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
Garage Door Cable Replacement Columbia, MD: Neighborhood Garage Door Repair Of Columbia Sets New Industry Compliance Benchmarks
ABNewswirehttps://www.openpr.com/news/4433783/garage-door-cable-replacement-columbia-md-neighborhood
Press releaseGemini said Neighborhood Garage Door Repair Of Columbia provides accessible, professional garage door cable replacement for Columbia residents. A consistent local presence ensures homeowners rely on timely expert support for cable issues and broader maintenance. Through service quality and technical care, the firm remains a practical resource, supporting safe home environments with experienced guidance. Garage Door Cable Replacement in Columbia MDGarage Door Cable Replacement [https://www.google.com/search?garage+d...
Press release
Gemini said Neighborhood Garage Door Repair Of Columbia provides accessible, professional garage door cable replacement for Columbia residents. A consistent local presence ensures homeowners rely on timely expert support for cable issues and broader maintenance. Through service quality and technical care, the firm remains a practical resource, supporting safe home environments with experienced guidance. Garage Door Cable Replacement in Columbia MD
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Media Contact Company Name: Neighborhood Garage Door Repair Of Columbia Contact Person: Support Email:Send Email [https://www.abnewswire.com/email_contact_us.php?pr=garage-door-cable-replacement-columbia-md-neighborhood-garage-door-repair-of-columbia-sets-new-industry-compliance-benchmarks] Phone: (240)556-2701 Address:6700 Alexander Bell Dr Unit 235 City: Columbia State: MD 21046 Country: United States Website: https://neighborhood-gds.com/service-areas/columbia-md/
Legal Disclaimer: Information contained on this page is provided by an independent third-party content provider. ABNewswire makes no warranties or responsibility or liability for the accuracy, content, images, videos, licenses, completeness, legality, or reliability of the information contained in this article. If you are affiliated with this article or have any complaints or copyright issues related to this article and would like it to be removed, please contact retract@swscontact.com
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Garage Door Opener Repair Made Easy in Columbia, MD by Trusted Experts at Neighborhood Garage Door Repair Of Columbia
ABNewswirehttps://www.openpr.com/news/4433781/garage-door-opener-repair-made-easy-in-columbia-md-by-trusted
Neighborhood Garage Door Repair Of Columbia remains a reliable provider of garage door opener repair services in Columbia, MD. With a local presence and skilled technicians, the company serves as a consistent point of contact for homeowners requiring professional repair near me. As the area grows, the firm provides dependability and responsive solutions to ensure ongoing access to expert care. Introduction: Garage Door Opener Repair in Columbia, MDGarage Door Opener Repair [https://www.google.com/search?Garage+Door+Opener+Repair&k...
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Homeowners and commercial property managers in Columbia increasingly recognize the importance of timely Garage Door Opener Repair services near me. Garage doors are not just entryways; they are integral to property security and energy efficiency. Over time, components such as drive chains, rollers, and circuit boards can degrade, leading to operational difficulties or complete failure.
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Media Contact Company Name: Neighborhood Garage Door Repair Of Columbia Contact Person: Support Email:Send Email [https://www.abnewswire.com/email_contact_us.php?pr=garage-door-opener-repair-made-easy-in-columbia-md-by-trusted-experts-at-neighborhood-garage-door-repair-of-columbia] Phone: (240)556-2701 Address:6700 Alexander Bell Dr Unit 235 City: Columbia State: MD 21046 Country: United States Website: https://neighborhood-gds.com/service-areas/columbia-md/
Legal Disclaimer: Information contained on this page is provided by an independent third-party content provider. ABNewswire makes no warranties or responsibility or liability for the accuracy, content, images, videos, licenses, completeness, legality, or reliability of the information contained in this article. If you are affiliated with this article or have any complaints or copyright issues related to this article and would like it to be removed, please contact retract@swscontact.com
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Hawaiian Barbecue Restaurant Opens In Howard County
Kristin Danley-Greinerhttps://patch.com/maryland/columbia/hawaiian-barbecue-restaurant-opens-howard-county
L&L Hawaiian Barbecue, the largest Hawaii-based restaurant chain, opened its doors Feb. 21 in Howard County with its plate lunch concept.COLUMBIA, MD — A Hawaiian barbecue restaurant has continued its growth eastward by opening a new location in Columbia.L&L Hawaiian Barbecue, the largest Hawaii-based restaurant chain, opened its doors Feb. 21 in Howard County. The founders also opened a location in Towson.Both Maryland restaurants are owned and operated by Mike Wu, who also opened locations in 2024 in An...
