel is the biggest problem area(s) that require focused attention.
Visit 5
Focus of this visit is based on your assessment of biggest problem area(s).
From areas below, spend the time reinforcing needed behavior in 1-2 of the most problematic areas.
- Diet/Nutrition (appetite suppressant), Exercise, Medication compliance, Sleep, Low IGF-1 (GHRH therapy), GI issues - GI testing, Other metabolic issues
Visit 6
Focus on areas where patient needs most help. (Diet/Nutrition, Exercise, Sleep, Detoxification)
Visit 7
Focus on areas where patient needs most help. (Diet/Nutrition, Exercise, Sleep, Detoxification)
Visit 8
Assess progress vs Week 4 and baseline and make recommendations for another round or other continued intervention.
From areas below, spend the time reinforcing needed behavior in 1-2 of the most problematic areas.
- If patient ends on 1 mg Semaglutide, they can upgrade to 2mg for additional $425, total cost of $2600 for 12 weeks
- If patient wants to switch to Tirzepatide @ 5 mg, upcharge is $830, total cost for $3005 for 12 weeks.
- If they are close to meeting weight loss goals, then make age dependent recommendations for continued therapy
How to get started?
- Enroll online at https://pwc.myemedfusion.com/Newpatient.aspx
- When complete, PWC will prepared an individualized lab order
- Take lab order to Quest Diagnostics/Labcorp for insurance coverage
- When lab results are back, meet with Weight loss Program Coordinator
- Get Started - order meds - monitor - and lose weight!
Request a Consultation
Arrange your free consultation with one of our accountants or advisors
Latest News Near Altoona, PA
Cheapest gas stations in Altoona
Stackerhttps://stacker.com/stories/pennsylvania/altoona/cheapest-gas-stations-altoona
Anyone who drives a car understands the sting of having to fill up their tank and pulling into the gas station, only to discover that gas prices have skyrocketed. Paying extra for gas means you have less to spend on other things, which, over time, can really put a crimp in your budget.Cheap Insurance explored some of the reasons behind major changes in gas prices, and compiled a list of the cheapest gas stations in Altoona using data from Gas Buddy.Gas prices fluctuate based on several factors, including the cost of the key ing...
Anyone who drives a car understands the sting of having to fill up their tank and pulling into the gas station, only to discover that gas prices have skyrocketed. Paying extra for gas means you have less to spend on other things, which, over time, can really put a crimp in your budget.
Cheap Insurance explored some of the reasons behind major changes in gas prices, and compiled a list of the cheapest gas stations in Altoona using data from Gas Buddy.
Gas prices fluctuate based on several factors, including the cost of the key ingredient, crude oil, as well as the available supply and demand for gasoline. If the price of oil rises, a major refinery goes offline, or more drivers are hitting the road, for example, then the cost will increase.
In the first half of 2022, a unique confluence of events led to a surge in gas prices. The increased demand stemming from the COVID-19 pandemic, Russia's invasion of Ukraine, and a slowdown in oil production all contributed to a national all-time high of $4.93 per gallon on average in June 2022.
Seasons also affect gas prices. Demand tends to drop in winter, but the cost also falls because gas stations switch to a different blend of gasoline that's optimal for lower temperatures—and has cheaper ingredients.
Location also matters. The South and Midwest tend to have the lowest gas prices, while the West, including Hawai'i, has the highest. Californians, in particular, pay more for gas on average than any other state. That's because of its high state excise taxes; its isolation from the country's major pipelines, which causes supply issues; and its requirements that mandate a more environmentally friendly blend of gas that costs more to produce and adds to the price per gallon.
No matter where you live, read on to see if you can get a deal on gas near you.
#1. Sam's Club- Address: 2500 W Plank Rd, Altoona, PA- Price: $2.94
#2. OK Shop- Address: 1672 E Pleasant Valley Blvd, Altoona, PA- Price: $2.99
#2. Weis Markets (tie)- Address: 601 Pleasant Valley Blvd, Altoona, PA- Price: $2.99
#4. Exxon- Address: 110 N Market St, Martinsburg, PA- Price: $3.07
#5. Sheetz- Address: 405 E 25th Ave, Altoona, PA- Price: $3.09
#5. Sheetz (tie)- Address: 700 Chestnut Ave, Altoona, PA- Price: $3.09
#5. Martin's (tie)- Address: 200 E Chestnut Ave, Altoona, PA- Price: $3.09
#5. Roberts Service (tie)- Address: 701 7th Ave, Altoona, PA- Price: $3.09
#9. Sunoco- Address: 1700 7th Ave, Altoona, PA- Price: $3.10
#10. Exxon- Address: 115 S Juniata St, Hollidaysburg, PA- Price: $3.15
Snow totals: How much fell in central Pa.’s mid-December storm?
Paul Vignahttps://www.pennlive.com/weather/2025/12/snow-totals-how-much-fell-in-central-pas-mid-december-storm.html
The overnight snowstorm has moved north and east, leaving central Pennsylvania under a pre-Christmas blanket of snow.Accumulations, in general, were higher south of the Pennsylvania Turnpike and east of the Susquehanna River, different than the Dec. 2 storm that dumped more snow farther north and west.Spotters reported about an inch and a half in Mechanicsburg to 4 inches in Highspire.To the south, a spotter in East Berlin, York County, measured 3.7 inches, and that total increased farther east, with an accumulation of 5...
The overnight snowstorm has moved north and east, leaving central Pennsylvania under a pre-Christmas blanket of snow.
Accumulations, in general, were higher south of the Pennsylvania Turnpike and east of the Susquehanna River, different than the Dec. 2 storm that dumped more snow farther north and west.
Spotters reported about an inch and a half in Mechanicsburg to 4 inches in Highspire.
To the south, a spotter in East Berlin, York County, measured 3.7 inches, and that total increased farther east, with an accumulation of 5.5 inches in Gap, Lancaster County.
The largest amount reported was 11 inches around the Hidden Valley Resort in Somerset County.
Some of the coldest temperatures of what has already been an unusually cold December have started to move in and will be accompanied by winds that will make it quite uncomfortable outdoors.
The Eagles’ home game against the Las Vegas Raiders figures to be one of the colder games that the team has played in through the years, with temperatures falling through the 20s and winds gusting to 30 mph.
Look for the frigid temperatures to ease a bit tomorrow and the winds to die down, and then conditions to actually surge past normal by mid-week, with highs in Harrisburg forecast to reach the mid- to upper 40s on Wednesday and Thursday, according to the National Weather Service (NWS).
According to the NWS, here are the cumulative totals across central Pennsylvania, listed in alphabetical order by county. Be aware that some of the reporting times vary, but a majority are from Sunday morning:
Adams County
Blair County
Cameron County
Centre County
Clearfield County
Clinton County
Cumberland County
Dauphin County
Franklin County
Lancaster County
Lebanon County
Lycoming County
Montour County
Perry County
Schuylkill County
Somerset County
Tioga County
Cowanesque Dam, trace
Warren County
York County
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