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 Chevy Chase, VA
Amazon to close all Amazon Go and Amazon Fresh stores: Full list of current locations
Andrew Weilhttps://www.wusa9.com/article/news/nation-world/amazon-closing-fresh-supermarkets-go-stores-adding-more-whole-foods-locations/507-8fca2183-c4ee-407c-b9f3-8874cfdc7c78
As part of Tuesday's announcement, Amazon said it plans to open more than 100 new Whole Foods Market stores over the next few years.WASHINGTON — Amazon announced Tuesday it plans to shutter its Amazon Fresh and Amazon Go brick-and-mortar stores."While we've seen encouraging signals in our Amazon-branded physical grocery stores, we haven't yet created a truly distinctive customer experience with the right economic model needed for large-scale expansion," the company wrote in a blog post.Some of the Fresh a...
As part of Tuesday's announcement, Amazon said it plans to open more than 100 new Whole Foods Market stores over the next few years.
WASHINGTON — Amazon announced Tuesday it plans to shutter its Amazon Fresh and Amazon Go brick-and-mortar stores.
"While we've seen encouraging signals in our Amazon-branded physical grocery stores, we haven't yet created a truly distinctive customer experience with the right economic model needed for large-scale expansion," the company wrote in a blog post.
Some of the Fresh and Go stores will be converted into Whole Foods locations, according to the company. Amazon said Tuesday it plans to open more than 100 new Whole Foods Market stores over the next few years.
There are currently 14 Amazon Go cashier-less convenience stores and more than 50 Amazon Fresh grocery stores, according to online listings.
While Tuesday's announcement is a major shift in Amazon's grocery strategy, the company said it isn't ditching the idea of brick-and-mortar stores completely.
"We will also continue inventing on behalf of customers to develop a mass physical store format that brings customers distinctive selection, value, and convenience. Over the coming years, we plan to introduce new store concepts that we think customers will be excited about," the company said.
Earlier this month, Amazon announced plans to open its largest-ever retail store. The 230,000-square-foot mega-store outside Chicago would be large enough to fit two average-size Target stores under its roof, according to the Wall Street Journal. The outlet report that more big-box stores are in the works.
"Through it all, our goal remains: to make grocery shopping easier, faster, and more affordable for customers," Amazon said in Tuesday's blog post.
Amazon Fresh stores closing: Full list of current locations
Here is a current list of Amazon Fresh stores, according to Amazon's website.
Cerritos: 11340 South St, Cerritos, CA 90703
Citrus Heights: 5425 Sunrise Blvd, Citrus Heights, CA 95610
Corona: 3941 Bedford Canyon Rd, Corona, CA 92883
Encino: 16325 Ventura Blvd, Encino, CA 91436
Elk Grove: 7530 Elk Grove Blvd, Elk Grove, CA 95757
Fontana: 16188 South Highland Drive, Fontana, CA 92336
Fountain Valley: 18100 Brookhurst St, Fountain Valley, CA 92708
Fullerton: 1100 S Harbor Blvd, Fullerton, CA 92832
Huntington Beach: 6911 Warner Ave, Huntington Beach, CA 92647
Irvine: 13672 Jamboree Rd, Irvine, CA 92602
Ladera Heights: 6855 S La Cienega Blvd, Los Angeles, CA 90045
Long Beach: 6235 E Spring St, Long Beach, CA 90808
Moorpark: 742 Los Angeles Ave, Moorpark, CA 93021