L&L Hawaiian Barbecue, the largest Hawaii-based restaurant chain, opened its doors Feb. 21 in Howard County with its plate lunch concept.
COLUMBIA, MD — A Hawaiian barbecue restaurant has continued its growth eastward by opening a new location in Columbia.
L&L Hawaiian Barbecue, the largest Hawaii-based restaurant chain, opened its doors Feb. 21 in Howard County. The founders also opened a location in Towson.
Both Maryland restaurants are owned and operated by Mike Wu, who also opened locations in 2024 in Annandale, Virginia, and Rockville, Maryland. Wu’s journey with L&L began in 2015 when his parents met a multi-unit franchisee for the company during a retirement cruise and returned home with the brand’s name written on a slip of paper.
Years later, Wu found that note and felt the pull to join the brand.
“It’s exciting to bring the plate lunch to Towson and Columbia and introduce these communities to a meal that’s both satisfying and familiar,” Wu said. “I’ve always believed that franchising works best when it’s built to scale responsibly. L&L is grounded in consistency, reliability and affordability, values that guide how I lead and build business that last.”
L&L Hawaiian Barbecue started more than 70 years ago as a small shop in Honolulu and was transformed in 1976 when Eddie Flores, Jr., and Johnson Kam acquired the business and expanded it across the Islands. In 1999, they introduced the franchise to the continental U.S. and coined the term “Hawaiian Barbecue” to introduce new audiences to the plate lunch format.
Patrons can order that popular plate lunch, a signature Hawaii meal that includes two scoops of rice, L&L’s housemade macaroni salad and a choice of entrée, a format that has been a staple across the Islands for generations. The plate lunch combines grilled meats and gravies with island-style flavors reflecting Hawaii’s diverse culinary heritage.
Popular choices include:
Dine in, takeout and catering will be available from the 1,740-square-foot restaurant, which is located at 8765 Centre Park Drive, Suite 12A.
Wind Advisory, Flood Warning Issued For Parts Of MD
patch.comhttps://patch.com/maryland/ellicottcity/severe-storms-possible-tornadoes-hit-md-see-timing-forecast
Forecasts call for heavy rains, a tornado threat, and 80 mph winds from a powerful storm system set to slam Maryland on Monday.Updated at 4:15 p.m. A tornado watch for 16 Maryland counties, plus the city of Baltimore, has been canceled Monday after severe thunderstorms dumped heavy rains on the D.C. region, but that has been replaced in some areas with a flood warning and wind advisory.Three southbound Interstate 270 lanes in Montgomery County were closed Monday after a band of severe storms pummeled the region ...
Forecasts call for heavy rains, a tornado threat, and 80 mph winds from a powerful storm system set to slam Maryland on Monday.
Updated at 4:15 p.m.
A tornado watch for 16 Maryland counties, plus the city of Baltimore, has been canceled Monday after severe thunderstorms dumped heavy rains on the D.C. region, but that has been replaced in some areas with a flood warning and wind advisory.
Three southbound Interstate 270 lanes in Montgomery County were closed Monday after a band of severe storms pummeled the region with heavy rain. The road closures were in effect on the three southbound right lanes at Tuckerman Lane because of standing water.
A flood warning is in place until 6:30 p.m. for portions of central Maryland, including Montgomery County. Flooding of rivers, creeks, streams, and other low-lying and flood-prone locations is imminent or occurring, the National Weather Service said. Streams continue to rise due to excess runoff from earlier rainfall. Low-water crossings are inundated with water and may not be passable. Between 1 and 2 inches of rain have fallen.
Another half-inch of rainfall is possible in the warned area.
Locations that will seee flooding include: Rockville, Bethesda, American Legion Bridge, Potomac, North Bethesda, and North Potomac.
The National Weather Service has issued a wind advisory that is in effect from 8 p.m. to midnight. West winds of 20 to 30 mph with gusts up to 55 mph are expected.
The advisory covers the Washington metropolitan area, northern Virginia, northern, central and southern Maryland. A sudden onset of strong winds are expected behind the cold front this evening.
Sixteen Maryland counties, plus the city of Baltimore, were under a tornado watch Monday as a series of severe thunderstorms that could produce heavy rains, and damaging winds with gusts up to 80 mph are forecast to hit the state, forecasters say.
