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 Bethesda, MD
2 construction workers rescued after trench collapse in Bethesda expected to survive
Josh Rosenthalhttps://www.fox5dc.com/news/2-construction-workers-rescued-after-trench-collapse-bethesda-expected-survive
A dramatic and unusual rescue operation took place in Montgomery County on Tuesday.Two construction workers were hospitalized after a trench caved in, leaving them trapped in a mound of dirt.What we know:The incident happened as the two men were working on a house.Montgomery County Fire and Rescue officials say crews were called to the scene in the 8100 block of Kentbury Drive in Bethesda around 12:15 p.m.When they arrived, they found the two men partially buried in a narrow trench, about 10 to 12 feet deep...
A dramatic and unusual rescue operation took place in Montgomery County on Tuesday.
Two construction workers were hospitalized after a trench caved in, leaving them trapped in a mound of dirt.
What we know:
The incident happened as the two men were working on a house.
Montgomery County Fire and Rescue officials say crews were called to the scene in the 8100 block of Kentbury Drive in Bethesda around 12:15 p.m.
When they arrived, they found the two men partially buried in a narrow trench, about 10 to 12 feet deep and only a few feet wide.
Both men were conscious and able to communicate, but dirt had covered them up to near their waists, raising concerns about potential injuries.
"One of the victims was waist deep, and another one, they had dirt over their head," said Montgomery County Fire and Rescue Chief Corey Smedley.
Officials say the workers had some sort of plywood shoring in the trench, and that when the trench caved in, the shoring bent in such a way that it created a pocket of air.
That air helped the workers breathe while highly specialized teams made their way to the site.
Diligent work:
Chief Smedley says one of those specialized teams was the University of Maryland’s Shock Trauma Go Team.
The other is a team of Montgomery County firefighters that trains for technical rescues.
"This is what we prepare for. We have a specialized group of guys that are hard workers, the ace of spades, guys that you want showing up for complex things like this, and you know, we train together regularly so that we can run incidents like this regularly and have them go like clockwork in order to have the best outcome for the patients and anybody else that might be in trouble," said Capt. Nathan Wondimu with Montgomery County Fire and Rescue.
The construction workers were taken to the hospital.
They are being referred to as trauma patients, but both are expected to survive.
Two construction workers rescued in Bethesda after being trapped in a ditch
WUSAhttps://www.wusa9.com/article/news/local/bethesda/bethesda-technical-rescue-response/65-be912c10-0263-4750-95ec-e92101f0491f
Two workers were partially buried by dirt, according to Montgomery County Fire and EMS.BETHESDA, Md. — Two construction workers were rescued Tuesday after being stuck in a ditch outside a Bethesda home, according to Montgomery County Fire and EMS.First responders say they got the call around 12:15 p.m. Once they responded to the home near the intersection of Kentbury Drive and Newdale Road, they found three construction workers, two of them were entrapped by dirt inside a ditch.Officials say it is still unclear how...
Two workers were partially buried by dirt, according to Montgomery County Fire and EMS.
BETHESDA, Md. — Two construction workers were rescued Tuesday after being stuck in a ditch outside a Bethesda home, according to Montgomery County Fire and EMS.
First responders say they got the call around 12:15 p.m. Once they responded to the home near the intersection of Kentbury Drive and Newdale Road, they found three construction workers, two of them were entrapped by dirt inside a ditch.
Officials say it is still unclear how the collapse happened and how far down the two men were when they were trapped by dirt.
Montgomery County Fire Chief Corey Smedley told reporters one of the men had dirt up to his waist, the second nearly to his head. Both men were alert, breathing, and communicating as first responders tried to get them out.
Smedley said his team, which happened to be conducting technical training for these kinds of situations that day, asked for the support of state and federal first responders. He described a delicate and dangerous scene.
"We used buckets, we used airbags, we used different types of cribbing, as we call it, to secure the area so there would be no additional collapse," he explained. Vehicles were parked away from the scene because, according to Smedley, any vibration could have prompted an additional collapse.
The first man was trapped for about an hour before he was rescued and transported by helicopter to a nearby hospital to receive medical attention.
The second was trapped for about two hours and had just enough room to allow his chest to expand and continue breathing, according to first responders.
"Before we could even get all of the dirt away, the second victim came out of the ditch himself," Smedley said. He credited the fast response of his team for what he called the "most beautiful outcome you could ever have."
County and state officials are investigating what led to the collapse.
Adult Bike, E-Scooter Classes Come to Bethesda-Chevy Chase
Gaby Arancibiahttps://patch.com/maryland/bethesda-chevychase/adult-bike-e-scooter-classes-come-bethesda-chevy-chase
BETHESDA-CHEVY CHASE, MD — The Montgomery County Department of Transportation will be providing adult bike and e-scooter classes in April, May and June.While courses will be free for members of the Washington Area Bicyclist Association or the Capital Bikeshare for All, a $10 charge will be issued to other county residents signing up for bicycle classes.Advance registration is required for all individuals seeking to sign up for a course, which is limited to those 18 and over. Each class has a max capacity of 25 people....
