PWC Max Weight Loss Program

The program described below is for patients with a minimum of 30 lbs to lose and is designed to achieve this safely with the use of lab-driven therapies that help to overcome weight loss resistance and promote fat loss.

Weight Loss Program Columbia, MD

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
Fitness Program Columbia, MD

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%.

Weight Loss Solutions State Columbia, MD

Another study with similar results

Weight Loss Program Columbia, MD

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.

Fitness Program Columbia, MD
personalized program

Follow our personalized program to achieve the most Fat loss using safe and effective medications and Program therapies

medications

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.

Weight Loss Solutions State Columbia, MD
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.

Weight Loss Program Columbia, MD
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.

Fitness Program Columbia, MD
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.)

Weight Loss Solutions State Columbia, MD

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.

Weight Loss Program Columbia, MD
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
Fitness Program Columbia, MD
Visit 6

Focus on areas where patient needs most help. (Diet/Nutrition, Exercise, Sleep, Detoxification)

Weight Loss Solutions State Columbia, MD
Visit 7

Focus on areas where patient needs most help. (Diet/Nutrition, Exercise, Sleep, Detoxification)

Weight Loss Program Columbia, MD
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
Fitness Program Columbia, MD
Weight Loss Solutions State Columbia, MD

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!
Weight Loss Program Columbia, MD

Request a Consultation

Arrange your free consultation with one of our accountants or advisors

Latest News Near Columbia, MD

I left Nashville for a Maryland suburb. Eleven years later, I've finally made peace with the trade-off.

Eleven years ago, I left Nashville's music industry scene for a suburb just outside Columbia, MD. At the time, I thought trading one community for another would be simple — the stability of suburban life between Washington, D.C., and Baltimore, and only a few hours from New York City, perfect for a new stage in my life.But years later, I still haven't found my close friends here. As a native Nashvillian, I recognized familiar faces everywhere I went, but I haven't landed there quite yet in Columbia.Over time, though, Colu...

Eleven years ago, I left Nashville's music industry scene for a suburb just outside Columbia, MD. At the time, I thought trading one community for another would be simple — the stability of suburban life between Washington, D.C., and Baltimore, and only a few hours from New York City, perfect for a new stage in my life.

But years later, I still haven't found my close friends here. As a native Nashvillian, I recognized familiar faces everywhere I went, but I haven't landed there quite yet in Columbia.

Over time, though, Columbia has surprised me. What started as a practical move has become a reminder that a slower rhythm doesn't mean a lesser song.

I cherish having access to water

I didn't realize how water-deprived I was until I moved to Maryland. Weekends bring calm inspiration: paddles slicing through the Chesapeake Bay, Osprey nests in the distance, and the simple joy of pulling up a crab cage filled with bright blue claws, ready to devour in the most satisfying breakfast.

And when I want something livelier, the Atlantic Ocean is just a day trip away, with boardwalks and beach fries. That quintessential Maryland mix of salt air and summer joy reminds me that inspiration comes from stillness.

Columbia is no Nashville, and that's partly the beauty in it. There's no Broadway-style bar crawl, no residents grumbling about pink cowboy hats and neon honkey-tonks. Here, the balance between tourism and daily life still holds.

In fact, Columbia ranked #1 best city for women in 2025 and #8 safest city in the US in 2025.

The beauty is in the balance between tourism and residential stability. Merriweather Post Pavilion sits at the center of it all, a venue that's hosted major artists for decades, from Joni Mitchell to The Grateful Dead.

Now, new Artist Lofts are underway in Columbia. Summer brings a steady stream of music with a concert season that fills the area with national talent but fades back into calm come fall. I've loved seeing artists like Alanis Morrisette, Luke Bryan, Keith Urban, and Shania Twain perform just minutes from home.

While Columbia may be known more for its proximity to the science, technology, and government sectors than the arts, creativity has quietly found its place here. My daughters found the space to create films that toured festivals, even earning a waiver to Sundance. Later, they launched a small environmental film festival with a grant from Jane Goodall's Roots & Shoots Foundation. We're also a short trip from New York City, where we enjoy catching live theater shows.

It's a great place to raise kids

In Nashville, I grew up knowing every downtown venue by heart. My teen years were spent chasing live shows, from 3rd and Lindsley to the Ryman Auditorium. But here, my kids' lives are more structured, focused on academics and competitive sports. They're grounded, attuned to a routine that doesn't involve who's on stage tonight.

Maryland's schools are rigorous, and the expectations are high. Unfortunately, the arts sometimes take a backseat, but there's a steadiness in that structure, and I've come to appreciate it.

I miss the creative heartbeat of Nashville, the morning runs through Centennial Park, the feeling that everyone you met had a story to tell or a song to share. I miss the crowd outside the riverfront on a warm summer's night, the magnetic draw of a city that celebrates inspiration.

Columbia is quieter and at times, feels like a hub more for scientists and policy makers than poets and guitarists. But it's also safe, balanced, and full of small joys: the water, the concerts, the community that shows up for each other.

I still miss Nashville, but Columbia has brought a rhythm that's calmer, steadier, and no less meaningful. Sometimes the trade-off between creativity and peace isn't about focusing on loss, but realizing what you've gained in return.

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