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 Charles Town, WV
WVDOH reviews public input from West Washington Street Project meeting in Charles Town
The Panhandle News Network | WEPM & WCSThttps://panhandlenewsnetwork.com/2025/08/12/wvdoh-reviews-public-input-from-west-washington-street-project-meeting-in-charles-town/
CHARLES TOWN, W.Va. — The West Virginia Division of Highways is reviewing feedback collected during a public workshop held Tuesday, August 5, 2025, on the proposed West Washington Street improvement project in Charles Town, Jefferson County.The meeting, hosted at the Betty J. Roper Auditorium at Wright Denny Intermediate School, drew residents, business owners and local officials interested in the planned upgrades. The open-house format allowed attendees to view project displays, speak directly with WVDOH engine...
CHARLES TOWN, W.Va. — The West Virginia Division of Highways is reviewing feedback collected during a public workshop held Tuesday, August 5, 2025, on the proposed West Washington Street improvement project in Charles Town, Jefferson County.
The meeting, hosted at the Betty J. Roper Auditorium at Wright Denny Intermediate School, drew residents, business owners and local officials interested in the planned upgrades. The open-house format allowed attendees to view project displays, speak directly with WVDOH engineers and planners, and share comments and concerns.
Proposed improvements focus on increasing roadway safety and capacity at the intersection of West Washington Street, Summit Point Road, and Martin Luther King Jr. Boulevard. The project also aims to enhance pedestrian safety and bicycle mobility throughout the corridor, supporting the long-term growth of the Charles Town area.
Crash data from 2017 to 2021 was reviewed to determine how often crashes occurred, their types and whether patterns existed. Over the five-year period, there were 51 crashes in the project area, with about 29 percent resulting in injuries. Of these, 23 occurred at the intersection of WV 51 and County Route 340/18 (Augustine Avenue), and 10 occurred at the intersection of WV 51 and County Route 13 (Summit Point Road). When compared with similar roadways across West Virginia, the crash rate in this area is nearly 2.5 times higher than the state average.
“We value the input we received from the community,” said Doug Kirk, director of the WVDOH Technical Support Division. “The feedback gathered at the meeting will be carefully considered as we move forward with design and construction planning.”
Residents who could not attend the workshop may submit written comments through Friday, September 3, 2025, at http://go.wv.gov/dotcomment.
With work continuing in all 55 counties across the state, the West Virginia Division of Highways and the West Virginia Department of Transportation remind the public of the importance of keeping everyone safe in work zones. “Respect the zone; let’s all go home!”
*From WVDOH Press Release
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