BETHESDA-CHEVY CHASE, MD — The Montgomery County Department of Transportation will be providing adult bike and e-scooter classes in April, May and June.
While courses will be free for members of the Washington Area Bicyclist Association or the Capital Bikeshare for All, a $10 charge will be issued to other county residents signing up for bicycle classes.
Advance registration is required for all individuals seeking to sign up for a course, which is limited to those 18 and over. Each class has a max capacity of 25 people.
Visit WABA online to register for the bike lessons.
April registrations are active now, but, lists for May and June will not open to the public until 9 a.m. on April 2 and May 1, respectively. Make sure to bookmark those dates.
Anyone joining the "Learn to Ride" bicycle classes will be instructed on how to:
Those participating in the basic skills course should be able to ride a bike, as they will be using the allocated lesson times to practice those skills. MCDOT says the class will be overseen by experienced WABA officials.
Below are the locations where bicycle classes will be held in Bethesda-Chevy Chase:
| Learn to Ride | Farm Women's MarketParking Market Lot 244601 Leland St. | May 1710 a.m.-1 p.m |
| Montgomery MallFormer Sears Lot7101 Democracy Blvd. | June 79 a.m.-12 p.m. |
A full list of nearby class locations can be found online.
In Bethesda-Chevy Chase, e-scooter classes will only be held on June 7, following the "Learn to Ride" class.
There is no charge or preregistration required for the e-scooter lessons. Anyone 18 or over with a valid driver's license or ID can participate.
MCDOT says "residents can drop-in anytime during the two-hour adult e-scooter classes immediately following the bike classes."
E-scooters and helmets will be provided.
Make-up dates for the May 17 and June 7 classes will take place two weeks after the original class date.
Inclement weather cancellations can be found online or by calling (240) 777-8380.
Indoor Play Spaces in DC FAQ
February 2https://mommypoppins.com/washington-dc-kids/indoor-activities/best-indoor-play-spaces-for-dc-kids
When the weather is bad and the kids need to burn some energy, head to one of these top indoor playgrounds for kids in DC, Maryland, and Northern Virginia.While getting kids out of the house to blow off steam is a must for everyone's sanity, it's not easy on cold, hot, or rainy days. But there are lots of indoor play areas for children in DC and beyond that allow kids to crawl, run, jump, climb, and play to their hearts' content—without causing a storm inside your house. Many of these kids' play spaces ...
When the weather is bad and the kids need to burn some energy, head to one of these top indoor playgrounds for kids in DC, Maryland, and Northern Virginia.
While getting kids out of the house to blow off steam is a must for everyone's sanity, it's not easy on cold, hot, or rainy days. But there are lots of indoor play areas for children in DC and beyond that allow kids to crawl, run, jump, climb, and play to their hearts' content—without causing a storm inside your house. Many of these kids' play spaces include extra perks like free WiFi, cafes, fun classes, and more.
Here are 30 of the best indoor play areas for children in DC, Maryland, and Northern Virginia to visit on those bad-weather days. For more ideas for indoor fun near DC, check out our Guide to Indoor Playgrounds and Play Spaces for Kids in DC. You'll find our curated lists of everything from the best indoor rock climbing gyms to awesome trampoline parks.
Note: While many of these indoor playgrounds have membership options, we've only included play spaces that also offer drop-in play.
Inside the Rosedale branch of the Baltimore County Public Library you'll find Storyville, a child-sized village filled with books, toys, and activities for kids ages 0-5. The village includes a pretend grocery store and mailroom, a puppet stage and theater, a home living area, a construction zone, a library, a baby garden, and a toddler area. It's like having a free mini children's museum right inside the public library! Note: The Woodlawn library branch also has a Storyville, but as of January 2026 it was closed for renovation.
Q: Where can I take toddlers to play indoors in DC?A: Supervised kids' play spaces like Mulberry Lane Cafe, soft play centers like Bluemont Village, and indoor playgrounds with pretend towns like Play Street Museum are ideal for toddlers.
Q: Are there indoor play spaces suitable for birthday parties?A: Most of the indoor playgrounds on this list offer party packages, private rooms, or rentable areas, making them perfect kids' birthday party venues.
Q: Are there hidden or unusual indoor play spaces in DC?A: Yes! The Toy Nest is essentially a toy library you can play in, while Play N' Learn is a playground superstore where you're allowed to climb and play on the merchandise. There are even some hidden play spaces in restaurants!
Q: How can parents make indoor play visits easier?A: Bring snacks, plan around naps, and avoid weekends. Also check that the indoor play space has amenities you need, like changing stations and stroller accessibility.
All photos courtesy of the indoor playgrounds unless otherwise indicated
This post was originally published in 2019 and is updated annually.
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