Murrieta: 40485 Murrieta Hot Springs Rd, Murrieta, CA 92563
North Hollywood: 5101 Lankershim Blvd, North Hollywood, CA 91601
Northridge: 19340 Rinaldi St, Northridge, CA 91326
Pasadena: 3425 E Colorado Blvd, Pasadena, CA 91107
Poway: 14837 Pomerado Rd., Poway, CA 92064
Roseville: 6780 Stanford Ranch Road, Roseville, CA 95678
Torrance: 21035 Hawthorne Blvd, Torrance, CA 90503
Woodland Hills: 6245 Topanga Canyon Blvd, Woodland Hills, CA 91367
Upland: 235 E Foothill Blvd, Upland, CA 91786
Arlington Heights: 325 E Palatine Road, Arlington Heights, IL 60004
Bloomingdale: 404 W Army Trail Rd, Bloomingdale, IL 60108
Morton Grove: 6939 Dempster St, Morton Grove, IL 60053
Naperville: 3116 S Rt 59, Naperville, IL 60564
Naperville - Ogden: 1351 E Ogden Ave, Naperville, IL 60563
Norridge: 4211 N. Harlem Ave, Norridge, IL 60706
North Riverside: 7201 West 24th St, North Riverside, IL 60546
Oak Lawn: 4031 W 95th St, Oak Lawn, IL 60453
Schaumburg: 16 A East Golf Rd, Schaumburg, IL 60173
Tinley Park: 16017 S. Harlem Ave, Tinley Park, IL 60477
Chevy Chase: 5463 Wisconsin Ave, Chevy Chase, MD 20815
Chevy Chase - Lake Terrace: 8525 Chevy Chase Lake Terrace, Chevy Chase, MD 20815
Gaithersburg: 15790 Shady Grove Rd, Gaithersburg, MD 20877
Glen Burnie: 6711 Ritchie Highway, Gaithersburg, MD 21061
Silver Spring: 12263 Prosperity Dr, Silver Spring, MD 20904
Eatontown: 137 NJ-35, Eatontown, NJ 07724
Lodi: 2 Memorial Drive, Lodi, NJ 07644
Paramus: 30 E Ridgewood Ave, Paramus, NJ 07652
Woodland Park: 1510 Route 46, Woodland Park, NJ 07424
East Setauket: 4054 Nesconset Highway, East Setauket, NY 11733
Oceanside: 3620 Long Beach Rd, Oceanside, NY 11572
Bensalem: 1837 Street Rd, Bensalem, PA 19020
Broomall: 2940 Springfield Rd, Broomall, PA 19008
Oxford Valley: 2424 E Lincoln Hwy, Langhorne, PA 19047
Warrington: 389 Easton Rd, Warrington, PA 18976
Willow Grove: 102 Park Ave, Willow Grove, PA 19090
Spring Garden: 555 Spring Garden Street, Philadelphia, PA 19123
Alexandria: 3801 Richmond Hwy, Alexandria, VA 22305
Fairfax: 10360 Fairfax Blvd, Fairfax, VA 22030
Falls Church: 5811 Crossroads Center Way, Falls Church, VA 22041
Franconia: 7005 Manchester Blvd, Franconia, VA 22310
Lorton: 9409 Lorton Market St, Lorton, VA 22079
Factoria: 3901 Factoria Square Mall SE, Bellevue, WA 98006
Seattle - Aurora: 13201 Aurora Ave N, Seattle, WA 98133
Seattle - Jackson St: 2301 S. Jackson St., Seattle, WA 98144
Nashville Warehouse - Pickup and Storefront: 410 Harding Industrial Dr, Nashville, TN 37211
Amazon Go stores closing: Full list of current locations
Here is a current list of Amazon Go stores, according to Amazon's website.
Amazon Go #ILS1: 14249 Whittier Blvd, Whittier, CA 90605
Amazon Go #ICH2: 222 W Merchandise Mart Plaza, Chicago, IL 60654
Amazon Go #ICH3: 500 West Madison Street, Chicago, IL 60661
Amazon Go #ICH6: 130 E Randolph St, Chicago, IL 60601
Amazon Go #INY1: 200 Vesey St, New York, NY 10281
Amazon Go #INY4: 150 E 53rd Street, New York, NY 10022
Amazon Go #IBF2: 10819 4th St. NE, Bellevue, WA 98004
Amazon Go #ILS4: 13209 39th Ave SE, Mill Creek, WA 98012
Amazon Go #IWA2: 15518 Meridian Ave, Puyallup, WA 98375
Amazon Go #IWA3: 17710 Canyon Road E, Puyallup, WA 98375
Amazon Go #ISE9: 1122 Madison St, Seattle, WA 98104
Amazon Go #ISE1: 2131 7th Ave, Seattle, WA 98121
Amazon Go #IBF3: 1906 Terry Ave, Seattle, WA 98101
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