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 Clarksburg, MD
Saks closing most of Off 5th stores, including 2 in Maryland. See when sales begin
Danielle Abreuhttps://www.nbcwashington.com/news/local/saks-off-5th-stores-website-last-call-closing-sales/4051763/
Saks Global, the parent company of Saks Fifth Avenue and Neiman Marcus, is closing most of its Saks Off 5th and Neiman Marcus Last Call locations, including several here in Maryland.The company said it will also wind down the saksoff5th.com website, a separate legal entity from Saks Global, with a sale beginning on Jan. 30.Saks Global operates 70 Saks Off 5th locations and plans to shutter all but 12 stores, the company said Thursday. Two locations in Clarksburg and Arundel will be closing down for good. The re...
Saks Global, the parent company of Saks Fifth Avenue and Neiman Marcus, is closing most of its Saks Off 5th and Neiman Marcus Last Call locations, including several here in Maryland.
The company said it will also wind down the saksoff5th.com website, a separate legal entity from Saks Global, with a sale beginning on Jan. 30.
Saks Global operates 70 Saks Off 5th locations and plans to shutter all but 12 stores, the company said Thursday. Two locations in Clarksburg and Arundel will be closing down for good. The remaining outlets will serve primarily as a selling channel for residual inventory from Saks Fifth Avenue, Neiman Marcus and Bergdorf Goodman, it said.
Saks 5th Ave store closing sales will begin on Saturday, Jan. 31.
The company will close the remaining five Last Call stores, which are outlet locations that serve as a discount channel for Neiman Marcus. See the full list below.
The company said that gift cards to both discount retail stores will continue to be accepted until Saturday, Feb.14. For saksoff5th.com, they will be accepted until Feb. 13. After these date, they will no longer be honored.
Returns and exchanges for merchandise purchased before the closing sales will be accepted in accordance with the company’s usual policies. However, all merchandise purchased during the closing sales in the physical store and online will be final sale, and no returns or exchanges will be accepted.
Saks will continue to accept payments with SaksFirst and InCircle credit cards during closing sales, but new purchases at OFF 5TH store and website and Last Call will not earn rewards. Any existing rewards can be redeemed until Sunday, March 1 at physical stores and until Saturday, Feb. 28 for the website.
The shipping policy for saksoff5th.com during the closing sale is unchanged. Customers can continue to receive free shipping on standard delivery for qualified purchases of $89 or more.
Earlier this month, Saks filed for Chapter 11 bankruptcy protection as it struggled to make payments on debt it took on for its $2.65 billion acquisition of Neiman Marcus in 2024.
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