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 Columbia, MD
Where To Pick Apples Around Columbia: 2025 Guide
Kristin Danley-Greinerhttps://patch.com/maryland/columbia/where-pick-apples-around-columbia-2025-guide
COLUMBIA, MD — Fall doesn’t officially start until the autumnal equinox on Monday, Sept. 22, but the season is already underway at Howard County’s apple orchards.There are plenty of activities at these fall attractions to appeal to all ages, especially kids.Patch has compiled a list of some of the best apple orchards and family-friendly fall attractions in and around Howard County. Before you go, be sure to call ahead or check the orchard’s website to clarify hours of operation or to check for the availa...
COLUMBIA, MD — Fall doesn’t officially start until the autumnal equinox on Monday, Sept. 22, but the season is already underway at Howard County’s apple orchards.
There are plenty of activities at these fall attractions to appeal to all ages, especially kids.
Patch has compiled a list of some of the best apple orchards and family-friendly fall attractions in and around Howard County. Before you go, be sure to call ahead or check the orchard’s website to clarify hours of operation or to check for the availability of apples.
Address: 10500 Clarksville Pike, Ellicott CitySeason dates: Fall activities start Sept. 13. The pumpkin patch will be open from Sept. 13-Nov. 2 (hours vary).Details: Pumpkin patch, petting farm, fairy forest, enchanted forest, fresh produce, gem mining, merchandise shopping, face painting, food vendors. Halloween costume parades will be Oct. 25-26 at 11 a.m. and noon on Saturday and Sunday. Pumpkin chucking will be Nov. 1-2, a 23-year tradition at the farm.Hours: Tuesday through Friday from 10 am. to 5 p.m., Saturday and Sunday from 10 a.m. to 5:30 p.m.Cost: $8 to $12 per person depending on the dayPhone: 410–730–4049
Address: 2415 Woodbine Rd, WoodbineSeason dates: Sept. 13 marks the day when apples can be picked.Details: U-pick apples and October hayrack ridesHours: Tuesday through Friday from 9 a.m. to 6 p.m., Saturday and Sunday from 9 a.m. to 5 p.m.Cost: VariesPhone: 410-442-2605
Address: 4979 Sheppard Lane, Ellicott CitySeason dates: Farm store is open year-round.Details: Fall Festival runs from Sept. 13 through Oct. 26 with a visit to the pumpkin patch, animal encounters, the animal village barn, middle woods animal encounters, train rides, super mega slide, kid's play park, plus live music and food trucks on the weekends. Hours: Monday through Wednesday from 10 a.m. to 5 p.m., Thursday through Friday from 10 a.m. to 6 p.m., Saturday 9 a.m. to 6 p.m., Sunday 11 a.m. to 5 p.m.Cost: VariesPhone: 410-849-4314
This should be a good year for apple picking, according to the 2025 forecast from the U.S. Apple Association, which estimates the harvest will be 6 percent higher than in 2024, for a total of 273 million bushels.
That estimate is based on USDA data from the top seven apple-producing states — respectively, Washington, New York, Michigan, Pennsylvania, California, Oregon and Virginia. When other states are considered, total production could be as much as 290 million bushels, the industry trade group said.
Columbia, Maryland ranks top city in nation for women again
Aliza Worthingtonhttps://baltimorefishbowl.com/stories/columbia-md-ranked-top-city-in-nation-for-women/
For the second year in a row, Columbia, Maryland grabbed the top spot in WalletHub’s rankings of Best Cities for Women to thrive.It’s the third time this year Columbia topped the finance site’s surveys, as in January 2025 the city nabbed top rankings for finding a job in both the state and the nation.WalletHub used 15 criteria to compare 182 cities to determine both the best and worst cities in which women can reach their potential. Naturally, they focused on economics, and Columbia has the highest median earn...
For the second year in a row, Columbia, Maryland grabbed the top spot in WalletHub’s rankings of Best Cities for Women to thrive.
It’s the third time this year Columbia topped the finance site’s surveys, as in January 2025 the city nabbed top rankings for finding a job in both the state and the nation.
WalletHub used 15 criteria to compare 182 cities to determine both the best and worst cities in which women can reach their potential. Naturally, they focused on economics, and Columbia has the highest median earnings for female workers (adjusted for cost of living) than any of the other cities at $61,778 per year. The poverty rate is the eighth lowest in the country, as well, at only 8.2%.
That is saying something in a nation where women still earn only 85 cents for every dollar men do, and the gap increases with age. The rate is worse for Black women, who earn only 69 cents for every dollar white men earn, and Hispanic women, who earn 57 cents for every dollar white men earn.
“Living in the right city can significantly improve a woman’s economic status, health, and safety,” said Milvionne Chery, a WalletHub analyst, in a statement. “The best cities for women offer job security and high pay, enabling women to achieve greater financial independence. They also prioritize safety, provide easily accessible medical care, and have high-quality hospitals, contributing to the best possible physical and mental health for women.”
The job market in Columbia is good for women, too, with the 34th lowest unemployment rate in the country at just over 4%. In other cities, that rate is as high as 13%. Nearly one-quarter of businesses in Columbia (23%) are owned by women, too, which is the 31st highest percentage in the nation.
To determine the level of women’s economic and social well-being in each city, WalletHub considered things like income, unemployment rate, job security, percentage of women living in poverty, share of women-owned businesses, and the “economic clout” held by women-owned firms.
Money isn’t everything, however, and WalletHub gave weight to women’s health care and safety in their considerations, too. The survey looked at abortion policies and access, the quality of women’s hospitals, female uninsured rates, women’s preventive health care, life expectancy, physical activity, and more.
Columbia ranks highly by these standards, as well. The city has the 10th best life expectancy for women at birth and the 12th highest share of women over the age of 21 who have received a cervical cancer screening within the proper time frame. It also boasts the 3rd highest rate of women who got their mammograms in the past two years. Columbia has the sixth highest percentage of women who are physically active in the nation, with 85%.
Acknowledging all of this, there are always concerns and battles to wage. Cecilia Rio, Ph.D. is an associate professor and Graduate Program Director for Women’s and Gender Studies at Towson University. She points out the continuing need for access to quality childcare and elder care that is affordable, flex time, and paid family leave. Rio also has grave misgivings about government dismantling of DEI programs on women.
“Government officials need to look at how dismantling of DEI programs will greatly impact gender equity in the workforce and including access to institutional resources (STEM training, for example),” Rio said in a statement. “White women, in particular, benefited a great deal from the implementation of Affirmative Action in the past in order to open up professional and other traditional male occupations.”
She brought up the irony of Karoline Leavitt, Donald Trump’s press secretary, complaining about “wokeness.”
“[T]he very policies that came from the social movements of the 60s and 70s knocked down the doors of discrimination and stubborn glass ceilings that kept women out of such prestigious careers to begin with,” Rio said.
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