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
Howard Co. School Calendar Altered Due To Weather-Related Cancellations
Kristin Danley-Greinerhttps://patch.com/maryland/columbia/howard-co-school-calendar-altered-due-weather-related-cancellations
HOWARD COUNTY, MD — Calendar adjustments have been made to the current school calendar to compensate for the use of five inclement weather days and four late openings, which has caused the high schools to end up two hours short of the state requirement for classroom time.Barring any additional inclement weather days, the last day of school for HCPSS students now will be Thursday, June 18.The Howard County Board of Education approved the following calendar adjustments for the Howard County Public School System's calendar a...
HOWARD COUNTY, MD — Calendar adjustments have been made to the current school calendar to compensate for the use of five inclement weather days and four late openings, which has caused the high schools to end up two hours short of the state requirement for classroom time.
Barring any additional inclement weather days, the last day of school for HCPSS students now will be Thursday, June 18.
The Howard County Board of Education approved the following calendar adjustments for the Howard County Public School System's calendar at its Feb. 26 meeting:
| DATE | PREVIOUSLY SCHEDULED | ADJUSTMENT |
|---|---|---|
| Tues., March 3 | Student early dismissal | Full day for students |
| Mon., April 6 | Schools & offices closed | Full day for students |
| Wed., April 15 | Schools closed for students; Staff Professional Learning and Work Day | Half-day for students with the standard 3-hour early dismissal; Half work day for staff |
| Thurs., May 14 | Student early dismissal | Full day for students |
| Thurs., June 11 | Student early dismissal | Full day for students |
| Fri., June 12 | Student early dismissal | Full day for students |
| Mon., June 15 | Student early dismissal | Full day for students; Last day for half-day pre-K/RECC |
| Tues., June 16 | Inclement weather makeup day | Half-day for students with the standard 3-hour early dismissal; designated for staff articulation |
| Wed., June 17 | Inclement weather makeup day | Half-day for students with the standard 3-hour early dismissal |
| Thurs., June 18 | Inclement weather makeup day | Half-day for students with the standard 3-hour early dismissal |
Highest Credit Rating Given To Howard County
Kristin Danley-Greinerhttps://patch.com/maryland/columbia/highest-credit-rating-given-howard-county
HOWARD COUNTY, MD — Officials announced Tuesday that Howard County earned the highest possible credit rating, AAA, from all three bond rating agencies – Fitch Ratings, Moody’s Investor Services and Standard & Poor’s.For 2026, Howard County again ranks among the top two percent of counties nationwide to earn the ranking."While federal impacts and tough fiscal realities and uncertainties continue to loom across our great state and country, Howard County stands as the ‘Gateway to opportunity&...
HOWARD COUNTY, MD — Officials announced Tuesday that Howard County earned the highest possible credit rating, AAA, from all three bond rating agencies – Fitch Ratings, Moody’s Investor Services and Standard & Poor’s.
For 2026, Howard County again ranks among the top two percent of counties nationwide to earn the ranking.
"While federal impacts and tough fiscal realities and uncertainties continue to loom across our great state and country, Howard County stands as the ‘Gateway to opportunity’ having once again earned a AAA bond rating from all three credit rating agencies this week. From our expanding international opportunities, booming local economy and spurring new job growth, the state of Howard County remains strong thanks to the strategic decisions we continue to make to secure our present and future," said Howard County Executive Calvin Ball.
After evaluating financial criteria including economy/tax base, finances, management and debt/pensions, each agency issued a report that highlights Howard County’s strengths.
Fitch cited, “Howard County's financial resilience is driven by the combination of its ‘high’ revenue control assessment and ‘midrange’ expenditure control assessment, culminating in a ‘high midrange’ budgetary flexibility assessment.”
Moody’s highlighted, “The stable outlook reflects the likelihood that the county's financial position will remain healthy, supported by steady revenue growth and strong management.”
Standard & Poor’s noted, “The county is a desirable, affluent community, with a very strong economy supported by a well-educated population, wealthy property tax base, high household incomes and direct access to the Baltimore and Washington metropolitan statistical areas (MSAs). In our opinion, these factors, along with surplus financial operations and comprehensive financial management policies and practices have allowed the county to weather economic downturns, experience good tax base and revenue growth, and underpin the ‘AAA’ rating.”
