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
New Library Project Given Green Light By County Council
Kristin Danley-Greinerhttps://patch.com/maryland/columbia/new-library-project-given-green-light-county-council
The Howard County Council has approved legislation providing financing to buy land and work up a design for the proposed Central Branch.COLUMBIA, MD — Plans for a new library in downtown Columbia will move ahead after the Howard County Council approved legislation that provides for the planning and design of the central branch.The passage of CB69-2025 enables the county to begin using previously allocated, restricted state grant funding for the design of the new central library branch. Howard County Executive Calvin Bal...
The Howard County Council has approved legislation providing financing to buy land and work up a design for the proposed Central Branch.
COLUMBIA, MD — Plans for a new library in downtown Columbia will move ahead after the Howard County Council approved legislation that provides for the planning and design of the central branch.
The passage of CB69-2025 enables the county to begin using previously allocated, restricted state grant funding for the design of the new central library branch. Howard County Executive Calvin Ball now will start negotiations to purchase land at Columbia Lakefront for the new branch's site this spring.
The existing Central Library was designed in 1978 and opened in 1981. At approximately 50,000 square feet in size, the Central Library is no longer the largest library in the county and is undersized to meet the service demands and growing population, particularly as the flagship central branch of Howard County Library System, officials have stated.
The County Council also approved legislation that allows Howard County to obtain land in the Merriweather District to build affordable housing in accordance with the Downtown Columbia Development Rights and Responsibilities Agreement.
The Merriweather District site will provide more than 120 mixed-income housing units, of which half would be affordable. Once the new central library branch is built , the existing Central Library will be demolished and the site will be used for additional mixed-income housing units per the DRRA. The existing library site is expected to create approximately 200 mixed-income housing units, of which half would be affordable. Together, these two sites are expected to provide more than 320 mixed-income housing units.
“Today, Columbia stands out as one of America’s greatest success stories. Downtown Columbia continues to grow as a vibrant and inclusive community that reflects Jim Rouse’s original vision of a ‘garden for growing people,’” said Howard County Executive Calvin Ball at a news conference. “Together, we are taking bold steps to make that vision a reality by ensuring that every child has access to a world-class education, every resident has the opportunity to thrive and every neighbor can find a place to call home. With new progress on affordable housing and a much-needed Central Branch at the Columbia Lakefront, we are building a downtown that embodies innovation, connection and opportunity for all.”
Jacqueline West-Spencer, board chair of the Howard County Housing Commission, said the inclusion of 900 affordable homes in the Columbia Downtown Housing Plan was a "major step forward" for the redevelopment of Columbia.
The creation of a Lakefront Library, which allows the Merriweather site to be fully dedicated to much-needed mixed-income housing, represents another significant milestone," West-Spencer said.
Christiana Rigby, County Council vice chair, said a new central library branch "renews Columbia’s legacy as a place where innovation and inclusion go hand in hand, while advancing long-awaited plans for new affordable housing in the Merriweather District.”
2025 Christmas Tree Guide: Where To Buy A Tree In Columbia
Kristin Danley-Greinerhttps://patch.com/maryland/columbia/2025-christmas-tree-guide-where-buy-tree-columbia
COLUMBIA, MD — If you’re planning to put up a live Christmas tree this year, it’s a good idea to scope out what will be available from Howard County area tree growers.There are more than 16,000 Christmas tree farms in the United States, stretching over 292,050 acres, according to the U.S. Department of Agriculture. Larger tree farms control about 75 percent of the supply, but if you’re interested in supporting a local business this holiday season, here are some places to chop or pick out a tree within driving d...
COLUMBIA, MD — If you’re planning to put up a live Christmas tree this year, it’s a good idea to scope out what will be available from Howard County area tree growers.
There are more than 16,000 Christmas tree farms in the United States, stretching over 292,050 acres, according to the U.S. Department of Agriculture. Larger tree farms control about 75 percent of the supply, but if you’re interested in supporting a local business this holiday season, here are some places to chop or pick out a tree within driving distance of Columbia:
Recent data from the American Christmas Tree Association’s 2024 Consumer Report shows 99 percent of survey respondents intend to display at least one Christmas tree in their homes this year, and among them, 22 percent will opt for a live tree.
According to PickYourOwnChristmasTree, real trees will cost about $13 a foot, depending on the type of tree. At that cost, a typical 7-foot tree would cost about $90.
Years of extreme weather — drought conditions in some parts of the country and excess moisture in others — have affected Christmas tree farms.
This year, attention is focused on the Northeast, where tree farmers are struggling under severe drought conditions that are killing off young trees and could cause future shortages.
According to the U.S. Drought Monitor, about a fourth of the region was in severe to extreme drought, which hits young trees especially hard. It typically takes a tree seven or eight years to grow to the desirable height for decorating.
“Christmas tree farms in the Northeast have, unfortunately, been hit with drought conditions that will impact the crop for several years to come,” American Christmas Tree Association executive director Jami Warner told CNN.
“While consumers will be able to find their Christmas trees this season, some growers in the Northeast will not be able to harvest as many trees as they have in past non-drought years,” Warner said.
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