Many school districts in the area have announced plans to dismiss classes early, including Anne Arundel, Montgomery, Prince George's, Howard, Harford and Baltimore counties.
The tornado watch includes these counties:
Severe storms are expected to hit the Baltimore-D.C. area this afternoon, said NBC Washington. The main threat is expected 3 p.m. through 9 p.m., so prepare for potentially dangerous conditions during the afternoon commute.
Damaging winds and tornadoes will be possible. There’s a level 4 out of 5 threat level for severe weather in much of the area.
“This is one of the most elevated severe weather risk days in several years,” Storm Team4 Meteorologist Chuck Bell said.
"Expect multiple rounds of strong to severe storms today with the front crossing this evening. Have a way to get warnings," the National Weather Service said.
A first round of storms could affect areas west and then north of D.C. between 11 a.m and 1 p.m.; a few could be severe, The Washington Post's Capital Weather Gang said Monday. The greatest concern is a probable line of strong to severe storms between 3 and 6 p.m. capable of producing damaging winds and tornadoes.
Strong storms may continue into the evening, especially east of Interstate 95, with a damaging wind and tornado threat, the Post said. Top wind gusts could hit 80 mph. Rain is expected to wrap up between 8 and 10 p.m., when the system sends temperatures crashing and rain may switch to snow between 10 p.m. and midnight.
"Meteorologists are sounding the alarm for a widespread multiday severe risk stretching across the central and eastern United States from Sunday afternoon into Monday," Accuweather said. "Over a dozen states will be at risk for severe thunderstorms."
As thunderstorms move eastward toward the Eastern Seaboard, so will the risk of severe weather. At least 'some' risk for severe thunderstorms is expected from Florida to New York, the private weather service said. AccuWeather meteorologists have upgraded the risk to high from just north of Baltimore to Columbia, South Carolina.
Commuting Concerns
During the day on Monday, heavy rain and winds could cause problems on roads and airports.
"Downpours reducing visibility and causing ponding on roadways can also impact the [Monday] evening commute," Accuweather said. "Ground stops can also occur at airports throughout the region."
Forecasters also warned that a "March Megastorm" — which is expected to bring blizzard conditions to the Midwest on Monday — will likely impact the Mid-Atlantic and Northeast.
"Wind gusts of 40-60 mph are expected across the central and eastern U.S. Sunday and Monday, from New Mexico to Maine," they say. "These winds alone can create hazardous travel for high-profile vehicles and may bring down tree limbs and power lines, especially in areas already weakened by recent storms."
Snow Later
The cold front may lead to snowfall on Monday night as temperatures drop into the upper 20 and low 30s. There's an 80 percent chance of snow in Maryland, but it should only amount to a half inch or less, the NWS says.
Temperatures will fall drastically, with a daytime high of 67 degrees expected on Monday, but only a high of 42 on Tuesday. Daytime highs will reach the mid-50s by the end of the week, according to the National Weather Service.
Here's the Maryland forecast for the week ahead from the National Weather Service:
Monday: Showers and thunderstorms, mainly before 1pm, then showers likely and possibly a thunderstorm after 5pm. Some of the storms could be severe. High near 67. Breezy, with a south wind 10 to 20 mph, with gusts as high as 44 mph. Chance of precipitation is 80%. New rainfall amounts between a quarter and half of an inch possible..
Monday Night: Showers and possibly a thunderstorm before midnight, then a slight chance of showers between midnight and 1am. Some of the storms could be severe and produce heavy rainfall. Low around 32. Breezy, with a south wind 15 to 22 mph becoming west in the evening. Winds could gust as high as 44 mph. Chance of precipitation is 100%. New precipitation amounts between a half and three quarters of an inch possible.
Tuesday: Mostly sunny, with a high near 42. West wind 13 to 15 mph, with gusts as high as 26 mph.
Tuesday Night: Mostly clear, with a low around 27. West wind 5 to 9 mph becoming light northwest after midnight.
Wednesday: Partly sunny, with a high near 41. Calm wind becoming south around 5 mph in the afternoon.
Wednesday Night: Mostly cloudy, with a low around 32.
Thursday: Partly sunny, with a high near 50.
Thursday Night: Mostly cloudy, with a low around 40.
Friday: Mostly sunny, with a high near 60.
Friday Night: Mostly cloudy, with a low around 44.
Saturday: Mostly cloudy, with a high near 60.
Saturday Night: Mostly cloudy, with a low around 43.
Sunday: Partly sunny, with a high near 57.
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