Presidents Day 2026 In Columbia: What’s Open, Closed
Kristin Danley-Greinerhttps://patch.com/maryland/columbia/presidents-day-2026-columbia-what-s-open-closed
Learn what's open and closed on President's Day Monday in Howard County, along with the services available.COLUMBIA, MD — Presidents Day on Monday is a federal holiday, but that doesn’t mean every government office in Howard County will automatically be closed.President's Day is legally known as Washington’s Birthday, which was celebrated on Feb. 22 until it was moved to the third Monday in February under the Uniform Monday Holiday Act, which took effect in 1971.Although the name of the holiday was ne...
Learn what's open and closed on President's Day Monday in Howard County, along with the services available.
COLUMBIA, MD — Presidents Day on Monday is a federal holiday, but that doesn’t mean every government office in Howard County will automatically be closed.
President's Day is legally known as Washington’s Birthday, which was celebrated on Feb. 22 until it was moved to the third Monday in February under the Uniform Monday Holiday Act, which took effect in 1971.
Although the name of the holiday was never officially changed, it became known in the 1980s as Presidents Day, a celebration not just of a single president but of the office of the presidency. Many people also regard it as a holiday honoring both Washington’s birthday on Feb. 22 and President Abraham Lincoln’s birthday on Feb. 12.
Howard County and city government offices will be closed Monday in observance of President's Day, as will banks, the New York Stock Exchange, Nasdaq and bond markets along with the U.S. Postal Service.
The court system, 50+ centers and the animal shelter will be closed.
There will be regular Monday trash, recycling and food scrap/yard trim services collected and the Alpha Ridge Landfill will be open.
County parks, the Gary J. Arthur, North Laurel and Roger Carter Community Centers, Cedar Lane and Schooley Mill Park Activity Rooms, Meadowbrook Athletic Complex and Kiwanis-Wallas Hall will be open Monday.
However, the Robinson Nature Center, Belmont Manor & Historic Park, Firehouse Museum, Patapsco Female Institute and the Baltimore & Ohio Ellicott City Station Museum will be closed.
The Regional Transportation Agency will operate on a regular weekday schedule. All parking regulations and fees will be in effect.
The 9-1-1 Center, police and fire departments remain staffed 24 hours a day, seven days a week. For emergencies, call 9-1-1; for non-emergencies, call 410-313-2200.
The Howard County Library System will be closed Monday for President's Day.
Many public schools are closed on Presidents Day. Howard County Public School System buildings and schools will be closed Monday, too.
If you need to run to the DMV or take care of any other government business, you may find the doors locked and lights off. Most states, including Maryland, make Presidents Day a holiday for workers, with exceptions including those who perform essential services. Even in states that recognize Presidents Day as a holiday, not all counties and cities give workers a day off.
Banks, the New York Stock Exchange, Nasdaq, and bond markets will be closed. So will the U.S. Postal Service. Unless they’re typically closed on Mondays, most retail stores will be open as usual. The same goes for restaurants and bars. Some non-retail businesses will be closed, including Patch Media.
Presidents Day is the first free-admission day for national parks of 2026. The day kicks off a revised, more “patriotic” schedule of free entrance days for the year, with notable exceptions of Martin Luther King Jr. Day and Juneteenth. Flag Day on June 14, which is also President Donald Trump’s 80th birthday, was added to the schedule of fee-free admission days. Under another change this year, only U.S. citizens and residents.
The National Park Service manages more than 430 designated sites, including national parks, monuments, battlefields, historic sites, lakeshores and recreation areas.
Next Day Access Columbia, Maryland: New Franchise Location
EIN Presswirehttps://www.desmoinesregister.com/press-release/story/26182/next-day-access-columbia-maryland-new-franchise-location/
Next Day Access, a leading provider of accessibility solutions, announces the launch of Next Day Access Columbia, Maryland, owned and operated by Tal Shachar./ — Next Day Access, a leading provider of mobility and accessibility solutions, is pleased to announce the launch of Next Day Access Columbia, Maryland, owned and operated by Tal Shachar.“When she introduced me to Next Day Access, I immediately knew this was it; everything aligned perfectly,” Tal said when he was introduced to Next Day Access by h...
Next Day Access, a leading provider of accessibility solutions, announces the launch of Next Day Access Columbia, Maryland, owned and operated by Tal Shachar.
/ — Next Day Access, a leading provider of mobility and accessibility solutions, is pleased to announce the launch of Next Day Access Columbia, Maryland, owned and operated by Tal Shachar.
