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 in Columbia, MD
Public Garden Details Released In Report Include Pollinator Garden
Columbia, MD Patchhttps://patch.com/maryland/columbia/public-garden-details-released-report-include-pollinator-garden
A newly released report offers a glimpse at the vision for Howard County's first public garden.Kristin Danley-Greiner, Patch StaffHOWARD COUNTY, MD — A report detailing plans for the first public garden to be created in Howard County has been released and calls for the creation of herb and vegetable gardens, pollinator gardens, lawn alternative gardens, container gardens and conservation landscapes among other s...
A newly released report offers a glimpse at the vision for Howard County's first public garden.
Kristin Danley-Greiner, Patch Staff
HOWARD COUNTY, MD — A report detailing plans for the first public garden to be created in Howard County has been released and calls for the creation of herb and vegetable gardens, pollinator gardens, lawn alternative gardens, container gardens and conservation landscapes among other special features.
The land, which is the former site of the Longwood property in Glenwood, sits at the intersection of Route 97 (Roxbury Mills Road) and Burntwood’s Road. The land includes 29 acres of woods and 71 acres of fields including actively farmed hay ground, open meadows, a black walnut grove, a pine grove, wetlands, a pond, streams, springs and covered slopes.
“This premier destination public garden will be a place of cultivated beauty where residents and visitors of all ages and abilities can come together to embrace Mother Earth and improve their physical and mental well-being in a peaceful setting,” said Howard County Executive Calvin Ball. “In its beauty, we also recognize the significance of the Longwood property’s past as a place where human enslavement once occurred. With the support of our community, we hope to determine the most respectful and appropriate way in which we can display this history.”
Structures on the property include the historic house, a smoke house, a doctor's office and the cemetery, believed to be the original features of the farm from the early 1800s, as well as a cinderblock storage shed with a metal roof, a cinderblock horse stable, a cinderblock horse birthing barn, a cinderblock horse bathing barn, a cinder block basement post and a collapsed bean barn.
The report, A Public Garden for Howard County, Maryland, details the recommendations made by the focus group assigned with developing a preliminary concept plan.
Wegmans, Uber Eats To Offer Grocery Deliveries In MD
Columbia, MD Patchhttps://patch.com/maryland/columbia/wegmans-uber-eats-offer-grocery-deliveries-md
Customers of the Wegmans Food Markets in Maryland can now have their grocery orders delivered directly to their doors via Uber Eats.Deb Belt, Patch Staff|Updated Thu, Jan 23, 2025 at 12:19 pm ETMARYLAND — Customers of the Wegmans Food Markets in Maryland can now have their grocery orders delivered directly to their doors via a new partnership with Uber Eats.Starting this month, Uber Eats users can browse the app...
Customers of the Wegmans Food Markets in Maryland can now have their grocery orders delivered directly to their doors via Uber Eats.
Deb Belt, Patch Staff
|Updated Thu, Jan 23, 2025 at 12:19 pm ET
MARYLAND — Customers of the Wegmans Food Markets in Maryland can now have their grocery orders delivered directly to their doors via a new partnership with Uber Eats.
Starting this month, Uber Eats users can browse the app to order from Wegmans locations in Massachusetts, Maryland, Virginia, North Carolina, New Jersey, and Washington, D.C. Customers can shop on the Uber Eats and Uber apps for products from restaurant-quality meals and artisan breads to fresh produce, cheese sourced from around the world, and grocery staples.
Uber One members pay no delivery fee and will receive a 5% discount on all Wegmans orders with a $35 minimum purchase. All new Wegmans' consumers will receive up to 40% off their next order of $60 or more until Feb. 5.
The grocery chain has eight stores in Maryland:
"We're thrilled to welcome Wegmans to the Uber Eats app this January," said Hashim Amin, head of North American Grocery and Retail Delivery at Uber, in a news release. "Wegmans is synonymous with high-quality food and exceptional service, and now customers can easily order everything they need for game day entertaining — from fresh produce to prepared meals and snacks — delivered right to their door."
Find out what's happening in Columbiafor free with the latest updates from Patch.
By joining forces with Uber Eats, Wegmans officials said the company aims to bring more options to its customers, allowing them to shop when and how they want.
"Our goal is to make meals easy and help our customers live healthier, better lives through exceptional food," said Erica Tickle, Wegmans Vice President of Marketing and Digital Growth.
Wegmans customers can build group orders with family members, place orders any time of day, and select replacement items with real-time tracking.
Wegmans Food Markets, Inc. is a regional supermarket chain with 111 stores located along the East Coast. The family company celebrated its 100th anniversary in 2016. Wegmans has been named one of the '100 Best Companies to Work For' by FORTUNE magazine for 27 consecutive years, ranking No. 6 in 2024.
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Where To Celebrate New Year’s Eve 2024 In Columbia
Columbia, MD Patchhttps://patch.com/maryland/columbia/where-celebrate-new-year-s-eve-2024-columbia
On New Year's Eve, Merriweather Symphony of Lights will host the "Midnight at 7" event complete with fireworks, music and food trucks.Kristin Danley-Greiner, Patch StaffCOLUMBIA, MD — Ring in the New Year at one of several events being held across Howard County.The Merriweather Symphony of Lights in Columbia offers...
On New Year's Eve, Merriweather Symphony of Lights will host the "Midnight at 7" event complete with fireworks, music and food trucks.
Kristin Danley-Greiner, Patch Staff
COLUMBIA, MD — Ring in the New Year at one of several events being held across Howard County.