“When she introduced me to Next Day Access, I immediately knew this was it; everything aligned perfectly,” Tal said when he was introduced to Next Day Access by his franchise consultant. After 15 years of experience in product management, Tal was ready to pursue business ownership, and with additional experience through service and relationship building, he knew partnering with Next Day Access was the right choice.
Tal’s biggest inspiration, however, is his father. “My father has been in a wheelchair for the past eight years, and I’ve witnessed firsthand how the right accessibility solutions – the very products and services Next Day Access provides – can restore independence and dignity.” Over the eight years, Tal and his father have seen what works and what doesn’t for him, and he understands that accessibility isn’t a one-size-fits-all proposition. “I’ve witnessed how the right modification can transform someone’s daily life, and how poor service or inadequate solutions can cause frustration and even danger,” Tal says. “I’m not just bringing professional expertise – I’m bringing empathy, technical capability, and a personal commitment to treating every client the way I want my own father to be treated – no runaround, no surprises, just straightforward help when you need it most.”
He looks forward to both the technical and emotional fulfilment of providing solutions for his communities, developing solid working relationships with those who serve the same individuals. “I want to be known as a trusted resource – the person they call when a family needs help. Being part of the local business community and contributing to our neighbors’ ability to stay in their homes safely is something I take seriously,” he said. He strives to see the humanity in each person, acting as though he were serving his loved ones. “When I look back a year from now, I want to know that I’ve made a genuine difference in people’s lives, one installation at a time.” His opening day is January 20, 2026.
About Next Day Access Columbia, Maryland Next Day Access Columbia, Maryland, provides accessibility and mobility solutions to individuals of all ages in the greater Columbia area and surrounding communities. They sell, deliver, and install solutions such as wheelchair ramps, stairlifts, wheelchair & platform lifts, grab bars, and more.
To learn more about Next Day Access Columbia, Maryland, contact their team at 410-941-3999 or visit .
About Next Day Access
Next Day Access is a national leader providing accessibility and mobility solutions to residential and commercial customers. With a network of franchises across North America, Next Day Access is committed to offering the best solutions and services to help increase independence and maintain safe access.
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Howard Co. Schools Announced Schedule Change For Friday
Kristin Danley-Greinerhttps://patch.com/maryland/columbia/howard-co-schools-announced-schedule-change-friday
HOWARD COUNTY, MD — Howard County Public Schools buildings will be closed for Friday, officials stated. Offices will be open with liberal leave in effect.All afternoon and evening activities involving HCPSS students and staff are canceled.All community-sponsored programs in HCPSS buildings are canceled.If Howard Community College is open as scheduled, HCPSS students who are enrolled at HCC and cannot attend due to a lack of transportation should notify their professors immediately using their MyHCC email or Canvas....
HOWARD COUNTY, MD — Howard County Public Schools buildings will be closed for Friday, officials stated. Offices will be open with liberal leave in effect.
All afternoon and evening activities involving HCPSS students and staff are canceled.
All community-sponsored programs in HCPSS buildings are canceled.
If Howard Community College is open as scheduled, HCPSS students who are enrolled at HCC and cannot attend due to a lack of transportation should notify their professors immediately using their MyHCC email or Canvas. HCC’s operating status can be found online.
Decisions regarding closings due to inclement weather will be made no later than 5:30 a.m., the school district stated. Two-hour delays will be called by 5:30 a.m. and reevaluated for closure no later than 7:30 a.m., officials noted.
When there's an emergency/school closing, information will be shared with the community through the following:
Parents/guardians and community members must opt into receiving HCPSS text message alerts. If you are unsure if you have already opted in, text the word “YES” to 67587 from the cell phone number on file in HCPSS Connect. For community members without students in the school system, text the word “YES” to 67587 from the cell phone number that you signed up with.
HCPSS does not use local media outlets, schools-out.com or e-schoolnews.com for any notifications, the district stated.
If schools are closed, or closed early due to weather conditions, all after-school and evening activities, both school and non-school, scheduled in school facilities are canceled. If schools are closed, or closed early due to weather conditions, all evening activities in schools, both school-sponsored and community-sponsored, are canceled. This includes high school athletic practices and games. All aftercare programs, sponsored by the Columbia Association and the Department of Recreation and Parks in Howard County public schools, are canceled, the school district stated.
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