The Merriweather Symphony of Lights in Columbia offers a one-mile course of scenic colored lights visitors can drive through to experience the holiday season. The experience opened on Nov. 29 and goes until Jan.4; however, visitors can walk through the light show on select dates.
On New Year’s Eve, the venue will host the “Midnight at 7” event, giving guests the chance to walk through the course one last time this holiday season. Fireworks will be set off at 7 p.m. followed by music and food trucks.
Here is a look at some additional events happening in and around Columbia:
Find out what's happening in Columbiafor free with the latest updates from Patch.
In the United States, one of the most popular New Year’s Eve traditions is the dropping of the giant ball in New York City’s Times Square. Other U.S. cities have their own versions of this celebration, such as the Peeps Chick Drop in Bethlehem, Pennsylvania, and the giant Potato Drop in Boise, Idaho.
The transition from one year to the next is often marked by the singing of “Auld Lang Syne,” a Scottish folk song whose title roughly translates to “days gone by,” according to Encyclopedia Britannica and History.com.
The tradition of New Year’s resolutions dates back 8,000 years to ancient Babylonians, who made promises to return borrowed items and repay debts at the beginning of the new year, which was in mid-March when they planted their crops.
According to legend, if people kept their word, the pagan gods would grant them favor in the coming year. However, if they broke their promises, they would lose favor with the gods.
Many secular New Year’s resolutions focus on imagining new, improved versions of ourselves.
The failure rate of New Year’s resolutions is about 80 percent, according to U.S. News & World Report. There are many reasons, but a big one is they’re made out of remorse — for gaining weight, for example — and aren’t accompanied by a shift in attitude or a plan for coping with the stress and discomfort that comes with changing a habit or condition.
Hailing from Columbia, the American Girl Doll of the Year mirrors what’s important to kids today
Abby Zimmardihttps://www.thebaltimorebanner.com/community/local-news/american-girl-doll-2025-columbia-maryland-RN2EIA5HCNCFJCRKAIDNFZG2OM/
Columbia has a new “it girl.” At 10 years old, she has a dog-walking and treat-making business and teaches other young girls how to work through obstacles, patience and how to treat people and pets as individuals — only she’s 18 inches tall and has limbs made of vinyl.Summer McKinny, sporting a rainbow tie-dye dress and pink glasses to go with matching bracelets and colorful sandals, is the doll that was crowned the ...
Columbia has a new “it girl.” At 10 years old, she has a dog-walking and treat-making business and teaches other young girls how to work through obstacles, patience and how to treat people and pets as individuals — only she’s 18 inches tall and has limbs made of vinyl.
Summer McKinny, sporting a rainbow tie-dye dress and pink glasses to go with matching bracelets and colorful sandals, is the doll that was crowned the 2025 American Girl of the Year. She’s the first American Girl of the Year from Maryland after making her debut in September.
Since Pleasant T. Rowland founded American Girl in 1986, the brand has become a touchstone for millennials and generations after who grew up with the dolls. More than 36 million of the dolls, which typically cost around $125, have been sold in the last four decades, according to American Girl.
Mary Mahoney, a historian and co-host of the popular “Dolls of Our Lives” podcast that retells the stories of each American Girl Doll, said McKinny’s story is defined by her turning her passion into a business, which mirrors what is important to generations today.
“Now we have a Girl of the Year whose dream is to be an entrepreneur. … The girls in the early periods were just pursuing things because they were interested in them. They weren’t trying to make a living,” Mahoney said. “And now it’s interesting that it’s kind of a reflection of our own times that Summer isn’t just interested in making dog treats or loving animals, which is wonderful, but also wants to make a business about it.”
She said Girl of the Year is an attempt to speak to kids, and that every doll’s story can stand as a yearbook or litmus test for the values that Mattel, the company that owns American Girl, thinks are important to children at a certain point.
Sep 18, 2024
Sep 19, 2024
McKinny’s story is told through two books called “My Journal by Summer McKinny” and “Summer Gets to Work,” both written by Clare Hutton, a Columbia native.
Hutton consulted Katie Flory, the community care and advocacy director for the Maryland Society for the Prevention of Cruelty to Animals, and Janear Garrus, founder of Chesapeake Educational Alliance, to make McKinny’s story as accurate and authentic as possible, according to American Girl.
Along with McKinny’s baking and dog-walking business, her story features her dog, Crescent, and her Aunt Olivia’s cat, Fettuccine, that bring moments of chaos into McKinny’s life. She learns how to navigate her business venture with her home life, and Hutton hopes readers see themselves in McKinny’s story.
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“While Summer’s not perfect, she is willing to admit when she’s wrong, talk about her feelings, and do what it takes to get a friendship back on track,” Hutton said in an American Girl blog. “I hope that girls will recognize their own relationships in the ones that Summer values and realize that they too can resolve conflicts just as she does.”
McKinny has real emotions that many readers may relate to, and Mahoney said that is what American Girl Dolls and their stories are meant to do.
“I think it’s a really special brand because everything they do is about instilling confidence in girls to love themselves, to explore who they are, to pursue their passions and be unapologetically interested in the world,” she said.
American Girl treats girls as empowered, important people, without rushing them to grow up or rushing them to be defined by a relationship to a boy, Mahoney said.
The dolls are also a way to connect girls to other generations in their families and encourage storytelling and shared play. “And I think all of that is really special,” she said.
abby.zimmardi@thebaltimorebanner.com
Abby Zimmardi is a reporter covering Howard County for The Baltimore Banner. Zimmardi earned her master’s degree from the University of Maryland’s Philip Merrill College of Journalism in December 2022.
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